J-Pouch Surgery yeUlcerative Colitis Inokonzera Kudiwa kweOstomy
A j-pouch, kana kuti ileal pouch reconstruction, chirwere chakakomba chekuvhiya chinoshandiswa kuvanhu vane chirwere chekuonda, chirwere chekenza yekoloni , uye mhuri ye polyposis . Yakagadzirwa mumakore ekuma1970, kuvhiyiwa uku kunobvisa kudikanwa kwechikwata chekunze kutora tsvina. Iyo nzira inogona kuitwa mune imwe, maviri, kana matanho matatu, asi inowanzoitwa muviri.
Danho 1
Nhanho yekutanga mukuvhiya kwej-pouch ndiko kubviswa kwekoloni kana mumatumbo makuru. Misika yemakona yakasara panzvimbo, asi bhandi re rectum rinobviswa. Chiremba anovhiya achazogadzira chikwama chaiye kubva mumukati muduku. Ichi chikwata chinogona kuvakwa nenzira shomanana dzakasiyana dzekuumba j-poch, s-pouch, kana w-pouch. Chiremba anovhiya achasarudza kuti ndeupi rudzi rwakakodzera murwere. Chikwama ichocho zvino chinonamirwa kune anus .
Pakupedzisira, chiremba anovhiya anogadzira ileostomy , iyo ichave kwenguva pfupi apo j-pouch inoporesa. An ileostomy inzira iyo chikamu chemukati madiki chinounzwa kuburikidza neganda remuviri. Ichi chikamu chekunze chemukati mudumbu chinonzi 'stoma', iyo yechiGiriki ye 'muromo'. Tsvina inopinda mumuviri kuburikidza ne stoma uye inounganidzwa nebhesi yeoostomy iyo yakafukidzwa parutivi rwemuviri. I ileostomy inochengetedza chigamba kubva pakupfuura nej-pouch kuitira kuti ipe nguva yekurapa.
Danho 2
Mushure mekunge murwere aine nguva yekurapa (kazhinji mwedzi miviri kana mitatu), danho rechipiri remitambo richaitwa. Munguva iyi danho, iro rinonziwo kubata, ileostomy inobviswa uye j-pouch inosangana. Murwere haazodivi nechokunze neostomy bhegi, uye dongo richapfuura kuburikidza ne rectum.
Chimwe Chetatu neTatu Matanho eNzira
Dzimwe nguva, chiremba uye chiremba achasarudza kupedzisa iyo yose nzira mune imwe danho. Chiremba anovhiya achaita colectomy, aite j-pouch uye aizounganidza zvose mune rimwe basa. Danho rimwe chete rinobvisa chido chekuvhiya kwepiri kana ileostomy yenguva pfupi.
Kana murwere ari kurwara kwazvo, chiremba anokwanisa kusarudza kushandisa matanho matatu kuti apedze nzira yacho. Muchitamba chekutanga, colectomy yakaitwa, uye iyoostomy yenguva pfupi yakasikwa. Muchikamu chechipiri, j-pouch yakavakwa, uye danho rechitatu nderokutora. Kumirira pakati pekuvhiya kwega imwe neimwe kwemwedzi miviri kusvika mitatu, zvichienderana nehutano hwomurwere.
Shoko Rinobva
Iyo yakawanda yej-chikwama ichibudirira uye vanhu vane chirwere chekuvhiya vakavandudza hupenyu hwehupenyu. Apo j-pouch inogadziriswa nealcerative colitis, inonzi inoshandiswa, kwete mushonga, nokuti humwe hutachiita hutachiona hweBD hunogona kuitika.