J-Pouch Surgery chungchang hi a awlsam zawngin i zir dawn nia.

I doctor chuan i colon leh rectum zawng zawng chu damdawi lam thil vangin lak chhuah a ngai tih a hrilh che em? Hetiang hunah hian hlauhna leh lungkhamna nasa tak nei hi thil pangngai a ni. "Engtin nge ka efecate ang ? Pouch ka bun a ngai dawn em ni?" I ngaihtuah mai thei. Mahse, lungngai suh, a chinfel dan tha tak a awm. Vawiin hian ‘J-Pouch’ surgery kan sawi dawn a, chutiang surgery hnuah pawn lam pouch tel lovin nun pangngaia i nun theih nan a pui thei che a ni.

A awlsam zawngin, he J-Pouch hi eng nge ni?

J-Pouch chu i taksa chhunga surgeon ten i taksa chhunga i taksa peng te tak te atanga a siam chhuah pouch te tak te a ni. A dik tak chuan small intestine a tawp ber, ``ileum`` atanga siam a ni.

Ngaihtuah teh, i intestine lian leh rectum an lakchhuah hnuah i bawlhhlawh chu hun eng emaw chen atana dahna tur hmun a awm tawh lo. He J-Pouch hi chu rectum hloh aiah reservoir thar anga thawk tura siam a ni. A zawh chuan a pianzia chu ‘J’ letter nen a inang avangin J-Pouch an ti a. He pouch thar hi i rectum dang (anal canal) nen direct in a inzawm a ni. Hei hian a hma ang bawkin a pangngai angin i bawlhhlawh thei tihna a ni.

J-Pouch leh Ileostomy Bag hi eng nge an danglamna?

Total proctocolectomy hnuah chuan duhthlan tur lian pahnih kan nei a. Pakhat chu pum chhungah permanent pouch neih a ni a, chu chu ``ileostomy'' kan ti a, pakhat zawk chu J-Pouch neih a ni. An pahnih inthlauhna hi hriatthiam a pawimawh hle.

He surgery hi tuin nge ti thei ang?

J-Pouch surgery hi mi zawng zawng tan a ni lo. I doctor chuan thil engemaw zat a en ang a, chu chu i fit tha em tih a hriat theih nan.

• Rectal muscle function: Rectum chhunga muscle leh nerve mamawh, bowel movement control nana mamawh chu a thawk tha tur a ni.
• Hriselna: Hei hi multi-stage surgery a nih avangin surgery tuar theih nan hriselna tha tak i neih a ngai a ni. Damdawi lam harsatna dang emaw, damdawi i ei tur emaw chu hre reng ang che.

Engtin nge surgery hi tih a nih?

He surgery hi stage hnih emaw pathum emaw-a tih a ni tlangpui. Hei hi thil buaithlak deuh angin lang mahse, a awlsam zawngin i dah ang u.

1. Stage 1: A hmasa berin i intestine lian leh rectum lakchhuah nan ``proctocolectomy`` surgery i nei a. Chu surgery nen chuan emaw, a hnua surgery hranah emaw chuan J-Pouch chu siam a ni. Doctor chuan i small intestine tawp chu a la a, ‘U’ angin a fold a, a laiah a inzawm khawm a, pouch te tak te a siam a ni.

2. Temporary Ileostomy : I J-Pouch siam thar hian a dam hma chuan stool a pass thei lo. Chuvangin, a dam chhung thla engemaw zat chhung chu hun eng emaw chen atan ``loop ileostomy'' pek i ni ang. Hei hian i pum vunah bag a inbun tihna a ni. Hei hi hun rei lote chhung chauh a ni a, thla 2-3 vel a ni.

3. J-Pouch Examination: Thla 2-3 hnuah special test neih a ni a, pouch siam thar chu a dam tha em tih leh khawi hmunah pawh a leak em tih enfiah thin a ni. Hei hi ``pouchogram'' an ti a. Barium swallow nen a inang a, chutah chuan tui pakhat chu hnute kaltlangin dahin X-ray lak a ni.

4. Final Stage: Engkim a fel vek tawh chuan i doctor chuan surgery tenau dang a ti leh ang a, temporary ileostomy chu a la chhuak ang a, i pum chhunga hawnna chu a khar ang. Chuta tang chuan i stool chu J-Pouch siam thar atang chuan a pangngaiin a kal tan ang. Hetianga i intestines inzawm lehna hi damdawi lamah chuan ileal pouch-anal anastomosis (IPAA) an ti a.

Operation hnuah eng nge i beisei theih ang?

Operation hnuah chuan i taksain he system thar hi a hman thiam theih nan hun engemaw chen a la ngai dawn a ni.

• Bowel movement tam: A tir lamah chuan J-Pouch hi a te a, chuvang chuan ek tam tak a dahkhawm thei lo. Chuvangin ni khatah vawi tam tak bathroom i kal a ngai mai thei a, a chang chuan zan lamah pawh i kal a ngai mai thei. Mahse hun kal zelah pouch chu a lian chho zel a, he dinhmun hi a lo tha chho zauh zauh thin. Hei hi ni khatah vawi 5-10 inkarah a tlahniam tlangpui.
• Muscle retraining: I rectum chhunga muscle te chu hun engemaw chen i hman loh avangin a chak lo tawh mai thei. I ril i thunun leh theih nan exercise i tih a ngai mai thei. I doctor chuan Kegel exercise ang chi exercise a rawn rawt thei ang .
• Loose stools: I stool chhunga tui awm chu a hip luttu chu large intestine a ni. Tunah chuan chu part chu a bo tawh a, i stool chu a hma aiin a liquid tawh zawk ang.

Side effect emaw risk emaw a awm em?

Surgery dang ang bawkin risk engemaw zat a awm a, mahse hengte hi a thleng fo lo.

• Anastomotic leak: Intestine inzawmna hmunah hian leak te tak te pawh a awm chuan pum chhungah infection a awm thei.
• Abdominal adhesions: A chang chuan operation hnuah pum chhungah tissue adhesion duh loh a lo awm a, chu chuan intestinal obstruction a thlen thei.
• Pouchetis: Hei hi harsatna awm tam ber a ni. J-Pouch a infection emaw inflammation emaw a ni. A lan chhuah dan chu pum na, ril tam tak, leh a chang chuan thisen chhuak te a ni. A tam zâwk chuan, hei hi antibiotics hmangin tihdam vek theih a ni .
• Stricture: Surgery atanga scar tissue hian a kalna tur chu a ti tawi thei hle.

Hetiang symptom danglam bik i neih chuan doctor hnenah hriattir nghal tur a ni.

J-Pouch hmang hian nun pangngai i hmang thei ang em?

Ni e, i ti thei! J-Pouch surgery hlawhtlinna hi 95% vel a ni. A tir lamah chuan hrehawmna engemaw zat awm thei mah se, hun kal zelah i taksa chuan a thiam tawh ang. Hnathawh lamah i kal thei a, zin pawh i kal thei a, a hma ang bawkin exercise i la thei bawk. A pawimawh ber chu i nun chu thunun thei takin i hmang thei a, pawn lam pouch ngaihtuah lovin.

I ei leh in thlak danglam i duh em?

Ni e, J-Pouch hmanga i khawsak hian i ei leh in chungchangah i fimkhur hle a ngai a ni.

• Operation hnuah hetiang hian tan tur a ni:Operation hnuah ei tur awlsam leh hmin lo tlemte ei tan la.
• Tui tam tak in rawh: Tui tam lutuk hi taksa atanga chhuak a nih avangin, dehydration ven nan tui, juice, porridge, leh soup tam tak in a pawimawh
• Diarrhea control nan: I ek chu tui lutuk a nih chuan starchy foods banana, buhfai, chhang, leh potato ei hmangin i control thei ang. Sugar, caffeine, thau tam, leh zu te hian riltam a tipung thei a, ei loh tur a ni.
• Inflammation tihziaawmna ei tur: Ei leh in hrisel, olive oil, sangha, thlai leh thei chi hrang hrang ei hian pouchitis ang chi natna a veng thei a ni.

Hemi chungchang hi i doctor leh nutritionist te nen inbiain i duh ang meal plan siam la a tha ber.