Reka twige ku bijyanye no kubaga J-Pouch mu buryo bworoshye.

Ese muganga wawe yakubwiye ko amara yawe yose n'inyuma bigomba gukurwaho bitewe n'uburwayi? Ni ibisanzwe kumva ufite ubwoba bwinshi n'impungenge mu gihe nk'iki. " Nziyuhagira nte? Ese nzambara agafuka?" Ushobora kuba wibaza. Ariko ntugahangayike, hari igisubizo cyiza. Uyu munsi turimo kuvuga ku kubagwa kwa 'J-Pouch', bishobora kugufasha kubaho ubuzima busanzwe udafite agafuka ko hanze nyuma yo kubagwa gutyo.

Mu magambo make, iyi J-Pouch ni iki?

J-Pouch ni agafuka gato umuganga ubaga akora mu mubiri wawe akoresheje igice cy'amara yawe mato. Mu by'ukuri, gakorwa mu gice cya nyuma cy'amara mato, "ileum".

Tekereza, nyuma yo gukuraho amara manini n'imikaya y'uruhinja, nta hantu ho kubika umwanda wawe by'agateganyo. Uyu mukaya wa J wakozwe kugira ngo ube nk'ikigega gishya mu mwanya w'uwo mukaya watakaye. Iyo urangiye, witwa J-Pouch kuko imiterere yawo isa n'inyuguti 'J'. Uyu mukaya mushya uhujwe neza n'igice cy'umukaya wawe (umuyoboro w'inyuma). Ibi bivuze ko ushobora kwituma nk'uko bisanzwe.

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

Nyuma yo kubagwa burundu, dufite amahitamo abiri y'ingenzi. Rimwe ni ukugira agapfunyika gahoraho mu nda, twita "ileostomy." Irindi ni ugukoresha J-Pouch. Ni ingenzi cyane gusobanukirwa itandukaniro riri hagati y'ibyo byombi.

Ni nde ushobora gukora ubu buvuzi?

Kubaga J-Pouch si ibya buri wese. Muganga wawe azareba ibintu byinshi kugira ngo amenye niba ubikwiriye.

• Imikorere y'imitsi yo mu nda: Imitsi n'imitsi yo mu nda ikenewe kugira ngo igenzure imikorere y'amara igomba kuba ikora neza.
• Ubuzima: Kubera ko ubu ari ukubagwa mu byiciro byinshi, ugomba kuba ufite ubuzima bwiza kugira ngo wihanganire kubagwa. Menya izindi ndwara cyangwa imiti ushobora kuba ufata.

Kubagwa bikorwa gute?

Ubu buryo bwo kubaga bukunze gukorwa mu byiciro bibiri cyangwa bitatu. Nubwo ibi bishobora gusa nkaho bigoye, reka tubikomeze byoroshye.

1. Icyiciro cya 1: Ubwa mbere, ubagwa "proctocolectomy" kugira ngo ukuremo amara manini n'amara. Mu gihe kimwe n'uko kubagwa cyangwa mu bundi buryo nyuma yaho, J-Pouch irakorwa. Muganga afata impera y'amara mato, akayazinga mu ishusho ya 'U', hanyuma akayahuza hagati kugira ngo akore agafuka gato.

2. Ileostomy y'igihe gito: J-Pouch yawe nshya ntishobora kuva mu mwanda kugeza igihe ikize. Rero, mu gihe cy'amezi make mu gihe ikize, uzahabwa "loop ileostomy" y'igihe gito . Ibi bivuze ko agafuka gafata ku ruhu rw'inda yawe. Ibi ni iby'igihe gito gusa, amezi agera kuri 2-3.

3. Isuzuma rya J-Pouch: Nyuma y'amezi 2-3, hakorwa ikizamini cyihariye kugira ngo harebwe niba agafuka gashya kamaze gukira neza kandi niba hari aho kava. Ibi byitwa "pouchogram". Bisa na barium swallow, aho amazi anyuzwa mu kibuno hanyuma hagafatwa X-ray .

4. Icyiciro cya nyuma: Ibintu byose nibimara kumera neza, muganga wawe azakora ubundi buryo bwo kubaga gato kugira ngo akureho ibere ry'agateganyo hanyuma afunge umwenge uri mu nda yawe. Kuva icyo gihe, umwanda wawe uzatangira kunyura mu buryo busanzwe muri J-Pouch nshya. Ubu buryo bwo kongera guhuza amara yawe bwitwa ibere ry'umusatsi utwikiriye ikibuno (IPAA).

Ni iki ushobora kwitega nyuma yo kubagwa?

Nyuma yo kubagwa, bizatwara igihe kugira ngo umubiri wawe umenyere iyi sisteme nshya.

• Gukoresha amara kenshi: Mu ntangiriro, J-Pouch iba ari nto, bityo ntishobora kubika umwanda mwinshi. Bityo ushobora gukenera kujya mu bwiherero inshuro nyinshi ku munsi, rimwe na rimwe ndetse no nijoro. Ariko uko igihe kigenda gihita, agafuka karakura, kandi iyi ndwara igenda irushaho kuba nziza. Ibi bikunze kugabanuka kugeza hagati y’inshuro 5-10 ku munsi.
• Gusubiramo imyitozo ngororamubiri: Imitsi yo mu mara ishobora kuba yaracitse intege bitewe no kutayikoresha igihe runaka. Ushobora gukenera gukora imyitozo ngororamubiri kugira ngo wongere kugenzura amara yawe. Muganga wawe ashobora kukugira inama yo gukora imyitozo ngororamubiri nka Kegel.
• Imyanya idafite amazi: Amara manini ni igice kimunga amazi mu mwenda wawe. Noneho ko icyo gice cyashize, umwanda wawe uzaba urimo amazi menshi kurusha mbere.

Ese hari ingaruka cyangwa ibyago bishobora guterwa n'iyi ndwara?

Nk’uko bigenda mu kubagwa kose, hari ingaruka zimwe na zimwe, ariko izi ntizikunze kubaho cyane.

• Gusohoka kw'uturemangingo: Iyo hari akantu gato gasohoka ahantu amara ahuriye, ubwandu bushobora kugaragara mu nda.
• Gufatana mu nda: Hari igihe, gufatana mu nda bidakenewe nyuma yo kubagwa, bishobora gutuma amara aziba.
• Pouchitis: Iyi ni yo ngorane ikunze kugaragara cyane. Ni ubwandu cyangwa kubyimba kwa J-Pouch. Ibimenyetso birimo kubabara mu nda, kwimuka kenshi, rimwe na rimwe kuva amaraso. Akenshi, ibi bishobora gukira burundu hakoreshejwe imiti yica udukoko .
• Guhagarara: Inkovu zo mu mubiri ziterwa no kubagwa zishobora gutuma inzira igabanuka.

Niba ufite ibimenyetso bidasanzwe nk'ibi, ugomba kubimenyesha muganga wawe vuba.

Ese ushobora kubaho ubuzima busanzwe ufite J-Pouch?

Yego, urashobora! Igipimo cyo gutsinda mu kubaga J-Pouch kiri hejuru cyane kigera kuri 95%. Nubwo hashobora kubaho kumererwa nabi mu ntangiriro, uko igihe kigenda gihita umubiri wawe uzamenyera. Ushobora kujya ku kazi, mu ngendo, no mu myitozo ngororamubiri nk'uko byari bimeze mbere. Ikintu cy'ingenzi ni uko ushobora kubaho ubuzima bwawe ugenzura, utitaye ku gakapu ko hanze.

Urashaka guhindura indyo yawe?

Yego, ugomba kwitondera cyane indyo yawe iyo ubana n'umufuka wa J.

• Nyuma yo kubagwa, tangira:Nyuma yo kubagwa, tangira kurya utuntu duke tw’ibiryo byoroshye gusya kandi bidakomeye.
• Nywa amazi menshi: Kubera ko amazi arenze urugero asohoka mu mubiri, ni ngombwa kunywa amazi menshi, imitobe, igikoma n'isupu kugira ngo wirinde amazi menshi .
• Kugira ngo urwanye impiswi: Niba umwanda wawe ari amazi menshi, ushobora kuwurwanya urya ibiryo birimo ibinyampeke nk'imineke, umuceri, umugati, n'ibirayi. Irinde isukari, kafeyine, ibinure byinshi, na alcool kuko bishobora kongera impiswi.
• Ibiribwa bigabanya ububyimbirwe: Gufata indyo yuzuye, nk'amavuta ya elayo, amafi, imboga n'imbuto, bishobora gufasha kwirinda indwara nka pouchitis.

Ni byiza kuganira na muganga wawe n'inzobere mu mirire kuri ibi, hanyuma ugashyiraho gahunda y'amafunguro ikubereye.