I K-Pouch (Continent Ileostomy) hi engtin nge uluk taka enkawl ang?

K-pouch hmanga operation i neih tawh chuan nitin i hmachhawn dan tur chu i hlauthawng deuh a, i chiang lo mai thei bawk. Chu chu thil pangngai tak a ni. Mahse, dik taka hriattir i nih chuan enkawl chu chutiang chuan a harsa lo. Chuvangin vawiinah hian K-pouch chu eng nge a nih leh a enkawl dan tur dik tak kan sawi dawn nia.

A awlsam zawngin, K-Pouch chu eng nge ni?

K-pouch, a nih loh leh continent ileostomy , chu i rilru natna hmun hnuhnung ber, ileum , chu i pum vun nen a thlunzawm a ni. Surgeon-te chuan hetiang hian an ti a, i taksain bawlhhlawh a tihbo theih loh laiin bawlhhlawh a pass out theihna tur kawng siam nan an ti thin.

K-pouch hi ileostomy chi dang aiin a danglam bikna chu surgeon chuan valve bik a siam vang a ni . He valve hian bawlhhlawh a chhuah loh nan a veng a ni. Chu ai chuan pouch kha i hlip a ngaih hunah chuan catheter an tih tube i dah lut thei a, chu chu i hlip thei a ni.

Ngaihtuah teh, he bag chhungah hian tui leh ei tur digested a awm khawm chuan a chhunga pressure a sang chho zel a ni. He pressure hi chhuah loh chuan bag chu a chhe thei a, a puncture thei a, a nih loh leh valve chu a slip thei a, bawlhhlawh a chhuak thei bawk. Chuvang chuan a hun taka drain a pawimawh em em a ni.

He pouch hi engzat nge ka hlip a ngai?

Hei hi empty tam dan hi mi hrang hrangah a inang lo thei a, mahse kaihhruaina tlangpui thenkhat a awm thung.

Operation i neih zawh nghal chuan i doctor chuan indwelling catheter , bawlhhlawh paih chhuahna tur tube a dah ang. He tube hi kar 3-4 vel a hmunah dah a ngai dawn a, chu chuan pouch siam thar chu a puitlin theih nan, a chak zawk dawn tihna a ni. Chumi hnuah chuan ni khatah vawi eng emaw zat pouch chu i hlip thei tawh ang. Hun a kal zel a, empty tamna chu a tlahniam zauh zauh ang.

Hemi chungchangah hian i doctor, surgeon, emaw enterostomal therapist (ET nurse ) emaw nen inbia ang che. I surgery hmain he nurse hi i hmu tawh ngei ang. I stoma leh pouch enkawl dan tur an hriat nawn tir ang che.

K-Pouch atanga drain dan dik tak

Bag thar kar 3-4 hmasa berah chuan tui chhuah reng hi a tha ber. Hetih lai hian catheter tube a lo chhuak palh a nih chuan lungngai suh. Heng step awlsam tak takte hi zawmin nangmah ngeiin i dah leh thei ang:

• I pum ruh te chu tlem han ti hahdam rawh.Hetih lai hian khup pakhat ben hian a pui thei ang.
• Catheter chu tuiah a inthiar theih lubricant hmangin relubricate leh rawh. Petroleum jelly awmna thil, Vaseline ang chi hmang suh.
• Catheter chu a hmaa chhinchhiah tawh level-ah dah leh rawh. Hei hi thil harsa i tih chuan tlem tal chawlh hahdam la, dinhmun thlak la, tum leh rawh.

Hemi hun hmasa chhung hian ni khatah vawi tam tak catheter hi i irrigate tur a ni a, tap tui pangngai ounce khat (30ml) vel hmangin bawlhhlawh paih chhuah tur a ni.

Heng thil tih zawh hnua bawlhhlawh a chhuah loh chuan ei tur chi hrang hrang ang chi thil a lo awm thei a ni. Chutih hunah chuan catheter chu la chhuakin, tap tui hmangin uluk takin silfai la, dah leh rawh.

Kar 3-4 hnuah

Kar hmasa 3-4 hnuah chuan ek chhuah chhunzawm zel i chawlhsan thei a, ni khatah vawi tam tak i ril i khar tan thei bawk. He inthlak danglamna hi a tlangpuiin operation hnua doctor i tlawh hmasak ber hnuah a ni.

• Nitin darkar 2 danah bag chu empty la, i harh lai hian.
• Zana i mut hma leh zing i thawh hunah i bag kha khar rawh.
• Mut hma darkar 2 chhungin eng thil pawh ei leh in loh tur.
• Zan lamah chuan bawlhhlawh paih chhunzawm zel turin catheter chu a hmunah i dah thei bawk. A nih loh leh alarm i set thei a, i tiharh thei a, i empty thei bawk.

Kar engemaw zat hnuah chuan pouch khar inkar hun chu zawi zawiin i tipung thei ang. Thla 3 vel operation hnuah chuan khapna bik a awm lo tlangpui. Ni khatah vawi 4-6 vel pouch kha i hlip a ngai ang a, ni khatah vawi hnih vel tui i pe bawk ang. Mahse, i khat emaw, i khat emaw i hriat apiangin pouch chu khar vek tur a ni tih hre reng ang che. Exercise neih hma leh mut hmaa hetiang tih hi a pawimawh hle.

Catheter leh vun hi engtin nge kan enkawl ang?

Catheter chhehvel vun hi fai leh him taka vawn reng a pawimawh a, chubakah catheter chu a block loh nan leh bawlhhlawh a chhuak tha em tih enfiah a pawimawh bawk.

Step-by-step-a tih tur a ni

1. Kut sil : A hmasa berin i kut chu sahbawn leh tui lum hmangin uluk takin silfai la, towel fai tak hmangin vawt rawh.

2. Catheter tui pek: Hliam (stoma) chunga dressing chu la chhuakin paih rawh. Catheter chu bawlhhlawh paihna bag atanga then la, catheter chhunga thil awm chu sink chhungah empty rawh.

3. Tui la: Bulb syringe chhungah tui ounce khat (30ml) vel la la. A awlsam zawk nan syringe-a level chu permanent marker emaw nail polish emaw hmangin chhinchhiah rawh .

4. Tui inject: Syringe atanga tui chu zawi zawiin catheter chhungah hrual la.

5. Bawlhhlawh paih: Syringe i hrual lai hian a kut lehlamah catheter chu hrual la, syringe chu la chhuak rawh. Tichuan catheter chu thlah la, drain chu hawng la, bawlhhlawh chu basin chhungah a chhuah tir ang. Catheter atanga tui chu syringe chhungah hruai kir leh ngai suh.

. Tui a lut lo va, a chhuak lo a nih chuan catheter chu la chhuakin, uluk takin silfai la, dah leh rawh.

7. Skin cleansing: Bawlhhlawh luang chhuak a reh hnuah catheter chu bag-ah connect leh rawh. Hliam (stoma) leh a chhehvel vun chu uluk takin silfai thin ang che. Sahbawn hriak tel lo leh tui lum hmang la. Silfai tha la, pat dry la, towel nem tak hmangin pat dry rawh.

8. Dressing hnawih: Hliam vel leh a chungah split gauze dressing layer hnih dah la, a tul chuan tape hmangin secure rawh.

9. A tawp bera tihfai:Thil tul lo zawng zawng paih chhuakin, sink leh syringe chu sahbawn hmangin uluk takin silfai la, vawt turin dah rawh. A tawp berah chuan i kut chu uluk takin sil leh rawh.

Tips pawimawh dang thenkhat

• Bawlhhlawh a chhuak tha em tih hriat nan catheter hi enfiah fo thin ang che. Ni khatah vawi hnih tui pe la, i doctor emaw nurse emaw thupek angin tui pe bawk ang che.
• Nitin i stoma kha check thin ang che. A eng, a hnim, leh a sen angin a lang tur a ni. A lan danah danglamna i hmuh chuan doctor hnenah hrilh nghal rawh.
• I ek chu a thim a, catheter kaltlangin a kal slow tih i hriat chuan tui, thei tui , a nih loh leh tui dang i in tam a ngai mai thei. Ni khatah tui glass 10-12 vel in tum ang che.

K-Pouch, Continent Ileostomy, ileostomy enkawl, stoma, catheter, surgery, bowel, ostomy enkawl Sinhala, K-Pouch enkawl