Ugqirha lokuSungulwa Ngaba Kuqhelekileyo unyango kwiiCrohn's
Xa amayeza ayisebenzi kakuhle ekulawuleni iimpawu zesifo sikaCrohn (uhlobo lwesifo sesibindi okanye i-IBD), isifo se-gastroenterologist sinokuncoma ukuhlinzwa. Ifomu eqhelekileyo yokuhlinzwa esetyenziselwa ukuphatha isifo sika-Crohn ibizwa ngokuba yi-resection. Utyando alukho ukuhluleka kwezinye iindlela zokwelapha kodwa uhlobo olulungileyo lwonyango. Abantu abaninzi abanesifo sikaCrohn baya kufuna ukuhlinzwa ukuze baphathe i-IBD okanye ingxaki.
Ngethuba le-resection, isabelo somathumbu omkhulu okanye intlungu encinci echaphazelekayo yesifo sikaCrohn isuswe, kwaye intlungu ihlangene kunye kunye nokuphela kweziphelo eziphilileyo. Ukuxhatshazwa ngokuqhelekileyo kwenziwa ngugqirha ogqirhayo , uhlobo logqirha oqeqeshiwe ngokukhethekileyo otyando olwenziwe kwiphepha elincinane lokutya.
Kwezinye iimeko, utyando lungafaka umntu ngesifo sikaCrohn kwizinye izihlandlo ekuthiwa yi-off remission. Oku kunokuzisa ngexesha elimbalwa okanye kungekho mqondiso okanye iimpawu zesifo sikaCrohn. Ukujongana nokuhlinzwa ngokusoloko kunzima, kodwa ngesifo sikaCrohn, i-resection ingathetha ithuba lokuphilisa nokubuyisela. Abantu abanesifo sikaCrohn abanenkxalabo malunga nokuba ukuhlinzwa ngoku okanye ngokuzayo kufuneka bathethe neqela labo lokunakekelwa kwempilo baze bacinge ngombono wesibini kunye nomnye ugqirha kunye nodokotela wesigqirha okanye i-gastroenterologist.
Kutheni Kuthetha Ukuhlinzwa?
Ukuhlinzwa ngokutsha kunokusetyenziselwa ukususa izithintelo , ezinokuba zibandakanya esinye isantya esinexesha elide okanye iqela lezithintelo ezikufutshane, okanye zisetyenziselwa ukususa iinxalenye ezigulayo zesisu esincinane okanye esikhulu.
Injongo yokuthengiswa kwempahla kukugcina ubuninzi besilwanyana esinempilo kwaye kunokuthi isuse kuphela isahlulo sesibilini esingasaphuluki. Ngokukodwa, ukususa amaninzi amakhulu emathumbu amancinci kugwenywa. Amathumbu amancinci apho iivithamini kunye neemaminerali zixhamle emzimbeni, kwaye ukuba zininzi zisuswe, zingakhokelela ekunqongopheni kwesondlo.
Kwiimeko ezigqithiseleyo, ukususa intliziyo emancinci encinci kunokukhokelela kwisifo esifutshane samathumbu. Ubuninzi babantu abayidingi ukuhlinzwa ngokugqithiseleyo ukuba isiguli esifutshane siza kuba nexhala.
UkuHlulwa Kwenziwe Kanjani?
Ngethuba le-resection, i- anesthesia jikelele isetyenziselwa ukulawula intlungu. Utyando lunokwenziwa ngophando oluvulekileyo okanye ukuhlinzwa okwe-laparoscopic , kodwa utyando oluvulekileyo luqhelekile kakhulu. Ukuhlinzwa ngoparoscopic ngokuqhelekileyo kusetyenziswa kuphela kwiimeko apho isiguli esifanelekileyo samathumbu sise- ileum , kwaye akukho ziphi iingxaki.
Kuvulo oluvulekileyo, kulungiswa enye inkulu enkulu. Icandelo eligulayo yesilonda liyacinywa kwaye lisuswe. Emva kokuba inxalenye yesifo esiswini isuswe, iziphelo zombini ze-intestine zihlanganiswe ndawonye (ezibizwa ngokuba yi- anastomosis ).
Utyando lwe-laparoscopic, ukusetyenziswa okuncinci kwe-3 ukuya kwe-4 kusetyenziswa. Isisu sesigcwele igesi ukuze ugqirha angakwazi ukubona kakuhle isisu esiswini kunye nekhamera efakwe ngenye yezinto ezibonwe. Yonke inqubo iyafana nokuhlinzwa okuvulekileyo: isilonda esisifo siyasuswa kwaye izicubu ezinempilo zixubene.
Ixesha elide lokubuyisela ixesha elide?
Isibhedlele sihlala kutyando oluvulekileyo kungekho zinkathazo zingabakho naziphi iintsuku ezi-5 ukuya kwi-10.
Ukuhlinzwa okwe-laparoscopic, ukuhlala esibhedlele kufana nokuba kufutshane.
Ukubuyiselwa ekusebenziseni ukuthengiswa kwempahla kungathabatha kwiiveki ezi-6 ukuya kwezi-8. Ukubuyela emsebenzini emva kokuhlinzwa kuyisigqibo esisodwa, kodwa kuya kubakho iiveki ezine okanye ngaphezulu emva kokuhlinzwa. Udokotela ogqirha uya kunika imiyalelo malunga nenqanaba lomsebenzi, kodwa ngokubanzi, ukuphakamisa okunzima, ukuqhuba, kunye neminye imisebenzi eqinile akufanele kwenziwe ngokukodwa ngeveki ezimbalwa emva kokuhlinzwa.
Ziziphi iingxaki ezinokwenzeka?
Iingxaki ezinokwenzeka ziquka ezo ezinokuthi zenzeke naluphi na utyando: ukusuleleka, ukuphaphaka, okanye ukusabela kwi-anesthetic. Nge-resection, kukho umngcipheko omncinci ukuba amacandelo amabini ajoyine amathumbu angahlukana okanye avuza (abizwa ngokuthi yi-dehiscence), nangona oku akuqhelekanga.
Ngaba Ukuvuthwa Kwezilwanyana Ukusetyenziswa Kwe-Ulcerative Colitis?
Ukubuyisana ngokukhethekileyo kwikholoni akuqhelekanga kusetyenziswe ukunyanga i-ulcerative colitis. Oku kubangelwa ukuba i-colitis ibuye ibuyele kwicandelo eliphilileyo lekholoni elishiyekileyo. I- colectomy epheleleyo, ngokudalwa kwesikhwama sangaphakathi (i- j-poch ) okanye i-ileostomy, ngaba utyando oluqhelekileyo lisetyenziselwa ukunyanga i-ulcerative colitis.
Inqaku esuka
Uninzi lwabantu lufumana impilo yabo iphuculwe emva kokuba i-resection yesifo sikaCrohn. Kubalulekile ukulandela imiyalelo yesigqirha kwaye uqhubeke nokuthatha unyango emva kokuhlinzwa ukuze uncede ukukhusela i-Crohn ukuba ingabangela ukuvutha okukhulu.
Imithombo:
ADAM Illustrated Health Encyclopedia. "Izifo zikaCrohn: Izifo ezixhatshazwayo." MedLine Oktobha 29 2012.
Crohn's and Colitis Foundation. "Ugqirha lwezifo zeCrohn." CrohnsColitisFoundation.org Aug 2010.
Tilney HS, Constantinides VA, Heriot AG, Nicolaou M, Athanasiou T, Ziprin P, Darzi AW, Tekkis PP. "Uthelekiso lwe-laparoscopic kunye ne-ileocecal yokuvuselela isifo se-Crohn: i-metaanalysis." Endosc Surgery. 2006 Julayi; 20: 1036-1044.