Iziphumo eziliqela zihlolisise ukudibanisa phakathi kwezifo eziguguzelayo (IBD) - isifo sikaCrohn kunye nesifo se-ulcerative-and appendix.
Ezinye izifundo zibonise ukuba i-appendectomy (ukususwa kwesihlomelo) idibene nomngcipheko omncinci wokuvelisa i-ulcerative colitis. Ukuchaphazela kuyinyaniso yesifo sikaCrohn-uphando oluthe lwafumana ingozi emva kwe-appendectomy.
Abaphandi basacacanga ukuba kutheni le mibutho ikhona, kwaye kutheni kubonakala ukuba i-appendectomi ibeneempembelelo ezichasene nesichengeni sesifo sikaCrohn kunye nesifo se-ulcerative colitis.
Ngokuqhelekileyo akunconywa ukuba ususe isihlomelo xa ibonakala iphilile. Kukho ingxoxo malunga nokususa isihlomelo xa utyando lwenziwe ngesinye isizathu: ukuthatha isihlomelo ngenxa yokuba ugqirha usele yenze enye inqubo. Nangona kunjalo, ukuthatha isithasiselo kumntu onempilo ngenxa yengozi ekuveliseni i-ulcerative colitis ayikho into eyenziwe.
Yiyiphi iSithasiselo?
Eli lilungu elincinci lihlala lincinci, njengoko lingenalo msebenzi oqinisekisiweyo. Itholakala kwinqanaba lokuqala lesitumbu, kwaye libukeka njengombungu okanye ityhubhu. Nangona kungabonakali ukwenza nantoni na, itholakale, yinto ebizwa ngokuba yi-appendicitis.
Unyaka ngamnye, omnye kubantu abangama-500 une-appendectomy.
Ukuba isithasiselo esikhankanyweyo asisuswanga, sinokupheka. Isihlomelo esiye saqhamuka sinokubangela ukusuleleka kwintsholongwane engathanga. Ukususwa kwesihlomelo akubonakali kubangela ezinye iingxaki zempilo.
Ukuxhamla kwi-Ulcerative Colitis
Ucwaningo oluninzi lubonisa ukuba ukususwa kwesihlomelo kunganciphisa umngcipheko wokuvelisa i-ulcerative colitis ngama-69%.
Abantu abane-ulcerative colitis abanamathuba amaninzi ukuba babe ne-appendectomy, mhlawumbi kwi-appendicitis okanye esinye isizathu, kunabantu bonke.
Kwangoku kukho iimbono ezintathu zokuba kutheni abantu abane-ulcerative colitis babe ne-appendectomi encinci kunabantu abaphilileyo.
- I-antigen kwisihlomelo idibene nokuqaliswa kwe-ulcerative colitis.
- Ukungaqhelekanga emathunjini phakathi kwabantu abaye baxhamla kwi-ulcerative colitis bangabangela uxanduva lweziganeko ezimbalwa ze-appendicitis.
- Ukuba ne-appendectomy ngandlela-thile ukhusela umntu ekuhlaleni i-ulcerative colitis.
Ingcamango yokugqibela ihlolwe kwizilwanyana. Izilwanyana ezazisuswa kwisihlomelo, kwakungenakwenzeka ukuba zibe ne-ulcerative colitis. Izilwanyana ezaba ne-appendectomy kwiiveki ezimbini zafumanisa ukuba zikhululekile kwi- bacteroia Bacteroides . Lo mzimba ungabangela ukuvutha kwamathumbu emathunjini kwi-IBD. Abaphandi banokugqiba ukuba oku kuthetha ukuba isihlomelo sinokusetyenziswa emva koko. Isihlomelo singadlala inxaxheba kwisistimu ye-immunos mucosal, evikela umzimba ngokuchasene.
Igalelo lokususa isihlomelo emva kokuqala kwe-ulcerative colitis ayiyazi. Ngokubanzi, ubudlelwane phakathi kwezilonda zezilonda zesilonda kunye ne-appendectomy kusahlali ngokucacileyo.
Nangona kunjalo, ukuba i-colon isuswe (i- colectomy ) yokunyanga i-ulcerative colitis, isihlomelo sinakususwa (kuba siqhotyoshelwe kwikolon).
Ukuxhamla kwiSifo seCrohn
Izifundo ezimbini ziye zagqiba ukuba umngcipheko wesifo sikaCrohn sanda kwiminyaka engama-20 emva kokususwa kwesihlomelo; abafazi ngokukodwa babenomngcipheko ophezulu wokuhlaselwa kwesifo sikaCrohn emva kwe-appendectomy, ngokweyokuqala kokufunda.
Abaphandi kwisifundo sesibini baxilisa ukuba, kwezinye izigulane, ukuhlaselwa kwangaphambili kwezihlomelo kungenzeka kube yinto yokuqala yokugula kwesifo sikaCrohn. Izimpawu zeCrohn ziphosakele nge-appendicitis kwaye i-appendectomy yenziwe.
Kuphela kweminyaka kamva uKrohn ekugqibeleni afunyanwe. Ngoko ke, umngcipheko weCrohn kwalabo ababenayo i-appendectomy ayinakwandiswa ngokwenene. Abaphandi baphetha ukuba uphando olongezelelweyo luyimfuneko ukuqonda nayiphi na intsebenziswano phakathi kwesifo sikaCrohn kunye ne-appendectomy.
ILizwi
Olu bungqina aluthethi ukuba sonke sifanele siphume kwaye sicele amalungu ethu osapho osondeleyo abasengozini yokulonda i-ulcerative colitis ukuba babe ne-appendectomy. Kwakungekho kufanele ukuba nesigqibo sokususa isithasiselo somntu osengozini yesifo sikaCrohn. Ububungqina abuyikunyanzelisa ngokwaneleyo okanye ukugunyazwa ngokugqithisileyo okanye ukukhusela i-appendectomy efunekayo. Naluphina uhlobo lotyando luba nemingcipheko emininzi, kwaye de de siyazi ngakumbi, ezo mngcipheko zingenakugqithisa izibonelelo ezinokwenzeka.
Imithombo:
UAndersson RE, u-Olaison G, u-Tysk C, i-Ekbom A. "I-Appendectomy ilandelwa ngumngcipheko wokwanda kwesifo sikaCrohn." Gastroenterology Jan 2003.
I-Carbonnel F, uJantchou P, Monnet E, iJosnes J. "Izinto ezinobungozi kwimeko yesifo sikaCrohn kunye nesifo sokulonda kwesilonda: ukuhlaziya." I-Gastroenterol Clinic Biol . 2009 Juni; 33 I-Suppl 3: S145-S157.
UGilaad G Kaplan, uBob Pedersen, uRoland E Andersson, uBruce E Sands, uJoshua Korzenik no-Morten Frisch. "Umngcipheko wokuhlaselwa kwesifo sikaCrohn emva kwe-appendectomy: Ucwaningo olwenziwa ngabantu baseSweden naseDenmark." Gut Sept 2007.
UKoutroubakis IE, Vlachonikolis IG, iKouroumalis EA. "Indima ye-appendicitis kunye ne-appendectomy kwi-pathogenesis ye-ulcerative colitis: uhlolo olubalulekileyo." I-Inflamm Bowel Dis Jul 2002.
U-Roland E. Andersson, u-Gunnar Olaison, uChart Tysk, kunye no-Anders Ekbom. "Appendectomy and Protection against Ulcerative Colitis." N Engl J Med 15 kuMatshi 2001.