He ala e ola maʻamau ai ma hope o ka wehe ʻana i ka kolona: E aʻo e pili ana i ke ʻoki ʻana o J-Pouch

Aia kekahi mau manawa e pono ai ke wehe ʻia ko kākou kolona holoʻokoʻa a me ka rectum ma muli o kekahi mau kūlana olakino. Ke hana ʻia kēlā, ʻo ka nīnau nui a ka poʻe he nui, "Pehea wau e hoʻokahe ai i kēia manawa?" ʻO ka pinepine, ʻo ka hopena i kēia, ʻo ia ke kau ʻana i kahi ʻeke ma ka ʻili o ka ʻōpū i hiki ai i ka ʻōpala ke hele ma waena. Akā i kēia lā, e kamaʻilio mākou e pili ana i kahi ʻoki kūikawā e hana i kahi hopena i loko o ke kino, me ka ʻole o ia ʻeke waho, a kōkua i ka poʻe e hoʻokahe maʻamau ma o ka anus. ʻO ia ke ʻoki J-Pouch.

I ka ʻōlelo maʻalahi, he aha kēia J-Pouch?

E noʻonoʻo ʻoe ua wehe ʻia kou ʻōpū nui, ka ʻāpana hope loa o kou rectum, kahi e noho ai ka ʻōpala no kekahi manawa, ma ke ʻoki ʻana. A laila, ʻaʻohe wahi i loko o kou kino e hōʻiliʻili a mālama i ka ʻōpala.

He ʻeke liʻiliʻi ka J-Pouch a ke kauka lapaʻau e hana ai i loko o kou kino me ka hoʻohana ʻana i ka hopena o kou ʻōpū liʻiliʻi . I ka pololei, ua kapa ʻia ka hopena o ka ʻōpū liʻiliʻi ʻo ka "ileum." No laila ua hana ʻia kēia ʻeke mai kēia "ileum."

Hana ʻia kēia ʻeke ma ka pelu ʻana i kahi ʻāpana o kou ʻōpū liʻiliʻi i ke ʻano o ka leka "J" a humuhumu pū iā ia mai loko. Ua kapa ʻia ʻo ia he J-Pouch ma muli o ke ʻano "J". A laila hoʻopili ʻia ka ʻeke i kou anus. I kēia manawa, ma kahi o kou rectum i wehe ʻia, hana ka J-Pouch ma ke ʻano he waihona manawa pōkole e hōʻiliʻili a mālama i ka ʻōpala. No laila ke manaʻo nei ʻoe i ka pono e hoʻokahe maʻamau, a hiki iā ʻoe ke hele i ka lua e hoʻokahe.

He aha ka ʻokoʻa ma waena o kahi J-Pouch a me kahi Ileostomy?

He nui ka poʻe e huikau nei i kēia mau mea ʻelua. E wehewehe pū kākou i kēlā.

• ʻEke-J: He ʻeke kēia i hana ʻia i loko o ke kino . Hoʻopili pololei ʻia ia i ka anus, no laila hiki iā ʻoe ke neʻe maʻamau i ka ʻōpū . ʻAʻohe mea i ʻike ʻia mai waho mai, ʻaʻohe ʻeke.
• ʻIleostomy: Pili kēia i ka lawe ʻana i ka hopena o ka ʻōpū liʻiliʻi i ka ʻili o ka ʻōpū, e hana ana i kahi puka liʻiliʻi (stoma) no ka hele ʻana o ka ʻōpala. A laila hōʻiliʻili ʻia ka ʻōpala i loko o kahi ʻeke waho i pili i ka puka. Pono e hoʻokahe ʻia ka ʻeke ke piha.

I ka ʻōlelo maʻalahi, inā maikaʻi ke kūlana o kou rectum, ʻo ka J-Pouch ke koho maikaʻi loa no ka noho ʻana me ka ʻole o kahi ʻeke waho (ileostomy mau loa).

No wai kēia ʻoki kino kūpono loa?

ʻO ke ʻoki ʻana o J-Pouch wale nō ka mea i ʻōlelo ʻia no ka poʻe i loaʻa i ka proctocolectomy holoʻokoʻa (ʻoki e wehe i ka colon a me ka rectum holoʻokoʻa). Eia naʻe, ʻaʻole ia no nā mea āpau. Aia kekahi mau kumu e hiki ke hoʻoholo inā he moho maikaʻi ʻoe no kēia kaʻina hana.

• Nā ʻiʻo a me nā aʻalolo rectal hana maikaʻi:He mea nui kēia no ka kaohi ʻana i ka neʻe ʻana o ka ʻōpū. E nānā kāu kauka i ke kūlana o kēia mau mea.
• E olakino maikaʻi e kū i nā ʻokiʻoki he nui: Hana pinepine ʻia ke ʻoki ʻana o J-Pouch i ʻelua a ʻekolu paha mau pae, no laila pono ʻoe e olakino maikaʻi e kū ai.
• Nā kūlana olakino ʻē aʻe a i ʻole nā ​​​​lāʻau lapaʻau: E mālama pono nā kauka inā loaʻa iā ʻoe nā kūlana olakino ʻē aʻe a i ʻole ke lawe nei i kekahi mau lāʻau lapaʻau.

Pehea e hana ʻia ai ke ʻoki ʻana o J-Pouch?

ʻAʻole kēia he ʻoki kino hoʻokahi manawa. Hana pinepine ʻia ia i ʻelua a ʻekolu paha pae . E nānā kākou i kēlā mau ʻanuʻu.

1. Kahua 1: ʻO ka hana mua, ʻo ia ka wehe ʻana i kou kolona maʻi a me ka rectum (total proctocolectomy). Hiki ke hana ʻia ka J-Pouch i ka wā o kēia ʻoki kino a i ʻole ma kahi ʻoki kino ʻokoʻa ma hope.

2. Ke hana ʻana i ka ʻeke: Lawe ke kauka lapaʻau i ʻelua mau apo o kou ʻōpū liʻiliʻi, ma kahi o 6 ʻīniha ka lōʻihi, a pelu iā lākou i ka hapalua e hana i kahi "U." A laila, wehe ʻia ka ʻaoʻao o loko o ka ʻāpana i pelu ʻia a humuhumu ʻia nā ʻaoʻao ʻelua e hana i kahi ʻeke.

3. Ke hoʻohui ʻana i ka ʻeke: Ua lawe ʻia kēia ʻeke i lalo mai ka ʻōpū a hoʻopili ʻia i ka anus. ʻO ka inoa lapaʻau no kēia pilina ʻo ``ileal pouch-anal anastomosis`` a i ʻole ``(IPAA)``.

4. Ke Hana ʻana i kahi Ileostomy Manawa Kuikahi: Pono ka J-Pouch i hana hou ʻia i ka manawa e ho'ōla ai. No laila, i mea e pale ai i ka hele ʻana o ka ʻōpala ma loko o ia manawa, ua ʻoki ʻia kahi ʻōpū liʻiliʻi ma luna pono o ka J-Pouch a ua hana ʻia kahi puka manawa pōkole ("(temporary loop ileostomy)`) ma ka ʻili o ka ʻōpū. No laila, no kahi o 2-3 mahina, e puka mai ana kāu ʻōpala i loko o kēia ʻeke manawa pōkole. I loko o kēia manawa, e ho'ōla maikaʻi ʻia ka J-Pouch hou.

5. Ke nānā ʻana i ka ʻeke: Ma hope o 2-3 mau mahina, hana ʻia kahi hoʻāʻo kūikawā e ʻike ai inā ua hoʻōla pono ʻia ka ʻeke a inā he mau lua a i ʻole nā ​​​​leaka. Ua kapa ʻia kēia he "pouchogram". Ma kēia, ua hoʻopiha ʻia kahi wai kūikawā i loko o ka ʻeke ma o kahi paipu i hoʻokomo ʻia ma o ka anus a lawe ʻia kahi X-ray.

6. Kahua Hope Loa: Ke ho'ōla maika'i ʻia ka ʻeke a ʻaʻohe pilikia, e hoʻonohonoho kāu kauka i kāu ʻoki hope loa. Pili kēia i ka wehe ʻana i ka ileostomy manawa pōkole a me ka pani ʻana i ka puka i loko o kou ʻōpū. Ua pau kou neʻe ʻana o ka ʻōpū i kēia manawa! E hoʻomaka ana kāu ʻōpala e hele maʻamau ma o kāu J-Pouch i hana hou ʻia.

He aha kāu e manaʻo ai ma hope o ke ʻoki kino?

Ma hope o ke ʻoki kino, e lōʻihi ka manawa e hoʻomaʻamaʻa ai kou kino i kēia ʻōnaehana hou. He mea maʻamau kēia, no laila mai hopohopo no ia mea.

I ka hoʻomaka ʻana, he liʻiliʻi loa ka J-Pouch. No laila hiki iā ia ke paʻa i kahi noho liʻiliʻi loa. ʻO ia hoʻi, pono ʻoe e hele pinepine i ka lua i ka lā . Malia paha ma mua o 10 mau manawa i ka lā. Pono paha ʻoe e ala i nā manawa he nui i ka pō. Akā, mai hopohopo, i ka hala ʻana o ka manawa e kīkoʻo mālie ka ʻeke a nui aʻe , a e emi mālie ka nui o nā manawa āu e pono ai e hele i ka lua. ʻO ka maʻamau, e hoʻomalu ʻia ia ma waena o 5-10 mau manawa i ka lā.

Eia kekahi, nāwaliwali iki paha nā ʻiʻo i loko o kou rectum no ka mea ʻaʻole i hoʻohana ʻia ma mua o ke ʻoki ʻana. Pono ʻoe e hoʻomaʻamaʻa hou iā lākou e kāohi i kou neʻe ʻana o ka ʻōpū. E aʻo aku kāu kauka iā ʻoe i nā hoʻomaʻamaʻa kino, e like me nā hoʻomaʻamaʻa Kegel, e kōkua i kēia.

He aha nā pilikia a me nā pilikia o kēia ʻoki kino?

E like me nā hana ʻoki kino a pau, aia kekahi mau pilikia, a he mea nui e ʻike pono iā lākou.

Hiki iā ʻoe ke ola i kahi ola maʻamau me kahi J-Pouch?

ʻAe, hiki nō ia! ʻOiaʻiʻo, nui ka poʻe e ʻōlelo nei ua hoʻomaikaʻi nui ʻia ko lākou ola ma hope o kēia ʻoki kino. No ka mea, ʻaʻohe o lākou maʻi mau loa a lākou i ʻeha ai, a ʻaʻole pono lākou e mālama i kahi ʻeke waho.

Akā, pono ʻoe e hoʻomaʻamaʻa i kekahi mau hoʻololi liʻiliʻi:

• Ka pinepine o ka hele ʻana i ka lua: Pono ʻoe e hele i ka lua i nā manawa he nui i ka lā ma mua.
• ʻAno o ka noho: No ka mea, ʻaʻole e omo hou ana ka ʻōpū nui i ka wai, e ʻoi aku ka wai o kou noho ma mua.
• E inu i ka wai nui: ʻOiai ke nalowale nei kou kino i ka nui o ka wai, he mea nui e inu i ka wai a me nā wai he nui i ka lā a pau e pale aku ai i ka maloʻo ʻana. ʻOiai nā mea e like me ka wai huaʻai he mea pono paha i nā wā mua.

Pono anei iaʻu e hoʻololi i kaʻu papaʻai ma hope o ke ʻoki kino?

ʻAʻohe papaʻai kikoʻī no kekahi me ka J-Pouch. Eia nō naʻe, ʻo ka ʻai ʻana i kahi papaʻai kaulike a olakino hoʻi e hiki ke kōkua i ka wikiwiki o ka ho'ōla ʻana a me ka hōʻemi ʻana i ka ʻeha. Eia kekahi mau ʻōlelo aʻoaʻo:

• E hoʻomaka mālie: Ke hoʻomaka hou ʻoe e ʻai i nā meaʻai paʻa ma hope o ke ʻoki ʻana, e hoʻomaka e ʻai i nā meaʻai liʻiliʻi e maʻalahi ke ʻeli ʻia, emi ka ʻala, a emi ka ʻaila. E hoʻohui mālie i nā meaʻai hou i kāu papaʻai.
• E inu i ka wai he nui: He mea nui loa kēia. E ho'āʻo e inu ma ka liʻiliʻi he 2-3 lita o ka wai i ka lā. He mea maikaʻi nō hoʻi nā mea e like me nā sopa moakaka, ka porridge, a me nā wai huaʻai.
• E kāohi i ka maʻi pākī: Inā ʻike ʻia he wai loa kou mau ʻōpala, e ʻai i nā meaʻai starchy e like me ka maiʻa, ka ʻuala, ka laiki, a me ka berena e kōkua i ka mānoanoa iki ʻana iā lākou. E hōʻemi i ke kō, ka caffeine, nā meaʻai momona, a me ka waiʻona, no ka mea hiki iā lākou ke hoʻonui i ka maʻi pākī.
• Nā meaʻai e kāohi ana i ka mumū: E ʻai i nā meaʻai e kōkua ai i ka pale ʻana i ka mumū i loko o ka ʻeke. ʻO kahi papaʻai e like me ka papaʻai Mediterranean, nona nā mea e like me ka ʻaila ʻoliva, iʻa, nā mea kanu, nā huaʻai, a me nā nati, ua ʻike ʻia he mea maikaʻi loa ia no kēia.

He ʻanuʻu nui ka hana ʻoki J-Pouch i kou ola. He mea maʻamau ka makaʻu a me ka kānalua e pili ana i ia mea. No laila, ma mua o ka hoʻoholo ʻana, e hana i kāu noiʻi a nīnau i kāu kauka i nā nīnau āpau āu e pono ai. Ke hoʻoholo ʻoe e hele i kēia huakaʻi, e lilo kou ʻohana a me kou mau hoaaloha i kumu ikaika nui. Me kā lākou kōkua, hiki iā ʻoe ke lanakila ma luna o kēia pilikia.