Xoxa ngoNokwenzeka ngeqela lakho lezeMpilo
Abantu abanezifo zesibindi (i-IBD) ezivuthayo (IBD) ngamanye amaxesha banokuhlinzwa njengonyango lwesifo sabo. Iintlobo ezimbini ezibalulekileyo ze-IBD, i-ulcerative colitis nesifo sika-Crohn, ziphathwa ngeentlobo ezahlukeneyo zokuhlinzwa. Ngenxa yesifo sikaCrohn, esinokuchaphazela zombini nesisu esincinci , ukukhishwa kwamanzi ukuze kususwe icandelo elivuthayo lomathumbu kukuhlinzwa okwenziwa rhoqo.
Kwezinye iimeko zesifo sikaCrohn, ukuhlinzwa ostomy-mhlawumbi okwethutyana okanye okusisigxina-kungenziwa. Ngenxa yesifo se-ulcerative colitis, esithinta kuphela intlungu enkulu, ukuhlinzwa okhethwayo kakhulu yi- poal - lial-anal anastomosis (IPAA), eyaziwa ngokuba yi-j-pouch . Kulinganiselwa ukuba i-30% yezigulane ezinezilonda zesilonda ekugqibeleni zifuna ukuhlinzwa ukuze ziphathwe zizifo.
Yintoni i-J-Pouch Surgery?
Ngophakamiso lwe-j-pouch, intumbu enkulu isuswe kwaye icandelo lokugqibela lentlungu elincinci liphinde lisebenze ukuze lenze isikhombisi (ngokuqhelekileyo kwimilo ye "J," nangona ezinye iimoko zenziwa ngamanye amaxesha). I-j-poch ixhunyiwe kwi-anus, oko kuthetha ukuba isiguli sinokukhupha ngaphezulu "ngokuqhelekileyo." Umathumbu omkhulu uphelile, kodwa akukho mfuneko yokudala isisu kunye nokugqithwa kweprojekthi yangaphandle ukuqokelela isitoli.
I-j-poch isingenakwenziwa kwisifo sikaCrohn. Isizathu esona sizathu kukuba isifo sikaCrohn sinokuchaphazela isikhokhethi (esenziwe nge-ileum) emva kokudalwa kwayo.
Ukuba i-j-poch ishawulwa, ingakhokelela kwiinkathazo kunye nokungaphumeleli kokugqibela kwesikhwama. I-j-poch yahluleka ukuthetha ukukhupha kwaye ukudala i-ileostomy. Utyando olungakumbi, ngokuqinisekileyo, aluyi kunceda ukuphucula umgangatho wobomi wobomi.
Xa i-Crohn ifunyenwe emva kwe-J-Pouch Surgery
Kwezinye iimeko, abantu abaye bafumanisa ukuba bane-ulcerative colitis bafumaneka emva koko banesifo sikaCrohn.
Ngamanye amaxesha kwenzeka emva kokuba isigulane sithotywe ngophobhoji lwe-j-pouch, nangona akuqhelekanga. Ezi zi gulane zinokuthi zine-Crohn's disease ukususela ekuqaleni, nangona oko kwakungesiyo i-diagnostic yokuqala. Ingxenye yesi sizathu sokuba isifo sikaCrohn ngezinye iinkhathi sichaphazela intlaba enkulu ( ebizwa ngokuba yi-Crohn's colitis ), eyenza ibonakale ngathi i-ulcerative colitis iyona nto ixilongo. Njengoko ixesha liqhubeka, kwaye ezinye zeempawu okanye iimpawu zesifo sikaCrohn ziyabonakala, ukuxilongwa kunokutshintshwa.
Ngokwemvelo, abanye abantu abane-IBD abaye baqwalasela i-1, 2, okanye i-3-surgeries ukuze benze i-j-poch ingaba nexhalaba kakhulu malunga nokuba kunokutshintshwa kwi-ulcerative colitis kuya kwisifo sikaCrohn.
Ziyinto Eqhelekileyo Yogqirha Ukuxilongwa?
Iziphumo eziliqela ziye zajonga inani lezigulane eziye zafumanisa ukuba zinesifo sikaCrohn emva kokuhlinzwa okwenziwa ngu-j-pouch. Iipesenti zala maqela aphinde afunyaniswa kwakhona avela ngaphantsi kwe-1% ukuya kwi-13% ephakamileyo kwisifundo esinye. Ababhali beesifundo bavakalisa ipesenti ephezulu ukuba iziphumo zabo zibonakala ziphakamileyo kubo. Baqhubeka besithi bayaqaphela ukuba ayikulandelelani kakuhle kunye nezinye izifundo, ezise-10% kunye nohla oluphantsi.
Izifundo ezininzi ezivela kwiminyaka embalwa edlulileyo zibeka ipesenteji malunga ne-5% ngenxa yokuba abakliniki bakwazi ukuxilonga ifomu efanelekileyo ye-IBD. Iipesenti zahluke phakathi kwamaziko aphuhliso ahlukeneyo enza uphando lwe-IPAA. Kwisifundo esithile esenziwa kubantwana abane-ulcerative colitis okanye i-colitis e-indeterminate, ukuxilongwa kwesifo sikaCrohn emva kokuhlinzwa ku-13%.
Abagqirha kwiKliniki yaseCleveland (iziko eliphambili lokugqwesa kwi-IBD kunye ne-j-pouch ukuhlinzwa) babika inani labo izigulane ezifunyaniswa nesifo sikaCrohn emva kokuhlinzwa kwe-IPAA kuhla kwexesha.
Njengoko inkqubo yokuxilonga ngokuchanekileyo iphucula, ngoko inani lezigulane ezine-diagnostic change change.
Ngaba Sinokuqikelela Ukuba ngubani Unokuba Neengxaki Zama-Crohn?
Akukho mvumelwano malunga nendlela yokuchonga izigulane ezitholakalayo ezine-ulcerative colitis ezinokuthi zifumaneke emva koko ukuba zibe nesifo sikaCrohn. Noko ke, ubuncinane isifundo esisodwa, ukuba izigulane ezithe zafumana isifo se-ulcerative colitis esemncinci kwaye zineengxaki ezincinci zokuba zinokuguqulwa kwesifo kwisifo sikaCrohn emva kokuhlinzwa okwenziwa ngu-j-pouch. I-Pouch "ukungaphumeleli" kwaye ekugqibeleni i-j-poch isuswe iqhelekileyo kwiigulane ekugqibeleni ifumene isifo sikaCrohn. Nangona kunjalo, kulabo abakwazi ukugcina isikhwama sabo kwaye bafumanise ukuba isebenza kakuhle kubo, akubonakali kubekho umehluko kumgangatho wabo wobomi kunye nomgangatho wobomi kulabo babebenokuhlinzwa okwenziwa yi-IPAA kwaye baqinisekisile i-ulcerative colitis .
Ngaphantsi
Ukufunyaniswa ukuba nesifo sikaCrohn emva kokuxilongwa kwe-ulcerative colitis kunye ne-j-pouch ukuhlinzwa kukukhathazeka ngokufanelekileyo. Ingxaki kufuneka ixoxwe ngokude kunye ne- gastroenterologist kunye nodokotela ogqithisileyo phambi kokuba utyando lwenziwa, ngakumbi kubantu abafumene unyango okanye bafumana iingxaki ezincinci. Izigulane kufuneka zicele oogqirha malunga neenani zezigulane eziye zaphinda zaxilongwa emva kokuhlinzwa. Nangona kunjalo, kubalulekile ukuba uqaphele ukuba oku kusengokuqhelekileyo-ukubonakala kwenguqu yokuxilonga kuhla kwexesha njengoko iindlela zokuxilonga ze-IBD ziphucula.
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