External pouchitis chinfel dan: Kock Pouch surgery chungchanga hriat tur

Damdawi lam thil avanga i intestine lian tak chu operation hmanga lakchhuah a ngai a nih chuan, i taksa atanga bawlhhlawh (feces) chhuah theihna turin i pum vunah special opening (stoma) siamah external pouch (stoma) i dah a ngai ang. Nitin he pawn lam pouch nen hian nun hi mi thenkhat tan chuan a nuam lo hle thei a, a buaithlak hle bawk. Mahse, hei aia kawng dang a awm tih i hria em? Vawiin hian taksa chhunga siam bik pouch (pouch) kan sawi dawn a ni.

He Kock Pouch hi eng nge ni?

A awlsam zawngin, Kock Pouch hi surgeon-in i taksa chhunga a siam, i taksa peng te tak te atanga a siam chhuah pouch te tak te a ni. External ileostomy bag ai chuan a danglamna a ni.

Ileostomy pangngaiah chuan small intestine tawp chu pum chhunga vun chung lamah an rawn hruai a, stoma a siam a ni. He kawngkhar atang hian bawlhhlawh a chhuak fo avangin, a khawlkhawm theih nan pawn lam bag engtik lai pawha bun a ngai a ni.

Mahse Kock Pouch-ah chuan he pouch hi taksa chhungah a awm avangin stool chu vawi khatah a chhuak vek lo. Chu ai chuan pouch chhungah a khawlkhawm zawk thin. He pouch hi ni khatah vawi tam tak, i duh hun hunah, `stoma` kaltlangin tube te tak te (catheter) dahin i hlip thei a ni. Hei hi "Continence Ileostomy" an ti bawk. Chumi awmzia chu stool kal dan tur i control thei tihna a ni. Hetiang hmanrua hi surgeon pakhat Nils Kock-a’n a rawn hmang hmasa ber a ni. Chuvang chuan Kock Pouch an ti a ni.

Kock Pouch surgery hi engtin nge an tih thin?

He surgery hi a buaithlak deuh a ni. I surgeon chuan hetiang hian a ti ang:

• A hmasa berin i small intestine (ileum) tawp lam inches 18 vel la la, "U" angin fold rawh.
• Pahnihnaah chuan, a folded part chu a laiah hawn a, a sirte chu inzawmkhawmin, a inzawm khawm a ni. Hei hian pouch a siam a ni. Intestine section te tak te chu a tawp lamah dah a ni.
• Pathumna leh pawimawh ber chu intestine la awm hmangin pouch hmui bulah one-way valve siam a ni. Hei hi a pawimawh hle a, a chhan chu he valve hian pouch a khat laiin stoma atanga bawlhhlawh emaw boruak emaw a chhuah loh nan a veng a ni.
• A tawpah chuan valve tawp chu pum chhunga stoma siam chhungah a inzawm a. Surgery zawh hian doctor-te chuan valve chu a thawk tha em tih an enfiah thin.

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 ang. Hemi chhung hian i dam thuai theih nan tube hrang hrang dah a ni ang.

• IV line (tube vein chhunga dah) hmanga saline pek
• Hliam a chhuak thin
• Natna damdawi atana hman tur tube (Pain pump) .
• Urinary catheter hmanga zun chhuahna (Urinary catheter) a ni

Catheter chu kar tlemte chhung chu a hmunah i dah a ngai ang. Hei hian pouch siam thara tui awm chu a chhuak thei ang a, hliam chu a dam tha thei ang. Nurse pakhat chuan in lama catheter enkawl dan tur a entir ang che.

In i haw hnu kar engemaw zat hnuah doctor chuan tube chu a la chhuak ang. Chumi hnuah chuan nurse pakhat chuan regular catheter hmanga bag tui chhuah dan a zirtir ang che, chu chu tun atang chuan i hmang tan ang.

A tir lamah chuan ni khatah vawi 8 vel pouch kha i hlip a ngai mai thei. Mahse, lungngai suh. Thla engemaw zat hnuah chuan pouch chu a lo lian deuh tawh a, a dam tha tawh a, ni khatah vawi hnih emaw vawi li emaw i hlip a ngai mai thei.

Harsatna lian tak a awm tih pawh i hrechiang ang u.

Valve a lo chhuak a, pouch hawnna a block a, tube pawh a luh theih loh chuan emergency a ni. Chutiang a nih chuan damdawi in Emergency Treatment Unit (ETU) ah i kal nghal tur a ni. Tin, chutiang harsatna avanga operation tih nawn leh a ngai a nih chuan small intestine a tawi a, ei leh in lama harsatna (Short Bowel Syndrome) a lo awm theihna a awm bawk.

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

J-Pouch pawh i hre tawh mai thei. An pahnih hian internal pouche chi hrang hrang ni mahse, an hnathawh dan a inang lo.

• J-Pouch: Hei hian i anal canal-ah pouch i bun a ngai a. Hei hian stoma i mamawh lo tihna a ni. I hnute kaltlangin a hma ang bawkin i la chhuak thei tho. Mi tam tak chuan he method hi an duh zawk. Mahse, i hnute leh a chhehvel thau te chu a hrisel a ngai a ni.
• Kock Pouch: J-Pouch nei thei lo tan (entir nan, hnute pawh lakchhuah a nih chuan) emaw, J-Pouch nei tawh mahse a hlawhchham tawh tan chuan Kock Pouch hi a tha ber.

He surgery hnuah hian ka ei leh in hi ka thlak a ngai em?

Ni e, i damna tikhawtlai turin ei leh in inthlau leh tha tak ei hi a pawimawh hle. Tun hma chuan i natna avangin ei tur thenkhat i khap tawh mai thei. Tunah chuan chu diet chu zawi zawiin i tizau thei tawh ang.

I bawlhhlawh a thim lutuk emaw, a tui lutuk emaw a nih chuan i ei leh in thlak danglamin i siam tha thei ang. Hei atan hian dietitian thurawn lak a phu hle. I doctor chuan pakhatah a refer thei che a ni.