Ɔkwan a wobɛfa so atra ase sɛnea ɛsɛ bere a wɔayi akyi berɛmo no: Sua J-Pouch Oprehyɛn ho ade

Mmere bi wɔ hɔ a ɛsɛ sɛ woyi yɛn akyi berɛmo ne yɛn akyi berɛmo nyinaa fi hɔ esiane ayaresa tebea horow bi nti. Sɛ ɛba saa a, asɛmmisa kɛse a nnipa pii wɔ ne sɛ, "Mɛyɛ dɛn de me ho atɔ me mprempren?" Mpɛn pii no, eyi ano aduru ne sɛ wɔde kotoku bi bɛto yafunu no honam ani sɛnea ɛbɛyɛ a nsu betumi afa mu. Nanso ɛnnɛ, yɛrebɛka oprehyɛn titiriw bi a ɛma ano aduru bi ba nipadua no mu, a enni akyi kotoku a ɛte saa, na ɛboa nkurɔfo ma wɔtow wɔn ho fi sɛnea ɛsɛ fa akyi berɛmo no mu ho asɛm. Ɛno ne J-Pouch oprehyɛn no.

Sɛ yɛbɛka no tiawa a, dɛn ne J-Pouch yi?

Fa no sɛ wɔyɛɛ oprehyɛn yii wo dwensɔtwaa kɛse, wo dwensɔtwaa no fã a etwa to, baabi a nsu tena hɔ bere tiaa bi no. Afei anka baabiara nni wo nipadua mu a wobɛboaboa nsu ano na wode asie.

J-Pouch yɛ kotoku ketewaa bi a oduruyɛfo a ɔyɛ oprehyɛn de wo dwensɔtwaa ketewaa no awiei yɛ wɔ wo nipadua mu . Sɛ yɛbɛka no pɛpɛɛpɛ a, wɔfrɛ dwensɔtwaa ketewa no awiei ``ileum.'' Enti wɔde saa ``ileum'' yi na ɛbɔ saa kotoku yi.

Wɔnam wo dwensɔtwaa ketewa no fã bi a wobɛbobɔw ayɛ no sɛnea nkyerɛwde "J" te na woapam afi mu no so na ɛyɛ saa kotoku yi. Wɔfrɛ no J-Pouch esiane "J" nsusuwii nti. Afei wɔde kotoku no bata wo akyi berɛmo ho. Afei, sɛ́ anka wobeyi wo rectum no, J-Pouch no yɛ adwuma sɛ bere tiaa mu akorae a wode boaboa nsu ano na wode sie. Enti wote nka sɛ ɛsɛ sɛ wobɔ wo ho fi sɛnea ɛsɛ, na wubetumi akɔ tiafi akɔtow wo ho.

Nsonsonoe bɛn na ɛda J-Pouch ne Ileostomy ntam?

Nnipa pii ma nnipa baanu yi adwene tu fra. Momma yɛnma ɛno nso mu nna hɔ.

• J-Pouch: Eyi yɛ kotoku a wɔyɛ wɔ nipadua no mu . Ɛbata akyi berɛmo no ho tẽẽ, enti wubetumi anya dwensɔtwaa sɛnea ɛsɛ . Biribiara nni hɔ a wotumi hu fi abɔnten, kotoku biara nni hɔ.
• Ileostomy: Nea ɛka eyi ho ne sɛ wɔde dwensɔtwaa ketewaa no awiei bɛba yafunu no honam ani tẽẽ, na wɔayɛ ɔkwan ketewaa bi a wɔabue (stoma) a nsu betumi afa mu. Afei wɔboaboa nsu a wɔde gu mu no ano wɔ kotoku bi a ɛwɔ akyi a wɔde abata ɔkwan a wɔabue no ho mu. Ɛsɛ sɛ wɔma kotoku no mu da mpan bere a ayɛ ma no.

Sɛ yɛbɛka no tiawa a, sɛ wo rectum no wɔ tebea pa mu a, J-Pouch ne ɔkwan a eye sen biara a wobɛfa so atra ase a wunni akyi kotoku (permanent ileostomy).

Hena na oprehyɛn yi fata yiye?

Wɔkamfo J-Pouch oprehyɛn kyerɛ nnipa a wɔayɛ wɔn total proctocolectomy (oprehyɛn a wɔde yi akyi berɛmo ne akyi berɛmo nyinaa) nkutoo. Nanso, ɛnyɛ obiara dea. Nneɛma pii wɔ hɔ a ebetumi akyerɛ sɛ ebia woyɛ obi a ɔfata sɛ ɔyɛ saa adeyɛ yi anaa.

• Ntini a ɛwɔ akyi berɛmo mu ne ntini ahorow a ɛyɛ adwuma yiye:Eyinom ho hia na ama wɔatumi ahyɛ dwensɔtwaa mu. Wo duruyɛfo bɛhwɛ sɛnea eyinom te.
• Nya akwahosan pa na woatumi agyina oprehyɛn pii ano: Wɔtaa yɛ J-Pouch oprehyɛn no wɔ akwan abien anaa abiɛsa so, enti ɛsɛ sɛ wowɔ akwahosan pa na woatumi agyina ano.
• Ayaresa mu tebea afoforo anaa nnuru: Nnuruyɛfo nso bɛhwɛ yiye titiriw sɛ wowɔ ayaresa tebea afoforo anaa worenom nnuru bi a.

Ɔkwan bɛn so na wɔyɛ J-Pouch oprehyɛn?

Eyi nyɛ oprehyɛn a wɔyɛ no pɛnkoro pɛ. Wɔtaa yɛ no akwan abien anaa abiɛsa . Ma yɛnhwɛ nea saa anammɔn ahorow no yɛ.

1. Ɔfã 1: Ade a edi kan ne sɛ wubeyi wo dwensɔtwaa ne wo akyi berɛmo a yare no afi hɔ (total proctocolectomy). Wobetumi ayɛ J-Pouch no wɔ oprehyɛn yi mu anaasɛ wɔ oprehyɛn a ɛyɛ soronko mu akyiri yi.

2. Pouch no a wobɛbɔ: Oduruyɛfo a ɔyɛ oprehyɛn no fa wo dwensɔtwaa ketewaa no nhama abien a ne tenten bɛyɛ nsateakwaa 6, na ɔbobɔw mu abien ma ɛyɛ "U." Afei, wobue ɔfã a wɔabobɔw no mu na wɔpam ano abien no bom ma ɛyɛ kotoku.

3. Pouch no a wɔde bɛka abom: Wɔde saa kotoku yi fi yafunu no mu ba fam na wɔde bata akyi berɛmo no ho. Aduruyɛ din a wɔde frɛ saa nkitahodi yi ne ``ileal pouch-anal anastomosis`` anaa ``(IPAA)``.

4. Bere Tiaa mu Ileostomy a Wɔbɛbɔ: J-Pouch a wɔabɔ no foforo no hia bere na ama ayɛ yiye. Enti, sɛnea ɛbɛyɛ a nsu a ɛbɛfa mu no asiw ano wɔ saa bere no mu no, wotwa dwensɔtwaa ketewaa bi wɔ J-Pouch no atifi pɛɛ na wɔyɛ bere tiaa mu bue (`(temporary loop ileostomy)`) wɔ yafunu no honam ani. Enti, bɛyɛ asram 2-3 no, wo nsuo bɛpue akɔ saa bere tiaa mu kotokuo yi mu. Saa bere yi mu no, J-Pouch foforo no bɛsa yiye.

5. Hwɛ kotoku no mu: Asram 2-3 akyi no, wɔyɛ sɔhwɛ titiriw bi de hwɛ sɛ kotoku no ayɛ yiye na sɛ ntokuru anaa nsu bi a ɛretu wɔ mu anaa. Wɔfrɛ eyi ``pouchogram''. Wɔ eyi mu no, wɔde nsu titiriw bi fa afiri bi a wɔde fa akyi berɛmo no mu hyɛ kotoku no mu na wɔyɛ X-ray.

6. Ɔfã a Etwa To: Sɛ kotoku no sa yiye na ɔhaw biara nni ho a, wo duruyɛfo bɛyɛ wo oprehyɛn a etwa to no ho nhyehyɛe. Nea ɛka eyi ho ne sɛ wubeyi bere tiaa mu ileostomy no na woato ɔkwan a ɛda wo yafunu mu no mu. Seesei wo dwensɔtwaa awie! Wo nsuo bɛhyɛ aseɛ afa wo J-Pouch a woabɔ no foforɔ no mu sɛdeɛ ɛteɛ.

Dɛn na wubetumi ahwɛ kwan wɔ oprehyɛn akyi?

Sɛ woyɛ oprehyɛn wie a, wo nipadua no begye bere kakra ansa na ayɛ nsakrae wɔ nhyehyɛe foforo yi mu. Eyi yɛ ade a ɛfata, enti mma ɛnhaw wo wɔ ho.

Mfiase no, J-Pouch no sua koraa. Enti etumi kura nsukorade kakraa bi pɛ. Eyi kyerɛ sɛ ɛho behia sɛ wokɔ aguaree mpɛn pii da biara . Ebia bɛboro mpɛn 10 da biara. Ebia ɛsɛ sɛ wosɔre mpɛn pii mpo anadwo. Nanso mma ɛnhaw wo, bere kɔ so no, kotoku no bɛtrɛw nkakrankakra na ayɛ kɛse , na mpɛn dodow a ɛsɛ sɛ wokɔ aguaree no so bɛtew nkakrankakra. Mpɛn pii no, wɔbɛhyɛ so akodu mpɛn 5-10 da biara.

Afei nso, ebia ntini a ɛwɔ wo menewam no bɛyɛ mmerɛw kakra efisɛ wɔamfa anni dwuma ansa na wɔreyɛ wo oprehyɛn. Ɛho behia sɛ wosan tete wɔn ma wotumi di wo dwensɔtwaa so. Wo duruyɛfo bɛkyerɛ wo apɔw-mu-teɛteɛ, te sɛ Kegel apɔw-mu-teɛteɛ, de aboa eyi.

Asiane ne nsɛnnennen bɛn na ɛwɔ oprehyɛn yi mu?

Te sɛ oprehyɛn biara no, asiane ahorow bi wɔ mu, na ɛho hia sɛ wuhu.

So wubetumi de J-Pouch abɔ asetra a ɛfata?

Yiw, akyinnye biara nni ho sɛ ebetumi aba! Nokwarem no, nnipa pii ka sɛ wɔn asetra pa atu mpɔn kɛse wɔ oprehyɛn yi akyi. Efisɛ wonni tebea horow a enni sabea a na wɔwɔ kan no bio, na enhia sɛ wɔhwɛ kotoku a ɛwɔ akyi no so bio.

Nanso ɛsɛ sɛ wode nsakrae nketenkete kakraa bi yɛ wo su:

• Mpɛn dodow a wobɛkɔ tiafi: Ɛsɛ sɛ wokɔ tiafi mpɛn pii da biara sen kan no.
• Nsu a ɛwɔ nsu mu: Esiane sɛ dwensɔtwaa kɛse no nnye nsu bio nti, wo nsu mu bɛyɛ nsu sen kan no.
• Nom nsu pii: Esiane sɛ wo nipadua rehwere nsu pii nti, ɛho hia sɛ wonom nsu ne nsu pii da mũ no nyinaa na amma wo nipadua mu nsu atɔ wo mu. Ebia nneɛma te sɛ nsu mpo ho behia wɔ mfiase no.

So ɛsɛ sɛ mesesa m’aduan bere a wɔayɛ me oprehyɛn awie no?

Aduan pɔtee biara nni hɔ ma obi a ɔwɔ J-Pouch. Nanso, aduan a ɛkari pɛ na ahoɔden wom a wubedi no betumi aboa ma obi asa yare ntɛmntɛm na atew ɔhaw no so. Afotu kakraa bi ni:

• Fi ase nkakrankakra: Sɛ wufi ase di nnuan a ɛyɛ den bio wɔ oprehyɛn akyi a, fi ase di nnuan nketenkete a ɛnyɛ den sɛ wobɛyam, ɛnyɛ nnuhwam pii, na srade nnim. Fa nnuan foforo ka w’aduan ho nkakrankakra.
• Nom nsu pii: Eyi ho hia paa. Bɔ mmɔden sɛ anyɛ yiye koraa no wobɛnom nsu lita 2-3 da biara. Nneɛma te sɛ soup a emu da hɔ, akutu, ne nnuaba mu nsu nso ye.
• Siw akisikuru ano: Sɛ ɛte sɛ nea wo nsu mu nsu yɛ nsu dodo a, di nnuan a starch wom te sɛ banana, ɛmo, aburow, ne paanoo pii na aboa ma ayɛ den kakra. To asikre, caffeine, nnuan a srade wom, ne nsa ano hye, efisɛ ebetumi ama akisikuru ayɛ kɛse.
• Nnuan a ɛhyɛ ɔfe ano: Di nnuan a ɛboa ma wosiw ɔfe ano wɔ kotoku no mu. Wɔahu sɛ aduan te sɛ Mediterranea aduan a nneɛma te sɛ ngodua ngo, mpataa, nhabannuru, nnuaba, ne nnuaba ka ho no ye ma eyi yiye.

J-Pouch oprehyɛn yɛ anammɔn kɛse wɔ w’asetra mu. Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka na wunnim ho yiye. Enti, ansa na wubesi gyinae no, yɛ wo nhwehwɛmu na bisa wo duruyɛfo no nsɛm a wuhia nyinaa. Sɛ wusi gyinae sɛ wobɛkɔ saa akwantu yi mu a, w’abusua ne wo nnamfo bɛyɛ ahoɔden fibea kɛse. Ɛdenam wɔn mmoa so no, akyinnye biara nni ho sɛ wubetumi adi asɛnnennen yi so.