Loaʻa iā ʻoe kekahi mumū i loko o kāu 'ʻeke'? E kamaʻilio kākou e pili ana i ka pouchitis!

Ua loaʻa anei iā ʻoe ke ʻoki ʻeke ileal? A i ʻole ua loaʻa i kekahi āu i ʻike ai kekahi? Hiki i ka poʻe me ke ʻoki ʻeke ileal ke loaʻa i kekahi manawa kahi maʻi i kapa ʻia ʻo pouchitis. ʻOiai hiki ke hoʻonāukiuki iki, ʻaʻohe mea e hopohopo ai. E kamaʻilio kākou e pili ana i ia mea ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.

He aha maoli ka Pouchitis?

I ka ʻōlelo maʻalahi, ʻo ka pouchitis ka mumū o kāu ʻeke ileal . E nānā kākou i ke ʻano o ka ʻeke ileal. No ka laʻana, loaʻa i kekahi poʻe kahi maʻi ʻōpū koʻikoʻi e pono ai ka wehe ʻana i ko lākou kolona holoʻokoʻa a me ka rectum. Kāhea mākou i kēia ʻoki kino he proctocolectomy piha. A laila, pono lākou e hana i kahi ala hou no ka ʻōpala, a i ʻole ka ʻōpala, e puka i waho o ko lākou kino. ʻO ia kahi e komo mai ai ka ʻeke ileal. Hoʻohana nā kauka lapaʻau i ka hopena o kou ʻōpū liʻiliʻi, ka ileum, e hana i kēia ʻeke, e like me kahi ʻeke liʻiliʻi. ʻO kēia kāu kolona a me ka rectum i wehe ʻia, ʻo ia hoʻi ke hōʻiliʻili a paʻa i ka ʻōpala no kekahi manawa. A laila hoʻopili ʻia kēia ʻeke i kahi e puka mai ai ka ʻōpala. I kekahi manawa ua hoʻopili ʻia i kou anus, ma ke ʻano he J-pouch a i ʻole S-pouch, a i ʻole he K-pouch, i hoʻopili ʻia i kahi puka kūikawā i loko o kou ʻōpū, i kapa ʻia he stoma. I nā huaʻōlelo ʻē aʻe, ke hana nei kekahi hapa o kou ʻōpū liʻiliʻi ma ke ʻano he kolona. No laila, ua like ka pouchitis me ka colitis - ka mumū o ke kolona - a i ʻole proctitis - ka mumū o ka rectum - akā loaʻa ia i ka poʻe i loaʻa kahi ʻeke ileal. Ua like loa nā hōʻailona. Hiki i nā hōʻailona ke komo pū me ka ʻeha o ka ʻōpū a me ka pono e hele koke a pinepine i ka lua. Hoʻomohala ka hapa nui o ka poʻe i ka 'acute pouchitis', ʻo ia ka mumū e hele mai a hele no ka manawa pōkole. Eia nō naʻe, no kekahi poʻe, hiki ke lilo i kūlana i kapa ʻia ʻo 'chronic pouchitis', ka mea mau a hele mai a hele.

Pehea ka maʻamau o ka pouchitis?

Ua manaʻo ʻia ma waena o 25% a me 45% o ka poʻe i hana ʻia i ke ʻoki ʻeke ileal e loaʻa i ka pouchitis i kekahi manawa o ko lākou ola . Ma kahi o 40% o ka poʻe e loaʻa iā ia no ka manawa mua i kēlā me kēia makahiki. Eia kekahi, ma waena o 10% a me 20% e loaʻa hou iā ia.

He aha nā hōʻailona o ka pouchitis?

Inā loaʻa iā ʻoe ka pouchitis, hiki iā ʻoe ke ʻike i nā hōʻailona like me kēia.

• ʻEha ka ʻōpū haʻahaʻa a me ka ʻōʻō ʻana.
• Pono e hele i ka halepaku me ka wikiwiki a me ka pinepine.
• Pono e ala aʻe e hele i ka lua i ka pō.
• Paʻakikī ke kāohi ʻana i ka neʻe ʻana o ka ʻōpū (bowel incontinence), ʻo ia hoʻi kahi leaka iki.
• Ke paʻakikī i ka hele ʻana i loko o ka ʻōpū, ke kaumaha (dyschezia).
• Manaʻo e like me ʻoe e pono ai e hele i ka lua, akā ʻaʻole hiki ke hele (tenesmus).
• He koko liʻiliʻi i loko o ka ʻōpala.
• Kuni a i ʻole ke anu.

He aha nā kumu o ka pouchitis?

Manaʻo nā kauka ʻo ke kumu nui o ka pouchitis ka hoʻololi ʻana i nā ʻano bacteria o ka ʻōpū e noho ana i loko o kāu ʻeke. E noʻonoʻo, i ka wā e hana nei kekahi hapa o kou ʻōpū liʻiliʻi e like me ka ʻōpū nui, ua hōʻike ʻia i nā ʻano bacteria hou. Hoʻokūkū kēia mau bacteria hou me nā bacteria i loaʻa ma mua. Hoʻokumu kēia i kāu ʻōnaehana pale e noʻonoʻo, "ʻĀ, aia kahi maʻi ma aneʻi," a laila pane ia ma ke kumu ʻana o ka mumū. Loaʻa i kekahi poʻe kahi maʻi. ʻO kekahi mau ʻano bacteria i loko o ko mākou ʻōpū, inā hāʻawi ʻia ka manawa kūpono, e hoʻāʻo e kāohi i nā mea ʻē aʻe a lilo i mōʻī. Ua kapa ʻia kēia mau mea he "bacteria pathogenic." ʻO ka maʻamau, ʻo ka loaʻa ʻana o kekahi o kēia mau bacteria i loko o ko mākou ʻōpū he maikaʻi, no ka mea, mālama nā bacteria maikaʻi ʻē aʻe iā lākou. Akā ma hope o ke ʻoki ʻeke ileal, loli kēia kaulike, a loaʻa i kēlā mau bacteria "maikaʻi ʻole" kahi manawa hou e hoʻolaha i ko lākou mana. He mea maʻamau ka hoʻomohala ʻana i ka pouchitis no ka manawa pōkole ma hope o ke ʻoki ʻeke ileal. Ua kapa ʻia kēia he pouchitis hoʻomaka mua, a ua manaʻo ʻia he hopena ʻaoʻao o ke ʻoki ʻana. Hoʻomaikaʻi pinepine ia me nā antibiotics. Akā hiki ke hoʻi hou mai. No kekahi poʻe, hoʻi mau mai ia. ʻO kēia no ka mea ke hoʻomau nei kekahi mau ʻano bacteria i ka noho aliʻi ʻana ma luna o nā mea ʻē aʻe. Loaʻa paha iā ʻoe kekahi mau hanana o ka pouchitis koʻikoʻi, a i kēlā me kēia manawa hiki iā ʻoe ke hoʻomaikaʻi me nā antibiotics. Lilo ka pilikia i mea paʻakikī iki ke loaʻa iā ʻoe ma mua o kekahi mau hanana i ka makahiki. Lilo kekahi poʻe i hilinaʻi i nā antibiotics - ua kapa ʻia kēia he chronic antibiotic-dependent pouchitis (CADP). No kekahi poʻe, e pau mālie ka hana ʻana o nā antibiotics. Ua kapa ʻia kēia he Chronic Antibiotic-Resistant Pouchitis (CARP).

He aha nā mea e hoʻopili ai i ka pouchitis kūpaʻa, antibiotic-resistant (CARP)?

Aia kekahi mau kumu e hiki ke kōkua i kēia kūlana 'CARP'. ʻO kekahi o lākou:

• ʻO ka maʻi ʻōpū mumū ( IBD ): ʻO ka poʻe i loaʻa i kahi proctocolectomy no IBD, e like me ka ulcerative colitis a i ʻole ka maʻi Crohn, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka pouchitis. ʻO nā mea like i hoʻokumu i ko lākou kūlana mua e hiki ke hoʻopilikia i ka ʻeke.
• Nā bacteria kū'ē i ka antibiotic : KekahiʻO nā maʻi bacteria , e like me C. difficile, he kūpaʻa i nā antibiotics. Me ka hoʻohana mau ʻana i nā antibiotics, hiki i nā bacteria i hana ʻole i ka maʻi ke kūpaʻa i nā antibiotics. Hiki i kēia ke hana i kahi kaulike ʻole o nā bacteria i loko o ka ʻeke.
• Nā maʻi ʻē aʻe: I kekahi manawa, ʻo kahi maʻi viral, e like me cytomegalovirus, a i ʻole kahi maʻi fungal, e like me ka candidiasis, hiki ke hana i ka mumū o ka ʻeke.
• Immunosuppression: Hiki ke hoʻonāwaliwali ʻia kāu ʻōnaehana pale e kekahi mau kūlana mua a i ʻole nā ​​​​lāʻau lapaʻau āu e lawe ai, e hōʻemi ana iā ʻoe i ka hiki ke hakakā i nā maʻi.
• Ka hoʻohana mau ʻana i nā NSAID : ʻO ka lawe pinepine ʻana i nā lāʻau ʻeha i kapa ʻia ʻo 'NSAIDs' (nā lāʻau anti-inflammatory nonsteroidal) e like me 'Aspirin' a me ' Ibuprofen ' hiki ke hōʻino i ka uhi o kou ʻōpū a me ka uhi o ka 'ʻeke'.
• Ka emi ʻana o ke kahe koko (Ischemia): ʻOiai he mea kakaikahi, hiki nō hoʻi ke loaʻa ka mumū ma muli o ka emi ʻana o ke kahe koko i kahi ʻāpana o ke kino. Hiki ke hana ʻia kēia ma muli o kahi ālai ʻana i nā kīʻaha koko e hoʻolako ana i ke koko.
• ʻO ka Cholangitis Sclerosing Mua (PSC): He maʻi autoimmune kēia, ʻo ia hoʻi, hoʻouka ka ʻōnaehana pale ponoʻī o ke kino i kāna mau hunaola ponoʻī. Hoʻoulu ia i ka mumū mau loa i loko o kou ʻāpana biliary. E like me IBD, hiki i nā ʻano hana e hoʻoulu ai i kēia mumū mau loa ke hoʻopilikia i ka ʻeke. ʻOi aku ka nui o ka pilikia o ka poʻe me kēia maʻi i ka hoʻomohala ʻana i ka pouchitis.

He aha nā pilikia e hiki mai ana o ka pouchitis?

ʻAʻole pinepine ka pouchitis koʻikoʻi i nā pilikia nui. Eia nō naʻe, hiki i ka pouchitis mau a mālama ʻole ʻia ke hana i nā pilikia. Hiki i kēia mau mea ke komo pū me:

• Nā loli i nā ʻano hana ʻōpū: Hiki i ka mumū o ka ʻeke ke paʻakikī i ka paʻa ʻana o ka ʻōpala, a hiki i ka pehu ke paʻakikī i ka hele ʻana o ka ʻōpala. Hiki i kēia ke hoʻopilikia i kāu mau ʻano hana ʻōpū lōʻihi.
• Ka emi ʻana o ke ʻano o ke ola: Hiki ke paʻakikī ke noho me nā pilikia mau o ka hele ʻana i ka lua. Hiki iā ia ke hoʻoulu i ke kaumaha kino a me ka noʻonoʻo, a hiki ke hoʻopilikia i ka leʻaleʻa ʻana i kahi ola kaiaulu.
• ʻO ke koʻikoʻi o ka ʻeke:Hiki i ka mumū mau ke hana i ka ʻeha o ka ʻeke. Hiki i kēia ʻeha ke hoʻohaiki i ka puka o ka ʻeke. Hiki iā ia ke hōʻemi i ke kahe koko i ka ʻeke, e pale ana i ke kaʻina hana ho'ōla.
• ʻErosion: Hiki i ka mumū lōʻihi ke hana i ka uhi o ka ʻeke e ʻeli, e hana ana i nā ʻeha. Hiki i kēia mau ʻeha ke kahe ke koko. Hiki i kekahi ʻano bacteria pathogenic ke hōʻino i ka paia o ka ʻōpū.
• ʻO ka malabsorption a me ka ʻai ʻole: Ke hōʻino ʻia ka papa o loko o ka ʻeke, ua emi iho ka hiki ke omo i nā meaola mai ka meaʻai i loko (malabsorption), hiki ke alakaʻi i ka ʻai ʻole.
• Ka hāʻule ʻana o ka ʻeke: Ke hoʻomau nā pilikia me ka ʻeke, hiki ke lilo i mea hiki ʻole ke hoʻohana ʻia. Pono paha kēia i ke ʻoki ʻana e wehe i ka ʻeke a hoʻohuli i ka ʻōpū i loko o kahi ileostomy.

Pehea e ʻike ʻia ai ka Pouchitis?

Hoʻomaka ka ʻike ʻana i ka pouchitis me ke kamaʻilio ʻana e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. A laila, e nānā kāu kauka i loko o kāu ʻeke. E hoʻohana lākou i kahi mea hana i kapa ʻia he endoscope . He ʻōmole lahilahi kēia me kahi kāmela liʻiliʻi i hoʻopili ʻia iā ia. E hoʻokomo lākou iā ia ma o ka ʻeke e nānā i ka mumū a i ʻole nā ​​​​​​mea ʻē aʻe. E lawe pū lākou i kahi hāpana ʻiʻo (biopsy) ma o ka endoscope a nānā iā ia e ʻike i ke kumu o ke kūlana. Hiki i kāu kauka ke hoʻohana i nā hoʻokolohua kiʻi ʻē aʻe e nānā i waho o ka ʻeke a me nā ʻano i pili iā ia. Hana ʻia kēia e ʻike inā he mau kūlana ʻē aʻe e hiki ke hoʻokumu iā ia. ʻO nā hoʻokolohua ʻē aʻe e hiki ke hana ʻia:

• ʻO ka pouchography hoʻohālikelike (pouchogram): He ʻano X-ray kēia. Hoʻokomo ʻia kahi wai hoʻohālikelike i loko o ka ʻeke e ʻike nui ʻia ai. Ua like ia me ka enema barium, akā hana ʻia kēia ma ka ʻeke ileal.
• Kiʻi CT.
• ʻO ke kiʻi MRI (MRI).

Pehea e mālama ai i ka pouchitis?

ʻO ka lāʻau lapaʻau mua no ka pouchitis ʻoi he papa ʻelua pule o nā antibiotics . Hoʻomaikaʻi ka hapa nui o ka poʻe me kēia. Inā ʻaʻole ʻoe e hoʻomaikaʻi me kēia, e hoʻāʻo kāu kauka i kahi antibiotic ʻokoʻa, a i ʻole ka hui pū ʻana o nā antibiotics, no ka manawa lōʻihi. Inā loaʻa mau nā hōʻailona ma hope o ʻehā pule, loaʻa paha iā ʻoe ka pouchitis kūʻē i ka antibiotic. A laila pono kāu kauka e hana i nā hoʻokolohua hou aʻe e ʻimi i nā kumu ʻē aʻe ma mua o ka hoʻoholo ʻana i ka lāʻau lapaʻau maikaʻi loa.

He aha nā lāʻau lapaʻau no ka pouchitis hou?

Inā hoʻopau ʻia ka pouchitis koʻikoʻi me ka lāʻau lapaʻau a laila hoʻi hou, e hoʻomau kāu kauka i ka lāʻau lapaʻau like. Inā hana ka lāʻau lapaʻau a ʻaʻole hoʻi pinepine nā hōʻailona, ​​hoʻohana ʻia ka lāʻau lapaʻau like. Eia nō naʻe, inā hoʻi hou ia ma mua o ʻekolu manawa i ka makahiki, manaʻo nā kauka he pouchitis mau loa ia e hilinaʻi ana i ka antibiotic. Hoʻōla ʻia me ka lāʻau mālama lōʻihi e pale aku i ka hoʻi hou ʻana. Hiki i ka lāʻau mālama ke komo pū me:

• Nā lāʻau lapaʻau: ʻO ka lawe ʻana i nā lāʻau lapaʻau ma nā haʻahaʻa haʻahaʻa e hiki ke kōkua i ka pale ʻana i ka hoʻi hou ʻana.
• Probiotics: He mau mea hoʻohui kēia e loaʻa ana nā bacteria maikaʻi e noho ana i loko o ko kākou ʻōpū. Hiki iā lākou ke kōkua i ka hoʻihoʻi ʻana i ke kaulike o nā bacteria i loko o ka ʻeke a hakakā i nā bacteria pathogenic.

He aha nā lāʻau lapaʻau no ka pouchitis kūpaʻa mau loa, antibiotic-resistant (CARP)?

Inā ʻaʻole i hoʻomaikaʻi ʻia kou pouchitis me nā antibiotics, a inā ua hoʻomaikaʻi ʻia i ka wā ma mua akā ʻaʻole e hoʻomaikaʻi ʻia i kēia manawa, kapa nā kauka iā ia he pouchitis kūpaʻa antibiotic mau (CARP). I kēia hihia, e ʻimi mua ke kauka i nā kumu kumu, e like me ka maʻi lua, kahi maʻi autoimmune, a i ʻole kahi kīnā kūkulu i loko o ka ʻeke. Inā ʻaʻohe kumu maopopo e loaʻa, e mālama lākou i ka pouchitis mau e like me kā lākou mālama ʻana i ka maʻi ʻōpū mumū (IBD). Eia kekahi mau lāʻau lapaʻau hiki:

• ʻEnema Mesalamine: ʻO Mesalamine, i ʻike ʻia hoʻi ʻo 5-aminosalicylic acid (5-ASA), kahi lāʻau lapaʻau laina mua no ka colitis ulcerative. Loaʻa ia ma ke ʻano he enema āu e hoʻokomo ai i loko o kahi ʻeke.
• ʻEnemas Bismuth: ʻO Bismuth subsalicylate, ka mea hana nui i loko o Pepto Bismol®, hele mai hoʻi ma ke ʻano he enema foam (bismuth carbomer). Hiki paha i kēia ke kōkua i ka hōʻemi ʻana i kāu mau hōʻailona.
• Corticosteroids: ʻO kēia kekahi ʻano lāʻau anti-inflammatory i hoʻohana ʻia e mālama i ka mumū mau loa.
• Nā Immunosuppressants: Hoʻemi kēia mau lāʻau lapaʻau i ka pane a kāu ʻōnaehana pale. Kuhikuhi nā kauka i kēia mau mea ke hoʻoulu nei kāu ʻōnaehana pale i ka mumū mau.
• Nā antibodies Monoclonal (biologics): ʻO nā antibodies Monoclonal he mau protein i hana ʻia e ke kanaka e hana e like me nā antibodies kanaka, e hoʻoikaika ana i kāu pane kūlohelohe kūlohelohe e kūʻē i nā maʻi.
• Nā molekala liʻiliʻi: He mau lāʻau lapaʻau hou kēia e hana ana e like me nā antibodies monoclonal, akā hana ʻia lākou me ke ʻano synthetic.
• Hoʻoili ʻana i ka fecal microbiota: Ua ʻāpono ʻia kēia lāʻau lapaʻau e ka US Food and Drug Administration (FDA) e mālama i ka C. diff kūʻē i ka antibiotic. Eia nō naʻe, hiki ke hoʻohana ʻia ma waho o ka lepili e mālama i ka pouchitis kūʻē i ka antibiotic, ʻoiai inā ʻaʻole ia i hoʻokumu ʻia e C. diff. Kōkua ia 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 hoʻomaikaʻi i loko o kekahi mau lā o ka hoʻomaka ʻana i ka lāʻau antibiotic. Eia nō naʻe, he mea nui e hoʻopau i ka papa hana piha o nā antibiotics ʻelua pule, ʻoiai inā ʻoe e manaʻo maikaʻi ana. Pono ʻoe e ʻike i kāu kauka ma hope o ka pau ʻana o ka lāʻau. Makemake lākou e nānā hou i loko o kāu ʻeke e hōʻoia ua pau loa 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 pouchitis mai ka ulu ʻana ma hope o ke ʻoki ʻana a i ʻole ka hoʻi ʻana mai ma hope o ka mālama ʻana i kūleʻa. ʻAʻole paha lākou e hana mau, akā hiki iā lākou ke hana nou. I kekahi manawa kuhikuhi nā kauka i kahi hui probiotic kūikawā (e like me ka hoʻohuihui DeSimone). He mea nui ke ʻano o ka probiotic āu e lawe ai, no laila he mea nui e kamaʻilio me kāu kauka.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka pouchitis?

Inā loaʻa iā ʻoe ka pouchitis ma hope o ke ʻoki ʻeke ileal - ʻoiai inā hana ia i kekahi mau manawa - aia kahi manawa kūpono e mālama pono ʻia me nā antibiotics. Pono paha kekahi poʻe i kahi papa lōʻihi o nā antibiotics ma mua o nā mea ʻē aʻe. Inā loaʻa iā ʻoe nā hanana pinepine, pono paha ʻoe i ka mālama lōʻihi me nā antibiotics a i ʻole probiotics. No kahi poʻe liʻiliʻi me ka pouchitis, ʻaʻole paha e holo pono kekahi o kēia mau lāʻau. Inā hoʻomau ʻoe i ka pouchitis a ʻaʻole ia e pane i ka lāʻau antibiotic, e ʻimi kāu kauka i nā kumu kumu o ka mumū, e like me ka ischemia, ka hoʻohana ʻana i ka NSAID, a i ʻole kahi maʻi autoimmune. Inā ʻaʻole hiki iā lākou ke loaʻa kahi kumu lua, e ʻike lākou iā ia he pouchitis kūpaʻa antibiotic (CARP). E kuhikuhi nā kauka i nā ʻano lāʻau like ʻole no CARP. E hana pū lākou me ʻoe e ʻike i ka mea maikaʻi loa iā ʻoe.

I kekahi manawa, inā ʻoi aku ka nui o nā pilikia me ka ʻeke ma mua o nā pono, hiki iā ʻoe ke hoʻoholo e wehe i ka ʻeke e ola i kahi ola ʻole maʻi. He koho nō hoʻi kēlā.

Hoʻopilikia anei ka meaʻai a me ka mea inu i ka pouchitis?

ʻAe, i kekahi ʻano. Hōʻike kekahi mau hōʻike inā haʻahaʻa kāu ʻai i nā antioxidants , hiki iā ʻoe ke piʻi i ka pilikia o ka hoʻomohala ʻana i ka pouchitis. Loaʻa maoli nā antioxidants i nā huaʻai a me nā mea kanu he nui. Kōkua kēia mau hui i ka hoʻopau ʻana i nā kemika i loko o ko mākou kino i kapa ʻia he free radicals. Ke hōʻiliʻili nā free radicals i loko o ke kino, 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 hoʻohui. Ma ka ʻaoʻao ʻē aʻe, inā ʻoe e ʻeha nei i nā hōʻailona pouchitis, hiki i ka hōʻemi ʻana i ka nui o ka fiber i kāu meaʻai ke kōkua. Paipai nā kauka i kahi meaʻai haʻahaʻa-FODMAP . Hoʻemi kēia i ka nui o nā meaʻai a kou bacteria ʻōpū e makemake ai e ʻai, me ka fiber. ʻO ka hōʻoki ʻana i kēia mau meaʻai no kekahi manawa e kōkua paha i ka hōʻemi ʻana i kou mau hōʻailona ʻōpū. Akā i ka wā lōʻihi, pono ʻoe e hoʻāʻo e hoʻohui i nā ʻano meaʻai like ʻole i kāu meaʻai.

Nā meaʻai e kōkua ai i ka pale ʻana i ka pouchitis:

E hōʻoia i ka lawa ʻana o nā antioxidants. Hiki iā ʻoe ke loaʻa kēia mau mea ma ka ʻai ʻana i nā ʻano huaʻai a me nā mea kanu like ʻole. ʻO kekahi o nā meaʻai maikaʻi loa i kiʻekiʻe i nā antioxidants:

• ʻApala
• Nā hua (e like me nā ʻōpena, nā blueberries)
• Nā hua waina
• Nā plum maloʻo (Prunes)
• Nā ʻano pīni
• Nā ʻātika
• ʻUala ʻulaʻula
• Nā lau ʻōmaʻomaʻo ʻeleʻele (e like me ka spinach, kale)

ʻO ka hoʻohui ʻana i nā meaʻai holoʻokoʻa i kāu papaʻai, ʻoiai nā meaʻai mea kanu, he kumu nui ia o ka papaʻai anti-inflammatory. ʻO nā antioxidants kekahi kumu.

Nā meaʻai ʻaʻole e ʻai ʻia ke loaʻa iā ʻoe ka pouchitis (e hōʻemi i nā hōʻailona):

No ka hōʻemi ʻana i nā hōʻailona pouchitis, paipai nā kauka i ka ʻai haʻahaʻa-FODMAP, ma ka liʻiliʻi a hiki i kou ʻike ʻana i nā FODMAP āu e maʻi ai. ʻO nā FODMAP maʻamau:

• ʻO Fructose (ke kō i loko o nā hua)
• Lactose (ke kō i loko o ka waiū)
• ʻAkaʻakai
• ʻAkaʻakai keʻokeʻo
• Nā ʻano pīni
• Palaoa

He papaʻai hoʻopau pōkole ka papaʻai haʻahaʻa-FODMAP. Hoʻopau ʻoe i kekahi mau meaʻai mai kāu papaʻai, ʻike i nā mea e hoʻoulu ai iā lākou, a laila hoʻolauna mālie iā lākou ma lalo o ke alakaʻi a ke kauka.

ʻO ka mea hope loa, ka leka lawe home

Inā loaʻa iā ʻoe kahi ʻeke ileal, hiki iā ʻoe ke loaʻa i ka pouchitis i kekahi manawa. ʻAʻole loaʻa i nā kānaka a pau, akā ʻo ka poʻe i loaʻa iā ia e loaʻa paha ma mua o hoʻokahi manawa. Hiki ke hoʻonāukiuki i ka loaʻa ʻana o nā pilikia ʻōpū e hoʻomau nei ma hope o ka wehe ʻia ʻana o ka hapa nui o ko lākou kolona. ʻO ka nūhou maikaʻi, no ka hapa nui o ka poʻe, he pilikia manawa pōkole wale nō ka pouchitis, a ʻoi aku ka maʻalahi o ka mālama ʻana ma mua o nā maʻi ʻōpū mau a lākou i ʻeha ai ma mua. ʻOi aku ka paʻakikī o ka pouchitis kū'ē i ka antibiotic (CARP). I kekahi manawa, hiki ke pili i kahi maʻi ʻōpū mau mua. Hiki ke paʻakikī like ka mālama ʻana. Akā me kahi hoʻokolohua liʻiliʻi, hiki iā ʻoe ke loaʻa kahi hui pū ʻana o nā lāʻau lapaʻau e hana no ka hapa nui o ka poʻe. E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. E kamaʻilio ākea me kāu kauka a nīnau i kāu mau nīnau. Me ke alakaʻi kūpono a me ka lāʻau lapaʻau, hiki iā ʻoe ke ola maikaʻi me kēia maʻi.