I-J-Pouch Yakho Iyodinga Ukunakekelwa Okukhethekile Emasontweni Okuqala Nenyanga Emva kokuthatha
Ukuhlinzwa okwenziwa nge- J-pouch okwenziwe ekwelapheni i-ulcerative colitis kungaletha ukuqasha okusha ekuphileni. Ibuye ibuze imibuzo eminingi mayelana nendlela yokubhekana ne-ins kanye nokuphuma kokuphila ngaphandle kwekoloni futhi nokuba nomathunjana omncane okubuyiselwa kabusha futhi uxhumeke ku-rectum. Lapha uzothola amathiphu wokuthi ungayenza kanjani lawo maviki okuqala emva kokuhlinzwa okwenziwe yi- j-poch ukukhishwa kalula, nokuthi indlela yokudla kwakho ingathinta kanjani isikhwama sakho.
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Gcina Ukudla Kwakho KululaEzinyangeni zokuqala emva kokuhlinzwa kwe-j-pouch, intombazane yakho encane ilungisa futhi ifunde ukwenza umsebenzi obhekene nomathumbu wakho omkhulu. Ngenkathi lokho kuqhubeka, isitokisi sakho cishe sinomthelela kakhulu. Ukugcina ukudla kwakho ekudleni okulula kuyasiza ngezizathu eziningana. Okokuqala ukuthi uma ugwema amafutha, izinongo, ne-carbonation, kungagcina usizo ukugcina isitokisi sakho singakubangela ubuhlungu obuningi nokushisa njengoba udlula.
Okwesibili yilokho ngenkathi ufunda ukuthi yikuphi ukudla okuwusizo (nangaphansi kokusizakala) ekulawuleni isikhwama sakho, kungcono ukunamathela ekudleni okhululekile, futhi wengeze ukudla okusha noma ukudla okungenzeka kube yinkinga ngesikhathi esisodwa. Ngale ndlela, ungenza kube lula ukubona noma yikuphi ukudla okubangelwa ukungahambi kahle.
Owesithathu wukuthi abantu abane-j-pouch ukuhlinzwa bayengozi enkulu yokuthuthukisa isithintelo esincane samathumbu . Ukugwema ukudla okunjengembewu, amantongomane, i-popcorn, nokudla okunamafutha kakhulu kungaba yindlela engcono kakhulu yokusebenza. Uma unemibuzo mayelana nokudla kwakho, khuluma nodokotela wakho ohlinzayo, i-gastroenterologist yakho, noma u-dietician wakho.
Umthombo:
MacLean AR, Cohen A, MacRae HM, et al. Ukwakhiwa Kokuvimbela Amathumba Amancane Emva Kwesikhumba Esibukhali-I-Anal Anastomosis. Ann Surg . Feb 2002; 235 (2): 200-206. 10 Novemba 2014.
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Gwema ukusulaEkuqaleni, izitokisi zakho ziyoba acidic futhi zivame. Okuhlangenwe nakho komuntu wonke kuhlukile, kodwa ezimweni eziningi, abantu abane-j-isikhwama esisha bayoba nesikhumba esicasulayo nxazonke ze- anus ekudluliseni izihlalo eziningi ezivulekile. Ukusula kungacasula indawo leyo. Okukhethwa kukho ukuhlanza ukusebenzisa amanzi, okungenziwa ngenye yezindlela ezimbalwa ezahlukene. Ukuba nesindlu yangasese ye-bidet noma isihlalo sendlu yangasese ye-bidet singasiza kakhulu kubantu abane-j-poch, kokubili ezinsukwini zokuqala lapho isikhwama esisha, futhi njengoba nje isikhathi siqhubeka. Kungaba imali yokutshalwa kwemali, kodwa yilapho ezokhokha izinzuzo isikhathi eside.
Enye indlela ukusebenzisa ibhavu noma ishawa - kungaba nesinamathiseli sokugeza noma ngisho nje uhlezi ngamasentimitha ambalwa emanzini. Inketho ephathekayo iwukuba usebenzise ibhodlela lokucwenga ngebhozi : ligcwalise ngamanzi afudumele bese ulisebenzisa ukuze ugweme phansi.
Uma kufanele usule, usebenzisa ama-wet wipe, iphepha lezindlu zangasese elimanzi, noma ngisho indwangu emanzi iyosebenza ngendlela ephumelelayo futhi ibe nekhanda esikhumbeni kunephepha nje elomile.
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Ukuphumula phansi Izitoli EzikhululekileEsigumbini sokuqala siyobe sesilahlekile, nakuba kufanele sikhuphuke ngokuhamba kwesikhathi njengoba intombazane yakho encane iqala ukuthola amanzi amaningi futhi njengoba uhlehlisa ukudla kwakho. Odokotela abaningi abahlinzayo bahlinzekela noma bancoma imithi ehlukahlukene yokunciphisa uhudo . Kungenzeka noma ungawudingi, futhi kungase kudingeke futhi usebenzise esinye isilingo nesiphambeko ukuze uthole umthamo osebenza kahle kakhulu. Xoxa nodokotela wakho ohlinzayo mayelana nanoma yimiphi imiromo noma imishanguzo yokulwa nesifo sohudo ukuqinisekisa ukuthi uyayithatha kahle. Uma umuthi wakho wokugoma olwa nesifo sohudo uqukethe i-opiate (njenge-loperamide hydrochloride, kungase kudingeke ubone ukuthi kukuthinta kanjani ngaphambi kokushayela noma ukuya emsebenzini.
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Thola Imisebenzi Emuva Kancane kancaneNgenkathi abanye abantu benokuhlinzwa ngokucophelela kwe-j-poch, abanye bahlinzwa lapho sebevele begula kakhulu nge-ulcerative colitis. Abantu abaningi baqala ukuzizwa beba ngcono kangcono ngemuva kwe-colectomy, futhi kuyaqondakala ukuthi kukhona isifiso sokuphelelwa yisikhathi nokwenziwa ngayo yonke inqubo yokuhlinzwa nokuqhubeka nebhizinisi lokuphila. Kwabanye, kungaba ukuqasha okusha empilweni, futhi izinto ezingenakwenzeka ngaphambili zingakuthola manje, njengokuhamba, izenzakalo zenhlalo, isikole noma umsebenzi. Kodwa-ke, kungcono ukuxoxa ngendlela yakho yokuphila nodokotela wakho ohlinzayo, ongakuleka lapho ungenza imisebenzi ethile.
Ukushayela, ukwenza ucansi, ukuzivocavoca, nokubuyela esimweni esivamile sokuhlinzwa njalo nsuku zonke kuyimibuto yokubuza ithimba lakho lezokwelapha. (Zama ukungakhathazeki ngokuhlazeka - khumbula odokotela bakho bakuzwile konke ngaphambili, futhi bazokwazi ukuphendula imibuzo yakho ngokusekelwe ekuhlangenwe nakho kwabo). Ngokuvamile, noma kunjalo, kuzoba amasonto ambalwa ezinyangeni ezimbalwa ngaphambi kokuba kunconywe imisebenzi eminingi evamile, kuye ngokuthi yikuphi okuhlinzekwa ngokuhlinzwa kwakho nokuthi ubukhona kanjani ngaphambi kokuhlinzwa. Ukuthatha isikhathi sakho ngokuphulukisa, kanti mhlawumbe ukukhungatheka ngezikhathi ezithile, kuyindlela enhle yokuqinisekisa impilo eqhubekayo yesikhwama sakho.
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Ubuhlungu obuhlukile buyinto evamileI-J-pouch ukuhlinzwa ngokuzithandela, kuyilapho ngokuvamile engavumelani kakhulu kunokudalwa kwe-j-poch kanye ne-colectomy, kuseyi-operation. Isikhathi sokuhlala esibhedlela kanye nesikhathi sokuphumula sivame ukusheshisa kunokuhlinzwa kwangaphambilini (okungenzeka kwenziwe ngo-1 isinyathelo noma ku-2), kodwa kubalulekile ukukhumbula ukuthi ubuhlungu obuningi bokuhlinzwa bukulindeleke. Njengoba ukuphola kuqhubeka, ubuhlungu kufanele bufinyelele. Uma uzwa ubuhlungu obusha noma ubuhlungu obunzima, noma kunjalo, xhumana nodokotela wakho ohlinzayo ukuqinisekisa ukuthi awunaso noma yiziphi izinkinga.