Iwe kana mumwe munhu waunoziva akamboudzwa nachiremba nezve colostomy here? Zvakajairika kunzwa kutya uye kutya zvishoma paunonzwa nezvazvo. "Zvinorevei kuva nebhegi?", "Ndichazombokwanisa kudzokera kuhunhu hwangu hwekare here?", nezvimwewo. Ungave uchishamisika. Asi usazvidya mwoyo. Hazvityise sezvaunofunga. Nhasi, tichataura nezvazvo nenzira iri nyore yaunogona kunzwisisa.
Zvichitaurwa zviri nyore, chii chinonzi colostomy?
Kuvhiyiwa kwecolostomy inzira yekuvhiya inochinja nzira iyo muviri wako unobuda nayo tsvina. Kazhinji, tsvina yedu inobuda nepaburi remudumbu. Asi kana chikamu cheura hwedu chikakuvara nekuda kwechimwe chirwere kana tsaona, zvingave zvakakosha kupa chikamu ichocho zororo kana kuchibvisa zvachose, uye nzira itsva yekubuda tsvina.
Mukuita uku, chiremba anovhiya anoita buri diki, kana kuti buri, mudumbu mako rinoonekwa paganda. Tinoridaidza kuti stoma . Zvadaro, chikamu cheura hwako hukuru (colon) chinotorwa chobatanidzwa nestoma iyi.
Saka mushure mekuvhiyiwa, hauzofaniri kuenda kuchimbuzi sezvawagara uchiita. Asi, tsvina yemuviri wako, inova tsvina yako, ichabuda mudumbu rako yozounganidzwa mubhegi rakakosha (colostomy bag) rakabatanidzwa pariri.
Vamwe vanhu vanobatwa necolostomy kwenguva pfupi, kwemwedzi mishoma chete. Asi vamwe vanhu vanofanira kurarama nayo kweupenyu hwavo hwese. Izvi zvese zvinoenderana nemamiriro ako ehutano. Chiremba wako achakutsanangurira zvakadzama.
Kune mhando dze colostomy here?
Ehe, kune mhando dzakasiyana dzema colostomies. Idzi dzinopatsanurwa zvichienderana nechikamu cheura hukuru (colon) chakabatana nemadziro edumbu. Ngatitarisei mhando huru.
| Rudzi rwe colostomy | Tsananguro uye hunhu hwetsvina |
|---|---|
| Sigmoid Colostomy | Iyi ndiyo mhando inonyanya kuwanikwa. Mukuita uku, chikamu chekupedzisira cheura hukuru (sigmoid colon) chakaita se'S' chinonamirwa paganda riri kuruboshwe rwedumbu. Nekuti tsvina inofamba kure nedumbu yobuda, inowanzova yakakora . |
| Kuburuka kweColostomy | Pano, chikamu cheura hukuru kurutivi rweruboshwe, pamusoro pechikamu chakaita se'S' (dumbu rinodzika), chakabatana neganda. Tsvina inobuda pano inonyanya kuoma . |
| Colostomy inochinjika | Mukuita uku, chikamu chepamusoro cheura guru (transverse colon), chinoyerera nemudumbu, chakabatana neganda. Izvi zvinowanzoitwa kwenguva pfupi. Izvi zvinoitirwa kupa chikamu cheura chakakuvara zororo panguva iyo chichipora. Tsvina inobuda pano inenge ine mvura shoma uye yakapfava nekuti hafu chete yeura inenge yafamba. |
Chiremba wako nachiremba wevana vachasarudza kuti ndeipi mhando yekurapa yakakunakira.
Sei munhu achifanira kuvhiyiwa colostomy?
Pane zvikonzero zvakawanda zvinoita kuti colostomy iongororwe. Zvimwe ndezvenguva pfupi, asi zvimwe ndezvechigarire.
Kana zvichidikanwa kuvhiyiwa kwechinguvana kwecolostomy:
- Diverticulitis: Kuzvimba kwemudumbu kana hutachiona.
- IBD (Inflammatory Bowel Disease): Matambudziko anokanganisa ura, akadai sechirwere cheCrohn.
- Kukuvara muura: Kukuvara muura nekuda kwetsaona.
- Kuvharika kwedumbu: Kuvharika kwetsvina pane imwe nzvimbo muura.
- Fistula yekubuda netsvina: Chubhu isina kujairika iri pakati pehuro neganda.
- Kuvhiyiwa kwemudumbu: Mushure mekunge chikamu chemudumbu chabviswa, kupa nzvimbo iyi nguva yekupora zvikamu zvasara zvisati zvabatanidzwa pamwe chete.
Kana zvichidikanwa kuvhiyiwa colostomy zvachose:
- Kusakwanisa kudzora tsvina isingarapike (Fecal Incontinence).
- Kenza yeColorectal Yakakwira.
- Kana rectum ne anus zvikabviswa zvachose nekuvhiyiwa.
Unogadzirira sei usati wavhiyiwa?
Sezvo uku kuri kuvhiyiwa kukuru, pane zvinhu zvishoma zvaunofanira kugadzirira usati waita.
- Kutaura nachiremba wako: Usati wavhiyiwa, chiremba wako achataura newe nezvemaitiro acho, njodzi dzawo, uye kuti hupenyu hwako huchachinja sei mushure mekuvhiyiwa. Vanogonawo kukurukura nezvekugadzirisa marwadzo.
- Miedzo:Vachaita zvinhu zvakaita sekuongororwa ropa uye kuongororwa kweEKG kuti vaone kana wakakodzera kuvhiyiwa.
- Kusarudza kwekuisa stoma yako: Mukoti weWound Ostomy Continence Nurse (WOCN) anowanzo kukudzidzisa mashandisirwo estoma yako nebhegi. Vachakubatsirawo kusarudza nzvimbo yakanakira stoma yako, iyo isingazokanganisa mbatya dzako kana mabasa ako ezuva nezuva.
- Pazuva rekuvhiyiwa: Unofanira kurega kudya kwemaawa matanhatu usati wavhiyiwa. Unofanirawo kurega kunwa mvura, yakaita semvura, kwemaawa maviri usati wavhiyiwa. Chiremba wako anogona kukukurudzira kuti utore mushonga wekuchenesa ura hwako kuti uchenese ura hwako.
Chii chinoitika mushure mekuvhiyiwa? Uye matambudziko angangoitika
Mushure mekuvhiyiwa, uchagara muchipatara kwemazuva matatu kusvika manomwe. Munguva iyi, zvishoma nezvishoma uchatanga kudya zvakanaka. Vashandi vekuchengeta varwere vachakudzidzisawo zvese zvaunoda kuziva nezvekutarisira stoma yako uye kuchinja bhegi rako.
Kuvhiyiwa kweColostomy kazhinji inzira yakachengeteka, asi sekuvhiyiwa kupi zvako, kune dzimwe njodzi.
| Matambudziko anogona kuitika | Tsananguro |
|---|---|
| Kutsamwisa ganda | Ganda rakatenderedza dumbu rinogona kutsvuka uye kuvaviwa nekusangana netsvina. Iri idambudziko rinowanzoitika. Kushandisa bhegi rakanyatsokwana kunogona kubatsira zvikuru pakugadzirisa dambudziko iri. |
| Kuvharirwa kweMatumbu | Mavanga anobuda mushure mekuvhiyiwa anogona kuita kuti zviome kubuda tsvina. Izvi zvinogona kurapwa nemishonga yekuvimbiwa. |
| Kuchinja mu stoma | Dumbu rinogona kudzoserwa shure (retraction) kana kubuda kure zvakanyanya neganda (prolapse). Izvi zvinogona kuita kuti zviome kuisa bhegi zvakanaka. |
| Hernia yeParastomal | Tsandanyama dzakatenderedza stoma dzinopera simba, zvichiita kuti chikamu cheura chisundire mukati. Izvi zvinoita sebundu riri pedyo nestoma. |
Nguva yekufonera chiremba wako
- Kuzvimbirwa nguva dzose kana manyoka.
- Kusvotwa kana kurutsa.
- Ropa riri mutsvina.
- Kuchinja kweruvara kana saizi yestoma.
- Kunhuhwirira kwakashata kunobva mudumbu kana kuti kuvharika kwaro.
- Fivha kana kurwadziwa kwakanyanya mudumbu.
Kana uine chimwe chezviratidzo izvi, unofanira kufonera chiremba wako nekukasika . Kana paine dambudziko, enda kuEmergency Department (ETU) yechipatara chiri pedyo.
Hupenyu hwakaita sei nebhegi?
Iri ndiro dambudziko guru kune vanhu vazhinji.
- Kuchinja kuchaita kuenda kuchimbuzi: Mushure mekuvhiyiwa, tsvina inobuda mudumbu. Kana uchine anus, dzimwe nguva unogona kuva netsvina shoma. Izvi zvakajairika. Tsvina itsva inobuda mudumbu. Chinhu chakakosha ndechekuti, kusiyana nerectum, stoma haina tsandanyama dzinogona kumisa tsvina. Saka, haugone kudzora kufamba kwetsvina. Zvinongoitika zvega.
- Unofanira kugara uchitakura bhegi here?
Vanhu vazhinji vanopfeka bhegi nguva dzese. Mabhegi mazuva ano matete zvekuti haaonekwe pamusoro pezvipfeko. Saka unogona kupfeka chero hembe dzaunoda. Vamwe vanhu vane sigmoid colostomy vanogona kufanotaura kuti vachabuda tsvina riini. Vanogona kungoshandisa bhegi panguva iyoyo chete.
- Kuvhiyiwa kwechinguvana kwecolostomy kunogona kugadziriswa here?
Ehe. Kana colostomy yako iri yenguva pfupi, unogona kuvhiyiwa zvakare kuti idzokere pachimiro chayo chepakutanga kana hutano hwako hwavandudzika. Chiremba wako ndiye achasarudza kuti woita izvi riini. Zvinogona kutora mwedzi mishoma kana gore.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kwecolostomy inzira inoponesa hupenyu uye inowanzodiwa. Usatya zvisina kufanira.
- Mushure mekuvhiyiwa, tsvina inounganidzwa mubhegi rakabatanidzwa paburi (stoma) rinogadzirwa paganda redumbu. Izvi hazvigone kudzorwa.
- Zvakakosha kuchengetedza stoma neganda rakaipoteredza zvakachena. Uchapihwa mirairo yakadzama nezveizvi muchipatara.
- Kana muine mibvunzo kana zvinokunetsai, taurai nachiremba wenyu kana vashandi vekuchengeta vanamukoti nezvazvo pachena. Musanyara.
- Unogona kurarama hupenyu hwakajairika, hwakakwana ne colostomy. Hausi wega, kune vamwe vakawanda vari kurarama seizvi.
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