So oduruyɛfo aka ‘ileostomy’ oprehyɛn ho asɛm akyerɛ wo anaa obi a wunim no pɛn? Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra na woanya nsɛmmisa pii bere a wote din no. "Oprehyɛn bɛn na eyi yɛ?", "Dɛn nti na ɛsɛ sɛ meyɛ eyi?", "M'asetra bɛyɛ dɛn wɔ oprehyɛn no akyi?" Ebia nneɛma a ɛtete saa retu mmirika wɔ w’adwene mu. Mma ɛnhaw wo, ɛyɛ ade a ɛfata. Ɛnnɛ, yɛbɛka oprehyɛn a wɔfrɛ no ileostomy yi ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw yiye a wubetumi ate ase so.
Sɛ yɛbɛka no tiawa a, dɛn ne Ileostomy?
Ileostomy yɛ oprehyɛn a ɛsakra ɔkwan a wo nipadua fa so fa nsu mu. Fa w’adidi nhyehyɛe no sɛ nsu paipu. Ɛtɔ da bi a, nhyehyɛe yi fã bi, titiriw akyi berɛmo no, gyae adwumayɛ yiye esiane yare anaa nneɛma afoforo nti. Ɛno na nnuruyɛfo si gyinae sɛ wɔbɛyɛ oprehyɛn yi.
Wɔ saa adeyɛ yi mu no, oduruyɛfo a ɔyɛ oprehyɛn fa honam ani hwɛbea no mu bue ketewaa bi wɔ wo yafunu mu a wɔfrɛ no stoma . Afei wo dwensɔtwaa ketewaa no awiei a wɔfrɛ no ileum , no bata stoma a wɔabɔ no foforo no ho.
Dɛn na ɛba mprempren? Sɛ́ anka nwura a efi aduan a wudi mu ba no bɛkɔ dwensɔtwaa kɛse no mu na afi akyi berɛmo no mu no, efi nipadua no mu tẽẽ fa stoma a ɛwɔ dwensɔtwaa ketewa no mu no mu. Wɔde kotoku titiriw (ostomy bag) a wɔde abata stoma no ho na ɛboaboa nneɛma a wɔde gu mu no ano.
Nea ɛho hia ne sɛ oprehyɛn yi betumi ayɛ bere tiaa mu anaasɛ daa , a egyina wo tebea no so. Wubetumi nso ne wo duruyɛfo akasa akyerɛ sɛ ebia sɛ wo dwensɔtwaa no sa akyiri yi a, wobetumi asan oprehyɛn yi anaa.
Dɛn ne ileostomy oprehyɛn ahorow atitiriw?
Ileostomy oprehyɛn ahorow atitiriw abien na ɛwɔ hɔ. Sɛ wopɛ sɛ wote nsonsonoe a ɛda abien no ntam ase a, hwɛ pon a ɛwɔ ase hɔ no.
| Oprehyɛn ko a wɔyɛ | Ɔkwan a wɔfa so yɛ ne sɛnea wɔyɛ |
|---|---|
| Loop Ileostomy a Wɔde Yɛ Nneɛma | Eyi taa yɛ bere tiaa mu de.. Ɛha yi, oduruyɛfo no yi dwensɔtwaa ketewaa no fã bi a ɛte sɛ ahama fi ɔkwan a wɔabue wɔ yafunu no mu no mu, bue n’afã biako, na ɔyɛ stoma no. Eyi ntwa abusuabɔ a ɛda dwensɔtwaa ketewa ne dwensɔtwaa kɛse no ntam no mu koraa. |
| Ileostomy a Wɔde Yɛ Awiei | Eyi taa yɛ nea ɛtra hɔ daa . Ɛha yi, dwensɔtwaa ketewa no fi dwensɔtwaa kɛse no ho koraa, na wɔde dwensɔtwaa ketewa no awiei pɛɛ na ɛbɔ stoma no. Wɔde saa kwan yi di dwuma wɔ nsɛm a woyi dwensɔtwaa kɛse no nyinaa mu. |
Dɛn nti na ebehia sɛ wɔyɛ obi ileostomy?
Sɛ wowɔ tebea bi a ɛmma wuntumi mfa wo dwensɔtwaa kɛse (colon) anaa wo dwensɔtwaa ketewaa no fã a etwa to (ileum) nni dwuma a, ebia ebehia sɛ wɔyɛ ileostomy. Ɛtɔ mmere bi a wɔyɛ eyi sɛ oprehyɛn kɛse bi fã. Nneɛma atitiriw a enti ɛte saa no bi ni:
- Bowel obstruction: Ɛyɛ akisiw wɔ baabi wɔ dwensɔtwaa no mu.
- Bowel perforation: Tokuru a ɛwɔ dwensɔtwaa no fasu mu.
- Kokoram a ɛwɔ akyi berɛmo mu.
- Diverticulitis: Ɔyare mmoawa a ɛwɔ akyi berɛmo mu.
- Awosu mu polyposis syndromes bi: Sɛ nhwɛso no, tebea horow te sɛ FAP ne JPS.
- Nyarewa a ɛma obi ho hyehye no: Eyi ho nhwɛso a eye sen biara ne Ulcerative colitis ne Crohn yare .
Ɛtɔ mmere bi a wɔyɛ oprehyɛn yi na ama wo dwensɔtwaa no ahome bere tiaa bi na ama ayɛ yiye. Nanso, sɛ ɛho hia sɛ woyi wo dwensɔtwaa no fã bi anaa ne nyinaa a, ebia ebehia sɛ wɔyɛ wo ileostomy daa.
Dɛn na ɛba ansa na wɔreyɛ oprehyɛn no ne bere a wɔreyɛ no oprehyɛn no?
Ahosiesie a wɔresiesie ama oprehyɛn
Ansa na wobɛyɛ oprehyɛn no, ɛho behia sɛ woyɛ wo dwensɔtwaa ho nhyehyɛe. Wo duruyɛfo bɛma wo akwankyerɛ pɔtee a ɛfa nea ɛsɛ sɛ woyɛ ne nsu a ɛsɛ sɛ wonom ho. Ɛho behia nso sɛ woto w’aduan ne wo anonne ano hye nna kakraa bi ansa na wɔayɛ wo oprehyɛn.
Sɛnea wɔyɛ oprehyɛn no
Wɔyɛ oprehyɛn yi wɔ general anesthesia , a ɛkyerɛ sɛ worente biribiara nka. Oduruyɛfo no bɛtwa wo yafunu mu, ahu wo dwensɔtwaa ketewaa no fã a ɛka no, na wabɔ stoma no sɛnea yɛadi kan aka ho asɛm no. Wobetumi afa akwan abien so ayɛ oprehyɛn yi:
1. Oprehyɛn a wɔabue ano (Laparotomy): Oprehyɛn a wɔyɛ denam yafunu no mu ntwitwiridii tenten biako so.
2. Minimally invasive surgery / Laparoscopic surgery: Oprehyɛn a wɔyɛ no denam yafunu no mu ntwitwiridii nketenkete kakraa bi pɛ so na wɔde mfoninitwa afiri boa.
Oduruyɛfo no bedi kan akyerɛkyerɛ oprehyɛn ko a wɔbɛyɛ wo mu.
Ileostomy a Wɔde Yɛ Ahosan ne Asetra
Sɛ wɔyɛ oprehyɛn no wie a, ɛsɛ sɛ wotra ayaresabea hɔ nna kakraa bi. Saa bere yi mu no, ɔyarehwɛfo a wɔatete no titiriw (ostomy ɔyarehwɛfo) bɛboa wo kɛse. Wɔbɛkyerɛ wo sɛnea wobɛma wo stoma ho atew, sɛnea wobɛsesa wo bag, ne sɛnea wobɛtra ase sɛnea ɛsɛ.
Bere tenten ahe na egye ansa na asa?
Esiane sɛ eyi yɛ oprehyɛn kɛse nti, ebetumi agye bɛyɛ adapɛn 6 kosi 8 ansa na ne ho atɔ no koraa. Wɔ oprehyɛn akyi nna a edi kan no, nea ebehia sɛ wudi nsu ne nnuan a ɛyɛ mmerɛw nkutoo . Wo duruyɛfo betu wo fo wɔ sɛnea wode nkakrankakra bɛsan akɔ adidi a ɛfata so. Ebia ɛho behia sɛ nnipa binom yɛ nsakrae daa wɔ wɔn aduan mu.
Wobɛyɛ dɛn afa ileostomy akɔ nsu mu?
Seesei wo nsuo no mfa wo akyi berɛmo mu mfi adi. Mmom no, ɛfa stoma a ɛwɔ wo yafunu mu no mu ba kotoku no mu tẽẽ. Worentumi nni eyi so . Ɛno kyerɛ sɛ worente nka sɛ ɛho nhia sɛ wokɔ. Nanso wo peeing no rensakra. Ɛbɛkɔ so asi sɛnea ɛte daa.
So oprehyɛn yi bɛka me nkwa nna?
Ɛnyɛ saa koraa. Ileostomy a wobɛyɛ no nka wo nkwa nna wɔ ɔkwan biara so. Nokwarem no, wɔyɛ oprehyɛn yi sɛ tebea horow a ebetumi ayɛ asiane kɛse ho ayaresa. Enti, ɛnyɛ sɛ ɛma w’asetra tu mpɔn nko, na mmom ɛtɔ mmere bi mpo a egye wo nkwa .
Bere a ɛsɛ sɛ wohwehwɛ aduruyɛ mu afotu
Ɛho hia yiye sɛ wobɛbɔ wo duruyɛfo amanneɛ ntɛm ara sɛ wuhyia ɔhaw biara wɔ wo oprehyɛn no akyi a. Hu sɛnkyerɛnne ahorow a ɛwɔ ase ha no yiye titiriw.
| Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, frɛ wo duruyɛfo ntɛm ara. | |
|---|---|
| Hua bɔne | Sɛ hua bi a ɛnyɛ dɛ na ɛyɛ fĩ fi stoma anaa mmeae a atwa ho ahyia no mu ba a. |
| Kuru anaa mogya a ɛretu | Sɛ baabi a atwa stoma no ho ahyia no yɛ yaw, ɛyɛ yaw, anaasɛ mogya retu a. |
| Ɔfe ne ɛyaw a ɛba | Sɛ wo yafunu mu yɛ wo yaw bere nyinaa, wo ho yɛ wo yaw, anaasɛ wofe a. |
| Nneɛma a wontumi nhyɛ wɔn ho so | Sɛ nsu ankɔ kotoku no mu bɛboro nnɔnhwerew 6 a. Ebia eyi yɛ sɛnkyerɛnne a ɛkyerɛ sɛ dwensɔtwaa no asiw. Kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo ntɛm ara. |
Ileostomy, sɛ ɛyɛ bere tiaa mu de mpo a, ɛyɛ osuahu a ɛsakra asetra. Ɛyɛ ade a ɛfata sɛ wubegye bere kakra de ayɛ nsakrae wɔ suban foforo mu. Ebia wobɛte nka sɛ woayɛ ankonam na wo ho nyɛ wo dɛ. Nya wo ho abotare. Wo ne w’abusua, w’adamfo a wowɔ mu ahotoso, ne sɛ ɛho hia a, wo ne ɔfotufo nka wo nkate ho asɛm. Wo duruyɛfo ne ayarehwɛfo adwumayɛfo ayɛ krado sɛ wɔbɛboa wo bere nyinaa. Enti nsuro sɛ wubebisa nsɛm biara.
Nkrasɛm a Wɔde Kɔ Fie
- Ileostomy yɛ oprehyɛn a wɔyɛ de sesa ɔkwan a nsu fa so fi nipadua no mu. Wɔnam ɔkwan bi a wɔabue a wɔfrɛ no stoma a wɔbɔ wɔ yafunu no honam ani so na ɛyɛ eyi.
- Wɔyɛ oprehyɛn yi sɛ ayaresa a wɔde sa tebea horow a emu yɛ den te sɛ kokoram a ɛwɔ akyi berɛmo mu, ɔyare mmoawa a emu yɛ den, ne akwanside ahorow.
- Eyi betumi ayɛ bere tiaa mu de anaasɛ ɛbɛtra hɔ daa, na ɛtaa yɛ oprehyɛn a egye nkwa na ɛma asetra tu mpɔn.
- Aduruyɛfo no bɛkyerɛ wo kwan wɔ sɛnea wobɛhwɛ wo stoma ne wo kotoku bere a wɔayɛ oprehyɛn akyi no ho.
- Sɛ wuhu kɔkɔbɔ nsɛnkyerɛnne te sɛ yafunu mu yaw, ɔfe, anaasɛ woankɔ wo dwensɔtwaa mu nnɔnhwerew pii a, kɔ wo duruyɛfo nkyɛn ntɛm ara.
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