Nekuda kwemamwe matambudziko ehutano, kunyanya matambudziko eura hukuru, kuvhiyiwa kunodiwa kubvisa chikamu ichocho. Zvadaro, panobva paitwa buri diki muganda redumbu kuti tsvina ibude mumuviri. Saka, tsvina inounganidzwa mubhegi rakabatanidzwa paburi iri. Kugara nebhegi iri kunogona kuomera vamwe vanhu. Zvinogona kunzwa sechipingamupinyi patinenge tichishamwaridzana, tichipfeka mbatya, uye tichiita mabasa ezuva nezuva. Saka ko dai paine nzira yekuunganidza tsvina mumuviri tisina bhegi iri rekunze toiburitsa chero nguva yatinoda? Mhinduro yacho ibhegi reKock ratiri kutaura nezvaro nhasi.
Zvichitaurwa zviri nyore, chii chinonzi Kock pouch (K-pouch) iyi?
Fungidzira, pachinzvimbo chekuva nebhegi rakarembera kunze kwemuviri wako, ko kana ukakwanisa kugadzira bhegi diki rinogona kuunganidza nekuchengetera tsvina mumuviri wako? Ndizvo zvakaita bhegi reKock.
Mushure mekuvhiyiwa kwecolectomy, mugumo weura hwako hudiki, iyo ileum, unounzwa pamusoro peganda riri mudumbu mako uye gomba diki rinogadzirwa. Izvi zvinonzi ileostomy. gomba iri rinonzi stoma. Izvi zvinowanzoitwa nekubatanidza chikwama chekunze kustoma.
Asi mukurapwa kweKock pouch, chiremba anoshandisa chikamu cheura hwako kuti agadzire kabhegi kadiki mumuviri wako . Kabhegi aka kanobatanidzwa zvakananga nepaburi (stoma) riri mudumbu mako. Saka haudi bhegi rekunze kuti uunganidze tsvina yako. Kana uchida, chubhu diki (catheter) inogona kuiswa nepaburi iri uye tsvina inenge yaunganidzwa mupouch inogona kuburitswa.
Izvi zvakafanana ne "mukati medumbu" mukati memuviri watinogona kubvisa chero nguva. Zvakatumidzwa zita rachiremba wezvekuvhiya Nils Kock.
Ko mashandisirwo eKock pouch ndeapi?
Nzira iyi inonyanya kushandiswa kuvanhu vane `ileostomy' inogara kwenguva refu asi vasingade kushandisa bhegi rekunze retsvina. Chinhu chikuru cheizvi ndechekuti vanogona kudzora kufamba kwetsvina.
Muchigadzirwa che "ileostomy" chakajairika, tsvina inogona kuungana mubhegi chero nguva. Hatigone kuidzora. Asi "ileostomy" ine "Kock pouch" inonzi "continence ileostomy". Izvi zvinoreva "inodzoreka." Muchiitiko ichi, tsvina inoungana mubhegi riri mukati, pane kubuda, saka une rusununguko rwekuiburitsa chero nguva yaunoda.
- Mamwe Mashoko: Chikwama cheKock chakagadzirwa pakutanga sebhegi remukati rekuunganidza weti yevarwere vakabviswa madundira avo. Nzira iyoyo ichiri kushandiswa nanhasi, asi nzira itsva dzakawanda dzagadzirwa.
Kuvhiyiwa uku kunoitwa sei?
Chiremba wako anogona kugadzira chikwama cheKock panguva imwe chete neileostomy yako, kana kuti vanogona kuzviita mukuvhiyiwa kwakasiyana pane imwe nguva inotevera. Izvi zvinoreva kuti kana watova neileostomy, unogona kuchinja kuenda kuKock pane imwe nguva inotevera.
Muchidimbu, kuvhiyiwa kunoitwa seizvi:
1. Kugadzira chikwama: Chiremba achatora masendimita angangoita 18 kubva kumucheto weura hwako diki ohupeta kuita chimiro che "U". Zvadaro, ura huchavhurwa pakati pechikwama ichi uye mipendero ichasonerwa pamwe chete. Izvi zvichagadzira chikwama.
2. Kugadzira Vharuvhu: Ichi ndicho chikamu chakakosha. Uchishandisa ura hwasara pamucheto webhegi, vharuvhu yakakosha (`vharuvhu yenzira imwe chete`) inogadzirwa. Yakafanana negonhi rinovhurika nenzira imwe chete. Kana marara azadzwa mukati, vharuvhu iyi inovhara yega. Nenzira iyi, tsvina, mvura, nemhepo hazvibudi.
3. Kubatana: Pakupedzisira, mugumo une vharuvhu wakabatanidzwa paburi (`stoma`) rakagadzirwa mudumbu mako. Chiremba achaongorora kuti ave nechokwadi chekuti zvese zviri kushanda zvakanaka uye hapana kubuda kwemvura.
Chii chinoitika mushure mekuvhiyiwa? Zvinotora nguva yakareba sei kuti munhu apore?
Mushure mekuvhiyiwa, uchafanira kugara muchipatara kwemazuva angangoita matatu kusvika mashanu. Munguva iyi, machubhu akasiyana-siyana achabatanidzwa mumuviri wako kuti akubatsire kupora nekukurumidza.
- Chubhu ye `IV` yekupa saline
- `Kudya kwemuviri nemuviri` kwekudya kunovaka muviri
- Mapombi emvura anobvisa tsvina kubva paronda
- Katheta yeweti
- `Pombi yekurwadziwa` yekudzivirira marwadzo
Usazvidya mwoyo nezvinhu izvi, zvese ndezvenguva pfupi.
Katheta inoiswa mudumbu rako ichasiyiwa panzvimbo yayo kwemavhiki akati wandei. Izvi zvichaita kuti tsvina ibude mubhegi idzva kusvika ronda raparara. Mukoti achakudzidzisa maitiro ekutarisira katheta.
Kana maenda kumba mozorora kwemavhiki mashoma, chiremba wenyu achabvisa chubhu iyi. Zvadaro, mukoti achakudzidzisai nzira yekudurura zvinhu mubhegi mega uchishandisa chubhu yakajairika (catheter).
Pakutanga, ungangoda kubvisa tsvina mudundira rako kanenge kasere pazuva. Asi usazvidya moyo, mumwedzi mishoma inotevera, chikwama chitsva ichi chiri mumuviri wako chichakura zvishoma nezvishoma. Mushure meizvozvo, ungangoda kubvisa tsvina ka2-4 pazuva.
Mabhenefiti uye matambudziko angangoitika eKock pouch
Kufanana nedzimwe nzira dzekurapa, kune zvakanakira nenjodzi. Ngatizvitarisei.
| Mabhenefiti | Matambudziko Anogona Kuitika |
|---|---|
| Hapana chikonzero chebhegi rekunze: Haufanire kupfeka kana kutarisira bhegi rekunze reileostomy. | Matambudziko evharuvhu: Dzimwe nguva vharuvhu inogona kusuduruka yoita kuti tsvina ibude. Kana kuti vharuvhu inogona kuvharika uye chubhu yacho ingasakwanise kuiswa. Kuvharika kwedumbu zvachose idambudziko. Kana izvi zvikaitika, unofanira kuenda kuETU (Emergency Treatment Unit) nekukasika. |
| Rusununguko rwakawanda uye kuvanzika: Dumbu rinogona kufukidzwa nechinhu chidiki, senge gauze pad. Izvi hazvizoonekwe nekunze. | Fistula: Migero isina kukodzera inogona kuumbwa kubva muhomwe kuenda kuganda kana kune dzimwe nhengo dzemuviri. Izvi zvinogona kukonzera kurwadziwa nehutachiona. |
| Kudzora: Unogona kubvisa tsvina mudundira rako chero nguva uye chero kwaunoda, pasina tsvina inobuda mukati mezuva rose. | Pouchitis: Kuzvimba kana kutapukira kwepachikwama. Ichi chirwere chinowanzoitika. Chinowanzo rapa nekukurumidza nemishonga inorwisa mabhakitiriya. |
| Kurara zvakanaka: Zviri nyore kurara husiku. Haufanire kumuka pakati pehusiku kuti ubvise zvinhu zvako mubhegi. | Kutetepa kweburi (Stricture/stenosis): Mavanga anogona kuita kuti stoma ive diki uye kuita kuti zviome kuisa chubhu. |
| Hernia yemudumbu: Chikamu cheura chinobuda nepadumbu. Izvi zvinogonawo kukonzera kuvharika. |
Kana matambudziko aya akaitika, pane dzimwe nguva apo kumwe kuvhiyiwa (`revision surgery`) kungadiwa kuti kugadziriswe. Kana iri Kock pouch, kunyanya nekuda kwematambudziko evharuvhu, mwero wekuvhiyiwa kwakadaro kwakakwira zvishoma pane dzimwe nzira (inenge 30%). Asi chiremba wako achakutsanangurira zvese izvi zvakakwana.
Ndeupi musiyano uripo pakati peKock pouch neJ-pouch?
Kunyangwe ese ari maviri ari marudzi emasagi anoumbwa mumuviri, mashandiro awo akasiyana zvachose.
- Kock Pouch (K-pouch): Izvi zvinogadzirwa ne `ileostomy`, inova buri (`stoma`) mudumbu. Tsvina inodururwa nepachubhu (`catheter`) inopinzwa neburi riri mudumbu.
- J-Pouch: Iyi imwe nzira yekubvisa ileostomy. Pano, bhegi rinogadzirwa kubva kumagumo eura diki uye rakabatana zvakananga neanus (mugero wemudumbu). Izvi zvinobvisa kudiwa kwestoma (kuvhurika kwedumbu). Murwere anogona kuenda kuchimbuzi oita tsvina zvakanaka.
Kazhinji, varwere vanoda kubviswa ura hwavo hwemudumbu nehwemudumbu vanosarudza nzira yeJ-pouch. Zvisinei, kuti J-pouch ibudirire, tsandanyama dziri murectum dzinofanira kunge dzichishanda zvakanaka. Kune avo vasingakwanise kuva neJ-pouch nekuda kwechimwe chikonzero, kana kune avo vakambova neJ-pouch yakakundikana, Kock pouch isarudzo yakanaka.
Unoda kuchinja kudya kwako here?
Ehe, kudya chikafu chakakwana uye chine hutano kwakakosha zvikuru kuti ukurumidze kupora. Kana tsvina yako yakakora zvakanyanya kana kuti yakanyorova, unogona kuchinja zvishoma pakudya kwako. Zvinogona kubatsira zvikuru kubvunza nyanzvi yezvekudya. Chiremba wako anogona kukutumira kune mumwe munhu akakodzera.
Mharidzo Yekuenda Nayo Kumba
- Chikwama cheKock isarudzo yakanaka kune avo vasingade kugara nebhegi rekunze re ileostomy.
- Izvi zvichakubatsira kudzora mafambiro ako ekubvisa tsvina uye kukupa rusununguko rwakawanda uye nyaradzo paunenge uchishamwaridzana nevamwe.
- Zvisinei, sezvinoitwa nekuvhiyiwa kwese, kune njodzi nematambudziko, kunyanya matambudziko emavharuvhu.
- Usati wasarudza kana nzira iyi yakakunakira, zvakakosha kuti utaure nachiremba wako uye unzwisise zvakanaka nezvakaipa zvese.
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