Mina míasrɔ̃ nu tso J-Pouch Amekoko ŋu le nya bɔbɔewo me.

Ðe wò ɖɔkta gblɔ na wò be ehiã be woaɖe wò dɔgbo kple dɔgbo bliboa le atikewɔwɔ ƒe nɔnɔme aɖe ta? Enye nusi sɔ be nàse vɔvɔ̃ kple dzimaɖitsitsi geɖe le ɣeyiɣi sia tɔgbe me. "Aleke mawɔ aɖu aɖuɖɔ ? Ðe wòahiã be mado kotokua?" Ðewohĩ èle eŋu bum. Gake mègatsi dzi o, egbɔkpɔnu nyui aɖe li. Egbea míele nu ƒom tso ‘J-Pouch’ amekoko ŋu, si ate ŋu akpe ɖe ŋuwò nànɔ agbe si sɔ gotagome kotoku manɔmee le amekoko ma tɔgbe megbe.

Kpuie ko la, nukae nye J-Pouch sia?

J-Pouch nye kotoku sue aɖe si amekola aɖe wɔa le wò ŋutilã me to wò ŋutɔ wò dɔgbo sue ƒe akpa aɖe zazã me. Ne míagblɔe tututu la, wowɔe tso dɔgbo suea ƒe akpa mamlɛtɔ, si nye ``ileum`` me.

Bu eŋu kpɔ, ne woɖe wò dɔgbo gã kple dɔgbo ɖa vɔ la, teƒe aɖeke megali nàdzra wò aɖuɖɔ ɖo hena ɣeyiɣi aɖe o. Wowɔ J-Pouch sia be wòawɔ dɔ abe tsidzraɖoƒe yeye ene ɖe aɖuɖɔtoe ma si bu la teƒe. Ne wowu enu la, woyɔnɛ be J-Pouch elabena eƒe nɔnɔme ɖi ŋɔŋlɔdzesi ‘J’. Wotsɔa kotoku yeye sia doa ka kple wò dɔgbo ƒe akpa mamlɛa (anal canal) tẽ. Esia fia be àte ŋu aɖe aɖuɖɔ abe alesi wònɔ tsã ene.

Vovototo kae le J-Pouch kple Ileostomy Bag dome?

Le proctocolectomy bliboa megbe la, tiatia vevi eve le mía si. Ðekae nye be kotoku si nɔa anyi ɖaa nanɔ ƒodo me, si míeyɔna be ``ileostomy.'' Bubue nye be J-Pouch nanɔ esi. Ele vevie ŋutɔ be míase vovototo si le wo ame evea dome gɔme.

Amekae ate ŋu awɔ dɔ sia?

J-Pouch amekoko menye amesiame tɔ o. Wò ɖɔkta alé ŋku ɖe nu geɖe ŋu akpɔe ɖa be èsɔ nyuie na esia hã.

• Aɖuɖɔtoe ƒe lãmekawo ƒe dɔwɔwɔ: Ele be lãmeka kple lãmeka siwo le dɔgboa me siwo hiã be woatsɔ akpɔ dɔgbo ƒe ʋuʋu dzi la nanɔ dɔ wɔm nyuie.
• Lãmesẽ: Esi wònye be esia nye amekoko si me wowɔa nu geɖe le ta la, ele be nànɔ lãmesẽ me hafi nàte ŋu ado dzi le amekokoa me. Nya nu tso atikewɔwɔ ƒe nɔnɔme bubu ɖesiaɖe alo atike siwo nàte ŋu anɔ nom ŋu.

Aleke wowɔa amekokoae?

Zi geɖe la, wowɔa amekoko sia le akpa eve alo etɔ̃ me. Togbɔ be esia adze nu sesẽ vie hã la, mina míana wòanɔ bɔbɔe.

1. Afɔɖeɖe 1: Gbã la, wowɔ dɔ na wò ``proctocolectomy`` be woaɖe wò dɔgbo gã kple dɔgbo. Le ɣeyiɣi ma ke me kple amekoko ma alo le amekoko bubu me le ema megbe la, wowɔa J-Pouch la. Ðɔktaa tsɔa wò dɔgbo suea ƒe nuwuwu, ƒoa wo nu ƒu wòzua ‘U’ ƒe nɔnɔme, eye wòƒonɛ nu ƒu ɖe titina tsɔ wɔa kotoku sue aɖe.

2. Ɣeyiɣi kpui aɖe ƒe Ileostomy : Wò J-Pouch yeye si nèwɔ la mate ŋu ato aɖuɖɔ me o vaseɖe esime wòhaya. Eyata, hena ɣleti ʋee aɖewo esime wòle dɔ dam la, woana ɣeyiɣi kpui aɖe ƒe ``loop ileostomy'' wò. Esia fia be akplo aɖe le wò ƒodo ƒe ŋutigbalẽ ŋu. Esia nyea ɣeyiɣi kpui aɖe ko, abe ɣleti 2-3 ene.

3. J-Pouch Dodokpɔ: Le ɣleti 2-3 megbe la, wowɔa dodokpɔ tɔxɛ aɖe be woakpɔe ɖa be kotoku yeye si wowɔ la haya nyuie eye ne ele dodom le afi aɖe hã. Woyɔa esia be ``pouchogram''. Eɖi barium mimi, si me wotsɔa tsi dea aɖuɖɔtoe me eye woɖea X-ray .

4. Akpa Mamlɛa: Ne nusianu nya le ɖoɖo nu ko la, wò ɖɔkta awɔ dɔ sue bubu aɖe atsɔ aɖe ɣeyiɣi kpui aɖe ƒe ileostomy la ɖa eye wòatu ʋuƒo si le wò dɔgbo me. Tso ɣemaɣi la, wò aɖuɖɔ adze egɔme ato J-Pouch yeye si wowɔ la me le mɔ si sɔ nu. Woyɔa wò dɔgbowo ƒe gbugbɔgaɖoanyi ƒe ɖoɖo sia le atikewɔwɔ me be ileal pouch-anal anastomosis (IPAA).

Nukae nàte ŋu akpɔ mɔ na le amekoko vɔ megbe?

Le amekoko megbe la, axɔ ɣeyiɣi aɖe hafi wò ŋutilã nazu numame na ɖoɖo yeye sia.

• Aɖuɖɔtoe enuenu: Le gɔmedzedzea me la, J-Pouch la le sue, eyata mate ŋu adzra aɖuɖɔ geɖe ɖo o. Eyata ɖewohĩ ahiã be nàyi tsileƒe zi geɖe gbesiagbe, ɣeaɖewoɣi le zã me gɔ̃ hã. Gake le ɣeyiɣi aɖe megbe la, kotokua va lolona, ​​eye nɔnɔme sia va nyona ɖe edzi vivivi. Zi geɖe la, esia dzi ɖena kpɔtɔna va ɖoa zi 5-10 dome gbesiagbe.
• Lãmetsiwo gbugbɔgahe: Ðewohĩ lãmeka siwo le wò dɔgbo me la gbɔdzɔ le esi mèzã wo hena ɣeyiɣi aɖe o ta. Ðewohĩ ahiã be nàwɔ kamededewo be nàgakpɔ ŋusẽ ɖe wò dɔgbowo dzi ake. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ kamedede abe Kegel kamedede ene .
• Aɖuɖɔ si me mekɔ o: Dɔgbo gã lae nye akpa si xɔa tsi si le wò aɖuɖɔ me. Fifia si akpa ma megali o la, wò aɖuɖɔ me tsi wu tsã.

Ðe eƒe nugbegblẽ le ame ŋu alo afɔku aɖewo lia?

Abe amekoko ɖesiaɖe ene la, afɔku aɖewo li, gake esiawo medzɔna zi geɖe o.

• Anastomotic leak: Ne tsi sue aɖe gɔ̃ hã le teƒe si dɔgboa do ƒome le la, dɔlékui ate ŋu adze ƒodoa me.
• Ƒodo ƒe ƒoƒo: Ɣeaɖewoɣi la, lãmeka siwo melɔ̃ o la va nɔa ƒodoa me le amekoko vɔ megbe, si ate ŋu ana dɔgboa naxe.
• Pouchitis: Esiae nye kuxi si bɔ wu. Enye dɔlékui alo dɔdzẽ si le J-Pouch me. Dzesiawo dometɔ aɖewoe nye ƒodo ƒe veve, aɖuɖɔtoe enuenu, kple ʋu si dona ɣeaɖewoɣi. Zi geɖe la, woate ŋu atsɔ dɔlékuiwutikewo ada esia keŋkeŋ .
• Sesẽme: Abi ƒe lãkusi si tso amekoko me ate ŋu ana mɔ si dzi woato la naxe.

Ne dzesi aɖewo siwo mebɔ o abe esia ene le ŋuwò la, ele be nàna wò ɖɔkta nanya enumake.

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

Ẽ, àte ŋui! J-Pouch amekoko ƒe dzidzedzekpɔkpɔ sɔ gbɔ abe 95% ene. Togbɔ be vevesese aɖe ate ŋu anɔ anyi le gɔmedzedzea me hã la, le ɣeyiɣi aɖe megbe la, wò ŋutilã ava zu numame na wò. Àte ŋu ayi dɔme, azɔ mɔ, ahade kame abe tsã ene. Nu vevitɔ kekeakee nye be àte ŋu anɔ agbe le ŋusẽ me, eye màtsi dzi ɖe gotagome kotoku ŋu o.

Ðe nèdi be yeatrɔ yeƒe nuɖuɖua?

Ẽ, ele be nàɖɔ ŋu ɖo le wò nuɖuɖu ŋu vevietɔ ne èle agbe kple J-Pouch.

• Le amekoko vɔ megbe la, dze egɔme:Le amekoko vɔ megbe la, dze nuɖuɖu suesuesue siwo ɖuɖu le bɔbɔe, siwo me mekɔ o ɖuɖu gɔme.
• No tsi geɖe: Esi wònye be tsi si sɔ gbɔ la dona le ŋutilãa me ta la, ele vevie be nàno tsi, detsiƒonu, mɔli, kple mɔli geɖe be tsi nagage ɖe lãme na wò o .
• Be nàɖu aɖuɖɔtoedɔ dzi: Ne wò aɖuɖɔ me tsi akpa la, àte ŋu aɖu edzi ne èɖu nuɖuɖu siwo me starch le abe akɔɖu, bli, abolo, kple mɔli ene. Ƒo asa na sukli, caffeine, ami gbogbo, kple aha sesẽ elabena woate ŋu ana aɖuɖɔtoe nadzi ɖe edzi.
• Nuɖuɖu siwo ɖea dɔdzẽ dzi kpɔtɔna: Nuɖuɖu si naa lãmesẽ abe amititsetse ƒe ami, tɔmelã, amagbewo, kple atikutsetsewo ene zazã ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe nɔnɔmewo abe pouchitis ene nu.

Anyo wu be nàƒo nu tso esia ŋu kple wò ɖɔkta kple nuɖuɖuŋutinunyala eye nàwɔ nuɖuɖu ŋuti ɖoɖo si asɔ na wò.