Masifunde ngotyando lwe-J-Pouch ngokulula.

Ngaba ugqirha wakho ukuxelele ukuba ikholoni yakho yonke kunye ne-rectum kufuneka zisuswe ngenxa yemeko yempilo? Kuqhelekile ukuba uzive uloyiko olukhulu kunye nexhala ngexesha elinje. "Ndiza kuzikhupha njani indle? Ngaba kuya kufuneka ndinxibe isikhwama?" Usenokuba uzibuza. Kodwa ungakhathazeki, kukho isisombululo esilungileyo. Namhlanje sithetha ngotyando lwe-'J-Pouch', olunokukunceda uphile ubomi obuqhelekileyo ngaphandle kwesikhwama sangaphandle emva kotyando olunjalo.

Kalula nje, yintoni le J-Pouch?

I-J-Pouch sisingxobo esincinci esidalwa ngugqirha wotyando ngaphakathi emzimbeni wakho esebenzisa inxalenye yamathumbu akho amancinci. Ngokuchanekileyo, senziwe kwinxalenye yokugqibela yamathumbu amancinci, i-"ileum".

Khawuthelekelele, emva kokuba amathumbu akho amakhulu kunye ne-rectum zisusiwe, akukho ndawo yokugcina indle yakho okwethutyana. Le J-Pouch yenzelwe ukusebenza njengendawo entsha yokugcina i-rectum elahlekileyo. Xa igqityiwe, ibizwa ngokuba yi-J-Pouch kuba imo yayo ifana nonobumba u-'J'. Le ngxowa intsha iqhagamshelwe ngqo kwi-rectum yakho yonke (umjelo we-anal). Oku kuthetha ukuba ungakhupha indle ngendlela eqhelekileyo njengangaphambili.

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

Emva kokuhlinzwa ngokupheleleyo kweproctocolectomy, sineendlela ezimbini eziphambili. Enye kukuba nengxowa esisigxina esiswini, esiyibiza ngokuba yi-"ileostomy." Enye kukuba ne-J-Pouch. Kubaluleke kakhulu ukuqonda umahluko phakathi kwezi zimbini.

Ngubani onokwenza olu tyando?

Utyando lwe-J-Pouch alulungelanga wonke umntu. Ugqirha wakho uza kujonga izinto ezininzi ukuze abone ukuba ufanelekile na kulo.

• Ukusebenza kwemisipha ye-rectal: Imisipha kunye nemithambo-luvo e-rectum efunekayo ukulawula ukuhamba kwamathumbu kufuneka isebenze kakuhle.
• Impilo: Ekubeni olu lutyando olunezigaba ezininzi, kufuneka ube sempilweni entle ukuze ukwazi ukulunyamezela olu tyando. Qaphela naziphi na ezinye iimeko zempilo okanye amayeza onokuthi uwasebenzise.

Lwenziwa njani utyando?

Olu tyando ludla ngokwenziwa ngamanqanaba amabini okanye amathathu. Nangona oku kungabonakala kunzima kancinci, masikwenze kube lula.

1. Inqanaba loku-1: Okokuqala, kufuneka wenze utyando lwe-"proctocolectomy" ukuze kususwe amathumbu akho amakhulu kunye ne-rectum. Ngexesha elifanayo nolo tyando okanye kutyando olwahlukileyo emva koko, kwenziwa i-J-Pouch. Ugqirha uthatha isiphelo samathumbu akho amancinci, asisonge sibe yi-'U', aze asidibanise embindini ukuze enze ingxowa encinci.

2. I-Ileostomy yexeshana: I-J-Pouch yakho entsha ayinakuphuma endle ide iphole. Ngoko ke, kangangeenyanga ezimbalwa ngelixa iphola, uya kunikwa i-"loop ileostomy" yexeshana . Oku kuthetha ukuba ibhegi inamathele kulusu lwesisu sakho. Oku kwenzeka ixesha elifutshane, malunga neenyanga ezi-2-3.

3. Uvavanyo lwe-J-Pouch: Emva kweenyanga ezi-2-3, kwenziwa uvavanyo olukhethekileyo ukuze kubonwe ukuba isikhwama esitsha sipholile kakuhle na kwaye ukuba siyavuza na. Oku kubizwa ngokuba yi-"pouchogram". Kufana ne-barium swallow, apho kufakwa ulwelo nge-anus kwaye kuthathwa i-X-ray .

4. Inqanaba lokugqibela: Xa yonke into ilungile, ugqirha wakho uza kwenza olunye utyando oluncinci ukuze asuse ileostomy yexeshana aze avale umngxuma esiswini sakho. Ukususela ngelo xesha ukuya phambili, indle yakho iya kuqala ukuhamba ngokuqhelekileyo kwi-J-Pouch entsha. Le nkqubo yokudibanisa amathumbu akho ngokwezonyango ibizwa ngokuba yi-ileal pouch-anal anastomosis (IPAA).

Yintoni onokuyilindela emva kotyando?

Emva kotyando, kuya kuthatha ixesha elithile ukuba umzimba wakho uqhele le nkqubo intsha.

• Ukuhamba rhoqo kwamathumbu: Ekuqaleni, i-J-Pouch incinci, ngoko ke ayinakugcina indle eninzi. Ngoko ke kunokufuneka uye kwigumbi lokuhlambela izihlandlo ezininzi ngemini, ngamanye amaxesha nasebusuku. Kodwa ngokuhamba kwexesha, ingxowa iba nkulu, kwaye le meko iyaphucuka kancinci kancinci. Oku kudla ngokuncipha ukuya phakathi kwezihlandlo ezi-5-10 ngemini.
• Ukuqeqeshwa kwakhona kwemisipha: Imisipha ekwi-rectum yakho isenokuba buthathaka ngenxa yokungayisebenzisi okwethutyana. Kusenokufuneka wenze umthambo ukuze uphinde ulawule amathumbu akho. Ugqirha wakho unokucebisa umthambo ofana nokuzivocavoca kweKegel.
• Indle ekhululekileyo: Amathumbu amakhulu yinxalenye efunxa amanzi kwindle yakho. Ngoku ekubeni loo nxalenye ingekho, indle yakho iya kuba lulwelo ngakumbi kunangaphambili.

Ngaba kukho naziphi na iziphumo ebezingalindelekanga okanye iingozi?

Njengalo naluphi na utyando, kukho iingozi ezithile, kodwa ezi azenzeki rhoqo.

• Ukuvuza kwe-anastomotic: Ukuba kukho ukuvuza okuncinci kwindawo apho amathumbu adibene khona, usulelo lunokwenzeka ngaphakathi esiswini.
• Ukunamathela esiswini: Ngamanye amaxesha, ukunamathela kwezicubu ezingafunekiyo kwakheka ngaphakathi esiswini emva kotyando, nto leyo enokubangela ukuvaleka kwamathumbu.
• I-Pouchitis: Le yeyona ngxaki ixhaphakileyo. Lusulelo okanye ukudumba kwe-J-Pouch. Iimpawu ziquka iintlungu zesisu, ukuhamba rhoqo kwamathumbu, kwaye ngamanye amaxesha ukopha. Kwiimeko ezininzi, oku kunokunyangeka ngokupheleleyo ngamayeza okubulala iintsholongwane .
• Ukuqina: Izicwili ezibangelwa lutyando zinokubangela ukuba indlela inciphe.

Ukuba uneempawu ezingaqhelekanga ezifana nezi, kufuneka wazise ugqirha wakho ngoko nangoko.

Ngaba ungaphila ubomi obuqhelekileyo nge-J-Pouch?

Ewe, unako! Izinga lempumelelo yotyando lwe-J-Pouch liphezulu ukuya kuthi ga kwi-95%. Nangona kusenokubakho ukungakhululeki ekuqaleni, ekuhambeni kwexesha umzimba wakho uya kuqhela. Ungaya emsebenzini, uhambe, kwaye uzilolonge njengangaphambili. Eyona nto ibalulekileyo kukuba ungaphila ubomi bakho ngolawulo, ngaphandle kokukhathazeka ngengxowa yangaphandle.

Ngaba ufuna ukutshintsha indlela otya ngayo?

Ewe, kufuneka ulumke ngokukodwa malunga nokutya kwakho xa uhlala ne-J-Pouch.

• Emva kotyando, qala:Emva kotyando, qala ukutya ukutya okuncinci okulula ukukugaya nokungatyiwa kakuhle.
• Sela amanzi amaninzi: Ekubeni ulwelo olugqithisileyo luphuma emzimbeni, kubalulekile ukusela amanzi amaninzi, iijusi, ipapa, kunye nesuphu ukuze uthintele ukuphelelwa ngamanzi emzimbeni .
• Ukulawula urhudo: Ukuba indle yakho imanzi kakhulu, ungayilawula ngokutya ukutya okunesitatshi okufana neebhanana, irayisi, isonka, kunye neetapile. Ziphephe iswekile, i-caffeine, amafutha amaninzi, kunye notywala kuba zinokunyusa urhudo.
• Ukutya okunciphisa ukudumba: Ukwamkela ukutya okunempilo, okufana neoyile yomnquma, intlanzi, imifuno, kunye neziqhamo, kunokunceda ukuthintela izifo ezifana ne-pouchitis.

Kungcono ukuthetha nogqirha wakho kunye nengcali yesondlo ngale nto uze wenze isicwangciso sokutya esikulungeleyo.