Kodi mukufunanso kudziwa za thumba la colostomy? Tiyeni tikambirane za Loop Colostomy

Dokotala wanu akakuuzani kuti muyenera kuchitidwa "colostomy," kutanthauza thumba m'mimba mwanu, mungamve mantha ambiri komanso kudabwa. Zimenezo n'zachibadwa. Koma mukadziwa bwino lomwe kuti ichi ndi chiyani, mantha anu adzatha kwambiri. Makamaka mtundu womwe tikukamba lero, wotchedwa "loop colostomy," womwe nthawi zambiri umachitika kwakanthawi kochepa . Choncho tiyeni tikambirane za chilichonse mosavuta komanso momveka bwino.

Mwachidule, kodi colostomy ya loop ndi chiyani?

Tangoganizani kuti kukonza kwakukulu kwa msewu kukuchitidwa, kotero msewu watsekedwa ndipo njira yokhotakhota yapangidwa kwakanthawi kuti magalimoto azitha kuyenda bwino. Kuchotsa ming'alu ya m'misewu ndi kofanana.

Mwachidule, colostomy ndi opaleshoni yomwe gawo la matumbo anu akuluakulu (colon) limadulidwa ndikubweretsedwa pamwamba pa khungu pamimba panu, ndikupanga thumba lochita kupanga. Mpata uwu umatchedwa "stoma." Kuyambira tsopano, thumba lanu (chopondapo) lidzatuluka kudzera mu stoma iyi, m'malo motuluka kudzera mu anus yanu, ndipo lidzasonkhanitsidwa m'thumba lapadera lomwe limalumikizidwa nalo.

Njira imodzi yochitira izi ndi kugwiritsa ntchito njira ya "loop colostomy" . Mu njira iyi, dokotala amatenga "loop" ya matumbo kuchokera pa khomo la m'mimba mwanu, amapanga "incision" yaying'ono, kenako amapanga "bowo ziwiri". Uwu ndi mtundu wofala kwambiri wa "colostomy". Ubwino waukulu wa njira iyi ndi wakuti nthawi zambiri imakhala yakanthawi kochepa ndipo n'zosavuta kulumikizanso matumbo ndikuchotsa thumba (kumbuyo). Ichi ndichifukwa chake imagwiritsidwa ntchito mukafunika kupumula matumbo anu kuti achire.

N’chifukwa chiyani muyenera kuchitidwa opaleshoni yamtunduwu?

Pali zifukwa ziwiri zazikulu zochitira opaleshoni ya m'mimba yotchedwa loop colostomy.

1. Kupatuka: Tangoganizani kuti mwavulala, mwadwala matenda, kapena mwachitidwa opaleshoni m'chigawo cha m'mimba mwanu. Kuti gawo limenelo lichiritse, muyenera kuyimitsa njira yodutsa ndowe kwa kanthawi. Ngati simutero, bala likhoza kukhala ndi kachilombo ndipo njira yochiritsira ikhoza kuchedwa. Choncho opaleshoniyi imapanga njira yoti ndowe zidutse m'bala kuchokera pamalo ena, zomwe zimapangitsa kuti gawo limenelo likhale lopumula.

2. Kuchepetsa kupanikizika: Nthawi zina kutsekeka kungachitike kwinakwake m'matumbo. Izi zikutanthauza kuti ndowe sizingadutse chifukwa cha chotupa kapena kutsekeka. Kenako kupanikizika mkati mwa matumbo kumawonjezeka ndipo kumayamba kutupa. Zikatero, stoma ikapangidwa pamalo otsekeka kuti ndowe ituluke kwakanthawi, kupanikizikako kumachepa ndipo mumapeza mpumulo. Kenako dokotala amatha kuchiza kutsekekako.

Zinthu zina zomwe zimafuna opaleshoni iyi:

• Diverticulitis
• Matenda a m'matumbo
• Matenda a Crohn
• Kutsekeka kwa matumbo akuluakulu
• Pambuyo pa opaleshoni yochotsa gawo la m'mimba (Partial colectomy)
• Kuvulala kwambiri kwa matako kapena matenda opatsirana

Kodi kusiyana pakati pa kuzungulira ndi colostomy yomaliza ndi kotani?

Izi ndi mitundu iwiri ikuluikulu ya opaleshoni ya colostomy. Onani tebulo ili m'munsimu kuti mumvetse bwino kusiyana pakati pa ziwirizi.

Kodi chimachitika ndi chiyani opaleshoni isanachitike, panthawi komanso pambuyo pake?

Kudziwa bwino za njirayi kudzakuthandizani kukhala ndi mtendere wamumtima.

Musanachite opaleshoni

Dokotala wanu asanachite opaleshoni, adzakudziwitsani mwatsatanetsatane za izi. Iye adzakufotokozerani momwe opaleshoniyo idzachitikire, zoopsa zomwe zingachitike, komanso kusintha kwa moyo wanu komwe kungafunike pambuyo pa opaleshoniyo. Ngati mukufuna, mutha kukambirananso za mankhwala opweteka panthawiyi. Mudzalangizidwa kuti musadye kapena kumwa chilichonse kwa maola pafupifupi 6 patsiku la opaleshoniyo. Muthanso kupatsidwa mankhwala okonzekera matumbo kuti muyeretse matumbo anu.

Momwe opaleshoni imachitikira

Opaleshoni iyi imachitika pansi pa mankhwala oletsa ululu. Pali njira ziwiri zochitira izi.

• Opaleshoni ya Laparoscopic: Izi zimaphatikizapo kudula pang'ono m'mimba, osati kudula kwakukulu, ndipo opaleshoniyo imachitika pogwiritsa ntchito kamera. Njirayi ndi yabwino kwa inu ndipo ingakuthandizeni kuchira mwachangu.
• Opaleshoni yotseguka: Pakachitika ngozi kapena zovuta, opaleshoniyi ingafunike kuchitidwa potsegula mimba.

Dokotala amachotsa chizungulire cha m'mimba kuchokera pamalo omwe adalembedwa kale, amachimangirira pakhungu, ndikupanga stoma.

Pambuyo pa opaleshoni

Mukangochira chikumbumtima mutatha opaleshoni, muyenera kukhala m'chipatala kwa masiku angapo. Panthawiyi:

• Kudya: Choyamba, perekani chakudya chamadzimadzi, kenako pang'onopang'ono mupatseni chakudya chokhazikika.
• Chisamaliro cha Colostomy: Namwino wophunzitsidwa bwino (Wound Ostomy Continence Nurse - WOCN) adzakuphunzitsani zonse kuyambira momwe mungasungire stoma yanu kukhala yoyera mpaka momwe mungasinthire thumba lanu.
• Kuletsa ululu: Mukatuluka kuchipatala, mudzapatsidwa mankhwala ochepetsa ululu kuti mugwiritse ntchito kunyumba.
• Chimbudzi: Chimbudzi chimayamba kutuluka m'mimba patatha masiku angapo opaleshoni itatha.

Kodi zoopsa ndi zovuta za opaleshoni iyi ndi ziti?

Monga opaleshoni iliyonse, pali zoopsa zina, monga ziwengo chifukwa cha mankhwala oletsa ululu komanso matenda. Komabe, palinso mavuto ena omwe amakhudza colostomy.

Kodi ndingachotse thumba ili kuti ndibwererenso mwakale?

Inde, mungathe! Umenewo ndiye ubwino waukulu wa opaleshoni ya m'mimba yotchedwa loop colostomy. Pambuyo poti vuto lanu loyamba lachira kwathunthu, dokotala wanu adzakuyang'anirani, adzakupangirani opaleshoni ina yolumikiza malekezero awiri a matumbo anu, ndikutseka stoma. Izi zitha kutenga milungu ingapo, miyezi, kapena zaka. Zimadalira thanzi lanu.

Nthawi yoti mukaonane ndi dokotala wanu

• Kudzimbidwa kosalekeza kapena kutsegula m'mimba.
• Kusanza kapena kusanza kosalekeza.
• Magazi mu chopondapo.
• Kusintha kwa kukula kapena mtundu wa stoma.
• Fungo losazolowereka lochokera ku stoma.
• Kusiya kwathunthu kutuluka kwa ndowe kuchokera ku stoma.

Kuchotsa ndulu m'mimba ndi kusintha kwakukulu m'moyo wanu. Koma kumbukirani, iyi ndi njira yofunika kwambiri yopulumutsira moyo yomwe imapatsa matumbo anu mwayi wochira. Komanso, nthawi zambiri imakhala ya kanthawi kochepa . Mukasamalira bwino komanso kutsatira malangizo a dokotala wanu, mutha kuyendetsa bwino nthawiyi ndikubwerera ku moyo wabwinobwino.