Opaleshoni ya Ostomy: Dziwani Zambiri Zokhudza Kukhala ndi Chikwama cha Chidendene

Mwina inuyo kapena munthu wina amene mumamudziwa adauzidwa ndi dokotala za opaleshoni ya ostomy. Ndizachibadwa kumva mantha pang'ono, mantha, komanso manyazi mukamva za thumba lomwe layikidwa m'mbali mwa mimba yanu kuti litulutse ndowe kapena mkodzo wanu. Koma izi zitha kupulumutsa moyo wanu, kapena zingapangitse moyo wanu kukhala wosavuta. Ndiye tiyeni tikambirane mwachidule, sichoncho?

Kodi kwenikweni ostomy ndi chiyani?

Mwachidule, opaleshoni ya ostomy ndi opaleshoni yomwe imapanga njira ina yochotsera zinyalala (monga ndowe kapena mkodzo) m'thupi lanu pamene njira yanu yachizolowezi yochotsera zinyalala (monga ndowe kapena mkodzo) sikugwiranso ntchito. Opaleshoni iyi ingachitike ngati gawo la m'mimba mwanu kapena njira yanu ya mkodzo lawonongeka, kapena ngati mukufuna kupatsa gawolo nthawi kuti lichiritsidwe.

Mu opaleshoni iyi, dokotala wa opaleshoni amapanga kabowo kakang'ono m'mimba mwanu. Izi zimatchedwa 'stoma' . Kenako, gawo labwino la m'mimba mwanu kapena dongosolo lanu la mkodzo lomwe limagwira ntchito limalekanitsidwa ndi gawo lomwe silikugwira ntchito bwino ndikulumikizidwa ndi stoma yomwe yangopangidwa kumene.

Pambuyo pa opaleshoni iyi, ndowe kapena mkodzo zidzatuluka m'mimba mwanu. Zinyalalazi zidzasonkhanitsidwa m'thumba laling'ono lomwe limalumikizidwa kumimba mwanu. Timatcha thumba la ostomy . Njira yopangira nthawi zina imakhala yakanthawi kochepa, nthawi zina yokhazikika.

• Ostomy Yakanthawi: Izi zimachitika kuti matumbo anu kapena njira ya mkodzo zipeze mwayi wochira pambuyo pa matenda kapena opaleshoni. Ziwalo zimenezo zikabwerera mwakale, zimatha kuchotsedwa kudzera mu opaleshoni ina.
• Ostomy Yokhazikika: Ostomy yokhazikika imafunika ngati gawo la m'mimba mwanu kapena mkodzo wanu lawonongeka kwambiri, kapena ngati gawolo liyenera kuchotsedwa kwathunthu.

Nchifukwa chiyani munthu amafunikira opaleshoni ya ostomy?

Pali zifukwa zingapo zomwe mungafune kuchitidwa opaleshoni ya ostomy. Matendawa ndi ofala kwambiri kuposa momwe mungaganizire. Tiyeni tiwone bwino tebulo ili m'munsimu.

Kodi mitundu ikuluikulu ya ma ostomie ndi iti?

Mtundu wa ostomy umadalira gawo la thupi lanu lomwe likudulidwa. Pali mitundu itatu ikuluikulu.

• Colostomy: Izi zimaphatikizapo kulumikiza gawo la matumbo anu akuluakulu (colon) ndi stoma yomwe imapangidwa m'mimba mwanu. Chimbudzi chimatuluka kudzera mu izi.
• Ileostomy: Izi zimaphatikizapo kulumikiza mapeto a matumbo anu ang'onoang'ono (ileum) ndi stoma. Izi zimathandiza kuti ndowe zilowe.
• Urostomy: Mu izi, ureters wanu, machubu omwe amanyamula mkodzo, amalumikizidwa mwachindunji ku stoma, kudutsa chikhodzodzo. Mkodzo umatuluka kudzera mu izi.

Kodi ubwino ndi zoopsa zomwe zingachitike chifukwa cha opaleshoni ndi ziti?

Ngati mukufuna kuchotsa gawo la m'mimba mwanu kapena njira yanu ya mkodzo, kapena ngati mukufuna kusiya kugwiritsa ntchito, opaleshoni ya ostomy ikhoza kukhala njira yopulumutsira moyo. Ingathandizenso kwambiri moyo wa munthu amene nthawi zonse amakhala ndi ululu komanso akuchimbudzi chifukwa cha matenda enaake osatha.

Monga momwe zimakhalira ndi opaleshoni zonse, pali zoopsa ndi zovuta zomwe zingachitike, koma zingakhale zosavuta kuzithetsa ngati mutadziwa kale.

Nazi mavuto ena ofala omwe angachitike:

• Kuyabwa pakhungu: Khungu lozungulira stoma likhoza kufiira ndi kuyabwa chifukwa cha ndowe kapena mkodzo. Vutoli ndi lofala kwambiri. Izi zitha kupewedwa makamaka pomanga thumba bwino ndikuliyeretsa nthawi zonse.
• Kusalinganika kwa Ma Electrolyte: Matumbo athu akuluakulu ndi komwe madzi ndi michere zimalowa m'thupi. Popeza gawoli silimalowetsedwa mu colostomy kapena ileostomy, thupi limatha kusowa madzi m'thupi kapena kukhala ndi kusalinganika kwa ma electrolyte. Dokotala wanu adzafotokoza momwe mungapewere izi.
• Kutsekeka: Nthawi zina matumbo amatha kutsekeka kwakanthawi chifukwa cha zipsera zomwe zimapangidwa m'matumbo pambuyo pa opaleshoni kapena chifukwa cha chakudya chosagayidwa.
• Hernia ya m'mimba: Ngati khoma la m'mimba lozungulira stoma lafooka, minofu mkati mwa mimba ikhoza kutuluka, ndikupanga hernia.
• Stoma Yotuluka M'mimba: Nthawi zina gawo la m'mimba limatha kutuluka kudzera mu stoma. Nthawi zambiri, dokotala amatha kulibwezeretsa, koma nthawi zina opaleshoni ingafunike.

Ngati mukuona chinthu chonga ichi, chinthu chabwino kuchita ndi kusachita mantha ndikulankhula ndi dokotala wanu.

Kodi mumasamalira ndikusintha bwanji thumba lanu la ostomy?

Zingatenge milungu 8 kuti bala lanu lichiritsidwe kwathunthu mutachitidwa opaleshoni. Panthawiyi, Namwino Wodziwa Kusamalira Mafupa a Opaleshoni (WOCN) wophunzitsidwa bwino adzakuphunzitsani momwe mungasinthire ndikuyeretsa thumba lanu.

Anthu ambiri amafunika kusintha thumba lawo masiku atatu kapena asanu ndi awiri aliwonse. Anthu ena amakonda kusintha tsiku lililonse. Kumbukirani izi mukamasintha thumba lanu.

• Pukutani mamina aliwonse pa stoma.
• Tsukani khungu lozungulira stoma bwino pogwiritsa ntchito madzi ofunda ndi sopo wofatsa .
• Tsukani bwino ndi madzi kuti muchotse zotsalira zilizonse za sopo.
• Umitsani bwino malowo.

Chofunika kwambiri ndikuyang'ana stoma yanu tsiku lililonse . Ngati ikuwoneka kuti yasintha kukula, mawonekedwe, kapena mtundu, kapena ngati yatupa kapena yopweteka, imbani dokotala nthawi yomweyo.

Kodi ndi liti pamene muyenera kuyimbira dokotala mwachangu?

Kodi dokotalayo anaona zizindikiro zotani atatha opaleshoni?Zingakhale zovuta kudziwa nthawi yoti mulankhule. Ngati mukuona kuti pali vuto, musazengereze kulankhula. Imbani dokotala wanu nthawi yomweyo, makamaka ngati muli ndi zizindikiro izi.

• Ngati pali fungo loipa lochokera ku stoma
• Ngati stoma ikutuluka magazi ambiri
• Ngati mukuwonetsa zizindikiro za matenda monga kutentha thupi, nseru, kusanza
• Ngati muli ndi ululu waukulu m'mimba womwe umatenga maola opitilira atatu
• Ngati pali kutupa, kufiira, kapena khungu likutuluka
• Ngati muli ndi ndowe zamadzi kwa maola opitilira asanu ndi limodzi

Mafunso ena omwe amafunsidwa kawirikawiri

Kodi opaleshoni iyi ikhoza kubwezeretsedwanso? ​​(Kodi ingabwezeretsedwenso?)

Inde, nthawi zina zimatheka. Izi zimadalira thanzi lanu lonse komanso momwe gawo lowonongeka la matumbo anu kapena dongosolo la mkodzo lachira. Ngati ziwalozo zikugwiranso ntchito bwino, mutha kulankhula ndi dokotala wanu za opaleshoni yobwezeretsa ostomy.

Kodi mumapita bwanji kuchimbudzi ndi thumba la ostomy?

Ngakhale mutachotsa ostomy, muyenerabe kugwiritsa ntchito chimbudzi. Koma osati pa zonse ziwiri, kaya ndi matumbo kapena mkodzo. Tangoganizirani kuti mwachotsa urostomy. Kenako mumakodza m'thumba, koma mumapita kuchimbudzi kukachotsa chimbudzi. Munthu amene ali ndi colostomy kapena ileostomy amachotsa chimbudzi m'thumba, koma amapita kuchimbudzi kukachotsa chimbudzi. Mumagwiritsanso ntchito chimbudzi kutulutsa chimbudzi chanu.

Kodi n'zotheka kukhala ndi moyo wabwinobwino ndi ostomy?

Inde. Kukhala ndi ostomy sikukhudza moyo wanu wonse. Komanso sikukulepheretsani kukhala ndi moyo wodzaza ndi zochita zambiri. Matenda omwe adapangitsa kuti mufunike ostomy angakhudze moyo wanu, koma ostomy yokha siikhudza. Ndipotu, nthawi zina ostomy imatha kukulitsa moyo wanu.

Kaya ndi kwakanthawi kapena kosatha, kukhala ndi ostomy ndi kusintha kwakukulu m'moyo wanu. Ndikofunikira kupeza chithandizo pamene mukuyamba ulendowu. Kulankhula ndi magulu othandizira ndi anthu omwe adakumana ndi izi kungakhale gwero lalikulu la mphamvu.