Kua kōrero mai tō tākuta me tango tō koroni me tō pūkahukahu nā te mea he mate hauora tōu? He mea noa te manukanuka, te taumaha rānei ina rongo koe i tēnei. Tērā pea kei te pātai koe ki a koe anō, "Me pēhea taku nekenekehanga puku ? Me mau tonu rānei he pēke ki taku puku?" Kaua e manukanuka; he otinga whai hua tēnei. I tēnei rā, kei te kōrero tātou mō te pokanga 'J-Pouch', he tikanga i hangaia hei āwhina i a koe ki te noho i tētahi oranga noa me te kore e hiahiatia he pēke stoma o waho.
He Kupu Māmā: He aha te J-Pouch?
He putunga iti te putea-J i hangaia e tō taote pokanga mā te whakamahi i tētahi wāhanga o tō ake whekau iti, arā, te pito whakamutunga e mōhiotia ana ko te `(ileum)`.
Whakaarohia pēnei: ina tangohia tō koroni me tō pūkahukahu, kāore he wāhi tūturu hei penapena paru i mua i tōna wehenga atu i tō tinana. Ka mahi te J-Pouch hei puna penapena hou. Kia oti te hanga, ka rite te ahua o te putea ki te reta 'J,' koia i huaina ai he J-Pouch. Ka honoa tika tēnei putea ki tō awaawa whakarara, ka taea ai e koe te tuku paru i roto i te huarahi tūturu.
He aha te rerekētanga i waenga i te J-Pouch me te Ileostomy bag?
I muri i te tango katoa i te proctocolectomy, e rua āu kōwhiringa. Ko tētahi he pēke tūturu o waho, e mōhiotia ana ko te `(ileostomy)`. Ko tētahi ko te J-Pouch. He mea nui te mārama ki te rerekētanga.
| Pēke-J (Pēke ā-Roto) | Ileostomy (Pēke o Waho) |
|---|---|
| He pūnga wai kei roto i tō tinana. Kāore e kitea ki waho. | Ka kawea te whekau iti mā te pakitara o te puku, ā, ka tāpirihia he putea hei kohi para. |
| Ka tukuna e koe te tūtae mā te awaawa whakarara, pērā i tāu i mahi ai i mua. | Ka puta te tūtae mā te stoma ki roto i tētahi pēke o waho me whakawātea i ia wā. |
| Kāore he hiahia mō te tiaki i tētahi putea kohikohi o waho. | Me tino tiaki te pēke me te kiri e karapoti ana. |
He ngāwari noa iho, he otinga pumau te J-Pouch e whai ana i te hanganga tūturu o tō tinana, e āhei ai koe ki te ora me te kore he putea o waho.
Ko wai te kaitono mō tēnei pokanga?
Ehara te pokanga J-Pouch i te mea mā te katoa. Ka arotakehia e tō tākuta ētahi āhuatanga hei whakatau mēnā koinei te kōwhiringa tika māu.
- Te mahi a te uaua pūwero: Me mahi pai ngā uaua me ngā io e whakahaere ana i te puku.
- Hauora whānui:Nā te mea he tikanga maha-wāhanga tēnei, me noho koe i roto i te āhua hauora e āhei ai koe ki te manawanui ki te pokanga. Ka whakaarohia hoki e tō tākuta ngā mate hauora me ngā rongoā o nāianei.
Me pēhea te mahi i te pokanga?
E rua, e toru rānei ngā wāhanga o te pokanga. Ahakoa he uaua te ahua, ka taea e tātou te wehewehe ngāwari.
1. Wāhanga Tuatahi: Ko te taahiraa tuatahi ko te pokanga `(proctocolectomy)`, te wāhi e tangohia ai tō koroni me tō pūkahukahu. I roto i tēnei, i muri tata mai rānei, ka tīmata te taote pokanga ki te hanga i te J-Puch mā te whakapiko i te pito o te whekau iti kia rite ki te āhua 'U' ka honoa hei hanga i tētahi pēke.
2. Ileostomy Rangitahi: Kia ora pai ai te J-Pouch hou, me tahuri ke atu ngā para i reira. Nō reira, mō ngā marama e 2–3, ka whai `(loop ileostomy)` rangitahi koe, ka piri he pēke ki tō puku. He wā poto noa iho tēnei.
3. Te Tirotiro i te J-Puch: I muri i te 2–3 marama, ka mahia he whakamātautau motuhake e kiia nei ko te `(pouchogram)` hei whakarite kua ora te putea, ā, kāore he turuturu. He rite ki te rangahau barium, ka whakaurua he wai mā te rectum, ā, ka tangohia he hihi-X .
4. Wāhanga Whakamutunga: Kia whakaūtia kei te ora katoa ngā mea, ka whakahaerehia e tō tākuta he pokanga iti hei kati i te wāhi ileostomy rangitahi. Mai i taua wā, ka haere tō tūtae mā roto i tō J-Pouch hou. E mōhiotia ana tēnei tikanga hauora ko te `(ileal pouch-anal anastomosis / IPAA)`.
He aha tāu e tumanako ai i muri i te pokanga?
I muri i te pokanga, ka hiahia tō tinana ki te wā hei urutau ki tēnei momo mahi hou.
- Te nekeneke pinepine o te puku: Nā te mea he iti te J-Pouch i te tīmatanga, kāore e taea te pupuri i te nui o ngā para. Me haere pea koe ki te wharepaku i ngā wā maha i te rā, ā, i ētahi wā i te pō. Heoi, i roto i te wā, ka whānui te putea, ā, ka pai ake tēnei. Ko te nuinga o te tangata ka tau ki te tikanga o te 5–10 nekeneke i te rā.
- Te whakangungu anō i ō uaua: Tērā pea kua ngoikore ō uaua pona i te kore whakamahinga. Tērā pea ka tūtohu tō tākuta i ngā mahi whakakorikori papa hope, pērā i ngā '( ngā mahi Kegel)', hei whakahoki mai i te mana whakahaere.
- Tūtae wai: Nā te mea kua kore te koroni (e mimiti ana i te wai mai i te tūtae), ka nui ake te wai o ō whekau i tō mua.
He pānga taha, he mōrearea rānei?
Pērā i ngā mahi pokanga katoa, tera pea ētahi mōrearea, ahakoa he onge noa iho.
- Te turuturu ā-roto: Mena he turuturu iti noa iho te wāhi i honoa ai te whekau, ka arahi pea ki te mate o roto.
- Ngā piri o te puku: I ētahi wā, ka puta he kiko koha o roto i muri i te pokanga, ka arai pea te puku.
- Pouchitis: He raruraru noa tēnei e pā ana ki te mumura, te mate rānei o te J-Pouch ( mumura ). Ko ngā tohu ka uru pea ki te mamae o te puku, te hiahia nui, te toto rānei. He maha ngā wā ka taea te rongoā pai ki ngā paturopi .
- Te Tūkino: Tērā pea ka whaiti te wāhi i mahia ai te pokanga nā te kiko koha .
Ki te pāngia koe e ētahi tohu rerekē, me whakamōhio tonu atu ki tō tākuta.
Ka taea e koe te noho i te ao noa me te J-Pouch?
Āe, tino tika! He tino teitei te angitu o te pokanga J-Pouch—tata ki te 95%. Ahakoa he whakatikatika pea i te tīmatanga, ka urutau tō tinana i te mutunga. Ka taea e koe te hoki ki te mahi, ki te haereere, me te whakakori tinana. Ko te mea nui, ka whiwhi koe i te herekoretanga o te noho me te kore he putea o waho.
Me whakarerekē tō kai?
Ae, he mea tino nui te kai pai ina noho tahi koe me te J-Pouch.
- Tīmata mārire: Tīmata ki ngā kai iti, ngawari hoki, e ngāwari ana ki te nakunaku i muri i te pokanga.
- Kia mau te wai: Nā te mea ka nui ake te wai ka ngaro i a koe, ārai i te matewai mā te inu i te nui o te wai, ngā electrolytes, ngā hupa, me ngā hupa.
- Te whakahaere i ngā tūtae pahekeheke: Mena he wai rawa ō tūtae, ka taea e ngā kai pēnei i te raihi, te panana, te taro mā, me te rīwai te whakamātotoru i aua tūtae. Whakaitihia te huka, te kawheine, te waipiro, me ngā kai tino hinuhinu, nā te mea ka kino ake pea te mate korere.
- Kai ārai-mumura: Mā te kai hauora e nui ana te ika, te hinu oriwa, ngā huawhenua, me ngā hua ka āwhina i te whakaiti i te mōrearea o ngā mate pēnei i te `(Pōhiti)`.
Ko te huarahi pai ko te mahi tahi me tō tākuta, me tētahi tohunga kai rānei kua rēhitatia hei waihanga i tētahi mahere kai whaiaro.
Karere Tangohia ki te Kāinga
- He huarahi tino angitu te pokanga J-Pouch mō te hunga kua tangohia te koroni me te tōku kia ora ai rātou me te kore he pēke o waho.
- Ka whakahaerehia te pokanga i roto i ngā wāhanga, ā, he roa te wā e hiahiatia ana kia taunga tō tinana. Ko te manawanui te mea nui.
- Tērā pea ka toro pinepine koe ki te wharepaku i te tīmatanga, engari ka pai ake tēnei i te roanga o te wā.
- Kia mau ki tētahi kai hauora, kia nui hoki te wai o te tinana.
- Mena ka pāngia koe e tetahi mamae rerekē, he toto, he āwangawanga rānei, whakapā atu ki tō tākuta tonu. Kaua e mangere ki te kōrero whānuitia ō pātai katoa ki tō rōpū hauora.
Pokanga J-Pūkete, putea ileum, proctocolectomy, ileostomy, pokanga whekau, rectum, pouchitis, Ulcerative Colitis
