He huarahi hei noho noa i muri i te tango i te koroni: Akohia te Pokanga J-Pouch

Tērā ētahi wā ka hiahiatia te tango i te koroni me te pūrua katoa nā runga i ētahi āhuatanga hauora. Ina tupu tēnā, ko te pātai nui a te tini tāngata ko, "Me pēhea taku tūtae inaianei?" He maha ngā wā, ko te otinga mō tēnei ko te whakatakoto i tētahi pēke ki te kiri o te puku kia taea ai e te tūtae te puta. Engari i tēnei rā, ka kōrero tātou mō tētahi pokanga motuhake e hanga ana i tētahi otinga ki roto i te tinana, me te kore he pēke o waho, ā, ka āwhina i te tangata ki te tūtae noa mā te pūrua. Koinei te pokanga J-Pouch.

He whakarāpopototanga, he aha tēnei J-Pouch?

Whakaarohia kua tangohia tō whekau nui, te wāhanga whakamutunga o tō pūkahukahu, te wāhi e noho ana te paru mō tētahi wā poto, mā te pokanga. Kātahi ka kore he wāhi i roto i tō tinana hei kohikohi me te penapena paru.

He putea iti te putea-J ka hangaia e te taote pokanga i roto i tō tinana mā te whakamahi i te pito o tō whekau iti . Hei whakamārama, ko te pito o te whekau iti e kiia ana ko te "ileum". Nō reira, ka hangaia tēnei putea mai i tēnei "ileum".

Ka hangaia tēnei pēke mā te whakapiko i tētahi wāhanga o tō whekau iti kia rite ki te āhua o te reta "J" ka tuitui tahi mai i roto. Ka kiia he Pēke-J nā te āhua "J". Kātahi ka honoa te pēke ki tō nono. Ināianei, hei utu mō tō pūtu kua tangohia, ka mahi te Pēke-J hei puna wā poto hei kohi me te penapena i ngā paru. Nō reira ka hiahia koe ki te tūtae noa, ā, ka taea e koe te haere ki te wharepaku ki te tūtae.

He aha te rerekētanga i waenga i te J-Pouch me te Ileostomy?

He tokomaha te hunga e pōhēhē ana i ēnei mea e rua. Me whakamārama anō hoki tēnā.

• Pēke-J: He pēke tēnei i hangaia i roto i te tinana . He mea hono tika ki te nono, kia taea ai e koe te nekeneke i te puku i te āhua noa . Kāore he mea e kitea ana i waho, kāore he pēke.
• Ileostomy: Ko te tikanga o tēnei ko te kawe tika i te pito o te whekau iti ki te mata o te kiri o te puku, ka hangaia he kōhao iti (stoma) hei putanga mō te paru. Kātahi ka kohia te paru ki roto i tētahi putea o waho e hono ana ki te kōhao. Me whakawātea te putea ina kī.

Ki te kī ngāwari, ki te pai te āhua o tō pūtu, ko te J-Pouch te kōwhiringa pai rawa atu mō te noho me te kore he pēke o waho (ileostomy pumau).

Ko wai te tangata e tino tika ana mō tēnei pokanga?

Ko te J-Pouch anake e tika ana mō te tangata kua oti te tango i te koroni me te pūkahukahu katoa (he pokanga hei tango i te koroni katoa me te pūkahukahu). Heoi, kāore e taea e te katoa te whakamahi. He maha ngā āhuatanga hei whakatau mēnā he pai koe mō tēnei.

• Ngā uaua me ngā io o te rectum e mahi pai ana:He mea nui ēnei hei whakahaere i ngā nekehanga o te puku. Ka tirohia e tō tākuta te āhua o ēnei.
• Kia ora pai koe kia tu atu ai i ngā pokanga maha: E rua, e toru rānei ngā wāhanga o te pokanga J-Pouch, nō reira me ora pai koe kia tu atu ai.
• Ētahi atu āhuatanga hauora, rongoā rānei: Ka tino tupato hoki ngā tākuta mēnā he āhuatanga hauora kē atu tōu, kei te tango rānei koe i ētahi rongoā.

Me pēhea te mahi i te pokanga J-Pouch?

Ehara tēnei i te pokanga kotahi noa iho. E rua, e toru rānei ngā wāhanga e mahia ana. Kia tirohia tātou he aha aua mahi.

1. Wāhanga 1: Ko te taahiraa tuatahi ko te tango i tō koroni me te pūkahukahu mate (proctocolectomy katoa). Ka taea te hanga i te J-Pouch i te wā o tēnei pokanga, i tētahi atu pokanga rānei i muri mai.

2. Te hanga i te pēke: Ka tangohia e te taote pokanga ngā koropiko e rua o tō whekau iti, tata ki te 6 inihi te roa, ka whakapikohia kia rua hei hanga i te "U." Kātahi ka whakatuwheratia te taha o roto o te wāhanga kua whakapikohia, ā, ka tuia ngā taha e rua hei hanga i te pēke.

3. Te hono i te pēke: Ka heke iho tēnei pēke mai i te puku, ka honoa ki te nono. Ko te ingoa hauora mō tēnei hononga ko ``ileal pouch-anal anastomosis`` ``(IPAA)`` rānei.

4. Te Waihanga i tētahi Ileostomy Wāpoto: Me whai wā te J-Pouch hou kia ora ai. Nō reira, hei aukati i te paru kia kore e haere mā roto i taua wā, ka tapahia he whekau iti i runga ake i te J-Pouch, ā, ka hangaia he ileostomy koropiko rangitahi ki te mata kiri o te puku (`(ileostomy koropiko rangitahi)`). Nō reira, mō te 2-3 marama pea, ka puta mai tō paru ki roto i tēnei putea rangitahi. I tēnei wā, ka ora pai te J-Pouch hou.

5. Te tirotiro i te pēke: I muri i te 2-3 marama, ka mahia he whakamātautau motuhake hei tirotiro mēnā kua ora pai te pēke, me te mea he kōhao, he turuturu rānei. Ka kiia tēnei he "pouchogram". I roto i tēnei, ka whakakīia he wai motuhake ki roto i te pēke mā roto i tētahi ngongo kua whakaurua mā te nono, ā, ka tangohia he hihi-X.

6. Wāhanga Whakamutunga: Kia ora pai te pēke, ā, kāore he raruraru, ka whakaritea e tō tākuta tō pokanga whakamutunga. Ko te tikanga o tēnei ko te tango i te ileostomy rangitahi me te kati i te pūaha i roto i tō puku. Kua oti te nekeneke o tō puku! Ka tīmata tō tūtae ki te haere noa i roto i tō J-Puch hou.

He aha tāu e tumanako ai i muri i te pokanga?

I muri i te pokanga, ka roa pea te wā e taunga ai tō tinana ki tēnei pūnaha hou. He mea noa tēnei, nō reira kaua e manukanuka.

I te tīmatanga, he iti rawa te J-Pouch. Nō reira, he iti noa iho ngā tūru e taea te pupuri. Ko te tikanga me haere koe ki te wharepaku i ngā wā maha atu i te rā . Neke atu i te 10 ngā wā i te rā. Tērā pea me ara ake koe i ngā wā maha i te pō. Kaua e manukanuka, i roto i te wā ka totoro haere te putea, ka nui haere , ā, ka iti haere te maha o ngā wā e hiahia ana koe ki te haere ki te wharepaku. I te nuinga o te wā, ka whakahaeretia ki waenga i te 5-10 ngā wā i te rā.

Waihoki, tera pea he ngoikore ngā uaua o tō pūkahukahu nā te mea kāore i whakamahia i mua i te pokanga. Me whakangungu anō koe i a rātou kia taea ai te whakahaere i ō nekehanga puku. Ma tō tākuta koe e ako ki ngā mahi whakakori tinana, pērā i ngā mahi Kegel, hei āwhina i tēnei.

He aha ngā mōrearea me ngā raruraru o tēnei pokanga?

Pērā i ngā mahi pokanga katoa, he tūponotanga kei reira, ā, he mea nui kia mōhio ki aua tūponotanga.

Ka taea e koe te noho i te ao noa me te J-Pouch?

Ae, e taea ana! Ina hoki, he tokomaha te hunga e kī ana kua tino pai ake te kounga o ō rātou oranga i muri i tēnei pokanga. Nā te mea kua kore e pāngia rātou e ngā mate mau tonu i pāngia ai rātou i mua, ā, kāore e hiahiatia kia mau tonu he pēke o waho.

Engari me mōhio koe ki ētahi huringa iti:

• Te auau o te haere ki te wharepaku: Me haere koe ki te wharepaku i ngā wā maha atu i mua i te rā.
• Te āhua o te tūtae: Nā te mea kua kore te whekau nui e mimiti i te wai, ka nui ake te wai o tō tūtae i tō mua.
• Inumia he nui te wai: Nā te mea he nui te wai e ngaro ana i tō tinana, he mea nui kia inu i te nui o te wai me ngā wai i te roanga o te rā hei ārai i te matewai. Ahakoa ngā mea pēnei i te wai huarākau, tera pea e hiahiatia ana i ngā wāhanga tōmua.

Me whakarerekē taku kai i muri i te pokanga?

Kāore he kai motuhake mō te tangata whai J-Pouch. Heoi, mā te kai i tētahi kai hauora, taurite hoki ka tere ake te whakaora me te whakaiti i te mamae. Anei ētahi tohutohu:

• Tīmata mārire: Ina tīmata anō koe ki te kai i ngā kai totoka i muri i te pokanga, tīmata ki te kai i ngā kai iti e ngāwari ana ki te nakunaku, he iti ake te kakara, he iti ake te hinu. Tāpirihia mārire ngā kai hou ki tō kai.
• Inumia he nui te wai: He mea tino nui tēnei. Ngana ki te inu i te iti rawa 2-3 rita wai i te rā. He pai hoki ngā mea pēnei i te hupa mārama, te parāoa, me ngā wai hua.
• Whakahaerehia te korere: Ki te mea he wai rawa ō tūtae, kai i ngā kai māngaro pērā i te panana, te rīwai, te raihi, me te taro hei whakamātotoru i aua tūtae. Whakaitihia te huka, te kawheine, ngā kai momona, me te waipiro, nā te mea ka kino ake te korere.
• Ngā kai hei whakahaere i te mumura: Kai i ngā kai hei āwhina i te aukati i te mumura i roto i te putea. Kua kitea he tino pai te kai pērā i te kai Mediterranean, e whakauru ana i ngā mea pēnei i te hinu oriwa, te ika, ngā huawhenua, ngā hua rākau, me ngā nati, mō tēnei.

He taahiraa nui te pokanga J-Pouch i roto i tō oranga. He mea noa te mataku me te kore e tino mōhio ki tēnei mea. Nō reira, i mua i te whakatau, me rangahau, ka pātai atu ki tō tākuta i ngā pātai katoa e hiahiatia ana e koe. Ina whakatau koe ki te haere i tēnei haerenga, ka noho tō whānau me ō hoa hei puna kaha nui. Mā tā rātou āwhina, ka taea e koe te wikitoria i tēnei wero.