Ðe dɔdzẽ le wò ‘kotoku’ hã mea? Mina míaƒo nu tso pouchitis ŋu!

Ðe wowɔ dɔ na wò le ileal pouch me kpɔa? Alo ɖe ɖe le ame aɖe si nènya si? Ame siwo wowɔ dɔ na le ileal pouch me ate ŋu axɔ nɔnɔme aɖe si woyɔna be pouchitis ɣeaɖewoɣi. Togbɔ be ate ŋu ado dziku vie hã la, menye nusi ŋu woatsi dzi ɖo o. Na míaƒo nu tso eŋu le mɔ bɔbɔe aɖe si gɔme nàte ŋu ase nu.

Nuka tututue nye Pouchetis?

Kpuie ko la, pouchitis nye wò ileal pouch ƒe dɔdzẽ . Mina míalé ŋku ɖe nusi ileal pouch nye ŋu. Le kpɔɖeŋu me, dɔgbo ƒe dɔléle sesẽ aɖe le ame aɖewo ŋu si hiã be woaɖe woƒe dɔgbo kple dɔgbo bliboa ɖa. Míeyɔa amekoko sia be proctocolectomy bliboa. Emegbe, ele be woawɔ mɔ yeye aɖe si dzi gbeɖuɖɔ, alo aɖuɖɔ, ato ado le woƒe ŋutilã me. Afi mae ileal pouch la gena ɖo Amekolawo zãa wò dɔgbo suea ƒe nuwuwu, si nye ileum, tsɔ wɔa kotoku sia, si le abe akplo sue aɖe ene. Esiae nye wò dɔgbo kple dɔgbo si woɖe ɖa, si fia be eƒoa aɖuɖɔ nu ƒu helénɛ ɖe asi hena ɣeyiɣi aɖe. Emegbe wotsɔa kotoku sia doa ka kple afisi aɖuɖɔa dona le. Ɣeaɖewoɣi la, edoa ka kple wò akɔta, abe J-kotoku alo S-kotoku ene, alo abe K-kotoku ene, si do ƒome kple ʋuƒo tɔxɛ aɖe si le wò ƒodo me, si woyɔna be stoma. Ne míagblɔe bubui la, wò dɔgbo suea ƒe akpa aɖe le dɔ wɔm abe wò dɔgbo ene fifia. Eyata, pouchitis nye nu ɖeka kple colitis – dɔgbo ƒe dɔdzẽ – alo proctitis – dɔgbo ƒe dɔdzẽ – gake edzɔna le amesiwo si ileal pouch le la me. Dzesiawo ɖi wo nɔewo ŋutɔ. Dzesiawo ate ŋu anye dɔgbo ƒe veve kple alesi wòhiã be woayi nugododeƒe kaba ahanɔ anyi enuenu. Ame akpa gãtɔ xɔa ‘acute pouchitis’, si nye dɔdzẽ si vaa ame dzi eye wòyia edzi hena ɣeyiɣi kpui aɖe. Gake le ame aɖewo gome la, ate ŋu anye nɔnɔme si woyɔna be ‘chronic pouchitis’, si nɔa anyi ɖaa alo va yina.

Aleke gbegbee pouchitis bɔe?

Wobu akɔnta be amesiwo wowɔ dɔ na le kotoku me le kotoku me la dometɔ 25% va ɖo 45% axɔ kotoku me dɔléle le woƒe agbemeɣeyiɣi aɖe me . Ame siwo ade 40% axɔe zi gbãtɔ ƒe sia ƒe. Azɔ hã, amesiwo le 10% va ɖo 20% agatu eŋu ake.

Nukae nye Pouchetis ƒe dzesiwo?

Ne pouchitis le ŋuwò la, àte ŋu akpɔ dzesi siawo tɔgbe.

• Ƒodo ƒe vevesese kple lãmetutudɔ.
• Ehiã be woayi nugododeƒe kabakaba ahanɔ enu enuenu.
• Ele be woafɔ ayi nugododeƒe le zã me.
• Aɖuɖɔtoe dzi ɖuɖu sesẽ (aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie), si fia be tsi si le dodom vie.
• Aɖuɖɔtoe me toto sesẽ, teteɖeanyi (dyschezia).
• Sese le ɖokuiwò me be ehiã be yeayi nugododeƒe, gake màte ŋu ayi o (tenesmus).
• Ʋu vi aɖe le aɖuɖɔ me.
• Asrã alo vuvɔ ƒe seselelãme.

Nukawoe hea pouchitis vɛ?

Ðɔktawo susui be nusi koŋ gbɔ kotoku me dɔléle tsonae nye tɔtrɔ le dɔgbo me dɔlékui ƒomevi siwo nɔa wò kotoku me ŋu. Bu eŋu kpɔ, ne wò dɔgbo sue ƒe akpa aɖe le dɔ wɔm fifia abe dɔgbo gã ene la, dɔlékui ƒomevi yeyewo doa goe. Dɔlékui yeye siawo ʋlia ho kple dɔlékui siwo nɔ afima tsã. Esia nana wò dɔlélenutsiŋutete susuna be, "Oo, dɔlékui aɖe le afisia," eye emegbe wòwɔa eŋu to dɔdzẽ hehe vɛ me. Dɔlékui aɖe le ame aɖewo ŋu ŋutɔŋutɔ. Dɔlékui ƒomevi aɖewo siwo le míaƒe dɔgbowo me, ne wona mɔnukpɔkpɔ wo la, wodzea agbagba be yewoaɖu bubuawo dzi ahazu fia. Woyɔa esiawo be "dɔlékui siwo hea dɔléle vɛ." Zi geɖe la, dɔlékui siawo dometɔ ʋɛ aɖewo ƒe anyinɔnɔ le míaƒe dɔgbo me nyo, elabena dɔlékui nyui bubuwo léa wo ɖe te. Gake le ileal pouch dɔwɔwɔ vɔ megbe la, dadasɔ sia trɔna, eye mɔnukpɔkpɔ yeye sua dɔlékui "vɔ̃ɖi" mawo si be woakaka woƒe ŋusẽ. Ebɔ be pouchitis nadze ame dzi ɣeyiɣi kpui aɖe le ileal pouch dɔwɔwɔ vɔ megbe. Woyɔa esia be pouchitis si dzea egɔme kaba, eye wobua eŋu be enye amekokoa ƒe nugbegblẽ le ame ŋu. Zi geɖe la, enyona ɖe edzi ne wozã dɔlékuiwutikewo. Gake ate ŋu atrɔ ava. Le ame aɖewo gome la, egatrɔna gbɔna. Esia le alea elabena dɔlékui ƒomevi aɖewo yia edzi ɖua bubuwo dzi. Ðewohĩ akɔtadɔ sesẽ aɖe adze dziwò zi geɖe, eye ɣesiaɣi la, àte ŋu ahaya ne èzã dɔlékuiwutikewo. Kuxia va sesẽna ɖe edzi vie ne èwɔa nudzɔdzɔ siwo wu ʋɛ aɖewo le ƒea me. Ame aɖewo va nɔa te ɖe dɔlékuiwutikewo dzi – woyɔa esia be chronic antibiotic-dependent pouchitis (CADP). Le ame bubuwo gome la, dɔlékuiwutikewo dzudzɔa dɔwɔwɔ vivivi. Woyɔa esia be Dɔlékuiwutike Siwo Tsi Tre Ðe Dɔlékuiwutikewo Ŋu (CARP).

Nu kawoe kpɔa ŋusẽ ɖe pouchitis (CARP) si nɔa anyi didi, si dɔlékuiwutikewo mete ŋu nɔa te ɖe dɔlékuiwo nu o dzi?

Susu geɖewo li siwo ate ŋu ahe ‘CARP’ nɔnɔme sia vɛ. Wo dometɔ aɖewoe nye:

• Dɔgbo ƒe Dɔléle ( IBD ): Amesiwo woɖe proctocolectomy na IBD, abe ulcerative colitis alo Crohn ƒe dɔléle ene, ate ŋu axɔ pouchitis. Nu mawo ke siwo na woƒe nɔnɔme gbãtɔa hã ate ŋu akpɔ ŋusẽ ɖe kotokua dzi.
• Dɔlékui siwo te ŋu nɔa te ɖe dɔlékuiwutikewo nu : Wo dometɔ aɖewoDɔlékuiwo ƒe dɔlélewo , abe C. difficile ene, te ŋu nɔa te ɖe dɔlékuiwutikewo nu. Ne woyi dɔlékuiwutikewo zazã dzi la, dɔlékui siwo mehea dɔléle vɛ le dzɔdzɔme nu o la ate ŋu anɔ te ɖe dɔlékuiwutikewo nu. Esia ate ŋu ana dɔlékui siwo le kotokua me hã nagada asɔ o.
• Dɔlékui bubuwo: Ɣeaɖewoɣi la, dɔlékui ƒe dɔléle abe cytomegalovirus ene, alo fungi ƒe dɔléle abe candidiasis ene hã ate ŋu ana kotokua naxɔ dzo.
• Dɔlélenutsiŋutete ƒe dɔmawɔmawɔ nyuie: Wò dɔlélenutsiŋutete ate ŋu agbɔdzɔ le dɔléle aɖewo siwo nɔ anyi do ŋgɔ alo atike siwo nènona ta, si ana màte ŋu awɔ avu kple dɔlékuiwo o.
• NSAIDs zazã yi edzi : Vevesesenutsitike siwo woyɔna be ‘NSAIDs’ (nonsteroidal anti-inflammatory drugs) abe ‘Aspirin’ kple ‘ Ibuprofen ’ nono enuenu eye wògbɔ eme ate ŋu agblẽ nu le wò dɔgbo ƒe lãkusi kple ‘kotoku’ ƒe nutsyɔnu ŋu.
• Ʋu ƒe sisi dzi ɖeɖe kpɔtɔ (Ischemia): Togbɔ be ƒã hã la, abi ate ŋu adzɔ le ʋu ƒe sisi yi ŋutilã ƒe akpa aɖe dzi ɖeɖe kpɔtɔ hã ta. Esia ate ŋu atso ʋuka siwo naa ʋu la ƒe xexe gbɔ.
• Primary Sclerosing Cholangitis (PSC): Esia nye dɔléle si dɔlélenutsiŋutete ŋutɔ wɔna, si fia be ŋutilãa ŋutɔ ƒe dɔlélenutsiŋutete dzea eya ŋutɔ ƒe lãmenugbagbeviwo dzi. Enaa wò ʋuka me dɔdzẽ si nɔa anyi didi. Abe IBD ene la, mɔnu siwo hea dɔdzẽ sia si nɔa anyi didi vɛ hã ate ŋu akpɔ ŋusẽ ɖe kotokua dzi. Afɔku le afɔku gã aɖe me be amesiwo ŋu dɔléle sia le naxɔ pouchitis.

Kuxi kawoe ate ŋu ado tso pouchitis me?

Ƒã hafi pouchitis sesẽ hea kuxi gãwo vɛ. Gake pouchitis si nɔa anyi ɖaa, si womewɔ atike na o ate ŋu ahe kuxiwo vɛ. Esiawo ate ŋu anye:

• Tɔtrɔ siwo vaa dɔgbo ƒe nɔnɔmewo me: Akploa ƒe dɔdzẽ ate ŋu ana wòasesẽ be woalé aɖuɖɔ ɖe eme, eye vuvu ate ŋu ana wòasesẽ be woato aɖuɖɔ me. Esia ate ŋu akpɔ ŋusẽ ɖe wò dɔgbo ƒe nɔnɔme si nɔa anyi didi dzi.
• Agbenɔnɔ ƒe nyonyome dzi ɖeɖe kpɔtɔ: Nugododeƒe yiyi ƒe kuxiwo me nɔnɔ atraɖii ate ŋu asesẽ be woanɔ agbe kplii. Ate ŋu ahe ŋutilã kple susu me nuteɖeamedzi vɛ, eye ate ŋu ado kplamatse ame ƒe vivisese le hadomegbenɔnɔ me.
• Akplo ƒe sesẽme:Dzoxɔxɔ atraɖii ate ŋu ana abi nanɔ kotokua ŋu. Abi sia ate ŋu ana kotokua ƒe ʋuʋu natsi. Ate ŋu aɖe ʋu ƒe sisi yi kotokua me hã dzi akpɔtɔ, si axe mɔ na dɔyɔyɔa.
• Ʋuʋudedi: Dzoxɔxɔ ɣeyiɣi didi ate ŋu ana kotokua ƒe akpa si le eme la navuvu, si ana abi nado. Abi siawo ate ŋu ado ʋu. Dɔlékui ƒomevi aɖewo siwo hea dɔlékuiwo hã ate ŋu agblẽ nu le dɔgboa ƒe gli ŋu.
• Nuɖuɖumakpɔmakpɔ kple nunyuimakpɔɖui: Ne kotokua ƒe akpa si le eme gblẽ la, ŋutete si le esi be wòaxɔ nunyiame siwo le nuɖuɖu si le eme me dzi ɖena kpɔtɔna (nuɖuɖumakpɔmakpɔ), si ate ŋu ana nunyuimakpɔɖu nasu ame si.
• Akploa ƒe gbagbã: Ne kuxiwo gakpɔtɔ le kotokua ŋu la, ate ŋu ava zu nusi womate ŋu azã o mlɔeba. Esia ate ŋu abia be woawɔ dɔ nɛ atsɔ aɖe kotokua ɖa eye wòatrɔ dɔgboa ayi ileostomy me.

Aleke wowɔa dea dzesi Pouchetis ƒe dɔlélea?

Pouchitis didi dzea egɔme tso nuƒoƒo tso wò dzesiwo kple lãmesẽ ŋutinya ŋu dzi. Emegbe, wò ɖɔkta alé ŋku ɖe wò kotokua me. Woazã dɔwɔnu aɖe si woyɔna be endoscope . Esia nye mɔ̃ tsɛ aɖe si me fotoɖemɔ̃ sue aɖe le. Woatsɔe ato kotokua me aɖadi abi alo nu bubu siwo mesɔ o. Woatsɔ lãmenugbagbeviwo ƒe kpɔɖeŋu (biopsy) hã to endoscope me eye woadoe akpɔ be nusi ate ŋu anye nusi gbɔ dɔlélea tso. Wò ɖɔkta ate ŋu azã nɔnɔmetatawo dodokpɔ bubuwo hã atsɔ alé ŋku ɖe kotokua ƒe gota kple xɔtunu siwo do ƒome kplii ŋu. Wowɔa esia be woatsɔ adi nɔnɔme bubu siwo ate ŋu anɔ eme. Dodokpɔ bubu siwo woate ŋu awɔ dometɔ aɖewoe nye:

• Contrast pouchography (pouchogram): Esia nye X-ray ƒomevi aɖe. Wodoa tsi si to vovo na wo nɔewo ɖe kotokua me be wòadze nyuie wu. Eɖi barium enema, gake wowɔa esia le ileal kotokua dzi.
• CT-dɔdamɔnu.
• MRI-dɔdamɔnu (MRI).

Aleke woawɔ ada pouchitis?

Atike gbãtɔ si wozãna na aklãdɔléle sesẽe nye dɔlékuiwutikewo zazã kwasiɖa eve . Ame akpa gãtɔ ƒe lãme sẽna le esia me. Ne esia meva nyo na wò o la, wò ɖɔkta ate dɔlékuiwutike bubu, alo dɔlékuiwutike siwo wotsɔ ƒo ƒui kpɔ hena ɣeyiɣi didi wu. Ne dzesiwo gakpɔtɔ le ŋuwò le kwasiɖa ene megbe la, àte ŋu axɔ pouchitis si me dɔlékuiwutikewo te ŋu nɔa te ɖo. Emegbe ahiã be wò ɖɔkta nawɔ dodokpɔ geɖe wu atsɔ adi nu bubu siwo ate ŋu ahe esia vɛ hafi atso nya me le atike nyuitɔ si nàzã ŋu.

Nukawoe nye atike siwo wozãna na pouchitis si gbugbɔna?

Ne pouchitis sesẽ nu yi le atikewɔwɔ me eye emegbe wògadzɔ ake la, wò ɖɔkta ayi atikewɔwɔ ma ke dzi. Ne atikewɔwɔa le dɔ wɔm eye dzesiawo megadzena enuenu o la, wozãa atike ma ke. Gake ne egadzɔna wu zi etɔ̃ le ƒea me la, ɖɔktawo bua eŋu be enye akɔtadɔ si nɔa te ɖe dɔlékuiwutikewo dzi atraɖii. Wotsɔa atike si wozãna tsɔ léa be nɛ ɣeyiɣi didi daae be wòagadzɔ ake o. Beléle na dɔdamɔnu ate ŋu anye:

• Dɔlékuiwutikewo: Dɔlékuiwutikewo nono le agbɔsɔsɔ sue aɖe me ate ŋu akpe ɖe ame ŋu be wòagadzɔ ake o.
• Probiotics: Esiawo nye kpeɖeŋutɔ siwo me dɔlékui nyui siwo nɔa míaƒe dɔgbo me le. Woate ŋu akpe ɖe dɔlékui siwo le kotokua me ƒe dadasɔ ŋu eye woawɔ 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 meva nyo ɖe edzi kpɔ o, alo ne enyo va yi gake mele nyonyom ɖe edzi fifia o la, ɖɔktawo yɔnɛ be akɔtadɔ si nɔa anyi didi si te ŋu nɔa te ɖe dɔlékuiwutikewo nu (CARP). Le go sia me la, ɖɔktaa adi nusiwo gbɔ wòtsona gbã, abe dɔlékui evelia, dɔléle si tsoa dɔlélenutsiŋutete gbɔ, alo kotokua ƒe wɔwɔme ƒe gbɔdzɔgbɔdzɔ ene. Ne womete ŋu ke ɖe nusi gbɔ wòtso si me kɔ o la, woada akɔtadɔ si nɔa anyi didi abe alesi wodaa dɔgbo ƒe dɔléle (IBD) ene. Atikewɔwɔ aɖewo siwo woate ŋu azãe nye esi:

• Mesalamine enemas: Mesalamine, si wogayɔna be 5-aminosalicylic acid (5-ASA) nye atike gbãtɔ si wozãna na abi ƒe dɔdzẽ. Eva abe enema si nèdea kotoku me ene.
• Bismuth enemas: Bismuth subsalicylate, si nye nusi wɔa dɔ le Pepto Bismol® me, hã va abe foam enema (bismuth carbomer) ene. Esia ate ŋu akpe ɖe ŋuwò nàɖe wò dzesiwo dzi akpɔtɔ.
• Corticosteroids: Esiawo nye atike ƒomevi aɖe si wozãna tsɔ daa dɔdzẽ si nɔa anyi didi.
• Dɔlélenutsiŋutete ƒe dɔlékuiwutikewo: Atike siawo ɖea wò dɔlélenutsiŋutete ƒe dɔwɔwɔ dzi kpɔtɔna. Ðɔktawo ŋlɔa nusiawo na wò ne wò dɔlélenutsiŋutete le dɔdzẽ si nɔa anyi didi hem vɛ.
• Monoclonal antibodies (biologics): Monoclonal antibodies nye protein siwo amegbetɔ wɔ siwo wɔa dɔ abe amegbetɔ ƒe dɔlékuiwutikewo ene, si doa ŋusẽ wò dzɔdzɔme dɔlélenutsiŋutete ɖe dɔlékuiwo ŋu.
• Molekyul suesuesuewo: Esiawo nye atike yeye siwo wɔa dɔ abe dɔlékuiwutike siwo nye monoclonal antibodies ene, gake wowɔa wo le wo ɖokui si.
• Aɖuɖɔ me nugbagbevi suesuesuewo dodo na ame: United States ƒe Nuɖuɖu Kple Atike Ŋuti Dɔwɔƒe (FDA) da asi ɖe atikewɔwɔ sia dzi be woatsɔ ada C. diff si te ŋu nɔa te ɖe dɔlékuiwutikewo nu. Gake woate ŋu azãe hã le mɔ si womeŋlɔ ɖe edzi o nu atsɔ ada pouchitis si te ŋu nɔa te ɖe dɔlékuiwutikewo nu, ne menye C. diff gbɔe wòtso o gɔ̃ hã. Ekpena ɖe ame ŋu be dɔgboa me nugbagbevi suesuesue si le lãmesẽ me la nagaɖo anyi.

Ɣeyiɣi didi kae wòxɔna hafi pouchitis hayana?

Zi geɖe la, aklãdɔléle sesẽ ƒe dzesiwo dzea egɔme nɔa nyonyom le ŋkeke ʋɛ aɖewo megbe tso esime wodze dɔlékuiwutikewo zazã gɔme. Gake ele vevie be nàwu dɔlékuiwutikewo zazã kwasiɖa eve bliboa nu, ne wò lãme sẽ gɔ̃ hã. Ele be nàkpɔ wò ɖɔkta ne atikewɔwɔa wu enu. Woadi be yewoagakpɔ wò kotokua me ake akpɔ egbɔ be dɔdzẽa nu yi keŋkeŋ.

Ðe woate ŋu axe mɔ ɖe Pouchetis nua?

Kpeɖodzi aɖewo ɖee fia be probiotics ate ŋu akpe ɖe ame ŋu be pouchitis nagadzɔ le amekoko vɔ megbe alo be magatrɔ ava le atikewɔwɔ dzidzedzetɔe megbe o. Ðewohĩ womewɔa dɔ ɣesiaɣi o, gake woate ŋu awɔ dɔ na wò. Ðɔktawo ŋlɔa probiotic tsakatsaka tɔxɛ aɖe na ame ɣeaɖewoɣi (abe DeSimone ƒe atike ene). Probiotic ƒomevi si nàno le vevie, eyata ele vevie be nàƒo nu kple wò ɖɔkta.

Nukae nàte ŋu akpɔ mɔ na ne pouchitis dze dziwò?

Ne èxɔ pouchitis le ileal pouch dɔwɔwɔ vɔ megbe – ne edzɔ zi ʋee aɖewo gɔ̃ hã la – mɔnukpɔkpɔ nyui aɖe li be woatsɔ dɔlékuiwutikewo adae dzidzedzetɔe. Ðewohĩ ame aɖewo ahiã dɔlékuiwutikewo zazã ɣeyiɣi didi wu ame bubuwo. Ne dɔlélea dzea dziwò enuenu la, ate ŋu ahiã be woatsɔ dɔlékuiwutikewo alo dɔlékuiwutikewo awɔ atike na wò ɣeyiɣi didi. Le ame ʋɛ aɖewo siwo ŋu pouchitis le gome la, atike siawo dometɔ aɖeke mate ŋu awɔ dɔ o. Ne pouchitis yi edzi le fu ɖem na wò eye mewɔa dɔ ɖe dɔlékuiwutikewo zazã dzi o la, wò ɖɔkta adi nusiwo gbɔ dɔdzẽ tsona, abe ʋu ƒe sisi, NSAID zazã, alo dɔléle si dɔlélenutsiŋutete ŋutɔ wɔna ene. Ne womete ŋu ke ɖe nu evelia si gbɔ wòtso ŋu o la, woakpɔe be enye aklãdɔ si me dɔlékuiwutikewo te ŋu nɔa te ɖe dɔlékuiwutikewo nu si nɔa anyi didi (CARP). Ðɔktawo aɖo aɖaŋu be woawɔ atike vovovowo na CARP. Woawɔ dɔ kpli wò be woadi esi anyo na wò.

Ɣeaɖewoɣi la, ne kuxi siwo le kotokua ŋu sɔ gbɔ wu viɖe siwo le eme la, àte ŋu atso nya me be yeaɖe kotokua ɖa be yeanɔ agbe si me dɔléle aɖeke mele o. Ema hã nye tiatia aɖe.

Ðe nuɖuɖu kple nunono gblẽa nu le pouchitis ŋua?

Ẽ, vaseɖe afi aɖe. Kpeɖodzi aɖewo ɖee fia be ne antioxidants mesɔ gbɔ ɖe wò nuɖuɖu me o , ke àte ŋu axɔ pouchitis geɖe wu. Antioxidants le atikutsetse kple amagbe geɖe me le dzɔdzɔme nu. Nu siawo kpena ɖe mía ŋu míeɖea atike siwo le míaƒe ŋutilã me siwo woyɔna be free radicals la ɖa. Ne free radicals ƒo ƒu ɖe ŋutilãa me la, woate ŋu agblẽ nu le lãmenugbagbeviwo ŋu eye woawɔ akpa aɖe le dɔdzẽ me. Nusiwo tsia dzoxɔxɔ nu tso nuɖuɖu me wɔa dɔ wu nuɖuɖu siwo wotsɔ kpena ɖe nuɖuɖu ŋu. Le go bubu me la, ne pouchitis ƒe dzesiwo le fu ɖem na wò la, fibre ƒe agbɔsɔsɔ si le wò nuɖuɖu me dzi ɖeɖe kpɔtɔ ate ŋu akpe ɖe ŋuwò. Ðɔktawo kafui be woaɖu nuɖuɖu si me FODMAP mesɔ gbɔ ɖo o . Esia ɖea nuɖuɖu siwo wò dɔgbo me dɔlékuiwo lɔ̃a ɖuɖu, siwo dome fibre hã le, dzi kpɔtɔna. Nuɖuɖu siawo ɖeɖeɖa hena ɣeyiɣi aɖe ate ŋu akpe ɖe ŋuwò nàɖe wò dɔgbo ƒe dzesiwo dzi akpɔtɔ. Gake le ɣeyiɣi didi aɖe megbe la, ele be nàdze agbagba agbugbɔ nuɖuɖu vovovowo akpe ɖe wò nuɖuɖu ŋu.

Nuɖuɖu siwo kpena ɖe ame ŋu be woaxe mɔ ɖe pouchitis nu:

Kpɔ egbɔ be yele atike siwo tsia dzoxɔxɔ nu si sɔ gbɔ kpɔm. Àte ŋu akpɔ esiawo ne èɖu atikutsetse kple amagbe vovovowo. Nuɖuɖu nyuitɔ kekeake siwo me antioxidants sɔ gbɔ ɖo dometɔ aɖewoe nye:

• Apel
• Berries (abe strawberry, blueberries ene) .
• Aŋuti
• Plum ƒuƒu (Prunes) .
• Gbe ƒomeviwo
• Atike siwo woyɔna be artichokes
• Russet ƒe mɔli
• Amagbe siwo ƒe aŋgbawo le amadede dzẽ me (abe aŋanyi, kale ene) .

Nuɖuɖu blibowo tsɔtsɔ kpe ɖe wò nuɖuɖu ŋu, vevietɔ nuɖuɖu siwo wotsɔ numiemiewo wɔe, nye gɔmeɖose vevi aɖe le nuɖuɖu si tsia dzodzodzoetsitsi nu me. Susu ɖeka koe antioxidants nye.

Nuɖuɖu siwo mele be nàɖu ne pouchitis le ŋuwò o (be wòaɖe dzesiawo dzi akpɔtɔ):

Be woaɖe pouchitis ƒe dzesiwo dzi akpɔtɔ la, ɖɔktawo kafui be nàɖu nuɖuɖu si me FODMAP mesɔ gbɔ ɖo o, vaseɖe esime nànya FODMAP siwo ŋu nèlɔ̃a nu le ya teti. FODMAP siwo bɔ dometɔ aɖewoe nye:

• Fructose (sukli si le atikutsetse me) .
• Lactose (sukli si le notsi me) .
• Sabala
• Sabala ɣi
• Gbe ƒomeviwo
• Lu

Nuɖuɖu si me FODMAP mesɔ gbɔ ɖo o nye nuɖuɖu si woɖena ɖa ɣeyiɣi kpui aɖe. Èɖea nuɖuɖu aɖewo ɖa le wò nuɖuɖu me, dia nusi ʋãa wo, eye emegbe vivivi la, gbugbɔa wo tona vɛ le ɖɔkta ƒe mɔfiafia te.

Mlɔeba la, gbedasi si woatsɔ ayi aƒemee

Ne ileal pouch le asiwò la, àte ŋu akpɔ pouchitis ɣeaɖeɣi. Menye amesiamee xɔae o, gake amesiwo xɔe ate ŋu axɔe wu zi ɖeka. Ate ŋu ate ɖe ame dzi be dɔgbo me kuxiwo nayi edzi ne woɖe woƒe dɔgbo ƒe akpa gãtɔ ɖa vɔ gɔ̃ hã. Nya nyuiae nye be le ame akpa gãtɔ gome la, ɣeaɖewoɣi koe pouchitis nyea kuxi, eye edada le bɔbɔe wu dɔgbo ƒe dɔléle siwo nɔa anyi didi siwo ate ŋu adze wo dzi va yi. Dɔlékuiwutikewo ƒe dɔlékuiwutikewo ƒe dɔléle si nɔa anyi didi (CARP) nye ayemɔ vie wu. Ɣeaɖewoɣi la, ate ŋu atso dɔgbo ƒe dɔléle si nɔa anyi didi si nɔ anyi do ŋgɔ gbɔ. Edada ate ŋu asesẽ nenema ke. Gake ne èdoe kpɔ vie la, àte ŋu akpɔ atikewɔmɔnu vovovo siwo wɔa dɔ na ame akpa gãtɔ. Ðo ŋku edzi be menye wò ɖeka koe o. Ðo dze kple wò ɖɔkta gaglãa eye nàbia nya ɖesiaɖe si le asiwò. Ne èna mɔfiame kple atike nyuitɔ la, àte ŋu anɔ agbe nyuie kple nɔnɔme sia.