A Janar, Jikadan Jiki ne ake amfani dasu don biyan maganin Ulcerative Colitis
Aikin binciken asibiti na Ileoanal (IPAA) - kamar yadda aka fi sani da shi, aikin tiyata-ya zama nau'in tiyata wanda ya fi dacewa ga mutane da yawa waɗanda ke fama da cututtuka kuma suna bukatar tiyata. Irin wannan tiyata za a iya kasancewa ga iyalan adenomatous polyposis (FAP) ko wasu lokuta na ciwon daji na cin hanci . Duk da haka, ga mutanen da aka gano tare da wani nau'i na cututtukan jini (IBD) , cututtukan Crohn, ba a yi la'akari da jakar jaka a matsayin wani zaɓi mai yiwuwa ba.
Menene Jakar Jiki?
An yi amfani da tiyata na J-Jiki na musamman don mutanen da ke fama da cututtuka ko dai lokacin da likitoci ya kasa da kuma bayyanar cututtuka ba su iya samun damar yin hakan, ko kuma lokacin da canjin canji na farko ya kasance a cikin ciwon zuciya (babban hanji) . A wasu adadin mutanen da ke fama da cututtuka, magunguna da za su iya kulawa da IBD ba zai taimaka wajen fara gyarawa ko tare da haɓaka bayyanar cututtuka ba, kuma ingancin rayuwa na iya zama matalauta cewa an tiyata tiyata. Mutanen da ke fama da cututtuka suna fuskantar babbar hadarin bunkasa ciwon daji, kuma ana cire shawarar cirewa daga ma'aunin lokacin da sakamakon ciwon kwayar cutar ta ciwon ciwon daji ko ciwon daji.
A cikin aikin j-ping, an cire mallaka, tare da wani ɓangare ko kowane ɗayan . Ana amfani da ɓangare na ƙananan hanji don yin jaka-yawanci a cikin siffar "J," amma "S" da "W" siffofi ana yin wani lokacin. Jigon da aka yi daga ƙananan hanji an haɗa shi zuwa anus (ko giciye, idan akwai wasu hagu), wanda ke sa kawar da harsashi mafi "al'ada." An yi aikin tiyata a matakai biyu, amma ana iya yin aiki a daya ko uku matakai.
Dalilin da yasa ba a yi wannan tiyata ba saboda al'ada na Crohn?
Tare da ulcerative colitis, da cutar, da kuma hade kumburi, yana cikin babban hanji. Ana cire babban hanji, yayin da ba magani ga IBD ba, yana dauke da kwayar da cutar ta fi shafa. Tare da cutar Crohn, duk wani ɓangare na fili na narkewa zai iya shafar kumburi kuma koda kuwa an cire babban hanji, cutar Crohn zata iya komawa.
A gaskiya ma, wurare masu yawa na ƙonawa a cikin mutanen da ke da cutar Crohn shine ileum da kuma babban hanji. Ginin yana da kashi na karshe na ƙananan hanji, kuma shi ne bangare da ake amfani dashi don yin tayin a cikin tiyata na IPAA. Dalilin da ya dace shi ne, idan cutar ta Crohn ta shafi tashar, tayin zai iya "kasa" kuma a karshe ya kamata a cire shi. Akwai kuma marasa lafiya waɗanda aka gano da ciwon cututtuka, suna da tiyata, sannan kuma daga bisani an gano asirin da cutar ta Crohn (ko da yake ba haka ba ne).
Duk da haka, binciken game da j-pouches a cikin mutanen da ke da kwayar cutar Crohn sun samar da sakamako mai ma'ana. Wasu nazarin sun nuna cewa yawancin marasa lafiya da kwayar cutar Crohn da kuma jab din sun sami gagarumar rashin nasara kuma suna buƙatar samun karin tiyata don cire shi kuma haifar da zaman lafiya . Duk da haka wasu binciken da ke nuna cewa wasu marasa lafiya da aka zaɓa da wasu nau'o'in kwayar cutar Crohn zasu iya jure wa aikin tiyata. Tare da zuwan hanyoyin maganin kwayoyin halitta na IBD (irin su Remicade , Humira , Cimzia , Tysabri, da Entyvio), mutanen da ke da kwayar cutar Crohn suna da ƙarin zafin magani fiye da baya.
Saboda haka, ba a taɓa samun IPAA a Cikin Cutar Crohn ba?
Kamar yadda mafi yawan abubuwa game da IBD, akwai wasu.
A halin yanzu akwai muhawara tsakanin shugabannin ra'ayoyin ra'ayi kan ko wasu marasa lafiya da kwayar cutar Crohn zasu iya karɓar jakar jaka kuma suyi kyau tare da shi. Akwai wasu lokuta na mutanen da aka bincikar su tare da crohn na colitis ko cututtukan da ba su da tabbacin da suka taɓa yin aikin tiyata. Duk da haka, akwai haɗarin haɗarin rikice-rikice da rashin rinjaye a cikin rukuni na marasa lafiya. Ba a samu nazarin binciken ba a kan jigon kwayar cuta a Crohn na marasa lafiya wanda zai iya samar da cikakkun shaida don kawo ƙarshen muhawara a wata hanya ko ɗaya.
Kamar yadda yake da wasu batutuwa masu rikitarwa a cikin IBD, babu wata hanyar da aka tabbatar da cewa ya zama mafi girma.
Duk wani yanke shawara game da kirkirar jakar ga marasa lafiya da Crohn ya kamata a yi ta hanyar ƙwararru na musamman a wuraren kula da manyan makarantun da ke da kwarewa da kuma ƙwarewa wajen magance IBD.
Sources:
Braveman JM, Schoetz DJ Jr, Marcello PW, Roberts PL, Jirgin JA, Murray JJ, Rusin LC. "Sakamakon kwalejin gidan a cikin marasa lafiya masu cutar Crohn." Yankin Colon . 2004 Oktoba; 47 (10): 1613-1619.
Brown CJ, Maclean AR, Cohen Z, Macrae HM, O'Connor BI, McLeod RS. "Cutar Crohn da cututtukan da ba su da tabbacin da ke ciki da kuma ƙananan kwalliyar da ke cikin gida: sakamakon da kuma alamu na gazawar." Yankin Colon . 2005 Ranar 48 (8): 1542-1549.
Joyce MR, Fazio VW. "Shin za a iya amfani da anastomosis na linzami na katako?" Adv Surg . 2009; 43: 111-137.