Zvakajairika kunzwa kutya uye kutya zvishoma kana chiremba wako akakuudza kuti unofanira kuvhiyiwa ura, colectomy. Tose tinotya zvishoma patinonzwa izwi rekuti "kuvhiyiwa." Asi kana wangoziva kuti chii chaizvo, kuti kwakaitwa sei, uye kuti kwakaitwa sei, kutya kwako kuchapera. Saka nhasi, ngatitaure nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.
Measure kidney function based on creatinine value
Chii chinonzi colectomy?
Zvichitaurwa zviri nyore, colectomy kubvisa chikamu cheura hwako hwese kana kuti ura hwako hwese (colon). Ura hukuru chikamu chakakosha kwazvo chegadziriro yedu yekugaya chikafu. Kana chikamu ichi chikakuvara nekuda kwechirwere, chinomira kushanda zvakanaka. Ndipo vanachiremba pavanosarudza kuita kuvhiya uku.
Kuvhiyiwa uku kunowanzo kurudzirwa mumamiriro ezvinhu anotevera:
- Kenza yemudumbu: Bvisa chikamu chemudumbu chine masero ekenza.
- Diverticulitis: Ichi chirwere apo tubhegi tudiki tunoumbwa mumadziro eura hukuru, tunobatwa nechirwere uye tunozvimba.
- Kubuda ropa mudumbu: Kana uine kubuda ropa mudumbu kusingadzoreki.
- Kuvharika kweura kukuru: Kana ura hwakavharwa zvachose nekuda kwechimwe chikonzero.
- Chirwere chemudumbu chakakomba: Kana zvirwere zvakaita sechirwere cheCrohn kana chirwere chepadumbu chikanyanya kuipa.
Dzimwe nguva, kana paine njodzi yakakura kwazvo yekubatwa nekenza mune ramangwana nekuda kwezvirwere zvemajini zvakagarwa nhaka (semuenzaniso, Lynch syndrome), izvi zvinogonawo kuitwa senzira yekudzivirira colectomy kuderedza njodzi iyoyo.
Kune mhando dzakasiyana dzekuvhiyiwa uku here?
Ehe, kuvhiyiwa uku kwakakamurwa kuita mhando dzakasiyana zvichienderana nechikamu cheura chinobviswa. Izvi zvinosarudzwa nachiremba anokurapa zvichienderana nemamiriro ako ehutano.
| Rudzi rwekuvhiyiwa | Zvichitaurwa zviri nyore, chii chinoitika? |
|---|---|
| Kuvhiyiwa kweColon Kubviswa Kwese | Utumbu hwako hwese huchabviswa. |
| Kuvhiyiwa kweColon Kushoma | Chikamu cheura chinorwara chete ndicho chinobviswa. Kune dzimwe mhando dzeizvi zvakare. |
| Kuvhiyiwa kweHemicolectomy | Rutivi rumwe rweura hukuru, kungava kurudyi kana kuruboshwe, runobviswa. |
| Kuvhiyiwa kweProctocolectomy | Ura hukuru nerectum zvinobviswa. |
| Kuvhiyiwa kweSigmoid Colectomy | Chikamu chekupedzisira cheura hukuru, sigmoid colon, iyo inobatanidzwa nerectum, chinobviswa. |
Unogadzirira sei usati wavhiyiwa?
Sezvo uku kuri kuvhiyiwa kukuru, zvakakosha zvikuru kugadzirira.
Kutanga, chiremba wako achataura newe otsanangura rudzi rwekuvhiyiwa kwauchaita, kuti kuchaitwa sei (kungave kuchaitwa nekucheka kukuru kana nekamera). Zvadaro, vachaita mimwe miedzo kuti vaone kana muviri wako uchikwanisa kuvhiyiwa.
- Kuongororwa kweropa
- Colonoscopy
- Kuongororwa kweEKG (Electrocardiogram) kunoongorora mashandiro emoyo
- Miedzo yekufungidzira, yakadai seCT scans kana MRI scans
Pamusoro pezvo, timu yezvekurapa ichakuudzawo nezvezvinhu zvaunofanira kutevera mazuva mashoma usati wavhiyiwa. Izvi zvinosanganisira:
- Ronga kuti mumwe munhu akuendese kumba nemotokari kubva kuchipatara: Hauzokwanisi kutyaira wega mota mushure mekuvhiyiwa.
- Tanga kudya zvine mvura: Uchakumbirwa kunwa zvinwiwa zvakaita sesobho nemuto wemichero kwemazuva mashoma usati wavhiyiwa.
- Kugadzirira ura: Zuva risati rasvika rekuvhiyiwa, uchapihwa mvura yakakosha yekunwa kuti ura hwako hubude zvachose. Izvi hazvifadzi, asi zvakakosha kuti kuvhiyiwa uku kubudirire.
- Kutsanya: Haugone kudya kana kunwa chero chinhu kubva pakati pehusiku pazuva rekuvhiyiwa.
Chii chinoitika panguva yekuvhiyiwa uye mushure mekuvhiyiwa?
Munguva yekuvhiyiwa, uchanzwa marwadzo emudumbu zvachose, saka hauzonzwi chero chinhu. Chiremba wemudumbu achacheka kamwe chete mudumbu mako (Open Colectomy) kana kucheka kadiki kakawanda achishandisa kamera (Laparoscopic Colectomy). Vachabvisa chikamu cheura hwako chakarwara vobatanidzazve zvikamu zviviri zvine hutano. Izvi zvinonzi anastomosis .
Zvisinei, dzimwe nguva hazvigoneke kubatanidza zvikamu zviviri zvine hutano pamwe chete. Semuenzaniso, kana mukaha uri pakati pezvikamu zviviri zvasara wakakura zvakanyanya, kana kuti zvisingakwanisike kubatanidza nekukasika nekuda kwehutachiona, chiremba anogona kusarudza kugadzira ostomy .
Chii chinonzi Ostomy?
Kuvhiyiwa kwedumbu kunosanganisira kuunza magumo akanaka eura pamusoro peganda riri padumbu, zvichigadzira buri idzva (stoma) rekuti tsvina ipfuure nepariri. Tsvina yacho inozounganidzwa mubhegi rakakosha (ostomy bag) rakasungirirwa paburi iroro.
Tinoziva kuti ichi chishanduko chikuru muhupenyu hwako. Asi uchawana mazano ese nekudzidziswa kwaunoda kuti uzvigadzirise uye urambe uchirarama hupenyu hwakajairika muchipatara. Saka usazvitya.
Mushure mekuvhiyiwa, uchafanira kugara muchipatara kwemazuva mashoma kana vhiki. Uchangogumira pakudya zvinwiwa nezvikafu zvakapfava kwemazuva mashoma ekutanga. Unogona kudzokera pakudya kwakajairika sezvaunopora. Zvinogona kutora kusvika mavhiki matanhatu kuti unyatsopora mushure mekuenda kumba. Zvisinei, vanhu vazhinji vanogona kudzokera kumabasa avo mazhinji mukati memavhiki maviri.
Unofanira kutaura nachiremba rini?
Zvakakosha zvikuru kuziva zviratidzo zvekunyevera zvingamuka paunodzokera kumba mushure mekuvhiyiwa. Kana uine chimwe chezviratidzo zvinotevera, taurira chiremba wako kana chiremba wako nekukasika.
| Yambiro | Tsananguro |
|---|---|
| Fivha yakanyanya | Kupisa muviri zvakanyanya, kunzwa kushaya simba. |
| Zviratidzo zvehutachiona panzvimbo yekucheka | Kutsvuka, kuzvimba, kurwadziwa kwakanyanya, kana kuti urwa hwakatenderedza nzvimbo yakachekwa. |
| Kurwadziwa kwemudumbu kunowedzera zvishoma nezvishoma | Kana kurwadziwa kwemudumbu kuchiwedzera zvishoma nezvishoma pane kudzikira. |
| Kuoma kwekuita tsvina | Hapana kufamba-famba kwedumbu kana kuzvimba kwechiropa kwemazuva akati wandei. |
Kuvhiyiwa kwecolectomy kunogona kuchinja hupenyu hwako. Kunogona kuderedza zviratidzo zvinorwadza, kurapa kenza yako, kana kukubatsira kurarama kwenguva yakareba nekenza. Taura pachena nachiremba wako nezvemibvunzo kana zvinokunetsa. Vanogara vakagadzirira kukubatsira.
Mharidzo Yekuenda Nayo Kumba
- Colectomy kuvhiyiwa kubviswa kwechikamu chakakuvara cheura hukuru.
- Kuvhiyiwa uku kunoitwa pazvirwere zvakakomba zvakaita sekenza uye diverticulitis.
- Zvakakosha zvikuru kutevedzera mirairo yechiremba, kusanganisira kuchenesa ura, usati wavhiyiwa.
- Ungangoda bhegi re ostomy kuti ubvise tsvina, asi uchawana rutsigiro rwese rwaunoda kuti urarame naro.
- Zvinotora nguva kuti upore, saka iva nemutsa kwauri uye tora nguva yako kuti upore.
- Kana ukaona zviratidzo zvekunyevera zvakaita sefivha kana kurwadziwa kwakanyanya mushure mekuvhiyiwa, taura nachiremba wako nekukasika.
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