Mwina mwakhala mukuopa ndi mawu oti 'Urostomy'. Kapena mwina dokotala akamalankhula za opaleshoni yamtunduwu, funso limodzi ndi limodzi limabwera m'maganizo mwanu. Ndipotu, izi si zoyenera kuopa. Iyi ndi njira yomwe imapanga njira ina yoti munthu amene ali ndi vuto linalake m'thupi lake azitha kukodza. Mwachidule, iyi ndi njira yothandizira thupi lathu. Chifukwa chake, lero tikambirana izi mosavuta, m'njira yomwe mungamvetse.
Kodi njira ya Urostomy m'mawu osavuta ndi chiyani?
Urostomy ndi opaleshoni yomwe imapanga kabowo kakang'ono m'mimba mwanu, kapena m'mimba, kuti mkodzo udutse. Kabowo aka kamatchedwa 'stoma' . Izi zikutanthauza kuti mkodzo womwe umapangidwa m'thupi mwanu, m'malo motuluka mwachizolowezi, umatuluka kudzera mu kabowo katsopano aka. Izi zimatchedwa 'urinary diversion' .
Kuti titenge mkodzo womwe umatuluka motere, timagwiritsa ntchito thumba lapadera (thumba la urostomy) lomwe limalumikizidwa ku stoma. Kenako titha kuchotsa mosavuta mkodzo womwe umasonkhana m'thumba limenelo.
Nthawi zambiri, opaleshoni ya urostomy imakhala yokhazikika ndipo singathe kusinthidwa. Koma musadandaule. Dokotala wanu ndi gulu lachipatala adzachita zonse zomwe angathe kuti akuthandizeni kuzolowera moyo watsopanowu.
Ndi nthawi ziti pamene opaleshoni iyi ikufunika?
Pali zifukwa zingapo zomwe zingapangitse kuti opaleshoni ya urostomy ichitike. Tiyeni tiwone izi mu tebulo ili m'munsimu.
| Chifukwa cha opaleshoni | Kufotokozera kosavuta |
|---|---|
| Khansa ya Chikhodzodzo | Ichi ndi chifukwa chofala kwambiri. Opaleshoni iyi imachitika pamene chikhodzodzo chikufunika kuchotsedwa ( cystectomy ) chifukwa cha khansa. |
| Kuwonongeka kwa chikhodzodzo | Ngati chikhodzodzo chawonongeka chifukwa cha ngozi, matenda, kapena chithandizo cha radiation. |
| Kusadziletsa kwa Mkodzo | Pa milandu yovuta kwambiri pamene mkodzo sungasungidwe mwanjira iliyonse ndipo umatuluka mosasamala. |
| Kuwonongeka kwa msana | Chifukwa cha kuvulala kwa msana kapena matenda obadwa nawo monga spina bifida . |
| Kuwonongeka kwa mkodzo | Pamene chubu chonyamula mkodzo kuchokera ku chikhodzodzo kupita kunja chawonongeka. |
Kaya chifukwa chake n'chiyani, opaleshoni ya urostomy imapanga njira yatsopano komanso yotetezeka yotulutsira mkodzo m'thupi.
Kodi pali mitundu ya opaleshoni ya urostomy?
Inde, pali njira zingapo zochitira opaleshoniyi. Dzina lake limatchulidwa malinga ndi momwe njira yatsopano ya mkodzo imapangidwira.
Msewu wa Ileal - Njira yogwiritsidwa ntchito kwambiri
Iyi ndi njira yodziwika kwambiri. Apa, dokotala wa opaleshoni amatenga chidutswa chaching'ono cha m'mimba mwanu ndikupanga chubu kuchokera pamenepo. Mbali imodzi ya chubu ichi imalumikizidwa ndi stoma yomwe yapangidwa m'mimba mwanu. Mbali inayo imalumikizidwa ndi machubu awiri omwe amanyamula mkodzo kuchokera ku impso zanu (ureters). Mkodzo womwe umapangidwa mu impso zanu umatuluka mu chubu chatsopanochi ndikutuluka mu stoma.
Mphepete mwa Kholo
Izi zikufanana kwambiri ndi njira yomwe yatchulidwa pamwambapa, kupatula kuti gawo la matumbo akulu (colon) limagwiritsidwa ntchito kupanga chubu m'malo mwa matumbo ang'onoang'ono.
Ureterostomy
Mu njira iyi, chubu sichipangidwa kuchokera ku chidutswa cha m'mimba chotere. M'malo mwake, ureter kuchokera ku impso imalumikizidwa mwachindunji ndi stoma yomwe imapangidwa m'mimba.
Kodi mumakonzekera bwanji musanachite opaleshoni?
Opaleshoni isanachitike, dokotala wanu ndi gulu lanu adzakambirana nanu mosamala. Adzakufotokozerani izi:
- N’chifukwa chiyani mukufunikira opaleshoni iyi?
- Kodi chimachitika ndi chiyani panthawi ya opaleshoni?
- Kodi mungayembekezere chiyani mutachita opaleshoni?
- Kodi zoopsa zomwe zimabwera chifukwa cha izi ndi ziti?
Adzakulangizaninso nthawi yoti musiye kudya ndi kumwa musanachite opaleshoni, komanso ngati muyenera kusiya kumwa mankhwala omwe mumamwa nthawi zonse. Onetsetsani kuti mwauza dokotala wanu za mankhwala onse, mavitamini, ndi zowonjezera zomwe mukumwa.
Musanachite opaleshoni, gulu lanu lachipatala lidzakuthandizani kusankha malo abwino kwambiri pamimba panu kuti mupange stoma. Liyenera kukhala malo athyathyathya omwe mungathe kuwona, kufikira, ndi kufikira mosavuta.
Kodi chimachitika ndi chiyani panthawi ya opaleshoni?
Mudzapatsidwa mankhwala oletsa ululu pa opaleshoni. Choncho simudzamva kupweteka kulikonse . Dokotala wa opaleshoni adzapanga stoma pamalo omwe mwasankha kale m'mimba mwanu ndikulumikiza ureters ku iyo.
Nthawi zina, makamaka pankhani ya khansa, chikhodzodzo chonse kapena gawo lake lingafunike kuchotsedwa nthawi yomweyo. Komanso, ngati kuli kofunikira, ziwalo monga appendix, lymph nodes, kapena prostate gland mwa amuna kapena chiberekero mwa akazi zingafunike kuchotsedwa. Opaleshoniyi ingatenge maola 6 .
Kodi nthawi yochira imakhala bwanji pambuyo pa opaleshoni?
Mukamaliza opaleshoni, choyamba mudzatengedwera ku chipinda chochiritsira odwala kenako mudzasamutsidwira ku chipinda chothandizira odwala.
- Dothi limodzi kapena angapo adzayikidwa kuti achotse madzi omwe amasonkhana m'thupi.
- Mankhwala ofunikira ochepetsa ululu adzaperekedwa.
- Mudzalimbikitsidwa kukhala tsonga pabedi mwamsanga, kusuntha miyendo yanu, ndikuyenda mothandizidwa ndi ogwira ntchito zachipatala. Izi zingathandize kupewa matenda monga magazi kuundana ndi chibayo .
- Mukhoza kuyamba kudya ndi kumwa bwino pakatha masiku ochepa.
Nthawi zambiri mumayenera kukhala m'chipatala kwa masiku atatu kapena asanu ndi awiri. Panthawiyi, mudzaphunzitsidwa momwe mungasamalire stoma yanu komanso momwe mungagwiritsire ntchito thumba lanu la mkodzo. Mukabwerera kunyumba, zingatenge miyezi iwiri kuti mubwerere ku zochita zanu zachizolowezi (ntchito, sukulu).
Ndiyenera kuyimbira dokotala nthawi yanji?
Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi urostomy yanu, lankhulani ndi dokotala wanu. Onetsetsani kuti mwapeza upangiri wa dokotala, makamaka ngati muli ndi zizindikiro izi:
- Malungo
- Kutuluka magazi kosazolowereka
- Ululu waukulu
- Kuvuta kugwiritsa ntchito thumba la urostomy
- Kusintha kwa mtundu wa mkodzo kapena fungo lamphamvu
Mafunso ambiri okhudza kukhala ndi urostomy
Mwina muli ndi mafunso ambiri okhudza moyo pambuyo pa opaleshoni iyi. Tiyeni tiwayankhe.
Kodi stoma imawoneka bwanji? Kodi imamveka bwanji?
Mukayang'ana koyamba stoma yanu, ikhoza kutupa pang'ono, kufiira kwakuda, ndikuoneka ngati yavulala. Izi ndi zachilendo. Pakapita nthawi, kutupa kudzachepa, kudzakhala pinki wopepuka, ndikuchepa kukula. Ikhoza kukhala yozungulira kapena yozungulira.
Chofunika kwambiri n'chakuti stoma ilibe mitsempha. Chifukwa chake, stoma siimva chilichonse kapena kupweteka . Ngakhale kuti malo ozungulira angamve kupweteka mpaka bala la opaleshoni litachira, stoma yokha siimva kupweteka.
Kodi thumba la urostomy liyenera kusinthidwa kangati?
Kutulutsa zinthu zonse m'thumba ndikusintha zonse ndi zinthu ziwiri zosiyana.
- Kutulutsa madzi m'thumba: Monga momwe mungakodzere musanachite opaleshoni, muyenera kutulutsa madzi m'thumba maola angapo aliwonse. Musadikire mpaka thumba litadzaza. Ndi bwino kulitulutsa likadzaza gawo limodzi mwa magawo atatu (1/3) kapena theka (1/2). Izi zithandiza kupewa kutuluka kwa madzi m'thumba ndikuyambitsa matenda a pakhungu. Mukagona usiku, mutha kulumikiza thumba ili ku thanki yayikulu (chidebe chotulutsira madzi). Izi zidzakuthandizani kugona osadzuka usiku.
- Kusintha thumba: Izi zimatengera mtundu wa makina osungiramo zinthu omwe mukugwiritsa ntchito. Zina zimafunika kusinthidwa tsiku lililonse, pomwe zina zingagwiritsidwe ntchito kwa masiku atatu kapena sabata imodzi.
Uthenga Wopita Nawo Kunyumba
- Kuchotsa urostomy ndi opaleshoni yomwe ingakuthandizeni ndikupangitsa moyo wanu kukhala wosavuta, osati chinthu choopa.
- Izi nthawi zambiri zimakhala kusintha kosatha, koma mudzalandira chidziwitso chonse ndi chithandizo chomwe mukufuna kuti muzolowere kuchokera kwa gulu lanu lachipatala.
- Ndikofunikira kwambiri kusunga khungu lozungulira stoma kukhala loyera komanso louma. Izi zingathandize kupewa matenda a pakhungu.
- Kaya muli ndi nkhawa zotani zakuthupi kapena zamaganizo pankhaniyi, lankhulani momasuka ndi dokotala wanu za izo. Ngati kuli kofunikira, lowani m'magulu othandizira ndi ena omwe adakumanapo ndi zomwezo.
- Mungathe kukhalabe ndi moyo wodzaza ndi zochita zambiri mutatha opaleshoni ya urostomy.
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