Zimene Muyenera Kudziwa Zokhudza Kuchotsa Colectomy

Kodi dokotala wanu anakuuzani za kupweteka m'mimba kapena vuto la m'mimba? Mwina anakuuzaninso za opaleshoni yotchedwa 'Colectomy'. Kumva dzinali kungakhale koopsa pang'ono. Koma ngati tikudziwa bwino lomwe, mantha amenewo akhoza kuthetsedwa kwambiri. Iyi ndi opaleshoni yomwe imachotsa gawo la m'matumbo lomwe lili ndi matenda. Tiyeni tiwone mwachidule tanthauzo lake, chifukwa chake limachitidwa, komanso momwe tingathanirane nalo.

Mwachidule, kodi Colectomy ndi chiyani?

Kuchotsa ziwalo za m'mimba (Colectomy) ndi opaleshoni yochotsa gawo la m'mimba mwanu kapena matumbo anu onse akuluakulu. Matumbo akuluakulu ndi gawo lofunika kwambiri m'thupi lathu. Komabe, matenda ena amatha kuwononga matumbo akuluakuluwa. Kenako sangathe kugwira ntchito bwino. Pamenepo madokotala amasankha kuchotsa gawo lowonongekali.

Ndi matenda ati omwe amachititsa opaleshoniyi?

Dokotala angalimbikitse opaleshoni yaikulu yotereyi pokhapokha ngati pali chifukwa chachikulu. Nthawi zambiri pamakhala zifukwa zingapo zazikulu zochitira opaleshoni ya colectomy.

Kuphatikiza apo, anthu ena ali ndi matenda obadwa nawo, monga Lynch syndrome kapena Familyal adenomatous polyposis (FAP). Matendawa amawonjezera chiopsezo chokhala ndi khansa ya m'matumbo mtsogolo. Pazochitika zotere, madokotala angalimbikitse opaleshoni iyi ngati njira yodzitetezera matendawa asanayambe .

Ndi mitundu iti ya opaleshoni ya colectomy yomwe ilipo?

Opaleshoni iyi imagawidwa m'mitundu ingapo kutengera kuchuluka kwa matumbo omwe achotsedwa.

• Kuchotsa mimba yonse: Pachifukwa ichi, matumbo anu onse akuluakulu amachotsedwa.
• Kuchotsa ziwalo zina m'mimba: Pachifukwa ichi, gawo limodzi la matumbo akuluakulu ndi lomwe limachotsedwa. Pali mitundu ina ingapo ya izi.

Kodi mumakonzekera bwanji musanachite opaleshoni?

Popeza opaleshoniyi ndi yaikulu, imafunika kukonzekera bwino. Dokotala wanu wa m'mimba adzakumana nanu ndikukufotokozerani zonse zokhudza opaleshoni yomwe mukuchita komanso momwe idzachitikire.

Kuphatikiza apo, mudzayesedwa kangapo kuti muwone ngati mungathe kupirira opaleshoni.

• Kuyezetsa magazi
• Colonoscopy
• EKG (Electrocardiogram) kuti muwone momwe mtima ukugwira ntchito
• Mayeso ojambulira zithunzi monga CT scan kapena MRI scan

Dokotala adzakupatsaninso malangizo a zomwe muyenera kuchita masiku angapo opaleshoni isanachitike.

1. Munthu woti akutengereni kunyumba: Konzani pasadakhale kuti wina akutengereni kunyumba kuchokera kuchipatala mutachitidwa opaleshoni.

2. Zakudya zamadzimadzi: Mudzapemphedwa kudya zakudya zamadzimadzi zokha kwa masiku angapo musanachite opaleshoni. Mwachitsanzo, zinthu monga madzi a supu ndi madzi a lalanje.

3. Kuyeretsa matumbo: Musanachite opaleshoni, matumbo anu ayenera kutsukidwa kwathunthu. Mudzapatsidwa madzi apadera (kukonzekera matumbo) kuti mumwe. Izi zingakhale zovuta pang'ono, koma ndikofunikira kwambiri kuti opaleshoniyo ipambane.

4. Kusala Kudya: Mukulangizidwa kuti musadye kapena kumwa chilichonse kuyambira pakati pausiku tsiku lisanafike opaleshoni.

Kodi chimachitika ndi chiyani panthawi ya opaleshoni?

Simudzamva chilichonse panthawi ya opaleshoni chifukwa opaleshoniyo idzayamba mutapatsidwa mankhwala oletsa ululu (general anesthesia) komanso mutakhala tulo tabwino.

Mwachidule, izi ndi zomwe zimachitika:

• Dokotala wanu wogonetsa anthu adzakupatsani mankhwala oletsa ululu.
• Dokotala wa opaleshoni amaduladula mimba yanu kamodzi kakatali (open colectomy) kapena kuduladula ming'alu ingapo yaing'ono (laparoscopic colectomy kapena robotic colectomy). Kuchira kumachitika mwachangu ndi opaleshoni ya laparoscopic.
• Kenako, gawo la m'mimba lomwe lawonongeka kapena lodwala limazindikirika ndikudulidwa.
• Kenako, malekezero awiri a matumbo athanzi otsalawo amalumikizidwa pamodzi.
• Nthawi zina pali nthawi zina pamene malekezero awiriwa sangalumikizane. Pazochitika zimenezo, njira ina imatsatiridwa (tikambirana za zimenezo).
• Pomaliza, mabalawo amatsekedwa ndi ma stitches.

Opaleshoni yonseyi nthawi zambiri imatenga pafupifupi ola limodzi kapena anayi.

Kodi Anastomosis ndi Ostomy ndi chiyani? Izi ndizofunikira kwambiri.

Pambuyo poti gawo la m'mimba lachotsedwa, ndikofunikira kwambiri kudziwa zomwe zimachitika ku magawo awiri otsalawo. Pali njira ziwiri zazikulu apa. Dokotala wanu adzasankha njira yomwe ili yoyenera kwa inu.

Ndizachibadwa kukhala ndi mantha komanso nkhawa mukauzidwa kuti muyenera kukhala ndi ostomy. Koma madokotala ndi ogwira ntchito yosamalira anamwino adzakuphunzitsani njira yabwino yozolowera, momwe mungagwiritsire ntchito thumba, komanso momwe mungakhalire ndi moyo wabwinobwino ndi thumbalo.

Kodi zoopsa zomwe zingachitike chifukwa cha opaleshoniyi ndi ziti?

Monga opaleshoni iliyonse yaikulu, opaleshoni ya colectomy ili ndi zoopsa zina, koma madokotala amachita zonse zomwe angathe kuti achepetse zoopsazi.

• Kutuluka kwa ndowe m'mimba: Kutuluka kwa ndowe m'mimba kuchokera pamalo omwe matumbo amalumikizana.
• Kutuluka magazi ambiri: Kutuluka magazi ambiri panthawi ya opaleshoni kapena pambuyo pake.
• Matenda: Matenda omwe ali pachilonda cha opaleshoni kapena m'mimba.
• Kuwonongeka kwa ziwalo zapafupi: Pali chiopsezo chochepa cha kuwonongeka kwa ziwalo zapafupi, monga chikhodzodzo ndi matumbo ang'onoang'ono.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?

Pambuyo pa opaleshoni, muyenera kukhala m'chipatala kwa masiku angapo, mwina mpaka sabata imodzi. Panthawiyi:

• Mpaka matumbo anu atayambanso kugwira ntchito, choyamba mudzapatsidwa madzi olowa m'mitsempha, kenako madzi omwa ndi zakudya zofewa.
• Ogwira ntchito yosamalira ana amafufuza nthawi zonse kuti awone ngati bala la opaleshoni likuchira bwino komanso ngati pali zizindikiro zilizonse za matenda.
• Mudzapatsidwa malangizo atsatanetsatane a momwe mungasamalire bala mukapita kunyumba.
• Ngati muli ndi opaleshoni ya ostomy, mudzapatsidwa maphunziro apadera a momwe mungasamalire stoma komanso momwe mungasinthire thumba.
• Mukapita kunyumba, adzakupatsani malangizo a zakudya zomwe mungadye komanso zochita zing'onozing'ono zomwe mungachite (monga kuyenda pansi).

Zimatenga nthawi yayitali bwanji kuti munthu achire?

Zingatenge milungu isanu ndi umodzi kuti munthu achire bwino akabwerera kunyumba. Komabe, anthu ambiri amatha kuyambiranso zochita zawo zachizolowezi mkati mwa milungu iwiri. Koma musafulumire. Mvetserani thupi lanu. Ngati mukumva kutopa, pumulani.

Kodi ndiyenera kudya chiyani nditachita opaleshoni?

Kawirikawiri, kwa mwezi woyamba kapena kuposerapo, muyenera kudya zakudya zopanda ulusi wambiri . Chifukwa zimakhala zosavuta kuti matumbo azigaya. Mutha kudya zinthu monga mpunga woyera, mphodza zophikidwa bwino, ndiwo zamasamba zophikidwa bwino, nsomba, ndi nkhuku. Dokotala amakulangizani kuti musiye kudya zakudya zokhala ndi ulusi wambiri monga ndiwo zamasamba zobiriwira ndi tirigu wonse kwa kanthawi.

Kodi muyenera kulankhula ndi dokotala liti?

Samalani kwambiri ndi thupi lanu mukapita kunyumba. Ngati muli ndi zizindikiro zotsatirazi, imbani dokotala wanu nthawi yomweyo .

Opaleshoni ngati iyi ndi yosintha moyo. Ikhoza kuchepetsa zizindikiro zanu zopweteka, kukuchiritsani khansa, kapena kukupatsani moyo wautali. Kukhala ndi ostomy kungakhale kusintha kwakukulu. Koma pali anthu ambiri omwe angakuthandizeni kuzolowera. Choncho lankhulani ndi dokotala wanu za mafunso anu, mantha anu, ndi nkhawa zanu.