J-Pouch Wanu Adzasowa Chisamaliro Chapadera Mamasabata Oyamba Ndipo Patapita Miyezi Patatha Kutengedwa
Kuchita opaleshoni ya J-pouch yomwe imachitidwa pofuna kuchiza zilonda zam'mimba kungabweretse mgwirizano watsopano pa moyo. Zimabweretsanso mafunso ambiri okhudza momwe angagwirire ndi ins insist and outs of living without colon komanso kukhala ndi katumbo kakang'ono kamene kamakonzedwanso ndi kugwirizana ndi kachilomboka. Pano mungapeze malingaliro a momwe mungapangire masabata oyambirira pambuyo poti opaleshoni ya opaleshoni ya j- pochi ikhale yovuta, komanso momwe zakudya zanu zingakhudzire thumba lanu.
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Sungani Zakudya Zanu ZosavutaMu miyezi yoyamba mutatha opaleshoni ya j-poch, matumbo anu aang'ono amatha kusintha ndikuphunzira kuchita zambiri zomwe matumbo anu amatha kuchita. Pamene izi zikuchitika, malo anu amatha kukhala acidic. Kusunga zakudya zanu ku zakudya zosavuta kumathandiza pazifukwa zambiri. Choyamba ndichoti ngati mutapewa mafuta, zonunkhira, ndi carbonation, zimatha kuthandiza kuti sitimayi isakuchititseni kupweteka komanso kuyaka pamene mukudutsa.
Chachiwiri ndi chakuti pamene mukuphunzira zakudya zomwe zili zothandiza (komanso zosapindulitsa) poyendetsa thumba lanu, ndi bwino kumamatira ku zakudya zomwe mumakhala nazo, ndi kuwonjezera zakudya zatsopano kapena zakudya zomwe zingakhale zovuta nthawi imodzi. Mwanjira imeneyi, mungathe kuwunikira mosavuta kudya zakudya zilizonse zomwe zimabweretsa mavuto.
Lachitatu ndilokuti anthu omwe ali ndi opaleshoni ya j-pouch ali pa chiopsezo chachikulu chokhazikitsa chochepetsetsa chaching'ono . Kupewa zakudya monga mbewu, mtedza, popcorn, ndi zakudya zakuda kwambiri zingakhale zabwino kwambiri. Ngati muli ndi mafunso okhudza zakudya zanu, lankhulani ndi dokotala wanu opaleshoni, gastroenterologist, kapena katswiri wanu wamaphunziro.
Chitsime:
MacLean AR, Cohen A, MacRae HM, et al. Kuopsa kwa Kumangidwa Kwazing'ono Pambuyo pa Nkhumba ya Ileal-Anal Anastomosis. Ann Surg . Feb 2002; 235 (2): 200-206. 10 Nov 2014.
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Pewani KupukutaPoyamba, malo anu adzakhala acidic ndi kawirikawiri. Zomwe zimachitikira aliyense ndi zosiyana, koma nthawi zambiri, anthu okhala ndi j-poch atsopano adzakhala ndi khungu lopsa mtima pafupi ndi anus kuchoka pamagulu angapo omasuka. Kupukuta kungangowopsya dera lomwelo. Chosankha chabwino ndicho kuyeretsa pogwiritsa ntchito madzi, zomwe zingatheke mwa njira imodzi yosiyana. Kukhala ndi chimbudzi cha bidet kapena mpando wa chimbudzi cha bidet kungathandize kwambiri anthu omwe ali ndi j-poch, m'masiku oyambirira pamene thumba liri latsopano, komanso nthawi ikapitirira. Zikhoza kukhala ndalama zamalonda, koma ndi imodzi yomwe idzapereka malipiro kwa nthawi yaitali.
Njira inanso ndiyo kugwiritsa ntchito bafa kapena osamba - kaya ndi chosakaniza chosamba kapena ngakhale kukhala pansi masentimita angapo mu kabati. Njira yotsegulira ndiyo kugwiritsa ntchito botolo la finyani ndi bubu : lidzazeni ndi madzi ofunda ndi kuligwiritsa ntchito kuti muchepetse pansi.
Ngati mukuyenera kupukutira, pogwiritsira ntchito mvula yowonongeka, pepala lamadzi lamanyowa, kapena nsalu yonyowa idzakhala yothandiza kwambiri komanso yonyezimira pakhungu kusiyana ndi pepala louma.
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Kutsika Pansi Masitolo OsaukaPoyamba chovalacho chidzakhala chosasunthika, ngakhale kuti chiyenera kubwereka pakapita nthawi pamene matumbo ako amayamba kuyamwa madzi ambiri komanso pamene mukudya bwino zakudya zanu. Ochita opaleshoni ambiri amapereka kapena amalimbikitsa mankhwala osiyanasiyana pofuna kuchepetsa kutsekula m'mimba . Mukhoza kapena simukusowa, ndipo mungafunike kugwiritsira ntchito mayesero kuti mupeze mlingo umene umayenda bwino. Lankhulani ndi dokotala wanu opaleshoni za mankhwala alionse kapena mankhwala oletsa kutsekula m'mimba kuti muwathandize. Ngati mankhwala anu oletsa kutsekula m'mimba ali ndi opiate (monga loperamide hydrochloride, mungafunike kuwona momwe zimakukhudzirani musanayendetse galimoto kapena kupita kuntchito.
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Pezani Zochita Kubwerera Pang'onopang'onoNgakhale kuti anthu ena ali ndi opaleshoni ya j-poch, ena amachitidwa opaleshoni akadwala kale ndi ulcerative colitis. Anthu ambiri amayamba kumverera bwino pambuyo pa colectomy, ndipo mwachidziwikire pali chikhumbo chothera ndi kuchita ndi opaleshoni yonse ndikupitirizabe ndi bizinesi. Kwa ena, zikhoza kukhala chigulitsiro chatsopano pa moyo, ndipo zinthu zomwe sitingathe kuzipeza kale zitha kukhala zotheka, monga kuyenda, zosangalatsa, sukulu, kapena ntchito. Komabe, ndi bwino kukambirana za moyo wanu ndi dokotala wanu opaleshoni, yemwe angakulimbikitseni pamene mungathe kuchita zinazake.
Kuyendetsa galimoto, kugonana, kuchita masewera olimbitsa thupi, ndi kubwerera kuntchito yochitidwa opaleshoni ya tsiku ndi tsiku ndi mafunso onse oti mufunse gulu lanu lachipatala. (Yesetsani kudandaula za manyazi - kumbukirani madokotala anu amvapo kale, ndipo adzatha kuyankha mafunso anu molingana ndi zomwe akumana nazo). Kawirikawiri, izi zikhala masabata angapo kwa miyezi yochepa musanayambe ntchito zowonjezereka, malingana ndi momwe mwachitidwa opaleshoni yanu komanso momwe mudaliri opaleshoni. Kugwiritsa ntchito nthawi yanu ndikuchira, ngakhale kuti nthawi zina zimakhala zokhumudwitsa, ndi njira yabwino yowonetsetsera thanzi lanu.
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Zowawa Zina N'chimodzimodzinsoKuchitidwa opaleshoni ya J-pouch, pamene kawirikawiri kumakhala kosavuta kusiyana ndi kulengedwa kwa j-poch ndi colectomy, akadakali opaleshoni. Nthawi yachipatala ndi nthawi yowonongeka imakhala yofulumira kusiyana ndi ma opaleshoni oyambirira (omwe angakhale atachita muyeso 1 kapena 2), koma ndibwino kukumbukira kuti ululu wina wopaleshoni uyenera kuyembekezera. Pamene kupuma kukupitirira, ululu uyenera kuchepa. Ngati mukumva kupweteka kwatsopano kapena kupweteka kwambiri, komabe funsani dokotala wanu kuti muwonetsetse kuti mulibe vuto lililonse.