Koj puas muaj mob o hauv koj lub 'hnab' thiab? Cia peb tham txog mob pouchitis!

Koj puas tau phais mob ileal pouch? Los yog koj puas tau muaj ib tug neeg uas koj paub tau phais mob ileal pouch? Cov neeg uas phais mob ileal pouch tej zaum yuav muaj mob hu ua pouchitis. Txawm hais tias nws yuav ua rau koj ntxhov siab me ntsis los xij, nws tsis yog ib yam dab tsi uas yuav tsum txhawj txog. Cia peb tham txog nws hauv txoj kev yooj yim uas koj nkag siab tau.

Pouchitis yog dab tsi tiag?

Hais yooj yim xwb, mob pouchitis yog mob o ntawm koj lub hnab ileal . Cia peb saib seb lub hnab ileal yog dab tsi. Piv txwv li, qee tus neeg muaj mob plab hnyuv loj heev uas yuav tsum tau tshem tawm tag nrho lawv cov hnyuv loj thiab lub qhov quav. Peb hu qhov kev phais no ua kev phais tag nrho. Tom qab ntawd, lawv yuav tsum tsim ib txoj hauv kev tshiab rau cov khib nyiab, lossis cov quav, kom tawm ntawm lawv lub cev. Qhov ntawd yog qhov uas lub hnab ileal nkag los. Cov kws phais siv qhov kawg ntawm koj lub plab me, lub ileum, los tsim lub hnab no, uas zoo li lub hnab me me. Qhov no yog koj lub plab loj thiab lub qhov quav uas raug tshem tawm, uas txhais tau tias nws khaws thiab tuav cov quav ib pliag. Lub hnab no ces txuas nrog qhov chaw uas cov quav tawm los. Qee zaum nws txuas nrog koj lub qhov quav, ua lub hnab J lossis lub hnab S, lossis ua lub hnab K, uas txuas nrog qhov qhib tshwj xeeb hauv koj lub plab, hu ua stoma. Hauv lwm lo lus, ib feem ntawm koj lub plab me tam sim no ua haujlwm ua koj lub plab loj. Yog li, mob pouchitis zoo ib yam li mob colitis - mob ntawm txoj hnyuv loj - lossis mob proctitis - mob ntawm lub qhov quav - tab sis nws tshwm sim rau cov neeg uas muaj lub hnab ileal. Cov tsos mob zoo sib xws heev. Cov tsos mob yuav suav nrog mob plab thiab qhov yuav tsum mus rau chav dej sai thiab ntau zaus. Cov neeg feem coob tsim 'mob pouchitis mob', uas yog kev o uas tuaj thiab mus rau lub sijhawm luv luv. Txawm li cas los xij, rau qee tus, nws tuaj yeem yog ib qho mob hu ua 'mob pouchitis ntev', uas yog mob ntev lossis tuaj thiab mus.

Mob pouchitis feem ntau tshwm sim li cas?

Kwv yees li ntawm 25% thiab 45% ntawm cov neeg uas tau phais mob ileal pouch yuav mob pouchitis rau qee lub sijhawm hauv lawv lub neej . Kwv yees li ntawm 40% ntawm cov neeg yuav mob thawj zaug txhua xyoo. Tsis tas li ntawd, ntawm 10% thiab 20% yuav mob dua.

Cov tsos mob ntawm Pouchitis yog dab tsi?

Yog tias koj muaj mob pouchitis, koj yuav muaj cov tsos mob zoo li no.

• Mob plab qis thiab ceg tawv.
• Yuav tsum mus rau chav dej sai thiab tsis tu ncua.
• Yuav tsum sawv mus rau chav dej thaum hmo ntuj.
• Nyuaj tswj kev txav mus los ntawm txoj hnyuv (kev tswj tsis tau txoj hnyuv), uas txhais tau tias yuav muaj qhov xau me ntsis.
• Nyuaj tso quav, siv zog ntau dhau (dyschezia).
• Zoo li koj yuav tsum mus chav dej, tab sis koj mus tsis tau (tenesmus).
• Me ntsis ntshav hauv cov quav.
• Kub taub hau los yog mob khaub thuas.

Dab tsi yog cov ua rau mob pouchitis?

Cov kws kho mob xav tias qhov ua rau mob pouchitis yog kev hloov pauv ntawm cov kab mob hauv plab uas nyob hauv koj lub hnab. Xav txog nws, thaum ib feem ntawm koj txoj hnyuv me tam sim no ua haujlwm zoo li txoj hnyuv loj, nws raug rau cov kab mob tshiab. Cov kab mob tshiab no sib tw nrog cov kab mob uas nyob ntawd ua ntej. Qhov no ua rau koj lub cev tiv thaiv kab mob xav tias, "Auj, muaj kev kis kab mob ntawm no," thiab tom qab ntawd nws teb los ntawm kev ua rau o. Qee tus neeg muaj kev kis kab mob. Qee hom kab mob hauv peb txoj hnyuv, yog tias muaj lub sijhawm, sim tswj lwm tus thiab ua vajntxwv. Cov no hu ua "cov kab mob pathogenic." Feem ntau, muaj ob peb hom kab mob no hauv peb txoj hnyuv yog qhov zoo, vim tias lwm cov kab mob zoo ua rau lawv nyob hauv kev tswj hwm. Tab sis tom qab phais mob ileal pouch, qhov sib npaug no hloov pauv, thiab cov kab mob "phem" muaj lub sijhawm tshiab los nthuav lawv lub zog. Nws yog ib txwm muaj mob pouchitis rau lub sijhawm luv luv tom qab phais mob ileal pouch. Qhov no hu ua mob pouchitis thaum ntxov, thiab nws suav hais tias yog qhov tshwm sim ntawm kev phais. Nws feem ntau zoo dua nrog cov tshuaj tua kab mob. Tab sis nws tuaj yeem rov qab los. Rau qee tus neeg, nws rov qab los. Qhov no yog vim muaj qee hom kab mob uas tswj hwm lwm yam. Tej zaum koj yuav muaj ntau zaus mob pouchitis, thiab txhua zaus koj tuaj yeem zoo dua nrog tshuaj tua kab mob. Qhov teeb meem yuav nyuaj me ntsis thaum koj muaj ntau tshaj ob peb zaug hauv ib xyoos. Ib txhia neeg vam khom tshuaj tua kab mob - qhov no hu ua mob pouchitis uas tiv thaiv kab mob ntev (CADP). Rau lwm tus, tshuaj tua kab mob maj mam tsis ua haujlwm lawm. Qhov no hu ua mob Pouchitis Uas Tiv Thaiv Kab Mob Ntev (CARP).

Muaj tej yam dab tsi cuam tshuam rau tus kab mob CARP uas tiv taus tshuaj tua kab mob mus ntev?

Muaj ntau yam ua rau muaj tus mob 'CARP' no. Ib txhia ntawm lawv yog:

• Kab Mob Plab Hnyuv ( IBD ): Cov neeg uas tau phais proctocolectomy rau IBD, xws li ulcerative colitis lossis Crohn's disease , muaj feem yuav mob pouchitis ntau dua. Cov yam tseem ceeb uas ua rau lawv mob thawj zaug tuaj yeem cuam tshuam rau lub pouchitis.
• Cov kab mob uas tiv taus tshuaj tua kab mob : Ib txhiaCov kab mob bacterial , xws li C. difficile, tiv taus cov tshuaj tua kab mob. Yog siv cov tshuaj tua kab mob tas li, cov kab mob uas feem ntau tsis ua rau muaj kab mob tuaj yeem tiv taus cov tshuaj tua kab mob. Qhov no kuj tseem tuaj yeem ua rau cov kab mob hauv lub hnab tsis sib npaug.
• Lwm yam kev kis mob: Qee zaum kev kis mob los ntawm kab mob viral, xws li cytomegalovirus, lossis kev kis mob fungal, xws li candidiasis, kuj tuaj yeem ua rau lub hnab o.
• Kev Tiv Thaiv Kab Mob: Koj lub cev tiv thaiv kab mob yuav qaug zog los ntawm qee yam mob uas twb muaj lawm lossis cov tshuaj uas koj noj, ua rau koj tsis muaj peev xwm tiv thaiv kab mob.
• Siv cov tshuaj NSAIDs txuas ntxiv mus: Noj cov tshuaj tua kab mob hu ua 'NSAIDs' (cov tshuaj tsis yog steroidal anti-inflammatory drugs) xws li 'Aspirin' thiab ' Ibuprofen ' ntau zaus thiab ntau dhau tuaj yeem ua rau lub plab hnyuv thiab lub hnab hnyuv puas tsuaj.
• Txo cov ntshav ntws (Ischemia): Txawm hais tias tsis tshua muaj, kev o kuj tuaj yeem tshwm sim vim yog txo cov ntshav ntws mus rau ib feem ntawm lub cev. Qhov no tuaj yeem yog vim muaj kev thaiv hauv cov hlab ntsha uas muab ntshav.
• Kab mob Cholangitis thawj zaug (PSC): Qhov no yog ib yam kab mob autoimmune, uas txhais tau tias lub cev lub cev tiv thaiv kab mob tawm tsam nws cov hlwb. Nws ua rau mob o ntev hauv koj txoj hlab pas. Ib yam li IBD, cov txheej txheem uas ua rau mob o ntev no kuj tuaj yeem cuam tshuam rau lub hnab. Cov neeg uas muaj tus kab mob no muaj feem yuav mob hnab ntau dua.

Cov teeb meem uas yuav tshwm sim ntawm mob pouchitis yog dab tsi?

Mob pouchitis uas mob hnyav heev tsis tshua muaj teeb meem loj. Txawm li cas los xij, mob pouchitis uas mob mus tas li thiab tsis kho mob tuaj yeem ua rau muaj teeb meem. Cov no suav nrog:

• Kev hloov pauv ntawm tus cwj pwm tso quav: Kev o ntawm lub hnab tuaj yeem ua rau nws nyuaj rau tuav cov quav, thiab o tuaj yeem ua rau nws nyuaj rau tso quav. Qhov no tuaj yeem cuam tshuam rau koj tus cwj pwm tso quav mus sij hawm ntev.
• Txo qhov zoo ntawm lub neej: Muaj teeb meem tas li mus rau chav dej tuaj yeem ua rau nyuaj rau nyob nrog. Nws tuaj yeem ua rau lub cev thiab lub hlwb ntxhov siab, thiab tuaj yeem cuam tshuam kev txaus siab rau lub neej hauv zej zog.
• Kev nruj ntawm lub hnab:Kev mob o ntev ntev tuaj yeem ua rau lub hnab mob caws pliav. Qhov caws pliav no tuaj yeem ua rau lub qhov qhib ntawm lub hnab nqaim. Nws kuj tseem tuaj yeem txo cov ntshav ntws mus rau lub hnab, ua rau cov txheej txheem kho tsis zoo.
• Kev lwj: Kev o ntev ntev tuaj yeem ua rau lub hnab sab hauv lwj, ua rau muaj cov qhov txhab. Cov qhov txhab no tuaj yeem los ntshav. Qee hom kab mob pathogenic kuj tuaj yeem ua rau lub plab hnyuv puas tsuaj.
• Kev nqus tsis tau zoo thiab kev tsis noj qab haus huv: Thaum lub txheej sab hauv ntawm lub hnab puas lawm, lub peev xwm nqus cov as-ham los ntawm cov khoom noj hauv nws raug txo qis (malabsorption), uas tuaj yeem ua rau tsis noj qab haus huv.
• Lub hnab tsis ua haujlwm: Thaum muaj teeb meem nrog lub hnab no, nws yuav siv tsis tau. Qhov no yuav xav tau kev phais kom tshem lub hnab thiab tig lub plab mus rau hauv ileostomy.

Yuav kuaj mob Pouchitis li cas?

Kev kuaj mob pouchitis pib nrog kev tham txog koj cov tsos mob thiab keeb kwm kev noj qab haus huv. Tom qab ntawd, koj tus kws kho mob yuav saib sab hauv koj lub hnab. Lawv yuav siv ib lub cuab yeej hu ua endoscope . Qhov no yog ib lub raj nyias nyias nrog lub koob yees duab me me txuas rau nws. Lawv yuav hla lub hnab kom nrhiav kev o lossis lwm yam tsis zoo. Lawv kuj tseem yuav coj cov qauv nqaij (biopsy) los ntawm endoscope thiab tshuaj xyuas nws kom paub seb dab tsi yuav ua rau muaj mob. Koj tus kws kho mob kuj tseem yuav siv lwm yam kev kuaj duab los saib sab nraud ntawm lub hnab thiab cov qauv uas txuas nrog nws. Qhov no yog ua kom paub seb puas muaj lwm yam mob uas yuav ua rau muaj mob. Cov kev kuaj ntxiv uas yuav ua tau suav nrog:

• Kev thaij duab xoo hluav taws xob (pouchogram): Qhov no yog ib hom kev thaij duab X-ray. Cov kua tshuaj sib txawv raug txhaj rau hauv lub hnab kom pom tseeb dua. Nws zoo ib yam li kev siv barium enema, tab sis qhov no ua rau ntawm lub hnab ileal.
• Kev luam theej duab CT.
• Kev thaij duab MRI (MRI).

Yuav kho tus mob pouchitis li cas?

Kev kho mob thawj kab rau mob pouchitis yog siv tshuaj tua kab mob ob lub lis piam . Feem ntau cov neeg yuav zoo dua nrog qhov no. Yog tias koj tsis zoo dua nrog qhov no, koj tus kws kho mob yuav sim lwm yam tshuaj tua kab mob, lossis kev sib xyaw ua ke ntawm cov tshuaj tua kab mob, rau lub sijhawm ntev dua. Yog tias koj tseem muaj cov tsos mob tom qab plaub lub lis piam, koj yuav muaj mob pouchitis uas tiv taus tshuaj tua kab mob. Tom qab ntawd koj tus kws kho mob yuav tsum ua ntau qhov kev kuaj mob kom nrhiav lwm yam ua rau ua ntej txiav txim siab txog kev kho mob zoo tshaj plaws.

Cov kev kho mob rau cov mob pouchitis rov tshwm sim yog dab tsi?

Yog tias mob pouchitis mob hnyav ploj mus nrog kev kho mob thiab tom qab ntawd rov tshwm sim, koj tus kws kho mob yuav txuas ntxiv kho tib yam. Yog tias kev kho mob ua haujlwm thiab cov tsos mob tsis rov tshwm sim ntau zaus, kev kho mob tib yam yuav siv. Txawm li cas los xij, yog tias nws rov tshwm sim ntau dua peb zaug hauv ib xyoos, cov kws kho mob suav tias nws yog mob pouchitis uas siv tshuaj tua kab mob ntev. Nws raug kho nrog kev kho mob mus sij hawm ntev kom tiv thaiv kev rov tshwm sim. Kev kho mob mus sij hawm ntev yuav suav nrog:

• Tshuaj tua kab mob: Kev noj tshuaj tua kab mob tsawg tsawg tuaj yeem pab tiv thaiv kom tsis txhob rov qab mob dua.
• Probiotics: Cov no yog cov tshuaj ntxiv uas muaj cov kab mob zoo uas nyob hauv peb txoj hnyuv. Lawv tuaj yeem pab kho qhov sib npaug ntawm cov kab mob hauv lub hnab thiab tawm tsam cov kab mob pathogenic.

Cov kev kho mob rau cov kab mob CARP uas tiv taus tshuaj tua kab mob mus ntev yog dab tsi?

Yog tias koj tus mob pouchitis yeej tsis tau zoo dua los ntawm kev siv tshuaj tua kab mob, lossis yog tias nws tau zoo dua yav dhau los tab sis tsis tau zoo dua tam sim no, cov kws kho mob hu ua mob pouchitis uas tiv taus tshuaj tua kab mob ntev (CARP). Hauv qhov no, tus kws kho mob yuav xub nrhiav seb puas muaj qhov ua rau mob, xws li kev kis kab mob thib ob, kab mob autoimmune, lossis qhov tsis zoo ntawm cov qauv hauv lub hnab. Yog tias tsis pom qhov ua rau mob meej, lawv yuav kho mob pouchitis ntev ib yam li lawv kho mob plab hnyuv (IBD). Nov yog qee qhov kev kho mob uas ua tau:

• Mesalamine enemas: Mesalamine, tseem hu ua 5-aminosalicylic acid (5-ASA), yog cov tshuaj kho mob thawj zaug rau mob plab hnyuv ulcerative. Nws los ua ib qho enema uas koj ntxig rau hauv lub hnab.
• Bismuth enemas: Bismuth subsalicylate, cov khoom xyaw nquag hauv Pepto Bismol®, kuj los ua cov tshuaj enema ua npuas ncauj (bismuth carbomer). Qhov no yuav pab txo koj cov tsos mob.
• Corticosteroids: Cov no yog ib hom tshuaj tiv thaiv kev o uas siv los kho kev o mus ntev.
• Cov tshuaj tiv thaiv kab mob: Cov tshuaj no txo ​​koj lub cev tiv thaiv kab mob. Cov kws kho mob sau cov tshuaj no thaum koj lub cev tiv thaiv kab mob ua rau mob o.
• Cov tshuaj monoclonal antibodies (biologics): Cov tshuaj monoclonal antibodies yog cov protein uas tib neeg tsim los uas ua haujlwm zoo li cov tshuaj antibodies tib neeg, txhawb koj lub zog tiv thaiv kab mob ntuj tsim tawm tsam kev kis kab mob.
• Cov tshuaj me me: Cov no yog cov tshuaj tshiab uas ua haujlwm zoo li cov tshuaj monoclonal antibodies, tab sis lawv tau ua los ntawm cov tshuaj synthetically.
• Kev hloov cov kab mob hauv plab: Kev kho mob no tau txais kev pom zoo los ntawm US Food and Drug Administration (FDA) los kho cov kab mob C. diff uas tiv taus tshuaj tua kab mob. Txawm li cas los xij, nws kuj tseem siv tau los kho cov kab mob pouchitis uas tiv taus tshuaj tua kab mob, txawm tias nws tsis yog los ntawm C. diff los xij. Nws pab kho cov kab mob hauv plab kom zoo.

Nws yuav siv sijhawm ntev npaum li cas rau mob pouchitis kom kho tau?

Cov tsos mob ntawm tus mob pouchitis feem ntau pib zoo dua hauv ob peb hnub tom qab pib kho mob nrog tshuaj tua kab mob. Txawm li cas los xij, nws yog ib qho tseem ceeb kom ua tiav tag nrho ob lub lis piam ntawm kev kho mob tshuaj tua kab mob, txawm tias koj xav tias zoo dua. Koj yuav tsum mus ntsib koj tus kws kho mob tom qab kev kho mob tiav lawm. Lawv yuav xav saib sab hauv koj lub hnab dua kom paub tseeb tias qhov o tau ploj mus tag.

Puas tiv thaiv tau kab mob Pouchitis?

Muaj qee cov pov thawj qhia tias cov probiotics yuav pab tiv thaiv kom tsis txhob muaj mob pouchitis tom qab phais lossis rov qab los tom qab kho tau zoo. Tej zaum lawv yuav tsis ua haujlwm tas li, tab sis lawv yuav ua haujlwm rau koj. Cov kws kho mob qee zaum sau ntawv kom muab cov tshuaj probiotic sib xyaw tshwj xeeb (xws li DeSimone formulation). Hom probiotic uas koj noj yog qhov tseem ceeb, yog li nws tseem ceeb heev uas yuav tsum tham nrog koj tus kws kho mob.

Yog tias koj mob pouchitis, koj yuav xav li cas?

Yog tias koj muaj mob pouchitis tom qab phais mob ileal pouch - txawm tias nws tshwm sim ob peb zaug - muaj lub sijhawm zoo uas nws yuav kho tau zoo nrog cov tshuaj tua kab mob. Ib txhia neeg yuav xav tau cov tshuaj tua kab mob ntev dua li lwm tus. Yog tias koj muaj cov tsos mob ntau zaus, koj yuav xav tau kev kho mob ntev nrog cov tshuaj tua kab mob lossis probiotics. Rau cov neeg me me uas muaj mob pouchitis, tsis muaj ib qho ntawm cov kev kho mob no yuav ua haujlwm. Yog tias koj tseem muaj mob pouchitis thiab nws tsis teb rau kev kho mob tshuaj tua kab mob, koj tus kws kho mob yuav nrhiav cov laj thawj tseem ceeb ntawm kev o, xws li ischemia, NSAID siv, lossis kab mob autoimmune. Yog tias lawv nrhiav tsis tau qhov ua rau mob thib ob, lawv yuav kuaj mob nws ua mob pouchitis tiv taus tshuaj tua kab mob ntev (CARP). Cov kws kho mob yuav qhia ntau yam kev kho mob rau CARP. Lawv yuav ua haujlwm nrog koj kom nrhiav tau qhov zoo tshaj plaws rau koj.

Qee zaum, yog tias qhov teeb meem ntawm lub hnab ntau dua li qhov zoo, koj yuav txiav txim siab tshem lub hnab tawm kom tsis muaj kab mob. Qhov ntawd kuj yog ib qho kev xaiv.

Khoom noj thiab dej haus puas cuam tshuam rau mob pouchitis?

Yog, rau qee qhov. Qee cov pov thawj qhia tias yog tias koj cov zaub mov tsis muaj cov antioxidants ntau, koj yuav muaj feem ntau dua ntawm kev mob pouchitis. Cov antioxidants pom muaj nyob rau hauv ntau yam txiv hmab txiv ntoo thiab zaub. Cov tshuaj no pab tshem tawm cov tshuaj lom neeg hauv peb lub cev hu ua free radicals. Thaum cov free radicals sib sau ua ke hauv lub cev, lawv tuaj yeem ua rau cov hlwb puas tsuaj thiab ua rau mob. Cov antioxidants los ntawm cov zaub mov muaj txiaj ntsig zoo dua li cov tshuaj ntxiv. Ntawm qhov tod tes, yog tias koj raug kev txom nyem los ntawm cov tsos mob pouchitis, kev txo cov fiber ntau hauv koj cov zaub mov yuav pab tau. Cov kws kho mob pom zoo kom noj zaub mov qis-FODMAP . Qhov no txo ​​cov zaub mov uas koj cov kab mob hauv plab nyiam noj, suav nrog fiber. Kev txiav cov zaub mov no ib ntus yuav pab txo koj cov tsos mob plab. Tab sis thaum kawg, koj yuav tsum sim ntxiv ntau yam zaub mov rov qab rau hauv koj cov zaub mov.

Cov khoom noj uas pab tiv thaiv kab mob pouchitis:

Xyuas kom koj tau txais cov tshuaj antioxidants txaus. Koj tuaj yeem tau txais cov no los ntawm kev noj ntau yam txiv hmab txiv ntoo thiab zaub. Qee cov khoom noj zoo tshaj plaws uas muaj cov tshuaj antioxidants ntau yog:

• Kua txiv
• Cov txiv hmab txiv ntoo (xws li txiv pos nphuab, blueberries)
• Txiv hmab
• Txiv hmab qhuav (Prunes)
• Hom taum
• Cov txiv ntseej
• qos yaj ywm liab
• Cov zaub ntsuab tsaus (xws li spinach, kale)

Ntxiv cov khoom noj uas muaj tag nrho rau hauv koj cov zaub mov noj, tshwj xeeb yog cov khoom noj uas ua los ntawm cov nroj tsuag, yog lub hauv paus tseem ceeb ntawm kev noj zaub mov tiv thaiv kev o. Cov tshuaj antioxidants tsuas yog ib qho laj thawj xwb.

Cov khoom noj uas tsis txhob noj thaum koj muaj mob pouchitis (kom txo cov tsos mob):

Yuav kom txo cov tsos mob ntawm tus mob pouchitis, cov kws kho mob pom zoo kom noj zaub mov qis-FODMAP, tsawg kawg yog txog thaum koj paub tias koj ua xua rau FODMAPs twg. FODMAPs feem ntau suav nrog:

• Fructose (qab zib hauv txiv hmab txiv ntoo)
• Lactose (qab zib hauv mis nyuj)
• Dos
• Qos dawb
• Hom taum
• Nplej

Kev noj zaub mov uas tsis muaj FODMAP ntau yog kev noj zaub mov luv luv uas yuav tsum tshem tawm qee yam khoom noj tawm ntawm koj cov zaub mov noj, nrhiav seb yam dab tsi ua rau muaj teeb meem no, thiab tom qab ntawd maj mam rov qab noj dua raws li kev qhia ntawm tus kws kho mob.

Thaum kawg, cov lus coj mus tsev

Yog tias koj muaj ib lub hnab ileal, tej zaum koj yuav muaj mob pouchitis qee lub sijhawm. Tsis yog txhua tus neeg yuav muaj, tab sis cov neeg uas muaj tej zaum yuav muaj ntau dua ib zaug. Nws tuaj yeem ua rau koj chim siab yog tias muaj teeb meem plab hnyuv tas li txawm tias tom qab lawv tau tshem tawm feem ntau ntawm lawv cov hnyuv loj. Qhov xov xwm zoo yog tias rau feem ntau ntawm cov neeg, mob pouchitis tsuas yog ib qho teeb meem qee zaum xwb, thiab nws yooj yim dua los kho dua li cov mob plab hnyuv ntev uas lawv tau raug kev txom nyem yav dhau los. Mob pouchitis ntev uas tiv taus tshuaj tua kab mob (CARP) nyuaj me ntsis. Qee zaum, nws tuaj yeem cuam tshuam nrog mob plab hnyuv ntev uas twb muaj lawm. Kev kho nws tuaj yeem nyuaj ib yam nkaus. Tab sis nrog me ntsis kev sim, koj tuaj yeem nrhiav tau kev kho mob ua ke uas ua haujlwm rau feem ntau ntawm cov neeg. Nco ntsoov, koj tsis nyob ib leeg. Tham nrog koj tus kws kho mob thiab nug txhua yam lus nug uas koj muaj. Nrog kev taw qhia thiab kev kho mob zoo, koj tuaj yeem nyob zoo nrog qhov mob no.