Kutsigirwa Kwemagariro Mushure mekuvhiya Kune Chiitiko Chinokosha Pamusoro-Zvakanaka
Kune vamwe vanhu vane ulcerative colitis, chisarudzo chokutora colectomy kune chirwere chavo chinonetsa. Dzimwe nguva, sarudzo inoshandiswa nyore - kutanga kwekenza yekoloni kunowanikwa, kupera kwemaitiro kunoitika, kana kuti kurapwa kwechiremba kunokundikana. Asi muzviitiko zvizhinji, kuve nekutora colectomy ndiko kusarudzwa, kwete pane zvinodiwa.
Chii Chinonzi Colectomy?
A colectomy,, kungoisa, kubviswa kwemukati mamukati (colon).
Mushure mokunge hutumbu hukuru hubviswa, neostomy yakasikwa, ine stoma pamubhedha inoshandiswa mukubvisa tsvina. Zvino, izvo zvichitaurirwa, pane dzakawanda zvikamu zvakanakisa kuvhidhiyo yekuvhiya. A colectomy inogona kuitwa nekuda kwezvikonzero zvakasiyana-siyana, kusanganisira kubata chirwere chinoputira chirwere (IBD), kenza yemaroni, kana mhuri yemadenomatous polyposis (FAP) . Chikonzero che colectomy chichati chirevo chezvizhinji zvezvisarudzo mukushandurwa kweiitwa uye
A colectomy zvinoreva kubvisa mumatumbo, asi mune dzimwe nguva rectum, kana kuti chikamu chikamu chemaitiro, inosara munzvimbo. Izvi zvinobvumira kukwanisa kubvumirana zvakare. Ne ulcerative colitis uye FAP, vanhu vakawanda vane sarudzo yekuva nej-pouch chirurgical mushure mekunyanya kukonzera. Mukuvhiya uku, chikamu chekupedzisira chemukati mudumbu chakasimbiswa muchimiro che "j" kuitira kuti igone kubata chigaro. Izvozvo zvinozobatana ne rectum kana anus, saka murwere anogona kubvisa tsvina kunze kwekudiwa kwechigadzirwa che ostomy.
Mune zvimwe zviitiko zveBD, uye kunyanya muCrohn's disease, kubvumirana kunogona kusashanda zvakanaka, uye iyo stomy uye yekugara zvachose ileostomy inogadzirwa.
Vamwe vanhu vane ulcerative colitis vanogonawo kusarudza kusava nekodzero, asi kuti vave neostomy zvachose. Zvikonzero zvechisarudzo ichi ndezvega, asi zvinogona kusanganisira chido chokuva nevana (mumadzimai), kunetseka pamusoro pematambudziko ne j-pouch, kana kuti kusavhiya mamwe mavhiria.
Ndiani Anosarudza Colectomy?
Chii chingaita kuti munhu mumwe aine ulcerative colitis kuti asarudze colectomy, asi imwe ikasaiti? Chimwe chidzidzo chakabudiswa muThe American Journal of Gastroenterology chinotarisira kunzwisisa zvakawanda nezvevanhu vane ulcerative colitis vanosarudza colectomy kune avo vasingaiti.
Tsvakurudzo yakatarira pamapoka matatu: vanhu vakanga vasina ulcerative colitis, vanhu vakange vane ulcerative colitis uye vakanga vasina chelectomy, uye vanhu vakange vane ulcerative colitis vakange vane colectomy. Vaya vakange vane ulcerative colitis uye kwete colectomy vaifunga kuti kuva ne colectomy kwakanga kwakafanana nekurarama nechirwere cheplitis. Vaya vaiva ne colectomy vaida nzvimbo yavo yehutano yezvino kune iyo yekurarama ne-ulcerative colitis. Chimwe chekusiyana kukuru pakati pemapoka maviri kwaiva kutsigirwa kwevanhu: avo vakanga vaine colectomy vaiva nerutsigiro rwakawanda kupfuura avo vakanga vasina.
Kuita Sense Nezvisarudzo Zvako
Migumisiro yekudzidza inojekesa: kana iwe wakanga uine ulcerative colitis uye uchiziva vamwe vane ulcerative colitis avo vaifunga kuti vari nani pane mushure mekuvhiyiwa kwekurolectomy, unogona kutsvitswa kuti uwane chirwere iwe pachako. Sezvazvinomira, hapana nzira yakakwana yeku "kuongorora" kuvhiyiwa kwako uye zvakaguma kune vamwe kuti vashandise ruzivo rwako uye vangangodzidza kubva pamakanganisa ako.
Gastroenterologist yako kana chirwere chiremba anogona kukwanisa kukutanidza nevamwe vane IBD, kana colectomy, kana j-pouch , kana kuti iwe unogona kuenda kumusangano kana bhodhi revanhu kune IBD. Kunyangwe zvakadaro, ndinoda kutengesa vazhinji vedu tinopedza nguva yakawanda tichitsvakurudza kutenga kwedu motokari inotevera kudarika kwataizotsvakurudza chirongwa chekurolectomy.
Chimwe chikamu chekuzvisarudzira ndeye pfungwa yokuti kune zvinogona kuva nezvinetso. Matambudziko uye chirwere che colectomy hachiwanzove, asi kunetseka pamusoro pezvingaita kunogona kudzivirira vamwe kubva pakuvhiyiwa. Pakupedzisira, kunze kwokunge kuvhiyiwa kunorayirwa nezvikonzero zvepanyama, sarudzo ndeyemunhu chaiye, uye inoguma yakawanda yemashoko uye sangano rinotsigira rinowanika kuvarwere.
Kunobva:
Waljee AK, Higgins PD, Waljee JF, et al. "Yakanzwisiswa uye Chaicho Chimiro Choupenyu Nehutachiona Colitis: Kuenzaniswa kwevarwere uye vanoporesa varwere." Amer J Gastroenterol 2011; 106: 794-799. 3 Mbudzi 2011.