E aʻo kākou e pili ana i ke ʻoki kino J-Pouch ma nā ʻōlelo maʻalahi.

Ua haʻi aku kāu kauka iā ʻoe e pono e wehe ʻia kou kolona a me kou rectum ma muli o kahi maʻi? He mea maʻamau ka manaʻo nui i ka makaʻu a me ka hopohopo i ka manawa e like me kēia. "Pehea wau e hoʻokahe ai ? Pono anei au e ʻaʻahu i kahi ʻeke?" Ke noʻonoʻo nei paha ʻoe. Akā, mai hopohopo, aia kahi hopena maikaʻi. I kēia lā ke kamaʻilio nei mākou e pili ana i ke ʻoki kino 'J-Pouch', hiki ke kōkua iā ʻoe e ola i kahi ola maʻamau me ka ʻole o kahi ʻeke waho ma hope o ia ʻoki kino.

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

He ʻeke liʻiliʻi ka J-Pouch a ke kauka lapaʻau e hana ai i loko o kou kino me ka hoʻohana ʻana i kahi ʻāpana o kou ʻōpū liʻiliʻi ponoʻī. I ka pololei, ua hana ʻia ia mai ka ʻāpana hope loa o ka ʻōpū liʻiliʻi, ʻo ka "ileum".

E noʻonoʻo, ma hope o ka wehe ʻia ʻana o kou ʻōpū nui a me ka rectum, ʻaʻohe wahi e mālama ai i kou ʻōpala no kekahi manawa. Hana ʻia kēia J-Pouch e hana ma ke ʻano he waihona hou ma kahi o kēlā rectum nalowale. Ke pau, ua kapa ʻia ʻo ia he J-Pouch no ka mea ua like kona ʻano me ka leka 'J'. Hoʻopili pololei ʻia kēia ʻeke hou i ke koena o kou rectum (anal canal). ʻO ia hoʻi, hiki iā ʻoe ke defecate e like me ka maʻamau ma mua.

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

Ma hope o ka proctocolectomy holoʻokoʻa, loaʻa iā mākou ʻelua mau koho nui. ʻO kekahi, ʻo ia ka loaʻa ʻana o kahi ʻeke mau loa i loko o ka ʻōpū, a mākou e kapa nei he "ileostomy." ʻO kekahi, ʻo ia ka loaʻa ʻana o kahi J-Pouch. He mea nui loa ia e hoʻomaopopo i ka ʻokoʻa ma waena o nā mea ʻelua.

ʻO wai ka mea hiki ke hana i kēia ʻoki kino?

ʻAʻole no nā kānaka a pau ke ʻoki ʻana iā J-Pouch. E nānā kāu kauka i kekahi mau kumu e hoʻoholo ai inā kūpono ʻoe no ia.

• Hana ʻiʻo Rectal: Pono nā ʻiʻo a me nā aʻalolo i loko o ka rectum e pono ai ke kaohi i ka neʻe ʻana o ka ʻōpū i kahi hana maikaʻi.
• Ola kino: ʻOiai he ʻoki kino multi-stage kēia, pono ʻoe e olakino maikaʻi e ʻae i ke ʻoki kino. E makaʻala i nā kūlana olakino ʻē aʻe a i ʻole nā ​​​​lāʻau lapaʻau āu e lawe nei.

Pehea e hana ʻia ai ke ʻoki kino?

Hana pinepine ʻia kēia ʻoki kino i ʻelua a ʻekolu paha pae. ʻOiai paha he mea paʻakikī iki kēia, e mālama kākou i ka maʻalahi.

1. Pae 1: ʻO ka mua, loaʻa iā ʻoe kahi ʻoki "proctocolectomy" e wehe i kou ʻōpū nui a me ka rectum. I ka manawa like me kēlā ʻoki a i ʻole ma kahi ʻoki ʻokoʻa ma hope, hana ʻia ka J-Pouch. Lawe ke kauka i ka hopena o kou ʻōpū liʻiliʻi, pelu iā ia i ke ʻano 'U', a hoʻohui iā ia i waenakonu e hana i kahi ʻeke liʻiliʻi.

2. Ileostomy Manawa Kuikahi: ʻAʻole hiki i kāu J-Pouch i hana hou ʻia ke hele i loko o ka ʻōpala a hiki i ka wā e ho'ōla ai. No laila, no kekahi mau mahina i kona ho'ōla ʻana, e hāʻawi ʻia ʻoe i kahi "loop ileostomy" manawa pōkole . ʻO ia hoʻi, ua hoʻopili ʻia kahi ʻeke i ka ʻili o kou ʻōpū. He manawa pōkole wale nō kēia, ma kahi o 2-3 mahina.

3. Ka Nānā ʻana i ka ʻEke J: Ma hope o 2-3 mau mahina, hana ʻia kahi hoʻāʻo kūikawā e ʻike ai inā ua hoʻōla pono ʻia ka ʻeke i hana hou ʻia a inā e liki ana i kekahi wahi. Ua kapa ʻia kēia he "pouchogram". Ua like ia me ka barium swallow, kahi e hoʻokomo ʻia ai kahi wai ma o ka anus a lawe ʻia kahi X-ray .

4. Kahua Hope Loa: Ke hoʻonohonoho pono nā mea āpau, e hana hou kāu kauka i kahi ʻoki liʻiliʻi e wehe i ka ileostomy manawa pōkole a pani i ka puka i loko o kou ʻōpū. Mai ia manawa, e hoʻomaka ana kāu ʻōpala e hele maʻamau ma o ka J-Pouch i hana hou ʻia. ʻO kēia kaʻina hana o ka hoʻopili hou ʻana i kou mau ʻōpū ua kapa ʻia ma ke ʻano lapaʻau he ileal pouch-anal anastomosis (IPAA).

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

Ma hope o ke ʻoki ʻana, e lōʻihi ka manawa no kou kino e maʻa ai i kēia ʻōnaehana hou.

• Ka neʻe pinepine ʻana o ka ʻōpū: I ka hoʻomaka ʻana, he liʻiliʻi ka J-Pouch, no laila ʻaʻole hiki ke mālama i ka nui o ka ʻōpala. No laila pono paha ʻoe e hele i ka lua i nā manawa he nui i ka lā, i kekahi manawa i ka pō. Akā i ka hala ʻana o ka manawa, e nui aʻe ka ʻeke, a e hoʻomaikaʻi mālie kēia kūlana. Hoʻemi pinepine kēia i waena o 5-10 mau manawa i ka lā.
• Hoʻomaʻamaʻa hou ʻana i nā ʻiʻo: Ua nāwaliwali paha nā ʻiʻo o kou rectum mai ka hoʻohana ʻole ʻana iā lākou no kekahi manawa. Pono paha ʻoe e hana i nā hoʻomaʻamaʻa e hoʻihoʻi i ka mana o kou ʻōpū. Hiki i kāu kauka ke ʻōlelo aku i nā hoʻomaʻamaʻa e like me nā hoʻomaʻamaʻa Kegel.
• Nā ʻōpala palahalaha: ʻO ka ʻōpū nui ka ʻāpana e omo i ka wai i loko o kou ʻōpala. I kēia manawa ua pau kēlā ʻāpana, e ʻoi aku ka wai o kou ʻōpala ma mua o ka wā ma mua.

Aia kekahi mau hopena ʻaoʻao a i ʻole nā ​​​​pilikia?

E like me nā hana ʻoki kino āpau, aia kekahi mau pilikia, akā ʻaʻole hiki pinepine kēia mau mea.

• Ka leaka anastomotic: Inā he leaka liʻiliʻi ma kahi i pili ai ka ʻōpū, hiki ke loaʻa kahi maʻi i loko o ka ʻōpū.
• Nā hoʻopili ʻana o ka ʻōpū: I kekahi manawa, hoʻokumu ʻia nā hoʻopili ʻana o nā ʻiʻo i makemake ʻole ʻia i loko o ka ʻōpū ma hope o ke ʻoki ʻana, hiki ke hana i ka pale ʻana o ka ʻōpū.
• Pouchitis: ʻO kēia ka pilikia maʻamau. He maʻi a mumū paha ia o ka J-Pouch. ʻO nā hōʻailona e komo pū me ka ʻeha o ka ʻōpū, ka neʻe pinepine ʻana o ka ʻōpū, a i kekahi manawa ke kahe koko. I ka hapanui o nā hihia, hiki ke ho'ōla loa ʻia kēia me nā antibiotics .
• Stricture: ʻO ka ʻiʻo pehu mai ke ʻoki ʻana e hiki ai ke hoʻohāiki i ke alahele.

Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē e like me kēia, pono ʻoe e hoʻomaopopo koke i kāu kauka.

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

ʻAe, hiki iā ʻoe! ʻO ka nui o ka holomua o ke ʻoki ʻana iā J-Pouch he 95%. ʻOiai paha he ʻoluʻolu ʻole i ka wā mua, i ka hala ʻana o ka manawa e maʻa ai kou kino iā ia. Hiki iā ʻoe ke hele i ka hana, huakaʻi, a hoʻoikaika kino e like me ma mua. ʻO ka mea nui loa, hiki iā ʻoe ke ola i kou ola me ka mana, me ka hopohopo ʻole e pili ana i kahi ʻeke waho.

Makemake ʻoe e hoʻololi i kāu papaʻai?

ʻAe, pono ʻoe e makaʻala loa i kāu ʻai ke noho me kahi J-Pouch.

• Ma hope o ke ʻoki ʻana, e hoʻomaka:Ma hope o ke ʻoki ʻana, e hoʻomaka e ʻai i nā meaʻai liʻiliʻi a maʻalahi hoʻi e ʻeli.
• E inu i ka wai nui: No ka mea, ua hoʻokuʻu ʻia ka wai keu mai ke kino, he mea nui e inu i ka wai nui, nā wai huaʻai, ka porridge, a me ka sopa e pale aku ai i ka maloʻo ʻana .
• No ke kāohi ʻana i ka maʻi kahe: Inā wai loa kou ʻōpala, hiki iā ʻoe ke kāohi iā ia ma ka ʻai ʻana i nā meaʻai starchy e like me ka maiʻa, ka laiki, ka berena, a me ka ʻuala. E pale i ke kō, ka caffeine, ka momona kiʻekiʻe, a me ka waiʻona no ka mea hiki iā lākou ke hoʻonui i ka maʻi kahe.
• Nā meaʻai e hōʻemi ai i ka mumū: ʻO ka lawe ʻana i kahi meaʻai olakino, e like me ka ʻaila ʻoliva, iʻa, nā mea kanu, a me nā huaʻai, hiki ke kōkua i ka pale ʻana i nā kūlana e like me ka pouchitis.

He mea maikaʻi ke kamaʻilio me kāu kauka a me kahi meaʻai meaʻai e pili ana i kēia a hana i kahi papaʻai e kūpono iā ʻoe.