Nthawi zina timakhala ndi mavuto azaumoyo omwe timachita manyazi kuwalankhula, koma omwe amakhudza kwambiri miyoyo yathu. Monga kukhala ndi matumbo osalamulirika, kapena kulephera kuchita chimbudzi kwa masiku ambiri. Izi ndi zovuta kwambiri komanso zovutitsa maganizo kwa mwana wamng'ono komanso wamkulu. Vutoli likhoza kukhala chopinga chachikulu pakupita kusukulu, kupita kuntchito, komanso kucheza ndi anthu ena m'gulu. Lero tikulankhula za opaleshoni yapadera yomwe madokotala akupereka ngati yankho la mavuto otere.
Mwachidule, kodi appendicostomy ndi chiyani?
Ngakhale dzinalo lingamveke lovuta, njira imeneyi ndi yosavuta kumva. Kuchotsa chilonda, kapena monga momwe madokotala ambiri amadziwira, njira ya MACE (Malone Antegrade Colonic Enema) , ndi njira yochitira opaleshoni.
Mwachidule, izi ndi zomwe zimachitika:
Pogwiritsa ntchito gawo la appendix yanu , chubu chaching'ono chimapangidwa kuchokera pakhungu la mimba yanu kupita ku matumbo anu akuluakulu. Njirayi imagwiritsa ntchito madzi apadera (enema) kuti isunthe mkati mwa matumbo anu ndikuthandiza kuti ndowe zidutse mosavuta.
Kabowo kakang'ono kamene kamapangidwa pakhungu la mimba komwe kamalumikiza njira iyi kamatchedwa stoma . Nthawi zambiri kameneka kamapangidwa pafupi ndi mchombo (chokokera m'mimba) kapena mbali yakumanja ya mimba. Chifukwa chake sichikuwoneka bwino kuchokera kunja.
Chimodzi mwa ubwino waukulu wa njira iyi ndichakuti mutha kuwongolera njira yoyendetsera matumbo. Izi zikutanthauza kuti mutha kusankha nokha nthawi komanso kangati komwe mukufuna kuyeretsa matumbo anu.
Ndani kwenikweni amene akufunikira opaleshoni iyi?
Madokotala nthawi zambiri amalimbikitsa opaleshoni iyi kwa anthu omwe sanathe kulamulira matumbo awo pogwiritsa ntchito njira zina zochizira, monga kusintha zakudya, zakudya zowonjezera ulusi, kapena maphunziro monga biofeedback. Imachitika kwa ana ndi akulu omwe.
Ngati inu kapena mwana wanu muli ndi vuto lililonse mwa zotsatirazi, mungafune kulankhula ndi dokotala wanu za opaleshoni ya MACE.
| Matenda | Kufotokozera kosavuta |
|---|---|
| Kudzimbidwa Kwambiri | Matenda omwe ndi ovuta kuchiza ngakhale ndi mankhwala, monga kusachita chimbudzi kwa masiku ambiri. |
| Kulephera kudziletsa m'mimba | Kuyenda m'mimba mosadziletsa kapena mosadziletsa. |
| Msana wa Bifida | Vuto lobadwa nalo m'msana ndi m'mitsempha lomwe limakhudza matumbo. |
| Kusokonekera kwa Anorectal | Matenda obadwa nawo m'malo mwa anus kapena rectum. |
| Matenda a Hirschsprung | Kuvutika kutuluka ndowe chifukwa cha kukula kosayenera kwa maselo amitsempha m'matumbo akulu. |
Tiyeni tiphunzirenso momwe opaleshoniyi imachitikira.
Musanachite opaleshoni
Dokotala wanu adzakufotokozerani momveka bwino zomwe muyenera kuchita musanachite opaleshoni.
- Kudya ndi kumwa: Mudzadziwitsidwa nthawi yomwe muyenera kupewa kudya ndi kumwa musanachite opaleshoni.
- Kuyeretsa Matumbo: Njira yapadera idzaperekedwa kuti ayeretse matumbo onse (Bowel Prep) tsiku lisanafike opaleshoni.
- Mankhwala Ena: Ngati mukumwa mankhwala a matenda ena, ndikofunikira kwambiri kufunsa dokotala wanu ngati muyenera kumwa mankhwalawo musanachite opaleshoni.
Pa nthawi ya opaleshoni
Opaleshoni iyi nthawi zambiri imachitika pogwiritsa ntchito laparoscopically . Izi zikutanthauza kuti, "opaleshoni ya makiyi." Imachitika poika kamera ndi zida kudzera m'mabowo ang'onoang'ono angapo m'mimba, m'malo mopanga ming'alu yayikulu. Izi zimapangitsa kuti nthawi yochira ichepe komanso kuti zipsera zichepe pang'ono.
Pa nthawi ya opaleshoni, dokotala wa opaleshoni:
1. Amatenga chidutswa chaching'ono cha appendix kapena matumbo anu ndikuchipanga kukhala chubu.
2. Chubu chimenecho chimalumikizidwa mkati mwa matumbo akulu.
3. Malekezero ena a chubucho amalumikizidwa ndi kabowo kakang'ono (stoma) komwe kamapangidwa pakhungu la mimba.
4. Poyamba, chubu chopyapyala, chotchedwa catheter, chimalowetsedwa kwakanthawi mu stoma kuti chikhale chotseguka.
Opaleshoni iyi nthawi zambiri imatenga pafupifupi maola awiri.
Pambuyo pa opaleshoni
Mudzakhala m'chipatala kwa kanthawi kochepa, pafupifupi tsiku limodzi kapena awiri. Panthawi imeneyo, ogwira ntchito yosamalira ana adzakuphunzitsani momwe mungatulutsire matumbo anu kudzera m'mimba mwanu mwatsopano. Mudzaphunzitsidwa kuchita izi nokha mukapita kunyumba.
Kodi ubwino ndi zotsatirapo zake za opaleshoniyi ndi ziti?
Ubwino waukulu ndi wakuti mumayambanso kulamulira matumbo anu. Izi zimakupatsani mwayi wokhala moyo wabwinobwino, kusewera masewera, komanso kupita kuntchito popanda manyazi kapena mantha. Zachinsinsi zanu zimatetezedwanso chifukwa ena sangathe kuwona stoma yanu.
Pali chiopsezo cha zotsatirapo zoyipa (zovuta) . Si aliyense amene angakumane nazo, koma ndikofunikira kudziwa.
- Nthawi zina ndowe kapena madzi pang'ono amatha kutuluka m'chimbudzi.
- Nthawi zina njira yopangira (stoma) imatha kukhala yopapatiza.
- Anthu ena angakumane ndi vuto la kudzimbidwa kapena kuvutika kulamulira matumbo awo ngakhale atachitidwa opaleshoni.
Nthawi zambiri zimatenga pafupifupi mwezi umodzi kuti munthu achire. Madokotala amakulangizani kuti mupewe kunyamula zinthu zolemera komanso kuchita masewera olimbitsa thupi nthawi imeneyo. Pakatha pafupifupi mwezi umodzi, chubu chaching'ono (catheter) chomwe chimayikidwa mu stoma chimachotsedwa. Pambuyo pake, mutha kuyika chubu nokha pokhapokha ngati mukufuna kutsuka matumbo anu.
Kodi muyenera kupita kwa dokotala nthawi yomweyo liti?
Ngati inu kapena mwana wanu mutakhala ndi zizindikiro zotsatirazi mutachita opaleshoni, imbani dokotala nthawi yomweyo kapena funsani chithandizo.
| Zizindikiro zoti muzisamala nazo | |
|---|---|
| Malungo | Kutentha kwa thupi kokwera. |
| Kutupa | Kutupa kwa m'mimba ndi kusasangalala. |
| Kusanza ndi kusanza | Kusanza ndi Kusanza. |
| Ululu, kufiira, kapena kutupa pamalo ochitira opaleshoni | Izi zitha kukhala zizindikiro za matenda. |
| Kuvuta kuyika chubu | Izi zitha kukhala chizindikiro chakuti njira ya stoma yachepa. |
| Madzi akutuluka m'mimba | Kutuluka kwa madzi kapena ndowe nthawi zonse ngakhale chubucho chitachotsedwa. |
Kodi opaleshoni iyi ikhoza kubwezeretsedwanso?
Inde. Ngati inu kapena mwana wanu mwapezanso mphamvu yodziyeretsa bwino, njira yopangidwayi ikhoza kuchotsedwa opaleshoni ndikubwezeretsedwanso bwino. Njirayi siiwononga ntchito ya matumbo akulu.
Pomaliza, mavuto a m'mimba ndi chinthu chomwe chingakuchotsereni chisangalalo ndi chidaliro m'moyo. Koma mankhwala amakono ali ndi njira zothandiza zothetsera mavutowa. Dokotala wanu ndiye munthu woyenera kusankha ngati opaleshoniyi ndi yoyenera kwa inu kapena mwana wanu. Chifukwa chake, phunzirani zambiri za izi, kambiranani vuto lanu momveka bwino, ndikupeza chithandizo chabwino kwambiri.
Uthenga Wopita Nawo Kunyumba
- Appendicostomy (opaleshoni ya MACE) ndi opaleshoni yomwe imachitidwa kwa anthu omwe ali ndi vuto la kudzimbidwa kwambiri kapena kuvutika kulamulira matumbo awo.
- Apa, appendix imagwiritsidwa ntchito popanga njira yochokera pakhungu la mimba kupita ku matumbo akulu, ndipo kudzera mmenemo, matumbo amatsukidwa kuti athandize kutulutsa ndowe.
- Opaleshoni iyi imachitika kwa ana ndi akulu omwe, ndipo ingathandize kwambiri kuti moyo ukhale wabwino.
- Ngati mukumva zizindikiro monga malungo, kupweteka m'mimba, kapena kutupa mutachita opaleshoni , funsani dokotala nthawi yomweyo.
- Kuti mudziwe ngati iyi ndi njira yoyenera kwa inu, ndikofunikira kukambirana momasuka ndi dokotala wanu za nkhawa zanu zonse.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
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Mukakalamba, si nkhani yaikulu ngati mawondo anu atopa ndipo mukufooka. Koma ngozi yaikulu kwambiri! Ngati munthu amene ankayenda bwino, mu mphindi/maola ochepa, 1) 'Mwendo umodzi umakoka pansi/mbali imodzi yafa ziwalo (kufooka kwa mbali imodzi)', 2) Ngati simungathe kulankhula nthawi imodzi ndipo nkhope yanu ikugwa, ndithudi ndi 'Stroke' (kufa ziwalo/imfa mu maola atatu)! 3) Ngati simungathe kuyenda konse pambuyo pa ngozi yapamsewu, muyenera kupita kuchipatala nthawi yomweyo!
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