Strictureplasty
Strictureplasty (ina wiyee kadi Stricturoplasty) ko feere seerndiinde ngam ustude ɓuuɓri ɓalndu sabu ɓuuɓri ƴiiƴam mahndi e nder ɓalndu ummoraade e ngonkaaji ɓalndu ɓuuɓɗi ko wayi no ñawu Crohn. Ɓowɗi ɗii ina moofta sabu bonnugol e sellinde keewngol, tawa ɓuuɓri ndii ina addana ɗum ɓuuɓde (ɓuuɓri ɓuuɓri ɓalndu).[1] Naatgol ngol ina waawi dooleede ko woni e ɓalndu nduu e nder ɓuuɓri e ɓuuɓri e nokku hee, addana ɗum ɓeydaade bonnude e naatde. Opereeji ɗii ina ngartira ƴiiƴam ɗam e nder ɓalndu tawa alaa ko haani ittude heen geɗe ɓalndu (ɗum woni tawa alaa ko ustata ɓalndu nduu).[2]
Ko Emanoel Lee waɗi strictureplastie gadano ngam ñawu Crohn e hitaande 1976, o habri ɗum e hitaande 1982. E nder duuɓi capanɗe ɗiɗi garooji ɗii, binndanɗe keewɗe kollitii wonde strictureplasties ina moƴƴi, ina moƴƴi.[3]
Strictureplasties ina peccii e pelle tati : Laabi gaadoraaɗi, hakkundeeji, e caɗtuɗi. Ko ɓuuɓri Heineke-Mikulicz ɓuri heewde e ɓuuɓri gonndi e ɓuuɓri. Ɓuri moƴƴude ko e strictures juutɗe (hade santimeeteeruuji 7), H-M Strictureplasty ina waɗee e waɗde taƴre njuuteendi bannge gooto e ɓalndu, ɓuuɓna jokkere enɗam ɗiɗi ɗee, caggal ɗuum sutura ɓalndu nduu toon e njaajeendi (natal), ko noon, jogaade batte yaajnude ɓalndu nduu e segment.
Ko strikturplasti Finney woni strikturplasti hakkundeejo ɓurɗo heewde huutoreede. Kollitgol strictures haa 15 santimeeteer, Finney Strictureplasty ina waɗee e follirde ɓalndu ñawndu nduu e hoore mum, e waɗde uddital mawngal hakkunde loope ɗiɗi ɗee.
Ngam strictures keewɗe walla strictures ɓurɗe juutde, strictureplasties gaadoraaɗe ɗee walla hakkundeeje ɗee moƴƴaani. E nder ɗeeɗoo geɗe, seernaaɓe ina poti huutoraade laabi caɗtuɗi. Ko ɓuri heewde e mbaydiiji ɓuuɓɗi ko mbaydiiji ɓuuɓɗi Michelassi. E nder ndeeɗoo strictureplasty, loocol juutngol ɓalndu ndu Crohn toɗɗii ngol, ko adii fof ko feccaade e hakkunde mum. Ndeen feccere ɗiɗi ɗee ina njuutee bannge e bannge. Udditgol juutngol no feewi ina sosee hakkunde loope ɗiɗi ɗee, ɗe njuɓɓinee (Natal 1), (Natal 2), (Natal 3), (Natal 4).
Strikturplasti keewɗo ina waawi waɗeede e ñawɗo gooto. Denndaangal karallaagal strictureplasty ina hisna ñawɗo oo e ɓuuɓri ɓalndu, ko huunde himmunde e nder ngonka ɓalndu ɓuuɓka walla e ñawɓe ɓe ɓalndu juutndu. Yanti heen, humpitooji cakkitiiɗi ina kollita wonde strictureplasty ina jogii batte ndeenka e rewrude e ñawu nguu. Sabu mbayliigu ɓalndu, strictureplasty ina addana peristalsis taƴondiral seeɗa, ina yiyee e won e ƴeewndorɗe natal.
Tuugnorgal
[taƴto | taƴto ɗaɗi wiki]- ↑ Lee EC, Papaioannou N (July 1982). "Minimal surgery for chronic obstruction in patients with extensive or universal Crohn's disease". Ann R Coll Surg Engl. 64 (4): 229–33. PMC 2494172. PMID 7092090.
- ↑ Hurst RD, Michelassi F (April 1998). "Strictureplasty for Crohn's disease: techniques and long-term results". World J Surg. 22 (4): 359–63. doi:10.1007/s002689900397. PMID 9523517. S2CID 31003228.
- ↑ Michelassi F (March 1996). "Side-to-side isoperistaltic strictureplasty for multiple Crohn's strictures". Dis. Colon Rectum. 39 (3): 345–9. doi:10.1007/bf02049480. PMID 8603560. S2CID 42067049.