Dokotala wanu akakuuzani inu kapena munthu amene mumamudziwa kuti muyenera kuyika thumba m'mimba mwanu kuti mutulutse ndowe zanu, ndi zachilendo kumva kudabwa pang'ono komanso mantha. "Opaleshoni iyi ndi yanji?", "Kodi iyi ndi yamuyaya?", "Kodi sindingathe kukhala moyo wabwinobwino?" Mungakhale ndi mafunso ambiri m'maganizo mwanu. Musadandaule. Tiyeni tikambirane za opaleshoni iyi, yotchedwa 'Fecal Diversion', m'njira yosavuta yomwe mungamvetse.
Kodi opaleshoni iyi ya 'Kusintha kwa Chinyezi' ndi chiyani?
'Kusintha kwa ndowe', mwachidule, ndi kusintha kwakanthawi kapena kosatha kwa njira yachilengedwe yotulutsira ndowe m'thupi (m'mimba) kuti ituluke kudzera pakhungu la mimba. Mpata wopangidwa motere womwe umapangidwa pakhungu la mimba umatchedwa stoma .
Stoma iyi imapangidwa pogwiritsa ntchito gawo la matumbo.
- Ngati mupanga stoma polumikiza matumbo anu ang'onoang'ono ndi khungu, imatchedwa ileostomy .
- Ngati m'mimba mwanu muli ndi khungu, imatchedwa colostomy .
Tsopano mwina mukudabwa chifukwa chake izi zikuchitika. Madokotala nthawi zambiri amalimbikitsa opaleshoni iyi pazifukwa zingapo:
- Kuchepetsa matenda ovuta kapena mavuto okhudzana ndi rectum kapena anus.
- Monga mankhwala a khansa ya m'matumbo .
- Kusadziletsa .
Tangoganizirani, rectum yathu ili ndi minofu yooneka ngati mphete (minofu ya sphincter) yomwe imayang'anira njira yodutsa ndowe. Ndicho chifukwa chake timatha kugwira ndi kutulutsa ndowe nthawi iliyonse yomwe tikufuna. Koma stoma yomwe yapangidwa siili ndi minofu yolamulira. Ndicho chifukwa chake sitingathe kulamulira njira yodutsa ndowe. Ndicho chifukwa chake tiyenera kuvala thumba lapadera (chipangizo chosonkhanitsira ostomy ) lolumikizidwa ku stoma kuti titenge ndowe yomwe ikutuluka.
Stoma iyi ikhoza kukhala yakanthawi kapena yokhazikika . Zimatengera matenda anu. Mwachitsanzo, kutuluka magazi m'mimbaPambuyo poti gawo la m'mimba ladulidwa ndikuchotsedwa ndipo magawo awiri otsalawo alumikizidwanso, stoma yakanthawi imapangidwa kuti ipereke mpumulo mpaka m'mimba mwa mayiyo mutachira. Malowa akachira, opaleshoni ina imachitika kuti ichotse stoma ndikupanga njira yabwinobwino yolowera m'mimba mwa mayiyo. Komabe, ngati m'mimba mwa mayiyo ndi m'mimba mwa mayiyo zachotsedwa kwathunthu, stoma iyenera kusungidwa kosatha.
Kodi opaleshoni iyi imachitidwa bwanji ndi laparoscopically?
Laparoscopy, monga tonse tikudziwira, ndi mtundu wa " opaleshoni ya keyhole." Pankhaniyi, m'malo mopanga ming'alu yayikulu, mabowo ochepa kwambiri amapangidwa m'mimba.
Laparoscope , chubu chopyapyala chokhala ndi kamera ndi kuwala kutsogolo, chimayikidwa m'mimba kudzera mu chimodzi mwa zibowo. Zithunzi kuchokera ku kamera zimawonetsedwa pa sikirini yayikulu (monitor) m'chipinda chochitira opaleshoni. Dokotala amayang'ana sikiriniyo ndikuchita opaleshoniyo pogwiritsa ntchito zida zapadera zomwe zimayikidwa kudzera m'zibowo zina zazing'ono.
Ubwino wa njira iyi ndi wakuti palibe kudula kwakukulu, kotero ululu suchepa, kuchira msanga, komanso masiku ochepa kuchipatala.
Kodi stoma imapangidwa bwanji?
Pali mitundu iwiri ikuluikulu ya ma stoma. Momwe amapangira ndi osiyana pang'ono.
| Mtundu wa Stoma | Njira yosavuta yopangira |
|---|---|
| Mapeto a Stoma | Izi zikuphatikizapo kubweretsa kumapeto kwa matumbo (aang'ono kapena akuluakulu) mwachindunji pamwamba pa khungu la mimba, kuwalumikiza pakhungu, ndikusoka pamodzi. Kumapeto kwa matumbo kumatuluka ngati malo otseguka apa. |
| Duwa la Loop | Iyi nthawi zambiri ndiyo njira yomwe imagwiritsidwa ntchito popanga stoma yakanthawi. Pachifukwa ichi, matumbo amafika pamwamba pa khungu, ndipo amadulidwa pang'ono. Izi zimapangitsa kuti pakhale mabowo awiri. Pofuna kuti chiunochi chisabwerere m'mimba, ndodo yaying'ono ya pulasitiki imayikidwa pansi pake kwa masiku angapo opaleshoni itatha. Kenako imachotsedwa. |
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni? Tiyeni tiphunzire za nthawi yochira
Pambuyo pa opaleshoni yamtunduwu, nthawi zambiri mumayenera kukhala m'chipatala kwa masiku awiri kapena atatu . Opaleshoni ikatha, thumba lidzaikidwa pamwamba pa stoma yanu. Zimatenga tsiku limodzi kapena awiri kuti kugaya chakudya kuyambenso kugwira ntchito. Pamenepo ndiye kuti ndowe zimayamba kutuluka m'stoma.
Mukakhala kuchipatala, namwino yemwe waphunzitsidwa bwino za chisamaliro cha stoma adzakuwonetsani momwe mungasinthire thumba lanu ndikusunga khungu lozungulira stoma yanu kukhala loyera. Poyamba, adzakuwonetsani momwe mungachitire zinthuzi, kenako adzakuphunzitsani momwe mungachitire nokha. Choncho mukafika kunyumba, mudzatha kuchita zinthuzi nokha.
Chifukwa ichi ndi chinthu chatsopano, mudzamva kusintha kwakukulu, mwakuthupi komanso m'maganizo. Nthawi zina mungamve kulemedwa kwambiri komanso kukhumudwa. Izi ndi zachilendo. Kumbukirani kuti simuli nokha. Namwino wanu, dokotala wanu, ndi banja lanu alipo kuti akuthandizeni. Lankhulani nawo nthawi iliyonse mukakhumudwa.
Poyamba zingakhale zovuta, koma pakapita nthawi mudzazolowera kusintha kumeneku. Pali anthu mamiliyoni ambiri padziko lonse lapansi omwe akugwira ntchito mwachizolowezi, akuchita nawo zinthu zachikhalidwe, komanso akukhala mosangalala. Ndicho chifukwa chake ndikofunikira kwambiri kukhala olimba mtima.
Uthenga Wopita Nawo Kunyumba
- 'Kusintha kwa ndowe' ndi opaleshoni yomwe imalowetsa njira yopita ku ndowe pamwamba pa khungu pamimba. Mpata wopangidwa umatchedwa stoma .
- Popeza opaleshoniyi imachitika pogwiritsa ntchito laparoscopically (keyboo), ululu suchepa ndipo kuchira kumachitika mwachangu.
- Popeza stoma singathe kulamulirika, thumba lapadera ( thumba la ostomy ) liyenera kuvalidwa nthawi zonse kuti mutenge ndowe.
- Stoma ikhoza kukhala yakanthawi kapena yokhazikika. Zimatengera matenda anu. Funsani dokotala wanu za izi.
- Mudzakumana ndi kusintha kwa thupi ndi maganizo mukatha opaleshoni. Izi ndi zachilendo. Musazengereze kupempha thandizo ndipo lankhulani ndi banja lanu ndi ogwira ntchito zachipatala.
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