Kua kōrerotia koe, tētahi atu rānei e mōhio ana koe, e te tākuta mō te pokanga 'ileostomy'? He mea noa te mataku me te maha o ngā pātai ina rongo koe i te ingoa. "He aha te momo pokanga tēnei?", "He aha ahau me mahi ai i tēnei?", "Me pēhea taku oranga i muri i te pokanga?" Kei te rere pea ngā mea pēnei i roto i tō hinengaro. Kaua e manukanuka, he mea noa. I tēnei rā, ka kōrero tātou mō tēnei pokanga e kiia nei ko te ileostomy i roto i tētahi huarahi tino māmā ka taea e koe te mārama.
He aha te tikanga o te ileostomy?
He pokanga te ileostomy e whakarerekē ana i te huarahi e tukuna ai te tūtae e tō tinana. Whakaarohia tō pūnaha nakunaku he paipa wai. I ētahi wā, ka mutu te mahi tika o tētahi wāhanga o tēnei pūnaha, inā koa te koroni, nā te mate, nā ētahi atu take rānei. Koinā te wā ka whakatau ai ngā tākuta ki te mahi i tēnei pokanga.
I tēnei tikanga, ka hangaia e te taote pokanga he kōhao iti i roto i tō puku, e kiia nei ko te stoma, mā roto i te kiri. Kātahi ka piri te pito o tō whekau iti, e kiia nei ko te ileum , ki te stoma hou kua hangaia.
He aha te mea ka tupu ināianei? Engari ko ngā para e puta mai ana i te kai e kainga ana e koe ka heke iho i te whekau nui ka puta atu i te nono, ka puta tika atu i te tinana mā te stoma i roto i te whekau iti. Ka whakamahia he putea motuhake (putea ostomy) e piri ana ki te stoma hei kohi i ngā para e puta mai ana.
Ko te mea nui, ka taea te mahi poto , te mahi tuturu rānei i tēnei pokanga, i runga i tō āhua. Ka taea hoki e koe te kōrero ki tō tākuta mō te āheinga ki te whakakore i tēnei pokanga mēnā ka ora tō koroni i muri mai.
He aha ngā momo matua o te pokanga ileostomy?
E rua ngā momo matua o te pokanga ileostomy. Hei mārama ki te rerekētanga i waenga i ngā mea e rua, tirohia te ripanga i raro nei.
| Momo pokanga | Te āhua me te āhua o te mahi |
|---|---|
| Ileostomy Porowhita | He wā rangitahi tēnei.I konei, ka tangohia e te tākuta tētahi wāhanga porowhita o te whekau iti i roto i te pūaha i hangaia i roto i te puku, ka whakatuwhera i tētahi taha, ka hanga te stoma. Kāore tēnei e motu katoa i te hononga i waenga i te whekau iti me te whekau nui. |
| Whakamutua te ileostomy | He mea pumau tonu tēnei i ētahi wā . I konei, ka wehea katoatia te whekau iti mai i te whekau nui, ā, ka hangaia te stoma mā te tango i te pito rawa o te whekau iti. Ka whakamahia tēnei tikanga mēnā ka tangohia te whekau nui katoa. |
He aha i hiahiatia ai he ileostomy mō tētahi?
Mena he mate tōu e kore ai koe e whakamahi i tō whekau nui (koroni) me te wāhanga whakamutunga o tō whekau iti (ileum), me tango pea he ileostomy. I ētahi wā ka mahia tēnei hei wāhanga o tētahi pokanga nui ake. Anei ētahi o ngā take matua:
- Te aukati i te puku: He aukati i tētahi wāhi o te puku.
- Te poka o te puku: He kōhao i te pakitara o te puku.
- Te mate pukupuku o te repeure.
- Diverticulitis: He mate pukupuku i roto i te koroni.
- Ko ētahi mate polyposis tuku iho: Hei tauira, ko ngā āhuatanga pēnei i te FAP me te JPS.
- Ngā mate puku mumura: Ko ngā tauira pai rawa atu o tēnei ko te mate puku ulcerative me te mate a Crohn .
I ētahi wā ka mahia tēnei pokanga hei whakawātea i tō puku mō te wā poto, kia ora ai. Heoi, ki te mea me tango tetahi wāhanga, te katoa rānei o tō koroni, me tango pea he ileostomy tuturu.
He aha ngā mea ka tupu i mua atu, ā, i te wā o te pokanga?
Te whakarite mō te pokanga
I mua i te pokanga, me whakarite tō puku. Ka hoatu e tō tākuta he tohutohu motuhake mō ngā mea hei mahi me ngā wai hei inu. Me whakawhāiti hoki e koe tō kai me tō inu mō ētahi rā i mua i te pokanga.
Te āhua o te mahi pokanga
Ka mahia tēnei pokanga i raro i te rongoā whakamoe whānui , arā, kāore koe e rongo i tetahi mea. Ka tapahia e te tākuta tō puku, ka kimi i te wāhanga o tō whekau iti e pāngia ana, ā, ka hangaia te stoma e ai ki te kōrero i mua ake nei. E rua ngā huarahi e taea ai tēnei pokanga:
1. Pokanga tuwhera (Laparotomy): Ka mahia te pokanga mā te tapahi roa kotahi i te puku.
2. Pokanga iti rawa te whakaekenga / Pokanga Laparoscopic: Ka mahia te pokanga mā roto i ētahi tapahi iti noa i te puku, me te āwhina o te kāmera.
Mā te tākuta e whakamārama i mua i te momo pokanga ka mahia ki a koe.
Te Whakaora me te Noho me te Ileostomy
I muri i te pokanga, me noho koe ki te hōhipera mō ētahi rā. I tēnei wā, ka āwhina nui mai tētahi nēhi whakangungu motuhake (nēhi ostomy) i a koe. Mā rātou koe e ako ki te pupuri i tō stoma kia ma, me pēhea te whakawhiti i tō pēke, me pēhea hoki te noho i te oranga noa.
Kia pēhea te roa o te wā e ora ai?
I te mea he pokanga nui tēnei, e ono ki te waru wiki pea te roa kia tino ora ai koe. I ngā rā tōmua i muri i te pokanga, me kai noa koe i ngā wai me ngā kai ngawari . Ma tō tākuta koe e tohutohu me pēhea te hoki mārire ki te kai noa. Tērā pea me huri tonu ētahi tāngata i ā rātou kai.
Me pēhea te tuku tūtae mā te ileostomy?
Kāore tō tūtae e puta mai i tō nono. Engari, ka puta tika mai ki roto i te pēke mā te stoma i roto i tō puku. Kāore e taea e koe te whakahaere i tēnei . Arā, kāore koe e hiahia ki te haere. Engari kāore tō mimi e rerekē. Ka haere tonu pērā i te tikanga.
Ka pāngia tōku roanga oranga e tēnei pokanga?
Kāore rawa. Kāore he pānga o te ileostomy ki tō oranga. Inaa, he maimoatanga tēnei pokanga mō ngā āhuatanga tino morearea. Nō reira, ehara i te mea ka whakapai ake i tō kounga o te oranga anake, engari i ētahi wā ka whakaora i tō oranga .
Āhea te rapu tohutohu hauora
He mea tino nui kia whakamōhio tonu atu koe ki tō tākuta mēnā ka pāngia koe e ētahi raruraru i muri i tō pokanga. Kia tūpato rawa koe ki ngā tohu i raro nei.
| Ki te pā mai ēnei tohu ki a koe, waea atu ki tō tākuta tonu atu. | |
|---|---|
| Kakara kino | Mena he kakara kino, he piro hoki e puta mai ana i te stoma, i te wāhi rānei e karapoti ana. |
| Te patunga, te toto rānei | Mena he mamae, he mamae, he toto rānei te rohe huri noa i te stoma. |
| Te ruaki me te mamae | Mena kei te mamae tonu tō puku, kei te whakapairuaki, kei te ruaki rānei. |
| Te kore e taea te pupuri i te mana o te puku | Ki te kore e kohia ngā tūtae ki roto i te putea mō ngā haora e ono neke atu, he tohu pea tēnei nō te aukati o te puku. Haere tonu ki te Tari Whawhati Tata o te hōhipera (ETU) e tata ana. |
Ahakoa he wā poto noa te ileostomy, he wheako whakarerekē oranga tonu. He mea noa te roa o te wā ki te urutau ki ngā tikanga hou. Tērā pea ka noho mokemoke koe, ka noho koretake hoki. Kia manawanui ki a koe anō. Kōrerohia ō kare ā-roto ki tō whānau, ki tētahi hoa pono, ā, ki te tika, ki tētahi kaitohutohu. Kei te rite tonu tō tākuta me te hunga nēhi ki te āwhina i a koe. Nō reira kaua e wehi ki te pātai i tētahi pātai.
Karere Tangohia ki te Kāinga
- He pokanga te ileostomy hei whakarerekē i te putanga mai o te tūtae i te tinana. Ka mahia tēnei mā roto i tētahi kōhao e kiia nei ko te stoma, ka hangaia ki te kiri o te puku.
- Ka mahia tēnei pokanga hei rongoā mō ngā āhuatanga kino pēnei i te mate pukupuku o te koroni, ngā mate kino, me ngā aukati.
- He wā poto, he wā pumau rānei tēnei, ā, he maha ngā wā he pokanga whakaora ora, he whakapai ake hoki i te kounga o te ora.
- Mā te hunga hauora koe e ārahi ki te tiaki i tō stoma me tō pēke i muri i te pokanga.
- Mena ka pāngia koe e ngā tohu whakatūpato pēnei i te mamae o te puku, te ruaki, te kore rānei e neke te puku mō ngā haora maha, whakapā atu ki tō tākuta tonu.
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