Iimpawu kunye nendlela ehluke ngayo kwiPouchitis
I-cupt inflammation (ngezinye izihlandlo ebizwa ngokuba yi-cuffitis) ukuvuvukala kwinqanaba le- rectum elishiywe emva kokuhlinzwa okwenziwe ngesikhwama-anal anal anastomosis (IPAA), eyaziwa ngokuba yi-j-pouch . Ukuhlinzwa okwenziwa nge-IPAA kwenzelwa ukunyanga i-ulcerative colitis, nangona kungenziwa nakwezinye iimeko, ezifana ne- familial adenomatous polyposis (FAP) .
Ukuvuvukala kwi-cuff cup kungavamile emva kokuhlinzwa kwe-IPAA. Uninzi lwabantu abane-j-pouch utyando lusebenza kakuhle kwaye alufumani naluphi ukuvutha. Ukuba kukho ukuphazamiseka kwamathambo okanye ukuphuma kwegazi emva kokutyunjwa kwe-j-pouch, kufuneka kuxoxwa ngayo ne-gastroenterologist. Kukho unyango olukhoyo ukuphatha naluphi na ukuvutha xa kwenzeka.
Uphi uphando lwe-IPAA?
Ngophenyo lwe-j-pouch, intumbu enkulu (i-colon) isuswe kwaye icandelo lokugqibela lentlungu encinci (i-ileum) isetyenziselwa ukwenza "isikhwama." Inkukhu iphindwe kaninzi kwimoya ye-"J," kodwa kukho iifoloji ezidalwe ngohlobo lwe "S" okanye "W." Ingxowa ixhunyiwe kwi-rectum, kwaye isigulane sichasa i-anus. Utyando luvame ukuqhutyelwa kwiinqanaba ezininzi ukuqinisekisa ukuphulukiswa nokuphucula amathuba okusebenza kwebhokisi.
Yintoni iCuff 'Cuff'?
I-rectum iyinxalenye yesimiso sokugaya esingaphakathi kwamathumbu amakhulu kunye ne-anus.
Kwi-j-pouch ukuhlinzwa, ezinye ze-rectum zigcinwe ukwenzela ukuba uncede isigulane sigcine isitoreji sigcinwe kwisigxina, kwaye ukhusele ukuvuza. Nangona kunjalo, i-rectum inokuchaphazeleka ngokugulisa i-ulcerative colitis. Ngako oko, inxalenye yecala (ngamanye amaxesha elibizwa ngokuba ngumthi wesigxina okanye i-cuff) elishiywe emva kokuba isisu esikhulu sisuswe singashukunyiswa yi-ulcerative colitis.
Kwezinye iimeko, ityhubhu yecala ingaphinde ifakwe emva kokuhlinzwa ngenxa yezizathu ezithile. Ukuvuvukala kweli candelo le-rectum kwaziwa ngokuba yi-cuffit cuff inflammation okanye, ngokuqhelekileyo, i-cuffitis.
Iimpawu kunye neNyango
Iimpawu zentsimbi ye-rectal evuthayo zibandakanya ukufunwa rhoqo kwi-stool kunye nezitulo zamagazi . I- gastroenterologist ingadinga ukujonga ngaphakathi kwirectum kunye ne-endoscope ukwenza i-diagnostic. Ukuvutha kungabangela ezinye iimpawu ezifanayo njengenye ingxaki eqhelekileyo kunye ne-j-poches eyaziwa ngokuthi " pouchitis ," eyenza kubalulekile ukufumana ukuxilongwa ngokufanelekileyo. I-Pouchitis yilapho ukuvuvukala kufumaneka kwi-j-pouch yangempela. Kwezinye iziganeko, ukukhupha i-cuffing inflammation ingaqwalaselwa ukuqhubeka kwe-ulcerative colitis, ekhoyo ngoku ivela kwi-rectum.
Utyando lwe-cuff rectal cuff lungabandakanya ukusetyenziswa kwezidakamizwa eziphezulu ezibonelelwa nge-suppository, njenge-mesalamine okanye i-corticosteroids. Amayeza awanikiweyo ngomlomo. Kwiimeko ezingaphenduliyo kwi-suppositories, abanye oogqirha banika i-corticosteroid eqhubekayo eqhubekayo egcinwe kwi-rectum ngokusebenzisa i-endoscope. Ukuvutha kudla ngokuphucula unyango, kodwa xa kungenjalo, ugqirha unokujonga esinye isizathu seempawu, ezifana ne-pouchitis, i- fistula , okanye isifo se-Crohn esikhwameni.
Imithombo:
Shen B. "Ukuxilongwa kunye noLawulo lwee-Postalative Pouch Disorders". I-Clin Colon Rectal Surg . Dec 2010; 23 (4): 259-268. i-doi: 10.1055 / s-0030-1268252. 30 uJanuwari 2015.
Wu B, Lian L, Li Y, Remzi FH, Liu X, Kiran RP, Shen B. "Inkqubo yeCliniki ye-Uffitis kwi-Ulcerative Colitis Patients With Protocolectomy Restorative kunye ne-Ileal Pouch-anal Anastomoses." I-Inflamm Bowel Dis . 2013 Feb; 19 (2): 404-10. i-doi: 10.1097 / iMIB.0b013e31828100. 30 uJanuwari 2015.
Shen B, uLashner BA, uBennett AE, Remzi FH, Brzezinski A, Achkar JP, Bast J, ML yeBambrick, Fazio VW. "Unyango lwe-Rectal Cuff Inflammation (Cuffitis) kwizigulane ezine-Ulcerative Colitis Emva kokubuyisela iPrococolectomy kunye ne-Ileal Pouch-anal Anastomosis." Am J Gastroenterol . 2004 Aug; 99 (8): 1527-1531. 30 uJanuwari 2015.