Tεm de we wi nid fכ pul wi כl kכlon εn rεktum bikoz fכ sכm mεdikal kכndyushכn dεm. We dat apin, di big kweshon we plenti pipul get na, "Aw a go defecate nau?" Bɔku tɛm, di sɔlv fɔ dis na fɔ mek dɛn put wan pɔch na di bɛlɛ in skin so dat di stɔl go pas. Bɔt tide, wi go tɔk bɔt wan spɛshal ɔpreshɔn we de mek sɔlv insay di bɔdi, we nɔ gɛt da kayn ɛksternal paus de, ɛn ɛp pipul dɛn fɔ pul dɔti nɔmal wan tru di an. Dat na di J-Pouch ɔpreshɔn.
Simply put, wetin bi dis J-Pouch?
Imajin se dɛn du ɔpreshɔn fɔ pul yu big intestinal, we na di las pat na yu rɛkɛt, usay di stɔl de fɔ sɔm tɛm. Dɔn, no ples nɔ go de insay yu bɔdi fɔ gɛda ɛn kip stɔl.
J-Pouch na smɔl paus we dɔktɔ we de du ɔpreshɔn kin mek insay yu bɔdi we i de yuz di ɛnd pan yu smɔl intestinal . fכ bi prεsis, dεn kכl di εnd fכ di sכmכl intestכn di ``ileum.'' So dεn de mek dis paus frכm dis ``ileum.''
dis paus dεn kin mek am bay we dεn fold wan sεkshכn pan yu sכmכl intestin insay di shep fכ di lεta "J" εn siw am tכgeda frכm insay. Dɛn kɔl am J-Pouch bikɔs ɔf di "J" shep. Dɔn dɛn kin kɔnɛkt di paus to yu an. naw, insted fכ yu rεktum we dεn pul, di J-Pouch de wok lεk tεmporari rizכva fכ kכlekt εn stכr stכl. So yu fil se yu nid fɔ defecate nɔmal wan, ɛn yu kin go na tɔylɛt fɔ go defecate.
Wetin na di difrɛns bitwin J-Pouch ɛn Ileostomy?
Bɔku pipul dɛn kin mek dɛn tu pipul ya kɔnfyus. Mek wi klarify dat tu.
- J-Pouch: Dis na pouch we dɛn mek insay di bɔdi . I kin kɔnɛkt dairekt to di an, so yu kin gɛt bɔdi muvmɛnt nɔmal wan . Natin nɔ de we pɔsin kin si frɔm do, no pɔch nɔ de.
- Ileostomy: dis involv fכ bring di εnd fכ di sכmכl intestin dεrekt to di sכfa fכ di bכdi skin, we de mek wan sכmכl opin (stoma) fכ di stכl fכ pas tru. Dɔn dɛn kin gɛda di stɔl insay wan bag we de na do we dɛn kɔnɛkt to di say we dɛn opin. Di bag fɔ ɛmti we i ful-ɔp.
Fɔ tɔk am simpul wan, if yu rεktum de insay gud kɔndishɔn, J-Pɔch na di bεst opshכn fכ liv witout εksternal paus (pεrmanεnt ileostomy).
Udat dis ɔpreshɔn fit fɔ?
J-Pouch ɔpreshɔn na fɔ pipul dɛn nɔmɔ we dɔn gɛt tɔtal proctocolectomy (ɔpareshɔn fɔ pul di ɔl kɔlon ɛn rɛktum). Bɔt, nɔto fɔ ɔlman. Bɔku tin dɛn de we kin mek yu no if yu na gud kandidet fɔ dis prosidur.
- di rεktal mכsul dεm εn nεv dεm we de wok fayn fayn wan:Dɛn tin ya impɔtant fɔ kɔntrol di we aw pɔsin de muv di bɔdi. Yu dɔktɔ go chɛk aw dɛn tin ya de.
- Bi gud wɛlbɔdi fɔ bia wit bɔku ɔpreshɔn: Dɛn kin du J-Pouch ɔpreshɔn insay tu ɔ tri stej, so yu nid fɔ gɛt gud wɛlbɔdi fɔ bia wit am.
- Ɔda mɛrɛsin ɔ mɛrɛsin dɛn: Dɔktɔ dɛn go tek spɛshal kia bak if yu gɛt ɔda mɛrɛsin ɔ yu de tek sɔm mɛrɛsin dɛn.
Na yu dɔktɔ nɔmɔ go gi yu di bɛst advays fɔ no if dis ɔpreshɔn fayn fɔ yu, so tɔk to am opin wan bɔt am.
Aw dɛn kin du J-Pouch ɔpreshɔn?
Dis nɔto ɔpreshɔn we dɛn kin du wan tɛm nɔmɔ. Bɔku tɛm dɛn kin du am tu ɔ tri stej . Lɛ wi si wetin na dɛn step dɛn de.
1. Stej 1: di fכs step na fכ pul yu sik kכlon εn rεktum (tכtal proktocolectomy). Dɛn kin mek di J-Pouch di tɛm we dɛn de du dis ɔpreshɔn ɔ insay wan sɛpret ɔpreshɔn leta.
. Dɔn, dɛn kin opin di insay pat pan di pat we dɛn dɔn fold ɛn dɛn kin siŋ di tu ed dɛn togɛda fɔ mek wan paus.
3. fכ kכnekt di paus: dεn de bכn dis paus dכn frכm di bכdi εn kכnekt am to di an. di mεdikal nem fכ dis kכnεkshכn na ``ileal pouch-anal anastomosis`` כ ``(IPAA)``.
4. Krio Temporary Ileostomy: Di nyu J-Pouch we dεn mek nid tεm fכ hεl. so, fכ stכp stכl fכ pas tru am insay da tεm de, dεn de kכt wan sכmכl intestin jכs oba di J-Pכch εn dεn de mek wan tεmporari opin (`(temporary loop ileostomy)`) na di sכfayz fכ di skin na di bכdi. So, fכ lεk 2-3 mכnt, yu stכl go kכmכt insay dis tεmporari bag. Insay dis tɛm, di nyu J-Pouch go wɛl fayn fayn wan.
5. Fɔ chɛk di paus: Afta 2-3 mɔnt, dɛn kin du spɛshal tɛst fɔ si if di paus dɔn wɛl ɛn if ɛni ol ɔ lik de. dis dεn kכl am ``pouchogram''. insay dis, dεn de fulכp wan spεshal wata insay di paus tru wan tכb we dεn put tru di anus εn dεn de tek εks-ray.
6. Faynal Stej: We di paus dɔn wɛl ɛn no prɔblɛm nɔ de, yu dɔktɔ go schedul fɔ yu las ɔpreshɔn. Dis involv fɔ pul di tɛmporari ileostomy ɛn lɔk di opin na yu bɛlɛ. Yu bɔdi muvmɛnt dɔn dɔn naw! Yu stɔl go bigin fɔ pas nɔmal wan tru yu nyu J-Pouch we yu dɔn mek.
Wetin yu go ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Afta dɛn dɔn du di ɔpreshɔn, yu bɔdi go tek sɔm tɛm fɔ ajɔst to dis nyu sistɛm. Dis na nɔmal tin, so nɔ wɔri bɔt am.
Na di biginin, di J-Pouch na rili smɔl. So i kin ol smɔl smɔl stɔl. Dis min se yu go nid fɔ go na di bafa bɔku tɛm insay di de . Sɔntɛm i pas 10 tɛm insay di de. Yu kin ivin gɛt fɔ grap bɔku tɛm na nɛt. Bɔt nɔ wɔri, as tɛm de go di pɔch go strɛch smɔl smɔl ɛn big , ɛn di nɔmba fɔ di tɛm we yu nid fɔ go na di bafa go go dɔŋ smɔl smɔl. כltu, dεn go kכntro am to bitwin 5-10 tεm dεm insay di de.
Dɔn bak, di mɔsul dɛn na yu rɛktum kin wik smɔl bikɔs dɛn nɔ bin de yuz dɛn bifo dɛn du di ɔpreshɔn. Yu go nid fɔ tren dɛn bak fɔ kɔntrol di we aw yu de muv yu bɔdi. Yu dɔktɔ go tich yu ɛksesaiz, lɛk Kegel ɛksesaiz, fɔ ɛp wit dis.
Wetin na di risk ɛn prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin, ɛn i impɔtant fɔ no bɔt dɛn.
| Risk/Kɔmplikeshɔn | Fɔ ɛksplen am simpul wan |
|---|---|
| Anastomotik Lik we dɛn kin mek | di stכl we de lik insay di bכdi frכm usay di paus de atak di an. Dis kin mek yu gɛt siriɔs infɛkshɔn, abses, ɔ tin dɛn we kin mek yu layf de pan denja lɛk sepsis . |
| Di Adhesions we de na di bɛlɛ | afta di כpεrayshכn, di ska tisu kin fכm bitwin di כgan dεm we de insay di bכdi, we kin mek di bכdi adheshon. Dis kin mek di intestinal ɔbstrukshɔn. |
| Disfunction we de du mami ɛn dadi biznɛs wit ɔda pɔsin | If di nerv dεm na di εria we dεn de du di כpεrayshכn dεm dεm dεm, uman dεm kin fil pen we dεn de du mami εn dadi biznεs εn man dεm kin gεt εrectile dysfunction. Bɔt bɔku tɛm, dɛn tin ya kin sɔlv as tɛm de go. |
| Pɔchitis we gɛt di sik(Inflameshɔn na di pɔch) | Swel ɛn inflamɛns insay di J-Pouch bikɔs ɔf infɛkshɔn ɔ ɔda tin dɛn. Di sayn dɛm kin bi wae yu bɛlɛ de pen, yu kin gɛt kwik kwik wan, ɛn yu kin gɛt blɔd. Bɔku tɛm dɛn kin trit dis wit antibayɔtik. |
| Strikchɔ/Stɛnɔsis (we de smɔl) . | di ska tisu de sכm di εria we di paus de atak di an. Dis kin mek i nɔ izi fɔ pas stɔl. |
Yu kin liv nɔmal layf wit J-Pouch?
Yɛs, i rili pɔsibul! Infakt, bɔku pipul dɛn kin tɔk se dɛn layf dɔn rili bɛtɛ afta dɛn dɔn du dis ɔpreshɔn. Bikɔs dɛn nɔ gɛt di sik dɛn we nɔ de mɛn we dɛn bin de sɔfa igen, ɛn dɛn nɔ nid fɔ kip wan pɔch we de na do igen.
Bɔt yu fɔ yus to sɔm smɔl smɔl chenj dɛn:
- Frɛkuɛns fɔ go tɔylɛt: Yu fɔ go tɔylɛt mɔ tɛm insay di de pas aw yu bin de go.
- Di we aw di stɔl de: Bikɔs di big intestin nɔ de tek wata igen, yu stɔl go gɛt wata pas aw i bin de bifo.
- Drink bɔku wata: Bikɔs yu bɔdi de lɔs bɔku wata, i impɔtant fɔ drink bɔku wata ɛn wata ɔl di de fɔ mek yu nɔ gɛt wata na yu bɔdi. Ivin tin dɛm lɛk jus kin nid fɔ de na di fɔs tɛm.
A nid fɔ chenj di tin dɛn we a de it afta dɛn dɔn du mi ɔpreshɔn?
No patikyula it nɔ de fɔ pɔsin we gɛt J-Pouch. Bɔt if yu it tin dɛn we go mek yu gɛt wɛlbɔdi, dat kin ɛp fɔ mek yu wɛl kwik ɛn i nɔ kin mek yu nɔ fil fayn. Na sɔm advays dɛn ya:
- Start sloslo: We yu bigin fɔ it sɔlid it dɛn bak afta yu dɔn ɔpreshɔn yu, bigin fɔ it smɔl smɔl it dɛn we izi fɔ dayjɛst, we nɔ gɛt bɔku spays, ɛn we nɔ gɛt bɔku ɔyl. Smɔl smɔl, ad nyu it dɛn to yu it.
- Drink plɛnti wata: Dis rili impɔtant. Tray fɔ drink at le 2-3 lita wata wan de. Tin dɛn lɛk klia sup, pɔrit, ɛn frut jus bak fayn.
- Kɔntrol dayarɛa: If i tan lɛk se yu stɔl tu wata, it mɔ tin dɛn we gɛt stach lɛk banana, pɔt, rays, ɛn bred fɔ ɛp fɔ tik am smɔl. Limit shuga, kafin, it we gɛt fat, ɛn rɔm, bikɔs dɛn kin mek dayarɛa wɔs.
- Fɔd dɛn we de kɔntrol inflamɛns: It it dɛn we de ɛp fɔ mek yu nɔ inflamɛns na di pɔch. Dɛn dɔn si se it lɛk di Mɛditarenian it, we gɛt tin dɛn lɛk ɔliv ɔyl, fish, vɛjitebul, frut, ɛn nɛt, rili fayn fɔ dis.
J-Pouch ɔpreshɔn na big step na yu layf. Na nɔmal tin fɔ fil fɔ fred ɛn nɔ shɔ bɔt am. So, bifo yu disayd fɔ du sɔntin, du yu risach ɛn aks yu dɔktɔ ɔl di kwɛstyɔn dɛn we yu nid. We yu disayd fɔ go dis waka, yu famili ɛn padi dɛn go rili gɛt trɛnk. If dɛn ɛp yu, yu go mɔs ebul fɔ win dis prɔblɛm.
Mɛsej we dɛn kin kɛr go na os
- J-Pouch na paus we dεn mek insay di bכdi afta dεn dכn pul di kכlon, we de alaw yu fכ gεt nכmal bכdi muvmεnt we yu nכ gεt εksternal paus (ileostomy).
- Bɔku tɛm, dɛn kin du dis ɔpreshɔn insay difrɛn stej dɛn, ɛn dɛn kin yuz bag we de na do fɔ sɔm tɛm.
- Pan ɔl we yu kin gɛt fɔ go na di bafa bɔku tɛm di fɔs tɛm afta dɛn dɔn du di ɔpreshɔn, as tɛm de go yu bɔdi go yus to am ɛn di sik go bɛtɛ.
- Bikɔs di wata we pasmak de lɔs na di bɔdi, i impɔtant fɔ drink bɔku wata ɛn wata ɔl di de.
- di sakses rεt fכ dis כpεrayshכn de hכy as 95%. If yu gi yu di rayt advays ɛn chenj yu layf, yu go ebul fɔ liv nɔmal layf.
- If yu gɛt ɛni kwɛstyɔn bɔt dis ɔpreshɔn, nɔ fred fɔ tɔk to yu dɔktɔ.
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