Inkxaso Yentlalo Emva kokuPiliswa Kuye waba nomthelela obalulekileyo ekuPheleni kakuhle
Kwabanye abantu abane-ulcerative colitis, ukhetho lokufumana i- colectomy yesifo sabo kunzima. Ngamanye amaxesha, ukhetho lwenziwa lula - ukuqala komdlavuza wekolon kufumaneka, ukugqithwa kwenzeka, okanye unyango lonyango aluphumelelanga. Kodwa kwiimeko ezininzi, ukunyuka kwe-colectomy kukukhetha, kunokuba kunyanzelekile.
Yintoni i-Colectomy?
I-colectomy ingokuthi, ukubeka nje, ukukhutshwa kwamathumbu amakhulu (ikholoni).
Emva kokuba umathumbu omkhulu ususwe, i-ileostomy yenziwe, kunye nesisu esiswini esisetyenziselwa ukupheliswa kwenkunkuma. Ngoku, oko kushiwo, kukho ezininzi iingongoma ezigqithiseleyo ekusebenziseni ukuhlinzwa. I-colectomy inokwenziwa ngezizathu ezininzi, kuquka ukuphatha isifo sesibindi sokugula (IBD), umdlavuza wekolon, okanye i -polyenis (familial adenomatous polyposis) (FAP) . Isizathu sokuba i-colectomy iyakuchaza ezininzi iinqunto malunga nendlela utyando lwenziwe ngayo kwaye
I-colectomy ithetha ukususa intumbu, kodwa kwezinye iimeko i-rectum, okanye ubuncinane inxalenye yecala, ishiywe kwiindawo. Oku kuvumela ukuba unakho ukuhlaziywa kwakhona. Nge-ulcerative colitis kunye ne-FAP, abaninzi abantu banokukhetha ukuba ne-j-pouch ukuhlinzwa emva kwe-colectomy. Kulo msebenzi, inxalenye yokugqibela yesisu esincinci ityunjwa kwi-"j" ukwenzela ukuba ikwazi ukubamba isitulo. Ixhumeke kwi-rectum okanye i-anus, ngoko isigulane sinokuphelisa inkunkuma ngaphandle kwemfuneko yokusetyenziswa kwe-ostomy.
Kwezinye iimeko ze-IBD, kwaye ngokukodwa kwisifo sikaCrohn, ukubuyisana kwakhona kungenakusebenza kakuhle, kwaye i-ileostomy esisigxina kunye nesigxina esisigxina sidalwa.
Abanye abantu abane-ulcerative colitis bangaphinda bakhethe ukungabikho kwakhona, kodwa babe ne-eliostomy esisigxina. Izizathu zolu khetho zizodwa, kodwa zingabandakanya umnqweno wokuba nabantwana (kwabasetyhini), ukuxhalabisa malunga neengxaki kunye ne-j-poch, okanye ukuphepha ukuhlinzwa.
Ngubani Okhetha iConomyomy?
Yintoni eyenza umntu omnye ene-ulcerative colitis ukuba akhethe i-colectomy, ngelixa omnye engenzi? Uphando olushicilelwe kwi -American Journal of Gastroenterology lujolise ekuqondeni ngakumbi malunga nabantu abane-ulcerative colitis abakhetha i-colectomy ngokumalunga nalabo abangenayo.
Uphando lubhekisele kumaqela amathathu: abantu abangenayo i-ulcerative colitis, abantu abanezilonda zesilonda kunye ne-colectomy, kunye nabantu abane-ulcerative colitis ababenokhetho lwe-colectomy. Abo babe ne-ulcerative colitis kunye ne-colectomy babecinga ukuba ukuba ne-colectomy kwakufana nokuphila ne-ulcerative colitis. Abo babephethe i-colectomy bakhetha iimeko zabo zempilo zangoku kwixesha lokuphila ne-ulcerative colitis. Enye yeemeko ezinkulu phakathi kwamaqela amabini yinkxaso yezenhlalakahle: abo babenomdla wokuncinci babenenkxaso engaphezulu kunabo babengenalo.
Ukwenza Ingqiqo yezinto ozikhethele zona
Iziphumo zesifundo zenza ingqiqo ecacileyo: ukuba unesifo sezilonda zesilonda kunye nokwazi abanye abane-ulcerative colitis abaziva bebe bhetele emva kokuhlinzwa okhethwe ngumzimba, unokuba utyunjwa ukuba ufumane ukuhlinzwa. Njengoko limi, akukho ndlela yendalo yonke "yokuphonononga" uphando lwakho kunye nesiphumo salo kwabanye ukuba basebenzise amava akho kwaye unokufunda kwiimpazamo zakho.
I-gastroenterologist okanye ugqirha unogqirha unokukwazi ukukunxibelelana nabanye abane-IBD, okanye i-colectomy, okanye i- j-poch , okanye unokuya kwiforum okanye ibhodi yomyalezo kubantu abane-IBD. Nangona kunjalo, ndikulungele ukubethelwa ininzi lethu sichitha ixesha elide kuphando malunga nokuthengwa kwezithuthi ezilandelayo kunokuba siphucule uphando lwe-colectomy.
Enye into ekhethekileyo yokuzikhethela yinto yokuba kukho iingxaki. Iingxaki kunye nokuhlinzwa okutyunjwayo akuqhelekanga, kodwa inkxalabo malunga nokuba nakho kunokuthintela abanye ukuba babe nokuhlinzwa. Ekugqibeleni, ngaphandle kokuba utyando lugunyaziswe zizizathu zenyama, ukhetho luyimfihlo kakhulu, kwaye luyimiphumo eninzi yolwazi kunye nesiseko soxhaso esitholakalayo kwizigulane.
Umthombo:
Waljee AK, Higgins PD, Waljee JF, et al. "Imilinganiselo ebonakalayo kunye neyona Nkqubela yoBomi kunye ne-Ulcerative Colitis: Ukuthelekiswa kwezigulane ezithintekayo eMedical and Surgery." U-Amer J Gastroenterol 2011; 106: 794-799. 3 Meyi 2011.