Kurukurai Nezvakananga Nehutano Hwako
Vanhu vane chirwere chinoputira chirwere (IBD) dzimwe nguva vanovhiyiwa sevanorapa zvirwere zvavo. Iyo miviri mikuru yeBD, ulcerative colitis uye chirwere cheCrohn, inorapwa nemhando dzakasiyana dzekuvhiyiwa. NeCrohn's disease, iyo inogona kukanganisa zvose zvakakura uye zviduku zvishoma , rection kuti ibudise chikamu chakazara chemukati chirwere chinowanzoitwa.
Mune zvimwe zviitiko zveCrohn's disease, chirwere chekuvhiya-chinguva chiduku kana chisingaperi-chingaitwawo. Nokuda kwechirwere cheplitis, iyo inongogadzirisa hutumbu hukuru, chirwere chinonyanya kufarirwa chinonzi koal pouch-anal anastomosis (IPAA), iyo inonyanya kuzivikanwa sej-pouch . Inofungidzirwa kuti 30% yevarwere vane ulcerative colitis pakupedzisira vanoda kuvhiyiwa kuti vararame zvirwere zvavo.
Chii Chinonzi J-Pouch Surgery?
Mukuvhiya kwej-pouch, hutumbu hukuru hubviswa uye chikamu chekupedzisira chemukati mudumbu chinoshandiswa zvakare kuti chigadzire chikwama (kazhinji chiri muchimiro che "J," kunyange mamwe maitiro anowanzoitwawo dzimwe nguva). I-j-pouch yakabatanidzwa kune anus, izvo zvinoreva kuti murwere anogona kubva kune dzimwe "kazhinji." Iyo mumukati huru yaenda, asi hapana chido chekusika kwe stoma uye kupfeka kwechigadzirwa chekunze kutora chigaro.
I-j-poch haisi kuitirwa chirwere cheCrohn. Chikonzero chikuru cheizvi ndechekuti chirwere cheCrohn chinogona kukanganisa chikwama (chinoitwa kunze kwee'umu) mushure mekusika kwayo.
Kana j-pouch inopisa, inogona kutungamirira kumatambudziko uye pakupedzisira kukanganisa kwechikwama. A rakakundikana j-pouch zvinoreva kurapwa kwakawanda kubvisa uye nekuumba ileostomy. Kuvhiyiwa kwakawanda, hongu, hakuzobatsiri kuvandudza mararamiro emurwere wehupenyu.
Apo Crohn Inowanikwa Mushure meJ-Pouch Surgery
Mune zvimwe zviitiko, vanhu vakaonekwa kuti vane ulcerative colitis vanowanikwa gare gare vane chirwere cheCrohn.
Izvi dzimwe nguva zvinoitika mushure mekunge murwere aitirwa chirwere chej-pouch, zvisinei kuti hazvisi zvisizvo. Ava varwere vangangodaro vane chirwere chaCrohn kubvira pakutanga, kunyange zvazvo iyo yakanga isiri yekutanga kuongororwa. Chikamu chechikonzero cheizvi ndechokuti chirwere cheCrohn dzimwe nguva chinokanganisa hutumbu hukuru ( hunonzi Crohn's colitis ), zvichiita kuti zvionekwe sekuti ulcerative colitis ndeyechokwadi kuongororwa. Sezvo nguva ichienderera mberi, uye zvimwe zvezviratidzo kana zviratidzo zveCrohn's disease zvinoonekwa pachena, kuongororwa kunogona kuchinjwa.
Zvinonzwisisika, vamwe vanhu vane IBD vari kufunga nezvekuita 1, 2, kana kuti 3 kuvhiya kuita j-chikwama zvinogona kunge zvine zvinetso zvakanyanya pamusoro pekugona kuchinja kuongororwa kubva kuchirwere chepachirwere kuenda kuCrohn's disease.
Kunyanya Kuzivikanwa Kunowanikwa Sei?
Tsvakurudzo dzinoverengeka dzakatarisa nhamba yevarwere avo vakaonekwa kuti vane Crohn's disease mushure mekuvhiyiwa kwej-pouch. Izvo zvikamu zvevaya vanoverengerwa zvakare vari kubva pasi pe1% kusvika kune yakakwirira ye 13% mune imwe yedzidzo. Vanyori vekuongorora vanotaura zvikamu zvepamusoro zvakaratidza kuti migumisiro yavo inoratidzika yakakwirira kunyange kwavari. Vanoenderera mberi kuti vataure kuti vanoziva kuti hazvirevi zvakanaka nezvimwe zvakawanda zvidzidzo, izvo zviri mu 10% nepamusoro.
Dzidzo dzakawanda kubva kumakore mashoma apfuura dzinoisa chikamu chepamusoro kusvika kune 5% nokuti kukwanisa kwevakiriniki kuti vaongorore nzira yakarurama yeBD iri kuvandudza. Izvo zvikamu zvakasiyana pakati pezvipatara zvakasiyana-siyana zvinoita chirongwa chePAA. Mune chidzidzo chimwe chakaitwa pavana vane ulcerative colitis kana indeterminate colitis, kuongororwa kweCrohn's disease pashure pokuvhiyiwa kwaive 13%.
Vanachiremba paCleveland Clinic (inzvimbo huru yepamusoro yeBBD neJ-pouch chirurgic) vanoridza nhamba yavo yevarwere vanoonekwa kuti vane Crohn's disease mushure mekuvhiyiwa kwePAA iri kupera munguva.
Sezvo chirongwa chechokwadi chekuongororwa chinowedzera, saka nhamba yevarwere vane chirwere chinoshandiswa chinoshanduka chinoderera.
Tinogona Kufanotaura Ndiani Angave Ane Kurwara Kwechirwere?
Izvo hazvina kubvumirana pamusoro penzira yekuziva vatachiona vanorwara nechirwere chinonzi ulcerative colitis iyo inogona kuonekwa kuti iine chirwere cha Crohn. Pano pane chidzidzo chimwechete, zvisinei, kuti varwere avo vakaonekwa kuti vane ulcerative colitis pazera remakore uye zvakare vane zvinetso zvepakutanga zvakanyanya kuve nehutachiwana hunochinja kuCrohn's disease mushure mokuvhiyiwa j-pouch. Pouch "kukundikana" uye pakupedzisira kuva nej-chikwata zvakabviswa hazvina kufanana nevarwere pakupedzisira vanorwara neCrohn's disease. Zvisinei, kune avo vanogona kuchengeta chikwama chavo uye vanoona kuti rinoshanda zvakanaka kwavari, hakuratiki seine kusiyana kwehupenyu hwavo uye hupenyu hwevaya vakange vane chirwere chePAA uye vakatsigira ulcerative colitis .
The Bottom Line
Kuongororwa pamwe neCrohn's disease mushure mekuongororwa kwealcerative colitis uye chirwere chej-pouch chinonyanya kukosha. Iko kunofanirwa kunofanira kukurukurwa kwenguva yakareba ne gastroenterologist uye chiremba chiremba chirwere chisati chaitwa, kunyanya kune vanhu vakaongororwa vachiri vaduku kana vane dambudziko rekuwedzera. Varwere vanofanira kubvunza vanachiremba vavo pamusoro pehuwandu hwevarwere vakadzorerwazve mushure mekuvhiyiwa. Zvisinei, zvakakosha kuziva kuti ichi hachiri chiitiko chinowanzoitika - mukana wekuongororwa shanduko unoderera pane nguva sekugadzirisa maitiro eBD kuvandudza.
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