Uchafanirawo kuvhiyiwa dumbu nekuda kwechirwere cheCrohn here? Ngationei zvakadzama!

Kana uine chirwere cheCrohn, ungangove unoziva kuti zviratidzo zvako zvinogona kudzorwa zvakanyanya nemishonga uye kuchinja kudya. Zvisinei, vanhu vanosvika 80% vane chirwere ichi vanozopedzisira vada kuvhiyiwa. Saka, rudzi rwekuvhiyiwa kwaunoda runoenderana nezviratidzo zvako.

Kuvhiyiwa kunodiwa rini pachirwere cheCrohn?

Chiremba wako anogona kukurudzira kuvhiyiwa kwechirwere cheCrohn kana ukava nematambudziko kana kuti kana kurapwa kusina kuvhiyiwa kusingashande zvakanyanya.

Zvikonzero zvikuru zvekuvhiyiwa kwechirwere cheCrohn ndeizvi:

• Kuvharwa kwedumbu: Uku kuvharwa kwedumbu. Ichi ndicho chikonzero chikuru chinoita kuti vanhu vazhinji vane chirwere cheCrohn vavhiyiwe.
• Mafistula nemapundu emudumbu: Mafistula maburi asina kujairika pakati pezvikamu zviviri zvemuviri. Mapundu muunganidzwa wemapundu anoumbwa mukati medumbu.
• Chirwere chinodzokororwa: Izvi zvinoreva kuti zviratidzo zvinodzoka mushure mekurapwa kwakare.

Kune zvimwe zvikonzero zvisingawanzoitiki, asi zvinogona kuda kuvhiyiwa:

• Kubuda ropa mudumbu (GI).
• Maburi emudumbu.
• Peritonitis: Uku kuzvimba kweganda riri mukati medumbu rako.
• Maronda ane kenza kana kuti asati aita kenza. Nekuti chirwere cheCrohn ndicho chinokonzera kenza yemudumbu.
• Megacolon ine chepfu: Apa ndipo apo chimiro chedumbu rako chinoputsika nekuda kwekuzvimba.

Chirwere cheCrohn chinogona kuva marwadzo chaiwo. Dzimwe nguva zviratidzo zvinotanga kuoneka zvobva zvadzikira pasina chikonzero chakajeka. Kusaziva kunogona kunetsa dzimwe nguva. Zvisinei, kunyange zvazvo kuvhiyiwa kusingakwanise kurapa chirwere cheCrohn zvachose, kunogona kubatsira kuderedza zviratidzo zvako zvisingafadzi uye kukubvumidza kuramba uchiita zvinhu zvaunoda.

Ndeapi marudzi ekuvhiyiwa anoitwa chirwere cheCrohn?

Kune mhando dzakasiyana-siyana dzekuvhiyiwa kwechirwere cheCrohn. Ngationei kuti ndedzipi.

Kubuda kwemvura mudumbu

Izvi zvinoitwa kubvisa urwa hwakakonzerwa nehutachiona huri mudumbu.

Kubviswa kweura

Kuvhiyiwa uku kunosanganisira kubvisa chikamu cheura hwako hudiki kana ura. Unogona kukumbirwa kuita kuvhiyiwa uku kana uine mavanga akawanda muura hwako, kana kana chiremba wako akaona masero ekenza kana kuti asati aita kenza.

Kubviswa/kugadziriswa kweFistula

Fistula iburi risingawanzoitiki riri pakati pezvikamu zviviri zvemuviri. Izvi zvinogona kukonzera matambudziko. Saka, kuvhiyiwa uku kunosanganisira kubvisa kana kugadzirisa buri racho.

Kuvhiyiwa kweOstomy

Kuvhiyiwa uku kunoita buri (stoma) mudumbu mako. Izvi zvinoreva kuti pachinzvimbo chekuti tsvina yako ibude nepaburi (stoma), nzira itsva inogadzirwa kuti ibude nepaburi (stoma). Kuvhiyiwa kwe ostomy kunonyanya kuitwa ndekwe colostomy ne ileostomy.

Kuvhiyiwa kweProctocolectomy

Kuvhiyiwa kwechirwere cheCrohn uku kunobvisa chikamu chedumbu rako remukati nerectum kana kuti chikamu chose chedumbu rako remukati.

Strictureplasty

Kuvhiyiwa uku kunoitwa kuti nzvimbo dzakatetepa uye dzakaoma nekuda kwemavanga, zvichiita kuti tsvina ipfuure zviri nyore.

Kuvhiyiwa kwaCrohn kunotora nguva yakareba sei?

Zvinoenderana nerudzi rwekuvhiyiwa kwawakaitwa, kuoma kwechirwere chako, uye zvikamu zvemudumbu mako zvinokanganiswa. Chiremba wako achakuudza zvekutarisira zvichienderana nechirwere chako.

Ndezvipi zvakanakira kuvhiyiwa kwechirwere cheCrohn?

Kazhinji, kuvhiyiwa kwechirwere cheCrohn kunogona kuitwa ne laparoscopically kana ne robotically. Izvi zvinoreva kuti kukuvara kwacho kushoma, ma stitches mashoma, uye kurwadziwa kwacho kushoma mushure mekuvhiyiwa.

Uye zvakare, kuvhiyiwa kwechirwere cheCrohn kunogona kukonzera:

• Kuderedza marwadzo emudumbu.
• Kuderera kwezviratidzo. (Zviratidzo zvinowanzoonekwa zvechirwere cheCrohn kuneta, manyoka, uye kurutsa.)
• Kushomeka kwemishonga.
• Kudya kwakawedzera.
• Simba remuviri rakawedzerwa.
• Kukwanisa kubuda kubasa zvakare.
• Kuvandudza hupenyu.

Asi chinhu chimwe chete chekurangarira: Kuvhiyiwa kwechirwere cheCrohn hakuvimbisi kuti zviratidzo hazvizodzoki. Vanhu vanosvika 20% vanovhiyiwa vangada kuvhiyiwa zvakare mukati memakore mashanu mushure mekuvhiyiwa kwavo kwekutanga.

Pane njodzi here pakuvhiyiwa kwaCrohn?

Sekunge kune chero kuvhiyiwa kupi zvako, kuvhiyiwa kwechirwere cheCrohn kune njodzi. Matambudziko anogona kuitika anosanganisira:

• Kubuda kwemvura mumuviri (Izvi zvinogona kuitika kana zvikamu zviviri zveura hwako zvikasabatana zvakanaka.)
• Utachiona hwemabhakitiriya.
• Kuvharika kwematumbu.
• Kubuda ropa zvakanyanya.
• Matambudziko nestoma yako (semuenzaniso, bhegi rako re ostomy harina kukwana zvakanaka).
• Mavanga. Izvi zvinogona kukonzera kuti madziro emudumbu mako atetepe.
• Kushaikwa kweVitamin B12. (Izvi zvinogona kuitika kana chiremba wako akabvisa chikamu cheura hwako kuti anwe Vitamin B12.)

Kana muine matambudziko mushure mekuvhiyiwa kwechirwere cheCrohn, chiremba wenyu achakubatsirai kugadzira hurongwa hwekurapa. Izvi zvinogona kusanganisira mishonga, kurapwa kusingavhiyiwi, kana kutovhiyiwa kumwe.

Zvinotora nguva yakareba sei kuti munhu apore mushure mekuvhiyiwa kwechirwere cheCrohn?

Zvinogona kutora mavhiki mana kusvika gumi nemaviri (4-12) kuti munhu apore zvakakwana. Vanhu vazhinji vanokwanisa kudzokera kubasa mumavhiki matanhatu.

Nguva yaunotora kuti upore inoenderana nezvimwe zvinhu zvakawanda. Izvi ndeizvi:

• Rudzi rwekuvhiyiwa kwawakaitwa.
• Wakambovhiyiwa kangani kare?
• Kubviswa kweura hwako kwakawanda sei.
• Kugona kwemuviri wako kuporesa maronda.
• zera rako.
• Zvimwe zvirwere zvawatova nazvo.

Chiremba wako anogara aripo kuti akubatsire. Kana uine mibvunzo chaiyo nezvekurapwa kwako kana nguva yekupora, taura naye.

Ndichagara muchipatara kwenguva yakareba sei?

Vanhu vazhinji vanovhiyiwa chirwere cheCrohn vanogara muchipatara kweinenge vhiki. (Vamwe vanoenda nekukurumidza, vamwe vanogara kwenguva yakareba.)

Mushure mekuvhiyiwa kwenyu, timu yenyu yezvekurapa ichaita zvinotevera:

• Tarisa kuti maronda ako anopora sei.
• Kana ukangoerekana usingachakwanisi kudya kana kunwa, uchapihwa mvura yemunyu (IV fluids) kuburikidza netsinga iri muruoko rwako.
• Panguva yakakodzera, uchatanga kudya zvine mwero.
• Kana wagadzirira, uchachinjwa kuita kudya kwakapfava.

Kana wakambovhiyiwa dumbu, chiremba kana nesi vachakuratidza mashandisirwo nekuchenesa bhegi rako idzva redumbu. Vachave nechokwadi chekuti wanyatsonzwa zvakanaka naro usati wabuda muchipatara.

Chirwere cheCrohn chinogona kurapwa nekuvhiyiwa here?

Kwete, kuvhiyiwa hakugone kurapa chirwere cheCrohn zvachose. Kunyangwe mushure mekuvhiyiwa, zviratidzo zvako zvinogona kudzoka.

Zvisinei, kurapwa kunogona kudzora kana kuderedza zviratidzo zvako. Kazhinji, kunogona kuvandudza hupenyu hwako zvakanyanya.

Chiremba wako achashanda newe nhanho imwe neimwe. Pose panowedzera zviratidzo zvako, vachakurukura newe nzira dzekurapa uye vachagadzira hurongwa hunoshanda kwauri.

Kana kuvhiyiwa kusingakwanise kurapa chirwere cheCrohn, sei ndichifanira kuvhiyiwa?

Kana uine chirwere cheCrohn, ungave uchinetseka nemibvunzo iyi. Njodzi dzekusavhiyiwa dzinosiyana zvichienderana nemamiriro ako ezvinhu. Zvisinei, kana chirwere cheCrohn chikasarapwa, chinogona kutungamira ku:

• Kurwadziwa kwemudumbu.
• Kushaya chido chekudya uye kudzikira kwehuremu kusingatsananguriki.
• Kushaya ropa.
• Hupenyu husina kunaka.
• Zviratidzo zviri kuramba zvichiwedzera.
• Kuchinja kwedumbu rako risati raita kenza kana kuti kenza.
• Kuwanda kwenjodzi yemigumisiro yemishonga.
• Kuvhiyiwa kwekukurumidzira.

Vamwe vanhu havadi kuvhiyiwa zvachose nekuda kwechirwere cheCrohn. Kutaura zvazviri, vanhu vashoma vanoda kuvhiyiwa ikozvino kupfuura zvavaiita makumi maviri emakore apfuura. Izvi zvinogona kunge zvichikonzerwa nemishonga mitsva, yakagadziriswa uye bvunzo dzinobatsira kuona chirwere ichi nekukurumidza.

Parizvino, munhu mumwe chete pavanhu vashanu achada kuvhiyiwa mukati memakore mashanu ekutanga mushure mekuonekwa kuti ane chirwere ichi. Chiremba wako chete ndiye anogona kukuudza chakakunakira.

Ndinofanira kuona chiremba rini mushure mekuvhiyiwa?

Mushure mekuvhiyiwa kwechirwere cheCrohn, unofanira kutaura nachiremba wako kana chimwe chezvinotevera chikaitika:

• Kana usina kubuda tsvina kwemazuva mashoma mushure mekubuda muchipatara.
• Kana ukanzwa kuda kurutsa nekurutsa.
• Kana kurwadziwa kuri kuwedzera.
• Kana ukaona ropa mutsvina yako kana dema, bvisa tsvina yakare.
• Kana ukava nezviratidzo zvekugwamba kweropa (semuenzaniso, kurwadziwa kana kuzvimba mumakumbo).

Kana wakambovhiyiwa ostomy, udza chiremba wako kana usina kubuda tsvina kubva mudumbu rako kwemaawa anopfuura makumi maviri nemana. Izvi zvinogona kureva kuti une dambudziko rekuvharika.

Ungangove uchangobva kuonekwa uine chirwere cheCrohn. Kana kuti ungangove wave nemakore uchichibata. Zvisinei, pfungwa yekuvhiyiwa inogona kunetsa - kunyanya kana wakambosangana nedambudziko iri kare. Kutaura nevamwe vane dambudziko rakafanana nerako kunogona kubatsira. Funga nezvekutsvaga boka rekutsigira, kungave munharaunda yako kana online, uye kugovana zvakaitika kwauri nemamiriyoni evanhu vanorarama nechirwere cheCrohn zuva rega rega.

Saka, ndezvipi zvinhu zvatinofanira kurangarira kubva munyaya iyi?

Kuvhiyiwa kwechirwere cheCrohn hakugone kurapa chirwere chako zvachose. Zvisinei, kazhinji kunogona kuderedza zviratidzo zvakaita sekurwadziwa, kuda kurutsa, uye kuneta, uye kuvandudza hupenyu hwako. Chiremba wako achakubatsira kusarudza kuti chii chakanakira chirwere chako. Usatya kutaura nachiremba wako nezvemibvunzo yauinayo.

Chirwere cheCrohn , kuvhiyiwa kwedumbu, kuvhiyiwa kwemudumbu, Chirwere cheCrohn, kugaya chikafu, kuvhiyiwa, zviratidzo zveCrohn