Kwabanye Ngemuva kokuhlinzwa kwe-IPAA, i-Pouchitis ingaba inkinga engapheli
I-Pouchitis yinkinga eyenzeka kwabanye abantu abaye bahlinzwa okubizwa ngokuthi isikhwama se-ileal anal anastomosis (IPAA), esivame ukubizwa ngokuthi i- j-poch . Uma i-j-isikhwama sehliswayo futhi ibangela izimpawu zokuhuda (ngezinye izikhathi ezigazini), isidingo esiphuthumayo sokudlula esitokisini, ukungahlambuluki, nobuhlungu noma ukungahambi kahle ngenkathi kudlula isitulo, kubizwa ngokuthi pouchitis.
Akuwona wonke umuntu onokwama-j-pouch othola i-pouchitis, kodwa abanye abantu bakuthola ngezikhathi ezithile, futhi abambalwa bawuthola kaningi ngokwanele ukuze kungabizwa ngokuthi "okungapheli."
Kuyini i-J-Pouch?
Ukuhlinzwa kwe-J-pouch kwenziwa ukwelapha i-ulcerative colitis, nezinye izimo zokugaya, ezifana ne- familial adenomatous polyposis (FAP) . Lokhu kuvulwa kuvame ukuwenziwa ezinyathelweni eziningana (ngokuvamile izinyathelo ezimbili, kodwa ngezinye izikhathi 3), nakuba ngezikhathi ezithile kwenziwa ngeyodwa. Ingxenye yokuqala yokuhlinza ukukhishwa kwamathumbu amakhulu, okuthiwa i-colectomy. Konke noma ingxenye ye-rectum nayo ingasuswa ngesikhathi esifanayo.
Ingxenye yesibili yokuhlinza, okungenziwa ngesikhathi esifanayo colectomy, kungukudalwa kwe-j-poch kanye ne-eleostomy. Ukuze udale isikhwama, i-leum esibulalayo ifakwe ngaphansi kohlobo lwe "J" (nakuba amanye amafomu ayenziwa ngezinye izikhathi). Uma ukuhlinzeka kwenziwa njengento engaphezu kweyodwa, ingxenye yokugcina yenqubo ukuguqula i-ileostomy futhi ibe nomsebenzi we-j-pouch.
Lokhu kuvumela umuntu ukuba aye endlini yokugezela ngaphezulu "ngokuvamile," futhi akadingi isikhwama se-ostomy, njenge-ileostomy .
Kuyini i-Pouchitis?
Abanye abantu abane-j-poche bahlangabezana nokuxilongwa okubizwa nge-pouchitis. I-Pouchitis ivame kakhulu kubantu abane-j-pouch ukuhlinzwa ukuze baphathe isifo soccer ulcerative kuneFAP noma kwezinye izizathu.
I-Pouchitis ijwayelekile, futhi isizathu esiqondile asiyazi, nakuba kunezinye izinkomba zokusebenza.
Izimpawu ze-pouchitis zingabandakanya:
- Fever
- Izitofu zamanzi
- Ubuhlungu obunenkinga
- Ukuthunga kwamafecal noma isidingo esiphuthumayo sokukhipha isikhwama
Bangaki Abantu Abantu abane-J-Pouches Have Pouchitis?
Kukhona imibiko ehlukene yalokho okukhulunywa ngakho ngamaphesenti abantu abane-j-ama-pouches we-ulcerative colitis isipiliyoni se-pouchitis. Ngokusekelwe emiphumeleni yezifundo ezahlukene, i-pouchitis ingenzeka noma yikuphi kusuka ezigulini ezingu-30 kuya ku-50%. Ekuqaleni kwezimpawu, udokotela uzokusiza ekutholeni i-pouchitis, ngoba izimpawu zingalingisa ezinye zezimiso, ngakho-ke lezo zidinga ukuthi zikhishwe ngaphandle. Ngokuvamile lokhu kwenziwa nge-pouchoscopy, okuyinto uhlobo lwe-endoscopy elisetshenziselwa ukubukeka ngaphakathi kwe-j-poch.
Ingabe Kunezinhlobo Ezihlukahlukene ZamaPouchitis?
I-Pouchitis ivame ukuhlukaniswa nge-pouchitis enamandla ne-pouchitis engapheli. I-puchitis enamandla yilapho izimpawu zenzeke amasonto angaphansi kwama-4. Uma izimpawu ziqhubeka isikhathi esingaphezu kwamasonto amane, lesi simo sibizwa ngokuthi i-pouchitis engapheli.
Kuyaqondakala ngokwengeziwe ukuthi i-pouchitis ingaba yinkinga engaphezu kweyodwa, ingaba yinkimbinkimbi. Akuzona zonke iziguli ezithatha ngendlela efanayo ezikwelapha ezifanayo kanti ezinye iziguli zidinga ukwelashwa okuqhubekayo ukuze kutholakale impumuzo ezivela kumpawu.
Ukuthola izimpawu ezilawulwayo kubalulekile ukugwema izinkinga eziningi nokugcina isikhwama sikwenza kahle. Abantu abane-j-poche basengozini yokuphelelwa amandla kwamanzi, futhi ukuhuda okuqhubekayo okuvela e-pouchitis kungaholela ngokushesha ekudambiseni amandla emzimbeni. Yiqiniso, kukhona nekhwalithi yokuphila: i-pouchitis izoba nomthelela ojulile empilweni yesiguli, futhi ukuyibuyisela ekuxoxweni kuyisihluthulelo.
Esikhathini esiningi, isizathu sokuthi i-pouchitis senzekile ayaziwa. Kodwa kubantu abangaba ngu-30%, yisimo esibizwa nge-pouchitis yesibili. Uma kwenzeka i-pouchitis yesibili, isizathu singase sibonakale, futhi ezinye zazo zihlanganisa:
- Izizathu ezizenzakalelayo
- Izifo
- I-Ischemia
- Ukusetshenziswa kwezidakamizwa ezingekho-steroidal eziphikisayo (ama-NSAID)
I-Pouchitis iphathwa kanjani?
Ezimweni eziningi, i-pouchitis iphathwa ngama-antibiotics. Kwezinye izimo, inkambo yama-antibiotics izosula i-pouchitis. Kwezinye izimo, ama-antibiotic angase adingeke isikhathi eside. Abanye abantu bangashintshwa kusuka kumuthi owodwa we-antibiotic kuya kwesinye, noma bathola ukwelashwa okunye okulwa namagciwane, ukuze baphathe i-pouchitis.
Uma i-pouchitis ingaphenduli kumithi elwa namagciwane, udokotela anganquma ukunquma omunye ukwelashwa, njengesidakamizwa esilwa nokuvuvukala noma isidakamizwa sokuzivivinya umzimba.
Ukubizwa ngokuthi: isikhwama-EYE-tis
Umthombo:
DS Pardi, D'Haens G, Shen B, Campbell S, Gionchetti P. "Iziqondiso zomtholampilo zokuphathwa kwe-pouchitis." I-Inflamm Bowel Dis . 2009 Sep; 15: 1424-1431.
Shen B, Fazio VW, Remzi FH, et al. "Izimbangela zeengozi zezifo zesikhwama se-ileal-anal anastomosis ngemva kokubuyisela i-proctocolectomy ye-ulcerative colitis." I-Clin Gastroenterol Hepatol . 2006 Jan; 4: 81-89; imibuzo 2-3.
I-Shen B, i-Lashner BA. "I-Pouchitis: izifo eziningi." I-Curr Gastroenterol Rep . 2005 Oct; 7: 404-411.
Zezos P, uSaibil F. "Isifo sesikhwama sokuvuvukala: I-pourum ye-pouchitis." I-World J Gastroenterol . 2015 Aug 7; 21 (29): 8739-8752.