Proctocolectomy

Proctocolectomy ko seppooji ngam ittude ɓalndu neɗɗo fof e ɓalndu mum, tawa ina ɗacca ɓalndu tokoosru ñawɓe ɓee ina seernda e ɓalndu mum en. Ko seppo mawngo ngo seppooji kolorektaal mbaɗata, kono won geɗe seppo ngoo, teeŋti noon e kolektomi (ittugol ƴiiƴam) ina waawi waɗeede e seppooji kuuɓtodinɗi. Nde fuɗɗii waɗde ko e hitaande 1978 e gila ndeen, yahrude yeeso safaara addani seppo ngoo waasde jogaade batte e ɓeydagol mawngol e batte ñawɗo oo. Laawol ngol ɓuri hollireede ko e ñawuuji ɓalndu ɓuuɓɗi, ko wayi no ulcerative colitis e ñawu Crohn. Ko ɗum kadi woni safaara cuɓaaɗo wonande ñawɓe wonduɓe e poliposis adenomatous familial.

 Kollitooje 
E fawaade e jamirooje ɗe Fedde Ameriknaare toppitiinde ko fayti e seppooji koloñaal e reedu yaltini, proctocolectomie ina waawi ƴeewteede e ñawɓe wonduɓe e rafi biyeteeɗo ulcerative colitis (UC) tiiɗɗo, woni sifaa ñawu nguu ina ɓuuɓna ɓalndu. Ngol laawol ina sikkaa ina safra ooɗoo rafi sabu UC ina toɗɗii tan ko ƴiiƴam mawɗam e ƴiiƴam ɓalndu. Proctocolectomy ina waawi kadi waɗeede e ñawu Crohn’s tiiɗngu, ñawu nguu ina waawi saabaade ñawu nguu, kono ngool gollal hiisaaka ina safra. Opereeji ngam ñawu Crohn ina njokki tan so tawii leɗɗe ɗee nattii huutoreede walla so tawii bonnugol mawngol e nder reedu mawndu e reedu ina waɗi. Ko ɓuri heewde e kollitooje proktokolektomi ko yimɓe wonduɓe e Poliposis Adenomatous Familial. Ko ɗum ngonka ronkaaka e yontaaji ɓennuɗi, addanta polipuuji keewɗi walla hay ujunnaaje ujunnaaje e nder reedu e reedu, ɗi mbaawi kadi wontude kanseer.

 Laabi laabi 
Ittugol ɓalndu e reedu nduu fof e nder seppo ko seppo mawngo, tawi ina waɗi geɗe keewɗe caɗtuɗe. E tonngol, cafroowo oo fuɗɗotoo ko waɗde taƴre e nder reedu ñawɗo oo, caggal ɗuum feeñnina ɓalndu nduu (ɓuuɓri mawndi). Ndeen maa ɓe ittu ɓalndu mawndu nduu fof e reenaade hoto bonnude kala terɗe ndernderiije goɗɗe ɓadtiiɗe. Ko adii fof, cafroowo oo maa ittu ƴiiƴam ñawɗo oo. E raɓɓiɗinaade, seppo ngoo jokkondirta e ɓalndu tokoosru ñawɗo oo e reedu maɓɓe mbele ɓe mbaawa jokkude e ɓuuɓde gila les maɓɓe. Ɗumɗoo ina anndaa ko anastomosis ileoanal Ina haani teskeede wonde seerndoytooɗo oo ina reena ƴiye ñawɗo oo e ƴiye sfinkter ngam haɗde ɗum ɓuuɓde so ɓalndu tokoosru nduu ina jokkondiri e ƴiye ɗee.

 Caɗeele baawɗe wonde 
No mbiyru-ɗen dow nii, proctocolectomy ko seppo mawngo kadi ina addana ɗum caɗeele. Ko ɓuri heewde e caɗeele seppo ngoo ko bonnude terɗe e ƴiye ɓadiiɗe e nder ɓanndu, ɓuuɓri, ɓuuɓri gonndi e nder reedu ina waawi addande ɓalndu tokoosru ɓuuɓde, ŋakkeende ñamri e herniaaji taƴondirɗi.

 Ƴeew kadi 

 Doggol seppooji e sifaaji

 Tuugnorgal