Indlela yokuphila ngokuqhelekileyo emva kokususwa kwekholoni: Funda ngotyando lwe-J-Pouch

Kukho amaxesha apho i-colon yethu yonke kunye ne-rectum kufuneka zisuswe ngenxa yeemeko ezithile zempilo. Xa oko kusenzeka, umbuzo omkhulu abantu abaninzi abanawo kukuba, "Ndiza kuzikhupha njani ngoku?" Rhoqo, isisombululo sale nto kukubeka ingxowa eluswini lwesisu ukuze indle idlule. Kodwa namhlanje, siza kuthetha ngotyando olukhethekileyo oludala isisombululo ngaphakathi emzimbeni, ngaphandle kwengxowa yangaphandle enjalo, kwaye lunceda abantu ukuba bazikhuphe ngokuqhelekileyo nge-anus. Olu lutyando lwe-J-Pouch.

Kalula nje, yintoni le J-Pouch?

Khawucinge ukuba amathumbu akho amakhulu, inxalenye yokugqibela ye-rectum yakho, apho indle ihlala khona okwethutyana, asuswe ngotyando. Emva koko bekungayi kubakho ndawo emzimbeni wakho yokuqokelela nokugcina indle.

I-J-Pouch sisingxobo esincinci esidalwa ngugqirha wotyando ngaphakathi emzimbeni wakho esebenzisa isiphelo samathumbu akho amancinci . Ngokuchanekileyo, isiphelo samathumbu amancinci sibizwa ngokuba yi-"ileum." Ngoko ke esi ngxobo senziwe ngale "ileum."

Esi sikhwama senziwe ngokusonga icandelo lamathumbu amancinci libe yimo yonobumba u-"J" uze usithunge ngaphakathi. Sibizwa ngokuba yi-J-Pouch ngenxa yesimo sika-"J". Emva koko esi sikhwama siqhagamshelwa kwi-anus yakho. Ngoku, endaweni ye-rectum yakho esusiweyo, i-J-Pouch isebenza njengendawo yokugcina ixeshana yokuqokelela nokugcina indle. Ngoko ke uziva ufuna ukukhupha indle ngokuqhelekileyo, kwaye ungaya kwindlu yangasese ukuze uyokukhupha indle.

Yintoni umahluko phakathi kwe-J-Pouch kunye ne-Ileostomy?

Abantu abaninzi bayababhida aba babini. Masicacise loo nto.

• Isikhwama se-J: Esi sisingxobo esenziwe ngaphakathi emzimbeni . Siqhagamshelwe ngqo kwi-anus, ukuze ukwazi ukukhupha isisu ngokuqhelekileyo . Akukho nto ibonakalayo ngaphandle, akukho singxobo.
• Ileostomy: Oku kuquka ukuzisa isiphelo samathumbu amancinci ngqo kumphezulu wesikhumba sesisu, kudala umngxuma omncinci (stoma) ukuze indle idlule. Emva koko indle iqokelelwa kwingxowa yangaphandle eqhagamshelwe kumngxuma. Ingxowa kufuneka ikhutshwe xa igcwele.

Ngamafutshane, ukuba i-rectum yakho ikwimeko entle, i-J-Pouch yeyona ndlela ilungileyo yokuphila ngaphandle kwesikhwama sangaphandle (i-ileostomy engunaphakade).

Ngubani olungele olu tyando?

Utyando lwe-J-Pouch lucetyiswa kuphela kubantu abaye batyandwa i-proctocolectomy iyonke (utyando lokususa ikholoni yonke kunye ne-rectum). Nangona kunjalo, alufanele wonke umntu. Kukho izinto ezininzi ezinokumisela ukuba ungumntu ofanelekileyo kule nkqubo.

• Izihlunu ze-rectal kunye nemithambo-luvo esebenza kakuhle:Ezi zibalulekile ekulawuleni ukuhamba kwamathumbu. Ugqirha wakho uza kujonga imeko yazo.
• Yiba sempilweni entle ukuze ukwazi ukumelana notyando oluninzi: Utyando lwe-J-Pouch ludla ngokwenziwa ngamanqanaba amabini okanye amathathu, ngoko ke kufuneka ube sempilweni entle ukuze ukwazi ukumelana nalo.
• Ezinye iimeko zonyango okanye amayeza: Oogqirha baya kukhathalela ngokukodwa ukuba unezinye iimeko zonyango okanye usela amayeza athile.

Lwenziwa njani utyando lwe-J-Pouch?

Olu asilotyando oluqhutywa kube kanye. Ludla ngokwenziwa ngamanqanaba amabini okanye amathathu . Makhe sibone ukuba zeziphi ezo nyathelo.

1. Inqanaba loku-1: Inyathelo lokuqala kukususa ikholoni yakho enesifo kunye ne-rectum (i-proctocolectomy epheleleyo). I-J-Pouch inokwenziwa ngexesha lotyando okanye kutyando olwahlukileyo kamva.

2. Ukudala isikhwama: Ugqirha uthatha iiluphu ezimbini zamathumbu akho amancinci, ezimalunga nee-intshi ezi-6 ubude, aze azigobe phakathi ukuze enze u-"U." Emva koko, ingaphakathi lecandelo eligobileyo liyavulwa kwaye imiphetho emibini ithungelwa ndawonye ukuze kwenziwe isikhwama.

3. Ukudibanisa isikhwama: Esi sikhwama sehliswa sisisu size sidityaniswe ne-anus. Igama lezonyango lolu qhagamshelo yi-``ileal pouch-anal anastomosis`` okanye ``(IPAA)```.

4. Ukudala i-Ileostomy yexeshana: I-J-Pouch esandula ukwenziwa idinga ixesha lokuphola. Ngoko ke, ukuze kuthintelwe indle ukuba ingadluli kuyo ngelo xesha, amathumbu amancinci anqunyulwa ngaphezulu kwe-J-Pouch kwaye i-ileostomy yexeshana yenziwe kumphezulu wesikhumba sesisu (`(ileostomy yexeshana)`). Ngoko ke, malunga neenyanga ezi-2-3, indle yakho iya kuphuma iye kule ngxowa yexeshana. Ngeli xesha, i-J-Pouch entsha iya kuphola kakuhle.

5. Ukujonga isikhwama: Emva kweenyanga ezi-2-3, kwenziwa uvavanyo olukhethekileyo ukuze kubonwe ukuba isikhwama siphiliswe kakuhle na kwaye kukho imingxunya okanye ukuvuza. Oku kubizwa ngokuba yi-"pouchogram". Kule meko, ulwelo olukhethekileyo luzaliswa kwisikhwama ngetyhubhu efakwe nge-anus kwaye kuthathwa i-X-ray.

6. Inqanaba lokugqibela: Nje ukuba isikhwama siphole kakuhle kwaye kungekho ngxaki, ugqirha wakho uza kucwangcisa utyando lwakho lokugqibela. Oku kuquka ukususa i-ileostomy yexeshana kunye nokuvala umngxuma esiswini sakho. Ukuhamba kwamathumbu akho ngoku kugqityiwe! Indle yakho iya kuqala ukudlula ngokuqhelekileyo kwi-J-Pouch yakho entsha.

Yintoni onokuyilindela emva kotyando?

Emva kotyando, umzimba wakho uza kuthatha ixesha ukuqhelana nale nkqubo intsha. Oku kuqhelekile, ngoko ungakhathazeki ngako.

Ekuqaleni, i-J-Pouch incinci kakhulu. Ngoko ke ingathwala isitulo esincinci kakhulu. Oku kuthetha ukuba kuya kufuneka uye kwigumbi lokuhlambela rhoqo ngemini . Mhlawumbi ngaphezulu kwezihlandlo ezili-10 ngemini. Kusenokufuneka uvuke izihlandlo ezininzi ebusuku. Kodwa ungakhathazeki, ngokuhamba kwexesha isingxobo siya kwanda kancinci kancinci size sibe sikhulu , kwaye inani lamaxesha ekufuneka uye ngawo kwigumbi lokuhlambela liya kuncipha kancinci kancinci. Ngokwesiqhelo, siya kulawulwa sibe phakathi kwezihlandlo ezi-5-10 ngemini.

Kwakhona, izihlunu ezikwi-rectum yakho zisenokuba buthathaka kancinci kuba bezingasetyenziswanga ngaphambi kotyando. Kuya kufuneka uziqeqeshe kwakhona ukulawula ukuhamba kwamathumbu akho. Ugqirha wakho uza kukufundisa imithambo, efana ne-Kegel exercises, ukunceda koku.

Zithini iingozi kunye neengxaki zolu tyando?

Njengalo naluphi na utyando, kukho iingozi ezithile ezibandakanyekileyo, kwaye kubalulekile ukuba uzazi.

Ngaba ungaphila ubomi obuqhelekileyo nge-J-Pouch?

Ewe, ngokuqinisekileyo kunokwenzeka! Enyanisweni, abantu abaninzi bathi umgangatho wobomi babo uphucuke kakhulu emva kolu tyando. Kuba abasenazo izifo ezingapheliyo ababenazo ngaphambili, kwaye akusekho mfuneko yokuba bagcine ingxowa yangaphandle.

Kodwa kuya kufuneka uqhele utshintsho oluncinci oluncinci:

• Ukuya kwindlu yangasese rhoqo: Kuya kufuneka uye kwindlu yangasese amaxesha amaninzi ngemini kunangaphambili.
• Ubume bendle: Ekubeni amathumbu amakhulu engasafunxi manzi, indle yakho iya kuba lulwelo ngakumbi kunangaphambili.
• Sela amanzi amaninzi: Ekubeni umzimba wakho ulahlekelwa lulwelo oluninzi, kubalulekile ukusela amanzi amaninzi kunye nolwelo imini yonke ukuze uthintele ukuphelelwa ngamanzi emzimbeni. Kwanezinto ezifana nejusi zingafuneka kwasekuqaleni.

Ngaba kufuneka nditshintshe indlela enditya ngayo emva kotyando?

Akukho ndlela ithile yokutya yomntu one-J-Pouch. Nangona kunjalo, ukutya ukutya okunempilo nokufanelekileyo kunokunceda ukukhawulezisa ukuphiliswa kunye nokunciphisa ukungonwabi. Nazi iingcebiso ezimbalwa:

• Qala kancinci: Xa uqala ukutya ukutya okuqinileyo kwakhona emva kotyando, qala ukutya ukutya okuncinci okulula ukukugaya, okuneziqholo ezimbalwa, nokunamafutha amancinci. Yongeza kancinci kancinci ukutya okutsha ekutyeni kwakho.
• Sela amanzi amaninzi: Oku kubaluleke kakhulu. Zama ukusela ubuncinane iilitha ezi-2-3 zamanzi ngosuku. Izinto ezifana neesuphu ezicacileyo, iporridge, kunye nejusi yeziqhamo nazo zilungile.
• Lawula urhudo: Ukuba indle yakho ibonakala imanzi kakhulu, yitya ukutya okunesitatshi okuninzi okufana neebhanana, iitapile, irayisi, kunye nesonka ukuze kuncede ekutyebiseni kancinci. Nciphisa iswekile, i-caffeine, ukutya okunamafutha, kunye notywala, kuba zinokwenza urhudo lube lubi ngakumbi.
• Ukutya okulawula ukudumba: Yitya ukutya okunceda ukuthintela ukudumba kwingxowa. Ukutya okufana nokutya kwaseMeditera, okuquka izinto ezifana neoyile yomnquma, intlanzi, imifuno, iziqhamo kunye namandongomane, kufunyenwe kulungile kakhulu koku.

Utyando lwe-J-Pouch linyathelo elikhulu ebomini bakho. Kuqhelekile ukuba uzive usoyika kwaye ungaqinisekanga ngalo. Ngoko ke, ngaphambi kokuba wenze isigqibo, yenza uphando lwakho kwaye ubuze ugqirha wakho yonke imibuzo oyifunayo. Xa ugqiba ekubeni uthathe olu hambo, usapho lwakho kunye nabahlobo bakho baya kuba ngumthombo omkhulu wamandla. Ngoncedo lwabo, ngokuqinisekileyo ungayoyisa le ngxaki.