Lokhu kuhlinzekwa kusetshenziselwa ukuvula ingxenye encane yomathumbu
Ukuhlinzwa kuvame ukusetshenziselwa ukwelapha isifo sikaCrohn. Eqinisweni, cishe isigamu sabo bonke abantu abane-Crohn's disease emathunjini amancane bazohlinzwa eminyakeni eyishumi yokuqala emva kokuxilongwa. Ngenkathi uhlobo oluvame kakhulu lokuhlinzekwa ngumthengisi , olusetshenziselwa ukususa izingxenye ezigulayo zesilonda, inqubo yesibili evamile kakhulu i-strictureplasty.
I-strictureplasty uhlobo lokwelapha olusetshenziselwa ukuvula isigaba esincane somathumbu. Ngokungafani nokuhlinzekwa komthengisi, izingxenye zesilonda azisuswanga ngesikhathi se-strictureplasty, okwenza kube yinto ekhangayo ekuthengiseni uma kunokwenzeka. I-strictureplasty ingenziwa yedwa, noma ingenziwa ngesikhathi esifanayo njengomthengisi.
I-Strictureplasty ayitholakali ngokwanele enye indlela esemqoka yesifo sofuba esiswini (IBD) , i-ulcerative colitis. Lokhu kungenxa yokuthi i-ulcerative colitis ingencane kangcono kunesifo sikaCrohn ukuze kubangele izinkinga.
Kuyini Ukunciphisa?
Isilinganiso sokuthi lapho ingxenye yesilonda iyancipha. Esigunjini sikaCrohn, isisindo sibangelwa lapho izindonga zesilonda sezivutha futhi zikhishwa. Izicubu ezibomvu zingena esikhaleni sangaphakathi sesiguli, esibizwa ngokuthi i- lumen . Ngaphandle kwesikhala esanele sempahla yokudoba ukuze kudlule, isitokhi singakha ngaphakathi kwamathumbu esakhiweni sokuqina, okubangela ukuvinjelwa okuyingxenye noma okuphelele .
Lokhu kunganciphisa kakhulu izinga lokuphila, ngoba ukudla ngokuvamile kudinga ukuvinjelwa , futhi kungase kube nezimpawu ezifana nobuhlungu nokuhuda.
Kukhona amazinga ahlukene wezintambo, futhi ezinye zingase zingabangeli izinkinga nhlobo. Kodwa-ke, uma isitatimende sibhekene nobunzima, kungase kudingeke kuvulwe ngokusebenzisa ukuhlinzwa.
Ukusebenza kwe-Strictureplasty kusebenza kanjani?
Kunezindlela eziningana ezahlukahlukene ukuthi udokotela ohlinzayo angakwazi ukusondela ku-stricture. Iyiphi inqubo ekhethiwe iyoxhomeka kubukhulu besitatimende kanye nokhetho lomhlinzeki ohlinzayo. Kunezinqubo ezehlukene ze-strictureplasty ezakhiwe ukuze zisindise amathumbu amaningi ngangokunokwenzeka. Ukususa amathumbu amancane kakhulu kungabangela izinkinga ezithatha izakhi ezikudla, ngakho-ke kubalulekile ukugwema ukususa izingxenye uma kungenzeka.
Yiziphi Izingozi Zokuhlinzwa Kwe-Strictureplasty?
Izingozi zingase zihluke kuye ngokuthi isetshenziselwa ukuhlinzwa. Ucwaningo olulodwa lwathola ukuthi kunezinhlobo ezingu-15 ezahlukene zokuhlinzeka nge-strictureplasty ezincwadini ezishicilelwe. Esinye isifundo, ukuhlaziywa kwemeta, kubheka inani lokuhlinzwa okwenziwa ngu-3,259 strictureplasty ukuze kufike ezinye izilinganiso ze-ballpark zengozi. Kulezi ziguli ezazihlinzekwa nge-ileric noma i-jejunum (izingxenye eziphakathi nendawo zokugcina zamathumbu amancane), 4% babhekana nokuhlukunyezwa okufana nokuvuza, i-fistula, noma i-abscess. Ngemuva kweminyaka emihlanu, kuneziguli ezingu-28% ezaziphindaphindiwe. Abalobi baphetha ngokuthi i-strictureplasty e-ileum noma i-jejunum yinkambiso ephephile futhi ephumelelayo.
Kube nokuhlinzekwa okumbalwa kakhulu okwenziwayo engxenyeni yokuqala yamathumbu amancane (i-duodenum) nasekoloni ukwenza noma yiziphi izahlulelo mayelana nokusebenza, noma ngabe ukwelashwa okungase kudingeke yini esikhathini esizayo.
Yini Okudingeka Uyazi Ngaphambi Kokuhlinzwa?
Ezinye zezinto ozozibuza udokotela wakho odokotela ngaphambi kokuba u-strictureplasty zibandakanye:
- Kukhulu kangakanani ukukhishwa?
- Ingabe noma yini emathunjini ami kufanele isuswe?
- Ukuhlinzwa kuyokwenziwa kanjani? (Njengalokhu, incazelo eyisisekelo yale nqubo.)
- Ziyini izingozi?
- Ingabe ikhona uhlelo olukhona uma kunenkinga engalindelekile?
- Ngizohlala isikhathi esingakanani esibhedlela?
- Ukubuyiselwa kwami kuyoze kube nini?
- Ngingabuyela nini emisebenzini yami evamile (njengomsebenzi noma isikole)?
Okubalulekile
I-Strictureplasty, jikelele, uhlobo oluphephile olusebenzayo lokuhlinzwa kwesifo sikaCrohn. Kunenzuzo yokugcina izingxenye zamathumbu amancane. Kunezingozi, njengoba zikhona nanoma yikuphi ukuhlinzwa, kodwa izifundo zibonise zibe zincane.
Imithombo:
I-ADAM "Izifo ZaseCrohn: Izifo Ezikhukhumeza Izifo." ADAM, Inc. 29 Okthoba 2011.
U-Heppell J. "Ukuhlinza Isifo Se-Crohn." UpToDate 16 Okthoba 2012.
UJobeanputra S, Weiss EG. "Strictureplasty." Imitholampilo e-Colon ne-Rectal Surgery . 2007; 20: 294-302.
Michelassi F, Taschieri A, Tonelli F, et al. "I-International, Multicenter, Prospective, Observational Study ye-Strictureplasty ye-Isoperistaltic Strictureplasty e-Crohn's." I-Dis Colon Rectum 2007 3: 277-284.
Yamamoto T1, Fazio VW, Tekkis PP. "Ukuphepha nokusebenza kwe-strictureplasty yesifo sikaCrohn: ukubuyekezwa okuhlelekile nokuhlaziywa kwemeta." I-Dis Colon Rectum . 2007 Nov; 50 (11): 1968-1986.