Kwa Ena Pambuyo Pambuyo la IPAA, Pouchitis Angakhale Vuto Lalikulu
Pouchitis ndi chikhalidwe chomwe chimapezeka mwa anthu ena omwe achita opaleshoni yotchedwa koal pouch anal anastomosis (IPAA), yomwe imatchedwa j-pouch . Pamene j-pochi imatha ndipo imayambitsa zizindikiro za kutsekula m'mimba (nthawi zina imagazi), kufunika kofulumira kudutsa choponderetsa, kusadziletsa, ndi kupweteka kapena kupweteka pamene akudutsa pansi, amatchedwa pouchitis.
Sikuti aliyense amene ali ndi j-poch amapeza pouchitis, koma anthu ena amaupeza nthawi ndi nthawi, ndipo ena amaupeza kawirikawiri kuti angatchulidwe "osapitirira."
Kodi J-Pouch N'chiyani?
Kuchita opaleshoni ya J-pouch kumachitika pofuna kuchiza matenda a zilonda zam'mimba, ndi zina zomwe zimayambitsa kugaya, monga a m'banja la adenomatous polyposis (FAP) . Kuchita opaleshoni kumachitika kawirikawiri (kawirikawiri mapazi awiri, koma nthawi zina 3), ngakhale nthawi zina amachitira limodzi. Mbali yoyamba ya opaleshoni ndiyo kuchotsa opaleshoni yaikulu yamatumbo, yotchedwa colectomy. Zonse kapena mbali ya rectum ingachotsedwe panthawi yomweyo.
Gawo lachiwiri la opaleshoni, lomwe lingathe kuchitidwa pa nthawi imodzimodzi ya colectomy, ndilo kulengedwa kwa j-pouch ndi ileostomy. Pogwiritsa ntchito thumba, sitimayo imatha kukhala ngati "J" (ngakhale maonekedwe ena nthawi zina amachitiranso). Ngati opaleshoniyi ikuchitidwa mobwerezabwereza, gawo lomaliza la ndondomekoyi ndikutembenuzira leostomy ndipo j-poch ikugwira ntchito.
Izi zimapangitsa munthu kuti apite ku bafa "zambiri," osasowa thumba la ostomy, monga leostomy .
Kodi Pouchitis N'chiyani?
Anthu ena okhala ndi j-pochi amamva zovuta zomwe zimatchedwa pouchitis. Pouchitis ndi wamba kwambiri mwa anthu omwe ali opaleshoni ya j-pouch kuti athe kupweteka kwa zilonda zam'mimba kuposa FAP kapena chifukwa china.
Pouchitis ndizofala, ndipo chifukwa chenichenicho sichidziwika, ngakhale pali ziphunzitso zina zogwira ntchito.
Zizindikiro za pouchitis zingaphatikizepo izi:
- Fever
- Magazi amagazi
- Ululu ndi defecation
- Kudya kwa fecal kapena kufunikira kofunika kutulutsa thumba
Ndi Anthu Angati Ambiri Amene Ali ndi J-Pouches Ali ndi Pouchitis?
Pali malipoti osiyanasiyana omwe anthu ambiri omwe ali ndi j-pockets for ulcerative infirmity pouchitis. Malingana ndi zotsatira za maphunziro osiyanasiyana, pouchitis ikhoza kuchitika kulikonse kuyambira 30% mpaka 50% odwala. Poyambirira kwa zizindikiro, dokotala adzakuthandizani kudziwa pouchitis, chifukwa zizindikiro zimatha kufanana ndi zovuta zina, kotero kuti ziyenera kutayidwa. Kawirikawiri izi zimachitika ndi chochoscopy, yomwe ndi mtundu wa endoscopy yomwe imagwiritsidwa ntchito kuyang'ana mkati mwa j-poch.
Kodi Pali Mtundu Wambiri wa Pouchitis?
Pouchitis nthawi zambiri amagawidwa kukhala pachimake pouchitis ndi aakulu pouchitis. Chikondi cha pouchitis ndi pamene zizindikiro zakhala zikuchitika kwa milungu yosachepera 4. Pamene zizindikiro zimapitirira kwa milungu yoposa 4, vutoli limatchedwa pouchitis.
Ndikumveka bwino kuti pouchitis akhoza kukhala oposa umodzi, zingakhale zosiyana. Osati odwala onse amachitanso chimodzimodzi ndi chithandizo chomwecho komanso odwala ena amafunikira chithandizo chokhalitsa kuti athetse vutoli.
Kupeza zizindikiro ndizofunikira kupewa zovuta zambiri komanso kusunga thumba. Anthu omwe ali ndi j-pochi ali kale pangozi yowonongeka kwa madzi, ndipo kutsegula m'mimba kuchokera ku pouchitis kumatha kutsogolera mwamsanga kutaya madzi. Inde, palinso mgwirizano wa moyo: pouchitis idzakhudza kwambiri moyo wa wodwalayo, ndipo kuitenga ku chikhululuko ndikofunikira.
Nthawi zambiri, chifukwa chomwe pouchitis chimapezeka sichidziwika. Koma pafupifupi anthu 30 peresenti, ndi chikhalidwe chotchedwa pouchitis yachiwiri. Pachifukwa chachiwiri cha pouchitis, chifukwa chingadziŵike, ndipo zina mwazi ndizo:
- Zomwe zimayambitsa zokha
- Matenda
- Ischemia
- Kugwiritsira ntchito mankhwala osagwiritsa ntchito mankhwala osakaniza (infosmatory drugs) (NSAIDs)
Kodi Pouchitis Amagwidwa Bwanji?
Nthaŵi zambiri, pouchitis imachizidwa ndi maantibayotiki. Nthawi zina, mankhwala omwe amachiza maantibayotiki amachotsa pouchitis. Nthawi zina, mankhwala opha tizilombo angakhale osowa kwa nthawi yaitali. Anthu ena akhoza kusinthidwa kuchokera ku antibiotic wina kupita ku mzake, kapena kulandira chithandizo chamankhwala chotsutsana ndi mankhwala, kuti athetse pouchitis.
Ngati pouchitis samayankha maantibayotiki, dokotala angasankhe kupereka mankhwala ena, monga mankhwala odana ndi kutupa kapena mankhwala osokoneza bongo.
Kutchulidwa: thumba-EYE-tis
Chitsime:
DS DS, D'Haens G, Shen B, Campbell S, Gionchetti P. "Malangizi othandizira kutsogolera pouchitis." Inflamm Bowel Dis . 2009 Sep; 15: 1424-1431.
Shen B, Fazio VW, Remzi FH, ndi al. "Zizindikiro zoopsa za matenda a zikopa-anal anastomosis pambuyo pobwezeretsa proctocolectomy kwa ulcerative colitis." Clin Gastroenterol Hepatol . 2006 Jan; 4: 81-89; funso 2-3.
Shen B, Lashner BA. "Pouchitis: matenda ambiri." Curr Gastroenterol Rep . 2005 Oct; 7: 404-411.
Zezos P, Saibil F. "Matenda a chikopa cha kutupa: Zambiri za pouchitis." World J Gastroenterol . 2015 Aug 7; 21 (29): 8739-8752.