Ingabe wena noma othile omaziyo wake watshelwa udokotela ukuthi kudingeka ahlinzwe ukuze kususwe ingxenye noma wonke umphimbo wakhe? Ukwesaba okukhulu okufika ezingqondweni zabantu abaningi lapho bezwa lokho ukuthi, "Ingabe kuzodingeka ngigqoke isikhwama impilo yami yonke?" Kungumthwalo omkhulu ngempela. Kodwa bewazi ukuthi lokhu akwenzeki njalo? Kukhona ukuhlinzwa okukhethekile okukuvumela ukuthi ukhululeke ngokujwayelekile ngaphandle kwesikhwama esingaphandle komzimba. Yilokho esikubiza ngokuthi ukuhlinzwa 'kwesikhwama se-Ileal'. Namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.
Ngakho-ke, iyini le Ileal Pouch?
Kalula nje, isikhwama se-ileal siyisikhwama esikhethekile esidalwa odokotela abahlinzayo ngaphakathi emzimbeni wakho ukuze baqoqe futhi bagcine indle. Sidalwa ngemva kokuhlinzwa okususa ngokuphelele ikholoni yakho kanye ne-rectum (`Total Proctocolectomy`).
Cabanga ngakho, ikholoni yethu yilona eligcina indle yethu futhi liyikhiphe emzimbeni uma isikhathi sifika. Ngakho-ke uma isusiwe, othile udinga ukwenza lowo msebenzi. Ukuze bagcwalise leso sikhala, odokotela abahlinzayo basebenzisa ukuphela kwamathumbu akho amancane (i-'ileum') ukudala lesi sikhwama esincane emzimbeni wakho.
Inzuzo enkulu yalokhu ukuthi awudingi isikhwama sangaphandle. Ungalawula amathumbu akho ngendlela evamile futhi ukhiphe indle ngendunu yakho. Lokhu kuzokulethela induduzo enkulu empilweni yakho.
Yiziphi izinhlobo zezimo lokhu kuhlinzwa okuvame ukwenziwa ngazo?
Kwezinye izimo zezokwelapha ezingenakulawuleka ngemithi, odokotela batusa ukususa ikholoni nokwenza lokhu kuhlinzwa kwesikhwama se-ileal. Ezinye zezimo eziyinhloko zifaka:
- I-Ulcerative Colitis: Lokhu kuvame ukwenziwa uma imithi ingasizi.
- I-Familial Adenomatous Polyposis (FAP): Lesi yisimo esidluliselwa ngofuzo.
- Umdlavuza we-Colorectal
- Umdlavuza We-Rectal
Zikhona yini izinhlobo zesikhwama se-ileal?
Yebo, kunezinhlobo ezintathu eziyinhloko zezikhwama odokotela abahlinzayo abangazenza besebenzisa amathumbu akho amancane. Ithimba lakho lezokwelapha lizonquma ukuthi yiliphi elikulungele.
| Uhlobo lwesikhwama | Incazelo elula |
|---|---|
| Isikhwama se-J | Lolu uhlobo oluvame ukusetshenziswa kakhulu . Luthola igama lalo ngoba lubunjwe njengohlamvu 'J'. Lesi sikhwama sixhunywe ngqo endunu, okukuvumela ukuthi ukhululeke ngendlela evamile. |
| Isikhwama se-S | Lesi futhi yisikhwama esimise okwe-'S'. Njenge-J-Pouch, sixhunywe endunu. |
| Isikhwama se-K (Isikhwama se-Kock) | Lolu uhlobo olungavamile . Lunconywa kubantu abangenalo uhlobo lwe-J noma lwe-S. Lapha, isikhwama sixhunywe embotsheni encane (stoma) eyenziwe ezingeni lesikhumba esiswini. Ungathulula lesi sikhwama noma nini lapho udinga khona ngepayipi elincane. |
Ubani ofanele lolu hlinzwa, futhi ubani ongafaneleki?
Odokotela bazohlola impilo yakho ngokucophelela ngaphambi kokwenza lokhu kuhlinzwa. Akuwona wonke umuntu ongakwenza lokhu.
| Labo abafanelekela ukuhlinzwa ✅ | Labo abangancomi ukuhlinzwa ❌ |
|---|---|
| Abantu abanesimiso sokugaya ukudla esisebenza kahle. | Abantu abanesifo sikaCrohn . |
| Abantu abanemisipha ye-anal sphincter esebenza kahle futhi ekwazi ukulawula ukunyakaza kwabo kwamathumbu. | Abantu abangakwazi ukuzibamba indle. |
| Imiphumela ivame ukuphumelela kakhulu kubantu abaneminyaka ephakathi kuka-20 no-50 (kodwa ingenziwa nakubantu abaneminyaka engaphezu kuka-50 uma behlangabezana neziqu). | Abantu abanokukhuluphala okukhulu (ukukhuluphala kwesigaba sesi-3). |
| Abantu abanempilo enhle iyonke. | Abantu abanomdlavuza ophansi we-rectal. |
Yiziphi izinzuzo kanye namazinga empumelelo okuhlinzwa?
Nakuba lokhu kuwukuhlinzwa okukhulu, izinga lempumelelo liphezulu kakhulu. Izinga lempumelelo licishe libe ngu-95%. Kubantu abaningi, izinga lempilo yabo lithuthuka kakhulu ngokuhamba kwesikhathi. Isibonelo, umuntu owayene-Ulcerative Colitis ngeke esadinga ukuya endlini yangasese kaningi njengoba ayevame ukwenza.
Impumuzo enkulu kubantu abaningi ngemva kwalokhu kuhlinzwa ukuthi abasadingi ukuphuthuma endlini yangasese njengakuqala futhi sebeyakwazi ukulawula ukuhamba kwabo kwamathumbu.
Ngemva kokuhlinzwa, ngokuvamile ungakhipha isisu cishe izikhathi eziyisikhombisa ngosuku. Mhlawumbe kanye ebusuku. Kodwa into ebaluleke kakhulu ukuthi ungakwazi ukuyilawula . Akukho ukushesha. Abanye abantu bangase baphume kancane ebusuku lapho belala kahle ebusuku, kodwa abantu abaningi abanakho.
Yiziphi izingozi nezinkinga?
Kumelwe sikhumbule futhi ukuthi lokhu kuwukuhlinzwa okuyingozi kakhulu. Njengakho konke, izinkinga zingavela.
Inkinga evame kakhulu yi -pouchitis , okuwukuvuvukala kwesikhwama esisanda kudalwa. Lesi simo singaba kubantu abangafika ku-81% abaye bahlinzwa. Kodwa-ke, kunezindlela zokwelapha lokhu.
Ezinye izinkinga:
- Ukuvuza okuvela esikhwameni ngemva kokuhlinzwa (ngesikhathi sokuphulukiswa).
- Amahlule egazi noma ukopha okukhulu.
- Ukuvuvukala noma ukuncipha lapho isikhwama sixhuma khona ne-anus.
- Ukuvaleka kwamathumbu amancane.
- Ukutheleleka kwesikhumba esizungeze indunu (ngenxa yokuhamba njalo kwamathumbu).
Akuvamile (phakathi kuka-5%-10%), isikhwama esenziwe singase singasebenzi. Uma lokhu kwenzeka, kungadingeka silungiswe noma sisuswe bese kufakwa esisha. Udokotela wakho ohlinzayo uzokuchazela konke lokhu ngokuningiliziwe.
Yiziphi izimpawu okufanele ngibone udokotela ngokushesha okukhulu?
Udinga ukunakekela umzimba wakho kahle ngemva kokuhlinzwa. Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, yazisa udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU).
| Izimpawu zesixwayiso okufanele uziqaphele! | |
|---|---|
| 🔴 Ubuhlungu obukhulu besisu noma ukuqunjelwa okuhlala isikhathi esingaphezu kwamahora amabili kuya kwamathathu. | |
| 🔴 Ukopha ngokweqile. | |
| 🔴 Isicanucanu esibi, ukuhlanza, noma uhudo. | |
| 🔴 Ukungakwazi ukuzikhulula. | |
| 🔴 Ukuvuza kwendle ngokweqile. | |
| 🔴 Uma kuyi-K-Pouch, kungase kube noshintsho noma ukulimala kwe-stoma. | |
Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa?
Ngokuvamile ungabuyela emisebenzini yakho evamile zingakapheli amasonto amane kuya kwayisishiyagalombili. Kodwa-ke, kungathatha isikhathi eside ukululama ngokugcwele. Kubaluleke kakhulu ukuqhubeka nokuya emihlanganweni yakho yokulandelela njengoba kunqunywe udokotela wakho. Bazokwenza ukuhlolwa okubizwa ngokuthi "i-Pouchoscopy" (okufana ne-mini-colonoscopy) kanye noma kabili ngonyaka ukuhlola isimo sesikhwama sakho.
Ingabe isikhwama se-Ileal siyakuthinta ukukhulelwa?
Ezimweni eziningi, lokhu kuhlinzwa ngeke kuphazamise ikhono lakho lokukhulelwa noma ukukhulelwa okunempilo. Kodwa-ke, udokotela wakho angancoma ukuhlinzwa ukuze avimbele ukulimala kwemisipha ye-rectal ngesikhathi sokubeletha. Ungaxoxa ngalokhu nodokotela wakho kusenesikhathi.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwesikhwama se-Ileal kuyisisombululo esihle sokuphila ngaphandle kwesikhwama ngaphandle komzimba ngemva kokuhlinzwa ukuze kususwe ikholoni.
- Lokhu akuyona indlela yokuhlinzwa wonke umuntu angayenza. Ithimba lakho lezokwelapha lizonquma ukuthi ikulungele yini.
- Nakuba lokhu kuwukuhlinzwa okukhulu okunezingozi, izinga lempumelelo liphezulu kakhulu. Futhi ikhwalithi yokuphila ithuthuke kakhulu.
- Kubaluleke kakhulu ukulandela imiyalelo yezokwelapha ngemva kokuhlinzwa nokuya emitholampilo ngesikhathi.
- Uma uhlangabezana nanoma yiziphi izimpawu eziyisixwayiso, ungalokothi uzishaye indiva. Bona udokotela wakho ngokushesha.
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