Tsvakurudzo dzinoverengeka dzakaongorora kubatana pakati pezvirwere zvinokonzera chirwere (IBD) - Crohn's disease uye ulcerative colitis-uye appendix.
Zvimwe zvidzidzo zvakaratidza kuti appendectomy (kubviswa kwezvinyorwa) inosanganiswa nehuwandu hunopedzisira hwekuvandudza ulcerative colitis. Izvo zvakashata ndezvechokwadi kuCrohn's disease-mamwe tsvakurudzo akawana njodzi yakawedzerwa mushure me appendectomy.
Vatsvakurudzi vasati vanyatsoziva kuti nei masangano aya aripo, uye nei zviito zvinoratidzika zvichiita zvinopesana nezvakaitika pangozi yeCrohn's disease uye ulcerative colitis.
Zvinowanzosakurudzirwa kubvisa appendix apo inoratidzika seine utano. Pane imwe nharo pamusoro pokubvisa zvinyorwa apo kuvhiyiwa kuri kuitwa kune chimwe chikonzero: kutora chikamu nokuti chiremba chiremba ari kutoita imwe nzira. Zvisinei, kutora appendix mumunhu ane hutano nekuda kwengozi yekudzivirira chironda chekurara kwechirwere hakusi chinhu chakaitwa.
Chii chiri Appendix?
Ichi chimiro chiduku chinoramba chiri chiduku chiduku, sezvo chisina basa rinotsigirwa. Inowanikwa pabazi rekutanga rematumbo, uye rinoratidzika sehonye kana tube. Kunyange zvazvo zvisingaoneki kuita chero chinhu, zvinosvibisa, izvo zvinonzi appendicitis.
Gore negore, mumwe muvanhu 500 ane appendectomy.
Kana icho chakazara chekuwedzera chisati chabviswa, chinogona kuputika. Chimwe chikamu chinoputika chinogona kukonzera chirwere chakakomba chinogona kuuraya. Kubviswa kwependiendi hakuratiki kunokonzera zvimwe zvinetso zveutano.
The Connection to Ulcerative Colitis
Tsvakurudzo dzinoverengeka dzinoratidza kuti kubviswa kwezvinyorwa zvinogona kuderedzera njodzi yekudzivirira chirwere chekuonda kwehutachiona nekusvika 69%.
Vanhu vane chirwere chepachilwere chepachirwere havakwanisi kuva neappendectomy, zvichida nokuda kwependiendi kana chimwe chikonzero, kupfuura vanhu vakawanda.
Iko kune zvidzidzo zvitatu zvekuti nei vanhu vane ulcerative colitis vave vasina zvishoma zvishoma kune vanhu vane utano.
- An antigen muzvinyorwa zvinosanganiswa nekutanga kwealcerative colitis.
- Kuipa kwemukati mumatumbo pakati pevanhu vakagadzirirwa kuonda kwehutachiona kunogona kuva nemhosva yezviitiko zvishomanana zvekuwedzera.
- Kuva neappendectomy nenzira imwe inodzivirira munhu kubva pakukura kwehutachi.
Nhoroondo yekupedzisira yakaedzwa mumhuka. Mhuka dzaiva neefendix dzakabviswa dzakanga dzisingakwanisi kuwedzera ulcerative colitis. Mhuka dzakanga dzine appendectomy mumavhiki maviri dzakawanikwawo kuti dzakasununguka kune mabhakitiriya Bacteroides . Izvi zvinogona kukonzera kubatwa kwepachiviri muBDD. Vatsvakurudzi vanogumisa kuti izvi zvinogona kureva kuti zvidimbu zvinoshandiswa mushure mezvose. Izvo zvinyorwa zvinogona kutora chikamu mu mucosal immune system, iyo inodzivirira muviri kurwisa utachiona.
Iko kunokonzerwa nekubvisa zvinyorwa pashure pokutanga kwealcerative colitis hazvizivikanwi. Kakawanda, ukama huri pakati pealcerative colitis uye appendectomy hunoramba husina kujeka.
Zvisinei, kana korosi yakabviswa (a colectomy ) kuti iite chirwere chekuonda, chirongwa chekuwedzera chinobviswa (nokuti chakabatanidzwa nekoloni).
The Connection neCrohn's Disease
Zvidzidzo zviviri zvakagumisa kuti njodzi yeCrohn's disease inowedzera mumakore 20 mushure mekubviswa kwezvinyorwa; vakadzi vainyanya kuve nengozi yakakura yekukura kwechirwere che Crohn mushure mekushandisa appendectomy, maererano nekudzidza kwekutanga.
Vatsvakurudzi vekuongorora kwechipiri vanofungidzira kuti, kune vamwe varwere, kurwisa kwepakutanga kwezvinyorwa zvingangodaro kwave kuri iko kwekutanga kwechirwere cheCrohn. Zviratidzo zveCrohn zvinokanganisa kushandisa uye appendectomy inoitwa.
Makore chete gare gare ndiyo Crohn yakazoonekwa. Nokudaro, njodzi yeku Crohn's kune avo vakambova neappendectomy ingasanyanya kuwedzerwa. Vatsvakurudzi vanopedzisa kuti kutsvakurudza kwakawedzerwa kunokosha kuti uwane chero hukama huripo pakati peCrohn's disease uye appendectomy.
Shoko Rinobva
Uhu huno hahurevi kuti isu tose tinofanira kumhanyira kunze nekukurudzira nhengo dzedu dzepedyo dzemhuri dziri pangozi yekushaya chirwere chepachirwere kuti tive nehutachiona. Uyewo haufaniri kuisa muchisarudzo kubvisa zvinyorwa kune munhu ari pangozi yeCrohn's disease. Icho uchapupu hahusi kumanikidzira zvakakwana kana kuti kubvumidza chirwere chikuru kana kudzivirira chirongwa chinonzi appendectomy. Mhando ipi zvayo yokuvhiya inotakura njodzi dzakawanda, uye kusvikira taziva zvakawanda, ngozi idzi dzingasave dzakawanda kupfuura zvingabatsirika.
Sources:
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Carbonnel F, Jantchou P, Monnet E, J. Cosnes "Zvinhu zvinokonzera njodzi muCrohn's disease uye ulcerative colitis: inovandudzwa." Gastroenterol Clinic Biol . 2009 Jun; 33 Suppl 3: S145-S157.
Gilaad G Kaplan, Bo V Pedersen, Roland E Andersson, Bruce E Sands, Joshua Korzenik na Morten Frisch. "Ngozi yekukura nechirwere cheCrohn mushure mekushandisa appendectomy: A population-based cohort kudzidza kuSweden neDenmark." Gut Sept 2007.
Koutroubakis IE, Vlachonikolis IG, Kouroumalis EA. "Basa rekuwedzera uye appendectomy mupathogenesis ye ulcerative colitis: kuongorora kukuru." Inflamm Bowel Dis Jul 2002.
Roland E. Andersson, Gunnar Olaison, Curt Tysk, naAnders Ekbom. "Appendectomy uye Kudzivirirwa kurwisa Ulcerative Colitis." N Engl J Med 15 Mar 2001.