Indlela Yokunyamekela I-J-Pouch Yakho Entsha

I-J-Pouch Yakho Iya Kufuna Unonophelo Okhethekileyo Kwiiveki zokuQala kunye neenyanga Emva kokuThatown

Utyando lwe-J-pouch eyenziwa ukunyanga i-ulcerative colitis kungenza ukuqeshisa okutsha ebomini. Kwakhona kuphakamisa imibuzo eninzi malunga nendlela yokujongana ne-ins kunye nokuphuma ngaphandle kwekholoni kunye nokuba nomathumbu omncinci onokubuyiswa kwakhona kwaye uxhumeke kwi-rectum. Apha uya kufumana iingcebiso malunga nendlela yokwenza ezo ziiveki zokuqala emva kokuhlinzwa okwenziwe ngu -j-pouch ekutshintshisweni kwakho, kunye nendlela ukutya kwakho kunokuchaphazela ngayo isikhwama sakho.

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Gcina ukutya kwakho kulula

Kwiinyanga zokuqala emva kokutyunjwa kwe-j-pouch, intliziyo yakho encinci ilungisa kwaye ifunde ukwenza okungakumbi umsebenzi owenziwe ngumathumbu wakho omkhulu. Nangona oko kuqhubeka, isitulo sakho sinokuthi sibe sisicacile. Ukugcina ukutya kwakho ukutya okulula kunceda ngezizathu ezininzi. Eyokuqala kukuba ukuba ugwema amafutha, iziqholo kunye necarbonation, unokugcina uncedo ukugcina isitofu sakho singakubangela ukuba ubuhlungu obukhulu kunye nokutshisa njengoko uyidlula.

Okwesibini kukuba ngoxa ufunda ukutya okunceda (kwaye ngaphantsi kokunceda) ekulawuleni isikhwama sakho, kukulungele ukunamathela ekutheni ukhululekile, kwaye ungeze ukutya okutsha okanye ukutya okunokubangela ingxaki ngamanye. Ngale ndlela, unokwenza kube lula ukufumanisa naluphi na ukutya okubangela ukuba ungakhululeki.

Okwesithathu kukuba abantu abane-j-pouch ukuhlinzwa banomngcipheko omkhulu wokuphuhlisa umqobo omncinci . Ukuphepha ukutya ezifana nembewu, i-nut, i-popcorn, kunye nokutya okunomsoco kunokuba yinto efanelekileyo kakhulu yokusebenza. Ukuba unemibuzo malunga nokutya kwakho, thetha ugqirha wakho, ugastroenterologist wakho, okanye u-dietician wakho.

_Umthombo:

_{MacLean AR, Cohen A, MacRae HM, et al. Umngcipheko Wokumiswa Kwezilwanyana Ezincinane Emva kwe-Ileal Pouch-Anal Anastomosis. Ann Surg . Feb 2002; 235 (2): 200-206. 10 Novemba 2014.}

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Gwema ukusula

Ekuqaleni, izitulo zakho ziya kuba zicace kwaye zisoloko zihamba. Amava onke ahlukeneyo, kodwa kwiimeko ezininzi, abantu abane-j-poch entsha baya kukhangela isikhumba esicasulayo malunga ne- anus ekudluleleni izitulo ezininzi ezikhululekile. Ukucinywa kungacasula indawo leyo. Eyona nto ikhethekileyo kukuba uhlambuluke ngokusebenzisa amanzi, enokuthi kwenziwe kwindlela elula. Ukuba neyindlu yangasese ye-bidet okanye isihlalo sendlu yangasese ye-bidet sinokuba luncedo kakhulu kubantu abane-j-poch, kokubili kwiintsuku zokuqala xa isikhwama sitsha, kwaye nangona ixesha liqhubeka. Ingabakho utyalo-mali, kodwa nguye oza kuhlawula igalelo ixesha elide.

Enye indlela usebenzise ibhethi okanye isanti - mhlawumbi kunye nesinamathiselo sokuhlamba okanye mhlawumbi uhleli kwii-intshi ezimbalwa zamanzi kwi-tub. Inketho ephathekayo kukusebenzisa ibhotile ye-squeeze ngombhobho : gcwalisa ngamanzi afudumele kwaye uyisebenzise ukuze udibanise phantsi.

Ukuba kufuneka ususe, usebenzisa iifudyo ezimanzi, iphepha elimanzi lezindlu zangasese, okanye iingubo ezimanzi ziza kusebenza ngakumbi kwaye ziveze kancinci kunephepha elimileyo.

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Ukuphungula phantsi iindawo ezilahlayo

Ekuqaleni isitopu siya kukhululeka, nangona kufuneka ikhuphe ngaphezu kwexesha njengoko intlungu yakho encinci iqala ukuxhamla amanzi amaninzi kwaye ulungele ukutya kwakho. Amagqirha amaninzi anika okanye acebisa amachiza ahlukeneyo okunciphisa urhudo . Unako okanye ungazidingeki, kwaye ungadinga ukusebenzisa enye ilingo kunye nephutha ukuze ufumane umlinganiselo osebenza kakuhle. Thetha ugqirha wakho malunga naluphi na umyalelo okanye imithi yokukhusela i-anti-diarrheal ukuqinisekisa ukuba uyayithatha ngokufanelekileyo. Ukuba imithi yakho yesifo sokudibanisa iqukethe i-opiate (njenge-loperamide hydrochloride, ungadinga ukubona indlela ekukuchaphazela ngayo ngaphambi kokuba uqhube okanye usebenze.

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Phindela kwimisebenzi ngokukhawuleza

Nangona abanye abantu benokuhlinzwa ngokugqithiseleyo nge-j-pouch, abanye baye bahlinzwa xa sele begula kakhulu ngesifo sezilonda zesilonda. Abantu abaninzi baqala ukuziva bephucula emva kohlobo lwe-colectomy, kwaye ngokuqondakalayo kunomnqweno wokuba uphelelwe kwaye uyenze ngawo wonke utyando kwaye uqhubeke noshishino lokuphila. Kweminye, inokuba yintlawulo entsha ebomini, kwaye izinto ezingenakwenzeka ngaphambi kokuba zifikeleleke, ezifana nokuhamba, iziganeko zentlalo, isikolo okanye umsebenzi. Nangona kunjalo, kukulungele ukuxoxa ngendlela yakho yokuphila kunye nodokotela wakho ogqirha, ngubani onokukucebisa xa ungenza imisebenzi ethile.

Ukuqhuba, ukulala ngesondo, ukusetyenziswa, nokubuyela kwindlela yokuqhelana rhoqo rhoqo yimihla ngemibuzo yokubuza iqela lakho lezonyango. (Zama ukukhathazeka malunga neentloni - khumbula oogqirha bakho bakuvile konke ngaphambili, kwaye baya kukwazi ukuphendula imibuzo yakho ngokusekelwe kumava abo). Ngokubanzi, ke ke, kuya kuba iiveki ezimbalwa kwiinyanga ezimbalwa ngaphambi kokuba imisebenzi eninzi ihlaziywe, kuxhomekeke kwiinkcukacha ezithile zokuhlinzwa kwakho kunye nendlela oyenayo ngaphambi kokuhlinzwa. Ukuthatha ixesha lakho ngokuphulukana, ngelixa mhlawumbi udidekile ngamaxesha, ngokwenene kuyindlela efanelekileyo yokuqinisekisa impilo eqhubekayo yebhokisi lakho.

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Eminye Ubunzima Ubunzima

I-J-poch isingowned operation, ngelixa i-invasive encinci ngaphezu kokudala i-j-pouch kunye ne-colectomy, isasetyenziswa. Isibhedlele sokuhlala kunye nexesha lokubuyisela livame ukuba likhawuleze kuneendlela zokuhlinzwa (ezithe zenziwa kwiteyathelo eli-1 okanye kwi-2), kodwa kubalulekile ukukhumbula ukuba intlungu yokuhlinzwa iyilindeleke. Njengoko kuqhubeka ukuhlaziya, intlungu kufuneka ihlise. Ukuba ufumana intlungu entsha okanye intlungu eninzi, qha ga mshelana nodokotela wakho ugqirha ukuze uqinisekise ukuba awufumani naziphi iingxaki.

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