J-Pouch Oprehyɛn Ho Ntease: Akwankyerɛ a Ɛnyɛ Den

So wo duruyɛfo aka sɛ ɛsɛ sɛ woyi wo dwonku ne wo akyi berɛmo esiane ayaresa tebea bi nti? Ɛyɛ ade a ɛfata koraa sɛ wobɛte dadwen anaasɛ woayɛ basaa bere a wote eyi no. Ebia worebisa wo ho sɛ, “Mɛyɛ dɛn na me ho atɔ me ? So ɛsɛ sɛ mede kotoku hyɛ me yafunu so daa?” Mesrɛ wo, mma ɛnhaw wo; ano aduru a etu mpɔn wɔ hɔ. Ɛnnɛ, yɛreka ‘J-Pouch’ oprehyɛn ho asɛm, adeyɛ a wɔayɛ sɛ ɛbɛboa wo ma woatra ase sɛnea ɛsɛ a wunhia abɔnten stoma bag.

Wɔ Nsɛmfua a Ɛyɛ Mmerewa Mu: Dɛn ne J-Pouch?

J-Pouch yɛ mu akoraeɛ ketewa bi a wo oprehyɛn ho ɔbenfoɔ de w’ankasa wo dwensɔtwaa ketewa no fã bi na ɛyɛeɛ, titire no n’awieɛ fã a wɔfrɛ no `(ileum)`.

Susuw ho saa kwan yi so: sɛ woyi wo dwensɔtwaa ne wo dwensɔtwaa no wie a, abɔde mu beae biara nni hɔ bio a wode nsu besie ansa na afi wo nipadua mu. J-Pouch no yɛ adwuma sɛ akorae foforo a wɔde nneɛma gu. Sɛ wɔyɛ kotoku no wie a, ɛte sɛ nkyerɛwde ‘J’ no nsusuwii, na ɛno nti na wɔfrɛ no J-Pouch no. Wɔde saa kotoku yi bata wo anal canal no ho tẽẽ, na ɛma wutumi fa nsu mu wɔ ɔkwan a ɛte sɛ nea ɛyɛ abɔde mu de so.

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

Sɛ wotwa proctocolectomy koraa wie a, mpɛn pii no wowɔ akwan abien a wubetumi afa so. Biako yɛ abɔnten bag a ɛtra hɔ daa, a wonim no sɛ `(ileostomy)`. Ɔfoforo no ne J-Pouch no. Nsonsonoe no a yɛbɛte ase no ho hia yiye.

Hena na ɔpɛ sɛ ɔyɛ oprehyɛn yi?

J-Pouch oprehyɛn nyɛ obiara dea. Wo duruyɛfo bɛhwehwɛ nneɛma pii mu ahwɛ sɛ ɛyɛ nea ɛfata ma wo anaa.

• Anal muscle function: Ɛsɛ sɛ ntini ne ntini ahorow a ɛhwɛ dwensɔtwaa so no yɛ adwuma yiye.
• Akwahosan nyinaa:Esiane sɛ eyi yɛ oprehyɛn a wɔyɛ no akwan horow pii nti, ɛsɛ sɛ wowɔ akwahosan tebea a ɛbɛma woatumi agyina oprehyɛn ano. Wo duruyɛfo no nso besusuw ayaresa tebea anaa nnuru biara a ɛwɔ hɔ dedaw ho.

Ɔkwan bɛn so na wɔyɛ oprehyɛn no?

Wɔtaa yɛ oprehyɛn no wɔ akwan abien anaa abiɛsa mu. Bere a ebia ɛbɛyɛ te sɛ nea ɛyɛ den no, yebetumi abubu no ntɛm.

1. Ɔfã a Edi Kan: Anamɔn a edi kan ne `(proctocolectomy)` oprehyɛn, baabi a woyi wo dwonku ne wo akyi berɛmo. Wɔ eyi mu anaasɛ ɛno akyi bere tiaa bi no, wo oprehyɛn ho ɔbenfo no fi ase yɛ J-Pouch no denam dwensɔtwaa ketewa no awiei a ɔbɛbobɔw ayɛ no ‘U’ na ɔde abɔ mu ma ayɛ kotoku no so.

2. Bere tiaa mu Ileostomy : Sɛnea ɛbɛyɛ a J-Pouch foforo no atumi ayɛ yiye no, ɛsɛ sɛ wɔdan nwura fi ho. Enti, asram 2–3 no, wobɛnya bere tiaa mu `(loop ileostomy)` a wɔde bag bi abata wo yafunu ho. Eyi yɛ bere tiaa bi pɛ.

3. J-Pouch no a wɔbɛhwɛ: Asram 2–3 akyi no, wɔyɛ sɔhwɛ titiriw bi a wɔfrɛ no `(pouchogram)` de hwɛ sɛ kotoku no ayɛ yiye na nsuo biara nni mu. Te sɛ barium nhwehwɛmu no, wɔde nsu fa akyi berɛmo no mu ba, na wɔyɛ X-ray .

4. Ɔfã a Etwa To: Sɛ wohu sɛ biribiara yɛ papa wie a, wo duruyɛfo bɛyɛ oprehyɛn ketewaa bi de ato beae a wɔyɛ ileostomy bere tiaa bi no mu. Efi saa bere no, wo stool no bɛfa wo J-Pouch foforo no mu. Saa adeyɛ yi yɛ nea wonim no wɔ aduruyɛ mu sɛ `(ileal pouch-anal anastomosis / IPAA)`.

Dɛn na wubetumi ahwɛ kwan wɔ oprehyɛn akyi?

Sɛ woyɛ oprehyɛn wie a, wo nipadua no behia bere na ama ayɛ nsakrae wɔ ɔkwan foforo a wɔfa so yɛ adwuma yi mu.

• Mpɛn pii no, dwensɔtwaa: Esiane sɛ J-Pouch no sua mfiase no nti, entumi nkura nwura pii. Ebia ɛho behia sɛ wokɔ aguaree mpɛn pii da biara, na ɛtɔ mmere bi nso a anadwo nso. Nanso, bere kɔ so no, kotoku no bɛtrɛw, na eyi bɛtu mpɔn. Nnipa dodow no ara tra ase wɔ adeyɛ a ɛne sɛ wɔbɛtwe wɔn ho 5–10 da biara mu.
• Wo ntini a wobɛsan atete: Ebia w’akyi ntini no ayɛ mmerɛw esiane sɛ woamfa nni dwuma nti. Ebia wo duruyɛfo bɛkamfo apɔw-mu-teɛteɛ a ɛwɔ akyi berɛmo mu, te sɛ `(Kegel apɔw-mu-teɛteɛ )`, na ama woasan adi so.
• Nsu a ɛwɔ nsu mu: Esiane sɛ akyi berɛmo (a ɛtwe nsu fi nsu mu) no nni hɔ bio nti, wo dwensɔtwaa bɛyɛ nsu pii asen kan no.

So nsunsuanso bɔne anaa asiane ahorow bi wɔ hɔ?

Sɛnea ɛte wɔ oprehyɛn biara ho no, asiane ahorow bi wɔ hɔ, ɛwom sɛ mpɛn pii no ɛntaa nsi de.

• Anastomotic leak: Sɛ leak ketewaa bi wɔ baabi a wɔde dwensɔtwaa no boom a, ebetumi ama obi anya ɔyare mmoawa a ɛwɔ nipadua no mu.
• Yafunu mu a ɛbata ho: Ɛtɔ mmere bi a, akuru ntini a ɛwɔ nipadua no mu betumi ayɛ wɔ oprehyɛn akyi, na ebetumi ama dwensɔtwaa no asiw.
• Pouchitis: Eyi yɛ ɔhaw a ɛtaa ba a ɛfa ɔfe anaa ɔyare mmoawa a ɛwɔ J-Pouch ( ɔfe ) no mu ho. Nsɛnkyerɛnne no betumi ayɛ yafunu mu yaw, ntɛmpɛ, anaa mogya a ɛretu. Mpɛn pii no wobetumi de nnuru a ekum ɔyare mmoawa asa no yiye .
• Katee: Beae a wɔyɛɛ oprehyɛn no betumi ayɛ ketewaa esiane akuru ntini nti .

Sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko a, bɔ wo duruyɛfo amanneɛ ntɛm ara.

So wubetumi de J-Pouch abɔ asetra a ɛfata?

Yiw, koraa! J-Pouch oprehyɛn no di yiye kɛse —bɛyɛ 95%. Bere a ebia nsakrae bɛba mfiase no, awiei koraa no wo nipadua no bɛsakra. Wubetumi asan akɔ adwuma, atu kwan, na woateɛteɛ w’apɔw mu. Nea ɛho hia sen biara no, wunya ahofadi a wode bɛtra ase a wunni akyi bag.

So ɛsɛ sɛ wosakra w’aduan?

Yiw, aduan ho hia yiye bere a wo ne J-Pouch te no.

• Fi ase nkakrankakra: Fi ase fa nnuan nketenkete a emu nyɛ den a ɛnyɛ den sɛ wobɛyam bere a woayɛ oprehyɛn akyi.
• Kɔ so nya nsu: Esiane sɛ wohwere nsu pii nti, siw nsu a ɛho ayɛ fĩ ano denam nsu, electrolytes, broths, ne soup pii a wobɛnom so.
• Nsu a ɛyɛ mmerɛw a wobɛhwɛ so: Sɛ wo nsu mu nsu yɛ nsu dodo a, nnuan te sɛ aburow, banana, paanoo fitaa, ne ɛmo betumi aboa ma ayɛ den. To asikre, caffeine, nsa, ne nnuan a srade wom kɛse ano hye, efisɛ eyinom betumi ama akisikuru no ayɛ kɛse.
• Aduan a ɛko tia ɔyare mmoawa: Aduan a ahoɔden wom a mpataa, ngodua ngo, nhabannuru, ne nnuaba pii wom betumi aboa ma asiane a ɛwɔ tebea horow te sɛ `(Pouchetis)` mu no so atew.

Ɔkwan a eye sen biara ne sɛ wo ne wo duruyɛfo anaa aduan ho ɔbenfo a wɔakyerɛw ne din bɛyɛ adwuma de ayɛ aduan ho nhyehyɛe a ɛfata.

J-Pouch oprehyɛn, ileal kotoku, proctocolectomy, ileostomy, dwensɔtwaa oprehyɛn, akyi berɛmo, pouchitis, Ulcerative Colitis