Ese wifuza kumenya ibijyanye n'isakoshi yo gukamura irangi ry'uruhu? Reka tuvuge kuri Loop Colostomy

Iyo umuganga wawe akubwiye ko ugomba gukorerwa "colostomy," bivuze agafuka ko mu nda yawe, ushobora kumva ufite ubwoba bwinshi no gutungurwa. Ibyo ni ibisanzwe cyane. Ariko umaze kumenya neza icyo ari cyo, ubwoba bwawe buzashira cyane. Cyane cyane ubwoko tuvuga uyu munsi, bwitwa "loop colostomy," akenshi bukorwa by'agateganyo gusa. Reka tuvuge kuri byose mu buryo bworoshye kandi busobanutse.

Mu magambo make, "looptomy" ya loop ni iki?

Tekereza ko hari gukorwa igikorwa gikomeye cyo gusana umuhanda, bityo umuhanda ugafungwa maze hagashyirwaho inzira y'agateganyo yo kunyuramo imodoka. Uburyo bwo gukata umuhanda mu buryo burambuye ni nk'ubwo.

Muri make, colostomy ni uburyo bwo kubaga aho igice cy'amara manini (colon) yawe gicibwa kikazanwa ku ruhu ruri ku nda yawe, bigatuma habaho umwenge w'ubukorano. Uyu mwenge witwa "stoma." Kuva ubu, intebe yawe (intebe) izasohoka inyuze muri iyi stoma, aho gusohoka inyuze mu kibuno cyawe, kandi izakusanyirizwa mu gafuka kayifatanyeho.

Uburyo bumwe bwo gukora ibi ni uburyo bwo kubikora. Muri ubu buryo, muganga akuramo agace k'amara mu mwenge uri mu nda yawe, agakata gato, maze agashyiraho utundi tubiri. Ubu ni bwo bwoko bukunze kugaragara bwa colostomy . Akamaro gakomeye k'ubu buryo ni uko akenshi buba ubw'igihe gito kandi byoroshye kongera guhuza amara no gukuramo agafuka (inyuma). Niyo mpamvu bukoreshwa iyo ukeneye guha amara yawe akaruhuko kugira ngo akire.

Kuki ukeneye kubagwa nk'ubu?

Hari impamvu ebyiri z'ingenzi zo kugira icyiciro cyo gupima intanga.

1. Guhindura imiterere: Tekereza ko ufite imvune, ubwandu, cyangwa kubagwa mu gice cy'amara yawe. Kugira ngo icyo gice gikire, ugomba guhagarika inzira y'umwanda ikanyuramo igihe gito. Iyo utabikoze, igikomere gishobora kwandura kandi inzira yo gukira igatinda. Bityo ubu buryo bwo kubaga butuma umwanda unyura mu gikomere uturutse ahandi hantu, bigatuma icyo gice kiruhuka.

2. Guhagarika: Hari igihe habaho kuziba ahantu mu mara. Ibi bivuze ko umwanda udashobora kunyuramo bitewe n'ikintu nk'ikibyimba cyangwa kuziba. Hanyuma umuvuduko uri mu mara urushaho kwiyongera maze ugatangira kubyimba. Muri ibyo bihe, iyo stoma ivutse hejuru y'aho yazibye kugira ngo umwanda usohoke by'agateganyo, uwo muvuduko uragabanuka kandi ubona koroherwa. Hanyuma muganga ashobora kuvura kuziba.

Zimwe mu ndwara zisaba ubu buvuzi:

• Diverticulitis
• Urwara rw'ibisebe
• Indwara ya Crohn
• Kuziba amara menshi
• Nyuma yo kubagwa kugira ngo haveho igice cy'amara (Partial colectomy)
• Ibikomere bikomeye byo mu kibuno cyangwa indwara zandura mu kibuno

Ni irihe tandukaniro riri hagati ya loop na colostomy yo ku mpera?

Ubu ni bwo bwoko bubiri bw'ingenzi bwo kubaga intanga. Reba imbonerahamwe iri hepfo kugira ngo usobanukirwe neza itandukaniro riri hagati y'ibyo byombi.

Ni iki kibaho mbere, mu gihe cyo kubagwa na nyuma yaho?

Kumenya iki gikorwa bizaguha amahoro menshi yo mu mutima.

Mbere yo kubagwa

Mbere yo kubagwa, muganga wawe azakubwira ibi birambuye. Azagusobanurira uburyo kubagwa bizakorwa, ingaruka zishobora kubaho, n'impinduka mu mibereho yawe zizakenerwa nyuma yo kubagwa. Niba ubyifuza, ushobora no kuganira ku miti igabanya ububabare muri iki gihe. Uzagirwa inama yo kutarya cyangwa kunywa ikintu icyo ari cyo cyose mu gihe cy'amasaha agera kuri 6 ku munsi wo kubagwa. Ushobora kandi guhabwa uburyo bwo kwitegura amara kugira ngo yoze amara yawe.

Uburyo bwo kubaga bikorwa

Ubu buryo bwo kubaga bukorwa hakoreshejwe ikinya rusange. Hari uburyo bubiri bwo kubikora.

• Kubaga Laparoscopic: Ibi bikubiyemo gukata uduce duto mu nda, aho gukata igice kinini, kandi kubaga bikorwa hifashishijwe kamera. Ubu buryo buragufasha kandi bushobora kugufasha gukira vuba.
• Kubaga mu buryo bwihuse: Mu gihe cyihutirwa cyangwa mu bihe bigoye, ubu buryo bwo kubaga bushobora gukorwa hifashishijwe gukingura inda.

Muganga akura agace k'amara mu gace kari karashyizweho ikimenyetso, akagashyira ku ruhu, maze agatera stoma.

Nyuma yo kubagwa

Umaze kongera kugira ubwenge nyuma yo kubagwa, uzakenera kuguma mu bitaro iminsi mike. Muri iki gihe:

• Kurya: Banza utange ibiryo by'amazi, hanyuma utange buhoro buhoro ibiryo bisanzwe.
• Kwita ku ivuriro ry’uruhu: Umuforomo wahuguwe byihariye (Wound Ostomy Continence Nurse - WOCN) azakwigisha byose kuva ku buryo bwo kubungabunga ivuriro ryawe kugeza ku buryo bwo guhindura isakoshi yawe.
• Kugabanya ububabare: Nuva mu bitaro, uzahabwa imiti igabanya ububabare yo gukoresha mu rugo.
• Igituba: Igituba kizatangira kuva mu gituba nyuma y'iminsi mike yo kubagwa.

Ni izihe ngaruka n'ingorane bishobora guterwa n'uku kubagwa?

Kimwe no kubagwa kose, hari ingaruka zimwe na zimwe, nko kugira aleriji ku miti igabanya ububabare ndetse n'ubwandu. Ariko kandi, hari n'ingorane zimwe na zimwe zihariye ku bijyanye n'ivuriro ry'uruhu.

Ese nshobora gukuramo iki gikapu ngasubira uko bisanzwe?

Yego, urashobora! Icyo ni cyo cyiza cyane cyo gukorerwa isuzuma rya loop colostomy. Nyuma yuko indwara yawe ya mbere imaze gukira burundu, muganga wawe azagusuzuma, akore ubundi buryo bwo guhuza impera zombi z'amara yawe, hanyuma afunge stoma. Ibi bishobora gufata ibyumweru byinshi, amezi, cyangwa imyaka myinshi. Biterwa n'ubuzima bwawe.

Igihe cyo kubonana na muganga wawe

• Kuramba mu impatwe cyangwa impiswi.
• Isesemi cyangwa kuruka bidashira.
• Amaraso mu ntebe.
• Impinduka mu bunini busanzwe cyangwa ibara ry'igisebe.
• Impumuro idasanzwe ituruka mu gituza.
• Guhagarika burundu gusohora umwanda mu gifu.

Gukoresha indorerwamo ya loop colostomy ni impinduka ikomeye mu buzima bwawe. Ariko ibuka ko ubu ari uburyo bw'ingenzi cyane, butanga ubuzima butuma amara yawe akira. Nanone, akenshi ni ubw'igihe gito . Iyo witonze kandi ugakurikiza amabwiriza ya muganga wawe, ushobora gukoresha neza iki gihe ugasubira mu buzima busanzwe.