Mɔ aɖe si dzi woato anɔ agbe nyuie le dɔgbo ɖeɖeɖa vɔ megbe: Srɔ̃ nu tso J-Pouch Amekoko ŋu

Ɣeyiɣi aɖewo li siwo me wòhiãna be woaɖe míaƒe dɔgbo kple dɔgbo bliboa ɖa le atikewɔwɔ ƒe nɔnɔme aɖewo ta. Ne edzɔ alea la, biabia gãtɔ kekeake si le ame geɖe si enye, "Aleke mawɔ aɖu aɖuɖɔ fifia?" Zi geɖe la, esia gbɔ kpɔnue nye be woatsɔ kotoku aɖe ade ƒodoa ƒe ŋutigbalẽ dzi ale be aɖuɖɔ nate ŋu ato eme. Gake egbea la, míele nu ƒom tso amekoko tɔxɛ aɖe si naa egbɔkpɔnu aɖe nɔa ŋutilãa me, si me gotagome kotoku ma tɔgbe mele o, eye wòkpena ɖe amewo ŋu woɖea aɖuɖɔ le mɔ nyuitɔ nu to aɖuɖɔtoe me ŋu. Emae nye J-Pouch ƒe amekoko.

Kpuie ko la, nukae nye J-Pouch sia?

Tsɔe be wowɔ dɔ na wò dɔgbo gã, si nye wò dɔgbo ƒe akpa mamlɛtɔ, afisi aɖuɖɔ nɔa anyi hena ɣeyiɣi aɖe. Ekema teƒe aɖeke manɔ wò ŋutilã me si nàƒo aɖuɖɔ nu ƒu ahadzra ɖo o.

J-Pouch nye kotoku sue aɖe si amekola aɖe wɔna le wò ŋutilã me to wò dɔgbo suea ƒe nuwuwu zazã me . Ne míagblɔe tututu la, woyɔa dɔgbo suea ƒe nuwuwu be ``ileum.'' Eyata wowɔa kotoku sia tso ``ileum'' sia me.

Wowɔa kotoku sia to wò dɔgbo suea ƒe akpa aɖe babla ɖe ŋɔŋlɔdzesi "J" ƒe nɔnɔme me eye wolɔ̃nɛ ɖekae tso eme. Woyɔe be J-Pouch le eƒe nɔnɔme "J" ta. Emegbe wotsɔa kotokua doa ka kple wò akɔta. Fifia, le esi teƒe be nàɖe wò dɔgboa ɖa la, J-Pouch la wɔa dɔ abe ɣeyiɣi kpui aɖe ƒe tsidzraɖoƒe ene be nàƒo aɖuɖɔ nu ƒu ahadzrae ɖo. Eyata èsena le ɖokuiwò me be ehiã be yeaɖe aɖuɖɔ le mɔ si sɔ nu, eye àte ŋu ayi nugododeƒe aɖaɖe aɖuɖɔ.

Vovototo kae le J-Pouch kple Ileostomy dome?

Ame geɖe tɔtɔa ame eve siawo. Mina míana nya ma hã me nakɔ.

• J-Pouch: Esia nye kotoku si wowɔna le ŋutilãa me . Edo ƒome kple aɖuɖɔtoea tẽ, eyata àte ŋu awɔ aɖuɖɔtoe le mɔ si sɔ nu . Naneke mele dzedzem tso gota o, kotoku aɖeke meli o.
• Ileostomy: Esia bia be woatsɔ dɔgbo suea ƒe nuwuwu ava ƒodoa ƒe ŋutigbalẽ ƒe anyime tẽ, eye woawɔ ʋuƒo sue aɖe (stoma) be aɖuɖɔ nato eme. Emegbe woƒoa aɖuɖɔa nu ƒu ɖe gota kotoku aɖe si wotsɔ do ka kple ʋuƒoa me. Ele be woakɔ akploa me ne eyɔ fũ.

Kpuie ko la, ne wò dɔgbo le nɔnɔme nyui me la, J-Pouch ye nye tiatia nyuitɔ kekeake si nàte ŋu azã le gotagome kotoku manɔmee (ileostomy si nɔa anyi ɖaa).

Amekae amekoko sia sɔ na wu?

Ame siwo woɖe total proctocolectomy (amekoko be woaɖe dɔgbo kple dɔgbo bliboa ɖa) koe wokafui be woawɔ dɔ na J-Pouch. Ke hã, menye ame sia ame tɔe wònye o. Nu geɖe li siwo ate ŋu afia nenye be ènye ame nyui si woate ŋu awɔ dɔ sia.

• Aɖuɖɔtoe ƒe lãmekawo kple lãmeka siwo wɔa dɔ nyuie:Esiawo le vevie ŋutɔ na aɖuɖɔtoe dzi ɖuɖu. Wò ɖɔkta alé ŋku ɖe amesiawo ƒe nɔnɔme ŋu.
• Nɔ lãmesẽ nyui me be nàte ŋu anɔ te ɖe amekoko geɖe nu: Zi geɖe la, wowɔa J-Pouch amekoko le akpa eve alo etɔ̃ me, eyata ele be nànɔ lãmesẽ nyui me hafi nàte ŋu anɔ te ɖe enu.
• Atikewɔwɔ ƒe nɔnɔme bubuwo alo atikewo: Ðɔktawo akpɔ egbɔ etɔxɛe hã nenye be dɔléle bubuwo le ŋuwò alo nèle atike aɖewo zãm.

Aleke wowɔa J-Pouch amekokoe?

Esia menye amekoko zi ɖeka ko o. Zi geɖe la , wowɔa esia le akpa eve alo etɔ̃ me . Na míakpɔ nusiwo nye afɔɖeɖe mawo ɖa.

1. Afɔɖeɖe 1: Afɔɖeɖe gbãtɔe nye be nàɖe wò dɔgbo kple dɔgbo si ŋu dɔléle le la ɖa (total proctocolectomy). Woate ŋu awɔ J-Pouch la le amekoko sia me alo le amekoko bubu me emegbe.

2. Akploa wɔwɔ: Amekolaa xɔa wò dɔgbo sue la ƒe ka eve, siwo didi abe sentimeta 6 ene, eye wòblaa wo ɖe afã me be woawɔ "U." Emegbe, woʋua akpa si woxatsa la ƒe eme eye wolɔ̃a eƒe go eveawo ɖekae tsɔ wɔa kotoku.

3. Akploa ƒe kadodo: Woɖea kotoku sia tso ƒodo me va doa ka kple akɔta. Atikewɔwɔ ŋkɔ na kadodo sia enye ``ileal pouch-anal anastomosis`` alo ``(IPAA)``.

4. Ɣeyiɣi kpui aɖe ƒe Ileostomy wɔwɔ: J-Pouch yeye si wowɔ la hiã ɣeyiɣi hafi wòada gbe le eŋu. Eyata, be aɖuɖɔ nagato eme le ɣeyiɣi ma me la, wolãa dɔgbo sue aɖe le J-Pouch la tame tututu eye wowɔa ʋuʋu hena ɣeyiɣi aɖe (`(temporary loop ileostomy)`) ɖe ƒodoa ƒe ŋutigbalẽ ƒe anyime. Eyata, abe ɣleti 2-3 ene la, wò aɖuɖɔ ado go ayi ɣeyiɣi kpui aɖe ƒe akplo sia me. Le ɣeyiɣi sia me la, J-Pouch yeyea ada gbe le eŋu nyuie.

5. Akploa me dzodzro: Le ɣleti 2-3 megbe la, wowɔa dodokpɔ tɔxɛ aɖe be woakpɔe ɖa be kotokua haya nyuie eye do alo do aɖewo le eme hã. Woyɔa esia be ``pouchogram''. Le esia me la, wotsɔa tsi tɔxɛ aɖe yɔa kotokua me to mɔ̃ aɖe si wotsɔ dea aɖuɖɔ me eye woɖea X-ray.

6. Akpa Mamlɛa: Ne kotokua nya haya nyuie eye kuxi aɖeke meli o ko la, wò ɖɔkta awɔ ɖoɖo ɖe wò amekoko mamlɛtɔ ŋu. Esia bia be woaɖe ɣeyiɣi kpui aɖe ƒe ileostomy la ɖa eye nàtu ʋuƒo si le wò ƒodo me. Wò dɔgbo ƒe ʋuʋu wu enu azɔ! Wò aɖuɖɔ adze egɔme ato wò J-Pouch yeye si nèwɔ la me le mɔ si sɔ nu.

Nukae nàte ŋu akpɔ mɔ na le amekoko vɔ megbe?

Le amekoko vɔ megbe la, wò ŋutilã axɔ ɣeyiɣi aɖe hafi atrɔ ɖe ɖoɖo yeye sia ŋu. Esia sɔ, eyata mègatsi dzi ɖe eŋu o.

Le gɔmedzedzea me la, J-Pouch la le sue ŋutɔ. Eyata ate ŋu alé aɖuɖɔ sue aɖe ko. Esia fia be ahiã be nàyi tsileƒe zi geɖe gbesiagbe . Ðewohĩ wu zi 10 gbesiagbe. Ðewohĩ ahiã gɔ̃ hã be nàfɔ zi geɖe le zã me. Gake mègatsi dzi o, le ɣeyiɣi aɖe megbe la, kotokua akeke vivivi eye wòalolo , eye zi nenie wòahiã be nàyi tsileƒe la dzi aɖe akpɔtɔ vivivi. Zi geɖe la, woakpɔ edzi vaseɖe zi 5-10 gbesiagbe.

Azɔ hã, lãmeka siwo le wò dɔgbo me ate ŋu agbɔdzɔ vie elabena womezã wo hafi wowɔ dɔ na wò o. Ahiã be nàgbugbɔ ana hehe wo be woaɖu wò dɔgbo ƒe ʋuʋu dzi. Wò ɖɔkta afia kamededewo, abe Kegel kamededewo ene, be wòakpe ɖe ŋuwò le esia me.

Afɔku kple kuxi kawoe le amekoko sia me?

Abe amekoko ɖesiaɖe ene la, afɔku aɖewo le eme, eye ele vevie be nànya wo.

Ðe nàte ŋu anɔ agbe si sɔ kple J-Pouch?

Ẽ, anya wɔ godoo! Le nyateƒe me la, ame geɖe gblɔna be yewoƒe agbenɔnɔ nyo ɖe edzi ŋutɔ le amekoko sia megbe. Elabena nɔnɔme siwo nɔa anyi didi siwo me wonɔ tsã la megale wo si o, eye megahiã be woalé gotagome kotoku me ɖe asi o.

Gake ele be tɔtrɔ sue ʋɛ aɖewo nazu numame na wò:

• Nugododeƒe yiyi zi geɖe: Ele be nàyi nugododeƒe zi geɖe gbesiagbe wu tsã.
• Aɖuɖɔ ƒe nɔnɔme: Esi dɔgbo gã la megale tsi xɔm o ta la, wò aɖuɖɔ azu tsi wu tsã.
• No tsi geɖe: Esi wònye be tsi geɖe le dodom le wò ŋutilã me ta la, ele vevie be nàno tsi kple tsi geɖe le ŋkekea me katã be tsi nagage ɖe eme o. Nuwo abe detsiƒonu ene gɔ̃ hã ate ŋu ahiã le eƒe gɔmedzedze.

Ðe wòhiã be matrɔ nye nuɖuɖu le amekoko vɔ megbea?

Nuɖuɖu tɔxɛ aɖeke meli na amesi si J-Pouch le o. Gake nuɖuɖu si da sɔ, si naa lãmesẽ ɖuɖu ate ŋu akpe ɖe ame ŋu wòahaya kabakaba eye wòaɖe vevesese dzi akpɔtɔ. Aɖaŋuɖoɖo ʋɛ aɖewoe nye esi:

• Dze egɔme blewu: Ne ègadze nuɖuɖu sesẽwo ɖuɖu gɔme le amekoko vɔ megbe la, dze nuɖuɖu suesuesue siwo ɖuɖu le bɔbɔe, esiwo me nu ʋeʋĩ mele o, eye ami mesɔ gbɔ o ɖuɖu gɔme. Vivivi la, tsɔ nuɖuɖu yeyewo kpe ɖe wò nuɖuɖu ŋu.
• No tsi geɖe: Esia le vevie ŋutɔ. Dze agbagba nàno tsi lita 2-3 ya teti gbesiagbe. Nuwo abe mɔli siwo me kɔ, mɔli, kple atikutsetse me tsiwo hã nyo.
• Kpɔ aɖuɖɔtoe dzi: Ne edze abe wò aɖuɖɔ me tsi akpa ene la, ɖu nuɖuɖu siwo me starch le wu abe akɔɖu, mɔli, bli, kple abolo ene be wòakpe ɖe ŋuwò nàƒo vie. Ðe sukli, caffeine, nuɖuɖu siwo me ami le, kple aha sesẽ dzi kpɔtɔ, elabena woate ŋu ana aɖuɖɔtoedɔ nasẽ ɖe edzi.
• Nuɖuɖu siwo ɖua dɔdzẽ dzi: Ƒo nuɖuɖu siwo kpena ɖe ame ŋu be dɔdzẽ nagadzɔ le kotokua me o. Wokpɔe be nuɖuɖu abe Mediterraneatɔwo ƒe nuɖuɖu ene, si me nuwo abe amititsetse ƒe ami, tɔmelã, amagbewo, atikutsetsewo, kple nukuwo ene le la nyo na esia ŋutɔ.

J-Pouch amekoko nye afɔɖeɖe gã aɖe le wò agbe me. Enye nusi sɔ be nàse le ɖokuiwò me be vɔvɔ̃ le ye ŋu eye kakaɖedzi mele eŋu o. Eyata hafi nàtso nya me la, wɔ wò numekuku eye nàbia nya siwo katã nèhiã la wò ɖɔkta. Ne ètso nya me be yeayi mɔzɔzɔ sia dzi la, wò ƒometɔwo kple xɔlɔ̃wo anye ŋusẽtsoƒe gã aɖe. To woƒe kpekpeɖeŋu me la, àte ŋu aɖu kuxi sia dzi godoo.