Momma yensua Proctocolectomy oprehyɛn ho ade wɔ nsɛm a ɛnyɛ den mu? (Proctocolectomy) a wɔde twaa nipadua no mu .

Ebia oduruyɛfo bi aka akyerɛ wo anaa obi a wunim no sɛ ɛsɛ sɛ wɔyɛ oprehyɛn a wɔfrɛ no ‘proctocolectomy’. Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne ehu kakra nka bere a wote asɛmfua yi no. Ebia wowɔ nsɛmmisa pii wɔ wo tirim, te sɛ "Dɛn ne oprehyɛn yi? Dɛn nti na mihia eyi? M'asetra bɛyɛ dɛn wɔ eyi akyi?" Nha wo ho. Momma yɛnka eyinom nyinaa ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw yiye so, anammɔn biara, sɛnea wo ne w’adamfo bi bɛkasa no.

Sɛ yɛbɛka no tiawa a, dɛn ne Proctocolectomy?

Proctocolectomy yɛ oprehyɛn a woyi wo dwensɔtwaa kɛse (colon) ne wo dwensɔtwaa no fã bi anaa ne nyinaa.

Afei momma yɛnkyerɛkyerɛ eyi mu kakra. Yɛn aduan a yɛde di dwuma no wɔ ɔfã bi a wɔfrɛ no dwensɔtwaa kɛse. Ɛwɔ afã abiɛsa: akyi berɛmo, akyi berɛmo, ne akyi berɛmo. Fa no sɛ ɛyɛ afiri tenten bi.

• Colon: Eyi ne saa tube yi fã kɛse sen biara. Ɛha na nwura a aka bere a yɛayɛ aduan a yedi no awie no twetwe na ɛdan ade a ɛyɛ den, a wɔfrɛ no nsu a ɛyɛ den.
• Rectum: Eyi ne dwensɔtwaa kɛse no fã tiaa a ɛkora nsu mu bere tiaa bi ansa na afi nipadua no mu.
• Anus: Eyi ne ɔkwan a nsu fa mu fi nipadua no mu.

Wɔ proctocolectomy oprehyɛn mu no, "procto" kyerɛ akyi berɛmo na "colectomy" kyerɛ sɛ woyi akyi berɛmo no fi hɔ. Enti , proctocolectomy yɛ oprehyɛn a woyi akyi berɛmo ne akyi berɛmo nyinaa. Ɛtɔ da bi a, sɛ woyi akyi berɛmo no nkutoo a, wɔfrɛ no colectomy. Sɛ woyi akyi berɛmo no nkutoo a, wɔfrɛ no proctectomy. So wote nsonsonoe a ɛwɔ mu no ase?

Dɛn nti na ɛsɛ sɛ wɔyɛ wo oprehyɛn a ɛte sɛɛ?

Sɛ ntease a emu yɛ den bi wɔ hɔ a, nkutoo na nnuruyɛfo kamfo kyerɛ sɛ wɔnyɛ oprehyɛn kɛse te sɛ eyi. Wɔtaa yɛ oprehyɛn yi sɛ tebea bi a ɛwɔ akyi berɛmo anaa akyi berɛmo mu mma akyi berɛmo anaa akyi berɛmo no ntumi nyɛ adwuma yiye, anaasɛ sɛ tebea no de nkwa to asiane mu a.

Nneɛma atitiriw a enti ɛte saa no bi ni:

• Inflammatory Bowel Diseases (IBD): Eyinom yɛ tebea horow a ɛma ɔfe ne akuru a ɛtra hɔ kyɛ ba dwensɔtwaa mu. Ulcerative Colitis ne Crohn Yare ne nhwɛso atitiriw. Ɛsɛ sɛ woyi nnipa binom dwensɔtwaa afã horow a yare no fi hɔ bere a wontumi mfa nnuru nni dwuma no.
• Kokoram a ɛwɔ akyi berɛmo mu ne tebea horow a edi kokoram anim: Sɛ kokoram nkwammoaa nyin wɔ akyi berɛmo anaa akyi berɛmo mu, anaasɛ sɛ polyps a ebetumi abɛyɛ kokoram no ba (tebea horow te sɛ Familial Adenomatous Polyposis ), ayaresa a eye sen biara ne sɛ wobeyi mmeae a yare no wɔ no afi hɔ koraa.
• Nneɛma afoforo nti:
• Ischemia ba bere a mogya a ɛkɔ dwensɔtwaa no mu no yera na ntini ahorow wuwu no.
• Diverticulitis tebea horow a ɛyɛ den.
• Opira a ɛyɛ hu a ɛba dwensɔtwaa no mu esiane akwanhyia a emu yɛ den nti.
• Akisikuru a emu yɛ den a wontumi mfa nnuru nsa.

Woyɛ dɛn fa nsu mu bere a wɔayɛ wo oprehyɛn awie no?

Eyi ne asɛmmisa kɛse a ɛwɔ obiara adwene mu. Sɛ woyi akyi berɛmo ne akyi berɛmo no nyinaa fi hɔ wie a, ɔkwan a ɛfata a nsuo fa so fi mu no nni hɔ bio. Ɛnde woyɛ dɛn de wo ho gu wo ho?

Eyi ho mmuae gyina proctocolectomy ko a woreyɛ so. Wo duruyɛfo begyina w’ayaresa tebea ne nea enti a wɔyɛɛ wo oprehyɛn no so akyerɛ oprehyɛn ko a eye ma wo. Momma yɛnhwɛ ahorow no.

Dɛn ne proctocolectomy oprehyɛn ahorow?

Akwan pii wɔ hɔ a wɔfa so yɛ oprehyɛn yi. Wo duruyɛfo bɛpaw ɔkwan a eye ma wo.

Dɛn na ɛsɛ sɛ woyɛ ansa na woayɛ wo oprehyɛn?

Sɛ ɛnyɛ oprehyɛn a wɔyɛ no ntɛm a, wubenya bere pii de asiesie wo ho.

• Adapɛn kakraa bi ansa na woadi kan: Wo ne wo duruyɛfo nkasa mfa oprehyɛn no, ne ahorow, asiane ahorow, ne mfaso a ɛwɔ so ho asɛm. Bisa nsɛm biara a wowɔ.
• Adapɛn abien ansa na ɛno reba: Sɛ worenom nnuru a ɛma mogya tu a, wo duruyɛfo bɛtu wo fo sɛ gyae anaa brɛ ase. Afei nso, bɔ mmɔden sɛ wobɛma wo dwensɔtwaa ayɛ yiye denam fiber pii a wubedi ne nsu pii a wobɛnom wɔ saa bere yi mu no so.
• Nnɔnhwerew 24 ansa na: Da a edi oprehyɛn no anim no, wɔbɛma wo dwensɔtwaa ahosiesie na ama wo dwensɔtwaa ho atew koraa. Saa da no nkutoo na wɔbɛma wo kwan ma woanom nsu a emu da hɔ te sɛ nsu ne soup. Ebia wɔbɛma wo nnuru a ekum ɔyare mmoawa nso de asiw ɔyare mmoawa ano bere a wɔayɛ wo oprehyɛn awie no.

Dɛn na ɛba bere a wɔreyɛ oprehyɛn no?

Sɛ wokɔ ayaresabea a, wɔde wo bɛhyɛ oprehyɛn atade. Wɔde IV catheter bɛhyɛ wo ntini mu na wɔama wo saline ne nnuru biara a ɛho hia. Afei wɔde wo bɛkɔ oprehyɛn dan mu.

Oduruyɛfo a ɔma obi dwensɔ no de wo bɛhyɛ aduru a wɔde kum nipadua no nyinaa ase. Worente biribiara nka bere a wɔreyɛ oprehyɛn no. Wɔde wo bɛka afiri (ventilator) bi ho na aboa wo ma woahome.

Oprehyɛn a Wɔbue Mu? Oprehyɛn a Wɔde Laparoscopic Yɛ?

Mprempren, wɔde laparoscopic na ɛyɛ proctocolectomy oprehyɛn dodow no ara . Eyi kyerɛ sɛ sɛ́ anka wɔbɛyɛ oprehyɛn no kɛse wɔ yafunu no mu no, wɔfa ntokuru nketewa kakraa bi mu, a wɔde mfoninitwa afiri ne oprehyɛn nnwinnade nketewa paa fa mu. Saa kwan yi ma wo ho tɔ no ntɛmntɛm, ɛyaw kakraa bi, na akuru nketenkete. Nanso, saa kwan yi mfata obiara. Wɔ nsɛm a emu yɛ den anaa nea egye ntɛmpɛ mu no, ɛho hia sɛ wɔyɛ oprehyɛn a wɔabue ano wɔ amanne kwan so.

Bere a wɔreyɛ oprehyɛn no, oduruyɛfo a ɔyɛ oprehyɛn no de ahwɛyiye yi akyi berɛmo ne akyi berɛmo a yare no fi hɔ. Afei, sɛnea yɛadi kan aka ho asɛm no, wɔyɛ ileostomy/colostomy anaasɛ wɔsan de dwensɔtwaa no bata ho (anastomosis).

Dɛn na ɛba wɔ oprehyɛn no akyi?

Wɔ oprehyɛn no akyi no, ebehia sɛ wotra ayaresabea hɔ bɛyɛ dapɛn biako. Saa bere yi mu no, wɔde nkakrankakra bɛma woahu nnuan a ɛyɛ nsu na afei wɔde nkakrankakra ahu nnuan a ɛyɛ den.

Sɛ wowɔ ostomy (ileostomy/colostomy) a, Wound Ostomy Continence Nurse (WOCN) bɛboa wo. Wɔbɛkyerɛ wo biribiara a ɛsɛ sɛ wuhu fa ostomy bag no a wode bedi dwuma ne wo stoma (a ebue wɔ wo yafunu mu) a wobɛma ho atew ho. Ɛwom mpo sɛ ɛyɛ bere tiaa mu ostomy de, nanso ebegye asram pii ansa na mo ne wo duruyɛfo asusuw anammɔn a edi hɔ (a wobeyi afi mu anaasɛ kotoku a wɔde hyɛ mu) ho.

Asiane ne nsɛnnennen bɛn na ɛwɔ oprehyɛn yi mu?

Sɛnea ɛte wɔ oprehyɛn biara ho no, asiane ahorow bi wɔ mu, nanso eyinom ho yɛ na koraa.

Ɔkwan bɛn so na ɔhwɛ a wɔde ma wɔ oprehyɛn akyi wɔ oprehyɛn akyi?

Ebetumi agye asram pii ansa na asa koraa. Saa bere yi mu no, ɛho hia paa sɛ wudi wo duruyɛfo akwankyerɛ akyi yiye.

• Kuru ho hwɛ: Oduruyɛfo anaa ɔyarehwɛfo no bɛkyerɛ wo sɛnea wobɛhohoro kuru no na woasesa aduru a wɔde kyekyere kuru no.
• Ostomy hwɛ: Wubesua sɛnea wobɛma ostomy bag no mu ada mpan mpɛn pii da biara na woama were a atwa stoma no ho ahyia no ho atew.
• Aduan: Sɛ wufi ayaresabea ba fie a, fa nkakrankakra fa nnuan a ɛyɛ den ba. Sɛ́ anka wubedi aduan kɛse prɛko pɛ no, di kakraa bi mpɛn pii da biara. Chem w’aduan yiye.
• Nsu a Wɔde Ma: Eyi ho hia yiye. Esiane sɛ wɔayi wo dwonku no fã kɛse nti, wo nipadua no bɛtwe nsu kakraa bi. Enti ɛho hia sɛ wonom nsu ne nsu pii da mũ no nyinaa.

Bere a ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn

Sɛ wosan fi oprehyɛn mu ba fie a, sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi mu biara a , frɛ wo duruyɛfo ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo no Emergency Department (ETU).

• Nsɛnkyerɛnne a ɛkyerɛ sɛ dwensɔtwaa no asiw no bi ne akisikuru, yafunu mu yaw, ɔfe a ɛyɛ den, ne akisikuru.
• Tebea bi a ɛde ɔyare mmoawa ba ho sɛnkyerɛnne te sɛ yafunu mu yaw a emu yɛ den, ɔfe, akisikuru a ɛsen fi kuru no mu, ne atiridiinini.