Kwabanye emva kokuhlinzwa kwe-IPAA, i-Pouchitis ingaba yingxaki engapheliyo
I-Pouchitis yimeko eyenzeka kwabanye abantu abaye bahlinzwa njengesiqhwenga se-leal anal anastomosis (IPAA), ebizwa ngokuba yi- j-pouch . Xa i-j-pouch ishushu kwaye idala iimpawu zorhudo (ngamanye amaxesha zigazini), isidingo esiphuthumayo sokudlula i-stool, ukungahambisani, nentlungu okanye ukungahambi kakuhle ngelixa lidlula isitulo, kubizwa ngokuthi pouchitis.
Akunjalo wonke umntu onokwakheka kwe-j-pouch ufumana i-pouchitis, kodwa abanye abantu bayayifumana rhoqo, kwaye abambalwa bayifumana rhoqo ngokukhawuleza ukuba ibhalwe ngokuthi "engapheliyo."
Yintoni i-J-Pouch?
Utyando lwe-J-pouch lwenziwe ukunyanga i-ulcerative colitis, kunye nezinye izimo zokutya, ezifana ne- familial adenomatous polyposis (FAP) . Oku kuqhutyelwa rhoqo kumanyathelo amaninzi (ngokuqhelekileyo amanyathelo amabini, kodwa ngamanye amaxesha 3), nangona ngamanye amaxesha kwenziwa ngenye. Inxalenye yokuqala yokuhlinzwa yinkqubo yokukhutshwa kwintliziyo enkulu, ebizwa ngokuba yi-colectomy. Konke okanye inxalenye yecandeco ingasuswa ngexesha elinye.
Inxalenye yesibini yokuhlinzwa, enokuthi yenziwe ngexesha elifanayo le-colectomy, kukudala i-j-poch kunye ne-eleostomy. Ukwenza isikhwama, i-leum yesigxina igxininiswe kwimo ye "J" (nangona ezinye iimoko zenziwa ngamanye amaxesha). Ukuba utyando lwenziwe njengento engaphezu kweyodwa, inxalenye yokugqibela yale nkqubo kukuguqula i-ileostomy kwaye ube nomsebenzi we-j-pouch.
Oku kuvumela umntu ukuba angene kwindawo yokuhlambela "ngokuqhelekileyo," kwaye akayidingi isikhwama se-ostomy, njenge-ileostomy .
Yintoni iPouchitis?
Abanye abantu abane-j-poche bafumana inkxalabo ebizwa ngokuba yi pouchitis. I-Pouchitis iyaxhaphaka kubantu abane-j-pouch ukuhlinzwa ukuze baphathe i-ulcerative colitis kuneFAP okanye kwezinye izizathu.
I-Pouchitis iyinto eqhelekileyo, kwaye isizathu esicacileyo asiyaziwa, nangona kukho ezinye iingcamango zokusebenza.
Izimpawu ze pouchitis zingaquka:
- Fever
- Izitulo zamanzi
- Ubuhlungu kunye nokuchaswa
- Ukusila kweFecal okanye isidingo esiphuthumayo ukukhupha isikhwama
Bangaphi Abantu Abantu abane-J-Pouches Have Pouchitis?
Kukho iingxelo ezahlukileyo zeyiphi ipesenteji yabantu abane-j-poches for ulcerative colitis experience pouchitis. Ngokusekelwe kwiziphumo zezifundo ezahlukeneyo, i-pouchitis inokwenzeka nakweyiphi indawo ukusuka kwi-30% ukuya kwi-50% yezigulane. Ekuqalekeni kweempawu, ugqirha uya kunceda ekufumaneni i-pouchitis, kuba iimpawu zingalingisa ezinye zeemeko, ngoko ke ezo ziza kufuneka zikhishwe ngaphandle. Ngokuqhelekileyo oku kwenziwa nge-pochoscopy, ehlobo lwe-endoscopy esetyenziswe ukujonga ngaphakathi kwe-j-poch.
Ngaba Kukho iintlobo ezahlukeneyo zePouchitis?
I-Pouchitis ngokuqhelekileyo ihlukaniswe kwi-pouchitis kwaye i-pouchitis engapheliyo. I-pouchitis efanelekileyo xa iimpawu zenzeke ngaphantsi kweeveki ezine. Xa iimpawu ziqhubeka ngaphezu kweeveki ezi-4, le meko ibizwa ngokuba yi-pouchitis engapheliyo.
Kucacisa ukuba kuqondwa ukuba i-pouchitis inokuba yimiqathango engaphezu kweyodwa, ingaba yinkalo. Akusiyo yonke isigulane esabela ngendlela efana neyonyango efanayo kunye nezinye izigulana zifuna unyango oluqhubekayo ukufumana ukukhulula kwiimpawu.
Ukufumana iimpawu ezilawulwayo kubalulekile ukuphepha iingxaki ezininzi kunye nokugcina isikhwama sisebenza kakuhle. Abantu abanama-j-poche basesichengeni sokungcoliswa kwamanzi, kwaye ukuhanjiswa okuqhubekayo okuvela kwi-pouchitis kunokukhawuleza kukukhokelela ekudambiseni amanzi. Ngokuqinisekileyo, kukho umgangatho wobomi: i-pouchitis iya kuba nefuthe elibi kwimpilo yesigulane, kwaye ukufumana ukuxolelwa kuyona nto.
Uninzi lwexesha, isizathu sokuba i-pouchitis ivele ayaziwa. Kodwa kuqikelelwa kuma-30% abantu, yimeko ebizwa nge-pouchitis yesibini. Ngokomzekelo we-pouchitis yesibini, isizathu singabonwa, kwaye ezinye zezi ziquka:
- Izizathu ezizenzekelayo
- Izifo
- Iskemia
- Ukusetyenziswa kwezidakamizwa ezingekho-steroidal ezichasayo (i-NSAID)
I-Pouchitis ithathwa njani?
Kwiimeko ezininzi, i-pouchitis iphathwa ngamachiza omzimba. Kwezinye iimeko, ikhosi ye-antibiotics iya kucima i-pouchitis. Kwamanye amaxesha, i-antibiotics ingadinga ixesha elide. Abanye abantu banokutshintshwa kwi-antibiotics enye ukuya kwelinye, okanye bafumane unyango oluthile lwe-antibiotic, ukuze baphathe i-pouchitis.
Ukuba i-pouchitis ayiphenduli kwii-antibiotics, ugqirha unako ukugqiba ukunika elinye unyango, njengesigqirha esichaphazelayo okanye isicatshulwa sokuzibulala.
Ukubhengezwa: isikhwama-EYE-tis
Umthombo:
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Shen B, Fazio VW, Remzi FH, et al. "Izinto ezinobungozi kwizifo zesikhwama se-ileal-anal anastomosis emva kokubuyisela i-proctocolectomy ye-ulcerative colitis." KwiKlinikhi yaseGastroenterol Hepatol . 2006 uJan; 4: 81-89; Imibuzo 2-3.
Shen B, uLashner BA. "I-Pouchitis: iindidi zezifo." I-Curr Gastroenterol Rep . 2005 Oct; 7: 404-411.
Zezos P, uSaibil F. "Isifo sesibhobho esivuthayo: I-pouchitis." Ihlabathi J Gastroenterol . 2015 Aug 7; 21 (29): 8739-8752.