J-Pouch Wako Achada Kuchengetedzwa Kunokosha Mumavhiki Okutanga Uye Mwedzi Pashure Kokutorwa
Kuvhiya kweJ-pouch iyo inoitwa pakurapa ulcerative colitis kunogona kuuya nechisungo chitsva muupenyu. Izvo zvinounzawo mibvunzo yakawanda pamusoro pokuti ungatarisana sei ne-ins uye kunze kwekurarama usina colon uye nekuva nemukomana muduku unozogadziriswa uye unowananidzwa kune rectum. Pano uchawana mazano ekuita kuti vhiki idzodzo mushure mokunge chirwere chej -chikwata chichigadziriswa zviri nyore iwe pachako, uyewo kuti kudya kwako kunogona kuchinja sei chikwama chako.
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Chengeta Zvokudya Zvako Zviri nyoreMumwedzi yokutanga mushure mekuvhiyiwa kwe-j-pouch, utumbo hwako hudiki huri kugadzirisa uye hunoita kuita zvakawanda zvebasa iro mumatumbo ako makuru akashandiswa kuita. Apo izvo zviri kuitika, chigaro chako chinogona kunge chakanyanyisa. Kuchengetedza kudya kwako kune zvokudya zvakaoma kunobatsira nekuda kwezvikonzero zvakawanda. Chokutanga ndechekuti kana iwe usingadi mafuta, zvinonhuwira, uye carbonation, zvinogona kuchengeta rubatsiro kuchengetedza chigaro chako kuti chisakonzera urombo hwakanyanya uye kupisa sezvaunoipfuura.
Chechipiri ndechekuti iwe uchiri kudzidza nezvezvokudya zvinobatsira (uye zvisingabatsiri) pakuchengeta chikwama chako, zvakanakisisa kunamatira kune zvekudya iwe unonakidzwa nazvo, uye kuwedzera kudya kwekudya kana kuti zvinogona kunge zvinokonzera kudya pane imwe nguva. Nenzira iyi, unogona kuita kuti zvive nyore kuziva chero kudya kupi zvayo kunokonzera kusagadzikana.
Chechitatu ndechokuti vanhu vane chirwere chej-pouch vari pangozi yakawanda yekugadzira chiduku chiduku . Kudzivisa kudya zvakadai sembeu, nuts, popcorn, uye zvokudya zvakanyanya kwazvo zvinogona kuva ndiyo nzira yakanakisisa yekuita. Kana une mibvunzo pamusoro pekudya kwako, taura nechiremba wako, chirwere chako che gastroenterologist, kana kuti wako dietician.
Kunobva:
MacLean AR, Cohen A, MacRae HM, et al. Dambudziko rekugadziriswa kwemadzimai maduku Mushure meEleal Pouch-Anal Anastomosis. Ann Surg . Feb 2002; 235 (2): 200-206. 10 Nov 2014.
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Dzivisa KudzimaPakutanga, zvigaro zvako zvichava zvakasimba uye zvinowanzoitika. Zvakaitika kune munhu wese zvakasiyana, asi mumatambudziko mazhinji, vanhu vane j-pouch itsva vachave vakatsamwisa ganda kumativi ose anus kubva pakupfuura zvigaro zvakasununguka. Kuchenesa kunogona kutsamwisa nzvimbo yacho zvakare. Chisarudzo chakanaka ndechekuchenesa kushandisa mvura, iyo inogona kuitwa mune imwe nzira shomanana dzakasiyana. Kuva nechikwata chekudzivirira kana chigaro chevasetet chikwata chinogona kubatsira zvikuru kuvanhu vane j-poch, mumazuva okutanga apo chikwama chiri chitsva, uye kunyange nguva inopfuurira. Inogona kuva mari yekutsinhanisa mari, asi ndiyo imwe ichabhadhara zvikamu kwenguva refu.
Imwe nzira ndeyokushandisa bhati kana kugeza - pamwe nechingwa chekushambidza kana kunyange kungogara mumasendimita mashoma emvura mubhati. Nzira inoshandiswa ndiyo kushandisa bhodhoro rakaneta nebhoza : rizadze naro nemvura inodziya uye ushandise kubvisa pasi yako pasi.
Kana iwe uchifanira kupukuta, uchishandisa mvura yakadzika, pepa remvura yakadzika, kana kunyange shati yakaoma ichava yakanyatsobudirira uye yakanyorova paganda kupfuura pepa rakaoma.
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Kuderedza Pasi Masuo AkasunungukaPakutanga chigaro chichava chakasununguka, kunyange chichifanira kuvhara shure kwechinguva sezvo kamwana wako kako kanotanga kuwedzera mvura yakawanda uye apo iwe unofungidzira kudya kwako. Vanachiremba vazhinji vanovhiya vanopa kana kukurudzira mishonga yakasiyana-siyana yekuderedza chirwere . Iwe unogona kana usingadi iwe, uye unogonawo kushandisa imwe mutsara uye kukanganisa kuti uwane mutero unoshanda zvakanaka. Taura nechiremba wako chiremba pamusoro pezvinyorwa chero chipi zvacho kana kupfuura-the-anti anti-diarrheal mishonga kuti uone kuti uri kutora zvakanaka. Kana mishonga yako inorwisa-diarrheal ine yeapiate (yakadai se loperamide hydrochloride, ungada kuwona kuti inokubata sei iwe usati watyaira kana kuenda kunoshanda.
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Dzokera Kumabasa Zvishoma nezvishomaKunyange zvazvo vamwe vanhu vane chirwere chej-pouch zvakanyatsonaka, vamwe vanovhiyiwa pavanenge vava kurwara zvikuru nealcerative colitis. Vanhu vazhinji vanobva vatanga kunzwa vari nani mushure mekunyengera, uye zvinonzwisisika kune chido chekupedza uye kuitwa nevose vanovhiyiwa nekuenderera mberi nebhizimisi rehupenyu. Kune vamwe, inogona kuva chibharo chitsva muupenyu, uye zvinhu zvisingakwanisi kare zvisati zvave zvinobudirira, zvakadai sokufamba, zviitiko zvevanhu, chikoro, kana basa. Zvisinei, zvakanakisisa kukurukura mararamiro ako nechiremba wako, uyo anogona kukupa zano paunokwanisa kuita mamwe mabasa.
Kutyaira, kuita zvepabonde, kurovedza muviri, uye kudzokera kune imwe nguva yekutanga yekuvhiyiwa chiitiko chezuva nezuva yese mibvunzo yekubvunza boka rako rezvechiremba. (Edza kusazvidya mwoyo pamusoro pekunyadzisa - yeuka vanachiremba vako vakambonzwa kare, uye vachakwanisa kupindura mibvunzo yako zvichienderana nezvakaitika kwavari). Muzvizhinji, zvisinei, zvichave masvondo mashomanana kumwedzi mashomanana zvisati zvaitika mabasa akawanda anogara achikurudzirwa, zvichienderana nehuwandu hwekuvhiya kwako uye kuti iwe wakanga uri sei musati wambovhiyiwa. Kutora nguva yako nekugadzirisa, asi zvichida kunge uchigumbusa zvishoma pane dzimwe nguva, inzira chaiyo yekugonesa hupenyu huripo hwehomwe yako.
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Mamwe Marwadzo AkangoitaJ-pouch takedown chirurgic, asi kazhinji zvisingasvikiki pane kupisa kwej-pouch uye colectomy, ichiri kuvhiyiwa. Chipatara chinogara uye nguva yekudzikinura inowanzokurumidza kukurumidza kupfuura yekuvhiya kwekare (iyo ingadai yakaitwa mukutanga 1 kana 2), asi zvakakosha kuyeuka kuti mamwe marwadzo ekuvhiya anofanira kutarisirwa. Sezvo kudzoka kuchienderera mberi, kurwadziwa kunofanira kuderera. Kana iwe uine kurwadziwa patsva kana kurwadziwa kwakanyanya, zvisinei, taura nechiremba wako kuti aone kuti hauna matambudziko ose.