Ua hana ʻia ʻoe i kahi ʻoki ʻeke 'ileal', a i ʻole ua ʻike paha ʻoe i kekahi i hana? No kekahi poʻe, hiki i kēia kaʻina hana ke alakaʻi i kahi maʻi i ʻike ʻia ʻo 'Puchitis.' ʻOiai hiki ke pilikia loa, ʻaʻohe pono e hopohopo. Ma Nirogi Lanka, makemake mākou e kōkua iā ʻoe e hoʻomaopopo i kēia maʻi ma nā ʻōlelo maʻalahi a maopopo.
He aha maoli ka Pouchitis?
I ka ʻōlelo maʻalahi, ʻo ka Pouchitis ka mumū i loko o kāu ʻeke ileal. No ka hoʻomaopopo ʻana i kēia, e nānā kākou i ke ʻano o ka ʻeke ileal. No kekahi mau maʻi, pono nā maʻi ʻōpū koʻikoʻi e wehe i ka colon holoʻokoʻa a me ka rectum, kahi hana i kapa ʻia ʻo 'total proctocolectomy.' Ma hope o kēia ʻoki kino, pono ke kino i kahi ala hou e mālama a hoʻopau i nā ʻōpala. ʻO ia kahi e komo ai ka 'ileal pouch'.
Hana nā kauka lapaʻau i kēia ʻeke—ʻo ia hoʻi kahi waihona liʻiliʻi o loko—me ka hoʻohana ʻana i ka hopena o kou ʻōpū liʻiliʻi, ʻo ia ka 'ileum.' Hoʻohālike ia i ka hana o kou kolona mua a me ka rectum ma ka paʻa ʻana i nā ʻōpala a hiki i kou mākaukau e hoʻopuka. A laila hoʻopili ʻia ka ʻeke i kou anus, i hoʻohālikelike pinepine ʻia me ka ʻeke 'J' a i ʻole 'S', a i ʻole i kekahi mau hihia, hoʻopili ʻia i kahi puka ʻoki ma ka ʻōpū i ʻike ʻia he 'stoma' (he ʻeke K). ʻO ke kumu, ke hana nei kahi ʻāpana o kou ʻōpū liʻiliʻi i ka hana o kāu kolona.
Ua like ka Pouchitis me ka 'colitis' (ka mumū o ke kolona) a i ʻole 'proctitis' (ka mumū o ka rectum), akā loaʻa maoli ia i ka poʻe me kahi ʻeke ileal. Ua like loa nā hōʻailona, me ka ʻeha o ka ʻōpū a me ka makemake koke a pinepine e hoʻohana i ka lua. Loaʻa ka hapa nui o ka poʻe i ka 'acute pouchitis,' ʻo ia ka mumū manawa pōkole e hoʻopau ʻia. Eia nō naʻe, no kekahi poʻe, hiki ke lilo i kūlana mau a hoʻi hou paha i ʻike ʻia ʻo 'chronic pouchitis.'
Pehea ka maʻamau o ka Pouchitis?
Ua manaʻo ʻia he 25% a 45% o ka poʻe e hana ʻia ana i ke ʻoki ʻeke ileal e loaʻa iā lākou ka Pouchitis i kekahi manawa o ko lākou ola. Ma kahi o 40% o nā maʻi e loaʻa paha iā ia i loko o ka makahiki mua, a he 10% a 20% e ʻike i nā hanana hou.
He aha nā hōʻailona o ka pouchitis?
Inā loaʻa iā ʻoe ka Pouchitis , e ʻike paha ʻoe i nā hōʻailona penei:
- ʻEha a me ka ʻōpū haʻahaʻa.
- He pono koke a pinepine e hoʻohana i ka lumi hoʻomaha.
- Ke ala ʻana i ka pō e hoʻokahe i ka ʻōpū.
- Ka paʻakikī i ka hoʻokele ʻana i ka neʻe ʻana o ka ʻōpū (bowel incontinence) a i ʻole ka liki iki.
- Ka paʻakikī ke hele ʻana i ka ʻōpala a i ʻole ke kaumaha (dyschezia).
- ʻO ka manaʻo o ka hoʻoneʻe piha ʻole ʻana a i ʻole ka makemake mau e hele (tenesmus).
- Ke koko i loko o kou noho.
- Kuni a i ʻole ke anu.
He aha ke kumu o ka Pouchitis?
Manaʻo nā loea lapaʻau ʻo ka Pouchitis ke kumu nui o nā loli i ke kaulike o nā bacteria o ka ʻōpū i loko o kāu ʻeke. ʻOiai ke hana nei kahi ʻāpana o kou ʻōpū liʻiliʻi e like me ka colon, ua hōʻike ʻia ia i nā ʻano bacteria like ʻole. Hiki i kēia mau bacteria hou ke hoʻokūkū me nā mea e kū nei, e hoʻoulu ai i kāu ʻōnaehana pale e hoʻoulu i kahi pane mumū, e kuhihewa ana i ka neʻe ʻana no kahi maʻi.
I kekahi mau hihia, hiki ke loaʻa kahi maʻi maoli. ʻO kekahi mau bacteria pathogenic e noho mau ana i loko o ka ʻōpū i nā helu liʻiliʻi a kāohi ʻia e hoʻomaka paha e ulu nui ke hoʻopilikia ʻia ke kaulike palupalu ma hope o ke ʻoki ʻana. ʻAe kēia i nā bacteria 'maikaʻi ʻole' e ulu, e alakaʻi ana i ka mumū.
ʻO ka pouchitis mua, e kū koke ana ma hope o ke ʻoki ʻana, ua manaʻo ʻia he hopena maʻamau ma hope o ke ʻoki ʻana a pane maikaʻi pinepine i nā antibiotics. Eia nō naʻe, hiki ke hoʻi hou. Inā hoʻomau ia e hoʻi hou, pinepine ia no ka mea e noho aliʻi ana kekahi mau heluna bacteria. ʻOiai he nui ka poʻe e hoʻokele pono ana i ka 'acute pouchitis' me nā papa pōkole o nā antibiotics, lilo ke kūlana i mea paʻakikī ke hana ʻia i nā manawa he nui i ka makahiki. Hilinaʻi kekahi mau maʻi i nā antibiotics, kahi kūlana i ʻike ʻia ʻo 'Chronic Antibiotic-Dependent Pouchitis' (CADP). Hiki i kekahi ke ʻike ua pau ka pono o nā antibiotics, i kapa ʻia ʻo 'Chronic Antibiotic-Resistant Pouchitis' (CARP).
Nā kumu e kōkua ana i ka Chronic, Antibiotic-Resistant Pouchitis (CARP):
Hiki i kekahi mau kumu ke kōkua i ka ulu ʻana o 'CARP.' Eia kekahi mau mea:
- ʻO ka maʻi ʻōpū mumū ( IBD ): Inā ua hana ʻia ʻoe i kahi proctocolectomy e mālama i nā kūlana e like me Ulcerative Colitis a i ʻole ka maʻi Crohn , ʻoi aku kou pilikia o ka loaʻa ʻana o ka pouchitis. ʻO nā kumu kumu i kōkua i kou kūlana mua hiki ke hoʻopilikia pinepine i ke olakino o kāu ʻeke.
- Nā bacteria kū'ē i ka antibiotic : ʻO kekahi mau maʻi bacteria , e like me nā mea i hoʻokumu ʻia e 'C. difficile,' he kū'ē i nā antibiotics maʻamau. ʻO ka hoʻohana lōʻihi ʻana i nā antibiotics hiki ke ʻae i nā bacteria i maʻa mau ʻole e hoʻomohala i ke kū'ē, e hoʻopilikia ana i ke kaulike bacteria palupalu i loko o kāu ʻeke.
- Nā maʻi ʻē aʻe: I kekahi manawa, hiki ke hoʻoulu ʻia ka mumū i loko o kāu ʻeke e nā maʻi viral e like me Cytomegalovirus a i ʻole nā maʻi fungal e like me Candidiasis.
- Immunosuppression: Inā nāwaliwali kāu ʻōnaehana pale ma muli o nā kūlana i hala mua a i ʻole kekahi mau lāʻau lapaʻau, hiki ke hoʻopilikia ʻia ke kūpaʻa kūlohelohe o kou kino i nā maʻi.
- Ka hoʻohana lōʻihi ʻana o ka NSAID : ʻO ka hoʻohana pinepine ʻana a nui ʻole paha o nā lāʻau anti-inflammatory nonsteroidal (NSAID) e like me Aspirin a i ʻole Ibuprofen hiki ke hōʻino i ka pale o kāu ʻōnaehana digestive, me ka uhi o kāu ʻeke.
- Ischemia (Hoʻemi ʻia ke koko): ʻOiai he mea kakaikahi, hiki ke loaʻa ka mumū inā ua kaupalena ʻia ke kahe o ke koko i kahi wahi kikoʻī, pinepine ma muli o ka pale ʻana i nā kīʻaha koko e hoʻolako ana i kēlā wahi.
- ʻO ka Primary Sclerosing Cholangitis (PSC): He kūlana autoimmune kēia kahi e hoʻouka ai kāu ʻōnaehana pale i kāu mau cell olakino ponoʻī, e hoʻoulu ai i ka mumū mau o nā ʻauwai bile. E like me IBD, hiki i nā ʻano hana olaola e hoʻokele nei i kēia mumū mau ke hoʻopilikia i kāu ʻeke, e hoʻonui ana i kou pilikia o ka hoʻomohala ʻana i ka pouchitis.
He aha nā pilikia e hiki mai ana o ka pouchitis?
ʻAʻole pinepine ka pouchitis koʻikoʻi e alakaʻi i nā pilikia nui. Eia nō naʻe, hiki i ka pouchitis mau a i ʻole ka pouchitis kū ʻole i ka lāʻau ke hōʻike i nā pilikia. ʻO nā pilikia e hiki mai ana:
- Nā loli i nā ʻano hana ʻōpū: Hiki i ka mumū i loko o ka ʻeke ke paʻakikī i ka kaohi ʻana i ka neʻe ʻana o ka ʻōpū, ʻoiai ʻo ka pehu e paʻakikī ai ka hoʻokahe ʻana i kou ʻōpū me ka maikaʻi, e hoʻopilikia ana i kāu mau hana maʻamau i kēlā me kēia lā.
- Ka emi ʻana o ke ʻano o ke ola: ʻO ka noho ʻana me nā pilikia ʻōpū mau loa hiki ke hoʻoluhi kino a me ka naʻau, e hoʻopilikia pinepine ana i kou ola kaiaulu a me ke olakino holoʻokoʻa.
- ʻO ke koʻikoʻi o ka ʻeke:Hiki i ka mumū mau ke alakaʻi i ka ʻeha, kahi e hiki ai ke hoʻohaiki i ka puka o ka ʻeke. Hiki i kēia ke hoʻopilikia i ke kahe koko i ka wahi, e pale ana i ke kaʻina hana ho'ōla kūlohelohe.
- Ka ʻino ʻana o ka uhi: Hiki i ka mumū lōʻihi ke ʻino i ka uhi o loko o ka ʻeke, e alakaʻi ai i nā ʻeha e kahe ai ke koko. Hiki i nā bacteria pathogenic ke hōʻino hou aku i ka paia o ka ʻōpū.
- ʻO ka malabsorption a me ka malnutrition: Ke hōʻino ʻia ka uhi o ka ʻeke, ua emi ka hiki o kou kino ke omo i nā meaʻai mai ka meaʻai, hiki ke alakaʻi i ka malnutrition.
- Ka hāʻule ʻana o ka ʻeke: I nā hihia koʻikoʻi a mau loa kahi i kū ʻole ai ka lāʻau lapaʻau, ʻaʻole paha e ola hou ka ʻeke. Pono paha kēia i ke ʻoki hou ʻana e wehe i ka ʻeke a hoʻihoʻi i ka ʻōpū ma o kahi ileostomy.
Pehea e ʻike ʻia ai ka pouchitis?
Hoʻomaka ka ʻike ʻana me kahi kūkākūkā piha o kāu mau hōʻailona a me ka mōʻaukala olakino. E nānā paha kāu kauka i loko o kāu ʻeke me ka hoʻohana ʻana i kahi endoscope - he paipu lahilahi a palupalu i lako me kahi kāmela liʻiliʻi. ʻAe kēia iā lākou e ʻike i ka mumū a i ʻole nā mea ʻē aʻe. I loko o kēia kaʻina hana, hiki iā lākou ke hana i kahi biopsy (ka hōʻiliʻili ʻana i kahi hāpana ʻiʻo liʻiliʻi) e hoʻoholo ai i ke kumu kumu o kāu mau hōʻailona.
Hiki i kāu kauka ke hoʻohana i nā hoʻokolohua kiʻi e loiloi i ke ʻano o waho o ka ʻeke a me nā wahi a puni, e kōkua ana i ka hoʻoponopono ʻana i nā kūlana like ʻole.
Hiki ke komo pū nā hoʻokolohua diagnostics ʻē aʻe:
- ʻO ka pouchography hoʻohālikelike (pouchogram): He X-ray kūikawā kahi e hoʻohana ʻia ai kahi wai hoʻohālikelike e wehewehe pono i ka ʻeke, e like me ka barium enema, akā no kahi ʻeke ileal.
- Kiʻi CT.
- Nānā MRI.
Pehea e mālama ʻia ai ka pouchitis?
ʻO ka lāʻau lapaʻau mua no ka pouchitis ʻoi he papa ʻelua pule o nā antibiotics , kahi e hoʻoponopono pono ai i nā hōʻailona no ka hapa nui o nā maʻi. Inā ʻaʻole hoʻomaikaʻi kou kūlana, hiki i kāu kauka ke hoʻoponopono i kāu lāʻau lapaʻau, hoʻohui i nā antibiotics like ʻole, a hoʻolōʻihi paha i ka lōʻihi o ka lāʻau. Inā mau nā hōʻailona ma mua o ʻehā pule, hiki ke ʻike ʻia ʻoe me ka pouchitis kūʻē i ka antibiotic, e koi ana i ka noiʻi diagnostic hou aʻe e hoʻoholo ai i ke ala maikaʻi loa e holomua ai.
Pehea e pili ana i ka pouchitis hou?
Inā hoʻōla ʻoe mai ka pouchitis koʻikoʻi akā hoʻi mai nā hōʻailona, e hana hou paha kāu kauka i ka lāʻau lapaʻau mua. Inā holo pono ka lāʻau a ʻaʻole pinepine nā flare ups, e mau ana kēia ʻano hana maʻamau. Eia nō naʻe, inā ʻoi aku ʻoe ma mua o ʻekolu mau hanana i ka makahiki, ua hoʻokaʻawale ʻia ʻo ia he 'chronic antibiotic-dependent pouchitis,' a e neʻe kāu kauka i ka mālama mālama lōʻihi e pale aku i nā flare ups hou aʻe.
Hiki i nā lāʻau lapaʻau mālama ke komo pū me:
- Nā lāʻau antibiotic: ʻO ka hoʻohana lōʻihi ʻana i nā lāʻau antibiotic haʻahaʻa e hiki ke kōkua i ka mālama ʻana i ke olakino o ka ʻeke a pale i nā hoʻi hou ʻana.
- Probiotics: He mau mea hoʻohui kēia e loaʻa ana nā bacteria maikaʻi e kōkua i ka hoʻihoʻi ʻana i kahi kaulike olakino i loko o kāu ʻeke a hakakā i nā bacteria pathogenic.
He aha nā lāʻau lapaʻau no ka pouchitis kūpaʻa mau loa, antibiotic-resistant (CARP)?
Inā ʻaʻole i pane mua kāu pouchitis i nā antibiotics, a inā paha i pane mua akā ʻaʻole i pane hou, kapa nā kauka i kēia ʻo Chronic Antibiotic-Resistant Pouchitis (CARP) . I kēlā mau hihia, e noiʻi mua kāu kauka i nā kumu kumu i ʻike ʻole ʻia e ʻoe, e like me ka maʻi lua, kahi maʻi autoimmune, a i ʻole kahi pilikia kūkulu me ka ʻeke. Inā ʻaʻohe kumu maopopo i ʻike ʻia, e mālama lākou i ka pouchitis mau e like me ke ʻano o kā mākou mālama ʻana i ka Inflammatory Bowel Disease (IBD).
ʻO kekahi mau hoʻolālā lapaʻau kūpono:
- Nā ʻenema Mesalamine:ʻO Mesalamine, a i ʻole 5-aminosalicylic acid (5-ASA), kahi lāʻau lapaʻau laina mua no ka ulcerative colitis. Loaʻa ia i ke ʻano enema, hiki iā ʻoe ke lawelawe pololei i loko o kāu ʻeke.
- ʻEnemas Bismuth: Loaʻa ka Bismuth subsalicylate, ka mea hana nui ma Pepto-Bismol®, ma ke ʻano he enema foam (bismuth carbomer), hiki ke kōkua i ka hōʻoluʻolu i kāu mau hōʻailona.
- Corticosteroids: ʻO kēia nā lāʻau anti-inflammatory i hoʻohana ʻia e mālama i ka mumū mau loa.
- Nā Immunosuppressants: Hoʻopau kēia mau lāʻau i ka pane a kāu ʻōnaehana pale, ka mea a nā kauka e kuhikuhi ai i ka wā e hoʻokele ai kāu ʻōnaehana pale i ka mumū mau loa.
- Nā antibodies Monoclonal (Biologics): He mau protein i hana ʻia e ke kanaka e hana like me nā antibodies kūlohelohe o kou kino, e hoʻoikaika ana i ka pane a kāu ʻōnaehana pale e kūʻē i ka mumū.
- Nā mole liʻiliʻi: He mau lāʻau lapaʻau hou kēia, nā lāʻau lapaʻau synthetic e hana like me nā antibodies monoclonal.
- ʻO ka Fecal Microbiota Transplant (FMT): ʻOiai ua ʻae ʻia e ka US FDA e mālama i nā maʻi C. diff i kūʻē i ka antibiotic, hoʻohana ʻia i kekahi manawa ma waho o ka lepili no ka pouchitis kūʻē i ka antibiotic e kōkua i ka hoʻihoʻi ʻana i kahi microbiome ʻōpū olakino.
Pehea ka lōʻihi o ka ho'ōla ʻana o ka pouchitis?
ʻO ka maʻamau, hoʻomaka nā hōʻailona o ka pouchitis koʻikoʻi e emi i loko o kekahi mau lā o ka hoʻomaka ʻana i nā antibiotics. Eia nō naʻe, inā ʻoe e manaʻo maikaʻi, he mea nui e hoʻopau i ka papa hana piha o ʻelua pule o nā antibiotics.
Pono ʻoe e hahai i kāu kauka ma hope o ka pau ʻana o ka lāʻau lapaʻau. Pono paha lākou e hana i kahi loiloi endoscopic o kāu ʻeke e hōʻoia i ka pau ʻana o ka mumū.
Hiki ke pale ʻia ka pouchitis?
Hōʻike kekahi mau hōʻike e hiki i nā probiotics ke kōkua i ka pale ʻana i ka hoʻomaka ʻana o ka pouchitis ma hope o ke ʻoki ʻana a i ʻole e pale i ka hoʻi hou ʻana ma hope o ka mālama ʻana. ʻOiai ʻaʻole lākou e hana no nā mea āpau, he mea pono paha lākou no ʻoe. I kekahi manawa kuhikuhi nā kauka i kahi hui probiotic kikoʻī (e laʻa, ka hoʻohuihui DeSimone). No ka mea he mea nui ke ʻano kikoʻī, he mea nui e kūkākūkā i kēia me kāu kauka.
He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka pouchitis?
Inā loaʻa iā ʻoe ka pouchitis ma hope o kāu ʻoki ʻeke ileal—ʻoiai inā hana pinepine ia—aia kahi manawa kūpono e pane maikaʻi ia i nā antibiotics. Pono paha kekahi poʻe i kahi papa lōʻihi o nā antibiotics ma mua o nā poʻe ʻē aʻe. Inā loaʻa iā ʻoe nā hoʻi hou pinepine, pono paha ʻoe i ka mālama lōʻihi me nā antibiotics a i ʻole probiotics. No kahi pakeneka liʻiliʻi o ka poʻe me ka pouchitis, ʻaʻole paha e pono kēia mau lāʻau lapaʻau.
Inā hoʻomau ʻoe i ka ʻeha o ka pouchitis mau loa ʻaʻole i pane i nā antibiotics, e nānā kāu kauka i nā kumu huna o ka mumū, e like me ka ischemia, ka hoʻohana ʻana i ka NSAID, a i ʻole kahi maʻi autoimmune ma lalo. Inā ʻaʻohe kumu lua i loaʻa, e hoʻokaʻawale ʻia ʻo ia he CARP. E hāʻawi nā kauka i nā koho lapaʻau like ʻole no CARP, e hana pū ana me ʻoe e ʻike i ka mea e kūpono loa no kāu hihia kikoʻī.
I kekahi mau kūlana, inā ʻoi aku ka kaumaha o ka mālama ʻana i ka ʻeke ma mua o nā pono, hiki iā ʻoe ke koho e wehe i ka ʻeke e ola me ka ʻole o nā hōʻailona. He koho kūpono nō hoʻi kēlā.
Hoʻopilikia anei ka meaʻai i ka pouchitis?
ʻAe, hiki iā ia ke pāʻani i kahi kuleana.
Hōʻike kekahi mau hōʻike inā haʻahaʻa kāu ʻai i nā antioxidants , e piʻi aʻe paha kou pilikia o ka loaʻa ʻana o ka pouchitis. ʻO nā antioxidants, i loaʻa maoli i nā huaʻai a me nā mea kanu he nui, kōkua i ka hoʻopau ʻana i nā kemika i loko o kou kino i kapa ʻia ʻo 'free radicals.' Ke hōʻiliʻili nā radicals free, hiki iā lākou ke hōʻino i nā cell a kōkua i ka mumū. ʻOi aku ka maikaʻi o nā antioxidants mai ka meaʻai ma mua o nā mea mai nā mea hoʻohui.
Ma ka ʻaoʻao ʻē aʻe, inā ʻoe e ʻeha nei i nā hōʻailona pouchitis, hiki i ka hōʻemi ʻana i ka fiber dietary ke kōkua. Paipai pinepine nā kauka i ka ʻai haʻahaʻa-FODMAPHoʻopaʻa kēia i kekahi mau meaʻai—me nā olonā kikoʻī—a kou bacteria ʻōpū e makemake ai e hoʻoulu. ʻO ka hōʻemi ʻana i kēia mau meaʻai no kekahi manawa hiki ke kōkua i ka hōʻoluʻolu ʻana i kou mau hōʻailona gastrointestinal. Eia nō naʻe, i ka wā lōʻihi, pono ʻoe e hoʻāʻo e hoʻolauna hou i nā ʻano meaʻai like ʻole.
ʻO nā meaʻai e hiki ke kōkua i ke olakino o kāu ʻeke:
E hōʻoia i ka loaʻa ʻana o nā antioxidants lawa ma ka ʻai ʻana i nā ʻano huaʻai a me nā mea kanu like ʻole. ʻO nā kumu maikaʻi loa:
- Nā ʻāpala
- Nā hua (e.g., nā ʻōhelopapa, nā blueberries)
- Nā hua waina
- Nā ʻūlū
- Nā pī
- Nā ʻātika
- ʻUala ʻulaʻula
- Nā lau ʻōmaʻomaʻo ʻeleʻele (e like me ka spinach)
ʻO ka hoʻokomo ʻana i nā meaʻai holoʻokoʻa, ʻoiai nā koho mea kanu, i kāu papaʻai he kumu nui ia o kahi nohona anti-inflammatory. ʻO nā antioxidants kekahi kumu wale nō.
Nā meaʻai e pale aku ai i ka wā o ka pouchitis flare (e hōʻemi i nā hōʻailona):
I mea e kōkua ai i ka hoʻoponopono ʻana i kāu mau hōʻailona, hiki i nā kauka ke ʻōlelo aku i kahi papaʻai haʻahaʻa-FODMAP, ma ka liʻiliʻi a hiki i kou ʻike ʻana i nā FODMAP e hoʻoulu ai i kāu mau pilikia kikoʻī. ʻO nā FODMAP maʻamau:
- Fructose (kō hua)
- Lactose (kō waiū)
- ʻAkaʻakai
- Kālika
- Nā pī
- Palaoa
He hoʻolālā hoʻopau pōkole ka ʻai haʻahaʻa-FODMAP. Hoʻopau ʻoe i kekahi mau hui meaʻai no kekahi manawa e ʻike ai i kāu mau mea hoʻonāukiuki a laila, ma lalo o ke alakaʻi lapaʻau, e hoʻolauna hou iā lākou me ke ʻano maʻamau.
Lawe hope loa
Inā he ʻeke ileal kou, hiki paha iā ʻoe ke loaʻa i ka pouchitis i kekahi manawa. ʻOiai ʻaʻole ia e hoʻopilikia i nā mea āpau, ʻo ka poʻe e loaʻa iā ia e kū paha i nā hanana hou. He mea maopopo loa ke manaʻo huhū i ka wā e hoʻomau ai nā pilikia o ka ʻōpū ʻoiai ma hope o ka wehe ʻia ʻana o kou kolona. Eia nō naʻe, ʻo ka nūhou maikaʻi, no ka hapa nui o ka poʻe, ʻo ka pouchitis kahi pilikia i kekahi manawa i maʻalahi loa ke hoʻokele ma mua o nā maʻi ʻōpū mau āu i ʻike ai i ka wā ma mua.
ʻO ka pouchitis kūpaʻa i ka antibiotic (CARP) he ʻano paʻakikī loa ia. I kekahi mau hihia, hiki ke pili ia i kāu maʻi ʻōpū mau loa, e hoʻolilo ana i ke ʻano lapaʻau i mea paʻakikī. Eia nō naʻe, me ka mālama mau a me kahi hoʻolālā i hana ʻia, hiki i kāu hui lapaʻau ke loaʻa pinepine i kahi hui kūpono o nā lāʻau lapaʻau e pono ai nāu.
E hoʻomanaʻo ʻaʻole ʻoe hoʻokahi i kēia huakaʻi. Paipai mākou iā ʻoe e kamaʻilio ākea me kāu kauka a nīnau i kāu mau nīnau. Me ke alakaʻi kūpono a me ka lāʻau lapaʻau, aia ʻo Nirogi Lanka ma aneʻi e kākoʻo iā ʻoe i ka mālama ʻana i kahi ola kiʻekiʻe.
