Kugadziriswa Kuzvinyorwa Ndiko Kunowanzogadziriswa Kwezvirwere zveCrohn
Kana mishonga isingashandisi zvakanaka pakugadzirisa zviratidzo zveCrohn's disease ( chirwere chechirwere chechirwere chirwere kana IBD), gastroenterologist inogona kukurudzira chirwere. Nzira yakakurumbira yekuvhiya inoshandiswa kurapa chirwere cheCrohn inonzi rection. Kuvhiya hakusi kukundikana kwemamwe kurapwa asi rudzi rwepamutemo rwekurapa. Vanhu vazhinji vane Crohn's disease vachada kurapwa kuti vatarise IBD kana kuti zvinetso.
Munguva yekugadziriswa, chikamu chemuviri wakakura kana chirwere chiduku chinokonzerwa nechirwere cheCrohn chinobviswa, uye hutumbu hunosanganiswa pamwe chete uchishandisa mapurogiramu maviri ane utano. Kugadzikana kunowanzoitwa nechiremba anovhiya , rudzi rwechiremba anovhiya ane ruzivo rwakakosha mukuvhiyiwa kunoitwa pamusika wakaderera.
Mune zvimwe zviitiko, kuvhiyiwa kunogona kuisa munhu nechirwere cheCrohn mune izvo zvinowanzonzi chirwere chokuregererwa. Izvi zvinogona kuuya pane imwe nguva zvishoma kana pasina zviratidzo kana zviratidzo zveCrohn's disease. Kutarisana nekuvhiyiwa nguva dzose kunonetsa, asi neCrohn's disease, resection inogona kureva mukana wekuporesa nekudzoka. Vanhu vane chirwere cheCrohn vane zvinetseka pamusoro pekuvhiya kana ikozvino kana mune ramangwana vanofanira kutaura neboka ravo rekuchengetedza hutano uye funga nezvechipiri pfungwa nemumwe chiremba uye chiremba chiremba kana gastroenterologist.
Nei Tichifanira Kuzvidzivirira?
Kuvhiyiwa kunogona kushandiswa kubvisa zvigadziro , izvo zvinogona kusanganisira imwe yakakura kwenguva refu kana boka rezvibatanidza zviri pedo kune imwe, kana zvinogona kushandiswa kubvisa zvikamu zvakakomba zvirwere zvemukati mudumbu kana mumukati.
Chinangwa chekugadzirisa mishonga ndeyekuchengetedza huwandu hwehutano hwakanaka sezvinobvira uye kungobvisa zvikamu zvehombodo dzisingagoni kuporesa. Kunyanya, kubvisa chikamu chikuru chemukati mudumbu kunodziviswa. Mucheche muduku umo mavitamini nemaminerari zvinopinda mumuviri, uye kana zvakawanda zvacho zvabviswa, zvinogona kutungamirira kukundikana kwekudya.
Mune zviitiko zvakanyanya, kubvisa hutumbu hudiki kadiki kunogona kutungamirira kumapfupa echirwere. Iyo yakawanda yevanhu haifaniri kuvhiyiwa kwakanyanya zvokuti chidimbu chiduku chingava chinetso.
Kugadziriswa Kuitwa Sei?
Munguva yekugadzirisa, rese anesthesia inoshandiswa kugadzirisa marwadzo. Kuvhiyiwa kunogona kuitwa kana kuburikidza nekuvhiyiwa kwakasununguka kana chirwere chepararoscopic , asi chirwere chakazaruka chinowanikwa zvikuru. Kuvhiyiwa kweparoscopic kunowanzoshandiswa chete mumamiriro ezvinhu apo chirwere chinouraya chemukati chiri muirium , uye hapana zvimwe zvinetso.
Mukuvhiyiwa kwakasununguka, imwe tsvina yakawanda ichaitwa. Chirwere chinorwara chemuviri chinodzimirwa uye chakabviswa. Mushure mekunge chikamu chinorwara chemukati chibviswa, mapuro maviri ehutano emukati anonamatirana pamwechete (anonzi anastomosis ).
Mukuvhiya kweparoscopic, zvitatu zvitatu kusvika 4 zvinoshandiswa zvinoshandiswa. Dumbu rakazara negesi kuitira kuti chiremba anokwanisa kuona zviri nani chimiro chemuviri uye kamera inowanikwa kuburikidza nechimwe chezvakaitwa. Zvimwe zvose zvinotevera zvakafanana nekuvhiyiwa kwakasununguka: chirwere chinorwara chinobviswa uye mhuka dzakanaka dzakasanganiswa zvakare.
Inguva Yakadini Nguva Yokudzoka?
Chipatara chinogara nekuvhiyiwa kwakasununguka kusina matambudziko kunogona kuva kupi kubva kune mazuva mashanu kusvika kune gumi.
Nokuvhiya kweparoscopic, chipatara chinogara chichiita kuva shoma.
Kudzoka kubva pakuberekwa kwevashandi kunogona kutora kubva pamasvondo matanhatu kusvika ku8. Kudzokera kubasa mushure mekuvhiyiwa isarudzo imwe neimwe, asi inowanzove mavhiki mana kana kupfuura mushure mekuvhiyiwa. Mumwe chiremba achapa mirayiridzo pamusoro pehutano hwemabasa, asi kazhinji, kusimudzira zvinorema, kutyaira, nezvimwe zvinhu zvinotambudza hazvifaniri kuitwa kwevhiki dzinoverengeka mushure mekuvhiyiwa.
Ndeapi Matambudziko Anogona Kuitika?
Zvimwe zvinetso zvinosanganisira izvo zvinogona kuitika nekuvhiyiwa chero kupi zvayo: utachiona, kubuda ropa, kana kuitika kune anesthetic. Nekugadzirisa, panewo ngozi shoma kuti zvikamu zviviri zvakabatanidzwa mumatumbo zvinogona kupatsanurana kana kuputika (kunonzi dehiscence), kunyange izvi zvisingawanzoitiki.
Kuzvidzivirira Kunoshandiswa Kunoshandiswa Kuti Uwane Ulcerative Colitis Here?
Kusarura kusarudzwa kwekoloni hakuwanzoshandiswa kurapa ulcerative colitis. Ichi ndechokuti chirwere chinokonzera kudzoka muchikamu chine utano hwekoloni inosara. A colectomy yakazara, nekusikwa kwechikwama chemukati ( j-pouch ) kana ileostomy, ndiyo mavhivhi anowanzoshandiswa kurapa ulcerative colitis.
Tsananguro Inobva
Vanhu vakawanda vanoona hutano hwavo hunovandudzwa mushure mekunge vawane resection yeCrohn's disease. Zvakakosha kutevera mirairo yechiremba uye kuramba uchitora mishonga mushure mekuvhiyiwa kubatsira kudzivirira Crohn's kuti irege kukuvadza.
Sources:
ADAM Illustrated Health Encyclopedia. "Kurwara kwaCrohn: Kuora Kwezvirwere Zvirwere." MedLine Oct 29 2012.
Crohn's uye Colitis Foundation. "Kuvhiya kwaCrohn's Disease." CrohnsColitisFoundation.org Aug 2010.
Tilney HS, Constantinides VA, Heriot AG, Nicolaou M, Athanasiou T, Ziprin P, Darzi AW, Tekkis PP. "Kuenzanisa kweparoscopic uye yakasununguka yeocececal resection ye Crohn's disease: metaanalysis." Kupera Endosc. 2006 Jul; 20: 1036-1044.