Izvi zvinoshandiswa kuzarura chikamu chakaoma chemukati
Kuvhiya kunowanzoshandiswa kurapa chirwere cheCrohn. Zvechokwadi, inenge hafu yevanhu vose vane Crohn's disease mumucheche muduku vachavhiyiwa mumakore gumi okutanga mushure mekunge vaongororwa. Kunyange zvazvo chirwere chinowanzojairika chekuvhiya ndeye resection , iyo inoshandiswa kubvisa zvirwere zvinokonzerwa nehutachiona, yechipiri nzira inowanzozivikanwa ndeye strictureplasty.
A strictureplasty chirongwa chekuvhiya chinoshandiswa kuzarura chikamu chiduku chemukati. Kusiyana nekuvhiyiwa kwemajini, zvikamu zvehutachi hazvibviswe panguva ye strictureplasty, zvichiita kuti zvive nzira inofadza kune resection kana zvichibvira. Kushungurudzika kunogona kuitwa moga, kana kunogona kuitwa panguva imwechete se resection.
Strictureplasty haisi kunyanya kuitirwa kune imwe nzira yakakura yekuputira chirwere chemawere (IBD) , ulcerative colitis. Ichi ndechokuti ulcerative colitis haina zvishoma kudarika chirwere cha Crohn chinokonzera kugadzirisa.
Chii Chinonzi Kutsika?
Chigadziro ndechokuti chikamu chemuviri chinowedzera. Muhosha yaCrohn, kugadzirisa kunokonzerwa apo masvingo echingwa akadzimwa uye akaora. Mucheka mutsvuku unopinda mukati memukati memuviri, unonzi lumen . Pasina nzvimbo yakakwana yezvinhu zvinoshandiswa kuparadza, chigaro chinogona kuvaka mukati memukati pane nzvimbo yakagadziriswa, zvichiita kuti zvikamu zvisingabatsiri kana zvizere zvivhare .
Izvi zvinogona kuderedza zvakanyanya mararamiro ehupenyu, nokuti kudya kunowanzofanira kuvharidzirwa , uye pangave nezviratidzo zvakadai sekurwadziwa uye kubuda.
Kune zviyero zvakasiyana zvezvidimbu, uye zvimwe zvingasakonzera matambudziko zvachose. Zvisinei, kana kugadzirisa kunotambudza, zvinogona kuzarurirwa kuburikidza nekuvhiyiwa.
Kutsika Kwakaita Sei?
Kune nzira dzakawanda dzakasiyana-siyana iyo chiremba anovhiya anokwanisa kuswedera kumagetsi. Nzira ipi iyo yakasarudzwa inobva pahukuru hwehutano uye zvakasarudzwa zvechiremba chiremba. Zvimwe zvakasiyana-siyana zvinokonzerwa netsika dzakagadzirirwa kuitira kuchengetedza huwandu hwemukumbo sezvazvinogona. Kubvisa uwandu hudiki hwedumbu kunogona kuita kuti matambudziko adye zvibereko zvekudya, saka zvakakosha kudzivisa kubvisa zvikamu kana zvichibvira.
Ndezvipi Njodzi Dzakaitika Kuvhiya?
Njodzi dzinogona kunge dzakasiyana zvichienderana netsika yakashandiswa pakuvhiya. Chimwe chidzidzo chakawana kuti paive nemhando 15 dzakasiyana-siyana dzekugadzirwa kweprictureplasty mumabhuku akabudiswa. Chimwe chidzidzo, meta-analysis, akatarisa zvinokwana 3,259 chirongwa cheprictureplasty kuti chiuye nebhaplpark kuongororwa kwezvipingamupinyi. Kune varwere vainge vaine chirongwa chekuita chirwere mueileum kana jejunum (pakati nepakati pakupedzisira mumatumbo maduku), 4% vakaona dambudziko rakadai sedhiyo, fistula, kana abscess. Mushure memakore mashanu, paive ne 28% yevarwere vaiva nekudzokorora kwekugadzirisa. Vanyori vakapedzisa kuti strictureplasty muyeeum kana jejunamu yaiva nzira yakachengeteka uye inoshanda.
Kwakanga kune mashomanana mashoma ekuvhiya akaitwa pachikamu chekutanga chemukati madiki (the duodenum) uye mumakoloni kuti aite chero kutonga pamusoro pekubudirira, kana kuti mushonga unogona kudiwa mune ramangwana.
Chii Chaunoda Kuziva Usati Uchivhiya?
Zvimwe zvezvinhu zvaunoda kubvunza chiremba wako chiremba iwe usati wadzidza chirongwa ichi chinosanganisira:
- Iyo yakakura sei kugadzirisa?
- Ko imwe yematumbo angu inoda kubviswa here?
- Kuvhiyiwa kunozoitwa sei? (Sezviri mukati, tsanangudzo yekutanga yeyo nzira.)
- Ndezvipi ngozi?
- Pane chinangwa here panzvimbo iyo kana iri dambudziko risingatarisirwi?
- Inguva yakareba ini ndichange ndiri muchipatara?
- Kusununguka kwangu kuchave kwenguva yakareba sei?
- Ndirini pandingazodzokera kumabasa angu akadai (semabasa kana chikoro)?
The Bottom Line
Strictureplasty, zvakakwana, ndiyo nzira yakachengeteka uye inoshanda yekuvhiya kwechirwere cheCrohn. Inobatsira kuponesa zvikamu zvemukati mudumbu. Pane njodzi, sezvinongoita nekuvhiyiwa chero kupi zvako, asi zvidzidzo zvakaratidza kuti zviduku.
Sources:
ADAM "Chirwere cheCrohn: Kurwisa Zvirwere Zvirwere." ADAM, Inc. 29 Gunyana 2011.
Heppell J. "Kuvhiya Kwechirwere Chirwere." UpToDate 16 Nov 2012.
Jobanputra S, Weiss EG. "Strictureplasty." Makliniki muColon uye Rectal Surgery . 2007; 20: 294-302.
Michelassi F, Taschieri A, Tonelli F, et al. "An International, Multicenter, Prospective, Observational Chidzidzo cheMukati-kune-Chikamu Isoperistaltic Strictureplasty muHurusi hwaCrohn." Dis Colon Rectum 2007 3: 277-284.
Yamamoto T1, Fazio VW, Tekkis PP. "Kuchengetedza nekubudirira kwekugadziriswa kwechirwere cheCrohn: kuongorora nekugadzirisa nekuongorora meta." Dis Colon Rectum . 2007 Nov; 50 (11): 1968-1986.