Timakayikira pang'ono kulankhula za ziwalo zina za thupi lathu, sichoncho? Kum'mero ndi malo ena otere. Komabe, ndikofunikira kwambiri kuti tidziwe mavuto azaumoyo okhudzana ndi gawoli. Nthawi zina, opaleshoni ingafunike kuti tithetse mavutowa. Lero tikulankhula za opaleshoni imodzi yotereyi, Anoplasty. Ngakhale simunamvepo izi, kudziwa izi kungakhale kofunikira kwa inu kapena munthu wina wapafupi nanu tsiku lina.
Know your body mass index (BMI) and weight classification
Kodi Anoplasty ndi chiyani?
Mwachidule, opaleshoni yotchedwa anoplasty ndi opaleshoni yomwe imakonza kapena kusintha mawonekedwe a thako lanu. Monga mukudziwa, thako ndi gawo lomaliza la matumbo athu akuluakulu. Ndi gawo lofanana ndi chubu cha m'mimba pafupifupi masentimita 3-4, lozunguliridwa ndi minofu. Minofu imeneyi (sphincters) imathandiza kutulutsa ndowe.
Choncho, ngati pali vuto pa momwe rectum sikugwira ntchito bwino, opaleshoniyi imachitika kuti ikonze. Zina mwa zolakwikazi zitha kukhala zobadwa nazo, pomwe zina zimatha kuchitika pambuyo pake chifukwa cha ngozi kapena matenda.
Opaleshoni ya anorectal ndi mtundu wa opaleshoni yomwe imakhudza anus ndi gawo lomaliza la matumbo akulu (rectum).
N’chifukwa chiyani opaleshoni imeneyi ndi yofunika?
Pali zifukwa ziwiri zazikulu zochitira opaleshoni ya anoplasty. Tiyeni timvetse bwino.
| Chifukwa chachikulu | Mwachidule... |
|---|---|
| Kutupa kwa m'makoswe | Izi zimachitika kwambiri mwa akuluakulu. Zilonda zimapangidwa mkati mwa rectum, zomwe zimapangitsa kuti njirayo ikhale yopapatiza. Taganizirani ngati chitoliro cha madzi chomwe chatsekedwa ndi dothi. Izi zimatchedwanso "stricture." Izi zimapangitsa kuti zikhale zovuta kutulutsa ndowe. Opaleshoni imafunika pokhapokha ngati mankhwala ena alephera kukonza vutoli. |
| Zolakwika za Anorectal | Izi ndi zolakwika zomwe mwana amabadwa nazo. Mwachitsanzo, Imperforate Anus ndi vuto lomwe dzenje ( dzenje) la anus sililipo kapena latsekeka.Zimatanthauza kuti khomo la kumatako silili pamalo omwe liyenera kukhala, koma m'malo mwake lili pamalo ena (nthawi zambiri pansi pake). Mpata uwu nthawi zambiri umakhala wopapatiza, ndipo sungathenso kulamulira chopondapo. |
Adjustable medical memory-foam backrest, head, knee, and leg elevation wedge system for post-operative recovery, acid reflux, and edema reduction, plus medical scar tape.
View Clinical Details →Kodi opaleshoni iyi imachitidwa liti pa mwana wamng'ono?
Ndizachibadwa kuti makolo azidabwa kwambiri akadziwa kuti mwana wakhanda ali ndi vuto ngati ili. Komabe, chifukwa cha kupita patsogolo kwa sayansi ya zamankhwala, pali njira zothandiza zothetsera vutoli.
Zilema zina zosavuta zobadwa nazo zimatha kukonzedwa ndi opaleshoni yosavuta ya anoplasty, patangopita masiku ochepa mwana atabadwa.
Komabe, makanda omwe ali ndi zilema zovuta kwambiri angafunike kuchitidwa opaleshoni zingapo.
Zikatero, dokotalayo amayamba kaye wachita opaleshoni ya colostomy . Izi zikutanthauza kuti pamakhala kabowo kakang'ono (stoma) m'mimba mwa mwana, zomwe zimapangitsa kuti pakhale njira yotulukira chimbudzi kwakanthawi. Izi zimathandiza kuti mwana azitha kuchita chimbudzi mosamala. Kenako, panthawi yoyenera yomwe dokotalayo wasankha, opaleshoni imachitidwa kuti akonze bwino chotupacho. Pambuyo pake, mabala akachira bwino, chotupacho chimachotsedwa, ndipo mwanayo amatha kuchita chimbudzi mwachizolowezi kudzera mu chotupacho.
Kodi ndiyenera kukonzekera bwanji ndisanachite opaleshoni?
Ngati ndinu wamkulu, dokotala wanu adzakulangizani kuti muyeretse matumbo anu onse (prep prep) musanachite opaleshoni. Izi zikutanthauza kukupatsani mankhwala apadera amadzimadzi (laxative) kuti mumwe. Mukamwa izi, chilichonse m'matumbo mwanu chidzatuluka ndi ndowe zanu.
Muyeneranso kusamala zakudya zanu kwa tsiku limodzi kapena awiri musanamwe mankhwalawa. Nthawi zambiri mudzauzidwa kuti mudye zakudya zopanda ulusi wambiri ndipo muzimwa zakumwa zoyera zokha tsiku lomaliza. Ndikofunikira kwambiri kutsatira malangizo a dokotala wanu molondola.
Kodi chimachitika ndi chiyani panthawi ya opaleshoni?
Cholinga chachikulu cha opaleshoni ya anoplasty ndikukonzanso malo ogwirira ntchito anus. Zimene dokotala wanu amachita zingasiyane malinga ndi vuto lanu.
Opaleshoni nthawi zambiri imachitidwa pansi pa anesthesia wamba .
- Kwa munthu amene ali ndi vuto la stenosis ya kumatako: Dokotala amachotsa chilonda chomwe chinapangitsa kuti chitsekere. Kenako kumatako kumakulanso. Koma kenako mpata waung'ono umapangika mkati. Kuti atseke mpatawo, kachidutswa kakang'ono ka khungu lopindika) kamatengedwa kuchokera kunja kwa kumatako, kuchokera m'matako, ndikukalumikiza pamalopo ndikukakokera.
- Ngati mwana ali ndi vuto lobadwa nalo (Anorectal Malformation):Dokotala wa opaleshoni adzayenera kupanga ngalande yatsopano ya kumatako. Ngalande yatsopanoyi iyenera kuyambira m'matumbo, kudutsa mu minofu ya kumatako, ndikutseguka pamalo oyenera. Ngati pali ma fistula omwe akutseguka m'malo olakwika, adzatsekedwa. Ngati mwana wachita opaleshoni ya colostomy kwakanthawi, idzakhalabe momwemo mpaka ngalande yatsopanoyo itatha kuchira.
Kodi ndi mavuto otani omwe angabwere pambuyo pa opaleshoni?
Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa ndi zovuta zomwe zingachitike, ndipo ndikofunikira kuzidziwa.
| Mtundu wa vuto | Kufotokozera |
|---|---|
| Mavuto a kanthawi kochepa | |
| Matenda | Matenda amatha kuchitika bala likuchira. Gulu lanu lachipatala lidzakuphunzitsani momwe mungapewere izi. |
| Kuundana kwa magazi (Hematoma) | Magazi amatha kusonkhana mkati mwa bala ndikupanga magazi kuundana. Izi zitha kuchiritsidwa popaka ayezi ndi kukanikiza. |
| Kuvuta kukodza (Kusunga mkodzo) | Anthu ena angavutike kukodza pambuyo pa opaleshoni, zomwe zingafunike mankhwala kapena catheter yakanthawi. |
| Kudzimbidwa | Kudzimbidwa kungachitike mutachita opaleshoni. Dokotala adzakupatsani mankhwala ofunikira pa izi. |
| Mavuto a nthawi yayitali | |
| Kulephera kudziletsa m'mimba | Izi zitha kuchitika ngati opaleshoniyo yawononga minofu kapena mitsempha. Ana ena omwe ali ndi zilema zobadwa nazo angataye mitsempha ndi minofu yofunikira kuyambira pachiyambi. Anthu ena amatha kuthana ndi izi pakapita nthawi. Dokotala wanu adzakambirana nanu za izi. |
| Stenosis | Ngati thako silikukulirakulira tsiku lililonse panthawi yochira, pali mwayi waukulu woti lingachepetsedwenso. Chifukwa chake, ndikofunikira kukulitsa thako motsatira malangizo a dokotala. |
| Ziphuphu za matewera | Makanda akayamba kuchita chimbudzi kudzera mu anus, amatha kukhala ndi ziphuphu pakhungu pamalopo. Izi zimachitika chifukwa khungu silinazolowere kuchita chimbudzi. Mafuta apadera angathandize kupewa ndi kuchiza izi. |
Kodi nthawi yochira imakhala bwanji?
Kuchira nthawi zambiri kumatenga milungu 4 mpaka 8. Panthawiyi, muyenera kuchita kukulitsa chiberekero tsiku lililonse . Iyi ndi sitepe yofunika kwambiri pakuchira. Chipangizo chapadera (dilator) chimayikidwa mu chiberekero tsiku lililonse ndikukoka. Izi zimachitika kuti chiberekero chisachepenso ndikuyambitsa zipsera pamene chikuchira.
Ndi zachilendo kutuluka magazi pang'ono mukamachita izi, choncho musadandaule. Dokotala adzakupatsani mankhwala oletsa ululu. Adzakuuzaninso kuti muzidya zakudya zapadera pamene mukuchira.
Kumbukirani kuti zinthu ngati zimenezi sizichitika kawirikawiri. Komabe, ngati zitachitika, opaleshoni ya anoplasty ndi njira yabwino kwambiri yochiritsira. Makamaka popeza mwana yemwe ali ndi vuto lalikulu lobadwa nalo sangathe kubwerera mwakale, opaleshoniyi ingamupatse mwayi wokhala ndi moyo wabwinobwino momwe angathere.
Uthenga Wopita Nawo Kunyumba
- Anoplasty ndi opaleshoni yomwe imachitidwa kuti ikonze vuto la stenosis ya kumatako mwa akuluakulu kapena zilema zobadwa nazo mwa makanda.
- Makanda ena angafunike opaleshoni ya colostomy kwakanthawi kuti atulutse ndowe asanachite opaleshoni yayikulu.
- Kukulitsa matumbo tsiku lililonse pambuyo pa opaleshoni ndikofunikira kuti njira yatsopanoyo isachepe.
- Tsatirani malangizo a dokotala wanu okhudza chisamaliro cha mabala, zakudya, ndi maulendo obwerezabwereza.
- Ngati mukukumana ndi mavuto aliwonse, monga kupweteka kwambiri, zizindikiro za matenda (kutupa, kufiira, mafinya), kapena kuvutika kwambiri kukodza/kuchita chimbudzi, uzani dokotala wanu nthawi yomweyo.
No comments yet. Be the first to share your question or experience below.