Kwayoyin cututtuka da kuma yadda yake fitowa daga Pouchitis
Cutar da aka yi amfani da shi (wani lokacin da ake kira cuffitis) shine ƙonewa a cikin ɓangaren dubban da aka bari bayan aikin tiyata wanda aka fi sani da aikin jiki . An yi amfani da tiyata na IPAA musamman don magance cututtukan daji, ko da yake ana iya yin shi don wasu yanayi, irin su polyposis adenomatous iyali (FAP) .
Kumburi a cikin takalmin gyare-gyare ba na kowa ba ne bayan aikin tiyata na IPAA. Yawancin mutanen da ke da jaka-jakar jaka suna yi sosai kuma ba su da kumburi. Idan akwai rashin kwanciyar hankali ko kuma zub da jinin jini bayan aikin tiyata, ya kamata a tattauna tare da gastroenterologist. Akwai maganin da za a iya bi da duk wani kumburi idan ba a faruwa ba.
Menene Dokar IPAA?
A cikin tiyata, an cire babban hanji (mallaka) da kuma ɓangare na karshe na ƙananan hanji (ileum) don ƙirƙirar "tayin". Ana sanya jakar da yawa a cikin nau'i na harafin "J," amma akwai wasu akwatunan da aka halitta a siffar "S" ko "W." An haɗa jakar din din zuwa dubun, kuma mai haƙuri ya sha kashi daga cikin anus. An yi amfani da tiyata a wasu matakai don tabbatar da warkaswa da kuma inganta sauƙin aiki mafi kyau.
Mene ne Ma'anar 'Cuff'?
Shafin shine ɓangare na tsarin kwayar da ke tsakanin babban hanji da kuma anus.
A cikin aikin j-ping, an ajiye wasu daga cikin duban don taimakawa mai haƙuri ci gaba da kasancewa a cikin akwati, kuma hana hanawa. Duk da haka, magungunan ulcerative colitis zai iya shawo kan kumfa. Sabili da haka, ɓangaren dubun (wani lokacin da ake kira suturar madaidaiciya ko wani cuff) wanda aka bari bayan an cire babban hanji mai yatsa zai iya zamawa da ciwon ciki.
A wasu lokuta, za a iya ƙwaƙwalwar ƙararraki a bayan yin aiki don wasu dalilai. Rashin ƙonewa a cikin wannan sashe na dubun dubun an san shi azaman ƙurar ƙafaffiyar ƙwayoyin cuta ko, ƙananan ƙwayar, cuffitis.
Cutar cututtuka da jiyya
Alamar cututtuka na ƙwayar murya mai ƙuƙwalwa ta ƙunshe da buƙatar buƙata ta sauƙaƙe da jini . Mai yiwuwa gastroenterologist ya bukaci a duba cikin cikin dubun tare da endoscope don yin ganewar asali. Rashin ƙonewa zai iya haifar da wasu alamun bayyanar kamar wata matsalar ta yau da kullum tare da j-pouches da aka sani da " pouchitis ," yana mai da muhimmanci a samu samfurin da ya dace. Maganar ita ce lokacin da aka ƙonewa a cikin ainihin jakar jaka. A wasu lokuta, ƙila za a iya ƙone ƙananan cututtuka mai zurfi a ci gaba da ciwon ulcerative colitis, wanda ke faruwa yanzu a cikin dubun.
Jiyya ga ƙwayar ƙarancin ƙwayar cuta mai ƙuƙwalwa zai iya haɗa da yin amfani da kwayoyi masu mahimmanci wadanda aka ba ta hanyar zato, irin su mesalamine ko corticosteroids. Magunguna ba yawanci bane. A lokuta da ba su amsa wajibi ba, wasu likitoci suna ba da izinin maganin corticosteroid wanda aka ajiye a cikin dubun ta hanyar amfani da endoscope. Saukowa sau da yawa yana inganta tare da magani, amma idan ba haka ba, likita na iya neman wani dalili na bayyanar cututtuka, irin su pouchitis, fistula , ko cutar Crohn na jakar.
Sources:
Shen B. "Bincike da kuma Gudanar da Ciwon Lafiya na Gidan Lafiya." Clin Coal Rectal Surg . Dec 2010; 23 (4): 259-268. Doi: 10.1055 / s-0030-1268252. 30 Jan 2015.
Wu B, Lian L, Li Y, Remzi FH, Liu X, Kiran RP, Shen B. "Ciwon Kwayar C uffitis a cikin Ulcerative Colitis Patients tare da Restorative Proctocolectomy da Ileal Pouch-anal Anastomoses." Flamm Bowel Dis . 2013 Feb, 19 (2): 404-10. Doi: 10.1097 / MIB.0b013e31828100ed. 30 Jan 2015.
Shen B, Lashner BA, Bennett AE, Remzi FH, Brzezinski A, Akkar JP, Bast J, Bambrick ML, Fazio VW. "Jiyya na Rectal Cuff Kumburi (Cuffitis) a cikin marasa lafiya tare da Ulcerative Colitis Bayan Restorative Proctocolectomy da Ileal Pouch-anal Anastomosis." Am J Gastroenterol . 2004 Aug; 99 (8): 1527-1531. 30 Jan 2015.