Mwana wako mudiki ane dambudziko rekuvimbiwa here? Anogara mazuva asingabudisi tsvina uye achinzwa kusagadzikana here? Kana kuti ane dambudziko rekusazvidzora tsvina asingatombozvizivi? Iwe, semwana uye semubereki, unofanira kunge uri kutambura nematambudziko aya zvakanyanya. Nhasi, tichataura nezvekurapa kwakakosha kunogona kubatsira kana mamiriro aya akaoma kudzora nemishonga yenguva dzose.
Chii chinonzi cecostomy muchidimbu?
Zvichitaurwa zviri nyore, cecostomy kuvhiyiwa kudiki. Kunosanganisira kuisa chubhu nepaganda redumbu rako zvakananga muchikamu chekutanga cheura hwako hukuru. Chikamu chekutanga cheura hwako hukuru chinonzi cecum . Chubhu iyi inonzi cecostomy tube kana C tube.
Zvino ungave uchifunga kuti, "Sei vaiisa chubhu seizvi?" Chikonzero ndechekuti, vachaisa enema kuburikidza nechubhu iyi. Inema imvura inopinzwa muura kuti icheneswe. Kazhinji, tinoita enema kuburikidza neanus, inova mugumo wedumbu. Mvura inokwira. Izvi zvinonzi retrograde enema . Asi nzira iyi hainyatso chenesa dumbu rese.
Asi kana ukaita enema kuburikidza nechubhu yececum, mvura yacho inopinda pamusoro peura hukuru. Zvadaro mvura yacho inofamba ichidzika muura hwese, ichitakura tsvina, yobuda nepaburi. Zvakafanana nekudurura mvura mupombi. Tinodaidza kuti antegrade enemas . Nzira iyi inoshanda zvikuru nekuti inogona kuchenesa ura hwese hukuru. Kurapa uku ndekwenguva pfupi kune vamwe vanhu, asi kunogona kudiwa kwenguva refu kune vamwe.
Ndiani anoda kurapwa uku?
Cecalostomy inonyanya kushandiswa mukurapa vana . Inobatsira zvikuru vana vane kuvimbiwa kwakanyanya uye vasingakwanise kudzora ura hwavo (fecal incontinence). Fungidzira kuti zvingava zvinoshungurudza sei kana mwana akangoerekana abuda tsvina achitamba neshamwari kuchikoro. Kurapwa uku kunogona kuita mutsauko mukuru muhupenyu hwevana vakadaro.
Pamusoro pezvo, izvi zvinobatsirawo zvikuru kuvana vanozvarwa vaine mamwe matambudziko emudumbu. Semuenzaniso:
- Kukanganisika kwenhengo dzemudumbu: Kukanganisika kwenhengo dzemudumbu ndiko kutadza kwenhengo dzemudumbu kuberekwa nadzo.
- Chirwere cheHirschsprung: Dambudziko remasero etsinga muura rinoita kuti tsvina isafambe zvakanaka.
- Spina bifida: Kuremara kwemusana nemusana kunokonzeresa matambudziko emudumbu nedundira.
Cecalostomy haiwanzokurudzirwa kuvanhu vakuru, asi mune zvimwe zviitiko, kuita enemas zuva nezuva kunogona kubatsira kuchengetedza kufamba kwetsvina panguva yakatarwa uye kudzivirira kufamba kwetsvina kusingatarisirwi.
Marudzi api emachubhu anoshandiswa?
Kune mhando dzakawanda dzemapaipi dzinoshandiswa pakuita izvi. Ona tafura iri pazasi kuti unzwisise zviri nyore izvi.
| Rudzi rweChubhu | Chitarisiko uye tsananguro |
|---|---|
| Chubhu yeC | Iyi ndiyo chubhu yenguva pfupi inotanga kuiswa panguva yekuvhiyiwa. Icatheter refu, yakatetepa. Mugumo wechubhu inobuda pachena wakamonererwa pamusoro pedumbu. |
| Chait Trapdoor™ | Iyi ichubhu inoshandiswa zvachose . Inotaridzika sebhatani diki rinopinzwa mudumbu. Chikamu chiri mukati meura chakakombama, saka chinogara panzvimbo yacho chisina kusonwa. |
| Bhatani reMiniACE® Enema | Iyi ichubhu zvakare inoita sebhatani uye inoshandiswa zvachose, seyataurwa pamusoro apa. Asi iyi inoiswa muura nebharumu diki rakafuridzirwa. |
Maitiro aya anoitwa sei?
Maitiro aya anogona kukamurwa kuita zvikamu zvakasiyana.
Unogadzirira sei usati wavhiyiwa?
Chiremba wako angangokukumbira kuti ugadzirire ura . Izvi zvinoreva kuti unofanira kuderedza kudya nekunwa kwemazuva mashoma, wozotora mushonga wekusvuura kuti ura hwako hubude zvachose.
Chinhu chinonyanya kukosha ndechekuti kana mwana wako achizovhiyiwa, mutsanangure zvese zvichaitika nenzira yaanonzwisisa, yakadzikama, uye yakajeka. Kana imi, sevabereki, muine chivimbo, isimba guru kumwana zvakare.
Chii chinoitika panguva yekuvhiyiwa?
Panguva yekuvhiyiwa, chiremba anoboora kaburi kadiki kuburikidza neganda redumbu rako achipinda muchikamu cheura hwako hukuru chinonzi cecum.
- Dzimwe nguva izvi zvinoitwa nechinhu chakaita setsono. Izvi zvinonzi percutaneous cecostomy . Izvi zvinowanzosanganisira kuisa zvigunwe panzvimbo yacho.
- Dzimwe nguva izvi zvinoitwa kuburikidza nekucheka kudiki. Izvi zvinonzi kuvhiyiwa kwececostomy . Panyaya iyi, iwe kana mwana wako mucharadzikwa pasi peanesthesia.
Mushure mekugadzira buri, chiremba anoshandisa tekinoroji yekamera (fluoroscopy kana endoscopy) senge X-rays kuti aise C-chubhu nepaburi ichipinda muura. Chubhu yacho inozobatanidzwa muura, uye ura hunosungirirwa pamadziro edumbu.
Chii chinoitika mushure mekuvhiyiwa?
Kuvhiyiwa pachako kunotora inenge awa imwe chete. Uchagara muchipatara kwemazuva mashoma. Munguva iyi, timu yezvekurapa ichakutarisira zvakanaka. Uchapihwa mishonga inorwisa utachiona yemutsinga kuti udzivise hutachiona. Uchapihwa mishonga inoderedza marwadzo kana uri kurwadziwa. Matumbu ako achave "ane usimbe" mushure mekuvhiyiwa, saka uchafanira kudya chikafu chine mvura kusvika atanga kushanda zvakanaka zvakare.
Ndezvipi zvakanakira uye njodzi dzeizvi?
Kufanana nechero nzira yekurapa, iyi ine zvakanakira uye njodzi.
| Mabhenefiti | Njodzi |
|---|---|
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Asi musatya njodzi idzi. Chikwata chenyu chekurapa chichakudzidzisai kuchengetedza chubhu yakachena uye kuitarisira. Kana mukanyatsotevera mirairo iyoyo, munogona kuderedza njodzi idzi zvikuru.
Zvinotora nguva yakareba sei kuti murwere apore uye unoshandisa sei chubhu yacho?
Zvinotora mavhiki maviri kuti nzvimbo yekuvhiyiwa ipore. Munguva iyoyo, hazvina kunaka kuita zvinhu zvakaita sekushambira kana kugeza. Uchafanira kudzoka mushure memavhiki maviri kuti ubviswe masitichi ako. Unogona kutanga kushandisa chubhu mushure mevhiki yekutanga.
C-chubhu inoiswa pakutanga ndeyenguva pfupi. Inoshandiswa kwemavhiki angangoita matanhatu kusvika masere . Mushure meizvozvo, unofanira kuona chiremba wako. Iye achabvisa chubhu iyoyo oisa chubhu inogara kwenguva refu inoita se "bhatani" sezvambotaurwa. Zviri nyore kwazvo.
Chubhu iyi yakaita semabhatani yakati sandara yakatarisana nedumbu, saka haionekwe zvakanyanya kubva kunze. Kana uchida kuita enema, pane chidimbu chakasiyana chechubhu chinogona kubatanidzwa nebhatani. Mvura ye enema inopinzwa kuburikidza nayo. Chubhu iyi inogara iripo inogona kushandiswa chero nguva inodiwa. Zvisinei, vanachiremba vanokurudzira kuchinja chubhu iyi mwedzi mitanhatu kusvika gumi nemiviri yega yega nekuda kwezvikonzero zvehutsanana.
Dzimwe nguva dzaunoda kuona chiremba
Kana iwe kana mwana wako muine chimwe chezviratidzo zvinotevera, fonerai chiremba wenyu nekukasika.
- Zviratidzo zvehutachiona: fivha, mvura yakaita semapundu ichibuda panzvimbo yechubhu.
- Marwadzo asingawanzoitiki: Marwadzo asingatsungiririki, kuzvimba, kana kubuda ropa rakatenderedza chubhu.
- Dambudziko repaipi: Kana paipi ichiita seyabva panzvimbo yayo, kana kuti yabva zvachose.
Kana chubhu ikabuda, idambudziko guru. Nekuti gomba rinogona kuvharika nekukurumidza. Saka, kana izvozvo zvikaitika, unofanira kuenda kuEmergency Treatment Unit (ETU) yechipatara nekukasika.
Mharidzo Yekuenda Nayo Kumba
- Cecostomy imishonga inobudirira yekurapa kuvimbiwa kwakanyanya uye kusagadzikana kwemudumbu, kunyanya kuvana.
- Izvi zvinoitwa nekusuka ura kubva kumusoro kusvika pasi (antegrade enema) kubatsira kubvisa tsvina.
- Kunyangwe paine dzimwe njodzi panzira iyi, dzinogona kuderedzwa nekutarisira pombi nenzvimbo dzakapoteredza zvakanaka. Mabhenefiti acho anodarika zvakanyanya.
- Bvunza chiremba wako kuti ungachenesa sei chubhu, ungapa sei enema, uye zvekuita kana paine emergency. Tevedzera mirairo yake nokungwarira.
- Kurapwa uku kunopa mwana kana iwe mukana wakanaka wekurarama hupenyu hwakasununguka uye hwakadzorwa zvakare.
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