Kodi muli ndi thumba lomwe limangiriridwa pamimba panu kuti mutulutse zinyalala zanu? Mwina munachitidwa opaleshoni ya colostomy kapena ileostomy ngati chithandizo cha matenda a m'mimba kapena vuto linalake. Mwina mukudziwa bwino kusasangalala komwe kumakhala ndi thumba ili. Chifukwa chake, funso lomwe anthu ambiri amakhala nalo ndi lakuti, "Kodi sindingathe kungolibwezeretsa momwe linalili?" Zingathekedi. Ndicho chimene tikukamba lero.
Kodi Kubwerera kwa Ostomy ndi Chiyani?
Mwachidule, opaleshoni yochotsa thumba m'mimba mwanu ndi opaleshoni yomwe imachotsa thumba lomwe lili m'mimba mwanu ndikubwezeretsa matumbo anu. Mungakumbukire kuti pa opaleshoni yanu yoyamba, madokotala adaboola dzenje m'mimba mwanu pomwe gawo la matumbo anu (colon kapena ileum) limatuluka kudzera pakhungu. Timatcha stoma . Chimbudzicho chimatuluka kudzera mu stoma imeneyo.
Tsopano, mu opaleshoni yobwezeretsa, matumbo omwe adalumikizidwa ndi stoma amabwezeretsedwa m'mimba ndikulumikizidwanso ndi matumbo ena onse. Kenako, dzenje la m'mimba (stoma) limatsekedwa. Pambuyo pake, mudzatha kuchita chimbudzi kudzera mu anus kachiwiri monga kale.
N’chifukwa chiyani anthu ambiri amafuna opaleshoni imeneyi?
Ichi ndi chinthu chomwe chili ndi udindo wanu. Anthu ambiri amasankha izi chifukwa akufuna kupita kuchimbudzi kachiwiri m'njira yawo yakale, yachizolowezi. Opaleshoni iyi ndi mwayi wobwerera ku moyo womwe anali nawo asanaikidwe thumba la ostomy.
Pambuyo pa opaleshoni iyi, simuyeneranso kuda nkhawa ndi kusintha thumba lanu la ostomy kapena kusunga khungu lozungulira stoma yanu kukhala loyera. Nthawi zina, kukhala ndi zinthu monga kutuluka m'thumba ndi ziwengo pakhungu kungakhale kovuta kwambiri. Chifukwa chake opaleshoni iyi ndi mpumulo waukulu kukhala wopanda mavuto onsewa.
Kodi ndingatani kuti ndiyenerere opaleshoniyi?
Ngati mukufuna opaleshoni iyi, dokotala wanu adzaganizira zinthu zingapo. Si aliyense amene angapatsidwe opaleshoniyi. Zimadalira thanzi lanu. Nthawi zambiri, opaleshoniyi imaganiziridwa patatha miyezi itatu mpaka 12.
Onani tebulo ili m'munsimu kuti mudziwe ziyeneretso zazikulu zomwe zikufunika pa izi.
| Zoyenera kuchita | Mwachidule... |
|---|---|
| Kuchira kwa mabala a opaleshoni ya m'mimba | Pambuyo pa opaleshoni yoyamba, mabala omwe ali mkati mwa matumbo ayenera kuchiritsidwa kwathunthu. Sipayenera kukhala kutuluka madzi kuchokera m'malo omwe matumbo adalumikizana. |
| Kuchotsa matenda a m'mimba | Matenda anu a m'mimba (monga matenda, kutupa) ayenera kuchiritsidwa kwathunthu tsopano. |
| Ntchito ya minofu ya rectum | Mitsempha ndi minofu ya m'matumbo yomwe imafunika kuti ilamulire mayendedwe a m'mimba iyenera kukhala bwino. |
| Mkhalidwe wonse wa thanzi | Thanzi lanu lakuthupi liyenera kukhala lokwanira kuti mupirire opaleshoni ina. |
Ndi mayeso ati omwe amachitidwa opaleshoni isanachitike?
Dokotala wanu angachite mayeso angapo kuti aone ngati ndinu woyenera opaleshoni, monga:
- Endoscopy: Chubu chokhala ndi kamera chimayikidwa kudzera mu anus kuti chione ngati pali matenda kapena zotsekeka mkati mwa matumbo.
- X-ray yosiyanitsa: Madzi apadera amaperekedwa ndipo X-ray imachitidwa kuti awone ngati pali kutuluka kulikonse m'matumbo.
- Kufufuza kwa digito kwa rectal: Dokotala amagwiritsa ntchito chala chake pofufuza minofu ya rectum.
- Kuyezetsa magazi: Kuyezetsa magazi kumachitika kuti mudziwe momwe zakudya zanu zilili komanso mavuto ena azaumoyo.
Kodi chimachitika ndi chiyani panthawi ya opaleshoni?
Mudzapatsidwa mankhwala oletsa ululu, kotero simudzamva chilichonse panthawi ya opaleshoni, mudzakhala mukugona. Dokotala nthawi zambiri amatsatira njira izi:
1. Gawo la matumbo (stoma) lomwe limalumikizidwa ndi khungu la mimba limachotsedwa ndikulekanitsidwa.
2. Gawo limenelo limalumikizidwanso ndi gawo la pansi la matumbo. Izi zimatchedwa anastomosis m'mawu azachipatala.
3. Pomaliza, mabala onse ochitidwa opaleshoni, kuphatikizapo dzenje la m'mimba, amatsekedwa ndi soketi.
Opaleshoni iyi nthawi zambiri imakhala yosavuta kuposa opaleshoni yoyamba ya ostomy. Imatenga ola limodzi kapena awiri okha. Komabe, nthawi zina zingatenge nthawi yayitali ngati pali minofu ya zipsera kuchokera ku opaleshoni yapitayi.
Kodi zoopsa ndi zotsatirapo zake zomwe zingachitike mutachita opaleshoni ndi ziti?
Monga opaleshoni iliyonse, pali zoopsa zina zomwe zingachitike. Matenda, kutuluka magazi, ndi magazi kuundana zimatha kuchitika.
Koma pali chiopsezo chachikulu chomwe chili chapadera pa opaleshoniyi. Imeneyo ndi vuto lotchedwa anastomotic leak . Ndiko kuti, kutuluka kwa madzi kuchokera pamalo omwe matumbo awiriwa alumikizana. Izi zitha kukhala zoopsa pang'ono, chifukwa mabakiteriya ochokera m'matumbo amatha kulowa m'mimba ndikuyambitsa matenda. Ngati muli ndi zizindikiro monga malungo ndi kupweteka kwambiri m'mimba, muyenera kukayikira. Koma izi zimachitika kawirikawiri.
Zotsatirapo za kanthawi kochepa
Zotsatirazi ndizofala masiku oyambirira pambuyo pa opaleshoni:
- Ululu ndi kusapeza bwino: Mabala ochitidwa opaleshoni angayambitse ululu wochepa komanso kusapeza bwino, mofanana ndi mimba yonse.
- Ileus ya Paralytic: Ndizachilendo kuti matumbo azikhala ofooka pang'ono kwa masiku angapo pambuyo pa opaleshoni. Ichi ndichifukwa chake zakudya zamadzimadzi zimaperekedwa kaye.
- Kusintha kwa machitidwe a m'mimba: Pamene matumbo ayamba kugwira ntchito, mungayambe kutsegula m'mimba . Anthu ena angayambenso kudzimbidwa. Ndi zachilendo kuti munthu azipita kuchimbudzi pafupipafupi. Izi zidzasintha pakatha miyezi ingapo.
Zotsatirapo za nthawi yayitali
- Hernia: Chigawo cha m'mimba chimatuluka pakhungu kudzera mu opaleshoni.
- Kumatirira m'mimba: Kumatirira minofu mkati mwa mimba chifukwa cha opaleshoni.
- Kusadziletsa kwa ndowe: Anthu ena amavutika kulamulira matumbo awo chifukwa cha kufooka kwa minofu ya m'matumbo. Izi zitha kuchiritsidwa ndi mankhwala olimbitsa thupi.
Kodi zimatenga nthawi yayitali bwanji kuti munthu achire? Kodi ndiyenera kusamalira bwanji zakudya zanga?
Nthawi zambiri zimatenga milungu 6 mpaka 8 kuti munthu achire bwino. Panthawi imeneyi, pang'onopang'ono mudzachiranso mphamvu zanu.
Muyenera kusamala kwambiri ndi chakudya ndi zakumwa zanu.
- Yambani ndi zakudya zosavuta kugaya komanso zopanda ulusi wambiri (monga nthochi, mpunga, buledi).
- Imwani madzi ambiri , makamaka ngati muli ndi vuto la kudzimbidwa.
- Siyani kumwa mowa, zakumwa zokhala ndi carbonated (monga soda), ndi khofi kwa kanthawi.
- M'malo mwa kudya zakudya zazikulu zitatu, idyani zakudya zazing'ono zingapo patsiku.
- Dziwani zakudya zomwe zimakupangitsani kukhala osasangalala ndipo muzipewe kwa kanthawi.
Chofunika kwambiri:Musachite zinthu monga kunyamula zolemera kapena kuyendetsa galimoto mpaka dokotala atakupatsani chilolezo.
Kodi ndi zizindikiro ziti zomwe zimafuna kuti mukaonane ndi dokotala nthawi yomweyo?
Mudzapatsidwa chithandizo patatha masiku angapo opaleshoni itatha. Komabe, ngati muwona zizindikiro zilizonse zomwe zili pansipa, pitani kwa dokotala nthawi yomweyo.
- Ngati ululu ndi kutupa zikukulirakulira
- Ngati pali nseru ndi kusanza
- Ngati muli ndi malungo
- Ngati pali madzi ofanana ndi mafinya ochokera pabala la opaleshoni
- Ngati kutsegula m'mimba kapena kudzimbidwa kukupitirira
- Ngati mukuvutika kusunga chakudya kapena zakumwa
Uthenga Wopita Nawo Kunyumba
- Opaleshoni yobwezeretsa mafupa a ostomy ndi mwayi wabwino kwambiri wochotsa thumba la ostomy ndikubwerera ku moyo wabwinobwino.
- Opaleshoni iyi si ya aliyense. Dokotala wanu adzasankha ngati mukuyenerera kapena ayi.
- Zimatenga nthawi kuti muchiritse mutatha opaleshoni. Komanso, mayendedwe anu a m'mimba angasinthe poyamba. Musadandaule ndi zimenezo, ndi zachilendo.
- Khalani omasuka kulankhula ndi dokotala wanu za mavuto aliwonse, kusasangalala, kapena kukayikira komwe mungakhale nako.
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