Ucwaningo oluthile luye lwahlola ukuxhuma phakathi kwezifo zesifo sofuba (IBD) - isifo sikaCrohn nesifo sofuba-nesithasiselo.
Ucwaningo olunye luye lwabonisa ukuthi i-appendectomy (ukususwa kwesithasiselo) ihlotshaniswa nengozi enciphise yokuthuthukisa i-ulcerative colitis. Okuphambene nalokho kuyisifo se-Crohn-olunye ucwaningo luye lwathola ingozi ekhuphuka ngemva kokusetshenziswa kwe-appendectomy.
Abacwaningi basacacile ukuthi kungani lezi zinhlangano zikhona, nokuthi kungani ama-appendectomie abonakala enemiphumela ehlukile engozini yesifo sikaCrohn nesifo sofuba esiswini.
Ngokuvamile akunconywa ukuthi ususe isithasiselo uma kubonakala sengathi unempilo. Kukhona ingxabano ngokususa isithasiselo lapho ukuhlinzwa kwenziwa ngesinye isizathu: ukhipha isithasiselo ngoba udokotela ohlinzayo usevele enza enye inqubo. Noma kunjalo, ukukhipha isithasiselo kumuntu onempilo ngenxa yengozi ekuthuthukiseni i-ulcerative colitis akuyona into eyenziwe.
Iyini isithasiselo?
Lesi sitho esincane sihlala singavamile, ngoba asikho umsebenzi oqinisekisiwe. Itholakala egatsheni lokuqala lomathumbu, futhi libukeka njengembongolo noma ithubhu. Yize kungabonakali ukwenza noma yini, ithola ukuvuvukala, okuyisimo esibizwa ngokuthi i-appendicitis.
Unyaka ngamunye, omunye kubantu abangu-500 une-appendectomy.
Uma isithasiselo esivuliwe singasusiwe, singase siphume. Isithasiselo esiye saqhamuka singabangela ukutheleleka okungathí sina okungaba yingozi. Ukukhishwa kwesithasiselo akubonakali kubangele noma yiziphi ezinye izinkinga zempilo.
I-Connection kuya ku-Ulcerative Colitis
Ucwaningo oluthile lubonisa ukuthi ukususwa kwesithasiselo kunganciphisa ingozi yokuthuthukisa i-ulcerative colitis ngezinga elingama-69%.
Abantu abane-ulcerative colitis bancane amathuba okuba babe ne-appendectomy, kungaba nge-appendicitis noma esinye isizathu, kunabantu abaningi.
Kukhona njengamanje imibono emithathu yokuthi kungani abantu abane-ulcerative colitis bebenama-appendectomi ambalwa kunabantu abanempilo.
- I-antigen kusihlomelo ihlotshaniswa nokuqala kwe-ulcerative colitis.
- Ukungahambi kahle emathunjini phakathi kwabantu abaye babhekana nesifo sofuba esiswini kungase kube nomthwalo wemibandela embalwa ye-appendicitis.
- Ukuba ne-appendectomy ngandlela-thile kuvimbela umuntu ekuthuthukiseni i-ulcerative colitis.
Inkolelo yokugcina ihlolwe ezilwaneni. Izilwane ezazisuswa isithasiselo zazingekho amathuba okuthuthukisa i-ulcerative colitis. Izilwane ezaba ne-appendectomy emavikini amabili zatholakala ukuthi zikhululekile kuma-bacteria Bacteroides . Lesi sitho singabangela ukuvuvukala kwamathumbu ku-IBD. Abacwaningi baphetha ngokuthi lokhu kungase kusho ukuthi isithasiselo sinomsebenzi emva kwakho konke. Isithasiselo singadlala ingxenye emasimini omzimba omzimba, okuvikela umzimba ngokumelene nokutheleleka.
Umthelela wokukhipha isithasiselo ngemuva kokuqala kokulonda kwe-ulcerative kolitis akaziwa. Ngokuvamile, ubuhlobo obuphakathi kwe-ulcerative colitis kanye ne-appendectomy buhlala bubala.
Noma kunjalo, uma ikholoni isuswe (i- colectomy ) yokwelapha isifo sochungechunge, isithasiselo sisusiwe (ngoba sinamathele kukholoni).
Ukuxhunyaniswa Nezifo ZaseCrohn
Ucwaningo olubili luphetha ngokuthi ingozi yesifo sikaCrohn isanda eminyakeni engu-20 ngemuva kokukhishwa kwesithasiselo; abesifazane ikakhulukazi babenengozini enkulu yokuthuthukisa isifo sikaCrohn ngemuva kokusebenzisa i-appendectomy, ngokusho kokucwaninga kokuqala.
Abacwaningi ocwaningweni lwesibili bacabanga ukuthi, kwezinye iziguli, ukuhlaselwa kokuqala kwama-appendicits kungenzeka ukuthi bekuyi-first flare yesifo sikaCrohn. Izimpawu zikaCrohn ziphutha nge-appendicitis futhi i-appendectomy yenziwa.
Ngemuva kweminyaka edlule, uKrohn utholakale. Ngakho-ke, ingozi kaCrohn kwalabo abaye baba ne-appendectomy angeke yanda ngempela. Abacwaningi baphetha ngokuthi ucwaningo olwengeziwe lubalulekile ukuqonda noma yikuphi ukuxhumana phakathi kwesifo sikaCrohn ne-appendectomy.
Izwi elivela
Lobu bufakazi asisho ukuthi kufanele sonke siphume futhi sikhuthaze amalungu omndeni osondelene asengozini yokulonda i-ulcerative ukuba ne-appendectomies. Futhi akumele kuthathe isinqumo sokususa isithasiselo somuntu osengozini yesifo sikaCrohn. Ubufakazi abuphoqeleli ngokwanele noma ukugunyaza ukuhlinzwa okukhulu noma ukuvimbela i-appendectomy edingekayo. Noma yiluphi uhlobo lohlinzekwa lunezingozi eziningana, futhi kuze kube yilapho sazi kabanzi, lezo zingozi zingase zingapheli izinzuzo ezikhona.
Imithombo:
U-Andersson RE, u-Olaison G, u-Tysk C, i-Ekbom A. "I-Appendectomy ilandelwa ingozi enkulu ye-Crohn's disease." I-Gastroenterology Jan 2003.
I-Carbonnel F, uJantchou P, uMonnet E, uJoosnes J. "Izimo ezingozini zemvelo ezikhungweni zikaCrohn kanye nesifo sokulonda kwesilonda: i-update." I-Gastroenterol Clinic Biol . 2009 Jun; 33 Isigaba 3: S145-S157.
UGilaad G Kaplan, uBob V Pedersen, uRoland E Andersson, uBruce E Sands, uJoshua Korzenik no-Morten Frisch. "Ingozi yokuthuthukisa isifo sikaCrohn ngemuva kwe-appendectomy: Ucwaningo oluthile lwabantu baseSweden naseDenmark." Gut Sept 2007.
I-Koutroubakis IE, iVlachonikolis IG, iKouroumalis EA. "Indima ye-appendicitis ne-appendectomy ku-pathogenesis ye-ulcerative colitis: ukubuyekezwa okubucayi." I-Inflamm Bowel Dis Jul 2002.
U-Roland E. Andersson, u-Gunnar Olaison, uChart Tysk no-Anders Ekbom. "Appendectomy nokuvikelwa ngokumelene Ulcerative Colitis." N Engl J Med 15 Mar 2001.