Bikɔs ɔf sɔm mɛrɛsin dɛn, mɔ di prɔblɛm dɛn we de wit di big intestinal, dɛn nid fɔ du ɔpreshɔn fɔ pul da pat de. Dɔn, dɛn kin mek smɔl opin na di bɛlɛ in skin fɔ mek dɔti pas kɔmɔt na di bɔdi. So, dɛn kin gɛda di fes insay wan bag we dɛn tay pan dis opin. Fɔ liv wit dis bag kin mek sɔm pipul dɛn nɔ fil fayn smɔl. I kin fil lɛk se yu de ambɔg yu we yu de spɛn tɛm wit ɔda pipul dɛn, wɛr klos, ɛn du wok dɛn we yu de du ɛvride. So wetin if we bin de fɔ gɛda dɔti insay di bɔdi we wi nɔ gɛt dis bag we de na do ɛn ɛmti am ɛnitɛm we wi want? Di solushon fo dat na di Kock pouch we wi de tok abaut tide.
Simply put, wetin bi dis Kock pouch (K-pouch)?
Imajin se, bifo yu gɛt bag we de hang na do na yu bɔdi, wetin yu go du if yu ebul fɔ mek wan smɔl pɔch we go gɛda ɛn kip dɔti insay yu bɔdi? Na dat di Kock pouch bi.
afta dεn dכn kolכktכmi, dεn de bכn di εnd fכ yu sכmכl intestin, di ileum, na di sכfa fכ di skin na yu bכdi εn sכmכl opin de kכmכt. Dɛn kɔl dis ileostomy. Dɛn kɔl dis opin ples stoma. dis kin bi bay we dεn de ataya wan εksternal paus na di stoma.
Bɔt insay di Kock pouch prosidur, di ɔspitul kin yuz pat pan yu yon smɔl intestin fɔ mek wan smɔl paus insay yu bɔdi . dis paus de kכnekt dairekt to di opin (stoma) na yu bכdi. So yu nɔ nid bag we de na do fɔ gɛda yu stɔl. We yu nid fɔ du dat, yu kin put smɔl tiub (kateta) tru dis opin ɛn yu kin ɛmti di dɔti we dɔn gɛda na di paus.
dis lεk "internal scrotum" insay di bכdi we wi kin εmpti εni tεm. Dɛn gi am in nem to wan dɔktɔ we de du ɔpreshɔn we nem Nils Kɔk.
Wetin na di yus dɛm fɔ Kock pouch?
dis mεtכd na fכ pipul dεm we gεt fכ liv wit pεrmanεnt `ileostomy` bכt dεn nכ want fכ yuz εksternal stכl bag. Di big bɛnifit fɔ dis na dat dɛn kin kɔntrol di we aw di stɔl de pas.
insay nכmal ileostomy, stכl kin kכlekt insay di paus εni tεm. Wi nɔ ebul fɔ kɔntrol am. Bɔt dɛn kɔl ileostomy wit Kɔk paus kɔntinɛns ileostomy. Dat min se "we pɔsin kin kɔntrol." If na so i bi, di stɔl kin gɛda na di paus we de insay, pas fɔ lik kɔmɔt, so yu gɛt fridɔm fɔ ɛmti am ɛnitɛm we yu want.
- Ɔda tin dɛn: Fɔs, dɛn bin mek di Kɔk paus as insay bag fɔ gɛda urine fɔ di wan dɛn we dɛn pul dɛn blad. Dɛn stil de yuz da we de tide, bɔt dɛn dɔn mek bɔku nyu we dɛn naw.
Aw dɛn kin du dis ɔpreshɔn?
Yu ɔspitul kin mek di Kɔk paus di sem tɛm we yu ileostomy, ɔ dɛn kin du am na sɛpret ɔpreshɔn leta. Dis min se if yu dɔn ɔlrɛdi gɛt ileostomy, yu kin stil swich to Kɔk paus leta.
Fɔ tɔk am simpul wan, dɛn kin du di ɔpreshɔn lɛk dis:
1. Fɔ mek di paus: di dɔktɔ go tek lɛk 18 inch pan di ɛnd pan yu yon smɔl intestin ɛn fol am to "U" shep. afta dat, di intestכn go opin na di midul pan dis fold εn di ed dεm go siw togeda. Dis go mek di pɔch.
2. Mek di Valv: Dis na di pat we impɔtant pas ɔl. we dεn yuz di intestכn we rεst na di εnd pan di bag, dεn de mek wan spεshal valv (`wan-way valv`). I tan lɛk domɔt we de opin na wan say nɔmɔ. We dɛn ful-ɔp dɔti insay, dis valv kin lɔk insɛf. Dis we ya, di fes, wata, ɛn briz nɔ de lik kɔmɔt.
3. kכnekshכn: fכ finish, di εnd wit di valv de atak di opin (`stoma`) we dεn mek na yu bεlε. Di dɔktɔ go chɛk fɔ mek shɔ se ɔltin de wok fayn ɛn nɔ lik.
Wetin kin apin afta di ɔpreshɔn? Aw lɔng i kin tek fɔ mek i wɛl?
Afta di ɔpreshɔn, yu go nid fɔ de na di ɔspitul fɔ lɛk tri to fayv dez. Insay dis tɛm, difrɛn tiub dɛn go kɔnɛkt to yu bɔdi fɔ ɛp yu fɔ wɛl kwik kwik wan.
- `IV` tiub fɔ gi salin
- `IV nyutrishɔn` fɔ it
- Wund drein we de pul dɔti na di wund
- Urinary kateta we dɛn kin yuz fɔ mek di wata
- Wan `Pain pump` fɔ kɔntrol di pen
Nɔ wɔri bɔt dɛn tin ya, dɛn ɔl na fɔ shɔt tɛm nɔmɔ.
di kateshכn we dεn put insay yu stoma go lεf na in ples fכ sכm wik. Dis go mek di dɔti kɔmɔt na di nyu paus we dɛn dɔn mek te di wund wɛl. Wan nɔs go tich yu aw fɔ kia fɔ di kateshɔn.
Afta yu go na os ɛn rɛst fɔ sɔm wiks, yu dɔktɔ go pul dis tiub. Dɔn, wan nɔs go tich yu aw fɔ ɛmti di bag yusɛf yuz wan rɛgyula tyub (kateta).
Fɔs, yu kin nid fɔ ɛmti yu blad lɛk 8 tɛm insay di de. Bɔt nɔ wɔri, insay di nɛks sɔm mɔnt, dis nyu paus we de insay yu bɔdi go big smɔl smɔl. Afta dat, yu kin jɔs nid fɔ ɛmti am 2-4 tɛm insay di de.
Benefit en poshubul komplikashon dem fo Kock pouch
Lɛk ɛni ɔda mɛrɛsin, bɛnifit ɛn prɔblɛm dɛn de. Mek wi tek wan luk pan dem.
| Bɛnifit dɛn | Di Kɔmplikɛshɔn dɛn we kin apin |
|---|---|
| Nɔ nid fɔ gɛt ɛksternal bag: Yu nɔ nid fɔ wɛr ɔ manej ɛksternal ileostomy bag. | Di prɔblɛm dɛn we kin apin na di valv: Sɔntɛnde di valv kin lɔs ɛn mek di stɔl lik. Ɔ di valv kin blok ɛn dɛn nɔ kin ebul fɔ put di tiub insay. If yu bɔdi ɔbstrukshɔn kɔmplit wan na imejensi. If dis apin, yu fɔ go na di ETU (Imergency Treatment Unit) wantɛm wantɛm. |
| Mɔ fridɔm ɛn prayvet pat: Dɛn kin kɔba di stoma wit smɔl tin lɛk goz pad. Dis nɔ go de na do. | Fistulas: Tכnel dεm we nכ fayn kin fכm frכm di paus to di skin כ כda כgan dεm. Dis kin mek yu fil pen ɛn gɛt infekshɔn. |
| Kontrol: Yu kin ɛmti yu blad ɛnitɛm ɛn ɛnisay we yu want, we yu nɔ go lik stɔl ɔl di de. | Pouchitis: Na inflamɛns ɔ infɛkshɔn na di paus. Dis na wan sik we pipul dɛn kin gɛt. Bɔku tɛm dɛn kin trit am kwik wit antibayɔtik. |
| Kɔmfyut slip: I so izi fɔ lɛ yu slip na nɛt. Yu nɔ go nid fɔ grap midul nɛt fɔ ɛmti yu bag. | di say we di opin de sכmtεm (Stricture/stenosis): Ska we de mek di stoma sכmtεm sכmtεm εn mek i at fכ insay di tכb. |
| Parastomal hernia: wan pat pan di intestin de kכmכt tru di stoma. Dis kin mek bak di tin dɛn we de ambɔg am. |
if dεn kכmplikεshכn ya apin, tεm de we dεn kin nid כda כpεrayshכn (`rivishכn כpεrayshכn`) fכ kכrekt dεm. insay di kes fכ Kock pouch, spεshal wan biכs fכ di valv prכblεm, di rεt fכ dis kayn rivishכn כpεrayshכn de hכy sכmtεm pas כda mεtכd dεm (bכt 30%). Bɔt yu dɔktɔ go ɛksplen ɔl dis to yu gud gud wan.
Wetin na di difrɛns bitwin Kock pouch ɛn J-pouch?
Pan ɔl we dɛn tu tin ya na kayn sak dɛn we dɛn kin mek insay di bɔdi, di we aw dɛn kin wok difrɛn atɔl.
- Kock Pouch (K-pouch): dεn kin mek dis wit wan `ileostomy`, we na wan opin (`stoma`) na di bεlε. di stכl de εmpti tru wan tכb (`kateta`) we dεn put tru di opin we de na di bεlε.
- J-Pouch: Dis na ɔda we fɔ du ileostomy. na ya, dεn de mek wan paus frכm di εnd pan di sכmכl intestin εn kכnekt dεn wan dεm dεn wan to di an (anal kanal). dis de mek yu nכ nid fכ mek stoma (we di bכdi opin). Di pɔsin kin go na tɔylɛt ɛn defecate nɔmal wan.
Bɔku tɛm, di wan dɛn we want fɔ pul dɛn kɔlon ɛn rɛktum ɔl tu kin pik di J-pauch we dɛn de du. כltu, fכ mek J-pכch go wok fayn, di mכsul dεm na di rεktum fכ de wok fayn fayn wan. Fɔ di wan dɛn we nɔ ebul fɔ gɛt J-pouch fɔ sɔm rizin, ɔ fɔ di wan dɛn we dɔn gɛt J-pouch we dɔn fel, Kock pouch na fayn opshɔn.
Yu want fɔ chenj di tin dɛn we yu de it?
Yɛs, fɔ it tin dɛn we gɛt bɛtɛ tin fɔ it, rili impɔtant fɔ mek yu wɛl kwik kwik wan. If yu stɔl tu tik ɔ tu wata, yu kin mek smɔl chenj dɛn na di it we yu de it. I kin rili ɛp fɔ aks pɔsin we sabi bɔt it fɔ advays. Yu dɔktɔ kin rifer yu to pɔsin we fit yu.
Mɛsej we dɛn kin kɛr go na os
- Kock pouch na fayn opshɔn fɔ di wan dɛn we nɔ want fɔ liv wit ɛksternal ileostomy bag.
- Dis go ɛp yu fɔ kɔntrol yu bɔdi ɛn gi yu mɔ fridɔm ɛn kɔmfɔt we yu de spɛn tɛm wit ɔda pipul dɛn.
- Bɔt jɔs lɛk ɔl di ɔpreshɔn dɛn, prɔblɛm dɛn de ɛn prɔblɛm dɛn de we kin apin, mɔ di prɔblɛm dɛn we kin apin na di valv.
- Bifo yu disayd if dis we ya fayn fɔ yu, i rili impɔtant fɔ tɔk to yu dɔktɔ ɛn ɔndastand ɔl di gud ɛn bad tin dɛn klia wan.











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