Wave nekurwadziwa mudumbu uye kusagadzikana kwemazuva here? Chiremba wako anogona kunge akakuudza kuti une chirwere chemudumbu chinonzi inflammatory bowel disease (IBD) chakadai seCrohn's disease. Kana uine chirwere ichi kwenguva yakareba, dzimwe nzvimbo dziri muura hwako dzinotanga kutetepa zvishoma nezvishoma. Zvinoita sepombi yemvura inonamira pakati. Saka, tinodana kuvhiyiwa uku kuti nzvimbo idzi dzakatetepa dziwedzere 'Strictureplasty'. Nhasi, tichataura nezvezvinhu zvese nenzira iri nyore.
Chii chinonzi Strictureplasty chaizvo?
Zvichitaurwa zviri nyore, strictureplasty inzira yekuvhiya inowedzera nzvimbo yakamanikana kana yakavharika muura hwako (inonzi stricture). Izvi zvinowanzo kukonzerwa nekuzvimba kwenguva refu, uko kunokonzerwa nezvirwere zvemudumbu zvakaita seCrohn's disease neUlcerative Colitis. Kuzvimba uku kunokonzera mavanga emadziro emudumbu, izvo zvinoita kuti aite matete uye atete.
Mhando idzi dzezvirambidzo dzinowanzoitika mu:
- Chikamu chepazasi cheura hudiki (ileum)
- Nezvevharuvhu inobatanidza ura hudiki neura hukuru (vharuvhu ye'ileocecal`).
Zvisinei, chirwere ichi chinogonawo kuitika muura, rectum, uye anus. Chinangwa chikuru chekuvhiyiwa uku ndechekuwedzera chikamu chakamanikana cheura uye kudzoreredza kufamba kwechikafu kwakajairika, pasina kubvisa chero chikamu cheura.
Sei uchida kuvhiyiwa uku?
Kana chikamu cheura hwako chikatetepa seizvi, chikafu hachigone kufamba zvakanaka. Izvi zvinogona kukonzera zviratidzo zvakawanda zvisingafadzi uye zvinorwadza.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Kurwadziwa kwakanyanya mudumbu uye kukamhina | Kurwadziwa uku kunoitika nekuti ura hunogumburwa pahunoedza kupinza chikafu mugomba rakavharika. |
| Dumbu rinozvimba uye rinoita flatulence | Dumbu rinozvimba nekuti chikafu nemhepo hazvigone kudzika zvakanaka zvonamira panzvimbo imwe chete. |
| Kusvotwa nekurutsa | Kana kuvharika kwacho kwakanyanya, chikafu chingasakwanise kudzikira uye chinogona kudzoka. |
| Kuzvimba | Kubuda kwetsvina kunova kwakaoma nekuda kwekunonoka kwekugaya chikafu. |
| Kurasikirwa nechido chekudya uye kudzikira kwehuremu | Nekuda kwekurwadziwa uye kusagadzikana, chishuwo chekudya chinorasika, uye muviri haugone kupinza zvinovaka muviri zvakanaka. |
| Kuneta uye Anemia | Kazhinji, maronda anobuda munzvimbo idzi dzakamanikana. Maronda aya anobuda ropa zvishoma nezvishoma, zvichikonzera kupererwa neropa nekufamba kwenguva. Dambudziko iri rinopera mushure mekuvhiyiwa. |
Chinhu chinonyanya kukosha: Kana kutetepa uku kukaramba kuchiwedzera, ura hunogona kuvharika zvachose (kuvharika kwematumbo). Ichi chirwere chine njodzi zvikuru uye chinotouraya. Saka, kana uine zviratidzo, zvakakosha kuona chiremba nekukasika.
Ndiani anonyanya kukodzera uye asina kukodzera kuvhiyiwa uku?
Kuvhiyiwa kweStrictureplasty hakusi kwemunhu wese. Chiremba wako ndiye achaita sarudzo yakanakisisa zvichienderana nemamiriro ako ezvinhu.
| Avo vakakodzera kuvhiyiwa | Nyaya apo kuvhiyiwa hakukurudzirwi |
|---|---|
| Kana paine maburi akawanda ari pedyo nechikamu chirefu cheura. | Kana paine maburi akawanda muchikamu chipfupi cheura, vhara pamwe chete. |
| Kana wakambovhiyiwa ura. | Kana paine kukuvara, kuzvimba, fistula, kana kukura kusina kujairika panzvimbo yakamanikana. |
| Kana uine chirwere che "short bowel syndrome". | Kudzikira kwacho kuri pedyo nenzvimbo yakambovhiyiwa (anastomosis). |
| Kana paine kutetepa chete, pasina kuzvimba kana kukuvara panzvimbo yakatetepa. | Kana uine ura hwakaboorwa. |
| Kana uine zviratidzo zvechirwere cheCrohn kakawanda. | Kana uri kutambura nekushaya kudya kwakakwana. |
Unogadzirira sei usati wavhiyiwa?
Nekuti uku kuvhiyiwa kwakarongwa, chiremba wako achaita bvunzo dzinoverengeka zvisati zvaitika.
- Miedzo yeKufungidzira: Muedzo wakadai seCT scan kana Magnetic Resonance Enterography (MRE) uchaitwa kuti uone kuti maburi ari papi muura hwako uye kuti akareba sei.
- Kuongororwa Kweropa: Kuongororwa kweropa kuchaitwa kuti uone mamiriro emuviri wako ekudya. Kana usina kudya kwakakwana, unogona kupihwa zvekudya zvinovaka muviri kuburikidza netsinga (`IV`) kwemazuva mashoma usati wavhiyiwa. Izvi zvichakubatsira kuti upore nekukurumidza mushure mekuvhiyiwa.
- Stoma (Ostomy bag): Mune zvimwe zviitiko, mushure mekuvhiyiwa, gomba rechinguvana (`stoma`) rinogona kufanira kugadzirwa pamusoro peganda redumbu kuti tsvina ipinde, uye bhegi (`ostomy bag`) rinogona kusungirwa pariri kusvika ura hwapora. Usazvidya mwoyo nezvazvo. Kana izvi zvichidikanwa, chiremba wako achakutsanangurira zvakakwana usati wavhiyiwa.
Kuvhiyiwa uku kunoitwa sei?
Strictureplasty kuvhiyiwa kukuru kunoitwa pasi peanesthesia. Uchafanira kugara muchipatara kwemazuva mashoma. Usati watanga kuvhiyiwa, uchapihwa anesthesia, saka hauzonzwi kurwadziwa kana kuyeuka kuvhiyiwa kwacho.
Panguva yekuvhiyiwa, chiremba anochera chikamu cheura chakamanikana ochisona. Funga nezvazvo sekucheka chubhu yakavharika, kupatsanura magumo maviri ekucheka, uye kuasona pamwe chete. Kana ura hwacho hwakafara, chikafu chinogona kufamba nepakati pahwo zviri nyore zvakare. Kana uine stricture dzakawanda, unogona kurapa dzese nekuvhiyiwa kumwe chete.
Kune mhando dzakasiyana dzeStrictureplasty zvichienderana nehurefu hwekutetepa:
Heineke-Mikulicz Strictureplasty
Iyi ndiyo nzira inonyanya kushandiswa. Inoitwa pakucheka kwebvudzi kusingasviki masendimita gumi (anenge masendimita mana).
Finney kana Jaboulay Strictureplasty
Izvi zvinoshandiswa pakutetepa kwemasendimita ari pakati pe10-20 (anenge masendimita masere). Mukuvhiyiwa uku, ura hunopetwa kuita chimiro che'U'.
Michelassi Strictureplasty
Iyi inzira yakakosha yekubvisa zvidimbu zvinodarika masendimita makumi maviri. Mukuita uku, chikamu chakamanikana cheura chinopetwa nepakati, mativi maviri anosanganiswa, kucheka kurefu kunogadzirwa, uye maviri acho anosonerwa pamwe chete.
Zvinotora nguva yakareba sei kuti munhu apore mushure mekuvhiyiwa?
Uku kuvhiyiwa kukuru, saka zvinotora nguva kuti upore. Ungangoda kugara muchipatara kweinenge vhiki . Kana paine matambudziko, ungangoda kugara kwenguva yakareba.
- Marwadzo: Unogona kurwadziwa mudumbu mumazuva mashoma ekutanga mushure mekuvhiyiwa. Chiremba achakupa mishonga inoderedza marwadzo yeizvi.
- Zvipingamupinyi: Hauzokwanisi kuita zvinhu zvakaita sekusimudza masimbi kana kutyaira kwemavhiki mashoma.
- Chenjerera hutachiona: Unofanira kungwarira zvikuru kuti usabatwe nehutachiona mushure mekuvhiyiwa. Kana uine zviratidzo zvakaita sekurwadziwa kwakanyanya, fivha, kutsvuka kana kuzvimba panzvimbo yekuvhiyiwa, kana kubuda ropa kusingawanzoitiki kubva paronda, unofanira kuzivisa chiremba wako nekukasika .
- Kudya: Zvichienderana nemamiriro ako ezvinhu, chiremba wako kana nyanzvi yezvekudya anogona kukurudzira kudya kwakakosha ('GI soft diet').
- Kurapa IBD: Chinhu chakakosha kurangarira ndechekuti kuvhiyiwa uku kunongowedzera kutetepa. Hakurapi IBD iri pasi (yakadai seCrohn's). Saka, uchafanira kuramba uchitora mimwe mishonga yechirwere chako.
Musiyano uripo pakati pe'Strictureplasty' ne'Bowel Resection' chii?
Uyu mubvunzo unobvunzwa nevanhu vazhinji. Pane musiyano mukuru pakati pekuvhiyiwa uku kuviri.
| Hunhu | Kutambanudza (kuwedzera) | Kuvhiyiwa Utumbo |
|---|---|---|
| Zvekuita | Chikamu chakamanikana cheura chinokura . | Chikamu chakamanikana cheura chinochekwa uye zvimwe zvikamu zviviri zvinobatanidzwa. |
| Mukana mukuru | Hurefu hwese hweura hunochengetedzwa, zvichideredza njodzi ye 'Short Bowel Syndrome' (matambudziko ekudya kunovaka muviri) . | Njodzi yekuti dambudziko riitike zvakare panzvimbo imwe chete inogona kuderedzwa zvishoma. |
| Njodzi yeramangwana | Pane mukana mukuru wekuti kuvhiyiwa kuchadiwa zvakare mune ramangwana. | Pane mukana mudiki wekuti munhu avhiyiwe zvakare mune ramangwana. |
Vanachiremba vanowanzoedza strictureplasty kutanga, nekuti kuchengetedza hurefu hweura kwakakosha zvikuru pakudya.
Mharidzo Yekuenda Nayo Kumba
- Strictureplasty kuvhiyiwa kwekuwedzera nzvimbo dzakatetepa dzemuura nekuda kwezvirwere zvakaita seCrohn's. Hazvisanganisiri kucheka zvikamu zvemuura.
- Kuvhiyiwa uku kunogona kubvisa zviratidzo zvakaita sekurwadziwa kwemudumbu nekuzvimba, uye kuderedza njodzi yekuvharika kwemudumbu zvachose.
- Kuvhiyiwa uku hakukodzeri munhu wese. Chiremba wako ndiye achasarudza kurapwa kwakakodzera zvichienderana nemamiriro ako ezvinhu.
- Uku kuvhiyiwa kukuru, saka zvinotora nguva kuti upore. Kune njodzi dzakadai sekutapukirwa nehutachiona uye kubuda ropa.
- Kuvhiyiwa uku kunongopedza dambudziko rekuvharika kwetsinga. Chirwere chiripo (IBD) chinofanira kurapwa nguva dzose.
- Kana muine mibvunzo nezvenyaya iyi, musatya kutaura nachiremba wenyu kuti muwane mhinduro yacho.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga