Opaleshoni ya diverticulitis? Tiyeni tidziwe bwino lomwe kuti ichi ndi chiyani.

Mwina mukudwala matenda a diverticulitis, omwe amachititsa kupweteka m'mimba komanso kutentha thupi nthawi zonse. Ngati vuto lanu likuvuta kulithetsa ngakhale mutamwa mankhwala ndi mankhwala ena, dokotala wanu angakulangizeni opaleshoni. Choncho n'zachibadwa kumva mantha pang'ono akanena zimenezo. Komabe, mukadziwa bwino lomwe opaleshoniyi, momwe imachitikira, ndi zomwe zimachitika pambuyo pake, mantha anu adzatha. Lero, tiyeni tikambirane za opaleshoni iyi ya diverticulitis.

Nchifukwa chiyani tikufunika opaleshoni ya diverticulitis?

Mwachidule, diverticulitis ndi vuto limene matumba ang'onoang'ono (diverticula) amapangika m'makoma a m'matumbo athu, omwe timawatcha kuti diverticula , amadwala kapena kutupa. Ndi pokhapokha ngati vutoli lakula kwambiri pamene opaleshoni imaganiziridwa.

Dokotala wanu nthawi zambiri amalangiza opaleshoni pazochitika izi:

• Ngati vutoli silingathe kuthetsedwa ngakhale mutamwa mankhwala ndi mankhwala ena osagwiritsa ntchito opaleshoni.
• Ngati vutoli libwereranso pambuyo pa chithandizo (recurrent diverticulitis).
• Kulumikizana kosazolowereka, monga fistula , kumachitika pakati pa khoma la matumbo akulu ndi ziwalo zapafupi monga chikhodzodzo kapena nyini.

Opaleshoni imeneyi kwenikweni imafuna kudula ndi kuchotsa gawo la matumbo akuluakulu lomwe lakhudzidwa ndi matendawa. Timatcha izi kuti ndi partial colectomy .

Nthawi zina, dokotala wa opaleshoni akachotsa gawo la m'mimba, amafunikanso kuchita opaleshoni ya ostomy . Tiyeni tiwone chomwe chimachitika.

Ndi mitundu iti ya opaleshoni iyi?

Dokotala wanu angasankhe imodzi mwa opaleshoni izi kutengera vuto lanu.

Zambiri zokhudza opaleshoni ya ostomy

Musachite mantha mukamva izi. Taganizirani ngati kumanga msewu, kupanga msewu wina kwakanthawi kuti magalimoto adutsemo. Chinthu chofanana ndi ichi chikuchitika pano. Msewu wakanthawiwu ukumangidwa kuti uletse ndowe kudutsa m'dera lomwe opaleshoni ya m'mimba idachitikira mpaka itachira.

• Kutsegula m'mimba: Chiwalo cha matumbo akuluakulu chimalumikizidwa ndi khungu la mimba, zomwe zimapangitsa kuti pakhale potseguka. Chimbudzi chimatuluka kudzera mmenemo ndikusonkhanitsa m'thumba (thumba la colostomy) lomwe limalumikizidwa ku mimba.
• Ileostomy: Mpata uwu umapangidwa pogwiritsa ntchito gawo la matumbo ang'onoang'ono (ileum).

Kodi mumakonzekera bwanji musanachite opaleshoni?

Muyenera kukonzekera musanachite opaleshoni. Dokotala wanu adzakupatsani malangizo omveka bwino okhudza izi. Nthawi zambiri, izi zimachitika.

• Ma scan ena: Mungapemphedwe kuti muyesedwe ndi computed tomography (CT) scan kapena mayeso ena apadera a X-ray .
• Kuyezetsa thanzi: Mungafunike kuyezetsa magazi, colonoscopy , EKG , ndi zina zotero. Mungathenso kukumana ndi gulu lothandizira odwala oletsa ululu.
• Kukonzekera Matumbo: Iyi ndi gawo lovuta kwambiri. Mudzapemphedwa kuti musiye kudya kwa maola angapo musanachite opaleshoni ndipo mudzamwa zakumwa monga madzi ndi supu yokha. Mudzapatsidwanso mankhwala apadera oyeretsera matumbo anu kwathunthu.

Kodi chimachitika ndi chiyani panthawi ya opaleshoni?

Pa opaleshoni yonseyi, mumapatsidwa mankhwala oletsa ululu (general anesthesia), zomwe zikutanthauza kuti simukumva chilichonse, mukugona.

1. Dokotala amaduladula kachidutswa kamodzi kakulu pa opaleshoni yotseguka, kapena kudula kangapo kakang'ono pa opaleshoni ya laparoscopic kuti akafike m'matumbo akulu.

2. Kenako gawo la m'mimba lomwe lili ndi matenda a diverticulitis limachotsedwa .

3. Ziwalo ziwiri zathanzi za m'matumbo zimalumikizidwanso pogwiritsa ntchito zida zomangira kapena zomangira.

4. Ngati kuli kofunikira, opaleshoni ya ostomy imachitidwa kuti ilumikize gawo la matumbo ndi khungu.

5. Pomaliza, mabala opangidwa m'mimba amatsekedwa.

Opaleshoni iyi nthawi zambiri imatenga maola atatu kapena anayi , koma nthawi ino imatha kusiyana malinga ndi momwe mulili komanso mtundu wa opaleshoni yomwe ikuchitidwa.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni? Ndipo zimatenga nthawi yayitali bwanji kuti munthu achire?

Muyenera kukhala m'chipatala kwa masiku angapo mutachita opaleshoni. Izi zidzadalira momwe mukuchira msanga. Panthawiyi:

• Chakudya ndi Zakumwa: Kwa milungu ingapo yoyambirira, muyenera kudya zakudya zopanda ulusi wambiri, zopepuka, zamadzimadzi monga phala ndi supu. Pakatha pafupifupi mwezi umodzi, mutha kudya chilichonse chomwe mumakonda.
• Kuchita masewera olimbitsa thupi ndi kunyamula zolemera: Muyenera kupewa kunyamula zolemera kwa milungu 6-8 .
• Kuyendetsa Galimoto: Mudzatha kuyendetsa galimoto pokhapokha mutasiya kumwa mankhwala ochepetsa ululu.
• Kusamalira mabala: Ogwira ntchito yosamalira mabala adzakuphunzitsani momwe mungasamalire bala lanu. Ngati muli ndi ostomy, adzakuphunzitsaninso momwe mungagwiritsire ntchito thumba.

Zingatenge miyezi ingapo kuti munthu achire bwino. Ndikofunikira kwambiri kukhala woleza mtima.

Kodi pali zoopsa zilizonse pa opaleshoniyi?

Monga opaleshoni iliyonse, pali zoopsa zina. Kutuluka kwa madzi m'thupi, kutuluka magazi, kapena matenda m'mabala kungachitike. Komabe, izi sizichitika kawirikawiri. Opaleshoniyi ndi yopambana kwambiri , ndipo pafupifupi 98% ya odwala sadwalanso diverticulitis.

Nthawi yoti mukaonanenso ndi dokotala wanu

Ngati mukukumana ndi zizindikiro izi mutabwerera kunyumba kuchokera ku opaleshoni, muyenera kuyimbira dokotala nthawi yomweyo :

• Kupweteka kwambiri m'mimba komwe sikutha ngakhale mutamwa mankhwala ndipo kukukulirakulira.
• Kulephera kuchita chopondapo.
• Zizindikiro za matenda, monga kutupa, kufiira, kutentha thupi, kapena kusanza mozungulira bala.