Dokotala wanu akakuuzani kuti muyenera kugwiritsa ntchito 'stoma', thumba m'mimba mwanu, mutatha opaleshoni, mungamve mantha kwambiri komanso kuda nkhawa. "Ndituluka bwanji tsopano?", "Kodi ena amvetsetsa izi?", "Kodi sindingathe kukhala ndi moyo monga kale?" Mafunso ambiri angabwere m'maganizo mwanu. Ndizachilendo kwambiri. Koma kwenikweni sizowopsa monga momwe mukuganizira. Lero, tiyeni tikambirane za tanthauzo la stoma, momwe tingasamalire, komanso momwe tingakhalire nayo bwino.
Kodi stoma ndi chiyani mwachidule?
Tangoganizani kuti njira yachibadwa imene zinyalala (ndowe) zimatulukira m'thupi lathu, ku anus, sizikupezeka chifukwa cha matenda enaake kapena ngozi. Kenako tiyenera kupeza njira ina yochotsera zinyalala m'thupi.
Mwachidule, stoma ndi kabowo kakang'ono komwe dokotala wa opaleshoni amapanga pakhoma la mimba yanu (m'mimba).
Opaleshoni iyi imatchedwa colostomy . Mu njira iyi, gawo lathanzi la m'mimba mwanu limatengedwa ndikulumikizidwa ndi dzenje m'mimba mwanu. Kenako, m'malo modutsa m'malo otayira zinyalala, zinyalala, kapena ndowe, zimatuluka kudzera m'dzenje la stoma ili. Timayika thumba lapadera (thumba) pamwamba pa dzenje ili kuti titenge zinyalala.
Nchifukwa chiyani munthu amafunikira stoma?
Pali zifukwa zingapo zomwe munthu angachitire opaleshoni ya colostomy ndi stoma. Izi zimachitika kuti apulumutse moyo wa wodwalayo kapena kukonza moyo wake.
Nazi zina mwa zifukwa zazikulu:
- Kutsekeka kapena kuphulika kwa matumbo: Ngati matumbo atsekeka kapena kuphulika pazifukwa zina, zinyalala sizingadutse.
- Khansa: Ngati gawo la m'matumbo kapena rectum likufunika kuchotsedwa chifukwa cha khansa.
- Matenda a Crohn kapena ulcerative colitis: Awa ndi matenda otupa kwambiri m'matumbo. Nthawi zina, matumbo owonongeka amafunika kuchotsedwa.
- Zilema zobadwa nazo: Ana ena amabadwa ndi mavuto ena a m'mimba.
- Kuvulala kwambiri m'matumbo: Ngati m'matumbo mwawonongeka, monga ngozi.
- Diverticulitis: Iyi ndi matenda omwe matumba ang'onoang'ono amapangika pakhoma la m'matumbo, omwe amadwala ndi kutupa.
Chofunika kwambiri n'chakuti, si ma stoma onse omwe amakhala okhalitsa . Nthawi zina madokotala amapanga ma stoma akanthawi kuti apatse gawo lowonongeka la matumbo nthawi yoti lichiritse.Stoma imayikidwa. Ikayikidwa pamalo pake kwa milungu ingapo kapena miyezi ingapo ndipo matumbo atachira, imachotsedwanso mu opaleshoni ina ndikulumikizidwanso ndi matumbo. Komabe, ngati gawo lalikulu la matumbo lachotsedwa, stoma ingafunike kusungidwa kosatha.
Kodi mungasamalire bwanji stoma ndi thumba bwino?
Pambuyo pa opaleshoni, mudzakhala m'chipatala kwa masiku angapo. Musanapite kunyumba, dokotala kapena namwino adzakuwonetsani momwe mungasinthire thumba ndikusunga khungu lozungulira stoma kukhala loyera. Ngakhale poyamba zingamveke zachilendo pang'ono, pakapita kanthawi, izi zidzakhala gawo la zochita zanu za tsiku ndi tsiku.
| Masitepe | Zoyenera kuchita |
|---|---|
| 1. Nthawi yoti musinthe thumba. | Sinthani thumba likadzaza gawo limodzi mwa magawo atatu (1/3). Musadikire mpaka litadzaza lonse. Izi ziwonjezera mwayi woti thumbalo lituluke chifukwa cha kulemera kwake komanso zinyalala zomwe zingalowe pakhungu lanu. |
| 2. Kuchotsa thumba lakale | Mukukanikiza pakhungu ndi dzanja limodzi, pang'onopang'ono chotsani mbali yomata ya thumba ndi dzanja lina. Musakoke mwamphamvu kwambiri, chifukwa izi zitha kuwononga khungu. |
| 3. Kuchotsa zinyalala | Tayani zinyalala zomwe zili m'thumba mu chimbudzi ndipo tayani thumbalo. Ngati ndi thumba logwiritsidwanso ntchito, litsukeni ndi kuliyeretsa bwino. |
| 4. Kuyeretsa khungu | Pukutani khungu lozungulira stoma pang'onopang'ono ndi nsalu yoyera kapena minofu yonyowetsedwa ndi madzi. Ngati mugwiritsa ntchito sopo, gwiritsani ntchito sopo wofatsa, wosanunkhira. Kenako musiye kuti liume bwino. |
| 5. Kulumikiza thumba latsopano | Dulani potseguka pa thumba latsopano kuti ligwirizane bwino ndi stoma. Ngati potsegukapo ndi lalikulu kwambiri, zinyalala zimatha kulowa pakhungu ndikuyambitsa kuyabwa pakhungu. Kenako, limangirireni mwamphamvu pakhungu. |
Mavuto omwe angakhalepo ndi mayankho awo
Kukhala ndi stoma kungayambitse mavuto ang'onoang'ono. Kudziwa za iwo kungakuthandizeni kuthana nawo popanda kuda nkhawa.
- Kufiira kapena kuyabwa pakhungu: Ili ndi vuto lofala. Izi zitha kuchitika chifukwa cha zinthu zodetsa zomwe zimalowa pakhungu. Yankho labwino kwambiri ndikukhalabe loyera komanso louma nthawi zonse. Funsani dokotala wanu za mafuta apadera (ma kirimu oletsa) omwe amateteza khungu.
- Kusintha kwa mtundu ndi kukula kwa stoma: M'masiku oyambirira pambuyo pa opaleshoni, stoma idzakhala yofiira kwambiri komanso yotupa. Pakapita nthawi, kutupa kudzachepa ndipo kukula kudzachepa. Idzakhalabe pinki kapena yofiira mu mtundu. Izi ndi zachilendo. Pamene kukula kukusintha, kumbukirani kudula potseguka pa thumba kuti ligwirizane ndi kukula kumeneko.
- Mpweya: Popeza ndi zachilendo kukhala ndi mpweya m'matumbo mwanu, thumba nthawi zina limadzaza ndi mpweya. Chepetsani zakudya zomwe zimayambitsa mpweya, monga kabichi, kolifulawa, nyemba, ndi nyemba. Palinso matumba omwe ali ndi potulukira mpweya pang'ono kuti mpweya utuluke.
- Chimbudzi chopanda madzi: Nthawi zina chimbudzi chanu chingakhale chopanda madzi ambiri (monga kutsegula m'mimba). Izi zingayambitse kutaya madzi m'thupi chifukwa thupi lanu limataya madzi ambiri ndi mchere. Choncho imwani madzi ambiri, madzi akumwa, ndi madzi a lalanje. Izi zidzakuthandizani kusintha ma electrolyte omwe mwataya, monga sodium ndi potaziyamu.
- Kutuluka magazi kuchokera ku stoma: Ndizachilendo kuti madontho ochepa a magazi atuluke mu stoma mukatsuka. Komabe, ngati kutuluka magazi sikusiya, kapena ngati muwona magazi mkati mwa thumba , uzani dokotala wanu nthawi yomweyo.
- Kutuluka kwa matumbo m'mimba: Imeneyi ndi vuto losowa kwambiri. Izi zimachitika pamene gawo la matumbo limatuluka kudzera mu stoma. Ngati muwona chinthu chonga ichi, musachite mantha ndipo pitani kwa dokotala. Mungafunike opaleshoni yaying'ono kuti mukonze vutoli.
Nthawi yoti mukaonane ndi dokotala nthawi yomweyo
Ngati muli ndi zizindikiro zotsatirazi, musanyalanyaze ndipo pitani kwa dokotala nthawi yomweyo.
| Zizindikiro zochenjeza zoyenera kuziganizira | |
|---|---|
| 🔴 | Ngati khungu lozungulira stoma lili lofiira, lopweteka, lotupa, kapena lotulutsa madzi. |
| 🔴 | Ngati muli ndi malungo opitirira madigiri 38.3 Celsius (38.3 Celsius). |
| 🔴 | Ngati muli ndi nseru, kusanza, kupweteka kwambiri m'mimba, kudzimbidwa kwambiri kapena kutsegula m'mimba. |
| 🔴 | Ngati mukukumana ndi zizindikiro za kutaya madzi m'thupi: mwachitsanzo, kufooka kwambiri, kugwedezeka kwa minofu, komanso kuchepa kwa kukodza pafupipafupi komanso kuchuluka kwa madzi m'thupi. |
| 🔴 | Ngati magazi akupitirira kutuluka kuchokera m'mimba kapena ngati mukuona magazi mkati mwa thumba. |
Moyo wabwinobwino wokhala ndi stoma... kodi n'zothekadi?
Funso lalikulu kwambiri lomwe aliyense ali nalo ndi ili. Yankho lake ndi lakuti, "Inde, n'zotheka ndithu!"
Matumba a stoma a masiku ano ndi ang'onoang'ono komanso osalala. Choncho palibe amene angazindikire kuti ali pansi pa zovala. Komanso, matumba awa amapangidwa mwanjira yoti fungo lisatuluke. Choncho simuyenera kuda nkhawa ndi fungo.
Musaganize za stoma ndi thumba lanu ngati katundu wolemetsa, koma ngati zipangizo ziwiri zomwe zimakuthandizani ndikukupatsani ufulu. Zimakuthandizani kutuluka momasuka, kuchita zomwe mumakonda, komanso kucheza ndi anthu popanda kupita kuchimbudzi pafupipafupi.
Mukhoza kupita kuntchito, kuchita masewera olimbitsa thupi, kusamba, kusambira, ndikukhala ndi moyo wabwinobwino. Ngati mukumva manyazi kapena kusasangalala ndi izi poyamba, lankhulani ndi dokotala wanu za izi. Zipatala zina zili ndi anamwino ophunzitsidwa bwino (ostomal therapists) pankhaniyi. Palinso magulu othandizira komwe anthu omwe adakumanapo ndi zofanana amakumana. Kulowa nawo malo otere kungakupatseni mphamvu zambiri zamaganizo.
Uthenga Wopita Nawo Kunyumba
- Stoma ndi chinthu chofunikira kuchipatala kuti mupulumutse kapena kupangitsa moyo wanu kukhala wosavuta, osati chinthu chochita manyazi nacho.
- Kusunga stoma ndi khungu lozungulira malo ake oyera komanso ouma ndiyo njira yabwino kwambiri yopewera mavuto ambiri.
- Mukhoza kukhala moyo wabwinobwino komanso wotanganidwa ndi stoma.
- Ngati muli ndi kukayikira kapena nkhawa iliyonse yokhudza vuto laling'ono, musaope kulankhula ndi dokotala wanu za vutolo.
- Mphamvu yamaganizo yomwe mumapeza kuchokera kwa abale anu, anzanu, komanso, ngati pakufunika, magulu othandizira idzakuthandizani kwambiri paulendowu.
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