Ua haʻi ʻia anei ʻoe a i ʻole kekahi āu i ʻike ai e ke kauka e pono lākou e hana i ke ʻoki kino e wehe i kahi hapa a i ʻole ko lākou kolona āpau? ʻO ka makaʻu nui loa e hiki mai ana i ka manaʻo o ka hapa nui o ka poʻe ke lohe lākou i kēlā, "Pono anei au e ʻaʻahu i kahi ʻeke no ke koena o koʻu ola?" He kaumaha nui maoli ia. Akā ua ʻike anei ʻoe ʻaʻole hana mau kēia? Aia kekahi ʻoki kino kūikawā e hiki ai iā ʻoe ke hoʻokahe maʻamau me ka ʻole o kahi ʻeke ma waho o ke kino. ʻO ia ka mea a mākou e kapa nei ʻo ke ʻoki kino 'Ileal Pouch'. I kēia lā, e kamaʻilio mākou e pili ana i kēia me ka maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
No laila, he aha kēia ʻeke ʻIleal?
I ka ʻōlelo maʻalahi, he ʻeke ileal kahi ʻeke kūikawā a nā kauka hana i hana ai i loko o kou kino e hōʻiliʻili a mālama i ka ʻōpala. Hana ʻia ia ma hope o kahi ʻoki kino e wehe loa ai i kou kolona a me ka rectum ('Total Proctocolectomy`).
E noʻonoʻo e pili ana i ia mea, ʻo ko kākou kolona ka mea e mālama ai i ko kākou ʻōpala a hoʻokuke aku iā ia mai ke kino i ka wā e hiki mai ai. No laila, ke wehe ʻia, pono kekahi e hana i kēlā hana. No ka hoʻopiha ʻana i kēlā hakahaka, hoʻohana nā kauka ʻoki i ka hopena o kou ʻōpū liʻiliʻi ponoʻī (ka `ileum`) e hana i kēia ʻeke liʻiliʻi i loko o kou kino.
ʻO ka pōmaikaʻi nui o kēia, ʻaʻole pono ʻoe i kahi ʻeke waho. Hiki iā ʻoe ke hoʻomalu i kou ʻōpū ma ke ʻano maʻamau a hele i ka ʻōpala ma kou anus. E lawe mai kēia i ka nui o ka hōʻoluʻolu i kou ola.
He aha nā ʻano kūlana e hana pinepine ʻia ai kēia ʻoki kino?
I kekahi mau kūlana olakino i hiki ʻole ke kāohi ʻia me ka lāʻau lapaʻau, ʻōlelo nā kauka e wehe i ka colon a hana i kēia ʻoki ʻeke ileal. ʻO kekahi o nā kūlana nui:
- Ulcerative Colitis: Hana pinepine ʻia kēia ke kōkua ʻole nā lāʻau lapaʻau.
- ʻO Familial Adenomatous Polyposis (FAP): He maʻi hoʻoilina kēia.
- Ka maʻi ʻaʻai colorectal
- Ka maʻi ʻaʻai rectal
Aia kekahi mau ʻano ʻeke ileal?
ʻAe, aia ʻekolu ʻano nui o nā ʻeke e hiki i nā kauka lapaʻau ke hana mai kou ʻōpū liʻiliʻi. Na kāu hui lapaʻau e hoʻoholo i ka mea kūpono loa iā ʻoe.
| ʻAno ʻeke | He wehewehe maʻalahi |
|---|---|
| ʻEke-J | ʻO kēia ke ʻano i hoʻohana nui ʻia. Loaʻa iā ia kona inoa no ka mea ua like kona ʻano me ka leka 'J'. Hoʻopili pololei ʻia kēia ʻeke i ka anus, e ʻae ana iā ʻoe e hoʻokahe maʻamau. |
| ʻEke-S | He ʻeke ʻano 'S' nō hoʻi kēia. E like me ka J-Pouch, ua pili ia i ka anus. |
| ʻEke K (ʻEke Kock) | He ʻano kākaʻikahi kēia. Paipai ʻia no ka poʻe ʻaʻole hiki ke loaʻa ke ʻano J a i ʻole S. Maanei, ua hoʻopili ʻia ka ʻeke i kahi puka liʻiliʻi (stoma) i hana ʻia ma ka pae ʻili ma ka ʻōpū. Hiki iā ʻoe ke hoʻokahe i kēia ʻeke i kēlā me kēia manawa āu e pono ai me kahi paipu liʻiliʻi. |
No wai kēia ʻoki kino maikaʻi loa, a no wai ka mea kūpono ʻole?
E nānā pono nā kauka i kou olakino ma mua o ka hana ʻana i kēia ʻoki kino. ʻAʻole hiki i nā kānaka a pau ke hana i kēia.
| ʻO ka poʻe kūpono no ke ʻoki kino ✅ | ʻO ka poʻe ʻaʻole e paipai i ke ʻoki kino ❌ |
|---|---|
| ʻO ka poʻe nona ka ʻōnaehana hoʻoheheʻe e hana maikaʻi ana. | ʻO nā kānaka me ka maʻi ʻo Crohn . |
| ʻO nā kānaka nona nā ʻiʻo sphincter anal e hana maikaʻi a hiki ke kaohi i ko lākou neʻe ʻana o ka ʻōpū. | Nā kānaka me ka incontinence fecal. |
| ʻO ka maʻamau, he holomua loa nā hopena no ka poʻe ma waena o 20 a me 50 mau makahiki (akā hiki ke hana ʻia no ka poʻe ma luna o 50 inā kūpono lākou i nā hōʻoia). | ʻO nā kānaka me ka momona nui (Class III obesity). |
| Nā kānaka me ke olakino maikaʻi. | Nā kānaka me ka maʻi ʻaʻai rectal haʻahaʻa. |
He aha nā pōmaikaʻi a me nā helu holomua o ke ʻoki kino?
ʻOiai he hana nui kēia, kiʻekiʻe loa ka holomua. ʻO ka holomua ma kahi o 95%. No nā kānaka he nui, hoʻomaikaʻi nui ʻia ko lākou ola i ka hala ʻana o ka manawa. No ka laʻana, ʻaʻole pono hou ka mea i loaʻa iā Ulcerative Colitis e hele pinepine i ka lua e like me ka wā ma mua.
ʻO ka hōʻoluʻolu nui loa no nā poʻe he nui ma hope o kēia ʻoki kino, ʻaʻole pono lākou e holo wikiwiki i ka lua e like me ma mua a loaʻa iā lākou ka mana ma luna o ko lākou neʻe ʻana o ka ʻōpū.
Ma hope o ke ʻoki ʻana, hiki iā ʻoe ke neʻe i ka ʻōpū ma kahi o ʻehiku mau manawa i ka lā. Malia paha hoʻokahi manawa i ka pō. Akā ʻo ka mea nui loa, hiki iā ʻoe ke kāohi iā ia. ʻAʻohe wikiwiki. Loaʻa paha i kekahi poʻe kahi kahe iki i ka pō ke hiamoe maikaʻi lākou, akā ʻaʻole ka hapa nui o ka poʻe.
He aha nā pilikia a me nā pilikia?
Pono hoʻi kākou e hoʻomanaʻo he hana ʻoki kino weliweli loa kēia. E like me nā mea āpau, hiki ke loaʻa nā pilikia.
ʻO ka pilikia maʻamau ka pouchitis , ʻo ia hoʻi ka mumū o ka ʻeke i hana hou ʻia. Hiki i kēia ʻano ke loaʻa i ka 81% o ka poʻe i hana ʻia ke ʻoki kino. Eia nō naʻe, aia nā lāʻau lapaʻau no kēia.
Nā pilikia ʻē aʻe:
- Ka leaka ʻana mai loko mai o ka ʻeke ma hope o ke ʻoki ʻana (i ka wā e ho'ōla ai).
- Nā ʻūpā koko a i ʻole ke kahe koko nui.
- Ka mumū a i ʻole ka haiki ʻana ma kahi e pili ai ka ʻeke i ka anus.
- Ka pale ʻana o ka ʻōpū liʻiliʻi.
- Nā maʻi o ka ʻili a puni ka anus (ma muli o ka neʻe pinepine ʻana o ka ʻōpū).
He mea kākaʻikahi loa (ma waena o 5%-10%), hiki ke hāʻule ka ʻeke i hana ʻia. Inā hana ʻia kēia, pono paha e hoʻoponopono ʻia a wehe ʻia paha a hoʻokomo ʻia i kahi mea hou. E wehewehe pono kāu kauka i kēia mau mea āpau iā ʻoe.
He aha nā hōʻailona e pono ai iaʻu e ʻike i ke kauka i ka wā hikiwawe loa?
Pono ʻoe e mālama pono i kou kino ma hope o ke ʻoki ʻana. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hoʻomaopopo koke i kāu kauka a i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila.
| Nā hōʻailona hōʻike e makaʻala ai! | |
|---|---|
| 🔴 ʻEha nui o ka ʻōpū a i ʻole ka pehu ʻana e mau ana ma mua o ʻelua a ʻekolu mau hola. | |
| 🔴 Ke kahe nui ʻana o ke koko. | |
| 🔴 Ka nausea nui, ka luaʻi ʻana, a i ʻole ka maʻi pākī. | |
| 🔴 ʻAʻole hiki ke hoʻokahe. | |
| 🔴 Ke kahe nui ʻana o ka ʻōpala. | |
| 🔴 Inā he K-Pouch ia, aia paha he loli a he ʻeha paha i ka stoma. | |
ʻEhia ka lōʻihi e hoʻōla ai ma hope o ke ʻoki kino?
Hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau i loko o 4 a 8 mau pule. Eia nō naʻe, hiki ke lōʻihi ka manawa e hoʻōla piha ai. He mea nui loa ia e hoʻomau i ka hele ʻana i kāu mau manawa hoʻopaʻa e like me ke kauoha a kāu kauka. E hana lākou i kahi hoʻokolohua i kapa ʻia ʻo "Pouchoscopy" (e like me ka mini-colonoscopy) i hoʻokahi a ʻelua paha i ka makahiki e nānā i ke kūlana o kāu ʻeke.
Ke hoʻopilikia nei ka ʻeke Ileal i ka hāpai ʻana?
I ka hapanui o nā hihia, ʻaʻole e hoʻopilikia kēia ʻoki kino i kou hiki ke hāpai a i ʻole ka hāpai ʻana i kahi hāpai olakino. Eia nō naʻe, hiki i kāu kauka ke ʻōlelo aku i kahi ʻoki cesarean e pale aku i ka hōʻino ʻana i nā ʻiʻo rectal i ka wā hānau. Hiki iā ʻoe ke kūkākūkā i kēia me kāu kauka ma mua.
Leka Lawe-Home
- He hopena maikaʻi ke ʻoki ʻana o Ileal Pouch no ke ola ʻana me ka ʻole o kahi ʻeke ma waho o ke kino ma hope o ke ʻoki ʻana e wehe i ka colon.
- ʻAʻole kēia he hana ʻoki kino e hiki i nā kānaka a pau ke hana. Na kāu hui lapaʻau e hoʻoholo inā kūpono ia iā ʻoe.
- ʻOiai he hana ʻoki kino nui kēia me nā pilikia, kiʻekiʻe loa ka holomua. A ua hoʻomaikaʻi nui ʻia ke ʻano o ke ola.
- He mea nui loa e hahai i nā ʻōlelo aʻo lapaʻau ma hope o ke ʻoki ʻana a hele i nā keʻena lapaʻau i ka manawa kūpono.
- Inā ʻike ʻoe i kekahi mau hōʻailona hōʻailona, mai hoʻowahāwahā iā lākou. E ʻike koke i kāu kauka.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo