Ukuhlinzwa Kwezifo ZikaCrohn: Ama-Colectomies

-Delile

• Isebenza kanjani i-Colectomies
• I-Anastomosis neColostomy
• Izikhwama ze-Colostomy
• Ukucatshangelwa Kwangemva Kokuhlinzwa
• Kungani Kufanele Uthole iColectomy?

Lapho izinguquko kwezokwelapha nezindlela zokuphila zihluleka ukusiza abantu abanesifo sikaCrohn ukuthi bathole ukukhululeka, ukuhlinzwa ngokuvamile kuyisinyathelo esilandelayo. ICrohn’s & Colitis Foundation of America (CCFA) ibika ukuthi izingxenye ezimbili kwezintathu kuya kwezintathu kwezine zabo bonke abantu abanesifo sikaCrohn ekugcineni bazodinga ukuhlinzwa.

Isifo sikaCrohn senzeka lapho amasosha omzimba wakho eqala ukuhlasela izicubu zawo, kubangele ukuvuvukala kwamathumbu emathumbu. Lokhu kudala izimpawu ezahlukahlukene ezingakhululekile nezibuhlungu, kufaka phakathi isifo sohudo esijwayelekile, ubuhlungu besisu, kanye nokutheleleka. Yize lungekho ikhambi elaziwayo lesifo sikaCrohn, abantu abaningi bagcina bethethelelwe iminyaka eminingi, imvamisa kungaba ngomuthi noma ngokuhlinzwa okuthiwa i-colectomy.

Ukuhlinzwa okuningana kuyatholakala kubantu abanesifo sikaCrohn, futhi ama-colectomies aphakathi kokungenelela kakhulu. Ngesikhathi se-colectomy, ikholoni liphinde lahlukaniswa ngamazinga ahlukahlukene. Uma kungenzeka, udokotela wakho ohlinzayo uzojoyina ileum ne-rectum ukukuvumela ukuthi uqhubeke nokudlulisa imfucuza ngaphandle kokugqoka isikhwama sangaphandle.

Isebenza kanjani i-Colectomies

Ama-Colectomies enziwa kubantu abanesifo sikaCrohn's, umdlavuza wamathumbu, i-diverticulitis, nezinye izimo. Ekuqaleni, inqubo yenziwa ngokwenza imbobo esiswini ukuze isuse ikholoni. Ukuhlinzwa manje sekuvame ukwenziwa kusetshenziswa i-laparoscopy futhi kusetshenziswa ukusikwa okuningi okuncane. Lokhu kunciphisa isikhathi sokuphulukisa futhi kunciphise ubungozi bezinkinga.

Ukwehlukaniswa kabusha kwamakholoni kubandakanya ukufaka ingxenye yekholoni yakho nokuxhuma kabusha izingxenye ezisele ukubuyisela ukusebenza kwamathumbu. Imvamisa, kwenziwa i-colectomy eyingxenye, ebandakanya ukukhipha ingxenye ethintekile yekoloni. Uma ucabanga nge-colectomy, kungadingeka ukhethe phakathi kwe-anastomosis, okuyisibopho sezigaba ezimbili zamathumbu akho ukugcina ukusebenza kwamathumbu, kanye ne-colostomy, okuwukuhlinzwa lapho amathumbu akho amakhulu elethwa khona esiswini sakho ukukhipha esikhwameni. Kunobuhle nobubi kubo bobabili, okungenza isinqumo sibe nzima kakhulu.

I-Anastomosis neColostomy

I-anastomosis inezingozi ezithile. Ngokuyinhloko, kunengozi yokuphuka kwama-sutures, okungabangela ukutheleleka futhi kuholele ku-sepsis. Kungabulala futhi ezimweni ezingavamile. Yize i-colostomy iphephe kakhulu, inezingozi zayo. I-colostomy idala ukuphuma kwendle okumele ikhishwe ngesandla. Abantu abathile abane-colectomy bangafanelekela ukuthola i-colostomy ngenkasa, okwenza ikepisi phezu kwe-stoma, noma ukuphuma, ukugcina imfucuza ngaphakathi. Kumele bayinisele okungenani kanye ngosuku, basebenzise umkhono wokunisela.

Izikhwama ze-Colostomy

Uma une-colostomy yendabuko, uzoba nesikhwama esifakiwe. Lokhu kufanele kuthululwe noma kushintshwe ngezikhathi ezahlukahlukene usuku lonke. Izikhwama zanamuhla ze-colostomy zinephunga elincane futhi ziyinyumba kakhulu kunezangaphambili, okukuvumela ukuthi uphile impilo ejwayelekile ngaphandle kokukhathazeka ngabanye abazi ngesimo sakho. Odokotela abaningi esikhundleni salokho bazophakamisa isikhwama se-colo-anal, esibizwa ngokuthi isikhwama se-ileoanal, esakhiwa usebenzisa amathumbu akho aphansi.

Ukucatshangelwa Kwangemva Kokuhlinzwa

Ngemuva kokuhlinzwa, kufanele uqale ugcine ukudla okune-fiber encane ukunciphisa ukucindezeleka ohlelweni lwakho lokugaya ukudla. Ngokusho kweCCFA, cishe amaphesenti angama-20 eziguli akhombisa ukuphindeka kwezimpawu ngemuva kweminyaka emibili, amaphesenti angama-30 akhombisa ukuphindeka kwezimpawu ngemuva kweminyaka emithathu, kanti kuze kufike kumaphesenti angama-80 akhombisa ukuphindeka kwezimpawu ngeminyaka engama-20. Akukhona konke ukuphindaphinda okusho ukuthi uzodinga okunye ukuhlinzwa.

I-Infliximab (Remicade) ingahle inqunyelwe ukugwema ukuphindeka kwezimpawu. I-infliximab iyi-block necrosis factor (TNF) blocker esebenza ukuvikela amasosha omzimba ekusebenzeni okungasebenzi. Kubonakele ukuthi kuphumelele.

Lapho izinkinga zibuya ngemuva kokuhlinzwa, imvamisa isendaweni ehlukile yamathumbu. Lokhu kungadinga ukuhlinzwa okwengeziwe.

Kungani Kufanele Uthole iColectomy?

Ngezinga eliphakeme kangaka lokuphindaphinda, ungazibuza ukuthi kungani kufanele uthole i-colectomy nhlobo. Kubantu abaningi abanesifo sikaCrohn abathola ama-colectomies, izimpawu zabo zingase zibe nzima kakhulu kangangokuba umuthi awusizi noma bangaba nama-perforations noma ama-fistula adinga ukunakekelwa ngokushesha. Kwabanye abantu, isinqumo sokuba ne-colectomy senziwa ngemuva kwesikhathi eside sokucabangisisa ngaso.

Ngenkathi ukususwa kwakho konke noma ingxenye yekholoni yakho kungasiza izimpawu zakho zesikhashana, ukuhlinzwa akuselaphi isifo sikaCrohn. Alikho ikhambi lesifo sikaCrohn ngalesi sikhathi. Kukhona kuphela amathuba okunciphisa nokulawula izimpawu. Kwabanye abantu, imithi yesifo sikaCrohn izoba yindlela yokuphila. Kwabanye, i-colectomy ingaholela ekuxolelweni kwesikhathi eside, yize ukuphindeka kwenzeka njalo. Uma i-colectomy inikeza ngisho nenani elincane kakhulu lokukhululeka ngemuva kweminyaka yezimpawu ezibuhlungu, kungakuhle kwabanye abantu.