Ga Wasu Bayan Yin Tafiya na IPAA, Tsibiti na iya zama matsala mai wuya
Kwafanci shine yanayin da ke faruwa a wasu mutanen da suka yi aikin tiyata da ake kira laal pouch anal anastomosis (IPAA), wanda ake kira j-pouch . Lokacin da jaka ya zama mummunar jini kuma yana haifar da alamar cututtukan cututtukan (wani lokaci na jini), buƙatar gaggawa don wucewa, rashin ci gaba, da zafi ko rashin jin daɗi yayin da ake wucewa, an kira shi pouchitis.
Ba duk wanda yake da j-pouch samun pouchitis, amma wasu mutane suna samun shi lokaci-lokaci, kuma wasu suna samun shi akai-akai don a iya lakafta shi "na kullum."
Mene ne Jaka-Jakar?
An yi aikin tiyata Jing don magance cututtuka da ƙwayoyin cuta, da kuma wasu abubuwa masu narkewa, kamar su polyposis adenomatous iyali (FAP) . An yi wannan tiyata a matakai da dama (yawanci 2 matakai, amma wani lokaci 3), ko da yake lokuta lokaci ne aka yi tare da daya. Sashi na farko na tiyata shi ne cirewa daga babban hanji, wanda ake kira colectomy. Ana iya cire duk ko ɓangare na dubun a lokaci ɗaya.
Sashe na biyu na tiyata, wadda za'a iya yi a lokaci guda na tsarin, shine ƙirƙirar jakar jaka da tsinkaye. Don ƙirƙirar jakar, ana amfani da mota mai suna "J" (ko da yake wasu siffofi ana yin wani lokaci). Idan ana tilasta aikin tiyata fiye da mataki ɗaya, sashe na ƙarshe na tsari shi ne a sake juyayin ƙarancin jiki kuma yana da aikin j-bag.
Wannan yana bawa damar mutum ya je gidan wanka fiye da "kullum," kuma baya buƙatar jakar jima'i, irin su tare da haɗuwa .
Mene ne Cutar Guda?
Wasu mutane tare da j-pouches suna fama da wahala wanda ake kira pouchitis. Kwafanci yafi kowa a cikin mutanen da ke da tilasta yin jima'i don magance cututtukan da ke ciki kamar FAP ko wasu dalilan.
Labaran yafi dacewa, kuma ainihin dalili ba a san shi ba, ko da yake akwai ka'idojin aiki.
Kwayoyin cututtuka na pouchitis sun hada da:
- Fever
- Tsarin jini
- Pain tare da raguwa
- Matsakaicin launi ko buƙatar gaggawa don zubar da jaka
Yaya mutane da yawa tare da J-Pouches suna da ciwon daji?
Akwai rahotanni daban-daban game da yawan mutanen da ke da j-pouches don ulcerative colitis fuskanci pouchitis. Bisa ga sakamakon binciken daban-daban, pouchitis zai iya faruwa a ko'ina daga 30% zuwa 50% na marasa lafiya. A farawar bayyanar cututtuka, likita zai taimaka wajen bincikar cutar kanjamau, saboda alamun bayyanar zai iya kwatanta wasu yanayi, don haka wajibi ne su yi sarauta. Sau da yawa ana yin haka ne tare da pouchoscopy, wanda shine nau'in endoscopy da aka yi amfani da shi don duba cikin j-pouch.
Shin akwai nau'in ƙwayar cutar?
An raba shi zuwa cikin miki da kuma ciwon daji. Bacci mai tsayi shine lokacin da bayyanar cututtuka ke faruwa a kasa da makonni 4. Lokacin da bayyanar cututtuka ta ci gaba fiye da makonni 4, an kira wannan yanayin azabar fata.
Ana ƙara fahimtar cewa pouchitis na iya zama fiye da ɗaya yanayin, yana iya zama bakan. Ba kowane mai haƙuri ya amsa daidai da irin wannan magani ba kuma wasu marasa lafiya sun buƙaci maganin ci gaba don samun taimako daga bayyanar cututtuka.
Samun bayyanar cututtuka a karkashin kulawa yana da mahimmanci don guje wa karin rikitarwa da kuma kula da lakabin aiki sosai. Mutane tare da j-pouches sun riga suna fuskantar haɗari don rashin jin dadi, da kuma ciwo mai tsanani daga pouchitis zai iya haifar da sauri sosai. Hakika, akwai mahimmancin yanayin rayuwa: pouchitis zai sami babban tasiri akan rayuwar mai haƙuri, da kuma samun shi zuwa gafara ita ce maɓallin.
Yawancin lokaci, dalilin da ya faru ne ba a sani ba. Amma a cikin kimanin kashi 30 cikin dari na mutane, yana da yanayin da ake kira sakari na biyu. A cikin misali na kwakwalwa na biyu, za'a iya gane dalili, wasu kuma sun haɗa da:
- Sakamakon saiti na asali
- Cutar
- Ischemia
- Amfani da kwayoyin anti-inflammatory marasa steroidal (NSAIDs)
Ta yaya ake kula da ciwon ƙwayar cutar?
A mafi yawan lokuta, ana kula da pouchitis tare da maganin rigakafi. A wasu lokuta, hanya ta maganin rigakafi zai share sama da pouchitis. A wasu lokuta, ana iya buƙatar maganin rigakafi don tsawon lokaci. Wasu mutane na iya canzawa daga kwayoyin kwayoyin zuwa wani, ko karɓar magani na maganin kwayoyin cutar, don kulawa da pouchitis.
Idan manya ba zai amsa maganin maganin rigakafi ba, likita na iya yanke shawarar tsara wani farfadowa, irin su maganin ƙwayar cutar ƙwayar cuta ko rigakafi na immunosuppressive.
Fassara: pouch-EYE-tis
Source:
Pardi DS, D'Haens G, Shen B, Campbell S, Gionchetti P. "Magunguna don kula da pouchitis." Flamm Bowel Dis . 2009 Satumba 15: 1424-1431.
Shen B, Fazio VW, Remzi FH, et al. "Yanayin haɗari ga cututtuka na ƙwaƙwalwar ƙwaƙwalwar gida-anal anastomosis bayan gyaran gyare-gyare na gyare-gyare don ciwon cututtuka." Clin Gastroenterol Hepatol . 2006 Janairu; 4: 81-89; wanda 2-3.
Shen B, Lashner BA. "Tarin fata: cututtukan cututtuka." Curr Gastroenterol Rep . 2005 Oktoba; 7: 404-411.
Zezos P, Saibil F. "Harshen jakar inflammatory: A bakan na pouchitis." Duniya J Gastroenterol . 2015 Aug 7; 21 (29): 8739-8752.