I-J-Pouch Surgery ye-Ulcerative Colitis Iqeda Isidingo Se-Ostomy
I-j-poch, noma i-ileal yokwakhiwa kwesikhwama se-ileal, uhlobo oluyinkimbinkimbi yokuhlinzwa olusetshenziselwa abantu abane-ulcerative colitis, izinhlobo ezithile zomdlavuza we- colon , kanye ne- polyposis yomndeni . Ethuthukisiwe ngawo-1970, lo msebenzi wokuhlinza ususa isidingo sokuba isikhwama sangaphandle sokuqoqa imfucuza. Inqubo ingenziwa enyathelweni eyodwa, ezimbili, noma ezintathu, kodwa ngokuvamile iyenziwa kabili.
Isinyathelo 1
Isinyathelo sokuqala ekuhlinzekeni kwe-j-pouch kususwa kwe- colon noma emathunjini amakhulu. Imisipha yama-rectal ishiywe endaweni, kodwa uhlaka lwe- rectum lususiwe. Udokotela ohlinzayo uzobe esedala isikhwama sangempela emathunjini amancane. Lesi sikhwama singakhiwa ngezindlela ezimbalwa ezihlukene zokwakha i-j-poch, i-s-poch, noma i-w-poch. Udokotela ohlinzayo uyothatha isinqumo ngokuthi yiluphi uhlobo olufanele isiguli. Isikhwama sixhunywe ku- anus .
Okokugcina, udokotela ohlinzayo udala i- ileostomy , okuyoba yesikhashana ngenkathi i-j-poch iphilisa. I-ileostomy yinkqubo lapho ingxenye yamathumbu amancane ifika khona esikhumbeni sesisu. Le ngxenyeni yangaphandle yamathumbu amancane ibizwa ngokuthi 'stoma', okuyiGreek 'ngomlomo'. Udoti uphuma emzimbeni nge-stoma futhi uqoqwe isikhwama se-ileostomy esigqoke eceleni kwesisu. I-ileostomy igcina isitokisi ekudlula i-j-isikhwama ukuze inikezwe isikhathi sokuphulukisa.
Isinyathelo 2
Ngemuva kokuba isiguli sesiphelile isikhathi (ngokuvamile izinyanga ezimbili noma ezintathu), isinyathelo sesibili senqubo siyokwenziwa. Phakathi nalesi sinyathelo, futhi okuthiwa yi-takedown, i-ileostomy isusiwe futhi i-j-poch ixhunyiwe. Isiguli ngeke sisasidinga isikhwama se-ileostomy sangaphandle, futhi udoti luzodluliswa phakathi kwe-rectum.
Isinyathelo esisodwa nezinyathelo ezintathu zesinyathelo
Ngezinye izikhathi, udokotela ohlinzayo nesiguli uyokhipha isinqumo sokuqedela yonke inqubo ngesinyathelo esisodwa. Udokotela ohlinzayo uzokwenza i-colectomy, udale i-j-poch bese uyixhuma konke ekusebenzeni okulodwa. Isinyathelo esisodwa sinqamula isidingo sokuhlinzwa okwesibili noma ileostomy yesikhashana.
Uma isiguli sigula kakhulu, udokotela ohlinzayo angakhetha ukusebenzisa izinyathelo ezintathu ukuqedela inqubo. Esinyathelweni sokuqala, i-colectomy yenziwe, futhi i-ileostomy yesikhashana idalwa. Esigabeni sesibili, i-j-poch isakhiwe, kanti isinyathelo sesithathu yi-takedown. Ukulinda phakathi kwalokhu kuhlinzeka kuyinyanga ezimbili kuya kwezintathu, kuye ngokuthi impilo yesiguli.
Izwi elivela
Iningi lama-j-poche liphumelele futhi abantu abanokuhlangenwe nakho kokuhlinzwa bathuthukisa izinga lokuphila. Lapho i-j-isikhwama esenziwe nge-ulcerative colitis, kubhekwa njengokwelashwa, hhayi ukwelashwa, ngoba ukubonakaliswa kwamathumbu engeziwe we-IBD kusengenzeka.