Momma yensua J-Pouch Oprehyɛn ho ade wɔ nsɛm a ɛnyɛ den mu.

So wo duruyɛfo aka akyerɛ wo sɛ ɛsɛ sɛ woyi wo dwensɔtwaa ne wo akyi berɛmo nyinaa esiane ayaresa tebea bi nti? Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen pii nka wɔ bere a ɛte sɛɛ mu. "Mɛyɛ dɛn defecate ? So ɛsɛ sɛ mehyɛ kotoku?" Ebia woresusuw ho. Nanso mma ɛnhaw wo, ano aduru pa wɔ hɔ. Ɛnnɛ yɛreka ‘J-Pouch’ oprehyɛn ho asɛm, a ebetumi aboa wo ma woatra ase sɛnea ɛsɛ a wunni abɔnten kotoku wɔ oprehyɛn a ɛte saa akyi.

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

J-Pouch yɛ kotoku ketewaa bi a oduruyɛfo a ɔyɛ oprehyɛn de w’ankasa wo dwensɔtwaa ketewaa no fã bi yɛ wɔ wo nipadua mu. Sɛ yɛbɛka no pɛpɛɛpɛ a, wɔbɔɔ no fi dwensɔtwaa ketewa no fã a etwa to, ``ileum``.

Fa no sɛ, bere a wɔayi wo dwensɔtwaa kɛse ne wo dwensɔtwaa akyi no, baabiara nni hɔ a wode wo nsu bɛsie bere tiaa bi. Wɔayɛ saa J-Pouch yi sɛnea ɛbɛyɛ a ɛbɛyɛ adwuma sɛ akorae foforo de asi saa akyi berɛmo a ayera no ananmu. Sɛ wɔwie a, wɔfrɛ no J-Pouch ɛfiri sɛ ne nsɛsoɔ te sɛ nkyerɛwdeɛ ‘J’. Wɔde kotoku foforo yi bata wo rectum (anal canal) a aka no ho tẽẽ. Eyi kyerɛ sɛ wubetumi akɔtow wo ho agu sɛnea na ɛte kan no.

Nsonsonoe bɛn na ɛwɔ J-Pouch ne Ileostomy Bag ntam?

Bere a yɛayɛ proctocolectomy koraa akyi no, yɛwɔ akwan atitiriw abien a yebetumi afa so. Baako ne sɛ wobɛnya kotokuo a ɛtra hɔ daa wɔ yafunu mu, a yɛfrɛ no ``ileostomy.'' Ɔfoforo no ne sɛ wobɛnya J-Pouch. Ɛho hia paa sɛ yɛte nsonsonoe a ɛda abien no ntam no ase.

Henanom na wobetumi ayɛ wɔn oprehyɛn yi?

J-Pouch oprehyɛn nyɛ obiara dea. Wo duruyɛfo bɛhwɛ nneɛma pii ahwɛ sɛ wofata yiye anaa.

• Rectal muscle function: Ɛsɛ sɛ ntini ne ntini a ɛwɔ rectum no mu a ehia na ama wɔatumi ahwɛ dwensɔtwaa mu no yɛ adwuma yiye.
• Akwahosan: Esiane sɛ eyi yɛ oprehyɛn a wɔyɛ no akwan horow pii nti, ɛsɛ sɛ wunya akwahosan pa na ama woatumi agyina oprehyɛn no ano. Hu aduruyɛ mu tebea foforo biara anaa nnuru a ebia worenom.

Ɔkwan bɛn so na wɔyɛ oprehyɛn no?

Wɔtaa yɛ oprehyɛn yi wɔ akwan abien anaa abiɛsa mu. Ɛwom sɛ ebia eyi bɛyɛ te sɛ nea ɛyɛ den kakra de, nanso momma yɛmma ɛnyɛ mmerɛw.

1. Stage 1: Nea edi kan no, woyɛ ``proctocolectomy`` oprehyɛn de yi wo dwensɔtwaa kɛse ne wo dwensɔtwaa. Bere koro no ara a wɔyɛ saa oprehyɛn no anaasɛ wɔ oprehyɛn a ɛyɛ soronko mu wɔ ɛno akyi no, wɔbɔ J-Pouch no. Oduruyɛfo no fa wo dwensɔtwaa ketewa no awiei, bobɔw no ma ɛyɛ ‘U’, na ɔde ka bom wɔ mfinimfini ma ɛyɛ kotoku ketewaa bi.

2. Temporary Ileostomy : Wo J-Pouch a woabɔ no foforo no ntumi ntwa nsu mu kosi sɛ ɛbɛsa. Enti, asram kakraa bi bere a ɛresa no, wɔbɛma wo bere tiaa mu ``loop ileostomy''. Eyi kyerɛ sɛ wɔde bag bi abata wo yafunu honam ani. Eyi yɛ bere tiaa bi pɛ, bɛyɛ asram 2-3.

3. J-Pouch Nhwehwɛmu: Asram 2-3 akyi no, wɔyɛ sɔhwɛ titiriw bi de hwɛ sɛ ebia kotoku a wɔabɔ no foforo no ayɛ yiye na sɛ ɛretu wɔ baabiara anaa. Wɔfrɛ eyi ``pouchogram''. Ɛte sɛ barium swallow, a wɔde nsu bi fa akyi berɛmo no mu na wɔyɛ X-ray .

4. Ɔfã a Etwa To: Sɛ biribiara yɛ yiye a, wo duruyɛfo no bɛyɛ oprehyɛn ketewaa foforo de ayi bere tiaa mu ileostomy no na watoto baabi a wɔabue wɔ wo yafunu mu no mu. Efi saa bere no, wo nsukorabea no befi ase afa J-Pouch a wɔayɛ no foforo no mu sɛnea ɛsɛ. Wɔfrɛ saa adeyɛ a ɛma wo dwensɔtwaa san ka bom yi wɔ aduruyɛ mu sɛ ileal pouch-anal anastomosis (IPAA).

Dɛn na wubetumi ahwɛ kwan wɔ oprehyɛn akyi?

Sɛ woyɛ oprehyɛn wie a, ebegye bere kakra ansa na wo nipadua no de nhyehyɛe foforo yi ayɛ ne su.

• Mpɛn pii no, dwensɔtwaa: Mfiase no, J-Pouch no sua, enti entumi mfa nsu pii nsie. Enti ebia ebehia sɛ wokɔ aguaree mpɛn pii da biara, ɛtɔ mmere bi a anadwo mpo. Nanso bere kɔ so no, kotoku no yɛ kɛse, na tebea yi tu mpɔn nkakrankakra. Eyi taa so tew kɔ mpɛn 5-10 da biara.
• Ntini a wɔsan tete no: Ebia ntini a ɛwɔ wo menewam no ayɛ mmerɛw esiane sɛ woamfa anni dwuma bere tiaa bi nti. Ebia ebehia sɛ woyɛ apɔw-mu-teɛteɛ na ama woatumi asan adi wo dwensɔtwaa so. Ebia wo duruyɛfo bɛkamfo apɔw-mu-teɛteɛ te sɛ Kegel apɔw-mu-teɛteɛ akyerɛ wo .
• Nsu a ɛho ayɛ hare: Dwotwaa kɛse no ne ɔfã a ɛtwe nsu a ɛwɔ wo nsu mu no. Seesei a saa fã no ayera no, wo nsu mu nsu bɛyɛ nsu sen kan no.

So nsunsuanso bɔne anaa asiane bi wɔ hɔ?

Te sɛ oprehyɛn biara no, asiane ahorow bi wɔ hɔ, nanso eyinom ntaa nsi.

• Anastomotic leak: Sɛ leak ketewaa bi mpo wɔ baabi a dwensɔtwaa no abɔ a, ɔyare mmoawa betumi aba yafunu no mu.
• Yafunu mu a ɛbata ho: Ɛtɔ mmere bi a, ntini a ɛbata yafunu no mu a wɔmpɛ ba wɔ oprehyɛn akyi, na ebetumi ama dwensɔtwaa no asiw.
• Pouchitis: Eyi ne ɔhaw a ɛtaa ba. Ɛyɛ ɔyare mmoawa anaa ɔfe a ɛwɔ J-Pouch no mu. Nsɛnkyerɛnne no bi ne yafunu mu yaw, dwensɔtwaa a ɔtaa tu, ne ɛtɔ mmere bi a mogya tu. Mpɛn pii no, wobetumi de nnuru a ekum ɔyare mmoawa asa eyi koraa .
• Katee: Ntini a akuru a efi oprehyɛn mu ba no betumi ama ɔkwan a wɔfa so no ayɛ teateaa.

Sɛ wowɔ sɛnkyerɛnne bi a ɛyɛ soronko te sɛ eyi a, ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara.

So wubetumi de J-Pouch abɔ asetra a ɛfata?

Yiw, wubetumi! J-Pouch oprehyɛn no nkonimdi dodow yɛ 95%. Ɛwom sɛ ebia mfiase no wobɛhaw wo ho kakra de, nanso bere kɔ so no wo nipadua no bɛsua. Wubetumi akɔ adwuma, atu kwan, na woateɛteɛ w’apɔw mu sɛnea na woyɛ kan no. Ade a ɛho hia sen biara ne sɛ wubetumi abɔ w’asetra ase wɔ wo ho so, a worenhaw wo ho wɔ abɔnten kotoku bi ho.

So wopɛ sɛ wosakra w’aduan?

Yiw, ɛsɛ sɛ wohwɛ yiye titiriw wɔ w’aduan ho bere a wode J-Pouch te no.

• Sɛ woyɛ oprehyɛn wie a, fi ase:Sɛ woyɛ oprehyɛn wie a, fi ase di nnuan nketenkete a ɛnyɛ den sɛ wobɛyam na ɛnyɛ dɛ.
• Nom nsu pii: Esiane sɛ woyi nsu a ɛboro so fi nipadua no mu nti, ɛho hia sɛ wonom nsu, nsu, akutu, ne soup pii na amma wo ho atɔ wo .
• Sɛnea ɛbɛyɛ a wubedi akisikuru ano: Sɛ wo nsu mu nsu pii a, wubetumi adi so denam nnuan a starch wom te sɛ banana, aburow, paanoo, ne ɛmo a wubedi so. Kwati asikre, caffeine, srade pii, ne nsa efisɛ ebetumi ama akisikuru ayɛ kɛse.
• Nnuan a ɛtew ɔfe so: Sɛ wudi aduan pa te sɛ ngodua ngo, mpataa, nhabannuru, ne nnuaba a, ebetumi aboa ma woasiw tebea horow te sɛ pouchitis ano.

Ɛyɛ papa sɛ wo ne wo duruyɛfo ne aduannuru ho ɔbenfo bɛkasa afa eyi ho na woayɛ aduan ho nhyehyɛe a ɛfata wo.