I-J-Pouch Surgery ye-Ulcerative Colitis Iphelisa I-Ostomy
I-j-poch, okanye i-ileal yokwakhiwa kwesikhwama se-ileal, uhlobo olunzima lokuhlinzwa olwenzelwe abantu abane-ulcerative colitis, uhlobo oluthile lomhlaza wekolon , kunye ne -polyposis yomndeni . Ukuphuhliswa ngawo-1970, olu uphando lugqithisa isidingo sesikhwama sangaphandle sokuqokelela inkunkuma. Inqubo ingenziwa kwinqanaba elilodwa, ezimbini, okanye ezintathu, kodwa ngokuqhelekileyo zenziwa ngamabini.
Inyathelo 1
Isinyathelo sokuqala kwi-j-pouch ukuhlinzwa sisuswa kwekoloni okanye emathunjini amakhulu. Izisipha zamathambo zishiywe endaweni, kodwa isalathisi se- rectum sisusiwe. Ugqirha uza kudala isikhombiso sangempela emathunjini amancinci. Esi sikhwama singakhiwa ngeendlela ezimbalwa ezahlukileyo zokudala i-j-poch, i-s-poch, okanye i-w-poch. Ugqirha uya kugqiba isigqibo sokuba uluphi uhlobo olufanelekileyo lwesigulane. Ingxowa ixhomekeke kwi- anus .
Ekugqibeleni, ugqirha udala i- ileostomy , eya kuba yesikhashana ngelixa i-j-pouch iphelisa. I-ileostomy yinkqubo apho inxalenye yamathumbu amancinci iziswa ngesikhumba esisisu. Le ngxenyana yangaphandle yamathumbu amancinci ibizwa ngokuthi 'stoma', eyesiGrike 'ngomlomo'. Inkunkuma iphuma emzimbeni nge-stoma kwaye iqokelelwa ngesikhwama se-ileostomy esigqunywe kwicala lesisu. I-ileostomy igcina igxile ekudluleleni kwi-j-pouch ukwenzela ukuba inikwe ithuba lokuphilisa.
Isinyathelo 2
Emva kokuba isiguli sinexesha lokuphilisa (ngokuqhelekileyo iinyanga ezimbini okanye ezintathu), isinyathelo sesibini senkqubo siya kwenziwa. Ngethuba le nyathelo, elibizwa ngokuba yi-takedown, i-ileostomy isuswe kwaye i-j-pouch ixhunyiwe. Isigulane asiyi kusadinga isikhwama se-ileostomy yangaphandle, kwaye inkunkuma iya kudlula kwi-rectum.
Inyathelo elinye kunye neNtathu zoNyathelo
Ngamanye amaxesha, ugqirha nomgulane uya kugqiba ukugqiba yonke inkqubo kwinyathelo elilodwa. Ugqirha uya kwenza i-colectomy, yenze i-j-poch kwaye udibanise konke ekusebenzeni omnye. Isinyathelo esinye sinqumla isidingo sokuhlinzwa okwesibini okanye i-ileostomy yesikhashana.
Ukuba isigulane sigula kakhulu, ugqirha unokukhetha ukusebenzisa amanyathelo amathathu ukugqiba inkqubo. Kwiyathelo lokuqala, i-colectomy yenziwe, kwaye i-ileostomy yesikhashana idalwe. Kwisinyathelo sesibini, i-j-poch isakhiwe, kwaye isinyathelo sesithathu yithatha. Ukulinda phakathi kwezi zihlandlo zokuhlinzwa ziinyanga ezimbini ukuya kwethathu, kuxhomekeke kwimpilo yesigulane.
ILizwi
Ubuninzi bee-j-poche ziphumelele kwaye abantu abanamava okuhlinzwa baphucula umgangatho wobomi. Xa i-j-pouch yenziwe nge-ulcerative colitis, ithathwa njengonyango, kungekhona unyango, kuba ukubonakaliswa kwamathumbu okomzimba we-IBD kunokuqhubeka.