Kock Pouch (K-pouch) tih hi eng nge ni? Pawn lam stool bag tel lovin i nung thei ang em?

Damdawi lam thil thenkhat, a bik takin intestine lian lama harsatna a awm avangin chu part chu lakchhuah nan operation neih a ngai thin. Tichuan, taksa atanga bawlhhlawh a chhuah theih nan pum vunah kawngkhar te tak te siam a ni. Chuvangin, bawlhhlawh chu he hawnna hmuna bag inbun ah hian an khawl khawm thin. He bag nena nun hi mi thenkhat tan chuan a nuam lo deuh thei. Inpawlna te, thawmhnaw inbel te, leh nitin hna thawh te hi daltu ang maiin a lang thei. Chuti a nih chuan he pawn lam bag tel lo hian taksa chhunga bawlhhlawh khawlkhawm dan tur awm ta se engtin nge ni ang? Chumi chinfel dan tur chu vawiin a kan sawi tur Kock pouch hi a ni.

A awlsam zawngin, he Kock pouch (K-pouch) hi eng nge ni?

I taksa pawnah bag dah ai chuan, i taksa chhunga bawlhhlawh khawlkhawm thei leh dahkhawm thei tur pouch te tak te i siam thei a nih chuan engtin nge ni ang? Chu chu Kock pouch chu a ni.

Colectomy hnuah i small intestine tawp, ileum chu i pum chhunga vun chung lamah rawn hruaiin, hawnna te tak te a lo awm ta a ni. Hei hi ileostomy an ti a. He hawnna hi stoma an ti a. Hei hi stoma-ah pawn lam pouch dahin tih a ni tlangpui.

Mahse Kock pouch procedure-ah chuan surgeon chuan i taksa chhungah pouch te tak te siam turin i intestine te tak te a siam chhuak thin . He pouch hi i pum chhunga hawnna (stoma) nen direct in a inzawm a ni. Chuvangin i stool lakkhawm nan pawn lam bag i mamawh lo. I mamawh hunah chuan he hawnna atang hian tube te tak te (catheter) dah theih a ni a, pouch chhunga bawlhhlawh awm tawh chu i paih chhuak thei bawk.

Kock pouch hmanna tur engte nge ni?

Hetiang method hi `ileostomy` nghet tak neia khawsa ngai mahse pawn lam stool bag hman duh lo tan hman a ni ber. Hei hi a thatna lian ber chu stool kal dan an control thei hi a ni.

Ileostomy pangngaiah chuan engtik lai pawhin pouch-ah hian bawlhhlawh a awm khawm thei. Kan thunun thei lo. Mahse Kock pouch hmanga ileostomy tih chu continence ileostomy an ti a. Chu chu "control theih" tihna a ni. Chutiang a nih chuan stool chu a chhunga pouch-ah a khawlkhawm a, a leak chhuak lo va, chuvangin i duh hun hunah zalenna i nei a ni.

• Thu belhchian dawl zawk: Kock pouch hi a tir chuan internal bag anga siam a ni a, damlote zun lakkhawmna tur a ni. Chu hmanrua chu tûn thlengin hman a la ni a, mahse tûnah chuan hmanraw thar tam tak siam chhuah a ni.

Engtin nge he surgery hi tih a nih?

I surgeon chuan i ileostomy neih rualin Kock pouch hi a siam thei a, a hnuah operation hranpaah an ti thei bawk. Hei hian ileostomy i neih tawh chuan a hnuah Kock pouch-ah i la inthlak thei tihna a ni.

A awlsam zawngin sawi ila, a hnuaia mi ang hian surgery hi tih a ni:

1. Pouch siam dan: Doctor chuan nangmah ngeiin i intestine te tawp lam inches 18 vel a la ang a, "U" angin a fold ang. Tichuan, he fold lai takah hian intestine chu hawn a ni ang a, a sirte chu a inzawm khawm ang. Hei hian pouch chu a siam ang.

2. Valve siam dan: Hei hi a pawimawh ber a ni. Bag tawp lama intestine la awm chu hmangin valve bik (`one-way valve`) siam a ni. Kawngkhar pakhat chauh hawn ang a ni. A chhunga bawlhhlawh a khat chuan he valve hi a inkhar nghal vek a ni. Chutiang chuan bawlhhlawh, tui leh boruak a chhuak lo.

3. Connection: A tawp berah chuan valve nena a tawp chu i pum chhunga hawnna (`stoma`) siamah a inzawm a. Doctor chuan engkim a thawk tha em tih leh leak a awm loh nan a enfiah ang.

Surgery hnuah eng nge thleng? A dam leh theih nan eng chen nge hun a duh?

Surgery zawhah ni thum atanga ni nga vel damdawi inah i awm a ngai dawn a ni. Hemi chhung hian i taksaah tube hrang hrang inzawmkhawm a ni ang a, chu chuan i dam thuai theih nan a pui ang.

• `IV` tube hmanga saline pekna tur
• Nutrition atan `IV nutrition` tih a ni
• Hliam atanga bawlhhlawh paih chhuak thei wound drain
• Urinary catheter hmanga zun chhuahna (Urinary catheter) a ni
• Natna tihreh nan `Pain pump` a ni

Heng thilte hi ngaihtuah buai suh, hun eng emaw chen chauh a ni vek.

I stoma-a catheter dah chu kar engemaw zat a hmunah a awm ang. Hei hian bawlhhlawh chu bawm siam thar atang chuan hliam a dam hma loh chuan a chhuak thei ang. Nurse pakhatin catheter enkawl dan a zirtir ang che.

In lama i haw a, kar engemaw zat i chawlh hnuah i doctor chuan he tube hi a la chhuak ang. Tichuan, nurse pakhat chuan regular tube (catheter) hmangin nangmah ngeiin bag khar dan tur a zirtir ang che.

Kock pouch hmanga hlawkna leh harsatna awm thei te

Damdawi lam thil tih dan dang ang bawkin hlawkna leh hlauhawmna a awm vek. Anni hi han thlir ila.

Heng harsatnate hi a lo awm a nih chuan siamthat nan operation dang (`revision surgery`) a ngai thei bawk. Kock pouch-ah chuan a bik takin valve harsatna avang hian hetiang revision surgery rate hi method dang aiin a sang deuh hlek (30% vel). Mahse i doctor chuan heng zawng zawng hi uluk takin a hrilhfiah ang che.

Kock pouch leh J-pouch hi eng nge an danglamna?

Heng pahnih hi taksa chhunga bawm siam chi hrang hrang ni mah se, an hnathawh dan erawh a danglam vek a ni.

• Kock Pouch (K-pouch): Hei hi `ileostomy` hmanga siam a ni a, chu chu pum chhunga hawnna (`stoma`) a ni. Stool hi tube (`catheter`) hmangin pum chhunga hawnna atanga dah luh hmangin an chhuah thin.
• J-Pouch: Hei hi ileostomy tih ai chuan a danglamna a ni. Hetah hian small intestine tawp atang hian pouch siamin, anus (anal canal) nen direct-in an inzawm a ni. Hei hian stoma (riltam hawn) a ngai tawh lo. Damlo chu toilet-ah a kal thei a, a pangngaiin a eksan thei bawk.

Thil tam takah chuan damlo, an colon leh rectum pahnih lakchhuah duhte chuan J-pouch procedure hi an thlang thin. Mahse, J-pouch hlawhtling tur chuan rectum chhunga muscle te chu a thawk tha tur a ni. Eng emaw vanga J-pouch nei thei lo tan emaw, J-pouch fail tawh tan emaw Kock pouch hi duhthlan tur tha tak a ni.

I ei leh in lamah inthlak danglamna siam i duh em?

Ni e, i damna tikhawtlai turin ei leh in inthlau leh tha tak ei hi a pawimawh hle. I bawlhhlawh a thim lutuk emaw, a tui lutuk emaw a nih chuan i ei leh inah hian inthlak danglamna tenau te i siam thei a ni. Dietitian hnen atanga thurawn lak hi a \angkai hle thei. I doctor chuan mi tling tak hnenah a refer thei che a ni.