Dokotala wanu akakuuzani kuti muyenera kuchitidwa opaleshoni ya colostomy, muyenera kuti munamva mantha ambiri komanso kudabwa, eti? "Mulungu wanga, moyo wanga udzakhala bwanji kuyambira tsopano?", "Kodi sindingathe kubwerera ku moyo wanga wakale?", "Ndidzatuluka bwanji ndi chikwama ichi?" Mwina muli ndi mafunso ambiri m'maganizo mwanu. Koma musachite mantha. Izi sizofunika kwambiri kapena zosintha moyo monga momwe mukuganizira. Ndi chidziwitso choyenera ndi chitsogozo, mutha kuthana ndi vutoli bwino ndikukhala moyo wabwinobwino komanso wachimwemwe. Tiyeni tikambirane za chilichonse mwachidule.
Mwachidule, kodi colostomy ndi chiyani?
Choyamba, tiyeni tiwone chomwe chili. M'mimba mwathu ndi gawo la dongosolo lathu logaya chakudya. Mwachidule, ntchito yake yayikulu ndikuyamwa zinyalala zomwe zimapangidwa m'thupi lathu, kutanthauza ndowe, ndi zina mwa zakudya zotsala. Kenako, zinyalala zolimba zimatuluka m'thupi kudzera mu anus.
Komabe, ngati matumbo akulu ndi rectum sizikugwira ntchito bwino chifukwa cha matenda, ngozi, kapena opaleshoni, kapena ngati gawo limenelo likufunika kupuma kwakanthawi, thupi lathu likufunika njira ina yochotsera zinyalala.
Colostomy ndi malo oboola opangidwa mwa kulumikiza matumbo akuluakulu ndi khungu pamwamba pa mimba. Izi zimatchedwanso stoma . Uwu ndi malo oboola omwe zinyalala ndi mpweya zimatuluka m'thupi. Izi zitha kukhala zosatha kwa anthu ena, koma kwakanthawi kochepa kwa ena.
Kodi izi zikukhudza bwanji moyo wanga?
Mukakhala kuchipatala mutachitidwa opaleshoni, dokotala wanu ndi ogwira ntchito yosamalira anamwino adzakupatsani malangizo ambiri a momwe mungasamalire, momwe mungatsukire, komanso momwe mungasinthire moyo wanu. Inde, muyenera kusintha pang'ono. Koma mudzazolowera zinthu zimenezo mwachangu.
Nazi zinthu zosavuta zomwe zingakuthandizeni pa izi:
- Samalani ndi mankhwala omwe mumamwa: Mankhwala ena angayambitse kudzimbidwa kapena kutsegula m'mimba, choncho uzani dokotala wanu za mankhwala onse omwe mumamwa.
- Idyani zakudya zoyenera: Chepetsani kudya zakudya zomwe zimayambitsa mpweya, monga kabichi, nyemba, ndi mtedza. Ndi bwino kulankhula ndi katswiri wa zakudya zamtunduwu kuti mupeze mndandanda wa zakudya zomwe zili zoyenera kwa inu.
- Khalani ndi moyo wabwinobwino: Kumbukirani, colostomy si mapeto a moyo wanu. Matumba a colostomy a masiku ano amapangidwa kuti asawonekere pansi pa zovala ndipo agwirizane bwino ndi thupi. Izi zikutanthauza kuti anthu ambiri amatha kubwerera kuntchito ndikuchita zinthu zomwe adachita kale (kuphatikizapo kugonana).
Kambiranani momasuka ndi dokotala wanu za mafunso kapena nkhawa zomwe muli nazo.
Kodi Kuthirira kwa Colostomy ndi Chiyani?
Iyi ndi njira imodzi yoyendetsera ntchito ya matumbo. Mwachidule, imaphatikizapo kulowetsa madzi m'matumbo anu kudzera m'matumbo anu kenako nkuwatulutsa onse panthawi yoikika.
Izi nthawi zambiri zimachitika kamodzi kapena kawiri patsiku nthawi imodzi, kuti matumbo azolowere. Kenako, nthawi zina, zinyalala zomwe zimasonkhanitsidwa m'thumba zimatha kulamulidwa kwambiri. Zimatenga pafupifupi milungu 6 mpaka 8 kuti izi zitheke.
Komabe, njira iyi si yoyenera aliyense. Muyenera kulankhula ndi dokotala wanu kuti mudziwe ngati njira iyi ndi yoyenera kwa inu.
| Amene angakhale oyenerera | Iwo omwe angakhale osayenerera |
|---|---|
| Anthu omwe ali ndi colostomy yokhazikika, makamaka omwe ali ndi stoma m'mimba mwa matumbo akuluakulu (kutsika/sigmoid colon), chifukwa ndowe zawo nthawi zambiri zimakhala zolimba. | Anthu omwe ali ndi matenda monga Irritable Bowel Syndrome (IBS). Anthu omwe ali ndi mavuto ena ndi stoma. Anthu omwe ali ndi stoma yomwe ili kumtunda kwa matumbo akulu (ascending/transverse colon). |
Samalani ndi kudya ndi kumwa ndi colostomy
Muyenera kusamala kwambiri ndi zakudya zanu m'masabata oyamba mutachita opaleshoni.
- M'malo modya chakudya chachikulu katatu patsiku, idyani chakudya chaching'ono pafupifupi kasanu ndi kamodzi .
- Tafuna chakudya chako bwino ndipo idya pang'onopang'ono .
- Imwani magalasi osachepera 8-10 a madzi patsiku.
- Kwa milungu ingapo yoyambirira, idyani zakudya zopanda mafuta ambiri komanso zopanda ulusi wambiri .
- Mukawonjezera chakudya chatsopano, yesani kuwonjezera chimodzi chokha kuti muwone momwe chikukhudzira thupi lanu.
| Chakudya chosankha | Zakudya zoyenera kusamala/kupewa |
|---|---|
| Nyama yopanda mafuta ambiri, buledi woyera, pasitala, mpunga, madzi, tiyi wopanda kafeini ndi khofi. | Nyama yokazinga ndi mafuta, tirigu wambiri monga nyemba, mphodza, ndiwo zamasamba zomwe zimayambitsa mpweya monga kabichi, caffeine, ndi mowa. |
Kodi mungathe kuchita masewera olimbitsa thupi?
Inde, mungathe kuchitadi zimenezo. Koma muyenera kuyamba mosamala komanso motsatira malangizo a dokotala wanu . Kuyenda ndiye masewera olimbitsa thupi abwino komanso otetezeka kwambiri kuyambira nawo.
Kuthamanga
Ngati ndinu wothamanga, mungakhale ndi madontho ofiira kapena zilonda zazing'ono kuzungulira stoma yanu, mwina chifukwa chokwinya pa thumba. Izi zidzachira mukapuma pang'ono. Ngati zipitirira, uzani dokotala wanu.
Maseŵero olimbitsa m'mimba (Situps ndi Crunches)
Kuchita masewera olimbitsa thupi komwe kumakakamiza minofu ya m'mimba, monga kugona pansi ndi kukwawa, komanso kunyamula zolemera kungapangitse kuti pakhale vuto la hernia yozungulira stoma, kapena hernia yozungulira peristomal . Chifukwa chake , onetsetsani kuti mwalankhula ndi dokotala wanu musanayambe kuchita masewera olimbitsa thupi otere.
Kusambira
Kusambira nako kuli bwino. Koma funsani dokotala wanu kaye. Kenako, musanasambe, ikani m'bafa kunyumba kwa kanthawi kuti muwonetsetse kuti thumbalo latsekedwa bwino ndipo palibe kutuluka madzi.
Kuthira madzi m'thupi
Imwani madzi ambiri mukamachita masewera olimbitsa thupi. Ngati mkodzo wanu uli wowala bwino kapena wachikasu pang'ono, zikutanthauza kuti mwamwa madzi ambiri. Ngati uli wakuda, ukhoza kuyambitsa mavuto pa stoma yanu komanso thanzi lanu lonse. Izi zimatchedwa kusowa madzi m'thupi .
Kodi mavuto omwe angakhalepo ndi ati?
Kukhala ndi colostomy nthawi zina kungayambitse mavuto ang'onoang'ono, ndipo ndikofunikira kuwadziwa.
| Mavuto | Kufotokozera | Zoyenera kuchita |
|---|---|---|
| Kutaya madzi | Kutuluka kwa zinyalala kuchokera pansi pa thumba kupita pakhungu kapena m'thupi. Matenda a pakhungu amatha kuchitika. | Lankhulani ndi dokotala wanu za mitundu ina ya matumba. Mungafunike kuchitidwa opaleshoni ina. |
| Kutsekeka | Tinthu ta chakudya timakakamira mu stoma. Zizindikiro zake ndi monga kutsekeka kwa ndowe, kupweteka m'mimba, kusanza, ndi kutupa kwa stoma. | Kaonaneni ndi dokotala wanu nthawi yomweyo. Izi ndi zadzidzidzi. |
| Kubweza | Stoma imamira pansi pa khungu, zomwe zingayambitse kutuluka kwa madzi. | Lankhulani ndi dokotala wanu za zipangizo zina. Opaleshoni ingafunike. |
| Hernia | Kutuluka kwa matumbo kuchokera pansi pa khungu mozungulira stoma. | Pewani kunyamula zinthu zolemera ndi kupsinjika. Valani lamba wothandiza. Lankhulani ndi dokotala wanu. |
Uthenga Wopita Nawo Kunyumba
- Kuchotsa mimba m'mimba si mapeto a moyo wanu. Mukayang'aniridwa bwino, mutha kukhala ndi moyo wabwinobwino komanso wachimwemwe.
- Nthawi zonse lankhulani momasuka ndi dokotala wanu za zakudya zanu, masewera olimbitsa thupi, ndi mavuto aliwonse omwe mungakhale nawo.
- Samalani kwambiri ndi zakudya zomwe zimayambitsa mpweya ndi zakudya zomwe zingatseke stoma.
- Kupewa kuchita masewera olimbitsa thupi ndi kunyamula zinthu zolemera zomwe zimakakamiza minofu ya m'mimba kungachepetse chiopsezo cha hernia.
- Ngati mukuona zizindikiro za stoma yotsekeka (kupweteka m'mimba, kusanza, kulephera kutuluka ndowe), funsani upangiri wa dokotala nthawi yomweyo.
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