Ka taea te whakakore i te putea ostomy? (Te Whakahurihanga ostomy) Me kōrero tātou mō te pokanga

He pēke kei tō puku hei tango i ō paru? Tērā pea i tangohia tō pēke i roto i te colostomy, i te ileostomy rānei hei rongoā mō tētahi mate puku, mō tētahi āhuatanga rānei. E mōhio ana pea koe ki te mamae o te noho me tēnei pēke. Nō reira, ko te pātai a te tini tāngata, "Kāore e taea te whakahoki noa i tōna āhua o mua?" Ka taea tonu te mahi. Koinei te mea e kōrerohia ana i tēnei rā.

He aha te Whakahurihanga Ostomy?

He whakarāpopototanga noa iho, ko te ostomy reversal he pokanga e tango ana i te putea i roto i tō puku, ā, ka whakahokia mai te mahi a tō puku. Tērā pea ka mahara koe i tō pokanga tuatahi, i hangaia e ngā tākuta he kōhao i roto i tō puku, ā, i puta mai ai tētahi wāhanga o tō puku (koroni, ileum rānei) mā roto i te kiri. E kiia ana tēnei he stoma . I puta mai te paru mā roto i taua stoma.

I tēnei pokanga whakahurihuri, ka whakahokia te whekau i honoa ki te stoma ki roto i te puku, ka honoa anō ki te toenga o te whekau. Kātahi ka kati te kōhao i roto i te puku (stoma). Whai muri i tēnei, ka taea e koe te tuku paru mā te nono anō i te huarahi tawhito.

He aha te tini o te tangata e hiahia ana ki tēnei pokanga?

He mea tēnei nāu anō te whakatau. He tokomaha te hunga e whiriwhiri ana i tēnei nā te mea e hiahia ana rātou ki te haere anō ki te wharepaku i roto i tō rātou tikanga tawhito, noa. He rite tēnei pokanga ki tētahi whai wāhi ki te hoki ki te oranga i mua i te whakaurunga o te putea ostomy.

I muri i tēnei pokanga, kāore koe e manukanuka ki te whakawhiti i tō pēke ostomy, ki te pupuri rānei i te kiri huri noa i tō stoma kia ma. I ētahi wā, ka tino taumaha te noho me ngā mea pēnei i te turuturu mai i te pēke me ngā mate pāwera kiri. Nō reira, he tino whakamarie tēnei pokanga ki te kore e pāngia e aua taumahatanga katoa.

Me pēhea taku āheinga mō tēnei pokanga?

Ki te hiahia koe ki te mahi i tēnei pokanga, ka whakaarohia e tō tākuta ētahi mea. Kāore e taea e te katoa te mahi i tēnei pokanga. Kei tō hauora te tikanga. I te nuinga o te wā, ka whakaarohia tēnei pokanga i muri i te 3 ki te 12 marama.

Tirohia te ripanga i raro nei mō ngā tohu matua e hiahiatia ana mō tēnei.

He aha ngā whakamātautau e mahia ana i mua i te pokanga?

Tērā pea ka whakahaerehia e tō tākuta ētahi whakamātautau hei tirotiro mēnā he tika koe mō te pokanga, pēnei i:

• Endoscopy: Ka whakauruhia he ngongo me te kāmera mā roto i te nono hei tirotiro mō ngā mate, ngā aukati rānei i roto i ngā whekau.
• Hiko-X: Ka hoatu he wai motuhake (wai whakawehe) kātahi ka mahia he hihi-X hei tirotiro mēnā he turuturu kei roto i te whekau.
• Whakamātautau Matihiko o te Remu: Ka whakamahia e te tākuta tōna matihao hei tirotiro i ngā uaua o te remu.
• Ngā whakamātautau toto: Ka mahia ngā whakamātautau toto hei rapu i tō āhua kai me ētahi atu raruraru hauora.

He aha ngā mea ka tupu i te wā o te pokanga?

Ka tukuna he rongoā whakamoe whānui ki a koe, kia kore ai koe e rongo i tetahi mea i te wā o te pokanga, engari ka moe koe. Ko te tikanga ka whai te tākuta i ēnei mahi:

1. Ka tangohia, ka wehea te wāhanga o te whekau (stoma) e piri ana ki te kiri o te puku.

2. Kātahi ka honoa anō taua wāhanga ki te wāhanga o raro o te whekau. Ka kiia tēnei he anastomosis i roto i ngā kupu hauora.

3. Hei whakamutunga, ka tuia ngā patunga pokanga katoa, tae atu ki te kōhao stoma i te puku, kia kati.

He aha ngā mōrearea me ngā pānga taha ka pā mai i muri i te pokanga?

Pērā i ngā pokanga katoa, he tūponotanga kei roto. Tērā pea ka pā mai te mate urutā, te toto, me te toto e pupuhi ana.

Engari he tino mōrearea nui kei tēnei pokanga. He āhuatanga tēnei e kiia nei ko te turuturu anastomotic . Arā, he turuturu mai i te wāhi e hono ana ngā whekau e rua. He iti nei te mōrearea o tēnei, nā te mea ka taea e ngā huakita mai i ngā whekau te tomo ki te kōhao puku, ka puta he mate. Mena kei a koe ngā tohu pēnei i te kirika me te mamae nui i te puku o raro, me whakapae koe. Engari he tino onge tēnei.

Ngā pānga taha mō te wā poto

Ko ngā mea e whai ake nei he mea noa i ngā rā tōmua i muri i te pokanga:

• Mamae me te kore whakamarie: Ka pā mai pea te mamae ngawari me te kore whakamarie i ngā patunga pokanga, he rite ki te puku kī tonu.
• Te Ileus Pararutiki: He mea noa te puhoi o ngā whekau mō ētahi rā i muri i te pokanga. Koia te take e hoatu tuatahitia ai he kai wai.
• Ngā panonitanga o ngā tikanga puku: Ina tīmata anō te mahi a ngā puku, ka pāngia pea koe e te mate korere i te tuatahi. Ka pāngia hoki ētahi tāngata e te mate kōroke. He mea noa hoki te hiahia kia nui ake te haere ki te wharepaku. Ka pai ake ēnei i muri i ētahi marama.

Ngā pānga taha mō te wā roa

• Hernia: Ka puta tetahi wāhanga o te whekau mā roto i te kiri mā te tapahi pokanga.
• Ngā Piringa o te Puku: Te piri o ngā kiko i roto i te puku nā te pokanga.
• Te kore e taea te pupuri i te paru: Tērā pea ka uaua ki ētahi tāngata te whakahaere i ō rātou puku nā te ngoikore o ngā uaua o te pūhā. Ka taea te rongoā i tēnei mā te whakaora tinana.

Kia pēhea te roa o te wā e ora ai? Me pēhea taku tiaki i taku kai?

E ono ki te waru wiki te roa hei whakaora katoa. I tēnei wā, ka hoki mārire tō kaha.

Me tino tupato koe ki tāu kai me tāu inu.

• Tīmata ki ngā kai e ngāwari ana ki te nakunaku, he iti te muka (hei tauira, panana, raihi, taro).
• Inumia he nui te wai , ina koa mēnā he mate kōroke koe.
• Kati te inu waipiro, ngā inu warowaihā (pēnei i te houra tunutunu), me te kawhe mō tētahi wā.
• Kaua e kai nui e toru, engari me kai iti kia maha ngā kai i te rā.
• Tāutuhia ko ēhea ngā kai e whakararuraru ana i a koe, ā, karohia mō tētahi wā.

He aha ngā tohu e hiahia ana koe kia toro atu ki te tākuta tonu?

Ka tukuna atu he tirotiro tirotiro i muri i ētahi rā i te pokanga. Heoi, ki te pāngia koe e tētahi o ngā tohu i raro nei, me toro atu ki tō tākuta tonu.

• Mena kei te kino haere te mamae me te pupuhi
• Mena he whakapairuaki me te ruaki
• Mena he kirika tōu
• Mena he wai rite ki te pūhā e puta mai ana i te patunga pokanga
• Mena ka mau tonu te mate korere, te mate kōroke rānei
• Mena he uaua ki a koe te pupuri i te kai, i te wai rānei kia iti