He aha ka ʻeke Kock (K-pouch)? Hiki iā ʻoe ke ola me ka ʻole o kahi ʻeke noho waho?

Ma muli o kekahi mau kūlana olakino, ʻoiai nā pilikia me ka ʻōpū nui, pono ke ʻoki kino e wehe i kēlā ʻāpana. A laila, hana ʻia kahi puka liʻiliʻi ma ka ʻili o ka ʻōpū e ʻae i ka ʻōpala e puka i waho o ke kino. No laila, hōʻiliʻili ʻia nā feces i loko o kahi ʻeke i hoʻopili ʻia i kēia puka. Hiki i ka noho ʻana me kēia ʻeke ke lilo i mea ʻoluʻolu ʻole no kekahi poʻe. Hiki ke manaʻo ʻia he mea keakea i ka wā e launa pū ai, e ʻaʻahu ana i nā lole, a me ka hana ʻana i nā hana o kēlā me kēia lā. No laila pehea inā he ala e hōʻiliʻili ai i nā ʻōpala i loko o ke kino me ka ʻole o kēia ʻeke waho a hoʻokahe iā ia i kēlā me kēia manawa a mākou e makemake ai? ʻO ka hopena i kēlā ʻo ia ka ʻeke Kock a mākou e kamaʻilio nei i kēia lā.

I ka ʻōlelo maʻalahi, he aha kēia ʻeke Kock (K-pouch)?

E noʻonoʻo, ma kahi o ka loaʻa ʻana o kahi ʻeke e kau ana ma waho o kou kino, pehea inā hiki iā ʻoe ke hana i kahi ʻeke liʻiliʻi e hiki ke hōʻiliʻili a mālama i nā ʻōpala i loko o kou kino? ʻO ia ke ʻano o ka ʻeke Kock.

Ma hope o ka colectomy, lawe ʻia ka hopena o kou ʻōpū liʻiliʻi, ʻo ka ileum, i ka ʻili o ka ʻili i loko o kou ʻōpū a hana ʻia kahi puka liʻiliʻi. Ua kapa ʻia kēia he ileostomy. Ua kapa ʻia kēia puka he stoma. Hana pinepine ʻia kēia ma ke kau ʻana i kahi ʻeke waho i ka stoma.

Akā i ke kaʻina hana ʻeke Kock, hoʻohana ke kauka lapaʻau i kahi ʻāpana o kou ʻōpū liʻiliʻi ponoʻī e hana i kahi ʻeke liʻiliʻi i loko o kou kino . Hoʻopili pololei ʻia kēia ʻeke i ka puka (stoma) i loko o kou ʻōpū. No laila, ʻaʻole pono ʻoe i kahi ʻeke waho e hōʻiliʻili i kāu ʻōpala. Ke pono ʻoe, hiki ke hoʻokomo ʻia kahi paipu liʻiliʻi (catheter) ma o kēia puka a hiki ke hoʻokahe ʻia nā ʻōpala i hōʻiliʻili ʻia i loko o ka ʻeke.

He aha nā hoʻohana o kahi ʻeke Kock?

Hoʻohana nui ʻia kēia ʻano hana no ka poʻe e pono e noho me kahi 'ileostomy' mau loa akā ʻaʻole makemake e hoʻohana i kahi ʻeke noho waho. ʻO ka pōmaikaʻi nui o kēia, hiki iā lākou ke kāohi i ke hele ʻana o ka noho.

I loko o kahi ileostomy maʻamau, hiki i ka ʻōpala ke hōʻiliʻili i loko o ka ʻeke i kēlā me kēia manawa. ʻAʻole hiki iā mākou ke kāohi iā ia. Akā, ʻo ka ileostomy me kahi ʻeke Kock ua kapa ʻia ʻo ia he ileostomy continence. ʻO ia hoʻi, "hiki ke kāohi." I kēia hihia, hōʻiliʻili ka ʻōpala i loko o ka ʻeke i loko, ma kahi o ka liki ʻana i waho, no laila loaʻa iā ʻoe ke kūʻokoʻa e hoʻokahe iā ia i kēlā me kēia manawa āu e makemake ai.

• ʻIke hou aku: Ua hoʻolālā mua ʻia ka ʻeke Kock ma ke ʻano he ʻeke kūloko e hōʻiliʻili i ka mimi no nā poʻe maʻi i wehe ʻia kā lākou mau ʻōpū mimi. Hoʻohana mau ʻia kēlā ʻano hana i kēia lā, akā ua hoʻomohala ʻia nā ʻano hana hou he nui.

Pehea e hana ʻia ai kēia ʻoki kino?

Hiki i kāu kauka lapaʻau ke hana i ka ʻeke Kock i ka manawa like me kāu ileostomy, a i ʻole hiki iā lākou ke hana ia mea i kahi hana ʻokoʻa ma kahi lā ma hope. ʻO ke ʻano kēia inā loaʻa iā ʻoe kahi ileostomy, hiki nō iā ʻoe ke hoʻololi i kahi ʻeke Kock i kahi lā ma hope.

I ka huaʻōlelo maʻalahi, hana ʻia ke ʻoki ʻana penei:

1. Ke hana ʻana i ka ʻeke: E lawe ke kauka ma kahi o 18 ʻīniha o ka hopena o kou ʻōpū liʻiliʻi ponoʻī a pelu iā ia i loko o ke ʻano "U". A laila, e wehe ʻia ka ʻōpū ma waenakonu o kēia pelu a e humuhumu ʻia nā kihi. E hana kēia i ka ʻeke.

2. Ke Hana ʻana i ka Valve: ʻO kēia ka ʻāpana koʻikoʻi loa. Me ka hoʻohana ʻana i ke koena o ka ʻōpū ma ka hopena o ka ʻeke, hana ʻia kahi valve kūikawā ('one-way valve`). Ua like ia me ka puka e wehe wale ana ma kekahi ʻaoʻao. Ke hoʻopiha ʻia ka ʻōpala i loko, pani koke kēia valve. Ma kēia ʻano, ʻaʻole e kahe ka feces, nā wai, a me ka ea.

3. Hoʻohui: ʻO ka hope loa, ua hoʻopili ʻia ka hopena me ka valve i ka puka (`stoma`) i hana ʻia i loko o kou ʻōpū. E nānā ke kauka e hōʻoia i ka hana pono ʻana o nā mea āpau a ʻaʻohe leaka.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino? Pehea ka lōʻihi e hoʻōla ai?

Ma hope o ke ʻoki kino, pono ʻoe e noho ma ka haukapila no kahi o ʻekolu a ʻelima mau lā. I loko o kēia manawa, e hoʻopili ʻia nā ʻōmole like ʻole i kou kino e kōkua iā ʻoe e hoʻōla koke.

• ʻŌmole IV no ka hāʻawi ʻana i ka saline
• ʻO ka meaʻai IV no ka meaʻai
• Nā ʻauwai ʻeha e wehe i nā ʻōpala mai ka ʻeha
• ʻO ke catheter mimi
• He `pamu ʻeha` no ka hoʻomalu ʻana i ka ʻeha

Mai hopohopo no kēia mau mea, he manawa pōkole wale nō ia.

E waiho ʻia ke catheter i hoʻokomo ʻia i loko o kou stoma no kekahi mau pule. E ʻae kēia i ka ʻōpala e kahe i waho o ka ʻeke hou i hana ʻia a hiki i ka wā e ola ai ka ʻeha. E aʻo aku ke kahu maʻi iā ʻoe pehea e mālama ai i ke catheter.

Ma hope o kou hoʻi ʻana i ka home a hoʻomaha no kekahi mau pule, e wehe kāu kauka i kēia ʻōmole. A laila, e aʻo aku kahi kahu maʻi iā ʻoe pehea e hoʻokahe ai i ka ʻeke iā ʻoe iho me ka hoʻohana ʻana i kahi ʻōmole maʻamau (catheter).

Nā pono a me nā pilikia o kahi ʻeke Kock

E like me nā hana lapaʻau āpau, aia nā pono a me nā pilikia. E nānā kākou iā lākou.

Inā loaʻa kēia mau pilikia, aia kekahi mau manawa e pono ai ke ʻoki kino ʻē aʻe (ʻoki kino hoʻoponopono hou ʻana) e hoʻoponopono iā lākou. I ke ʻano o ka ʻeke Kock, ʻoi aku hoʻi ma muli o nā pilikia valve, ʻoi aku ka kiʻekiʻe o ia ʻoki kino hoʻoponopono ma mua o nā ʻano hana ʻē aʻe (ma kahi o 30%). Akā e wehewehe pono kāu kauka i kēia mau mea āpau iā ʻoe.

He aha ka ʻokoʻa ma waena o kahi ʻeke Kock a me kahi ʻeke J-pouch?

ʻOiai ʻo kēia mau mea ʻelua he ʻano ʻeke i hoʻokumu ʻia i loko o ke kino, he ʻokoʻa loa ke ʻano o kā lākou hana.

• ʻEke Kock (ʻeke K): Hana ʻia kēia me kahi `ileostomy`, ʻo ia hoʻi kahi puka (`stoma`) i loko o ka ʻōpū. Hoʻokahe ʻia ka ʻōpala ma o kahi paipu (`catheter`) i hoʻokomo ʻia ma o ka puka i loko o ka ʻōpū.
• ʻEke-J: He ʻano ʻē aʻe kēia i ka ileostomy. Maanei, hana ʻia kahi ʻeke mai ka hopena o ka ʻōpū liʻiliʻi a pili pono i ka anus (anal canal). Hoʻopau kēia i ka pono no kahi stoma (wehe ʻana o ka ʻōpū). Hiki i ka mea maʻi ke hele i ka lua a hoʻokahe maʻamau.

I nā hihia he nui, koho nā maʻi e makemake ana e wehe ʻia ko lākou kolona a me ka rectum i ke kaʻina hana J-pouch. Eia nō naʻe, i mea e holomua ai ka J-pouch, pono e hana pono nā ʻiʻo i loko o ka rectum. No ka poʻe hiki ʻole ke loaʻa ka J-pouch no kekahi kumu, a i ʻole no ka poʻe i loaʻa ka J-pouch i hāʻule, he koho maikaʻi loa ka ʻeke Kock.

Makemake ʻoe e hoʻololi i kāu papaʻai?

ʻAe, he mea nui loa ka ʻai ʻana i kahi meaʻai kaulike a momona hoʻi e wikiwiki ai kou hoʻōla ʻana. Inā mānoanoa loa kou mau ʻōpala a wai paha, hiki iā ʻoe ke hana i nā hoʻololi liʻiliʻi i kāu meaʻai. Hiki ke kōkua nui ka ʻimi ʻana i ka ʻōlelo aʻo a ke kauka meaʻai. Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi mea kūpono.