Yu na pɔsin we dɛn dɔn ɔpreshɔn yu ɔl kɔlon ɛn rɛktum bikɔs ɔf wan mɛdikal kɔndishɔn ɛn dɛn mek wan ‘ileal pouch’ insay in ples? If na so, yu kin gɛt sɔm prɔblɛm dɛn bak we gɛt fɔ du wit dis paus sɔntɛnde. Wan pan di prɔblɛm dɛn we kin apin na wetin wi de tɔk bɔt tide, ‘Pouchetis’. Nɔ fred we yu yɛri dis. Lɛ wi tɔk bɔt ɔltin klia wan ɛn simpul wan.
Wetin na Pouchetis? Lɛ wi ɔndastand am simpul wan.
Fɔs, lɛ wi luk wetin na dis ‘ileal pouch’. afta dεn dכn pul yu kכlon εn rεktum kכmplit wan (total proctocolectomy), yu nid nyu we fכ pul yu stכl kכmכt na yu bכdi. Wan sɔlv fɔ dat na di ɔpreshɔn we dɛn kin du na di ileal pouch. Wetin kin apin ya na dat di ɔspitul dɛn kin yuz di las pat pan yu smɔl intestinal (ileum) fɔ mek wan smɔl tin we tan lɛk paus.
So, wetin yu big intestin bin de du, we dɛn bin de gɛda ɛn kip stɔl fɔ sɔm tɛm bifo i kɔmɔt, na da paus de de du am naw. In ɔda wɔd, wan pat pan yu smɔl intestinal naw de wok lɛk big intestin.
Pouchitis na we di paus swel ɔ inflam frɔm insay. na wan kכndyushכn we lεk kolεt (inflamεshכn na di kכlon) כ prכktitis (inflamεshכn na di rεktum). Dis na kɔmɔn tin fɔ pɔrsin wae gɛt pɔch.
Fɔ bɔrku pipul dɛm, dis na fɔ sɔm tɛm (acute pouchitis), bɔt fɔ sɔm pipul dɛm e kin bi wan sik wae de kɔntinyu (chronic pouchitis) ɔr wae de kam bak.
Wetin na di sayn dɛm wae de sho se pɔrsin gɛt pouchitis?
If yu gɛt pouchitis, yu kin gɛt wan ɔr mɔr pan dɛn sayn ya. I impɔtant fɔ no bɔt dɛn.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Lɔwa bɛlɛ de pen ɛn limp | Wan strenj pen na yu bɛlɛ we de dɔŋ ɔ yu kin fil lɛk se dɛn ol yu ɛn tɔn am bak. |
| Nid fɔ go na tɔylɛt bɔku tɛm ɛn wantɛm wantɛm | Yu nid fɔ go tɔylɛt bɔku tɛm pas aw yu kin go, ɛn wantɛm wantɛm yu kin fil se yu nid fɔ go tɔylɛt we yu nɔ go ebul fɔ bia. |
| Fɔ go na tɔylɛt na nɛt | Fɔ wek ɛn go na tɔylɛt. |
| I nɔ izi fɔ kɔntrol di bɔdi we de muv (incontinence) . | Fɔ pas smɔl smɔl stɔl we yu nɔ no. |
| I nɔ izi fɔ pas stɔl | Strayn fɔ defecate we yu de go na tɔylɛt (dyschezia). |
| Di filin fɔ nɔ ebul fɔ ɛmti di tɔylɛt ɔl afta yu dɔn go na tɔylɛt | Fɔ fil lɛk se yu stil gɛt bɔdi muvmɛnt ivin afta yu dɔn pas stɔl (tenesmus). |
| Smɔl blɔd na di stɔl | We yu si blɔd we de rɔn na di stɔl. |
| Fiva ɔ kol kol | Fɔ fil se yu gɛt fiva ɔ yu de shek shek. |
Wetin mek Pouchetis kin apin?
di εksakεt kכz fכ dis stil dεn nכ no 100%, bכt di men tiori na dat imbalans de insay di kayn baktri dεm we de liv insay di paus.
Imajin, we pat pan yu sכmכl intestכn de wok naw lεk big intestכn, nyu kayn baktri dεm de kam insay sכm ‘fεt’ de bitwin dεn nyu εn ol baktri dεm ya. Dis chenj kin mek di bɔdi in imyun sistɛm tink se infɛkshɔn de de. So fɔ ansa dat, inflamɛns kin apin, we min se di pɔch kin swel.
Sɔntɛnde, di baktri dɛm we de mek di sik kin gro pasmak ɛn mek pɔsin gɛt infɛkshɔn. Dis baktriyal bεlε de chenj afta dεn כpεrayshכn, we de gi baktri dεm we de du bad bεtεh chans fכ gro.
I kɔmɔn fɔ mek pɔsin gɛt pouchitis jɔs afta dɛn dɔn du di ɔpreshɔn. Bɔku tɛm dɛn kin trit dis wit antibayɔtik. Bɔt pan sɔm pipul dɛn, i kin kam bak.
Ɔda tin dɛn we kin mek pɔsin gɛt pɔchitis we nɔ de dɔn
Fɔ sɔm pipul dɛm, pouchitis kin kɔntinyu ɔr nɔr kin ansa fayn to tritmɛnt. Dis kin bi bikɔs ɔf ɔda tin dɛn.
- Di mɛdikal kɔndishɔn dɛn we bin dɔn de bifo (IBD): If yu bin gɛt fɔ pul yu kɔlon bikɔs ɔf wan inflammatory bowel disease (IBD) lɛk Ulcerative Colitis ɔ Crohn’s disease, yu go gɛt bɔku risk fɔ gɛt pouchitis. Dis na bikɔs di sem ɔndalayn mɛkanism we mek da sik de kin afɛkt di pɔch bak.
- Baktri dɛm we nɔ de tek antibayɔtik: Sɔm baktri infɛkshɔn dɛm, lɛk C. difficile, nɔ kin izi fɔ kɔntrol wit antibayɔtik. Dɔn bak, we dɛn kɔntinyu fɔ yuz antibayɔtik, sɔm bɔdi kin ebul fɔ bia wit dɛn. dis kin mek bak di baktri dεm imbalans na di paus go כp.
- Ɔda infɛkshɔn dɛn: Sɔntɛnde, inflamɛns na di paus kin kam bak bikɔs ɔf vayral (cytomegalovirus) ɔ fɔngal (candidiasis) infɛkshɔn.
- Di imyuniti we wik: If yu bɔdi in imyun sistɛm wik bikɔs ɔf ɔda mɛrɛsin ɔ sɔm mɛrɛsin dɛn, yu nɔ go ebul fɔ fɛt infɛkshɔn.
- Yuz pen kil (NSAID): If yu yuz pen kil lɛk ibuprofen ɛn aspirin (Nonsteroidal anti-inflammatory drugs - NSAIDs) fɔ lɔng tɛm ɛn pasmak, dat kin pwɛl di layt we de insay di paus.
- blɔd saplai we de ridyus (Ischemia): Pan ɔl we i nɔ kin apin so ɔltɛm, inflamɛns kin apin bikɔs di blɔd saplai to di paus blok.
- PSC sik: `(Primary sclerosing cholangitis - PSC)` na sik we de mek di bayl dakt dεm na di liva inflameshn. Pipul wae gɛt dis sik kin gɛt bɔrku risk fɔ gɛt pouchitis.
Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt pouchitis?
Sɔm tɛmporari pouchitis nɔ kin mek big big prɔblɛm, bɔt if di sik kɔntinyu ɔ i nɔ gri fɔ tek tritmɛnt, i kin mek sɔm prɔblɛm dɛn.
| Kɔmplikɛshɔn | Tɔk bɔt |
|---|---|
| Chenj na di abit dɛn we pɔsin kin gɛt na di bɔdi | If di paus inflamɛns, i kin mek prɔblɛm dɛn we go de fɔ lɔng tɛm, lɛk i nɔ kin izi fɔ ol di stɔl ɔ i nɔ kin izi fɔ pas di stɔl bikɔs i swel. |
| Di standad fɔ liv we de go dɔŋ | Di prɔblɛm we kin mek pɔsin go na tɔylɛt bɔku tɛm kin mek i gɛt prɔblɛm dɛn lɛk strɛs ɛn nɔ kin gɛt bɛtɛ padi biznɛs wit ɔda pipul dɛn. |
| Narrowing of di pouch (Stricture) . | If yu inflamɛns fɔ lɔng tɛm, dat kin mek di pɔch gɛt skata, ɛn i kin mek di say we i opin smɔl. |
| Ɔlsa dɛn | If yu inflamɛns, i kin mek di layt we de insay di paus vɛks ɛn blɔd. |
| Di tin dɛn we nɔ gɛt bɛtɛ tin fɔ it | di damej pan di insay layt na di paus kin mek di nyutriεnt dεm we de kכmכt frכm it (malabsorption), we kin mek i nכ de it fayn. |
| Pɔch we nɔ de wok fayn | Na smɔl tɛm nɔmɔ, prɔblɛm dɛn we kin kɔntinyu fɔ de kin mek dɛn nɔ ebul fɔ yuz di pɔch, ɛn dɛn kin nid fɔ pul am ɛn ɔda ɔpreshɔn dɛn lɛk ileostomy. |
Aw yu go no gud gud wan if yu gɛt pouchitis?
Afta yu dɔn lisin to yu sik, yu dɔktɔ go du sɔm tɛst fɔ no if yu gɛt dis sik. Di tɛst we impɔtant pas ɔl na pouchoscopy (endoscopy) .
Dis min se yu fɔ put wan tiub we rili tan wit kamɛra we dɛn tay tru yu an ɛn chɛk insay di paus. Dɔn di dɔktɔ kin chɛk fɔ si if ɛni inflamɛns ɔ lɛsin de insay di pɔch. na di sem tεm, dεn kin tek wan sכm pat pan di tisu (bayopsi) fכ egzamin.
Apat frɔm dat, dɛn kin du dɛn tɛst ya fɔ chɛk aw di paus ɛn di tin dɛn we de rawnd am de:
- Kontrast Pouchografi `(pouchogram)`
- `CT skan`
- `MRI`
Wetin na di tritmɛnt fɔ pouchitis?
Di tritmɛnt opshɔn dɛn dipen pan di kayn pouchitis we yu gɛt.
Tritmɛnt fɔ Akyu Pouchitis
Di fɔs tritmɛnt na fɔ tu wiks fɔ tek antibayɔtiks. Fɔ bɔrku pipul dɛm, dis go ɔlmost klin dɛn sayn dɛm. Ivin if yu sik dɛn dɔn bɛtɛ, i impɔtant fɔ tek di ful kɔs fɔ di mɛrɛsin we yu dɔktɔ tɛl yu fɔ gi yu.
Tritmɛnt fɔ Rikɔrɛnt Pouchitis
If pɔchitis kam bak afta dɛn dɔn trit am, i go mɔs bi se di dɔktɔ go gi yu di sem antibayɔtik. Bɔt if i apin pas tri tɛm insay di ia, dɛn kin tek am se na sik we nɔ de mɛn ɛn dɛn kin bigin fɔ mɛn di tritmɛnt fɔ mek i nɔ kam bak. Fɔ dis, .
- Gi antibayɔtik fɔ lɔng tɛm pan smɔl dos.
- Yuz Probiotics: Probiotics, we gɛt fayn fayn baktri dɛm, kin ɛp fɔ mek di baktri dɛn balans bak na di paus.
Tritmɛnt fɔ pouchitis we nɔ de ansa to antibayɔtik (CARP) .
If antibayɔtik nɔ ɛp, ɔ if dɛn bin ɛp bifo, dɛn kɔl di kɔndishɔn ``Chronic antibiotic-resistant pouchitis (CARP)''. Na ya, di dɔktɔ go luk fɔ ɔda tin dɛn we kin mek i sik ɛn disayd fɔ trit am akɔdin to dat. Difrɛn tritmɛnt dɛn de fɔ dis.
- Enemas we gɛt drɔgs lɛk `Mesalamine` ɔ `Bismut`
- Kɔtikosterɔyd, we de ridyus di inflamɛns
- Immunosuppressant dεm we de kכntro di fכnshכn fכ di imyun sistεm
- Mɔdan drɔgs lɛk `Biologics`
- Speshal tritmεnt dεm lεk `Fecal microbiota transplant (FMT)`
Di tin we impɔtant pas ɔl na fɔ mek yu dɔktɔ disayd us tritmɛnt go fayn fɔ yu. So if yu gɛt sɔm sayn dɛn, go to dɔktɔ wantɛm wantɛm.
Yu tink se yu kin kɔntrol pouchitis wit it ɛn drink?
Yɛs, te to sɔm mak i pɔsibul. Yu it kin ɛp fɔ mek yu nɔ gɛt pouchitis ɛn i kin ɛp bak fɔ kɔntrol di sik dɛn we dɛn kin gɛt.
| Fɔd dɛn we de ɛp fɔ mek yu nɔ gɛt pouchitis (fud dɛn we gɛt antiɔksidant) . | Fɔd dɛm wae de mek di pouchitis simptom dɛm wɔs (fɔ stɔp fɔ sɔm tɛm) . |
|---|---|
Put frut ɛn vɛjitebul dɛn we gɛt bɔku antiɔksidant we de ridyus inflamɛns na yu it.
| we di simptom dεm de, dεn kin gεt rεlif bay we dεn rεdכks sכm it dεm we de mek di gכt baktri dεm we de mek dεn gεt bכku bכku wan εn we at fכ daygεst (Low FODMAP Diet).
|
Impɔtant: Di it we nɔ gɛt bɔku FODMAP nɔto sɔntin we yu fɔ fala fɔ ɔltɛm. Na sɔntin we yu fɔ fala fɔ shɔt tɛm, we yu gɛt sɔm sayn dɛn, ɔnda di gayd fɔ dɔktɔ ɔ pɔsin we sabi bɔt it.
Pan ɔl we layf kin izi pasmak afta dɛn dɔn ɔpreshɔn di ileal pouch, i nɔmal fɔ fil wɔri we prɔblɛm lɛk pouchitis kam. Bɔt mɛmba se dis na sik we pɔsin kin mɛn we kin afɛkt bɔku pipul dɛn. Yu kin woke wit yu dɔktɔ fɔ fɛn di bɛst sɔlv fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Pouchitis na inflameshn na di pouch we kin kכmכn pan pipul dεm we dεn du ileal pouch כpεrayshכn.
- If yu gɛt sɔm sayn dɛn lɛk pen na yu bɛlɛ, yu kin go na tɔylɛt ɔltɛm, ɔ blɔd na yu stɔl, pe atɛnshɔn to dɛn.
- Bɔrku pan di kes dɛm wae gɛt pouchitis kin fayn fɔ trit wit antibayɔtik.
- Nɔ ignore di sayn dɛm. Si yu dɔktɔ kwik kwik wan fɔ advays.
- If yu it tin dɛn we balans ɛn sɔntɛm yu kin it probayotiks, dat kin ɛp fɔ mek di paus kɔntinyu fɔ gɛt wɛlbɔdi.
- Pɔsin wae gɛt pɔrsin wae gɛt pɔrsin wae nɔr de dɔn (we nɔr de mɛn) kin nid fɔ gɛt sɔm kayn tritmɛnt, ɛn yu dɔktɔ go gi yu di tritmɛnt plan we fit pas ɔl.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt