Kodi mudalowetsedwa thumba m'mimba mwanu chifukwa cha matenda? Izi zimatchedwa stoma m'mawu azachipatala. Kukhala motere kungakhale kosasangalatsa komanso kokhumudwitsa pang'ono. Funso lalikulu lomwe anthu ambiri ali nalo ndi lakuti, "Kodi ndidzatha kupita kuchimbudzi monga momwe ndinkachitira kale?" Pali yankho labwino la funsoli. Kwa anthu ambiri, stoma yakanthawi iyi imatha kusinthidwa ndi opaleshoni ina (opaleshoni yobwezera) ndikubwezeretsedwanso momwe angathere kuchita chimbudzi mwachizolowezi. Tiyeni tikambirane za izi mwatsatanetsatane lero.
Kodi aliyense angapatsidwe opaleshoni iyi?
Funso ili ndi lofunika kwambiri. Dokotala wanu ndi inu mudzasankha pamodzi ngati opaleshoni iyi yobwezeretsa stoma ndi yoyenera kwa inu. Pali zinthu zingapo zofunika kuziganizira popanga chisankho ichi.
- Thanzi Lanu Lonse: Thupi lanu liyenera kukhala ndi thanzi labwino kuti muchitidwe opaleshoni yamtunduwu ndikuchira mwachangu mutatha opaleshoni.
- Kuchuluka kwa rectum komwe kwatsala pambuyo pa opaleshoni yoyamba: Kuti mulumikizanenso malekezero awiri a matumbo, payenera kukhala rectum yokwanira.
- Mphamvu ya minofu ya m'matumbo: Dokotala adzawonanso ngati minofu yozungulira m'matumbo mwanu ndi yolimba mokwanira kuti ipereke mphamvu yofunikira yotulutsa ndowe.
- Ndondomeko yanu ya chithandizo: Ngati mukulandira chithandizo cha matenda monga khansa, opaleshoni yobwezeretsa chithandizo idzayimitsidwa mpaka chithandizo chonsecho (monga chemotherapy) chitathe.
Mwachidule, chinthu chachikulu apa ndi ngati thupi lanu lakonzeka opaleshoni yachiwiri, komanso ngati n'zotheka kulumikizanso matumbo.
Dokotala wanu asanachite opaleshoniyi, adzakuyang'anirani mosamala ndipo, ngati pakufunika kutero, angakulangizeni masewera olimbitsa thupi kapena chithandizo cha thupi. Izi zidzakuthandizani kulimbitsa minofu ya m'matumbo mwanu ndikukuthandizani kuti muyambe bwino matumbo mukangomaliza opaleshoni.
Kodi nthawi yabwino kwambiri yochitira opaleshoni ndi iti?
Kawirikawiri, nthawi yabwino kwambiri yochitira opaleshoni yobwezeretsa ndi miyezi itatu mutachita opaleshoni yoyamba. Komabe, pali zochitika zina zomwe zingatenge chaka chimodzi. Chifukwa cha izi ndikupereka nthawi yokwanira kuti mabala amkati ndi kutupa zichiritsidwe komanso kuti thupi libwerere mwakale. Nthawi zina, pali anthu omwe amachita opaleshoni iyi ngakhale patatha zaka zingapo. Choncho musadandaule, mutha kulankhula ndi dokotala wanu ndikusankha nthawi yomwe ikuyenererani.
Kubwezeretsa kwa Colostomy ndi Ileostomy
Mu colostomy, gawo la matumbo anu akuluakulu (colon), ndi ileostomy, gawo la matumbo anu ang'onoang'ono (ileum), limachotsedwa kudzera pakhungu la mimba yanu kuti apange stoma. Ngakhale njira za opaleshoni ziwirizi ndizosiyana pang'ono, lingaliro loyambira ndi lomwelo. Izi zikutanthauza kuti, malekezero awiri a matumbo olekanitsidwa amalumikizidwanso kuti chopondacho chidutse m'njira yachibadwa.
Momwe opaleshoni imachitikira
1. Mankhwala Oletsa Kupweteka: Choyamba, mudzapatsidwa mankhwala oletsa kupweteka. Choncho simudzamva chilichonse panthawi ya opaleshoni, mudzakhala mutulo tofa nato.
2. Kutulutsa matumbo: Kenako, dokotala wa opaleshoni adzatulutsa pang'onopang'ono gawo la matumbo anu lomwe lili pakhungu la mimba yanu.
3. Anastomosis: Kenako, malekezero awiri a matumbo olekanitsidwawo amabweretsedwa pamodzi ndikulumikizidwa. Izi zimatchedwa anastomosis m'mawu azachipatala. Kulumikizana kumeneku kungachitike pogwiritsa ntchito mtundu wapadera wa staples kapena kusoka ndi manja.
4. Kutseka kwa bala: Matumbo akalumikizidwa kuchokera mkati, stoma ndi mabala ochitidwa opaleshoni amatsekedwa.
Opaleshoni iyi nthawi zambiri imatenga pafupifupi maola awiri kapena anayi , koma ngati muli ndi zipsera kapena hernia kuchokera ku opaleshoni yakale, zingatenge nthawi yayitali.
Mavuto ndi zoopsa zomwe zingachitike mutachita opaleshoni
Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa ndi zovuta zomwe zingachitike. Komabe, nthawi zambiri izi zimatha kuthetsedwa. Kubwezeretsa kwa colostomy kumaonedwa kuti kuli ndi chiopsezo chachikulu cha zovuta kuposa kubwezera kwa ileostomy.
| Vuto lomwe lingakhalepo | Zimatanthauza chiyani? |
|---|---|
| Matenda a bala | Matenda monga kufiira, kutupa, kupweteka, ndi mafinya ozungulira bala la opaleshoni. |
| Ileus | Kuyimitsa kwa kanthawi ntchito ya m'mimba, komwe kumalepheretsa mpweya, madzi, ndi chakudya kupita patsogolo. |
| Kutsekeka kwa Matumbo | Kutsekeka kwa matumbo chifukwa cha minofu ya zipsera. |
| Kutuluka kwa Anastomotic | Ndowe zomwe zimatuluka m'mimba kuchokera pamalo omwe matumbo amalumikizana. Ili ndi vuto lalikulu kwambiri. |
| Hernia | Gawo la matumbo limatuluka pansi pa khungu kudzera mu stoma kapena incision. |
| Sepsis | Matenda oopsa omwe amafalikira m'thupi lonse ndipo akhoza kupha munthu. |
| Ngati muli ndi zizindikiro izi, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatalacho. | |
| |
Ngati mukusuta , kusiya kapena kuchepetsa kusuta musanachite opaleshoni kungathandize kwambiri kuchepetsa chiopsezo cha matenda a bala.
Nthawi yochira ndi zinthu zomwe muyenera kutsatira kunyumba
Mukachita opaleshoni, nthawi zambiri mumakhala m'chipatala kwa masiku atatu mpaka 10. Mudzatumizidwa kunyumba mukatha kudya zakudya zolimba ndipo matumbo anu abwerera mwakale.
Zoyenera kuyembekezera mutabwerera kunyumba
Kuyenda kwanu m'mimba kungasinthe pang'ono poyamba. Musadandaule, izi ndi zachilendo.
- Chimbudzi chopanda madzi kapena chotayirira: Poyamba, chimbudzicho chingakhale chopanda madzi pang'ono.
- Kupita kuchimbudzi pafupipafupi: Mungafunike kupita kuchimbudzi kangapo patsiku.
- Kufunika Kwambiri: Mungamve kufunika kopita kuchimbudzi mukangomva kufunika kochita chimbudzi.
- Kumva ngati simunatulutse madzi m'matumbo mwanu: Ngakhale mutapita kuchimbudzi, mungamve ngati madzi m'matumbo mwanu sanatulutse madzi m'thupi mwanu.
Zizindikiro zambirizi zimachepa pang'onopang'ono ndipo zimabwerera mwakale pakapita nthawi.
Zakudya
Muyenera kusamala kwambiri ndi zakudya zanu pamene mukuchira.
- Zakudya zopanda ulusi wambiri: M'masabata oyamba, dokotala wanu adzakulangizani kuti mudye zakudya zosavuta kugaya komanso zopanda ulusi wambiri.
- Zakudya zazing'ono: Ndi bwino kudya zakudya zazing'ono 5-6 patsiku m'malo modya zakudya zazikulu zitatu patsiku.
- Imwani madzi ambiri: Imwani madzi ambiri ndi madzi ena (monga madzi a zipatso) tsiku lonse. Izi ndizofunikira kwambiri pa ntchito ya m'mimba.
- Siyani zinthu izi kwakanthawi:
- Zakudya zokhala ndi mafuta, mafuta, komanso zokometsera.
- Zakudya zomwe zimadzaza m'mimba ndi mpweya, monga kabichi, anyezi, ndi nyemba.
- Zakumwa zoledzeretsa, mowa, ndi caffeine wambiri.
Kuchita masewera olimbitsa thupi ndi zochita
Mungamve kutopa pang'ono mukafika kunyumba, choncho pumulani mokwanira.
- Kuchita masewera olimbitsa thupi pang'ono: Yambani kuchita masewera olimbitsa thupi pang'ono, monga kuyenda, pokhapokha dokotala atakupatsani chilolezo.
- Pewani kunyamula zinthu zolemera: Musanyamule zinthu zolemera kwa mwezi umodzi kapena kuposerapo.
- Kuyendetsa Galimoto: Pewani kuyendetsa galimoto kwakanthawi. Funsani dokotala wanu kuti akupatseni chilolezo musanayambitsenso zonsezi.
Nthawi zambiri zimatenga milungu 6-8 kuti munthu achire bwino. Panthawi imeneyi, ndikofunikira kwambiri kukhala woleza mtima ndikutsatira malangizo a dokotala.
Uthenga Wopita Nawo Kunyumba
- Ngati mwachitidwa opaleshoni ya colostomy kwakanthawi kapena ileostomy, nthawi zambiri zimakhala zotheka kuibwezeretsa mwakale mwa opaleshoni yobwezeretsa.
- Muyenera kukambirana ndi dokotala wanu ngati opaleshoniyi ndi yoyenera kwa inu komanso nthawi yabwino yochitira opaleshoniyi.
- Zimatenga nthawi kuti munthu achire bwino pambuyo pa opaleshoni, choncho ndikofunikira kukhala woleza mtima ndikupatsa thupi lanu mpumulo womwe likufuna.
- Tsatirani malangizo a dokotala wanu okhudza zakudya ndi zochita zanu panthawi yomwe mukuchira.
- Ngati mukuona zizindikiro zilizonse zochenjeza monga malungo, kupweteka kwambiri, kutuluka mafinya pabala, kapena kusintha kosazolowereka kwa ndowe, dziwitsani dokotala wanu nthawi yomweyo.
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