Ukuhlinza Ukuhlinzwa Kuyisifo Esivamile Ukugula Kwama-Crohn's
Uma imithi ingasebenzi ngokuphumelelayo ekulawuleni izimpawu zesifo sikaCrohn (uhlobo lwesifo sofuba sesibindi noma i-IBD), i-gastroenterologist ingancoma ukuhlinzwa. Indlela ejwayelekile kakhulu yokuhlinza esetshenziselwa ukwelapha isifo sikaCrohn ibizwa ngokuthi i-resection. Ukwelashwa akuyona ukwehluleka kwezinye izindlela zokwelapha kodwa uhlobo olufanele lwezokwelapha. Abantu abaningi abanesifo sikaCrohn bazodinga ukuhlinza ukuphatha i-IBD noma inkinga.
Ngesikhathi sokuvuselela, isitho samathumbu amakhulu noma amathumbu amancane ashintshwe yisifo sikaCrohn sisusiwe, kanti amathumbu ahlangene ndawonye esebenzisa amaphesenti amabili enempilo. Ukuziphendulela kuvame ukuqhutshwa ngumhlinzeki ohlinzayo , uhlobo lohlinzayo oqeqeshiwe okhethekile ekuhlinzekeni okwenziwe ngendlela ephansi yokugaya.
Kwezinye izimo, ukuhlinzeka kungenza umuntu abe nesifo sikaCrohn kulokho okubizwa ngokuthi ukukhishwa kwe-surgical. Lokhu kungaletha esikhathini esincane noma kungekho izimpawu noma izimpawu zesifo sikaCrohn. Ukubhekana nokuhlinzwa kuhlale kunzima, kodwa ngesifo sikaCrohn, ukuvuselelwa kungasho ithuba lokuphulukisa nokuphulukisa. Abantu abanesifo sikaCrohn abanenkinga yokuthi ngabe ukuhlinzeka manje noma esikhathini esizayo kufanele bakhulume neqembu labo lokunakekelwa kwezempilo futhi bacabangele umbono wesibili nomunye ugqirha wegolon kanye nomgulane wegastroenterologist.
Kungani Ukuhlinza Ukuhlinzwa?
Ukuhlinzeka ngokuhlinzwa kungasetshenziselwa ukususa iziqu , okungabandakanya ukuqina okude noma iqembu lezintambo eziseduze, noma lingasetshenziswa ukususa izingxenye ezigula kakhulu zamathumbu amancane noma amakhulu.
Umgomo we-resection ukugcina ubuningi besilwane esinempilo ngangokunokwenzeka futhi ukususa kuphela izingxenye zesilonda esingaphezu kokuphulukisa. Ikakhulu, ukususa izingxenye ezinkulu zamathumbu amancane kugwenywe. Umathumbu omncane yilapho amavithamini namaminerali afakwa emzimbeni, futhi uma kususwe kakhulu, kungabangela ukuntuleka kokudla okunomsoco.
Ezimweni ezimbi kakhulu, ukususa amathumbu amancane kakhulu kungabangela ukuba kube nesifo samathumbu esifushane. Abantu abaningi kakhulu abadingi ukuhlinzwa okuningi kangangokuthi isibilini esifushane singaba ukukhathazeka.
Kanjani Ukubuyiswa Kwenziwe?
Ngesikhathi sokuvuselela, i- anesthesia jikelele isetshenziselwa ukuphatha ubuhlungu. Ukuhlinzwa kungenziwa noma ngokuhlinzwa okuvulekile noma ukuhlinzeka laparoscopic , kodwa ukuhlinzwa okuvulekile kuvame kakhulu. Ukuhlinzwa kwe-laparoscopic kuvame ukusetshenziswa kuphela ezimweni lapho ingxenye yesifo yamathumbu ikhona kwi- ileum , futhi azikho ezinye izinkinga.
Ekuhlinzekeni okuvulekile, ukufakwa okukodwa okukhulu kuzokwenziwa. Isigaba esibulalayo sesiguli siyagxila futhi sisusiwe. Ngemuva kokuthi ingxenye yesifo yamathumbu isuswe, iziphetho ezimbili zomzimba zamathumbu zihlanganiswe ndawonye (okuthiwa i- anastomosis ).
Kuhlinzekwa kwe-laparoscopic, ukusetshenziselwa okuncane okuyi-3 kuya kwezingu-4 kuyasetshenziswa. Isisu sigcwele igesi ngakho udokotela ohlinzayo angabona kangcono isisu somzimba kanye nekhamera efakwe ngenye yezinto ezifakiwe. Okunye kwenqubo kufana nokuhlinzwa okuvulekile: isilonda esibulalayo sisusiwe futhi izicubu ezinempilo zihlangene.
Isikhathi Sesikhathi Sokubuyiselwa Sisekude Kangakanani?
Isibhedlela sihlala ngokuhlinzwa okuvulekile ngaphandle kwezinkinga kungaba khona kusuka kwezinsuku ezingu-5 ukuya kwezingu-10.
Ukuze kuhlinzekwe laparoscopic, ukuhlala esibhedlela kufana nokuba kufushane.
Ukubuyiselwa okuvela ekuhlinzekeni komthengisi kungathatha kusukela emavikini ayisithupha ukuya kwangu-8. Ukubuyela emsebenzini emva kokuhlinzwa kuyisinqumo somuntu siqu, kodwa ngokuvamile kuzoba amasonto amane noma ngaphezulu emva kokuhlinzwa. Udokotela ohlinzayo uzonikeza imiyalelo mayelana nezinga lomsebenzi, kodwa ngokujwayelekile, ukuphakamisa okunzima, ukushayela, neminye imisebenzi eqinile akufanele kwenziwe okungenani amasonto ambalwa emva kokuhlinzwa.
Yiziphi Izinkinga Ezikhona?
Izinkinga ezingase zenzeke zihlanganisa lezo ezingenzeka nanoma yikuphi ukuhlinzeka: ukutheleleka, ukuphuma kwamanzi, noma ukubhekana nesifo sokubulala umzimba. Nge-resection, kukhona futhi ingozi encane yokuthi lezi zigaba ezimbili zokujoyina amathumbu zingahlukanisa noma zivuza (okuthiwa i-dehiscence), nakuba lokhu akuvamile.
Ingabe Ukuhlinza Ukuhlinzwa Kusetshenziselwa I-Ulcerative Colitis?
Ukubuyisana okuyingxenye ye-colon akuvame ukusetshenziselwa ukuphatha ukwelashwa kwesilonda. Lokhu kungenxa yokuthi i-colitis ijwayele ukubuyela esigabeni esiphephile sekhaloni esisele. I- colectomy ephelele, ngokudalwa kwesikhwama sangaphakathi (i- j-poch ) noma i-ileostomy, ingabe ukuhlinzeka okuvame ukusetshenziselwa ukwelapha i-ulcerative colitis.
Inothi Kusuka
Abantu abaningi bathola impilo yabo ithuthuka emva kokuvuselela isifo sikaCrohn. Kubalulekile ukulandela imiyalelo yokuhlinza futhi ukuqhubeka nokuthatha imithi emva kokuhlinzwa ukusiza ukuvimbela i-Crohn ukuba ingabangeli ukuvuvukala okungaphezulu.
Imithombo:
I-ADAM Illustrated Health Encyclopedia. "Izifo ZaseCrohn: Izifo Zezifo Ezivuthayo." I-MedLine Oct 29 2012.
I-Crohn's ne-Colitis Foundation. "Ukwelashwa kwezifo zikaCrohn." CrohnsColitisFoundation.org Aug 2010.
UTilney HS, Constantinides VA, Heriot AG, Nicolaou M, Athanasiou T, Ziprin P, Darzi AW, Tekkis PP. "Ukuqhathaniswa komkhiqizo we-laparoscopic nokuvulekile we-ileocecal wesifo sika-Crohn: i-metaanalysis." I-Surg Endosc. 2006 Jul; 20: 1036-1044.