Ukwesekwa Kwezenhlalakahle Ngemva Kokuhlinzwa Kunomthelela Omqoka Ekuhleleni
Kwabanye abantu abane-ulcerative colitis, ukhetho lokuthola i- colectomy yesifo sabo kunzima. Ngesinye isikhathi, ukhetho lwenziwa lula - ukuqala komdlavuza wekoloni kutholakala, i- perforation ivela, noma ukwelashwa kwezokwelapha kwehluleka. Kodwa ezimweni eziningi, ukuthola i-colectomy kuyindlela yokukhetha, kunokuba kube isidingo.
Iyini i-Colectomy?
I-colectomy, ukubeka nje, ukususwa kwamathumbu amakhulu (colon).
Ngemuva kokuba isisu esikhulu sisuswe, i-ileostomy yenziwa, ene-stoma esiswini esisetshenziselwa ukuqeda imfucuza. Manje, lokho kushiwo, kunamaphuzu amaningi amahle ekuhlinzekeni kwe-colectomy. I-colectomy ingenziwa ngezizathu eziningana, kuhlanganise nokwelapha isifo sofuba (IBD), umdlavuza wekoloni, noma i-polyenis adenomatous yomndeni (FAP) . Isizathu se-colectomy sizokwenza ukuthi izinqumo eziningi zenzeke kanjani ukuthi ukuhlinzwa kwenziwa kanjani futhi
I-colectomy isho ukukhipha ubisi, kodwa kwezinye izimo i-rectum, noma okungenani ingxenye ye-rectum, ishiywe ezindaweni. Lokhu kuvumela ukuthi kungenzeka ukubuyiswa kabusha. Nge-ulcerative colitis ne-FAP, iningi labantu linokukhethwa kokuhlinzwa kokuhlinzwa kwe-j-poch ngemuva kwe-colectomy. Kulesi ukuhlinzwa, ingxenye yokugcina yamathumbu amancane ithunyiwe ibe yimijamo ye "j" ukuze ikwazi ukubamba isitela. I-ke ixhunywe ku-rectum noma i-anus, ngakho isiguli singakwazi ukuqeda imfucuza ngaphandle kwesidingo se-ostomy appliance.
Kwezinye izimo ze-IBD, futhi ikakhulukazi esifweni sikaCrohn, ukubuyisana kabusha kungase kungasebenzi kahle, ngakho-ke i-ileostomy isisu nesigxili.
Abanye abantu abane-ulcerative colitis bangase bakhethe ukungabi nokuhlangana kabusha, kodwa babe ne-ileostomy engunaphakade. Izizathu zalolu khetho ziyimfihlo, kodwa zingabandakanya isifiso sokuba nezingane (kubesifazane), ukukhathazeka ngezinkinga nge-j-poch, noma ukugwema ukuhlinzwa okwengeziwe.
Ubani Okhetha I-Colectomy?
Yini engabangela umuntu oyedwa nge-ulcerative colitis ukuba akhethe i-colectomy, kuyilapho omunye engenzi? Ucwaningo olunyatheliswa kuyi -American Journal of Gastroenterology luhlose ekuqondeni kabanzi ngabantu abanesifo sochungechunge esilonda esiswini abakhetha i-colectomy ngokungafani nalabo abangenalo.
Ucwaningo lwabheka amaqembu amathathu: abantu ababengenayo i-ulcerative colitis, abantu abane-ulcerative colitis futhi babengenayo i-colectomy, kanye nabantu abane-ulcerative colitis ababene-colectomy. Labo ababene-ulcerative colitis hhayi i-colectomy babe nomuzwa wokuthi ukuqukethe i-colectomy kwakufana nokuphila ne-ulcerative colitis. Labo abano-colectomy bakhetha isimo sabo samanje sezempilo kulabo abaphila ne-ulcerative colitis. Omunye umehluko omkhulu phakathi kwala maqembu amabili kwaba ukwesekwa kwezenhlalo: labo ababenakho colectomy babe nokusekelwa okungaphezu kwalabo ababengekho.
Ukwenza Ukuzikhethela Ngezinketho Zakho
Imiphumela yocwaningo yenza umqondo ocacile: uma une-ulcerative colitis futhi wazi abanye abane-ulcerative colitis ababezizwa bengcono ngemuva kokuhlinzwa kwe-colectomy, ungase uphenduke ukuze uthole ukuhlinzwa ngokwakho. Njengoba kume, akuyona indlela ejwayelekile yokubukeza "ukuhlinzwa" kwakho kanye nomphumela wayo kwabanye ukuze basebenzise isipiliyoni sakho futhi bangase bafunde emaphutheni akho.
I-gastroenterologist yakho noma udokotela ohlinzayo angakwazi ukukubeka othintana nabanye abane-IBD, noma i-colectomy, noma i- j-poch , noma ungaya ebhokisini noma ebhodini lomyalezo kubantu abane-IBD. Noma kunjalo, ngizimisele ukubheja iningi lethu sizochitha isikhathi esiningi sicwaninga ngokuthenga kwethu imoto esilandelayo kunokuba sihlolisise ukuhlinzwa kwe-colectomy.
Esinye isici sokuzikhethela komuntu umqondo wokuthi kungaba khona izinkinga. Izinkinga nokuhlinzekwa kwe-colectomy azivamile, kodwa ukukhathazeka ngokusemandleni kungavimbela abanye ukuba babe nokuhlinzwa. Ekugcineni, ngaphandle kokuthi ukuhlinzekwa kugunyazwe izizathu ezingokwenyama, ukhetho luyimfihlo kakhulu, futhi luyimiphumela enkulu yolwazi kanye nesakhiwo sokusekela esitholakalayo iziguli.
Umthombo:
Waljee AK, Higgins PD, Waljee JF, et al. "Ikhwalithi Ebonakalayo Nengqikithi Yokuphila Nge-Ulcerative Colitis: Ukuqhathaniswa Neziguli Eziphathwa Ngokwemithi Neziguli." Amer J Gastroenterol 2011; 106: 794-799. 3 Meyi 2011.