Taha Ileoanal anastomosis (J-pouch)
Mō tēnei whakamātautau
Ko te pokanga ileoanal anastomosis e tango ana i te rōpū nui me te hanga i te putea i roto i te tinana e taea ai e te tangata te whakakore i te paru i te huarahi noa. Ko te pokanga (e kiia ana ko te il-e-o-A-nul uh-nas-tuh-MOE-sis) e kiia ana hoki ko te pokanga J-pouch me te pokanga ileal pouch-anal anastomosis (IPAA).
He aha ai i mahia ai
Ko te pokanga ileoanal anastomosis te nuinga o te wā e whakamahia ana hei whakaora i te mate kolitis pupuhi roa e kore e taea te whakahaere e te rongoā. Ka whakaorahia ano hoki ngā āhuatanga e tukuna ana e ngā whānau e kaha te tūponotanga o te mate pukupuku o te kōroke me te tūtae. He tauira tēnei ko te familial adenomatous polyposis (FAP). I etahi wā ka mahia te tukanga mena he huringa o te pūnaha whekau ka āhei te arahi ki te mate pukupuku. Ā, i etahi wā ka whakamahia hei whakaora i te mate pukupuku o te kōroke me te tūtae.
Ngā tūraru me ngā raruraru
Ko ngā tūponotanga o te pokanga J-pouch e whai ake nei: Te aukatinga o te whekau iti. Te ngaro atu o te wai i te tinana atu i te inu, e kiia nei ko te maroke. Te korere. Te whakaiti o te wāhi i waenganui i te putea me te tara, e kiia nei ko te ngohe. Te korenga o te putea. Te mate o te putea, e kiia nei ko te pouchitis. Ko te pouchitis tētahi o ngā raruraru tino noa o te ileoanal anastomosis. Ka piki ake te tūponotanga o te pouchitis i te roa o te wā e tū ana te J-pouch. Ka taea e te pouchitis te whakaoho i ngā tohu pēnei i te colitis ulcerative. Kei roto i ēnei te korere, te mamae o te kopu, te mamae o ngā hononga, te kirika me te maroke. Whakapaa atu ki tō kaiwhakarato hauora mena kei a koe tētahi o ēnei tohu. Ko te nuinga o te wā, ka taea te whakaora i te pouchitis mā ngā rongoā. He torutoru ngā tāngata e hiahia ana ki ngā rongoā o ia rā hei whakaora, hei ārai rānei i te pouchitis. Ko te tino iti, kaore te pouchitis e whakautu ki te maimoatanga o ia rā. Katahi ka hiahia pea ngā taote ki te tango i te putea ka hanga i te ileostomy. Kei roto i te ileostomy te kakahu i te putea i waho o te tinana hei kohikohi i te paru. Ko te tango i te J-pouch ka puta noa i te torutoru o ngā tāngata kei a rātou te J-pouch. Ko te nuinga o te wā, hei wāhanga o te pokanga, ka whakawhitia te putea ki te wāhanga iti o te tūtaratanga e kiia nei ko te cuff e toe ana i muri i te tango i te whekau nui. Ki ngā tāngata he colitis ulcerative, ka mumura pea te toenga o te tūtaratanga me te colitis. E kiia ana tenei ko te cuffitis. Ki te nuinga o te iwi, ka taea te whakaora i te cuffitis mā te rongoā.
Te mārama ki ō hua
Ko te nuinga o te hunga kua whiwhi i te pokanga J-pouch e kōrero ana mō te kounga ora pai. E 90% te tata o te hunga e koa ana ki ngā hua. I roto i te tau i muri i te pokanga J-pouch, ko te nuinga o te iwi e iti ake ana ngā nekehanga o te whekau i te wā i muri mai o te pokanga. Ko te nuinga o te iwi e 5 ki te 6 ngā nekehanga o te whekau i te rā, ā, kotahi, rua rānei i te pō. Kāo te pokanga J-pouch e pā ana ki te hapu, ki te whānau rānei. Engari, āpea e pā ana ki te whai wahine. Ki te hiahia koe ki te whai wahine, kōrero atu ki tō kaiāwhina hauora mō te huarahi pai mō tō pokanga. Ka taea e te pakaru o ngā ngongo te whakaeke i ētahi raruraru whakaara i muri i te pokanga. Ko te pokanga J-pouch te nuinga o te wā e whiriwhiria ana i runga i te ileostomy roa, e pā ana ki te tukunga o te paru ki roto i te putea ostomy e mau ana i waho o te tinana. Kōrero atu ki tō kaiāwhina hauora ko tehea pokanga te pai mōu.
Whakakape: He tūāpapa pārongo hauora a Ākuhata ā, ehara ōna whakautu i te tohutohu rongoā. Me kōrero tonu ki tētahi rata whai raihana e pātata ana ki a koe i mua i tētahi whakarerekētanga.
I hangaia i India, mo te ao