Ðe wowɔ dɔ na wò ‘ileal pouch’ kpɔa, alo ɖewohĩ ènya ame aɖe si wɔe? Le ame aɖewo gome la, dɔ sia ate ŋu ahe dɔléle aɖe si woyɔna be ‘Pouchetis’ vɛ. Togbɔ be ate ŋu aɖe fu na ame ŋutɔ hã la, mehiã be nàtsi dzodzodzoe o. Le Nirogi Lanka la, míedi be míakpe ɖe ŋuwò nàse nɔnɔme sia gɔme le nya bɔbɔe siwo me kɔ me.
Nuka tututue nye Pouchetis?
Kpuie ko la, Pouchetis nye dɔdzẽ si le wò ileal pouch me. Be míase esia gɔme la, mina míalé ŋku ɖe nusi ileal pouch nye ŋu. Le dɔnɔ aɖewo gome la, dɔgbo ƒe nɔnɔme sesẽwo bia be woaɖe dɔgboa kple dɔgbo bliboa ɖa, si nye dɔdamɔnu si woyɔna be ‘total proctocolectomy.’ Le amekoko sia megbe la, ŋutilãa hiã mɔnu yeye aɖe si dzi wòato adzra gbeɖuɖɔwo ɖo ahaɖe wo ɖa. Afi mae ‘ileal kotoku’ la gena ɖo.
Amekolawo zãa wò dɔgbo suea ƒe nuwuwu, si nye ‘ileum’ tsɔ wɔa kotoku sia—si nye tsidzraɖoƒe sue aɖe si le eme koŋ. Esrɔ̃a wò dɔgbo kple dɔgbo gbãtɔ ƒe dɔwɔwɔ to gbeɖuɖɔwo léle ɖe asi vaseɖe esime nèle klalo be yeato wo me. Emegbe wotsɔa kotokua doa ka kple wò akɔta, zi geɖe la, eƒe nɔnɔme nɔa abe ‘J’ alo ‘S’ kotoku ene, alo le go aɖewo me la, wotsɔa doa ka kple amekoko ƒe ʋuƒo aɖe si le ƒodo me si woyɔna be ‘stoma’ (K-kotoku). Le nyateƒe me la, wò dɔgbo suea ƒe akpa aɖe le wò dɔgbo ƒe dɔ wɔm fifia.
Pouchitis sɔ kple ‘colitis’ (dɔgbo ƒe dɔdzẽ) alo ‘proctitis’ (dɔgbo ƒe dɔdzẽ), gake edzɔna le amesiwo si ileal pouch le koŋ me. Dzesiawo ɖi wo nɔewo kura, siwo dometɔ aɖewoe nye ƒodo ƒe ʋuʋu kple nugododeƒe zazã ƒe didi zi ɖeka enuenu. Ame akpa gãtɔ xɔa ‘akɔtadɔ sesẽ,’ si nye ɣeyiɣi kpui aɖe ƒe dɔdzẽ si nu yina. Gake le ame bubuwo gome la, ate ŋu ava zu dɔléle si nɔa anyi ɖaa alo si gbugbɔna dzɔna si woyɔna be ‘akɔtadɔléle si nɔa anyi didi.’
Aleke gbegbee Pouchetis bɔe?
Wobu akɔnta be ame ɖekaɖeka siwo wowɔ dɔ na le ileal pouch me la dometɔ 25% va ɖo 45% akpɔ Pouchetis le woƒe agbemeɣeyiɣi aɖe me. Dɔnɔ siwo ade 40% ate ŋu axɔe le ƒe gbãtɔ me, eye 10% va ɖo 20% akpɔ dɔlélea gbugbɔgadzɔ.
Nukae nye Pouchetis ƒe dzesiwo?
Ne Pouchetis , le ŋuwò la, àte ŋu ade dzesi dzesi siwo gbɔna:
- Ƒodo ƒe vevesese kple ƒodo ƒe ʋuʋu.
- Ehiã kpata be woazã nugododeƒea enuenu.
- Nyɔnyrɔ le zã me be woato aɖuɖɔ me.
- Aɖuɖɔtoe dzi ɖuɖu sesẽ (aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie) alo tsi si le dodom vie.
- Aɖuɖɔtoe me toto alo eƒe ʋuʋu sesẽ (dyschezia).
- Seselelãme si nye be yewomeɖe ye le teƒea bliboe o alo didi be yeayi atraɖii (tenesmus).
- Ʋu le wò aɖuɖɔ me.
- Asrã alo vuvɔ.
Nukae hea Pouchetis vɛ?
Atikeŋutinunyalawo xɔe se be tɔtrɔ siwo vaa dɔgboa me dɔlékui siwo le wò kotokua me ƒe dadasɔ me koŋ gbɔe Pouchitis tsona. Esi wònye be wò dɔgbo suea ƒe akpa aɖe le dɔ wɔm abe dɔgbo ene fifia ta la, dɔlékui ƒomevi vovovowo doa goe. Dɔlékui yeye siawo ate ŋu aʋli ho kple esiwo li xoxo, si ana wò dɔlélenutsiŋutete nahe dɔlékui ƒe dɔwɔwɔ vɛ, eye nàbu vodadatɔe be tɔtrɔa nye dɔlékui aɖe.
Le go aɖewo me la, dɔlékui ŋutɔŋutɔ ate ŋu adze ame dzi. Dɔlékui aɖewo siwo hea dɔlékui vɛ siwo nɔa dɔgboa me zi geɖe le agbɔsɔsɔ sue aɖe si dzi wokpɔna me ate ŋu adze tsitsi gɔme akpa ne wogblẽ dadasɔ si me kɔ nyuie la me le amekoko megbe. Esia wɔnɛ be dɔlékui ‘vɔ̃ɖiawo’ tsina nyuie, si wɔnɛ be woxɔa dɔdzẽ.
Wobua pouchitis si dzea egɔme kaba, si dzɔna le amekoko vɔ megbe kpuie, be enye dɔlékuiwutikewo ƒe nugbegblẽ le ame ŋu si bɔ eye zi geɖe la, ewɔa nu nyuie ne exɔ dɔlékuiwutikewo. Ke hã, ate ŋu atrɔ ava. Ne eyi edzi le dzɔdzɔm ake la, zi geɖe la, esi dɔlékui aɖewo gakpɔtɔ le dzidzim ɖe edzi tae. Togbɔ be ame geɖe te ŋu kpɔa ‘pouchitis sesẽ’ gbɔ dzidzedzetɔe to dɔlékuiwutikewo zazã kpuie me hã la, nɔnɔmea va sesẽna ɖe edzi ne edzɔ zi geɖe le ƒea me. Dɔnɔ aɖewo va nɔa te ɖe dɔlékuiwutikewo dzi, si nye dɔléle si woyɔna be ‘Chronic Antibiotic-Dependent Pouchetis’ (CADP). Ame bubuwo ate ŋu akpɔe be dɔlékuiwutikewo dzudzɔa dɔwɔwɔ, si woyɔna be ‘Chronic Antibiotic-Resistant Pouchitis’ (CARP).
Nusiwo nana be Dɔlékuiwutike Siwo Mexɔa Dɔlékuiwutikewo O (CARP) ƒe dɔléle si nɔa anyi didi (CARP):
Nu geɖe ate ŋu awɔ akpa aɖe le ‘CARP’ ƒe dzɔdzɔ me. Esiawo dometɔ aɖewoe nye:
- Inflammatory Bowel Disease ( IBD ): Ne woɖe proctocolectomy na wò be woatsɔ ada nɔnɔmewo abe Ulcerative Colitis alo Crohn ƒe dɔléle ene la, ke àte ŋu axɔ pouchitis. Zi geɖe la, nusiwo na nèle nɔnɔme gbãtɔ me ate ŋu akpɔ ŋusẽ ɖe wò kotokua ƒe lãmesẽ dzi.
- Dɔlékui siwo te ŋu nɔa te ɖe dɔlékuiwutikewo nu : Dɔlékui aɖewo ƒe dɔléle , abe esiwo tso ‘C. difficile,’ te ŋu nɔa te ɖe dɔlékuiwutike siwo wozãna ɖaa nu. Dɔlékuiwutikewo zazã ɣeyiɣi didi ate ŋu ana dɔlékui siwo zi geɖe megblẽa nu le ame ŋu o natrɔ asi le dɔlékuiwo ƒe dɔlélenutsiŋutete ŋu, si agblẽ dɔlékuiwo ƒe dadasɔ si me kɔ nyuie le wò kotokua me la me.
- Dɔlékui bubuwo: Ɣeaɖewoɣi la, dɔlékuiwo abe Cytomegalovirus alo fungi dɔlékuiwo abe Candidiasis ene ate ŋu ahe abi si le wò kotoku me vɛ.
- Dɔlélenutsiŋutete ƒe dɔmawɔmawɔ nyuie: Ne wò dɔlélenutsiŋutete gbɔdzɔ le nɔnɔme siwo nɔ asiwò do ŋgɔ alo atike aɖewo ta la, wò ŋutilã ƒe dzɔdzɔmeŋusẽ si te ŋu nɔa te ɖe dɔlékuiwo nu ate ŋu agblẽ.
- NSAID zazã ɣeyiɣi didi: Atike siwo me steroid mele o (NSAID) abe Aspirin alo Ibuprofen ene zazã enuenu alo wògbɔ eme ate ŋu agblẽ nu le wò nuɖuɖumeŋusẽ ƒe ametakpɔnu ŋu, si me wò kotoku ƒe nutsyɔnu hã le.
- Ischemia (Ʋu ƒe sisi dzi ɖeɖe kpɔtɔ): Togbɔ be mebɔ o hã la, abi ate ŋu adzɔ ne ʋu ƒe sisi yi teƒe aɖe koŋ dzi ɖe kpɔtɔ, eye zi geɖe la, ʋuka siwo me ʋu sina tona le nuto ma me xe mɔ nɛ ta.
- Primary Sclerosing Cholangitis (PSC): Esia nye dɔléle si tsoa dɔlélenutsiŋutete gbɔ si me wò dɔlélenutsiŋutete dzea wò ŋutɔ wò lãmenugbagbevi siwo le lãmesẽ me dzi, si wɔnɛ be ʋumenugbagbevi dzĩwo xɔa abi atraɖii. Abe IBD ene la, nugbagbevi siwo nana dɔdzẽ sia nɔa ame ŋu atraɖii hã ate ŋu akpɔ ŋusẽ ɖe wò kotoku dzi, si ana wò kotoku me dɔdzẽ ƒe afɔku nadzi ɖe edzi.
Nukawoe nye kuxi siwo ate ŋu ado tso pouchitis me?
Ƒã hafi pouchitis sesẽ hea kuxi gãwo vɛ. Gake pouchitis si nɔa anyi ɖaa alo esi womate ŋu ada o ate ŋu ahe kuxiwo vɛ. Nya siwo ate ŋu ado mo ɖa dometɔ aɖewoe nye:
- Tɔtrɔ siwo va le dɔgbo ƒe nɔnɔmewo me: Dzoxɔxɔ le kotokua me ate ŋu ana wòasesẽ be nàɖu dɔgbo ƒe ʋuʋu dzi, evɔ vuvu ate ŋu ana wòasesẽ be nàkɔ wò dɔgbo me nyuie, si akpɔ ŋusẽ ɖe wò gbesiagbedɔwo dzi.
- Agbenɔnɔ ƒe nyonyome dzi ɖeɖe kpɔtɔ: Agbenɔnɔ kple dɔgbo ƒe kuxi siwo nɔa anyi didi ate ŋu agblẽ nu le ŋuwò le ŋutilã kple seselelãme gome, eye zi geɖe la, ado kplamatse wò hadomegbenɔnɔ kple wò nyonyo bliboa.
- Akplo ƒe sesẽme:Dzoxɔxɔ atraɖii ate ŋu ana abi nadze ame dzi, si ate ŋu ana kotokua ƒe dodo natsi. Esia ate ŋu agblẽ nu le ʋu ƒe sisi yi teƒea hã ŋu, si axe mɔ na dzɔdzɔme dɔyɔyɔ.
- Aŋɔa ƒe ʋuʋu: Dzoxɔxɔ si nɔa anyi didi ate ŋu agblẽ kotokua ƒe akpa si le eme, si ate ŋu ana abi nadze ame dzi si ate ŋu ado ʋu. Dɔlékui siwo hea dɔlékuiwo ate ŋu agblẽ nu le dɔgboa ƒe gli ŋu geɖe wu.
- Nuɖuɖumakpɔmakpɔ kple nunyuimakpɔɖui: Ne kotokua ƒe akpa si le eme gblẽ la, ŋutete si le wò ŋutilã ŋu be wòaxɔ nunyiame siwo le nuɖuɖu me dzi ɖena kpɔtɔna, si ate ŋu ana nunyuimakpɔɖu nasu asiwò.
- Akploa ƒe gbagbã: Le nɔnɔme sesẽ siwo nɔa anyi ɖaa siwo me atikewɔwɔ mewɔa dɔ o me la, ɖewohĩ kotokua magate ŋu awɔ dɔ o. Esia ate ŋu abia be woawɔ dɔ bubu atsɔ aɖe kotokua ɖa eye woatrɔ dɔgboa to ileostomy dzi.
Aleke wowɔa dea dzesi pouchitis?
Wodzea dɔlélea didi gɔme kple wò dzesiwo kple atikewɔwɔ ŋutinya me dzodzro tsitotsito. Anɔ eme be wò ɖɔkta atsɔ endoscope —si nye mɔ̃ tsɛ aɖe si te ŋu trɔna bɔbɔe si me fotoɖemɔ̃ sue aɖe le — atsɔ alé ŋku ɖe wò kotokua ƒe eme ŋu. Esia wɔnɛ be wote ŋu dea dzesi dɔdzẽ alo nu ɖesiaɖe si mesɔ o. Le dɔ sia wɔwɔ me la, woate ŋu awɔ biopsy hã (afɔ lãkusi sue aɖe) atsɔ anya nusi gbɔ wò dzesiawo tso.
Wò ɖɔkta ate ŋu azã nɔnɔmetatawo dodokpɔ hã atsɔ akpɔ kotokua kple nuto siwo ƒo xlãe ƒe gotagome wɔwɔme, si kpena ɖe ame ŋu wòɖea nɔnɔme bubu siwo nɔa anyi ɖekae la ɖa.
Dodokpɔ bubu siwo woawɔ atsɔ anya dɔlélea ate ŋu anye:
- Contrast pouchography (pouchogram): X-ray tɔxɛ aɖe si me wozãa tsi si me woɖea vovototo le tsɔ ɖea kotokua ƒe nɔnɔme fiana nyuie, abe barium enema ene, gake na ileal kotoku koŋ.
- CT-dɔdamɔnu.
- MRI-dɔdamɔnu ƒe fotoɖeɖe.
Aleke wodaa pouchitis?
Atike gbãtɔ si wozãna na aklãdɔléle sesẽe nye dɔlékuiwutikewo zazã kwasiɖa eve , si kpɔa dzesiwo gbɔ dzidzedzetɔe na dɔnɔ akpa gãtɔ. Ne wò nɔnɔmea meva nyo ɖe edzi o la, wò ɖɔkta ate ŋu atrɔ asi le wò atikewo ŋu, atsɔ dɔlékuiwutike vovovowo aƒo ƒui, alo adidi ɣeyiɣi si woatsɔ ada dɔa ɖe edzi. Ne dzesiawo gakpɔtɔ li wu kwasiɖa ene la, woate ŋu akpɔe be pouchitis si me dɔlékuiwutikewo te ŋu nɔa te ɖo le ŋuwò, si ahiã be nàgawɔ numekuku bubuwo le dɔlélewo didi me be nànya mɔ nyuitɔ si dzi nàto ayi ŋgɔ.
Ke pouchitis si gbugbɔna ya ɖe?
Ne èhaya tso pouchitis sesẽ me gake dzesiawo gadze la, anɔ eme be wò ɖɔkta agagbugbɔ atike si wowɔ le gɔmedzedzea me awɔ dɔ nyuie. Zi alesi atikewɔwɔa wɔa dɔ eye dzobibi mebɔ o ko la, mɔnu sia gakpɔtɔ nye dzidzenu. Gake ne èkpɔa dɔléle si wu etɔ̃ le ƒea me la, wobua eŋu be enye ‘aɖuɖɔtoedɔ si nɔa te ɖe dɔlékuiwutikewo dzi atraɖii,’ eye wò ɖɔkta aʋu ayi atikewɔwɔ si woatsɔ alé be nɛ ɣeyiɣi didi dzi be wòaxe mɔ ɖe eƒe dɔléle bubu nu.
Dɔdamɔnu siwo wozãna tsɔ léa be na wo ate ŋu anye:
- Dɔlékuiwutikewo: Dɔlékuiwutike siwo ƒe agbɔsɔsɔme mede o zazã ɣeyiɣi didi ate ŋu akpe ɖe kotokua ŋu wòanɔ lãmesẽ me eye wòaxe mɔ ɖe eƒe gbugbɔgadzɔ nu.
- Probiotics: Esiawo nye kpeɖeŋutɔ siwo me dɔlékui nyuiwo le siwo kpena ɖe ŋuwò be wò kotokua me nada asɔ nyuie eye wòawɔ avu kple dɔlékui siwo hea dɔlékuiwo.
Nukawoe nye atike siwo wozãna na pouchitis (CARP) si nɔa anyi didi, si me dɔlékuiwutikewo mete ŋu nɔa te ɖo o?
Ne wò kotoku me dɔlékuiwutikewo mewɔ dɔ kpɔ o, alo ne ewɔ nu ɖe dɔlékuiwutikewo ŋu tsã gake megawɔa dɔ o la, ɖɔktawo yɔa esia be Chronic Antibiotic-Resistant Pouchitis (CARP) . Le nɔnɔme mawo me la, wò ɖɔkta aku nu me gbã tso nusiwo gbɔ wòte ŋu to ŋu, abe dɔlékui evelia, dɔlélenutsiŋutete ƒe dɔléle, alo kotokua ƒe wɔwɔme ƒe kuxi aɖe ene. Ne womede dzesi nusi gbɔ wòtso si me kɔ o la, woakpɔ pouchitis si nɔa anyi didi gbɔ abe alesi míedaa Dɔgbo ƒe Dɔléle (IBD) ene.
Atikewɔwɔmɔnu aɖewo siwo woate ŋu azã dometɔ aɖewoe nye:
- Mesalamine ƒe lãgbalẽgolowo:Mesalamine, alo 5-aminosalicylic acid (5-ASA) nye atike gbãtɔ si wozãna na dɔdzẽ si me abi le. Enɔa enema ƒe nɔnɔme me, si nàte ŋu atsɔ ade wò kotoku me tẽ.
- Bismuth enemas: Bismuth subsalicylate, si nye nusi wɔa dɔ le Pepto-Bismol® me, li abe foam enema (bismuth carbomer) ene, si ate ŋu akpe ɖe ŋuwò nàɖe wò dzesiwo dzi akpɔtɔ.
- Corticosteroids: Esiawo nye atike siwo wozãna tsɔ daa dɔdzẽ si nɔa anyi didi.
- Dɔlélenutsiŋutete ƒe dɔlékuiwutikewo: Atike siawo nana wò dɔlélenutsiŋutete ƒe dɔwɔwɔ dzi ɖena kpɔtɔna, si ɖɔktawo ŋlɔna na wò ne wò dɔlélenutsiŋutete le dɔdzẽ si nɔa anyi didi hem vɛ.
- Monoclonal antibodies (Biologics): Esiawo nye protein siwo amegbetɔ wɔ siwo wɔa dɔ abe wò ŋutilã ƒe dzɔdzɔme dɔlékuiwutikewo ene, si doa ŋusẽ wò dɔlélenutsiŋutete ƒe dɔwɔwɔ ɖe dɔdzẽ ŋu.
- Molekyul suewo: Esiawo nye atike yeye siwo wowɔ, siwo wɔa dɔ abe dɔlékuiwutike siwo nye monoclonal antibodies ene.
- Fecal Microbiota Transplant (FMT): Togbɔ be United States ƒe FDA da asi ɖe edzi be woatsɔ ada C. diff dɔlékui siwo te ŋu nɔa te ɖe dɔlékuiwutikewo nu hã la, wozãnɛ ɣeaɖewoɣi le mɔ si womeŋlɔ o nu na pouchitis si te ŋu nɔa te ɖe dɔlékuiwutikewo nu be wòakpe ɖe eŋu wòagbugbɔ dɔgboa me nugbagbevi suesuesue siwo le lãmesẽ me aɖo anyi.
Ɣeyiɣi didi kae wòxɔna hafi pouchitis hayana?
Zi geɖe la, aklãdɔléle sesẽ ƒe dzesiwo dzea egɔme nu yina le ŋkeke ʋɛ aɖewo megbe tso esime wodze dɔlékuiwutikewo zazã gɔme. Gake ne wò lãme sẽ hã la, ele vevie ŋutɔ be nàwu dɔlékuiwutikewo zazã kwasiɖa eve bliboa nu.
Ele be nàkplɔ wò ɖɔkta ɖo ne èwu atikewɔwɔa nu. Ðewohĩ ahiã be woawɔ wò kotokua ƒe dodokpɔ to dɔgboa me be woakpɔ egbɔ be dɔdzẽa nu tso keŋkeŋ.
Ðe woate ŋu axe mɔ ɖe pouchitis nua?
Kpeɖodzi aɖewo ɖee fia be probiotics ate ŋu akpe ɖe ame ŋu be pouchitis nagadze egɔme le amekoko vɔ megbe alo axe mɔ ɖe eƒe gbugbɔgadzɔ nu le atikewɔwɔ dzidzedzetɔe megbe. Togbɔ be womewɔa dɔ na amesiame o hã la, woate ŋu aɖe vi na wò. Ðɔktawo ŋlɔa probiotic tsakatsaka aɖe koŋ na ame ɣeaɖewoɣi (le kpɔɖeŋu me, DeSimone ƒe atike). Esi wònye be dɔlélea ƒe ƒomevi koŋ le vevie ta la, ele vevie be nàdzro esia me kple wò ɖɔkta.
Nukae nàte ŋu akpɔ mɔ na ne pouchitis dze dziwò?
Ne èxɔ pouchitis le wò ileal pouch dɔwɔwɔ vɔ megbe—ne edzɔ zi geɖe gɔ̃ hã—la, mɔnukpɔkpɔ gã aɖe li be wòawɔ nu ɖe dɔlékuiwutikewo ŋu dzidzedzetɔe. Ame aɖewo ate ŋu ahiã be woazã dɔlékuiwutikewo ɣeyiɣi didi wu ame bubuwo. Ne èkpɔa dɔlélea enuenu la, ɖewohĩ ahiã be woatsɔ dɔlékuiwutikewo alo probiotics awɔ atike na wò ɣeyiɣi didi. Le amesiwo ŋu pouchitis le ƒe alafa memamã sue aɖe gome la, ɖewohĩ atike siawo mawɔ dɔ o.
Ne kotoku me dɔdzẽ si nɔa anyi ɖaa si mewɔa dɔ ɖe dɔlékuiwutikewo dzi o le fu ɖem na wò la, wò ɖɔkta alé ŋku ɖe nu ɣaɣla siwo gbɔ dɔdzẽ tsona ŋu, abe ʋu ƒe sisi, NSAID zazã, alo dɔléle aɖe si tso dɔlélenutsiŋutete gbɔ ene hã. Ne womekpɔ nu evelia aɖeke si gbɔ wòtso o la, woadae ɖe hatsotso si nye CARP me. Ðɔktawo aɖo aɖaŋu le atikewɔwɔmɔnu vovovowo ŋu na CARP, eye woawɔ dɔ kpli wò kplikplikpli be woakpɔ nusi awɔ dɔ nyuie wu na wò dɔléle tɔxɛa.
Le nɔnɔme aɖewo me la, ne agba si le kotokua dzi kpɔkpɔ me sɔ gbɔ wu viɖe siwo le eme la, àte ŋu atiae be yeaɖe kotokua ɖa be nànɔ agbe dzesi aɖeke manɔmee. Ema hã nye tiatia si ate ŋu awɔ dɔ.
Ðe nuɖuɖu kpɔa ŋusẽ ɖe pouchitis dzia?
Ẽ, ate ŋu awɔ akpa aɖe.
Kpeɖodzi aɖewo ɖee fia be ne antioxidants mesɔ gbɔ ɖe wò nuɖuɖu me o la, afɔku si le wò be nàxɔ pouchitis ate ŋu adzi ɖe edzi. Nusiwo tsia dzoxɔxɔ nu, siwo le atikutsetse kple amagbe geɖe me le dzɔdzɔme nu, kpena ɖe ame ŋu be atike siwo le wò ŋutilã me siwo woyɔna be ‘free radicals’ la meganɔa dɔ wɔm o. Ne free radicals ƒo ƒu la, woate ŋu agblẽ nu le lãmenugbagbeviwo ŋu eye woawɔ akpa aɖe le dɔdzẽ me. Nusiwo tsia dzoxɔxɔ nu siwo wokpɔna tso nuɖuɖu me wɔa dɔ wu esiwo tso nuɖuɖu siwo wotsɔ kpena ɖe ame ŋu me.
Le go bubu me la, ne pouchitis ƒe dzesiwo le fu ɖem na wò fifia la, nuɖuɖu me fibre dzi ɖeɖe kpɔtɔ ate ŋu akpe ɖe ŋuwò. Zi geɖe la, ɖɔktawo kafua nuɖuɖu si me FODMAP mesɔ gbɔ ɖo o. Esia xea mɔ na nuɖuɖu aɖewo—siwo dome ka tɔxɛ aɖewo hã le—siwo wò dɔgbo me dɔlékuiwo lɔ̃na be yewoawɔ. Nuɖuɖu siawo dzi ɖeɖe kpɔtɔ hena ɣeyiɣi aɖe ate ŋu akpe ɖe ŋuwò nàɖe wò dɔgbo ƒe dzesiwo dzi akpɔtɔ. Gake le ɣeyiɣi didi me la, ele be nàɖoe be yeagatsɔ nuɖuɖu vovovowo ade eme vivivi.
Nuɖuɖu siwo ate ŋu akpe ɖe ŋuwò nàdo alɔ wò kotoku ƒe lãmesẽ:
Kpɔ egbɔ be yele nusiwo tsia dzoxɔxɔ nu si sɔ gbɔ kpɔm to atikutsetse kple amagbe vovovowo ɖuɖu me. Dzɔtsoƒe nyuiwo dometɔ aɖewoe nye:
- Akɔɖuwo
- Atikutsetsewo (le kpɔɖeŋu me, strawberry, blueberries) .
- Aŋuti
- Prunes ƒe lãgbalẽwo
- Ayi
- Atike siwo woyɔna be artichokes
- Russet ƒe mɔli
- Amagbe siwo ƒe aŋgbawo do viviti (le kpɔɖeŋu me, aŋanyi) .
Nuɖuɖu blibowo, vevietɔ esiwo wotu ɖe numiemiewo dzi, dede wò nuɖuɖu me nye gɔmeɖose vevi aɖe le agbenɔnɔ si tsia dzodzodzoetsitsi nu me. Nusiwo tsia dzoxɔxɔ nu nye susu ɖeka si tae.
Nuɖuɖu siwo wòle be woaƒo asa na le pouchitis ƒe dzodzoɣi (be woaɖe dzesiawo dzi akpɔtɔ):
Be ɖɔktawo nakpe ɖe ŋuwò nàkpɔ wò dzesiwo gbɔ la, woate ŋu aɖo aɖaŋu na wò be nàɖu nuɖuɖu si me FODMAP mesɔ gbɔ ɖo o, vaseɖe esime nàde dzesi FODMAP siwo hea wò kuxi tɔxɛwo vɛ ya teti. FODMAP siwo bɔ dometɔ aɖewoe nye:
- Fructose (atikutsetse me sukli) .
- Lactose (notsi me sukli) .
- Sabala
- Ayo
- Ayi
- Lu
Nuɖuɖu si me FODMAP mesɔ gbɔ ɖo o nye mɔnu si woatsɔ aɖee ɖa ɣeyiɣi kpui aɖe. Èɖea nuɖuɖu ƒe hatsotso aɖewo ɖa hena ɣeyiɣi aɖe be nàde dzesi nusiwo aʋã wò eye emegbe le atikewɔlawo ƒe mɔfiafia te la, ègatsɔa wo dea wo me ɖe ɖoɖo nu.
Takeaway Mamlɛtɔ
Ne ileal pouch le ŋuwò la, ate ŋu adzɔ be pouchitis ate ŋu adze dziwò ɣeaɖeɣi. Togbɔ be megblẽa nu le amesiame ŋu o hã la, amesiwo ŋu wòdzena le ate ŋu adze ŋgɔ nudzɔdzɔ siwo gbugbɔna. Gɔmesese le eŋu bliboe be nàse le ɖokuiwò me be yetsi dzimaɖi ne nuɖuɖumeŋusẽ ƒe nyawo gakpɔtɔ li le esi woɖe wò dɔgboa ɖa vɔ megbe gɔ̃ hã. Gake nya nyuiae nye be le ame akpa gãtɔ gome la, pouchitis nye mɔxenu si dona ɣeaɖewoɣi si gbɔ kpɔkpɔ le bɔbɔe wu dɔgbo ƒe dɔléle siwo nɔa anyi didi siwo me nàte ŋu ado dzi le va yi.
Wolɔ̃ ɖe edzi be dɔlékuiwutikewo ƒe dɔléle si nɔa anyi didi (CARP) nye dɔléle si sesẽ wu. Le go aɖewo me la, ate ŋu ado ƒome kple wò dɔgbo ƒe dɔléle si nɔa anyi didi si gbɔ wòtso, si ana be atikewɔwɔmɔnua nasesẽ wu. Ke hã, ne èlé be na wò atraɖii eye nèwɔ aɖaŋu si sɔ ɖe enu la, zi geɖe la, wò atikewɔlawo ate ŋu akpɔ atikewɔmɔnu nyui aɖe si awɔ dɔ na wò.
Taflatse ɖo ŋku edzi be menye wò ɖeka koe le mɔzɔzɔ sia me o. Míele dzi dem ƒo na wò be nàƒo nu kple wò ɖɔkta gaglãa eye nàbia nya ɖesiaɖe si anɔ asiwò. Ne wona mɔfiame kple atikewɔwɔ nyuitɔ la, Nirogi Lanka le afisia be yeado alɔ wò le agbenɔnɔ ƒe nyonyome deŋgɔ me léle ɖe asi me.
