Kodi cecostomy ndi chiyani? Kodi ndi njira yothetsera mavuto a m'mimba?

Kodi mwana wanu ali ndi vuto la kudzimbidwa? Kodi amakhala masiku ambiri osachita chimbudzi ndipo akumva kusasangalala? Kapena ali ndi vuto la kudzimbidwa popanda kuzindikira? Inu, monga mwana komanso monga kholo, muyenera kuti mukuvutika kwambiri ndi mavutowa. Lero, tikambirana za chithandizo chapadera chomwe chingathandize pamene mavutowa ndi ovuta kuwathetsa ndi mankhwala wamba.

Kodi cecostomy m'mawu osavuta ndi chiyani?

Mwachidule, cecostomy ndi opaleshoni yaying'ono. Imafuna kulowetsa chubu kudzera pakhungu la mimba yanu mwachindunji ku gawo loyamba la matumbo anu akuluakulu. Gawo loyamba la matumbo anu akuluakulu limatchedwa cecum . Chubu ichi chimatchedwa cecostomy chubu kapena C chubu.

Tsopano mwina mukuganiza kuti, "N’chifukwa chiyani anaika chubu chotere?" Chifukwa chake n’chakuti, apanga enema kudzera mu chubuchi. Enema ndi madzi omwe amalowetsedwa m’matumbo kuti ayeretsedwe. Nthawi zambiri, timapanga enema kudzera m’matumbo, omwe ndi kumapeto kwa m’matumbo. Madziwo amakwera. Izi zimatchedwa retrograde enema . Koma njira imeneyi siyeretsa m’matumbo onse.

Koma mukachita enema kudzera mu chubu cha cecum, madziwo amalowa pamwamba pa matumbo akulu. Kenako madziwo amadutsa m'matumbo onse, kunyamula ndowe, ndikutuluka kudzera mu anus. Zili ngati kuthira madzi mu chitoliro. Timatcha kuti antegrade enemas . Njira iyi ndi yothandiza kwambiri chifukwa imatha kuyeretsa matumbo akulu onse. Chithandizochi ndi cha kanthawi kochepa kwa anthu ena, koma chingafunike kwa nthawi yayitali kwa ena.

Ndani kwenikweni amene akufunikira chithandizochi?

Cecalostomy imagwiritsidwa ntchito kwambiri mu mankhwala a ana . Ndi yothandiza makamaka kwa ana omwe ali ndi kudzimbidwa kwambiri ndipo sangathe kulamulira matumbo awo (kulephera kudziletsa m'mimba). Tangoganizirani momwe zingakhalire zokhumudwitsa ngati mwana atatulutsa ndowe mwangozi akusewera ndi anzake kusukulu. Chithandizochi chingapangitse kusiyana kwakukulu m'miyoyo ya ana otere.

Kuphatikiza apo, izi ndizothandiza kwambiri kwa ana omwe amabadwa ndi mavuto ena a m'mimba. Mwachitsanzo:

• Kusokonekera kwa m'mimba: Kusokonekera kwa m'mimba ndi zolakwika zobadwa nazo m'mimba.
• Matenda a Hirschsprung: Vuto la mitsempha m'matumbo lomwe limapangitsa kuti ndowe zisayende bwino.
• Spina bifida: Vuto lobadwa nalo la msana ndi msana lomwe limakhudza matumbo ndi chikhodzodzo.

Cecalostomy nthawi zambiri siilimbikitsidwa kwa akuluakulu, koma nthawi zina, kuchita ma enima tsiku lililonse kungathandize kuti matumbo aziyenda bwino komanso kupewa matumbo osayembekezereka.

Ndi mitundu yanji ya machubu omwe amagwiritsidwa ntchito?

Pali mitundu ingapo yayikulu ya mapaipi omwe amagwiritsidwa ntchito pa izi. Onani tebulo ili m'munsimu kuti mumvetse bwino izi.

Kodi njira imeneyi imachitidwa bwanji?

Njirayi ingagawidwe m'magawo angapo.

Kodi mumakonzekera bwanji musanachite opaleshoni?

Dokotala wanu asanachite opaleshoni, mwina angakufunseni kuti mukonzekere matumbo . Izi zikutanthauza kuchepetsa chakudya ndi zakumwa zanu kwa masiku angapo, kenako n’kumwa mankhwala ofewetsa thukuta kuti mutulutse matumbo anu onse.

Kodi chimachitika ndi chiyani panthawi ya opaleshoni?

Pa opaleshoni, dokotalayo amabowola kabowo kakang'ono kudzera pakhungu la mimba yanu kupita ku gawo la matumbo anu akuluakulu lotchedwa cecum.

• Nthawi zina izi zimachitika ndi chipangizo chonga singano. Izi zimatchedwa percutaneous cecostomy . Izi nthawi zambiri zimaphatikizapo kuyika dzanzi pamalopo.
• Nthawi zina izi zimachitika kudzera mu kudula pang'ono. Izi zimatchedwa opaleshoni ya cecostomy . Pachifukwa ichi, inu kapena mwana wanu mudzagonekedwa pansi pa mankhwala oletsa ululu.

Pambuyo pobowola dzenjelo, dokotalayo amagwiritsa ntchito ukadaulo wapadera wa kamera (fluoroscopy kapena endoscopy) monga X-rays kuti aike chubu cha C kudzera m'dzenjelo kupita m'matumbo. Kenako chubucho chimalumikizidwa kumatumbo, ndipo matumbo amalumikizidwa ku khoma la m'mimba.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?

Opaleshoni yokha imatenga pafupifupi ola limodzi. Kenako mudzakhala kuchipatala kwa masiku angapo. Panthawiyi, gulu lachipatala lidzakusamalirani bwino. Mudzapatsidwa mankhwala opha majeremusi m'mitsempha kuti mupewe matenda. Mudzapatsidwa mankhwala opha ululu ngati mukumva ululu. Matumbo anu adzakhala "ofooka" pang'ono pambuyo pa opaleshoni, kotero muyenera kudya zakudya zamadzimadzi mpaka atayamba kugwira ntchito bwino.

Kodi ubwino ndi zoopsa zake ndi ziti?

Monga chithandizo chilichonse chamankhwala, ichi chili ndi ubwino ndi zoopsa zake.

Kodi zimatenga nthawi yayitali bwanji kuti muchiritse ndipo mumagwiritsa ntchito bwanji chubu?

Zimatenga pafupifupi milungu iwiri kuti malo ochitira opaleshoni achire. Panthawi imeneyo, si bwino kuchita zinthu monga kusambira kapena kusamba. Muyenera kubweranso patatha milungu iwiri kuti mudzachotsedwe ulusi. Nthawi zambiri mutha kuyamba kugwiritsa ntchito chubucho patatha sabata yoyamba.

C-chubu yomwe yayikidwa koyamba ndi yakanthawi kochepa. Imagwiritsidwa ntchito kwa milungu pafupifupi 6 mpaka 8. Pambuyo pake, muyenera kuwona dokotala wanu. Iye adzachotsa chubucho ndikuyika chubu chokhazikika chomwe chimawoneka ngati "batani" monga tafotokozera kale. Ndi zophweka kwambiri.

Chubu chonga mabatanichi chili chosalala pamimba, kotero sichikuwoneka bwino kuchokera kunja. Mukafuna kuchita enema, pali chidutswa china cha chubu chomwe chingalumikizidwe ndi batani. Madzi a enema amalowetsedwa kudzera mmenemo. Chubu chokhazikikachi chingagwiritsidwe ntchito nthawi yonse yomwe ikufunika. Komabe, madokotala amalimbikitsa kusintha chubuchi miyezi 6 mpaka 12 iliyonse pazifukwa zaukhondo.

Nthawi zina pamene mukufunika kuonana ndi dokotala

Ngati inu kapena mwana wanu muli ndi zizindikiro zotsatirazi, imbani dokotala nthawi yomweyo.

• Zizindikiro za matenda: malungo, madzi ofanana ndi mafinya akutuluka kuchokera pamalo a chubu.
• Ululu wosazolowereka: Ululu wosapiririka, kutupa, kapena kutuluka magazi mozungulira chubu.
• Vuto la chitoliro: Ngati chitolirocho chikuoneka kuti chasuntha kuchokera pamalo pake, kapena ngati chachotsedwa kwathunthu.