Kana ura hwako hukuru huchifanira kubviswa nekuda kwechirwere, uchafanirwa kuva nehomwe yekunze (stoma) yakabatanidzwa paburi rakakosha (stoma) riri muganda redumbu rako kuti tsvina (tsvina) ibude mumuviri wako. Kugara nehomwe yekunze iyi zuva nezuva kunogona kushungurudza uye kunetsa kune vamwe vanhu. Asi waizviziva here kuti pane imwe nzira inotsiva iyi? Nhasi tiri kutaura nezvehomwe yakakosha (homwe) inogadzirwa mumuviri.
Kock Pouch iyi chii?
Zvichitaurwa zviri nyore, Kock Pouch ibhegi diki rinogadzirwa nachiremba anovhiya mukati memuviri wako, achishandisa chikamu cheura hwako hudiki. Ndiyo imwe nzira yekubvisa bhegi rekunze re ileostomy.
Muchiitwa che "ileostomy" chinowanzoitwa, mugumo weura hudiki unounzwa pamusoro peganda riri mudumbu, zvichiita kuti pave nestoma. Nekuti tsvina inogara ichibuda nepaburi iri, bhegi rekunze rinofanira kupfekwa nguva dzese kuti riunganidzwe.
Asi muKock Pouch, sezvo bhegi iri riri mukati memuviri, tsvina haibude yese panguva imwe chete. Asi, inoungana mukati mebhegi. Unogona kubvisa tsvina iyi kakawanda pazuva, chero nguva yaunoda, nekuisa chubhu diki (catheter) kuburikidza ne'stoma'. Izvi zvinonziwo "Continence Ileostomy" . Izvi zvinoreva kuti unogona kudzora kufamba kwetsvina. Nzira iyi yakatanga kuunzwa nachiremba wekuvhiya anonzi Nils Kock. Ndosaka ichinzi Kock Pouch.
Fungidzira kuti zvaizova zororo rakadini kuva nesimba rekutonga marara ako chero nguva, pasina kutakura bhegi rekunze. Ndiyo mukana mukuru weKock Pouch.
Kuvhiyiwa kweKock Pouch kunoitwa sei?
Kuvhiyiwa uku kwakaoma zvishoma. Chiremba wako achaita seizvi:
- Kutanga, tora masendimita makumi matatu nemasere kubva kumucheto weura hwako hudiki (ileum) wohupeta kuita chimiro che "U".
- Chechipiri, chikamu chakapetwa chinovhurwa pakati uye mipendero inosanganiswa pamwe chete. Izvi zvinogadzira chikwama. Chikamu chidiki cheura chinosara kumagumo.
- Chechitatu uye chinonyanya kukosha, uchishandisa ura hwasara, vharuvhu ine nzira imwe chete inogadzirwa pedyo nemuromo wepaketi. Izvi zvakakosha zvikuru nekuti ndiyo vharuvhu iyi inodzivirira tsvina kana mhepo kuti isabude mudumbu kana paketi yakazara.
- Pakupedzisira, magumo evharuvhu anonamirwa mukati medumbu rinogadzirwa. Pakupera kwekuvhiyiwa, vanachiremba vanoongorora kuti vharuvhu iri kushanda nemazvo.
Chii chinoitika mushure mekuvhiyiwa? Zvinotora nguva yakareba sei kuti munhu apore?
Mushure mekuvhiyiwa, muchagara muchipatara kwemazuva angangoita matatu kusvika mashanu. Munguva iyi, muchaiswa machubhu akasiyana-siyana kuti akubatsirei kupora nekukurumidza.
- Mutsetse wemutsinga (chubhu inopinzwa mutsinga) kuti ipe saline
- Madhireni emaronda
- Chubhu yemushonga wekurwadziwa (Pain pomp)
- Katheta yeweti
Uchafanira kuchengeta catheter iri panzvimbo kwayo kwemavhiki mashoma. Izvi zvichaita kuti mvura iri mupaketi itsva ibude uye ronda rirapwe zvakanaka. Mukoti achakuratidza maitiro ekutarisira catheter kumba.
Mavhiki mashoma mushure mekunge maenda kumba, chiremba achabvisa chubhu. Mushure meizvozvo, mukoti achakudzidzisai nzira yekudurura mvura mubhegi necatheter yenguva dzose, yauchazoshandisa kubva zvino zvichienda mberi.
Pakutanga, ungangoda kudurura zvese zviri mubhegi kanenge kasere pazuva. Asi usazvidya moyo. Mushure memwedzi mishoma, kana bhegi rakura zvishoma uye rava kupora zvakanaka, ungangoda kudurura zvese kaviri kana kana pazuva.
| Mabhenefiti eKock Pouch | Matambudziko Anogona Kuitika |
|---|---|
| Hapana chikonzero chekupfeka bhegi remaruva panze. | Matambudziko emavharuvhu: Dzimwe nguva vharuvhu inogona kuburitsa tsvina. Izvi zvingada kuvhiyiwa kumwe kuti zvigadziriswe. |
| Dumbu rinogona kufukidzwa nejira rejira kuti rirege kuonekwa nekunze. | Fistula: Kubatana kusina kujairika (senge mugero) pakati pedundira, ganda, kana imwe nhengo. |
| Vane simba rekuita tsvina chero nguva yavanoda. | Pouchitis: Kuzvimba kwepaketi kunokonzerwa nehutachiona. Kazhinji kunogona kurapwa nemishonga inorwisa mabhakitiriya. |
| Zviri nyore kurara husiku, uye haufanirwe kumuka kuti ubvise zvese zviri mubhegi. | Kutetepa kweburi (Stricture/Stenosis): Mavanga anogona kutetepa stoma, zvichiita kuti zviome kuisa chubhu. |
| Hunhu hwehupenyu uye kuzvivimba zvinowedzera. | Parastomal Hernia: Hernia umo chikamu cheura chinobuda nepadumbu. Iyi inodawo kugadziriswa nekuvhiyiwa. |
Ngatiziveiwo nezvedambudziko guru.
Kana vharuvhu ikasununguruka uye muromo wepachikwama ukavharika uye chubhu isingakwanise kuiswa, idambudziko re emergency. Kana zvakadaro, unofanira kuenda kuEmergency Treatment Unit (ETU) yechipatara nekukasika. Uyewo, kana uchifanira kuvhiyiwa kakawanda nekuda kwematambudziko akadaro, pane njodzi yekuti ura hudiki hupfupike uye uwane kushomeka kwekudya (Short Bowel Syndrome).
Ndeupi musiyano uripo pakati peKock Pouch neJ-Pouch?
Ungave wakambonzwawo nezveJ-Pouch. Kunyangwe ese ari maviri ari marudzi emabhegi emukati, anoshanda zvakasiyana.
- J-Pouch: Izvi zvinosanganisira kusungirira bhegi mugodhi remusana wako wekumashure. Izvi zvinoreva kuti haudi stoma. Unogona kuramba uchibvisa tsvina kuburikidza nemusana wako semazuva ese. Vanhu vazhinji vanofarira nzira iyi. Zvisinei, musana wako netsandanyama dzakaipoteredza zvinofanira kunge zviri muhutano hwakanaka.
- Kock Pouch: Kock Pouch ndiyo sarudzo yakanakisa kune munhu asingakwanise kuva neJ-Pouch (semuenzaniso, kana huro yakabviswawo) kana kune mumwe munhu akambova neJ-Pouch asi yakundikana.
Ndinofanira kuchinja kudya kwangu mushure mekuvhiyiwa uku here?
Ehe, kudya chikafu chakakwana uye chine hutano kwakakosha zvikuru kuti ukurumidze kupora. Kare, waigona kunge wakagara uchidya zvimwe zvekudya nekuda kwekurwara kwako. Iye zvino unogona kuwedzera kudya ikoko zvishoma nezvishoma.
Kana tsvina yako yakakora zvakanyanya kana kuti yakanyorova, unogona kugadzirisa izvi nekuchinja kudya kwako. Zvakakosha kubvunza nyanzvi yezvekudya kuti uwane mazano eizvi. Chiremba wako anogona kukutumira kune imwe.
Mharidzo Yekuenda Nayo Kumba
- Chikwama cheKock chinoshandiswa zvakanaka pane bhegi rekunze re ileostomy. Chinogona kuvandudza hupenyu hwako nepfungwa dzako zvakanyanya.
- Ichi chikwama chemukati chinogadzirwa nekuvhiyiwa kubva muura hwako hudiki. Chinogona kukubatsira kudzora kufamba kwedumbu rako.
- Sekunge kune mamwe maoparesheni, pane njodzi yematambudziko, ayo angada kuvhiyiwa kuti agadziriswe.
- Nzira yakanakisisa yekuziva kana nzira iyi yakakunakira uye zvakanakira nezvayakaipira ndeyekukurukura pachena uye nekuvimbika nachiremba wako. Usatya kubvunza chiremba wako chero mibvunzo yaungave nayo.
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