Tangoganizirani za vuto lomwe simungathe kukodza bwino chifukwa cha vuto la chikhodzodzo chanu, mwina chifukwa cha khansa, ngozi, kapena vuto lobadwa nalo. Pankhaniyi, mufunika njira ina yochotsera mkodzo m'thupi lanu. Kapena impso zanu zitha kuwonongeka . Njira imodzi yomwe madokotala amapereka pazochitika zotere ndi opaleshoni yotchedwa ureterostomy . Ngakhale dzina la izi lingamveke lovuta pang'ono, tiyeni tikambirane mwachidule.
Kodi ureterostomy ndi chiyani?
Mwachidule, iyi ndi njira yochitira opaleshoni yomwe imaphatikizapo kuchotsa machubu omwe amanyamula mkodzo kuchokera ku impso kupita ku chikhodzodzo chanu (chotchedwa ureters) ndikuchilumikiza ku kabowo kakang'ono pakhungu la mimba yanu. Kabowo aka kamatchedwa stoma .
Tangoganizirani, pamene gawo limodzi la mapaipi amadzi latsekedwa, timayika chitoliro chatsopano kuti tipewe kutsekekako ndikutulutsa madzi. Pambuyo pa opaleshoni iyi, mkodzo wanu supita ku chikhodzodzo koma umatuluka m'thupi mwachindunji kuchokera ku impso kudzera mu stoma imeneyo. Kuti mutenge mkodzo womwe umatuluka, thumba lapadera (thumba) lolumikizidwa ku stoma limagwiritsidwa ntchito. Chikwama ichi chikadzaza, titha kuchitulutsa.
Opaleshoni iyi nthawi zambiri imachitika ngati njira yokhazikika. Nthawi zina ureter imodzi yokha ndi yomwe ingalumikizidwe, kapena zonse ziwiri zingalumikizidwe.
N’chifukwa chiyani muyenera kuchitidwa opaleshoni yamtunduwu?
Pali zifukwa zingapo zomwe dokotala angakupangireni opaleshoni iyi. Chifukwa chachikulu ndichakuti chikhodzodzo chanu sichikugwira ntchito bwino.
- Ngati chikhodzodzo chachotsedwa: Nthawi zina, chifukwa cha matenda monga khansa ya chikhodzodzo, chingafunike kuchotsedwa kwathunthu.
- Chikhodzodzo chikawonongeka: Chikhodzodzo chikawonongeka chifukwa cha ngozi kapena matenda ena ndipo sichikugwira ntchito bwino.
- Matenda Obadwa Nawo: Matenda ena obadwa nawo, monga spina bifida, angayambitse kusagwira bwino ntchito kwa chikhodzodzo.
- Kuvulala kwa Msana: Kuvulala kwa msana kungakhudze mitsempha yomwe imalamulira chikhodzodzo, zomwe zimapangitsa kuti pakhale vuto pokodza.
Ndikoopsa kuti mkodzo utsekere m'thupi chifukwa cha zifukwa ngati izi. Zingayambitse kukodza pafupipafupi.Matenda a mkodzo ( UTIs ) amatha kuchitika ndipo pamapeto pake amayambitsa kulephera kwa impso. Choncho opaleshoniyi ingachepetse chiopsezo chimenecho.
Ndi mayeso ati omwe amachitidwa opaleshoni isanachitike?
Madokotala asanachite opaleshoniyi, adzayesa kangapo kuti amvetse bwino momwe thupi lanu lilili.
| Dzina la Mayeso | Mwachidule, mukuona chiyani mmenemo? |
|---|---|
| Mayeso a ntchito ya impso | Onani momwe impso zanu zikugwira ntchito bwino. |
| Kuyezetsa magazi | Yang'anani thanzi la thupi lonse komanso ngati pali matenda aliwonse. |
| Mayeso ojambulira zithunzi (X-ray, Ultrasound) | Dziwani bwino mawonekedwe ndi malo a impso, ureter, ndi chikhodzodzo. |
| Pyelogram yobwezeretsa | Madzi apadera (dye) amaikidwa kudzera mu mkodzo ndipo X-ray imatengedwa kuti ione ngati pali zopinga zilizonse mu mkodzo. |
| Kujambula kwa C. T. (CT scan) | Zithunzi za thupi zimatengedwa kuti ziwoneke bwino. |
| M. R. I. (MRI) | Zithunzi zatsatanetsatane kwambiri za impso ndi njira ya mkodzo zimapezeka. |
Komanso, musanachite opaleshoni, dokotala kapena namwino wophunzitsidwa bwino adzakulankhulani ndikusankha malo abwino opangira stoma. Iyenera kukhala malo omwe mungawone mosavuta ndipo simudzagwidwa ndi zovala zanu (monga lamba) .
Moyo pambuyo pa opaleshoni ndi kusamalira stoma
Mukachita opaleshoni, muyenera kuzolowera moyo watsopano, koma sizovuta monga momwe mungaganizire.
Momwe stoma ndi thumba zimagwirira ntchito
Stoma si minofu. Chifukwa chake, singathe kulamulira mkodzo . Mkodzo umapitirira kutuluka pang'onopang'ono.
- Njira Yopopera Mkodzo: Ili ndi magawo awiri. Chimodzi ndi chotchinga chomwe chimamatira pakhungu. China ndi thumba lomwe limasonkhanitsa mkodzo. Nthawi zina, mayunitsi amabwera ndi zonse ziwiri.
- Chotchinga: Ichi ndi cholembera cha sikweya chokhala ndi dzenje pakati kuti chigwirizane ndi stoma. Chingamu chapadera chomwe chili pa ichi chimathandiza kupewa kutuluka kwa mkodzo ndipo chimasunga bwino pakhungu.
- Chikwama cha mkodzo: Ichi chimalumikizidwa ku chigamba cha khungu. Mkodzo umasonkhana mwachindunji mu ichi.
Kawirikawiri, thumba liyenera kuchotsedwa likadzaza gawo limodzi mwa magawo atatu kapena theka . Popanda kuchotsa thumba, mutha kutsegula valavu pansi ndikutulutsa mkodzo m'chimbudzi. Usiku, mutha kumangirira chubu ku valavu iyi ndikusonkhanitsa mkodzo m'thumba lalikulu. Popeza matumba awa amakwanira bwino thupi, sawoneka mukavala zovala wamba.
Kusamalira stoma ndi khungu lozungulira
Ndikofunikira kwambiri kusunga stoma ndi khungu lozungulira stoma kukhala zoyera komanso zouma.
- Tsukani stoma ndi khungu lozungulira tsiku lililonse pogwiritsa ntchito sopo ndi madzi ofunda.
- Tsukani ndi madzi mpaka sopo itatha.
- Kenako, musiye kuti ziume bwino. Si bwino kukhala ndi chinyezi.
Chikwama ndi chotchinga ziyenera kusinthidwa masiku 5-7 aliwonse . Chipatala chidzakuphunzitsani momwe mungachitire zonsezi.
Kodi ndi liti pamene muyenera kulankhula ndi dokotala?
Nthawi zonse muzisamala za stoma yanu ndi khungu lozungulira. Ngati muwona kusintha kulikonse, dziwitsani dokotala wanu nthawi yomweyo.
| Zinthu zofunika kuziganizira | Kufotokozera |
|---|---|
| Mavuto a khungu | |
| Kufiira kapena kuvulala | Ngati khungu lozungulira stoma lili lofiira, loyabwa, kapena lotuluka madzi. |
| Kutupa pakhungu kapena kuvulala | Ngati khungu ndi louma, losweka, kapena lokhala ndi ming'alu. |
| Zizindikiro za matenda | |
| Kusintha kwa mkodzo | Mkodzo wakuda, magazi mu mkodzo, kapena fungo lamphamvu. |
| Zina mwazinthu | Kupweteka kwa msana, kutentha thupi, nseru ndi/kapena kusanza, kusowa chilakolako cha chakudya. |
Uthenga Wopita Nawo Kunyumba
- Ureterostomy ndi opaleshoni yomwe imagwiritsidwa ntchito kutulutsa mkodzo m'thupi pamene chikhodzodzo sichikugwira ntchito.
- Izi zimathandiza kuti mkodzo utuluke mu impso mwachindunji kudzera m'malo otseguka (stoma) omwe amapangidwa pakhungu ndikusonkhanitsidwa m'thumba lapadera.
- Ndikofunikira kwambiri kusunga stoma ndi khungu lozungulira kuti tipewe matenda ndi mavuto a pakhungu.
- Ngati muwona mavuto aliwonse, monga kutentha thupi, kusintha kwa mkodzo, kapena kufiira kwa khungu, dziwitsani dokotala wanu nthawi yomweyo.
- Ngakhale opaleshoni iyi idzakhala kusintha kwakukulu m'moyo wanu, idzateteza kuwonongeka kwakukulu kwa impso zanu ndikuthandizani kukhala ndi moyo wathanzi.
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