Kodi mungasamalire bwanji K-Pouch yanu (Continent Ileostomy) moyenera?

Ngati mwachitidwa opaleshoni yokhudza K-pouch, mwina mungakhale ndi nkhawa pang'ono komanso osatsimikiza za momwe mungachitire ndi vutoli tsiku ndi tsiku. Zimenezo n'zachibadwa. Koma ngati mwadziwa bwino, kuthana nalo sikovuta. Choncho lero, tiyeni tikambirane za tanthauzo la K-pouch ndi momwe tingalisamalire bwino.

Mwachidule, kodi K-Pouch ndi chiyani?

K-pouch, kapena continental ileostomy , ndi opaleshoni yomwe imalumikiza gawo lomaliza la matumbo anu ang'onoang'ono, ileum , ndi khungu la mimba yanu. Madokotala amachita izi kuti apange njira yoti zinyalala zizituluka pamene thupi lanu silingathe kuchotsa zinyalala mwachizolowezi.

Chomwe chimapangitsa K-pouch kukhala yosiyana ndi mitundu ina ya ileostomy ndichakuti dokotalayo amapanga valavu yapadera. Vavu iyi imaletsa zinyalala kutuluka yokha. M'malo mwake, mukafuna kutulutsa zinyalala m'thumba, mutha kuyika chubu chotchedwa catheter kuti mutulutse zinyalalazo.

Tangoganizirani, pamene madzi ndi chakudya chogayidwa zikusonkhana mkati mwa thumba ili, kupanikizika mkati mwake kumawonjezeka. Ngati kupanikizika kumeneku sikutulutsidwa, thumbalo likhoza kung'ambika, kuboola, kapena valavu ikhoza kuterereka ndipo zinyalala zitha kutuluka. Ndicho chifukwa chake ndikofunikira kwambiri kutulutsa madzi ake pa nthawi yake.

Kodi ndiyenera kutulutsa kangati m'thumba ili?

Kuchuluka kwa nthawi yochotsera izi kumatha kusiyana pakati pa munthu ndi munthu, koma pali malangizo ena ambiri.

Pambuyo pa opaleshoni, dokotala wanu adzaika catheter yomwe ili mkati mwake , chubu chomwe chimasiyidwa pamalo pake kuti chitulutse zinyalala. Chubu ichi chiyenera kusiyidwa pamalo pake kwa milungu pafupifupi 3-4 kuti thumba latsopanolo likhwime, zomwe zikutanthauza kuti lidzakhala lolimba. Pambuyo pake, mudzatha kutulutsa zinyalalazo kangapo patsiku. Pakapita nthawi, kuchuluka kwa kutulutsa zinyalalazo kudzachepa pang'onopang'ono.

Lankhulani ndi dokotala wanu, dokotala wa opaleshoni, kapena katswiri wa zamaganizo (ET namwino ) za izi. Mwina munakumanapo ndi namwinoyu musanachite opaleshoni yanu. Adzakukumbutsani momwe mungasamalire stoma yanu ndi thumba lanu.

Njira yolondola yotulutsira madzi mu K-Pouch

Kutulutsa madzi nthawi zonse ndi bwino kwambiri pa masabata atatu kapena anayi oyambirira a thumba latsopano. Ngati chubu cha catheter chatuluka mwangozi panthawiyi, musadandaule. Mutha kuchiyikanso nokha potsatira njira zosavuta izi:

• Pumulani minofu yanu ya m'mimba pang'ono.Kupinda bondo limodzi kungathandize panthawiyi.
• Ikani mafuta mu catheter pogwiritsa ntchito mafuta osungunuka m'madzi. Musagwiritse ntchito zinthu zokhala ndi mafuta odzola, monga Vaseline.
• Bwezeraninso catheter kufika pamlingo womwe munalemba kale. Ngati izi zikuwoneka zovuta, pumulani pang'ono, sinthani malo, kenako yesaninso.

Pa nthawi yoyamba imeneyi, muyenera kuthirira catheter kangapo patsiku, pogwiritsa ntchito pafupifupi 30ml ya madzi wamba a pampopi, kuti mutulutse zinyalala.

Ngati ndowe sizituluka mutachita izi, zinthu monga tinthu ta chakudya zitha kutsekeka. Pamenepo, tulutsani catheter, mutsuke bwino ndi madzi a pampopi, kenako muyiikenso.

Pambuyo pa masabata 3-4

Pambuyo pa masabata atatu kapena anayi oyambirira, mutha kusiya kuchita chimbudzi mosalekeza ndikuyamba kutulutsa madzi m'mimba mwanu kangapo patsiku. Kusintha kumeneku kumachitika nthawi zambiri mukapita kwa dokotala wanu koyamba mutachita opaleshoni.

• Tulutsani chikwamacho maola awiri aliwonse masana, pamene muli maso.
• Tsukani chikwama chanu musanagone usiku komanso mukadzuka m'mawa.
• Pewani kudya kapena kumwa chilichonse maola awiri musanagone.
• Usiku, mutha kusiya catheter pamalo pake kuti mupitirize kutulutsa zinyalala. Kapena mutha kuyimitsa alamu kuti ikudzutseni ndikutulutsa zinyalala.

M'masabata angapo otsatira, mutha kuwonjezera pang'onopang'ono nthawi pakati pa kuchotsa zinthu m'thumba. Pambuyo pa miyezi itatu ya opaleshoni, nthawi zambiri sipamakhala zoletsa zapadera. Muyenera kuchotsa zinthu m'thumba pafupifupi 4-6 patsiku, ndikuthirira pafupifupi kawiri patsiku. Koma kumbukirani, tulutsani zinthu m'thumba nthawi iliyonse mukakhuta kapena mukakhuta. Ndikofunikira kuchita izi musanayambe kuchita masewera olimbitsa thupi komanso musanagone.

Kodi mungasamalire bwanji catheter ndi khungu?

Ndikofunikira kusunga khungu lozungulira catheter kukhala loyera komanso lotetezeka, komanso kuonetsetsa kuti catheteryo siikutsekedwa komanso kuti zinyalala zachotsedwa bwino.

Malangizo a sitepe ndi sitepe

1. Kusamba m'manja : Choyamba, sambani manja anu bwino ndi sopo ndi madzi ofunda kenako muwaume ndi thaulo loyera.

2. Thirirani catheter: Chotsani ndi kutaya bandeji pamwamba pa bala (stoma). Patulani catheter kuchokera ku thumba losonkhanitsira zinyalala ndikutsanulira zomwe zili mu catheter mu sinki.

3. Tengani madzi: Tengani pafupifupi 30ml ya madzi mu syringe ya babu. Kuti zikhale zosavuta, lembani mulingo wa syringe ndi chizindikiro chokhazikika kapena utoto wa misomali .

4. Kuthira madzi: Finyani pang'onopang'ono madzi ochokera mu sirinji kupita mu katheta.

5. Kutaya zinyalala: Mukakanikiza sirinji, kanikizani katheta ndi dzanja lina kuti muchotse sirinji. Kenako tulutsani katheta ndikutsegula ngalande kuti mutulutse zinyalalazo m'beseni. Musakoke madzi ochokera mu katheta kubwerera mu sirinji.

6. Kufufuza Zopinga: Ngati madzi omwe aikidwa akuoneka kuti akuvutika kutuluka, kapena ngati katheta yatsekedwa ndi chinthu chonga mamina, itsukeni mobwerezabwereza mpaka zinyalala zitayenda bwino. Ngati madziwo sakulowa kapena kutuluka, chotsani kathetayo, itsukeni bwino, ndikuyiyikanso.

7. Kuyeretsa khungu: Mukasiya kutuluka kwa zinyalala, lumikizaninso katheta ku thumba. Tsukani bala (stoma) ndi khungu lozungulira bwino. Gwiritsani ntchito sopo wopanda mafuta ndi madzi ofunda. Tsukani bwino, pukutani, ndikupukuta ndi thaulo lofewa.

8. Ikani kuvala: Ikani zigawo ziwiri za kuvala kogawanika mozungulira bala, ndikulikulunga ndi tepi ngati pakufunika.

9. Kuyeretsa komaliza:Chotsani zinthu zosafunikira, tsukani sinki ndi sirinji bwino ndi sopo ndipo ziume. Pomaliza, tsukaninso manja anu bwino.

Malangizo ena ofunikira

• Yang'anani katheta nthawi zonse kuti muwonetsetse kuti zinyalala zikutayidwa bwino. Thirirani kawiri patsiku, kapena monga momwe dokotala kapena namwino wanu walangizira.
• Yang'anani stoma yanu tsiku lililonse. Iyenera kuoneka yowala, yonyowa, komanso yofiira. Ngati muwona kusintha kulikonse pa mawonekedwe ake, uzani dokotala wanu nthawi yomweyo.
• Ngati ndowe zanu ndi zokhuthala ndipo zimamveka kuti sizikutuluka bwino mu catheter, mungafunike kumwa madzi ambiri, madzi a zipatso , kapena madzi ena. Yesani kumwa magalasi pafupifupi 10-12 a madzi patsiku.

K-Pouch, Ileostomy ya ku Continent, chisamaliro cha ileostomy, stoma, catheter, opaleshoni, matumbo, chisamaliro cha ostomy Sinhala, chisamaliro cha K-Pouch