Kuphika kwa J-Pouch kwa Ulcerative Colitis Kumathetsa Kufunika kwa Ostomy
Kubwezeretsa thumba la j-pouch, kapena laal, ndi njira yovuta ya opaleshoni yomwe imagwiritsidwa ntchito kwa anthu omwe ali ndi zilonda za m'mimba, mitundu ina ya khansara yamtundu , komanso a polyposis . Zapangidwa m'ma 1970, opaleshoni imeneyi imathetsa kufunikira kwa thumba lakunja kuti lisonkhanitse zinyalala. Njirayi ikhoza kuchitidwa chimodzi, ziwiri, kapena zitatu, koma nthawi zambiri zimagwiridwa.
Gawo 1
Njira yoyamba mu opaleshoni ya j-poch ikuchotsa matumbo kapena matumbo akuluakulu. Minofu ya rectal yatsala m'malo, koma chigawo cha rectum chikuchotsedwa. Dokotala wa opaleshoni ndiye adzalenga thumba lenileni m'matumbo aang'ono. Thumbali likhoza kumangidwa m'njira zingapo kuti apange j-pouch, s-pouch, kapena w-pouch. Dokotala wa opaleshoni adzaganiza kuti ndi oyenera mtundu uti. Chikwama chake chimagwirizanitsidwa ndi anus .
Pomalizira, dokotalayu akupanga ileostomy , yomwe idzakhalitsa kanthawi pamene j-poch amachiza. Analoostomy ndi njira yomwe m'matumbo aang'ono amabweretsa kudzera pakhungu la mimba. Chigawo chapachilendo cha m'mimba mwaching'ono chimatchedwa 'stoma', chimene chiri Chigriki cha 'pakamwa'. Kutaya thupi kumachokera mu stoma ndipo kumasonkhanitsidwa ndi thumba la ileostomy limene libvala pambali pa mimba. The ileostomy imasunga chitseko kuti isadutse mu j-poch kuti apereke nthawi yakuchiritsa.
Gawo 2
Wodwala atakhala ndi nthawi yoti adziritse (nthawi zambiri miyezi iwiri kapena itatu), sitepe yachiwiri ya ndondomekoyi idzachitidwa. Pa sitepe iyi, imatchedwanso kutenga, ileostomy imachotsedwa ndipo j-pouch imagwirizana. Wodwala sadzafunikiranso thumba lakunja la ileostomy, ndipo kudula kudzadutsa mu rectum.
Njira Zoyamba ndi Zitatu Zochita
Nthaŵi zina, dokotala wodwala ndi wodwala adzasankha kukwaniritsa dongosolo lonselo mu sitepe imodzi. Dokotala wa opaleshoni adzachita colectomy, adzalenga j-pouch ndikugwirizanitsa zonse mu opaleshoni imodzi. Khwerero imodzi imathetsa kufunikira kwa opaleshoni yachiwiri kapena ileostomy yaifupi.
Ngati wodwala akudwala kwambiri, dokotalayo angasankhe kugwiritsa ntchito njira zitatu kuti akwaniritse. Pachiyambi choyamba, colectomy yachitidwa, ndipo ileostomy yapangidwe imalengedwa. Mu sitepe yachiwiri, j-poch imangidwa, ndipo sitepe yachitatu ndikutenga. Kudikirira pakati pa ma opaleshoni awa ndi miyezi iwiri kapena itatu, malinga ndi thanzi la wodwalayo.
Mawu Ochokera
Zambiri za j-zikopa zimapindula ndipo anthu omwe ali ndi opaleshoni ya opaleshoni amakula bwino. Pamene j-poch imachitika chifukwa cha ulcerative colitis, imatengedwa ngati mankhwala, osati mankhwala, chifukwa mawonetseredwe owonjezera a m'mimba a IBD akhoza kuchitikabe.