Yu dɔktɔ dɔn tɛl yu se dɛn nid fɔ pul yu ɔl kɔlon ɛn rɛkɛt bikɔs ɔf wan mɛrɛsin? Na nɔmal tin fɔ fil bɔku frayd ɛn wɔri na di tɛm lɛk dis. "Aw a go defecate ? A go nid fɔ wɛr paus?" Sɔntɛm yu go de wɔnda. Bɔt nɔ wɔri, gud sɔlv de. Tide wi de tɔk bɔt di ‘J-Pouch’ ɔpreshɔn, we kin ɛp yu fɔ liv nɔmal layf we yu nɔ gɛt ɛksternal paus afta dis kayn ɔpreshɔn.
Simply put, wetin bi dis J-Pouch?
J-Pouch na smɔl paus we dɔktɔ we de du ɔpreshɔn kin mek insay yu bɔdi we i de yuz pat pan yu yon smɔl intestinal. fכ bi prεsis, dεn de mek am frכm di las pat pan di sכmכl intestכn, di ``ileum``.
Imajin, afta dɛn dɔn pul yu big intestinal ɛn yu rɛkɛt, no ples nɔ de fɔ kip yu stɔl fɔ sɔm tɛm. dis J-Pouch dεn mek am fכ akt lεk nyu rizכva in ples fכ da rεktum we dεn lכs. We i dɔn, dɛn kin kɔl am J-Pouch bikɔs in shep tan lɛk di lɛta ‘J’. dis nyu paus de kכnekt dayrekt to di rεst כf yu rεktum (anal kanal). Dis min se yu kin defecate as nɔmal lɛk aw yu bin de du bifo.
Wetin na di difrɛns bitwin J-Pouch ɛn Ileostomy Bag?
Afta wan totכl proktocolectomy, wi gεt tu men opshכn dεm. wan na fכ gεt pεrmanεnt paus na di bεlε, we wi kכl ``ileostomy.'' di כda wan na fכ gεt J-Pouch. I rili impɔtant fɔ ɔndastand di difrɛns bitwin dɛn tu.
| J-Pouch (paus we de insay) . | Ileostomy (paus we de na do) . |
|---|---|
| wan insay sak we de fכm insay di bכdi. Nɔto fɔ si am frɔm do. | dεn kin bכn di sכmכl intestכn na di bכdi in skin, εn dεn kin tay wan bag na do fכ kכlekt di fכs. |
| lεk bifo, di stכl de kכmכt nכmal wan tru di an. | di stɔl de kɔmɔt na di nyu opin (stoma) we dɛn mek na di bɛlɛ ɛn go insay bag. Di bag nid fɔ ɛmti ɔltɛm. |
| No nid nɔ de fɔ kip bag we de na do. | Yu fɔ tek kia ɔf yu ɔda bag ɛn yu skin ɔltɛm. |
Fɔ tɔk am simpul wan, J-Pɔch na pɔrmanent sɔlvishɔn we de alaw yu fɔ liv witout ɛksternal paus, as klos to yu bɔdi in ɔrijinal strɔkchɔ as yu ebul.
Udat dɛn kin du dis ɔpreshɔn?
J-Pouch ɔpreshɔn nɔto fɔ ɔlman. Yu dɔktɔ go luk sɔm tin dɛn fɔ no if yu fit fɔ am fayn fayn wan.
- di rεktal mכsul fכnshכn: di mכsul dεm εn nεv dεm na di rεktum we nid fכ kכntrכl di bכdi muvmεnt fכ de wok fayn fayn wan.
- Wɛlbɔdi: Bikɔs dis na ɔpreshɔn we gɛt bɔku stej, yu nid fɔ gɛt gud wɛlbɔdi fɔ lɛ yu ebul fɔ bia wit di ɔpreshɔn. Yu fɔ no bɔt ɛni ɔda mɛrɛsin ɔ mɛrɛsin we yu go de tek.
Aw dɛn kin du di ɔpreshɔn?
Bɔku tɛm, dɛn kin du dis ɔpreshɔn tu ɔ tri stej. Pan ɔl we dis kin tan lɛk se i kɔmplikt smɔl, lɛ wi kip am simpul.
1. Stej 1: fכs, yu gεt ``proctocolectomy`` כpεrayshכn fכ pul yu big intestin εn rεktum. Na di sem tɛm we dɛn du da ɔpreshɔn de ɔ we dɛn du wan ɔda ɔpreshɔn afta dat, dɛn kin mek di J-Pouch. di dכkta de tek di εnd fכ yu sכmכl intestכn, fold am fכ mek i bi ‘U’ shep, εn jכyn am togeda na di midul fכ mek wan sכmכl paus.
2. Temporary Ileostomy : Yu nyu J-Pouch we yu mek nɔ go ebul fɔ pas stɔl te i wɛl. So, fכ fכ mכnt we i de hεl, dεn go gi yu tεmporari ``loop ileostomy''. Dis min se bag de tay pan di skin na yu bɛlɛ. Dis na fɔ shɔt tɛm nɔmɔ, lɛk 2-3 mɔnt.
3. J-Pouch Examination: Afta 2-3 mɔnt, dɛn kin du spɛshal tɛst fɔ si if di nyu pouch we dɛn dɔn mek dɔn wɛl fayn ɛn if i de lik ɛnisay. dis dεn kכl am ``pouchogram''. I tan lɛk barium swɛla, we dɛn kin put wata insay di an ɛn tek ɛkstrem rayt .
4. Faynal Stej: We ɔltin dɔn fayn, yu dɔktɔ go du ɔda smɔl ɔpreshɔn fɔ pul di tɛmporari ileostomy ɛn lɔk di say we opin na yu bɛlɛ. Frɔm da tɛm de, yu stɔl go bigin fɔ pas nɔmal wan tru di nyu J-Pouch we dɛn dɔn mek. dis prכsεs we yu de kכnekt yu intestin dεm bak na in dεn kכl am ileal pouch-anal anastomosis (IPAA).
Wetin yu go ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Afta dɛn dɔn du di ɔpreshɔn, i go tek sɔm tɛm fɔ mek yu bɔdi yus to dis nyu sistɛm.
- Yu kin muv yu bɔdi ɔltɛm: Fɔ bigin, di J-Pɔch kin smɔl, so i nɔ kin ebul fɔ kip bɔku stɔl. So yu go nid fɔ go na di bafa bɔku tɛm insay di de, sɔntɛnde ivin na nɛt. Bɔt as tɛm de go, di pɔch kin big, ɛn dis sik kin bɛtɛ smɔl smɔl. dis kin dכn to bitwin 5-10 tεm insay di de.
- Mɔsul dɛn we yu de tren bak: Di mɔsul dɛn na yu rɛkɛt kin dɔn wik bikɔs yu nɔ yuz dɛn fɔ sɔm tɛm. Yu kin nid fɔ du ɛksɛsayz fɔ mek yu ebul fɔ kɔntrol yu bɔdi bak. Yu dɔktɔ kin tɛl yu fɔ du ɛksɛsayz lɛk Kegel ɛksesaiz .
- Stɔl we lɔs: Di big intestin na di pat we de absɔb di wata we de na yu stɔl. Naw we da pat de dɔn, yu stɔl go gɛt wata pas aw i bin de bifo.
Ɛni sayd ɛfɛkt ɔ risk de?
Lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin, bɔt dɛn tin ya nɔ kin apin bɔku tɛm.
- Anastomotic leak: If ivin sכm lik de na di say we di intestin kכnekt, infεkshכn kin apin insay di bכdi.
- di bכdi adheshon: sכmtεm, di tisu dεm we dεn nכ want kin fכm insay di bכdi afta dεn כpεrayshכn, we kin mek di intestinal bכku.
- Pouchitis: Dis na di prɔblɛm we kin apin pas ɔl. Na infεkshכn כ inflameshn na di J-Pouch. Di sayn dɛm na we yu bɛlɛ de pen, yu kin muv yu bɔdi ɔltɛm, ɛn sɔntɛnde yu kin gɛt blɔd. Bɔku tɛm, dɛn kin mɛn dis kpatakpata wit antibayɔtik .
- Strikchɔ: Ska tisu we de kɔmɔt frɔm ɔpreshɔn kin mek di say we dɛn de pas smɔl.
If yu gɛt ɛni ɔda kayn sik lɛk dis, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm.
Yu kin liv nɔmal layf wit J-Pouch?
Yɛs, yu kin ebul! di sakses rεt fכ J-Pouch כpεrayshכn de hכy as 95%. Pan ɔl we sɔm tin kin mek yu nɔ fil fayn fɔs, as tɛm de go yu bɔdi go yus to am. Yu kin go wok, travul, ɛn ɛksesaiz lɛk aw yu bin de du am trade. Di tin we impɔtant pas ɔl na dat yu kin liv yu layf wit kɔntrol, ɛn nɔ wɔri bɔt pɔch we de na do.
Yu want fɔ chenj di tin dɛn we yu de it?
Yes, yu nid fɔ tek tɛm mɔ bɔt yu it we yu de liv wit J-Pouch.
- Afta yu dɔn du di ɔpreshɔn, bigin fɔ:Afta yu dɔn du di ɔpreshɔn, bigin fɔ it smɔl smɔl it dɛn we izi fɔ dayjɛst ɛn we nɔ gɛt bɛtɛ trɛnk.
- Drink bɔku wata: Bikɔs di wata we pasmak kin kɔmɔt na di bɔdi, i impɔtant fɔ drink bɔku wata, jus, pɔrit, ɛn sup fɔ mek yu nɔ gɛt wata na yu bɔdi .
- Fɔ kɔntrol dayarɛa: If yu stɔl tu wata, yu kin kɔntrol am bay we yu it tin dɛn we gɛt stach lɛk banana, rays, bred, ɛn pɔt. Nɔ it shuga, kafin, bɔku fat, ɛn rɔm bikɔs dɛn kin mek yu gɛt mɔ dayarɛa.
- Fɔd dɛm wae de ridyus inflamɛns: If yu it fayn it lɛk ɔliv ɔyl, fish, vɛjitebul, ɛn frut, dat kin ɛp fɔ mek yu nɔ gɛt sik lɛk pouchitis.
I bɛtɛ fɔ tɔk to yu dɔktɔ ɛn pɔsin we sabi bɔt it ɛn mek wan it plan we go fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- J-Pouch ɔpreshɔn na wan we we rili saksesful fɔ pɔsin we dɛn dɔn pul in kɔlon ɛn rɛktum fɔ liv nɔmal layf we nɔ gɛt ɛksternal paus.
- Dɛn kin du dis ɔpreshɔn bɔku tɛm, ɛn i kin tek sɔm tɛm fɔ mek di bɔdi ajɔst to di nyu tin we de apin. I impɔtant fɔ peshɛnt fɔ dis.
- Pan ɔl we yu go nid fɔ go na di bafa bɔku tɛm di fɔs tɛm afta dɛn dɔn du di ɔpreshɔn, dis go bɛtɛ smɔl smɔl.
- Gud wɛlbɔdi it ɛn gud wata we yu de it rili impɔtant.
- Ripɔt ɛni pen we nɔ kɔmɔn, we yu de blɔd, ɔ ɔda sayn to yu dɔktɔ wantɛm wantɛm afta yu dɔn du di ɔpreshɔn. Nɔr frayd, tɔk to yu dɔktɔ bɔt ɔltin.
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