Dokotala wanu akakuuzani inu kapena wina m'banja mwanu kuti muyenera kugwiritsa ntchito thumba la colostomy, mungamve mantha pang'ono komanso nkhawa. Ndizachilendo kukhala ndi mafunso monga, " Ndithana bwanji ndi izi?", "Kodi anthu ena adzaganiza chiyani?", "Kodi sindingathe kukhala ndi moyo monga kale?" Koma musadandaule. Izi sizovuta kapena zosintha moyo monga momwe mungaganizire. Ngati mwadziwitsidwa bwino, mutha kukhala ndi moyo wabwinobwino ndi izi. Tiyeni tikambirane za chilichonse m'njira yosavuta komanso yomveka bwino.
Choyamba, kodi thumba la colostomy ndi chiyani?
Mwachidule, ichi ndi thumba lapadera lomwe limakuthandizani kutulutsa zinyalala, kapena ndowe, kuchokera m'thupi lanu mutachita opaleshoni. Nthawi zambiri, timatulutsa ndowe kudzera mu anus. Komabe, chifukwa cha matenda ena (monga khansa ya m'matumbo) kapena pamene gawo la m'matumbo lawonongeka kwambiri, madokotala amachita opaleshoni yotchedwa colostomy .
Chomwe chimachitika apa ndichakuti kumapeto kwa m'mimba mwanu kumachotsedwa pansi pa khungu la mimba yanu ndipo kabowo kakang'ono kamapangidwa. Kabowo ka pinki, kozungulira aka kamatchedwa stoma . Chimbudzi chanu tsopano chimatuluka mu stoma iyi. Koma mosiyana ndi rectum yathu, stoma iyi ilibe minofu kapena mitsempha yowongolera chimbudzi. Chifukwa chake sitingathe kulamulira nthawi yomwe tikufuna kutulutsa chimbudzi. Ichi ndichifukwa chake thumba la colostomy ili limamangiriridwa pamwamba pa stoma kuti litenge chimbudzi chomwe chimatuluka chokha.
Anthu ena amagwiritsa ntchito thumba ili kwakanthawi, kutanthauza kuti, mpaka matumbo awo atachira. Ena amagwiritsa ntchito kwa moyo wawo wonse. Kaya chifukwa chake ndi chiyani, pakapita nthawi, anthu ambiri amalizolowera ndipo amalizoloweranso moyo wawo watsiku ndi tsiku.
Kusiyana pakati pa Colostomy Bag ndi Ostomy Bag
Mwina munamvapo za "thumba la ostomy." Kodi kusiyana pakati pa ziwirizi n'chiyani?
Chifuwa cha ostomy ndi mawu ofala a mpata uliwonse womwe umapangidwa ndi opaleshoni kuti zinyalala zituluke m'thupi. Mpata uwu umatchedwa stoma. Chifukwa chake, thumba lililonse lomwe munthu wokhala ndi ostomy amagwiritsa ntchito kusonkhanitsa zinyalala ndi "thumba la ostomy."
Kuchotsa mimba m'mimba ndi mtundu wa opaleshoni ya ostomy. Izi zikutanthauza kuti thumba lililonse la colostomy ndi thumba la ostomy, koma si thumba lililonse la ostomy lomwe ndi thumba la colostomy.
Izi zidzamveka bwino kwa inu mukayang'ana tebulo ili m'munsimu.
| Mtundu wa Ostomy | Kodi stoma imapangidwa kuti? | Kodi chimabwera ndi chiyani m'thumba? |
|---|---|---|
| Colostomy | Matumbo Akuluakulu | Chopondapo |
| Ileostomy | Matumbo Ang'onoang'ono - Ileum | Chidendene (nthawi zambiri chimamasuka) |
| Urostomy | Dongosolo la Mkodzo | Mkodzo |
Pali mitundu ingapo ya matumba a colostomy.
Palibe chikwama chimodzi chomwe chimakwanira onse. Pali mitundu yosiyanasiyana yoti musankhe kutengera zosowa zanu komanso moyo wanu.
- Dongosolo la chidutswa chimodzi: Dongosololi lili ndi thumba ndi gawo lomangirira khungu. Mukasintha thumba, muyenera kulichotsa kwathunthu ndikuvala latsopano. Izi ndizosavuta kugwiritsa ntchito.
- Dongosolo la magawo awiri: Ili ndi magawo awiri: mbale yoyambira/chophimba chomwe chimamatira pakhungu ndi thumba lomwe limamatira. Chikwamacho chikhoza kusinthidwa ngati pakufunika, ndipo mbale yoyambira iyenera kusinthidwa masiku awiri kapena atatu aliwonse.
- Matumba otsekedwa: Awa ndi abwino ngati chopondapo chanu chili chokhuthala. Chikwamacho chikadzaza, mumangochichotsa ndikuyika china chatsopano. Muyenera kuchisintha kawiri patsiku.
- Matumba otulutsa madzi: Awa ndi abwino kwambiri ngati ndowe yanu ili ndi madzi. Mutha kutulutsa zinyalalazo kudzera m'bowo pansi pa thumba, kuzitsekanso, ndikuzigwiritsanso ntchito. Muyenera kusintha thumba lonse masiku awiri kapena atatu aliwonse.
- Matumba ang'onoang'ono: Awa ndi matumba ang'onoang'ono kwambiri omwe angagwiritsidwe ntchito kwa nthawi yochepa, monga posambira kapena kuchita masewera olimbitsa thupi.
Musadandaule, dokotala wanu kapena Namwino Wosamalira Stoma adzakuthandizani kusankha chikwama chomwe chikukuyenererani.
Kodi mumakhala bwanji moyo wabwinobwino ndi thumba?
Ili ndiye vuto lalikulu lomwe anthu ambiri ali nalo. Ngakhale poyamba zingamveke zachilendo pang'ono, malangizo awa adzakuthandizani.
Kodi mudzauza ena za izi?
Kulankhula ndi anzanu apamtima, abale anu, ndi anzanu apamtima kungakuthandizeni kuchepetsa nkhawa zomwe muli nazo. Ndibwinonso kulankhula ndi munthu amene mumamudalira kuntchito, chifukwa mungafunike thandizo.
Kodi mukuona chikwamacho panja? Kodi mukumva phokoso?
Ichi ndi chinthu chomwe anthu ambiri amaganiza kuti n'chosafunikira. Funsani munthu amene mumamukhulupirira kuti aone ngati thumbalo likuoneka pansi pa zovala zanu. Chikwama choyikidwa bwino sichidzaoneka pansi pa zovala. Kutulutsa thumbalo likadzaza ndi gawo limodzi mwa magawo atatu (1/3) kudzapangitsa kuti lisawonekere bwino komanso kuti lisatuluke mosavuta. Nthawi zina pangakhale phokoso laling'ono mpweya ukatuluka mu stoma, zomwe ndi zachilendo.
Kodi nditha kuvala zovala zilizonse zomwe ndikufuna?
Ndizothekadi! Mutha kupangitsa chikwamacho kukhala chosaoneka pansi pa zovala zanu zachizolowezi. Zovala zotayirira zomwe sizikukakamiza chikwamacho zidzakhala bwino kwa inu poyamba. Tsopano pali zovala zapadera zamkati komanso zovala zosambira zomwe zapangidwira izi.
Kodi izi zidzakhudza moyo wogonana?
Ndizachibadwa kumva kusasangalala pang'ono komanso manyazi poyamba. Koma musalole kuti izi zikulepheretseni kugonana. Tsukani thumba lanu ndi kulitsuka musanachite zogonana. Ngati kuli kofunikira, lankhulani ndi dokotala wanu za kapu kakang'ono ka stoma komwe mungagwiritse ntchito panthawi yogonana yokha.
Kodi mungathe kuchita masewera olimbitsa thupi?
Inde. Mutha kuchita chilichonse kuyambira kuchita masewera olimbitsa thupi pang'ono mpaka kuchita masewera olimbitsa thupi amphamvu. Komabe, ngati mukuchita masewera olimbitsa thupi omwe amakukakamizani m'mimba, monga kunyamula zolemera, funsani dokotala wanu kuti akupatseni chovala chapadera chothandizira kapena choteteza stoma kuti muteteze stoma yanu.
Zinthu zofunika kusamala nazo mukamadya ndi kumwa
Inde, mwa kusamala pang'ono ndi zomwe mumadya, mutha kuchepetsa kwambiri kusasangalala monga mpweya, kudzimbidwa, ndi kutsegula m'mimba .
| Mkhalidwe | Zakudya Zoyenera Kupewa Kapena Kuchepetsa |
|---|---|
| Masabata angapo oyamba pambuyo pa opaleshoni | |
| Poyamba (idyani zakudya zosavuta kugaya) | Zakudya za mkaka zokhala ndi mafuta ambiri (mkaka wopanda mafuta ambiri, ayisikilimu), zakudya zokhala ndi ulusi wambiri (nyemba, ndiwo zamasamba zosaphika, zipatso), nyama yonenepa, zakumwa zokhala ndi carbonated, mowa. |
| Zakudya zomwe zimayambitsa fungo | |
| Ngati pali vuto la fungo pamene mukutulutsa thumba | Mowa, asparagus, nyemba, broccoli, kabichi, mazira, nsomba, adyo, anyezi. |
| Zakudya zomwe zimayambitsa mpweya (mpweya) | |
| Ngati muli ndi vuto la kutupa | Tchizi wakale, nyemba, mowa, kabichi, zakumwa zokhala ndi carbonated, khofi, anyezi, zipatso zosaphika, sipinachi. |
Chofunika kwambiri ndi kuyesa zakudya zatsopano kunyumba, chimodzi ndi chimodzi. Mukatero mudzadziwa nokha ngati chakudyacho chili chabwino kwa thupi lanu kapena ayi.
Momwe mungasinthire thumba la colostomy
Namwino kuchipatala adzakuwonetsani momwe mungachitire izi, koma kumbukirani njira zoyambira izi.
1. Ngati mukufuna kutulutsa zinyalala m'thumba lomwe mudagwiritsa ntchito, ikani zinyalalazo m'chimbudzi.
2. Sambani m'manja mwanu bwino ndi sopo ndikuwumitsa ndi thaulo loyera.
3. Mukukankhira khungu mozungulira stoma pang'onopang'ono ndi dzanja limodzi, kokerani thumbalo pang'onopang'ono kutali ndi khungu ndi dzanja lina. Musakoke mwamphamvu.
4. Ikani thumba lotsegulidwalo mu thumba la pulasitiki ndipo limange.
5. Tsukani khungu lozungulira stoma ndi madzi ofunda ndi nsalu yofewa kapena zopukutira. Kenako lisiyeni liume bwino.
6. Ngati kuli kofunikira, yezani kukula kwa stoma ndikudula wafer wa thumba latsopanolo kukula komweko. Kapena, mungagwiritse ntchito thumba lodulidwa kale.
7. Ikani potsegulira thumba latsopanolo pamwamba pa stoma ndikukanikiza pang'onopang'ono kwa masekondi pafupifupi 45 kuti muwonetsetse kuti limamatira bwino pakhungu.
8. Ngati mukugwiritsa ntchito thumba lotha kutsekedwanso, tsekani pansi pake mwamphamvu ndi chomangira.
9. Ikani thumba lomwe lili ndi zinyalalazo mu chidebe cha zinyalala ndipo sambani m'manja mwanu bwino.
Uthenga Wopita Nawo Kunyumba
- Ndizachibadwa kuchita mantha mukamva koyamba za thumba la colostomy. Koma ndi chinthu chomwe chingathandize kuti moyo wanu ukhale wabwino komanso kuti muzitha kulamulira.
- Lankhulani ndi dokotala wanu kapena namwino wosamalira stoma kuti musankhe mtundu wa thumba lomwe lingakhale labwino kwa inu.
- Sungani stoma ndi khungu lozungulira malo ake oyera komanso owuma. Ngati muwona kufiira, kuyabwa, kapena kupweteka, uzani dokotala wanu nthawi yomweyo.
- Mwa kusamala zakudya zanu, mutha kuwongolera zovuta monga mpweya ndi kudzimbidwa.
- Musachite manyazi kulankhula ndi dokotala wanu momasuka za mavuto aliwonse akuthupi kapena amisala omwe mungakhale nawo pankhaniyi.
- Pakapita nthawi, izi zidzakhala gawo la moyo wanu watsiku ndi tsiku. Dzipatseni nthawi yochitira zimenezo.
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