Izimpawu nokuthi Zihluke kanjani Ku-Pouchitis
I-cuff inflammation ejwayelekile (ngezinye izikhathi ibizwa ngokuthi i-cuffitis) ukuvuvukala engxenyeni ye- rectum esele ngemuva kokuhlinzwa okulandelwayo kwe-pouch-anal anastomosis (IPAA), eyaziwa ngokuthi u-j-pouch ukuhlinzwa . Ukuhlinzwa kwe-IPAA kwenziwa ngokujwayelekile ukuphatha ukwelashwa kwesifo sofuba, nakuba kungase kwenziwe nezinye izimo, njenge- familial adenomatous polyposis (FAP) .
Ukuvuvukala emgqonyeni we-rectal akuvamile emva kokuhlinzwa kwe-IPAA. Abantu abaningi abane-j-pouch ukuhlinzwa benza kahle kakhulu futhi abatholi ukuvuvukala. Uma kunamahloni emzimbeni noma ukuphuma kwegazi emva kokuhlinzwa kwe-j-poch, kufanele kuxoxiswane nomgastroenterologist. Kukhona izindlela zokwelapha ezitholakalayo ukuphatha noma yikuphi ukuvuvukala uma kwenzeka.
Iyini Ukuhlinzwa Kwe-IPAA?
Ekuhlinzekeni kwe-j-pouch, intumbu enkulu (ikholoni) isusiwe futhi ingxenye yokugcina yamathumbu amancane (i-ileum) isetshenziselwa ukwakha "isikhwama." Isikhwama kaningi sifakwe ekujuleni kwencwadi ethi "J," kodwa kukhona futhi ama-pocket akhiwe ngokuma "S" noma "W." Isikhwama sixhunywe ku-rectum, futhi isiguli siyasula i-anus. Ukuhlinzwa kuvame ukuqhutshwa ngezigaba eziningi ukuqinisekisa ukuphulukiswa nokuthuthukisa amathuba okusebenza kwebhokisi.
Iyini i-Rectal 'Cuff'?
I-rectum iyingxenye yesimiso sokugaya esisemkhatsini wamathumbu amakhulu kanye ne-anus.
Ekuhlinzekeni kwe-j-pouch, ezinye ze-rectum zigcinwa ukuze kusize isiguli sigcine isitoreji sigcinwe esikhwameni, futhi sigweme ukuvuza. Nokho, i-rectum nayo ingathinteka yi-ulcerative colitis. Ngakho-ke, ingxenye ye-rectum (ngezinye izikhathi ebizwa ngokuthi i-rectal stump noma i-cuff) esele ngemuva kokuba isisu esikhulu isuswe singashiswa yi-ulcerative colitis.
Kwezinye izimo, i-cuff rectal ingase ikhishwe ngemuva kokuhlinzwa ngezizathu ezithile. Ukuvuvukala kulesi sigaba se-rectum kuyaziwa ngokuthi ukuvutha kwamaketanga ama-rectal, noma okuvamile, i-cuffitis.
Izimpawu Nezokwelapha
Izimpawu zesikhumba esiphezulu se-rectal zifaka isidingo esiningi sokudlula izitobhu nezithambo zamanzi . I- gastroenterologist ingadinga ukubuka ngaphakathi kwe-rectum ne-endoscope ukuze ixilongwe. Ukuvuvukala kungabangela ezinye izimpawu ezifanayo njengenye inkinga ejwayelekile nge-j-poches eyaziwa ngokuthi " pouchitis ," okwenza kube kubalulekile ukuthola ukuxilongwa okufanele. I-Pouchitis yilapho ukuvuvukala kutholakala e-j-poch yangempela. Kwezinye izimo, ukuvuvukala kwe-cuct kungabhekwa njengokuqhubeka kwe-ulcerative colitis, okwamanje eyenzeka emgqeni.
Ukwelashwa kwesikhumba esiphezulu se-rectal kungabandakanya ukusetshenziswa kwezidakamizwa ze-topical ezinikezwa nge-suppository, njenge-mesalamine noma i-corticosteroids. Imithi ayinikezwa ngomlomo. Ezimweni ezingaphenduli kwamadayimani, abanye odokotela banikeza uhlobo oluthile olusebenzayo lwe-corticosteroid olufakwa emgqeni ngokusebenzisa ukusetshenziswa kwe-endoscope. Ukuvuvukala kuvame ukuthuthukisa ukwelashwa, kodwa uma kungenjalo, udokotela angase afune esinye isizathu sezimpawu, njenge-pouchitis, i- fistula , noma isifo se-Crohn esikhwameni.
Imithombo:
I-Shen B. "Ukuxilongwa Nokuphathwa Kwezingcindezi Ze-Pouch I-Postoperative". I- Clin Colon Rectal Surg . Dec 2010; 23 (4): 259-268. i-doi: 10.1055 / s-0030-1268252. 30 Januwari 2015.
Wu B, Lian L, Li Y, Remzi FH, Liu X, Kiran RP, Shen B. "Inkambo Yomtholampilo ye-C uffitis ezigulini ze-Ulcerative Colitis Ne-Proctocolectomy Yokuvuselela Ne-Analomoses E-Ileal Pouch." I-Inflamm Bowel Dis . 2013 Feb; 19 (2): 404-10. i-doi: 10.1097 / i-MIB.0b013e31828100. 30 Januwari 2015.
Shen B, uLashner BA, uBennett AE, Remzi FH, Brzezinski A, Achkar JP, Bast J, Bambrick ML, Fazio VW. "Ukwelashwa Kwe-Rectal Cuff Inflammation (Cuffitis) ezigulini ezine-Ulcerative Colitis Ngemva kokubuyisela iProtecolectomy ne-Ileal Pouch-anal Anastomosis." Am J Gastroenterol . 2004 Aug; 99 (8): 1527-1531. 30 Januwari 2015.