Kuvhiya kweCrohn's Disease: Colectomies

Zvemukati

• Mashandiro anoita Colectomies
• Anastomosis uye Colostomy
• Colostomy Pouches
• Post-Kuvhiya Kufunga
• Nei Uchifanira Kuwana Colectomy?

Kana mushonga uye mararamiro achichinja kutadza kubatsira vanhu vane chirwere cheCrohn kuwana zororo, kuvhiyiwa kunowanzove danho rinotevera. ICrohn's & Colitis Foundation yeAmerica (CCFA) inoshuma kuti zvikamu zviviri kubva muzvitatu kusvika kumatatu echina zvevanhu vese vane chirwere cheCrohn vanozopedzisira vavhiyiwa.

Chirwere cheCrohn chinoitika kana immune system yako ikatanga kurwisa matishu ayo, zvichikonzera kuzvimba kwetumbo. Izvi zvinogadzira akasiyana ekusagadzikana uye anorwadza zviratidzo, zvinosanganisira kazhinji manyoka, kurwadziwa mudumbu, uye kunyangwe hutachiona. Nepo pasina mushonga unozivikanwa weCrohn's disease, vanhu vazhinji vanozopedzisira vaenda mukuregererwa kwemakore mazhinji, kazhinji kungave kuburikidza nemushonga kana kuvhiya kunonzi colectomy.

Kuvhiya kwakati wandei kunowanikwa kune vanhu vane chirwere cheCrohn, uye macolectomies ari pakati peanonyanya kukanganisa. Munguva yecolectomy, iyo colon yakaiswazve chikamu kune akasiyana madhigirii. Kana zvichikwanisika, chiremba wako anovhiya anobatana neileum uye rectum kuti ikubvumidze kuti urambe uchipfuura marara usingapfeke bhegi rekunze.

Mashandiro anoita Colectomies

Colectomies inoitirwa vanhu vane chirwere cheCrohn, gomarara rekoloni, diverticulitis, uye mamwe mamiriro. Pakutanga, maitiro acho akaitwa nekugadzira incision mudumbu kubvisa colon. Kuvhiyiwa iko zvino kunowanzoitwa uchishandisa laparoscopy uye kushandisa akawanda madiki maitiro. Izvi zvinoderedza kupora nguva uye zvinoderedza njodzi yezvinetso.

Colon kuisazve chikamu kunosanganisira kubvisa chikamu chekoloni yako uye kuisazve zvikamu zvakasara kuti udzore ura. Kazhinji, chikamu checolectomy, icho chinosanganisira kubvisa chikamu chakakanganiswa chekoloni, chinoitwa. Kana iwe uri kufunga nezve colectomy, iwe ungatofanira kusarudza pakati peanastomosis, chinova chisungo chezvikamu zviviri zvemukati wako kuitira kuchengetedza ura, uye colostomy, kunova kuvhiyiwa uko ura hwako hukuru hunounzwa kuburikidza nedumbu rako kudurura muhomwe. Iko kune zvayakanakira nezvayakaipira kune ese ari maviri, izvo zvinogona kuita kuti sarudzo iome zvakanyanya.

Anastomosis uye Colostomy

Anastomosis inotakura dzimwe njodzi. Kunyanya, kune njodzi yekuparara kwemasuture, ayo anogona kukonzera hutachiona uye kutungamira kune sepsis. Inogona zvakare kuve inouraya mune zvisingawanzoitika zviitiko. Kunyangwe colostomy yakachengeteka, inotakura nenjodzi dzayo. Colostomy inogadzira kubuda kwetsvina iyo inofanirwa kuburitswa nemaoko. Vamwe vanhu vane colectomy vanogona kukodzera colostomy nekudiridza, izvo zvinogadzira chivharo pamusoro pe stoma, kana kubuda, kuchengetedza tsvina mukati. Vanofanira kuidiridza kamwe chete pazuva, vachishandisa ruoko rwokudiridza.

Colostomy Pouches

Kana iwe uine echinyakare colostomy, iwe unenge uine homwe yakasungirirwa. Izvi zvinofanirwa kudururwa kana kuchinjwa panguva dzakasiyana siyana mukati mezuva. Homwe yanhasi ye colostomy pouches ine hwema hushoma uye haina kuchena kupfuura yapfuura, ichikubvumidza iwe kurarama hupenyu hwakajairika usina hanya nevamwe vanoziva nezve mamiriro ako. Vanachiremba vazhinji pachinzvimbo vanoratidzira homwe yekolo-anal, inonzi irooanal pouch, iyo yakavakwa uchishandisa ura hwako hwepasi.

Post-Kuvhiya Kufunga

Mushure mekuvhiyiwa, iwe unofanira kutanga wachengeta yakaderera-fiber chikafu kuti uderedze kushushikana pane yako yekugaya system. Sekureva kweCCFA, inenge makumi maviri muzana yevarwere inoratidza kudzoka kwezviratidzo mushure memakore maviri, 30 muzana inoratidza kudzokorodza kwezviratidzo mushure memakore matatu, uye kusvika pamakumi masere muzana inoratidza kudzokorodza kwezviratidzo nemakore makumi maviri. Hazvisi zvese zvinodzokororwa zvinoreva kuti iwe uchazoda kumwe kuvhiya.

Infliximab (Remicade) inogona kunyoreswa kudzivirira kudzokazve kwezviratidzo. Infliximab ibundu necrosis factor (TNF) blocker inoshanda kudzivirira immune immune kubva mukusaita basa. Zvakaratidza kubudirira.

Kana matambudziko achidzokazve mushure mekuvhiyiwa, zvinowanzo kuve mune imwe nzvimbo yemukati. Izvi zvingangoda mamwe maoparesheni.

Nei Uchifanira Kuwana Colectomy?

Nechiyero chakadai chekudzokorora, unogona kushamisika kuti sei uchifanira kuwana colectomy zvachose. Kune vanhu vazhinji vane chirwere cheCrohn vanoenda kumacolectomies, zviratidzo zvavo zvinogona kunge zvakanyanya zvekuti mishonga haibatsire kana vanogona kunge vaine zvinyoro kana fistula dzinoda kutarisirwa nekukasira. Kune vamwe vanhu, sarudzo yekuve necolectomy inoitwa mushure menguva yakareba yekufunga zvakanyatsonaka nezvayo.

Nepo kubviswa kwezvose kana chikamu chekoloni yako kuchikwanisa zvechokwadi kubatsira zviratidzo zvenguva pfupi, kuvhiya hakurape chirwere cheCrohn. Iko hakuna kurapwa kwechirwere cheCrohn panguva ino. Iko kune chete mukana wekudzikisira uye kugadzirisa zviratidzo. Kune vamwe vanhu, mishonga yechirwere cheCrohn ichave nzira yehupenyu. Kune vamwe, colectomy inogona kutungamira mukuregererwa kwenguva refu, kunyange kudzokororwa kunogoneka.Kana colectomy ichipa kunyangwe diki diki zororo rerusununguko mushure memakore ezviratidzo zvinorwadza, zvinogona kuve zvakakosha kune vamwe vanhu.