Ngaba wena okanye umntu omaziyo wakha waxelelwa ngugqirha ukuba kufuneka enziwe utyando lokususa inxalenye okanye yonke ikholoni yakhe? Uloyiko olukhulu olufika ezingqondweni zabantu abaninzi xa besiva oko kukuba, "Ngaba kuya kufuneka ndinxibe ingxowa ubomi bam bonke?" Ngumthwalo omkhulu ngokwenene. Kodwa ubusazi ukuba oku akwenzeki rhoqo? Kukho utyando olukhethekileyo olukuvumela ukuba ukhululeke ngokuqhelekileyo ngaphandle kwengxowa engaphandle komzimba. Yiloo nto siyibiza ngokuba lutyando 'lwe-Ileal Pouch'. Namhlanje, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.
Ngoko ke, yintoni le Ileal Pouch?
Ngamafutshane, isikhwama se-ileal sisikhwama esikhethekileyo esidalwa ngoogqirha botyando ngaphakathi emzimbeni wakho ukuze baqokelele baze bagcine indle. Senziwa emva kotyando olususa ngokupheleleyo ikholoni yakho kunye ne-rectum (`Total Proctocolectomy`).
Cinga ngayo, ikholoni yethu yiyo egcina indle yethu ize iyikhuphe emzimbeni xa ixesha lifika. Ngoko ke xa isusiwe, kufuneka kubekho umntu oza kwenza loo msebenzi. Ukuze bazalise loo sithuba, oogqirha basebenzisa isiphelo samathumbu akho amancinci (i-'ileum') ukwenza esi sikhwama sincinci emzimbeni wakho.
Eyona nzuzo inkulu yoku kukuba awudingi sikhwama sangaphandle. Ungazilawula izibilini zakho ngendlela eqhelekileyo kwaye ukhuphe indle ngempundu yakho. Oku kuya kukuzisela intuthuzelo enkulu ebomini bakho.
Zeziphi iintlobo zeemeko olu tyando ludla ngokwenziwa kuzo?
Kwezinye iimeko zonyango ezingenakulawulwa ngamayeza, oogqirha bacebisa ukuba kususwe ikholoni kwaye kwenziwe olu tyando lwe-ileal pouch. Ezinye zeemeko eziphambili ziquka:
- I-Ulcerative Colitis: Oku kwenzeka rhoqo xa amayeza engancedi.
- I-Familial Adenomatous Polyposis (FAP): Le yimeko yelifa.
- Umhlaza weColorectal
- Umhlaza weRectal
Ngaba kukho iintlobo zeengxowa ze-ileal?
Ewe, kukho iintlobo ezintathu eziphambili zeengxowa ezinokwenziwa ngoogqirha botyando ngamathumbu akho amancinci. Iqela lakho lezonyango liya kugqiba ukuba yeyiphi efanelekileyo kuwe.
| Uhlobo lwengxowa | Ingcaciso elula |
|---|---|
| Isikhwama se-J | Olu lolona hlobo lusetyenziswa kakhulu . Ifumana igama layo kuba imile njengonobumba u-'J'. Le ngxowa iqhagamshelwe ngqo kwi-anus, nto leyo ekuvumela ukuba ukhuphe indle ngokuqhelekileyo. |
| Ingxowa ye-S | Le ikwayingxowa emile okwe-'S'. Njenge-J-Pouch, iqhagamshelwe kwi-anus. |
| Ingxowa ye-K (Ingxowa yeKock) | Olu luhlobo olungaqhelekanga . Lucetyiswa kubantu abangenalo uhlobo lwe-J okanye lwe-S. Apha, isikhwama siqhagamshelwe kumngxuma omncinci (i-stoma) owenziwe kwinqanaba lolusu esiswini. Ungayikhupha le sikhwama nanini na xa ufuna ngetyhubhu encinci. |
Ngubani olungele olu tyando, kwaye ngubani ongafanelekanga?
Oogqirha baza kuyihlola ngononophelo impilo yakho ngaphambi kokuba benze olu tyando. Asinguye wonke umntu onokukwenza oku.
| Abo bafanelekileyo utyando ✅ | Abo bangacebisi utyando ❌ |
|---|---|
| Abantu abanenkqubo yokugaya ukutya esebenza kakuhle. | Abantu abanesifo sikaCrohn . |
| Abantu abanezihlunu ze-anal sphincter ezisebenza kakuhle kwaye banokulawula ukuhamba kwamathumbu abo. | Abantu abangakwaziyo ukuzibamba ngandle. |
| Iziphumo zihlala ziphumelela kakhulu kubantu abaphakathi kweminyaka engama-20 ukuya kwengama-50 ubudala (kodwa zingenziwa nakubantu abangaphezu kwama-50 ubudala ukuba bayahlangabezana neemfaneleko). | Abantu abatyebe kakhulu (udidi lwesithathu lokutyeba). |
| Abantu abasempilweni entle iyonke. | Abantu abanomhlaza ophantsi werectal. |
Zithini iingenelo kunye namazinga empumelelo otyando?
Nangona olu lutyando olukhulu, izinga lempumelelo liphezulu kakhulu. Izinga lempumelelo limalunga nama-95%. Kubantu abaninzi, umgangatho wobomi babo uphucuka kakhulu ngokuhamba kwexesha. Umzekelo, umntu owayene-Ulcerative Colitis akasayi kuphinda afune ukuya kwigumbi lokuhlambela rhoqo njengoko wayesenza ngaphambili.
Eyona nto inceda abantu abaninzi emva kolu tyando kukuba abasadingi kungxama ukuya kwigumbi lokuhlambela njengangaphambili kwaye bayakwazi ukulawula ukuhamba kwamathumbu abo.
Emva kotyando, ungenza intshukumo yamathumbu malunga nezihlandlo ezisixhenxe ngemini. Mhlawumbi kube kanye ebusuku. Kodwa eyona nto ibalulekileyo kukuba ukwazi ukuyilawula . Akukho kungxama. Abanye abantu basenokuphuma kancinci ebusuku xa belala kakuhle, kodwa uninzi lwabantu alunjalo.
Zithini iingozi kunye neengxaki?
Sikwamele sikhumbule ukuba olu lutyando oluyingozi kakhulu. Njengayo yonke into, iingxaki zinokubakho.
Eyona ngxaki ixhaphakileyo yi -pouchitis , oku kukudumba kwesingxobo esisandula ukwenziwa. Le meko inokuvela kubantu abafikelela kwi-81% abaye benza utyando. Nangona kunjalo, kukho unyango loku.
Ezinye iingxaki:
- Ukuvuza okuvela ebhegini emva kotyando (ngexesha lokuphiliswa).
- Amahlwili egazi okanye ukopha kakhulu.
- Ukudumba okanye ukuncitshiswa apho ingxowa iqhagamshela khona kwimpundu.
- Ukuvaleka kwamathumbu amancinci.
- Usulelo lwesikhumba esijikeleze i-anus (ngenxa yokuhamba rhoqo kwamathumbu).
Amaxesha amaninzi (phakathi kwe-5%-10%), ibhegi eyenziweyo inokwaphuka. Ukuba oku kuyenzeka, kunokufuneka ilungiswe okanye isuswe kuze kufakwe entsha. Ugqirha wakho uza kukuchazela konke oku ngokweenkcukacha.
Zeziphi iimpawu ekufuneka ndidibane nogqirha ngokukhawuleza?
Ufanele ukhathalele umzimba wakho emva kotyando. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, yazisa ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
| Iimpawu zesilumkiso ekufuneka uziqaphele! | |
|---|---|
| 🔴 Intlungu ebuhlungu yesisu okanye ukudumba okuhlala ngaphezulu kweeyure ezimbini ukuya kwezintathu. | |
| 🔴 Ukopha kakhulu. | |
| 🔴 Ukucaphuka okukhulu, ukuhlanza, okanye urhudo. | |
| 🔴 Ukungakwazi ukuzithuma. | |
| 🔴 Ukuvuza kwendle kakhulu. | |
| 🔴 Ukuba yi-K-Pouch, kunokubakho utshintsho okanye ukwenzakala kwi-stoma. | |
Kuthatha ixesha elingakanani ukuphola emva kotyando?
Ngokwesiqhelo ungabuyela kwimisebenzi yakho yesiqhelo kwiiveki ezi-4 ukuya kwezi-8. Nangona kunjalo, kungathatha ixesha elide ukuba uphile ngokupheleleyo. Kubaluleke kakhulu ukuqhubeka nokuya kwiindibano zakho zokulandelela njengoko ugqirha wakho ekuyalele. Baza kwenza uvavanyo olubizwa ngokuba yi-"Pouchoscopy" (olufana ne-mini-colonoscopy) kanye okanye kabini ngonyaka ukujonga imeko yesingxobo sakho.
Ngaba i-Ileal Pouch iyayichaphazela indlela okhulelwe ngayo?
Kwiimeko ezininzi, olu tyando aluyi kuphazamisana nokukwazi kwakho ukukhulelwa okanye ukukhulelwa okunempilo. Nangona kunjalo, ugqirha wakho unokucebisa ukuba wenze i-cesarean section ukuthintela ukonakala kwezihlunu ze-rectal ngexesha lokubeleka. Ungaxoxa ngale nto nogqirha wakho kwangaphambili.
Umyalezo Wokuya Ekhaya
- Utyando lweSingxobo se-Ileal sisisombululo esihle sokuhlala ngaphandle kwesingxobo ngaphandle komzimba emva kotyando lokususa ikholoni.
- Olu asilotyando olunokwenziwa ngumntu wonke. Iqela lakho lezonyango liza kugqiba ukuba lukulungele na.
- Nangona olu lutyando olukhulu olunemingcipheko, izinga lempumelelo liphezulu kakhulu. Kwaye umgangatho wobomi uphucuke kakhulu.
- Kubaluleke kakhulu ukulandela imiyalelo yezonyango emva kotyando kunye nokuya kwiikliniki ngexesha.
- Ukuba ufumana naziphi na iimpawu ezilumkisayo, ungaze uzityeshele. Bona ugqirha wakho ngoko nangoko.
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