Ho Khuta hape ka mor'a ho Buuoa Bakeng sa Maloetse a Crohn a Tloaelehile
Bua le hoo e ka bang mang kapa mang ea nang le lefu la Crohn 'me mohlomong ba kile ba buuoa. Hoo e ka bang halofo ea bakuli ba Crohn ba kulang ba tla etsoa opereishene lilemong tse 10 tse qalileng ka mor'a hore ba hlahlojoe. Litemoso tsa ho tlosa lisele tsa mafu li tloaelehile, 'me li ka' na tsa phetoa ha lefu lena le hlaha likarolong tse fapaneng tsa mala. Boloetse ba Crohn bo ka baka ho fokotseha ha marapo, hape ho thoeng ke thibelo , e ka 'nang ea hloka mofuta oa opereishene e bitsoang strictureplasty.
Mathata a tsoang ho Crohn le mafu a kang abscesses kapa fissures a ka boela a hloka phekolo le ho buuoa.
Hangata Crohn e Khutlela Hang ka mor'a ho Buuoa
Ka bomalimabe, lipatlisiso tse 'maloa li bontša hore matšoao a lefu la Crohn, kapa bopaki ba maloetse a ka bonoang nakong ea tlhahlobo, hangata a khutla ka mor'a ho buuoa. Ha lefu lena le khutla le itšetlehile ka lintlha tse 'maloa.
Liphuputso tse ling li bontša lintlha tse amanang le ho khutlela ha matšoao li kenyelletsa fistula ea nakoana , lefu le fumanoang feela maling a mabeli, opereishene e fetileng, boholo ba mala a ammeng le ho tsuba. Ha e le hantle, ho tsuba ho bonahala eka ke eona ntho e kholo ka ho fetisisa. Nako ea nako eo motho a nang le eona ea lefu la Crohn ha e bonahale eka ke eona e bakang kotsing ea ho khutlela morao ka mor'a ho buuoa. Tlaleho ea botona le botšehali le ea malapa ha e bonahale eka ha e na tšusumetso leha e le efe nakong ea lefu la Crohn ka mor'a ho buuoa.
Liphuputso tse 'maloa li fumane hore ha motho a le lilemo li sa le monyenyane a e-na le lefu la hore na o na le lefu la Crohn le ka mor'a ho buuoa joang.
Bakuli ba hōlileng, haholo-holo ba ka holim'a lilemo tse 50, ba ka 'na ba fokotsa kotsi ea ho khutlela morao. Liphuputso tse ling ha li bontše kamano pakeng tsa lilemo le kotsing ea ho khutlela morao, kahoo e ntse e sa tsejoe haeba lilemo ke kannete ntho.
Ho kokobetsa tekanyo ea ho khutlela morao
Ho na le tšepo qetellong ea ho pholletsa le phekolo ea ho buuoa le ho khutlela morao.
Phuputso e ncha e reretsoe ho fokotsa tekanyo ena ea ho khutlela morao kamora 'opereishene. Liphuputso tse ling li bontša hore lithethefatsi tse ling tse atisang ho sebelisoa ho phekola IBD, tse kang mesalamine (Lialda, Apriso, Pentasa, Canasa, Asacol), azathioprine (Imuran, Azasan), le likokoana-hloko tse ling li ka thusa ho thibela ho khutla ha maloetse ka mor'a ho buuoa. Lithethefatsi tsa likokoana-hloko tse kang Remicade le Humira li boetse li ithutiloe bakeng sa tšebeliso ea kamora 'opereishene,' me li ka boela tsa atleha, haholo-holo ka mor'a ho ts'oaroa likarolong tse ling tsa mala a manyenyane.
Tlhokomelo ea ho khutlela morao
Karolo ea bohlokoa ea ho sebetsa ho thibela ho khutlela morao ke ho hlahloba bopaki ba lefu la Crohn ka mor'a ho buuoa. Ho sebelisa mekhoa e seng e hlaselang, e kang capsule endoscopy kapa ultrasounds ka phapang, hangata e khethoa. Hobane ho tsuba ho amana haholo le ho khutlela ha matšoao, mohato oa bohlokoa oo bakuli ba ka o nkang ho thibela Crohn's ho khutla ka morao ho buuoa ke ho khaotsa ho tsuba.
Lisebelisoa:
Bernell O, et al. "Lintho tse kotsi tsa ho buuoa le ho khutlela morao nakong ea lefu la Crohn's." Ann Surg January, 2000; 231: 38-45.
Buisson A, Chevaux JB, Allen PB, Bommelaer G, Peyrin-Biroulet L. "Sehlooho sa tlhahlobo: pale ea tlhaho ea Crohn's disease ea morao-rao." Feela Pharmacol Ho na le. 2012 Mar; 35: 625-33. doi: 10.1111 / j.1365-2036.2012.05002.x.
P Rutgeerts, M Hiele, K Geboes, M Peeters, F Penninckx, R Aerts, le R Kerremans. "Tlhahlobo e laoloang ea phekolo ea metronidazole bakeng sa ho thibela Crohn ho khutlela morao ka mor'a laale resection." Gastroenterology 108: 1617-1621.
Yamamoto T, Watanabe T. "Mekhoa ea ho thibela lefu la Crohn le ho khutlela morao." Colorectal Dis . 2013 Dec; 15 (12): 1471-80. doi: 10.1111 / codi.12326.