Opaleshoni ya Colostomy: Kuphunzira Kukhala ndi Chikwama

Kodi inuyo kapena munthu wina amene mumamudziwa adauzidwapo ndi dokotala za opaleshoni ya colostomy? Ndizachilendo kumva mantha pang'ono komanso mantha mukamva za izi. "Kodi kukhala ndi thumba kumatanthauza chiyani?", "Kodi ndidzatha kubwerera ku umunthu wanga wakale?", ndi zina zotero. Mwina mukudabwa. Koma musadandaule. Sizowopsa monga momwe mukuganizira. Lero, tikambirana za izi m'njira yosavuta yomwe mungamvetse.

Mwachidule, kodi colostomy ndi chiyani?

Kuchotsa ndowe m'mimba ndi njira yochitira opaleshoni yomwe imasintha momwe thupi lanu limatulutsira ndowe. Nthawi zambiri, ndowe zathu zimatuluka kudzera mu anus. Koma gawo lina la m'matumbo mwathu likawonongeka chifukwa cha matenda kapena ngozi, kungakhale kofunikira kupatsa gawolo mpumulo kapena kulichotsa kwamuyaya, ndi njira yatsopano yotulutsira ndowe.

Mu njira imeneyi, dokotala wa opaleshoni amapanga kabowo kakang'ono, kapena dzenje, pakhoma la m'mimba mwanu lomwe limaonekera pakhungu. Timatcha izi kuti stoma . Kenako, gawo la matumbo anu akuluakulu (colon) limatengedwa ndikulumikizidwa ku stoma iyi.

Anthu ena amakhala ndi colostomy iyi kwakanthawi, kwa miyezi yochepa chabe. Koma ena amakhala nayo moyo wawo wonse. Zonsezi zimadalira matenda anu. Dokotala wanu adzakufotokozerani izi mwatsatanetsatane.

Kodi pali mitundu ya colostomy?

Inde, pali mitundu ingapo ya colostomies. Izi zimagawidwa malinga ndi gawo la matumbo akulu (colon) lomwe limalumikizidwa ndi khoma la m'mimba. Tiyeni tiwone mitundu ikuluikulu.

Dokotala wanu ndi dokotala wanu adzasankha mtundu wa mankhwala omwe ndi abwino kwa inu.

N’chifukwa chiyani munthu ayenera kuchitidwa opaleshoni ya colostomy?

Pali zifukwa zambiri zomwe zingapangitse kuti colostomy ichitike. Zina zimakhala zakanthawi kochepa, pomwe zina zimakhala zamuyaya.

Ngati pakufunika opaleshoni ya colostomy kwakanthawi:

• Diverticulitis: Matenda kapena kutupa kwa matumbo akulu.
• Matenda a IBD (Inflammatory Bowel Disease): Matenda omwe amakhudza matumbo, monga matenda a Crohn.
• Kuvulala m'matumbo: Kuwonongeka m'matumbo chifukwa cha ngozi.
• Kutsekeka kwa matumbo: Kutsekeka kwa ndowe m'mimba kwinakwake m'matumbo.
• Fistula ya m'makoswe: Chitoliro chosazolowereka pakati pa mphuno ndi khungu.
• Maopaleshoni ena a m'mimba: Gawo la m'mimba likachotsedwa, kuti malowo azitha kuchira asanalumikizane ziwalo zina.

Ngati pakufunika opaleshoni yokhazikika ya colostomy:

• Kulephera kulamulira ndowe zomwe sizingachiritsidwe (Fecal Incontinence).
• Khansa Yapamwamba ya M'mimba.
• Pamene rectum ndi thako zachotsedwa kwamuyaya mwa opaleshoni.

Kodi mumakonzekera bwanji musanachite opaleshoni?

Popeza iyi ndi opaleshoni yaikulu, pali zinthu zingapo zomwe muyenera kukonzekera pasadakhale.

• Kulankhula ndi dokotala wanu: Musanachite opaleshoni, dokotala wanu adzakambirana nanu za njira yochitira opaleshoniyi, zoopsa zake, komanso momwe moyo wanu udzasinthire pambuyo pa opaleshoniyi. Angakambiranenso za njira zochepetsera ululu.
• Mayeso:Adzachita zinthu monga kuyezetsa magazi ndi EKG kuti aone ngati ndinu woyenera opaleshoni.
• Kudziwa komwe mungaike stoma yanu: Wound Ostomy Continence Namwino (WOCN) nthawi zambiri amakuphunzitsani momwe mungagwiritsire ntchito stoma yanu ndi thumba lanu. Adzakuthandizaninso kusankha malo abwino kwambiri oti stoma yanu ikhale, omwe sangasokoneze zovala zanu kapena zochita zanu za tsiku ndi tsiku.
• Pa tsiku la opaleshoni: Muyenera kupewa kudya kwa maola 6 musanachite opaleshoni. Muyeneranso kusiya kumwa madzi, monga madzi, kwa maola awiri musanachite opaleshoni. Dokotala wanu angakulangizeni kuti mutenge mankhwala oyeretsera matumbo kuti akuthandizeni kuyeretsa matumbo anu.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni? Ndipo mavuto omwe angakhalepo

Pambuyo pa opaleshoni, mudzakhala m'chipatala kwa masiku atatu mpaka 7. Panthawiyi, pang'onopang'ono mudzayamba kudya bwino. Ogwira ntchito yosamalira ana adzakuphunzitsaninso zonse zomwe muyenera kudziwa zokhudza kusamalira stoma yanu ndikusintha thumba lanu.

Nthawi yoti muyimbire dokotala wanu

• Kudzimbidwa kosalekeza kapena kutsegula m'mimba.
• Kusanza kapena kusanza.
• Magazi mu chopondapo.
• Kusintha kwa mtundu kapena kukula kwa stoma.
• Fungo loipa lochokera ku stoma kapena likutsekeka.
• Malungo kapena kupweteka kwambiri m'mimba.

Ngati muli ndi zizindikiro izi, muyenera kuyimbira dokotala wanu nthawi yomweyo . Pakagwa mwadzidzidzi, pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala chapafupi.

Moyo uli bwanji ndi thumba?

Ili ndiye vuto lalikulu kwa anthu ambiri.

• Momwe kupita kuchimbudzi kudzasinthira: Pambuyo pa opaleshoni, ndowe zidzatuluka mu stoma. Ngati muli ndi mphuno, nthawi zina mungakhale ndi ntchofu pang'ono. Izi ndi zachilendo. Ndowe yatsopano idzatuluka mu stoma. Chofunika ndichakuti, mosiyana ndi rectum, stoma ilibe minofu yomwe ingaletse ndowe. Chifukwa chake, simungathe kulamulira kuyenda kwa ndowe. Zimachitika zokha.

• Kodi nthawi zonse mumafunika kunyamula thumba?

Anthu ambiri amavala thumba nthawi zonse. Masiku ano matumba ndi opyapyala kwambiri moti sawoneka pamwamba pa zovala. Choncho mutha kuvala zovala zilizonse zomwe mukufuna. Anthu ena omwe ali ndi sigmoid colostomy amatha kuneneratu nthawi yomwe adzayamba matumbo. Angagwiritse ntchito thumba nthawi yomweyo.

• Kodi colostomy ya kanthawi ingabwezeretsedwe?

Inde. Ngati colostomy yanu ndi yakanthawi, mutha kuchitidwa opaleshoni ina kuti ikonzedwenso momwe inalili poyamba thanzi lanu likayamba bwino. Dokotala wanu ndiye adzasankha nthawi yochitira izi. Zingatenge miyezi ingapo kapena chaka chimodzi.