Kodi dokotala wanu wanena kuti muyenera kuchotsedwa m'matumbo ndi m'matumbo chifukwa cha matenda? Ndizachilendo kumva nkhawa kapena kutopa kwambiri mukamva izi. Mwina mukudzifunsa kuti, "Kodi ndizichita bwanji matumbo ? Kodi ndiyenera kuvala thumba pamimba panga kwamuyaya?" Chonde musadandaule; pali yankho lothandiza. Lero, tikukambirana za opaleshoni ya 'J-Pouch', njira yopangidwira kukuthandizani kukhala ndi moyo wabwinobwino popanda kufunikira thumba lakunja la stoma.
Mwachidule: Kodi J-Pouch ndi chiyani?
J-Pouch ndi malo osungiramo zinthu mkati omwe amapangidwa ndi dokotala wanu pogwiritsa ntchito gawo la matumbo anu ang'onoang'ono, makamaka gawo lomaliza lotchedwa `(ileum)`.
Taganizirani izi motere: m'mimba mwanu ndi m'matumbo mwachotsedwa, sipadzakhalanso malo achilengedwe osungira ndowe musanatuluke m'thupi lanu. J-Pouch imagwira ntchito ngati malo atsopano osungiramo zinthu. Ikapangidwa, thumba limafanana ndi chilembo 'J,' ndichifukwa chake limatchedwa J-Pouch. thumba ili limalumikizidwa mwachindunji ku ngalande yanu ya m'matumbo, zomwe zimakulolani kuti mutulutse ndowe mwanjira yachilengedwe.
Kodi kusiyana pakati pa J-Pouch ndi Ileostomy bag ndi kotani?
Mukamaliza opaleshoni yonse ya proctocolectomy, nthawi zambiri mumakhala ndi njira ziwiri. Chimodzi ndi thumba lakunja lokhazikika, lotchedwa `(ileostomy)`. China ndi J-Pouch. Kumvetsetsa kusiyana ndikofunikira kwambiri.
| J-Pouch (Thumba lamkati) | Ileostomy (Chikwama Chakunja) |
|---|---|
| Chosungira chamkati chomwe chimapangidwa mkati mwa thupi lanu. Sichiwoneka kunja. | Matumbo ang'onoang'ono amabweretsedwa kudzera m'khoma la m'mimba, ndipo thumba limalumikizidwa kuti litenge zinyalala. |
| Umatuluka chopondapo kudzera mu ngalande ya kumatako, monga momwe unkachitira kale. | Chimbudzi chimatuluka kudzera mu stoma kupita mu thumba lakunja lomwe liyenera kuchotsedwa nthawi zonse. |
| Sikofunikira kukonza thumba lakunja losonkhanitsira zinthu. | Muyenera kusamalira mosamala thumba ndi khungu lozungulira. |
Mwachidule, J-Pouch ndi njira yokhazikika yomwe imatsanzira kapangidwe ka thupi lanu, zomwe zimakupatsani mwayi wokhala opanda thumba lakunja.
Ndani amene angapatsidwe opaleshoniyi?
Opaleshoni ya J-Pouch si ya aliyense. Dokotala wanu adzafufuza zinthu zingapo kuti adziwe ngati ndi chisankho choyenera kwa inu.
- Kugwira ntchito kwa minofu ya kumatako: Minofu ndi mitsempha yomwe imayang'anira matumbo iyenera kugwira ntchito bwino.
- Thanzi lonse:Popeza njira iyi ndi ya magawo ambiri, muyenera kukhala ndi thanzi labwino lomwe lingakuthandizeni kupirira opaleshoni. Dokotala wanu adzaganiziranso za matenda kapena mankhwala omwe alipo kale.
Kodi opaleshoniyi imachitidwa bwanji?
Opaleshoni nthawi zambiri imachitika m'magawo awiri kapena atatu. Ngakhale kuti ingamveke ngati yovuta, tingathe kuifotokoza mosavuta.
1. Gawo Loyamba: Gawo loyamba ndi opaleshoni ya `(proctocolectomy)`, komwe m'matumbo ndi m'matumbo mwanu zimachotsedwa. Pa nthawi kapena pambuyo pake, dokotala wanu amayamba kupanga J-Pouch mwa kupindikiza mapeto a m'matumbo ang'onoang'ono kukhala mawonekedwe a 'U' ndikulumikiza kuti apange thumba.
2. Ileostomy Yakanthawi: Kuti J-Pouch yatsopano ichire bwino, zinyalala ziyenera kuchotsedwamo. Chifukwa chake, kwa miyezi 2-3, mudzakhala ndi `(loop ileostomy)` yakanthawi komwe thumba limalumikizidwa pamimba panu. Izi ndi za kanthawi kochepa chabe.
3. Kuyang'ana J-Pouch: Pambuyo pa miyezi 2-3, mayeso apadera otchedwa `(pouchogram)` amachitidwa kuti atsimikizire kuti thumbalo lachira ndipo palibe kutuluka kwa madzi. Mofanana ndi kafukufuku wa barium, madzi amalowetsedwa kudzera mu rectum, ndipo X-ray imatengedwa.
4. Gawo Lomaliza: Ngati chilichonse chatsimikizika kuti chili bwino, dokotala wanu adzachita opaleshoni yaying'ono kuti atseke malo osakhalitsa a ileostomy. Kuyambira pamenepo, ndowe yanu idzadutsa mu J-Pouch yanu yatsopano. Njirayi imadziwika kuti `(ileal pouch-anal anastomosis / IPAA)`.
Kodi mungayembekezere chiyani mutachita opaleshoni?
Pambuyo pa opaleshoni, thupi lanu lidzafunika nthawi kuti lizolowere kagwiridwe ka ntchito katsopanoka.
- Kuyenda m'mimba pafupipafupi: Popeza J-Pouch ndi yaying'ono poyamba, singathe kusunga zinyalala zambiri. Mungafunike kupita kuchimbudzi kangapo patsiku, ndipo nthawi zina usiku. Komabe, pakapita nthawi, thumbalo lidzakula, ndipo izi zidzasintha. Anthu ambiri amazolowera kuyenda m'mimba 5-10 patsiku.
- Kuphunzitsanso minofu yanu: Minofu yanu ya kumatako mwina yafooka chifukwa chosagwiritsa ntchito. Dokotala wanu angakulangizeni kuchita masewera olimbitsa thupi pansi pa chiuno, monga `( machitidwe a Kegel)`, kuti mubwezeretse mphamvu.
- Chimbudzi chamadzimadzi: Popeza m'mimba (yomwe imayamwa madzi kuchokera ku chimbudzi) yatha, matumbo anu adzakhala amadzimadzi ambiri kuposa kale.
Kodi pali zotsatirapo kapena zoopsa?
Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa zomwe zingachitike, ngakhale kuti nthawi zambiri zimakhala zochepa.
- Kutuluka kwa madzi m'thupi: Ngati pali kutuluka pang'ono komwe matumbo adalumikizana, kungayambitse matenda amkati.
- Kumamatira m'mimba: Nthawi zina, minofu yamkati imatha kupangika pambuyo pa opaleshoni, zomwe zingayambitse kutsekeka kwa matumbo.
- Pouchitis: Iyi ndi vuto lofala lomwe limakhudza kutupa kapena matenda a J-Pouch ( kutupa ). Zizindikiro zake zingaphatikizepo kupweteka m'mimba, kufulumira, kapena kutuluka magazi. Nthawi zambiri imatha kuchiritsidwa bwino ndi maantibayotiki .
- Kuchepa kwa minofu: Malo omwe opaleshoniyo inachitikira akhoza kuchepa chifukwa cha minofu ya zipsera .
Ngati mukuona zizindikiro zachilendo, dziwitsani dokotala wanu nthawi yomweyo.
Kodi mungathe kukhala moyo wabwinobwino ndi J-Pouch?
Inde, ndithudi! Opaleshoni ya J-Pouch ili ndi chiwopsezo chachikulu kwambiri—pafupifupi 95%. Ngakhale kuti pangakhale kusintha pachiyambi, thupi lanu lidzasintha. Mudzatha kubwerera kuntchito, paulendo, komanso kuchita masewera olimbitsa thupi. Chofunika kwambiri, mumapeza ufulu wokhala opanda thumba lakunja.
Kodi muyenera kusintha zakudya zanu?
Inde, zakudya ndizofunikira kwambiri mukakhala ndi J-Pouch.
- Yambani pang'onopang'ono: Yambani ndi zakudya zazing'ono, zopepuka zomwe zimakhala zosavuta kugayidwa mutachita opaleshoni.
- Khalani ndi madzi okwanira m'thupi: Popeza mumataya madzi ambiri m'thupi, pewani kutaya madzi m'thupi mwa kumwa madzi ambiri, ma electrolyte, msuzi, ndi supu.
- Kusamalira ndowe zotayirira: Ngati ndowe zanu zili zamadzimadzi kwambiri, zakudya monga mpunga, nthochi, buledi woyera, ndi mbatata zingathandize kuzikhuthala. Chepetsani shuga, caffeine, mowa, ndi zakudya zamafuta ambiri, chifukwa izi zingapangitse kuti m'mimba muyambe kutsekula kwambiri.
- Zakudya zoletsa kutupa: Zakudya zabwino zokhala ndi nsomba zambiri, mafuta a azitona, ndiwo zamasamba, ndi zipatso zingathandize kuchepetsa chiopsezo cha matenda monga `(Pouchitis)`.
Njira yabwino kwambiri ndikugwira ntchito ndi dokotala wanu kapena katswiri wodziwa bwino zakudya kuti mupange dongosolo la chakudya lomwe mukufuna.
Uthenga Wopita Nawo Kunyumba
- Opaleshoni ya J-Pouch ndi njira yopambana kwambiri kwa iwo omwe adachotsedwa m'matumbo ndi m'matumbo kuti akhale ndi moyo wopanda thumba lakunja.
- Opaleshoni imachitika pang'onopang'ono, ndipo zimatenga nthawi kuti thupi lanu lizolowere. Kuleza mtima ndikofunikira.
- Poyamba mungakhale ndi maulendo obwerezabwereza ku bafa, koma izi zidzasintha pakapita nthawi.
- Khalani ndi zakudya zabwino komanso mukhale ndi madzi okwanira m'thupi.
- Ngati mukumva kupweteka kosazolowereka, kutuluka magazi, kapena nkhawa zina, funsani dokotala nthawi yomweyo. Musazengereze kukambirana mafunso anu onse momasuka ndi gulu lanu lazaumoyo.
Opaleshoni ya J-Pouch, thumba la ileal, proctocolectomy, ileostomy, opaleshoni ya matumbo, rectum, pouchitis, Ulcerative Colitis
