Ingabe udokotela wakho ukutshelile ukuthi wonke umphimbo wakho kanye ne-rectum kudingeka kususwe ngenxa yesimo sempilo? Kujwayelekile ukuzizwa ukwesaba nokukhathazeka okukhulu ngesikhathi esinjengalesi. "Ngizokhipha kanjani indle ? Ingabe kuzodingeka ngigqoke isikhwama?" Ungase uzibuze. Kodwa ungakhathazeki, kukhona ikhambi elihle. Namuhla sikhuluma ngokuhlinzwa 'kwe-J-Pouch', okungakusiza uphile impilo evamile ngaphandle kwesikhwama sangaphandle ngemva kokuhlinzwa okunjalo.
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Kalula nje, iyini le J-Pouch?
Isikhwama se-J siyisikhwama esincane esidalwa udokotela ohlinzayo ngaphakathi emzimbeni wakho esebenzisa ingxenye yamathumbu akho amancane. Uma sikhuluma iqiniso, sidalwa kusukela engxenyeni yokugcina yamathumbu amancane, i-"ileum".
Cabanga nje, ngemva kokususwa kwamathumbu akho amakhulu kanye ne-rectum, akukho ndawo yokugcina indle yakho okwesikhashana. Le J-Pouch yenzelwe ukusebenza njengendawo yokugcina indle entsha esikhundleni saleyo rectum elahlekile. Uma isiqediwe, ibizwa ngokuthi i-J-Pouch ngoba isimo sayo sifana nohlamvu 'J'. Le sikhwama esisha sixhunywe ngqo kwenye ingxenye ye-rectum yakho (umsele wangemuva). Lokhu kusho ukuthi ungakhipha indle evamile njengakuqala.
Uyini umehluko phakathi kwesikhwama se-J-Pouch nesikhwama se-Ileostomy?
Ngemva kokuhlinzwa okuphelele kwe-proctocolectomy, sinezinketho ezimbili eziyinhloko. Eyokuqala ukuba nesikhwama esihlala njalo esiswini, esisibiza ngokuthi "ileostomy." Enye ukuba nesikhwama se-J. Kubaluleke kakhulu ukuqonda umehluko phakathi kwalokhu okubili.
| Isikhwama se-J (isikhwama sangaphakathi) | I-Ileostomy (isikhwama sangaphandle) |
|---|---|
| Isikhwama sangaphakathi sakhiwe ngaphakathi komzimba. Asibonakali ngaphandle. | Amathumbu amancane alethwa ebusweni besikhumba sesisu, bese kufakwa isikhwama ngaphandle ukuze kuqoqwe indle. |
| Njengakuqala, indle ikhishwa ngokujwayelekile nge-anus. | Indle iphuma emgodini omusha (stoma) owenziwe esiswini bese ingena esikhwameni. Isikhwama sidinga ukuthululwa njalo. |
| Asikho isidingo sokugcina isikhwama sangaphandle. | Kufanele uhlale unakekela isikhwama sakho sangaphandle kanye nesikhumba. |
Kalula nje, i-J-Pouch iyisisombululo esihlala njalo esikuvumela ukuthi uphile ngaphandle kwesikhwama sangaphandle, eduze kakhulu nesakhiwo somzimba wakho sokuqala ngangokunokwenzeka.
Ubani ongenza lokhu kuhlinzwa?
Ukuhlinzwa kwe-J-Pouch akuwona wonke umuntu. Udokotela wakho uzobheka izici eziningana ukuze anqume ukuthi uyakufanelekela yini.
- Ukusebenza kwemisipha yangemuva: Imisipha nemizwa engemuva edingekayo ukulawula ukunyakaza kwamathumbu kumele kube sesimweni esihle sokusebenza.
- Impilo: Njengoba lokhu kuwukuhlinzwa okunezigaba eziningi, udinga ukuba nempilo enhle ukuze ubekezelele ukuhlinzwa. Qaphela noma yiziphi ezinye izimo zezokwelapha noma imithi ongase uyithathe.
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Check Availability →Kwenziwa kanjani ukuhlinzwa?
Lokhu kuhlinzwa kuvame ukwenziwa ngezigaba ezimbili noma ezintathu. Nakuba lokhu kungase kubonakale kuyinkimbinkimbi kancane, masikwenze kube lula.
1. Isigaba 1: Okokuqala, uhlinzwa "nge-proctocolectomy" ukuze kususwe amathumbu akho amakhulu kanye ne-rectum. Ngesikhathi esifanayo nalolo hlinzwa noma ekuhlinzweni okuhlukile ngemva kwalokho, kudalwa i-J-Pouch. Udokotela uthatha ingxenye yamathumbu akho amancane, ayigoqe ibe yisimo sika-'U', bese eyihlanganisa ndawonye phakathi nendawo ukuze akhe isikhwama esincane.
2. I-Ileostomy Yesikhashana: I-J-Pouch yakho entsha ayikwazi ukuphuma indle ize iphole. Ngakho-ke, izinyanga ezimbalwa ngenkathi iphola, uzonikezwa i-"loop ileostomy" yesikhashana . Lokhu kusho ukuthi isikhwama sinamathele esikhumbeni sesisu sakho. Lokhu kungokwesikhathi esifushane kuphela, cishe izinyanga ezingu-2-3.
3. Ukuhlolwa kwe-J-Pouch: Ngemva kwezinyanga ezingu-2-3, kwenziwa ukuhlolwa okukhethekile ukuze kubonakale ukuthi isikhwama esisanda kudalwa siphilile kahle yini nokuthi siyavuza noma kuphi. Lokhu kubizwa ngokuthi "i-pouchogram". Kufana ne-barium swallow, lapho kufakwa khona uketshezi nge-anus bese kuthathwa i-X-ray .
4. Isigaba Sokugcina: Uma konke sekuhlelekile, udokotela wakho uzokwenza olunye ukuhlinzwa okuncane ukuze asuse i-ileostomy yesikhashana futhi avale isikhala esiswini sakho. Kusukela ngaleso sikhathi kuqhubeke, indle yakho izoqala ukudlula ngendlela evamile ku-J-Pouch esanda kudalwa. Le nqubo yokuxhumanisa amathumbu akho ibizwa ngokwezokwelapha ngokuthi i-ileal pouch-anal anastomosis (IPAA).
Yini ongayilindela ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, kuzothatha isikhathi esithile ukuthi umzimba wakho ujwayele lesi simiso esisha.
- Ukuhamba kwamathumbu njalo: Ekuqaleni, i-J-Pouch incane, ngakho ayikwazi ukugcina indle eningi. Ngakho-ke kungadingeka uye endlini yokugezela izikhathi eziningana ngosuku, ngezinye izikhathi ngisho nasebusuku. Kodwa ngokuhamba kwesikhathi, isikhwama siyakhula, futhi lesi simo siyathuthuka kancane kancane. Lokhu kuvame ukwehla kube phakathi kwezikhathi ezi-5-10 ngosuku.
- Ukuqeqeshwa kabusha kwemisipha: Imisipha ese-rectum yakho kungenzeka ukuthi isibuthakathaka ngenxa yokungayisebenzisi isikhathi esithile. Kungase kudingeke wenze izivivinyo ukuze uphinde ulawule amathumbu akho. Udokotela wakho angase akuncomele izivivinyo ezifana nezivivinyo ze-Kegel.
- Indle ekhululekile: Ithumbu elikhulu yingxenye emunca amanzi esitulweni sakho. Manje njengoba leyo ngxenye isihambile, indle yakho izoba uketshezi kakhulu kunangaphambili.
Ingabe ikhona imiphumela emibi noma izingozi?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile, kodwa lezi azivamile.
- Ukuvuza kwe-anastomotic: Uma kukhona ngisho nokuvuza okuncane endaweni lapho amathumbu axhumene khona, ukutheleleka kungavela ngaphakathi esiswini.
- Ukunamathela kwesisu: Ngezinye izikhathi, ukunamathela kwezicubu okungafuneki kwakheka ngaphakathi kwesisu ngemva kokuhlinzwa, okungabangela ukuvaleka kwamathumbu.
- I-Pouchitis: Lena inkinga evame kakhulu. Kuwukutheleleka noma ukuvuvukala kwe-J-Pouch. Izimpawu zifaka phakathi ubuhlungu besisu, ukuhamba kwamathumbu njalo, kanye nokopha ngezinye izikhathi. Ezimweni eziningi, lokhu kungelapheka ngokuphelele ngama -antibiotic .
- Ukuqina: Izicubu zezibazi ezivela ekuhlinzweni zingabangela ukuthi indlela ibe mncane.
Uma unezimpawu ezingavamile ezifana nalezi, kufanele wazise udokotela wakho ngokushesha.
Ungakwazi yini ukuphila impilo evamile nge-J-Pouch?
Yebo, ungakwazi! Izinga lempumelelo lokuhlinzwa kwe-J-Pouch liphezulu ngamaphesenti angama-95. Nakuba kungase kube nokungakhululeki ekuqaleni, ngokuhamba kwesikhathi umzimba wakho uzojwayela. Ungaya emsebenzini, ohambweni, kanye nokuzivocavoca njengakuqala. Into ebaluleke kakhulu ukuthi ungaphila impilo yakho ngokulawula, ngaphandle kokukhathazeka ngesikhwama sangaphandle.
Uyafuna ukushintsha indlela odla ngayo?
Yebo, udinga ukuqaphela kakhulu ukudla kwakho uma uhlala ne-J-Pouch.
- Ngemva kokuhlinzwa, qala:Ngemva kokuhlinzwa, qala ukudla ukudla okuncane okulula ukukugaya nokungaxutshwe.
- Phuza amanzi amaningi: Njengoba uketshezi oluningi lukhishwa emzimbeni, kubalulekile ukuphuza amanzi amaningi, amajusi, iphalishi kanye nesobho ukuze uvimbele ukuphelelwa amanzi emzimbeni .
- Ukulawula uhudo: Uma indle yakho imanzi kakhulu, ungayilawula ngokudla ukudla okunesitashi njengobhanana, ilayisi, isinkwa, namazambane. Gwema ushukela, i-caffeine, amafutha amaningi, notshwala ngoba kungandisa uhudo.
- Ukudla okunciphisa ukuvuvukala: Ukwamukela ukudla okunempilo, njengamafutha omnqumo, inhlanzi, imifino, nezithelo, kungasiza ekuvimbeleni izifo ezifana ne-pouchitis.
Kungcono ukukhuluma nodokotela wakho kanye nochwepheshe wezokudla ngalokhu bese udala uhlelo lokudla olufanela wena.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-J-Pouch kuyindlela ephumelela kakhulu yokuthi umuntu okhishwe i-colon kanye ne-rectum aphile impilo ejwayelekile ngaphandle kwesikhwama sangaphandle.
- Lokhu kuhlinzwa kwenziwa ngezigaba eziningana, futhi kuthatha isikhathi esithile ukuthi umzimba ujwayele isimo esisha. Ukubekezela kubalulekile kulokhu.
- Nakuba kungase kudingeke uye endlini yangasese njalo ezigabeni zokuqala ngemva kokuhlinzwa, lokhu kuzothuthuka kancane kancane.
- Ukudla okunempilo okuhle kanye nokuthola amanzi amaningi emzimbeni kubaluleke kakhulu.
- Bika noma yibuphi ubuhlungu obungavamile, ukopha, noma ezinye izimpawu kudokotela wakho ngokushesha ngemva kokuhlinzwa. Ungesabi, khuluma nodokotela wakho ngakho konke.
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