Uburyo bwo kubaho neza nyuma yo gukuraho amara manini: Menya ibijyanye no kubaga J-Pouch

Hari igihe amara yacu yose n'umura bigomba gukurwaho bitewe n'indwara zimwe na zimwe. Iyo bibaye, ikibazo gikomeye abantu benshi bagira ni iki: "Nzagenda nte mu kwiyuhagira ubu?" Akenshi, igisubizo kuri ibi ni ugushyira agapfunyika ku ruhu rw'inda kugira ngo umwanda ushobore kwinjira. Ariko uyu munsi, tugiye kuvuga ku kubagwa kudasanzwe kurema umuti imbere mu mubiri, udafite agapfunyika ko hanze, kandi ugafasha abantu kwiyuhagira mu buryo busanzwe binyuze mu kibuno. Ubwo ni uburyo bwo kubaga bwa J-Pouch.

Mu magambo make, iyi J-Pouch ni iki?

Tekereza ko amara yawe manini, igice cya nyuma cy'umura wawe, aho umwanda uba by'agateganyo, yakuweho. Icyo gihe nta mwanya wari kuba mu mubiri wawe wo gukusanya no kubika umwanda.

J-Pouch ni agafuka gato umuganga ubaga akora mu mubiri wawe akoresheje impera y'amara mato . Mu by'ukuri, impera y'amara mato yitwa "ileum." Rero aka gafuka kakozwe muri "ileum".

Iyi paki ikorwa no kuzingira igice cy'amara yawe mato mu ishusho y'inyuguti "J" hanyuma ukayidoda imbere. Yitwa J-Pouch bitewe n'imiterere ya "J". Hanyuma iyi paki ihuzwa n'ikibuno cyawe. Noneho, aho kugira ngo impyiko yawe ikurweho, J-Pouch ikora nk'ikigega cy'agateganyo cyo gukusanya no kubika umwanda. Bityo wumva ukeneye kwiyuhagira nk'uko bisanzwe, kandi ushobora kujya mu bwiherero kwiyuhagira.

Ni irihe tandukaniro riri hagati ya J-Pouch na Ileostomy?

Abantu benshi batera urujijo aba bombi. Reka tubisobanure neza.

• J-Pouch: Iyi ni agapfunyika gakorerwa imbere mu mubiri . Gahujwe neza n'ikibuno, bityo ushobora kugira icyo ukora mu nda bisanzwe . Nta kintu kigaragara inyuma, nta gapfunyika.
• Ileostomy: Ibi bikubiyemo kuzana impera y'amara mato ku ruhu rwo mu nda, bigatuma habaho umwenge muto (stoma) wo kunyuramo. Hanyuma umwanda ushyirwa mu gafuka ko hanze gafatanye n'umwenge. Umufuka ugomba gukurwamo ubusa umaze kuzura.

Mu magambo make, niba rectum yawe imeze neza, J-Pouch ni yo nzira nziza yo kubaho udafite agafuka ko hanze (permanent ileostomy).

Ni nde ubu buvuzi bukwiriye kurusha ubundi?

Kubagwa J-Pouch ni byiza gusa ku bantu bakorewe proctocolectomy yose (kubagwa kugira ngo bakureho amara yose n'uturemangingo tw'inyuma). Ariko, si ibya buri wese. Hari ibintu byinshi bishobora kwerekana niba uri umukandida mwiza muri ubu buryo.

• Imitsi n'imitsi byo mu nda ikora neza:Ibi ni ingenzi mu kugenzura imikorere y'amara. Muganga wawe azasuzuma imiterere yabyo.
• Ba ufite ubuzima bwiza kugira ngo uhangane no kubagwa inshuro nyinshi: Kubagwa kwa J-Pouch akenshi bikorwa mu byiciro bibiri cyangwa bitatu, bityo ugomba kuba ufite ubuzima bwiza kugira ngo uhangane nabyo.
• Izindi ndwara cyangwa imiti: Abaganga bazita cyane ku zindi ndwara cyangwa imiti ufata.

Kubaga J-Pouch bikorwa gute?

Ubu si ukubagwa inshuro imwe gusa. Ubusanzwe bikorwa mu byiciro bibiri cyangwa bitatu . Reka turebe izo ntambwe.

1. Icyiciro cya 1: Intambwe ya mbere ni ugukuraho amara yawe arwaye n'uturemangingo tw'inyuma (proctocolectomy total). J-Pouch ishobora gukorwa muri uku kubagwa cyangwa mu bundi buryo nyuma.

2. Gukora agapfunyika: Umuganga ubaga afata uduce tubiri tw’amara yawe mato, dufite uburebure bwa santimetero 2.5, akadupfunyikamo kabiri kugira ngo tugire "U." Hanyuma, imbere mu gice gipfunyika harafungurwa hanyuma impande zombi zigadodwa hamwe kugira ngo habeho agapfunyika.

3. Guhuza agapfunyika: Aka gapfunyika kamanukanwa kava mu nda kagahuzwa n'ikibuno. Izina ry'ubuvuzi ry'aka gapfunyika ni ``ileal pouch-anal anastomosis`` cyangwa ``(IPAA)```.

4. Gukora Ileostomy y'igihe gito: J-Pouch nshya yaremwe ikeneye igihe cyo gukira. Rero, kugira ngo imbogamizi yo kunyuramo muri icyo gihe, amara mato acibwa hejuru gato ya J-Pouch maze hakavuka umwanya w'agateganyo (`(ileostomy y'igihe gito)`) ku ruhu rw'inda. Rero, mu gihe cy'amezi 2-3, imvune yawe izasohoka muri uyu mufuka w'igihe gito. Muri icyo gihe, J-Pouch nshya izakira neza.

5. Gusuzuma agapfunyika: Nyuma y'amezi 2-3, hakorwa ikizamini cyihariye kugira ngo harebwe niba agapfunyika kakize neza kandi niba hari imyobo cyangwa amazi yamenetse. Ibi byitwa "pouchogram". Muri ibi, amazi yihariye yujujwe mu gapfunyika binyuze mu muyoboro unyuzwa mu kibuno hanyuma hagafatwa X-ray.

6. Icyiciro cya nyuma: Iyo agapfunyika kamaze gukira neza kandi nta kibazo kirimo, muganga wawe azaguteganyiriza kubagwa kwa nyuma. Ibi bikubiyemo gukuraho ibere ry'agateganyo no gufunga umwenge uri mu nda yawe. Ingendo zawe z'amara zirarangiye! Imboro yawe izatangira kunyura mu buryo busanzwe mu gapfunyika kawe gashya ka J.

Ni iki ushobora kwitega nyuma yo kubagwa?

Nyuma yo kubagwa, umubiri wawe uzafata igihe kugira ngo umenyere iyi sisteme nshya. Ibi ni ibisanzwe, ntugahangayike.

Mu ntangiriro, J-Pouch ni nto cyane. Bityo ishobora kubika intebe nke cyane. Ibi bivuze ko uzakenera kujya mu bwiherero kenshi ku munsi . Wenda inshuro zirenga 10 ku munsi. Ushobora no kubyuka inshuro nyinshi nijoro. Ariko ntugahangayike, uko igihe kigenda gihita, agafuka kazagenda karakura buhoro buhoro , kandi inshuro ugomba kujya mu bwiherero zizagenda zigabanuka buhoro buhoro. Ubusanzwe, kazagenzurwa kugeza hagati y'inshuro 5-10 ku munsi.

Nanone, imitsi yo mu mara yawe ishobora kuba idafite imbaraga kuko itakoreshejwe mbere yo kubagwa. Uzakenera kongera kuyitoza kugira ngo igenzure uburyo amara yawe agenda. Muganga wawe azakwigisha imyitozo ngororamubiri, nka Kegel, kugira ngo bigufashe muri ibi.

Ni izihe ngaruka n'ingorane bishobora guterwa n'uku kubagwa?

Nk’uko bigenda mu kubagwa kose, hari ingaruka zimwe na zimwe zishobora kubaho, kandi ni ngombwa kubimenya.

Ese ushobora kubaho ubuzima busanzwe ufite J-Pouch?

Yego rwose birashoboka! Mu by’ukuri, abantu benshi bavuga ko ubuzima bwabo bwarushijeho kuba bwiza nyuma y’uku kubagwa. Kubera ko batagifite indwara zidakira barwaye mbere, kandi ntibakigomba kugumana agafuka ko hanze.

Ariko ugomba kumenyera impinduka nke nto:

• Inshuro zo kujya mu bwiherero: Ugomba kujya mu bwiherero inshuro nyinshi ku munsi kurusha mbere.
• Imiterere y'umwanda: Kubera ko amara manini atakibasha kwinjiza amazi, umwanda wawe uzaba ufite amazi menshi kurusha mbere.
• Nywa amazi menshi: Kubera ko umubiri wawe utakaza amazi menshi, ni ngombwa kunywa amazi menshi n'ibindi binyobwa byinshi umunsi wose kugira ngo wirinde umwuma. Ndetse n'ibintu nk'umutobe bishobora kuba ngombwa mu ntangiriro.

Ese ngomba guhindura indyo nyuma yo kubagwa?

Nta ndyo yihariye ihari ku muntu ufite J-Pouch. Ariko, kurya indyo yuzuye kandi ikungahaye ku buzima bishobora gufasha gukira vuba no kugabanya ububabare. Dore inama nke:

• Tangira buhoro buhoro: Iyo utangiye kurya ibiryo bikomeye nyuma yo kubagwa, tangira kurya ibiryo bike byoroshye gusya, bikarishye cyane, kandi bifite amavuta make. Ongeramo buhoro buhoro ibiryo bishya mu mirire yawe.
• Nywa amazi menshi: Ibi ni ingenzi cyane. Gerageza kunywa nibura litiro 2-3 z'amazi ku munsi. Ibintu nk'isupu isanzwe, igikoma n'imitobe y'imbuto na byo ni byiza.
• Genzura impiswi: Niba umwanda wawe usa n'aho ari amazi menshi, rya ibiryo byinshi birimo ibinyampeke nk'imineke, ibirayi, umuceri n'umugati kugira ngo bigufashe kubyibuha gato. Gabanya isukari, kafeyine, ibiryo birimo amavuta menshi, n'inzoga, kuko bishobora gutuma impiswi irushaho kuba mbi.
• Ibiribwa bigenzura ububyimbirwe: Kurya ibiryo bifasha mu kwirinda ububyimbirwe mu gafuka. Indyo nk'indyo yo mu nyanja ya Mediterane, irimo amavuta ya elayo, amafi, imboga, imbuto n'imbuto z'ubunyobwa, byagaragaye ko ari byiza cyane kuri ibi.

Kubagwa J-Pouch ni intambwe ikomeye mu buzima bwawe. Ni ibisanzwe kumva ufite ubwoba kandi utabizi neza. Rero, mbere yo gufata icyemezo, kora ubushakashatsi bwawe ubaze muganga wawe ibibazo byose ukeneye. Nufata icyemezo cyo kujya muri uru rugendo, umuryango wawe n'inshuti zawe bazaba isoko ikomeye y'imbaraga. Bagufashije, ushobora gutsinda iki kibazo rwose.