Kune Vamwe Pashure Pechipatara chePAA, Pouchitis Inogona Kuva Nharo Isingaperi
Pouchitis ndeyemamiriro ezvinhu anoitika kune vamwe vanhu vakave nekuvhiyiwa inozivikanwa seyeal pouch anal anastomosis (IPAA), iyo inowanzonzi j-pouch . Apo j-pouch inopisa uye inokonzera zviratidzo zvehara (dzimwe nguva inopa ropa), inoda kukurumidzira kupfuura chigaro, incontinence, uye kurwadziwa kana kunetseka pavanopfuura chigaro, inonzi pouchitis.
Haasi munhu wose ane j-pouch anowana pouchitis, asi vamwe vanhu vanoiwana nguva nenguva, uye vashomanana vanoiwana kakawanda zvokuti inogona kunyorwa kuti "isingaperi."
Chii Chinonzi J-Pouch?
Kuvhiya kweJ-pouch kunoitwa kurapa ulcerative colitis, uye zvimwe zvinetso zvekudya, zvakadai semhuri adenomatous polyposis (FAP) . Uku kuvhiyiwa kunowanzoitwa mumatanho akawanda (kazhinji 2 matanho, asi dzimwe nguva 3), kunyange zvazvo pane dzimwe nguva inoitwa nemumwe. Chikamu chekutanga chekuvhiyiwa ndiko kubviswa kwekuvhota kwemukati, iyo inonzi colectomy. Zvose kana chikamu chebhuku rinogona kubviswa panguva imwe chete.
Chikamu chechipiri chekuvhiya, chinogona kuitwa panguva imwechete ye colectomy, ndiko kusikwa kwe j-pouch uye ileostomy. Kuti ugadzire chikwama, iyo yekupedzisira iyoum inonzi yakagadzirirwa mu "J" (kunyange mamwe maitiro dzimwe nguva anoitwawo). Kana chirwere ichi chiri kuitwa sezvinopfuura danho rimwe, chikamu chekupedzisira chegadziriro ndechekudzosa iyoostomy uye ine j-pouch basa.
Izvi zvinobvumira munhu kuenda kumudziyo wekugezera "kazhinji," uye asingadi chikwama chechiputi, zvakadai seyeostomy .
Chii Chinonzi Pouchitis?
Vamwe vanhu vane j-chikwama vanoona chinetso chinonzi pouchitis. Pouchitis inowanzozivikanwa kune vanhu vane chirwere chej-pouch kuti vabate chironda chekurwara kune chirwere cheFAP kana zvimwe zvikonzero.
Pouchitis yakajairika, uye chikonzero chaicho hachizivikanwi, kunyange kune mamwe maitiro ekushanda.
Zviratidzo zve pouchitis zvinogona kusanganisira:
- Fever
- Ropa ropa
- Pain ne defecation
- Kuchengetedza kwemafecal kana kukurumidza kudikanwa kubvisa chikwama
Ndeapi Vanhu Vakawanda vane J-Pouches vane Pouchitis?
Kune zvirevo zvakasiyana-siyana zvehuwandu huwandu hwevanhu vane j-mhombwe ye ulcerative colitis uzoefu pouchitis. Kubva pamigumisiro yezvidzidzo zvakasiyana, pouchitis inogona kuitika chero kupi zvako kubva 30% kusvika ku50% yevarwere. Pakutanga kwezviratidzo, chiremba achabatsira pakuongorora pouchitis, nokuti zviratidzo zvinogona kufanana nezvimwe mamiriro ezvinhu, saka avo vanozofanira kutariswa kunze. Kazhinji izvi zvinowanikwa nechochoscopy, iyo inoratidzira ye endoscopy inoshandiswa kutarisa mukati j-chikwama.
Kune Marudzi Akawanda ePouchitis?
Pouchitis inowanzogoverwa kuva acute pouchitis uye chisingagumi pouchitis. Acute pouchitis apo zviratidzo zvave zvichiitika kwemavhiki masere. Apo zviratidzo zvinopfuurira kwevhiki dzinopfuura 4, chirwere chacho chinonzi chronic pouchitis.
Zvinowedzera kunzwisiswa kuti pouchitis inogona kunge yakawanda kupfuura imwechete, inogona kuva inoratidzika. Hasi varwere vose vanopindura nenzira imwecheteyo kune mishonga imwechete uye vamwe varwere vanoda kurapwa nguva dzose kuti vawane rusununguko kubva kune zviratidzo.
Kuwana zviratidzo zvinotungamirirwa zvakakosha kuti urege kudzivirirwa uye kuchengetedza chikwama chichiita zvakanaka. Vanhu vane j-chikwata vasati vava pangozi yekudonha mvura, uye zvirwere zvinoramba zvichiri kubva ku pouchitis zvinogona kukurumidza kukurumidza kupera simba. Zvechokwadi, kunewo hupenyu hwehupenyu hunotevera: pouchitis ichava nehukuita zvakanyanya paupenyu hwomurwere, uye kuitora iyo mukuregererwa ndicho chinhu chikuru.
Kazhinji yenguva, chikonzero chokuti pouchitis inoitika haisati yazivikanwa. Asi mune inofungidzirwa 30% yevanhu, iyi inonzi chipiri pouchitis. Muchiitiko chepasitis yechipiri, chikonzero chinogona kuonekwa, uye zvimwe zvacho zvinosanganisira:
- Zvimwe zvinokonzera zvikonzero
- Zvirwere
- Ischemia
- Kushandisa zvisiri-steroidal anti-inflammatory drugs (NSAIDs)
Pouchitis Inoitwa Sei?
Kakawanda, pouchitis inorapwa nemishonga inorwisa mabhakitiriya. Mune zvimwe zviitiko, imwe nzira yemishonga inorwisa mabhakitiriya ichatsvaga pouchitis. Mune dzimwe nguva, mishonga inorwisa mabhakitiriya inogona kudiwa kwenguva refu. Vamwe vanhu vanogona kushandurwa kubva kune rimwe remishonga inorwisa mabhakitiriya kune imwe, kana kugamuchira kurapwa kwemishonga inorwisa mabhakitiriya, kuitira kurapa pouchitis.
Kana iyo pouchitis isingapinduri nemishonga inorwisa mabhakitiriya, chiremba angasarudza kupa rimwe chirwere, zvakadai semishonga inopesana nekuputika kana mishonga inogadzirisa muviri.
Kutumidzwa: chikwata-EYE-tis
Kunobva:
Pardi DS, D'Haens G, Shen B, Campbell S, Gionchetti P. "Mishonga yekurapa kwekutonga kwe pouchitis." Inflamm Bowel Dis . 2009 Sep; 15: 1424-1431.
Shen B, Fazio VW, Remzi FH, et al. "Zvimwe zvinokonzera zvipembenene zvezvirwere zvechikwama-yeal-anal anastomosis mushure mekudzorera proctocolectomy kune ulcerative colitis." Clin Gastroenterol Hepatol . 2006 Jan; 4: 81-89; mibvunzo 2-3.
Shen B, Lashner BA. "Pouchitis: zvirwere zvakawanda." Curr Gastroenterol Rep . 2005 Oct; 7: 404-411.
Zezos P, Saibil F. "Chirwere chinoputira chikwata: The spectrum of pouchitis." World J Gastroenterol . 2015 Aug 7; 21 (29): 8739-8752.