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). 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).

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.

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.

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