Hoʻonā i ka pouchitis waho: ʻO ka mea e pono ai ʻoe e ʻike e pili ana i ke ʻoki ʻana o ka ʻeke Kock

Inā pono e wehe ʻia kou ʻōpū nui ma ke ʻoki ʻana ma muli o kahi maʻi, pono ʻoe e hoʻopili ʻia kahi ʻeke waho (stoma) i kahi puka kūikawā (stoma) i hana ʻia i loko o ka ʻili o kou ʻōpū e ʻae i ka ʻōpala (feces) e puka i waho o kou kino. ʻO ka noho ʻana me kēia ʻeke waho i kēlā me kēia lā hiki ke lilo i mea ʻoluʻolu ʻole a hopohopo no kekahi poʻe. Akā ua ʻike anei ʻoe aia kekahi mea ʻē aʻe i kēia? I kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻeke kūikawā (ʻeke) i hana ʻia i loko o ke kino.

He aha kēia ʻeke Kock?

I ka ʻōlelo maʻalahi, he ʻeke liʻiliʻi ka ʻeke Kock a ke kauka lapaʻau e hana ai i loko o kou kino, me ka hoʻohana ʻana i kahi ʻāpana o kou ʻōpū liʻiliʻi ponoʻī. He ʻano ʻē aʻe ia i kahi ʻeke ileostomy waho.

I loko o kahi ileostomy maʻamau, lawe ʻia ka hopena o ka ʻōpū liʻiliʻi i ka ʻili o ka ʻōpū, e hana ana i kahi stoma. No ka mea e puka mau ana ka ʻōpala ma kēia puka, pono e ʻaʻahu ʻia kahi ʻeke waho i nā manawa a pau e hōʻiliʻili iā ia.

Akā i loko o ka ʻeke Kock, ʻoiai aia kēia ʻeke i loko o ke kino, ʻaʻole e puka koke mai ka ʻeke i ka manawa hoʻokahi. Akā, hōʻiliʻili ia i loko o ka ʻeke. Hiki iā ʻoe ke hoʻokahe i kēia ʻeke i nā manawa he nui i ka lā, i kēlā me kēia manawa āu e makemake ai, ma ke komo ʻana i kahi ʻōmole liʻiliʻi (catheter) ma o ka `stoma`. Ua kapa ʻia kēia he "Continence Ileostomy" . ʻO ia hoʻi, hiki iā ʻoe ke kāohi i ke hele ʻana o ka ʻeke. Ua hoʻolauna mua ʻia kēia ʻano hana e ke kauka lapaʻau i kapa ʻia ʻo Nils Kock. ʻO ia ke kumu i kapa ʻia ai he ʻeke Kock.

Pehea e hana ʻia ai ke ʻoki ʻana i ka ʻeke Kock?

He ʻano paʻakikī kēia ʻoki kino. E hana kāu kauka ʻoki kino penei:

• ʻO ka mea mua, e lawe ma kahi o 18 ʻīniha o ka hopena o kou ʻōpū liʻiliʻi (ileum) a pelu iā ia i loko o ke ʻano "U".
• ʻO ka lua, ua wehe ʻia ka ʻāpana i pelu ʻia ma waenakonu a ua hoʻohui ʻia nā ʻaoʻao a humuhumu ʻia. Hana kēia i ʻeke. Ua waiho ʻia kahi ʻāpana liʻiliʻi o ka ʻōpū ma ka hopena.
• ʻO ke kolu a ʻo ka mea nui loa, me ka hoʻohana ʻana i ke koena o ka ʻōpū, ua hana ʻia kahi kiwikā hoʻokahi ala kokoke i ka waha o ka ʻeke. He mea nui loa kēia no ka mea ʻo kēia kiwikā ka mea e pale ai i ka ʻōpala a i ʻole ka ea mai ke kahe ʻana mai loko mai o ka stoma ke piha ka ʻeke.
• ʻO ka hope loa, ua hoʻopili ʻia ka hopena o ka valve i loko o ka stoma i hana ʻia i loko o ka ʻōpū. I ka pau ʻana o ke ʻoki kino, nānā nā kauka e hōʻoia i ka hana pono ʻana o ka valve.

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, e noho ʻoe ma ka haukapila no kahi o ʻekolu a ʻelima mau lā. I loko o kēia manawa, e hoʻokomo ʻia nā ʻōmole like ʻole e kōkua iā ʻoe e hoʻōla koke.

• ʻO kahi laina IV (ʻōmole i hoʻokomo ʻia i loko o kahi aʻa) e hāʻawi i ka saline
• Nā ʻauwai ʻeha
• He ʻōmole no ka lāʻau ʻeha (pamu ʻeha)
• ʻO ke catheter mimi

Pono ʻoe e mālama i ke catheter ma kahi no kekahi mau pule. E ʻae kēia i ka wai i loko o ka ʻeke i hana hou ʻia e kahe a ʻae i ka ʻeha e ho'ōla pono. E hōʻike aku ke kahu maʻi iā ʻoe pehea e mālama ai i ke catheter ma ka home.

I kekahi mau pule ma hope o kou hoʻi ʻana i ka home, e wehe ke kauka i ka ʻōmole. Ma hope o kēlā, e aʻo aku ke kahu maʻi iā ʻoe pehea e hoʻokahe ai i ka ʻeke me kahi catheter maʻamau, kahi āu e hoʻohana ai mai kēia manawa aku.

I ka hoʻomaka ʻana, pono paha ʻoe e hoʻokahe i ka ʻeke ma kahi o 8 mau manawa i ka lā. Akā, mai hopohopo. Ma hope o kekahi mau mahina, i ka wā e ulu iki ai ka ʻeke a ke ho'ōla maikaʻi nei, pono paha ʻoe e hoʻokahe iā ia i ʻelua a ʻehā paha manawa i ka lā.

E makaʻala hoʻi kākou i kahi pilikia koʻikoʻi.

Inā hemo ka valve a ua ālai ʻia ka wehe ʻana o ka ʻeke a ʻaʻole hiki ke hoʻokomo ʻia ka paipu, he pilikia ia. I kēlā hihia, pono ʻoe e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila. Eia kekahi, inā pono ʻoe e hana hou i nā ʻokiʻoki ma muli o ia mau pilikia, aia kahi pilikia o ka pōkole ʻana o ka ʻōpū liʻiliʻi a me ka loaʻa ʻana o nā hemahema meaʻai (Short Bowel Syndrome).

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

Ua lohe paha ʻoe i kahi J-Pouch. ʻOiai he ʻano ʻeke kūloko nā ʻano ʻelua, ʻokoʻa kā lāua hana.

• ʻEke-J: Pili kēia i ka hoʻopili ʻana i kahi ʻeke i kou kahawai anal. ʻO ia hoʻi, ʻaʻole pono ʻoe i kahi stoma. Hiki nō iā ʻoe ke kahe ma o kou anus e like me ka mea maʻamau. Makemake ka poʻe he nui i kēia ʻano hana. Eia nō naʻe, pono e olakino maikaʻi kou anus a me nā ʻiʻo a puni ia mea.
• ʻEke Kock: ʻO ka ʻEke Kock ke koho maikaʻi loa no kekahi kanaka hiki ʻole ke loaʻa kahi J-Pouch (no ka laʻana, inā ua wehe ʻia ka anus) a i ʻole no kekahi kanaka i loaʻa kahi J-Pouch akā ʻaʻole i holomua.

Pono anei au e hoʻololi i kaʻu papaʻai ma hope o kēia ʻoki kino?

ʻAe, he mea nui loa ka ʻai ʻana i kahi meaʻai kaulike a momona hoʻi e wikiwiki ai kou hoʻōla ʻana. Ma mua, ua kaupalena paha ʻoe i kekahi mau meaʻai ma muli o kou maʻi. I kēia manawa hiki iā ʻoe ke hoʻonui mālie i kēlā ʻai.

Inā mānoanoa loa kou ʻōpala a wai paha, hiki iā ʻoe ke hoʻoponopono i kēia ma ka hoʻololi ʻana i kāu meaʻai. He mea kūpono ke ʻimi i ka ʻōlelo aʻo a kahi meaʻai no kēia. Hiki i kāu kauka ke kuhikuhi iā ʻoe i hoʻokahi.