Zviratidzo uye Maitiro Azvo Zvakasiyana Sei nePouchitis
Rectal cuff inflammation (pane dzimwe nguva inonzi cuffitis) ndiko kuputika mune chikamu chese rectum chinosara mushure meareal yeal pouch-anal anastomosis (IPAA), iyo inowanzozivikanwa sej-pouch chirurgic . IPAA chirwere chinowanzoitwa kuti chirape ulcerative colitis, kunyange zvingaitawo kune mamwe mamiriro ezvinhu, zvakadai semhuri adenomatous polyposis (FAP) .
Kuvhiringidzika mumakate emakona hakusiwo mushure mekuvhiyiwa kwePAA. Vanhu vazhinji vane chirwere che-j-pouch vanoita zvakanaka chaizvo uye havaoni chero kuputika. Kana pane urombo husina kunaka kana kubuda ropa mushure mekuvhiya kwej-pouch, inofanira kukurukurirana ne gastroenterologist. Iko kune marapirwo anowanikwa kurapa chero upfumi kana zvichiitika.
Chii chinonzi IPAA Surgery?
Mukuvhiya kwej-pouch, hutumbu hukuru (colon) hubviswa uye chikamu chekupedzisira chemukati mudumbu (the ileum) chinoshandiswa kugadzira "chikwama." Chikwama chinyorwa kakawanda chakasikwa muchimiro chetsamba "J," asi pave panewo mapuranga akaumbwa muchimiro che "S" kana "W." Ihomwe iyo inobva yambobatanidzwa kune rectum, uye murwere anodzivisa anus. Kuvhiyiwa kunowanzoitwa muzvikamu zvakasiyana-siyana kuti zvive nechokwadi chekuporesa uye kuvandudza mikana yekushanda bhegi.
Chii chinonzi Rectal 'Cuff'?
Iro rectum ndiyo chikamu chekudya kwegumbo chiri pakati pemukati makuru uye anus.
Mukuvhiya kwe-j-pouch, imwe yerakiti inochengeterwa kuitira kubatsira murwere kuchengeta chigaro chinoramba chichichengetwa muhomwe, uye kudzivirira kudzima. Kunyange zvakadaro, rectum inogonawo kuchinjwa nechirwere cheplitis. Nokudaro, chikamu chemukoko (dzimwe nguva chinonzi shongwe rectal kana mukombe) chinosara mushure mokunge chibviri chikuru chibviswa chinogona kupiswa nechirwere cheplitis.
Mune zvimwe zviitiko, chikwata chemashure chinogonawo kupiswa mushure mekuvhiyiwa kwezvimwe zvikonzero. Kuvhiringidzika mune chikamu che rectum kunozivikanwa se rectal cuff inflammation, kana zvishoma, kazhinji, cuffitis.
Zviratidzo uye Kurapa
Zviratidzo zveganda rakagadzika rectal rinosanganisira nguva zhinji inoda kupfutika pasi uye zvigaro zveropa . A gastroenterologist angada kutarisa mukati me rectum ne endoscope kuti iongororwe. Kuvhiringidza kunogona kukonzera zvimwe zviratidzo zvakafanana nedambudziko rinowanzoitika nej-chikwama chinonzi " pouchitis ," zvichiita kuti zvive zvakakosha kuwana chirwere chakakodzera. Pouchitis ndeye apo kuputika kunowanika mune j-poch chaiyo. Mune zvimwe zviitiko, rectal cuff inflammation inogona kufungwa sekuenderera kwechirwere chekuonda, iyo ikozvino inowanikwa mu rectum.
Kurapa kwechigadziro chakakonzerwa nekatekete kunogona kusanganisira kushandiswa kwemishonga yepicalical iyo inopiwa kuburikidza neadhipository, yakadai se mesalamine kana corticosteroids. Mishonga haisi inowanzopiwa nemuromo. Mune mamiriro ezvinhu asingatauri kune suppositories, vamwe vanachiremba vanopa nguva yakareba yomuitiro we corticosteroid iyo yakaiswa mu rectum kuburikidza nekushandiswa kwe endoscope. Kuvhiringidza kunowanzovandudza nekurapwa, asi kana isingaiti, chiremba anogona kutsvaga chimwe chikonzero chezviratidzo, zvakadai se pouchitis, fistula , kana chirwere cheCrohn muhomwe.
Sources:
Shen B. "Kuziva uye Kutungamirirwa kwePopoperative Ileal Pouch Disorders." Clinol Rectal Surg . Dec 2010; 23 (4): 259-268. doi: 10.1055 / s-0030-1268252. 30 Jan 2015.
Wu B, Lian L, Li Y, Remzi FH, Liu X, Kiran RP, Shen B. "Chikoro chekuCyffitis muUlcerative Colitis Patients With Protocolectomy Revorative and Ileal Pouch-anal Anastomoses." Inflamm Bowel Dis . 2013 Feb; 19 (2): 404-10. doi: 10.1097 / MIB.0b013e31828100ed. 30 Jan 2015.
Shen B, Lashner BA, Bennett AE, Remzi FH, Brzezinski A, Achkar JP, Bast J, Bambrick ML, Fazio VW. "Kurapa kweRectal Cuff Kurwiswa (Cuffitis) muVachipatara Nehutachi Kuchengetedza Kutevera Zvokudzorera Proctocolectomy uye Ileal Pouch-anal Anastomosis." Am J Gastroenterol . 2004 Aug; 99 (8): 1527-1531. 30 Jan 2015.