Kana chiremba wako akakuudza iwe kana mumwe munhu waunoziva kuti unofanira kuiswa bhegi mudumbu mako kuti ubvise tsvina yako, zvakajairika kunzwa wakashamisika uye uchitya. "Chii ichi chinonzi kuvhiyiwa?", "Ichi chigarire here?", "Handizokwanisi kurarama hupenyu hwakajairika here?" Ungave uine mibvunzo yakawanda mupfungwa dzako. Usazvidya mwoyo. Ngatitaurei nezvekuvhiyiwa uku, kunonzi 'Fecal Diversion', nenzira iri nyore yaunogona kunzwisisa.
Chii chinonzi kuvhiyiwa uku kwe'Fecal Diversion'?
'Kuchinja kwetsvina', muchidimbu, kuchinja kwechinguvana kana kwechigarire munzira yechisikigo yekubuda kwetsvina mumuviri (mudumbu) kuitira kuti ibude nepaganda redumbu. Buri rekugadzira rinogadzirwa nenzira iyi paganda redumbu rinonzi stoma .
Dumbu iri rinogadzirwa pachishandiswa chikamu cheura.
- Kana ukaita stoma nekubatanidza ura hwako hudiki neganda , inonzi ileostomy .
- Kana ura hwako hwakabatana neganda, hunonzi colostomy .
Zvino ungave uchishamisika kuti sei izvi zviri kuitwa. Vanachiremba vanowanzokurudzira kuvhiyiwa uku nekuda kwezvikonzero zvakati wandei:
- Kuderedza hutachiona hwakakomba kana matambudziko ane chekuita nerectum kana anus.
- Sekurapa kenza yemuura .
- Kusazvidzora .
Fungidzira, rectum yedu ine tsandanyama yakaita sedenderedzwa (sphincter muscle) inodzora kufamba kwetsvina. Ndosaka tichigona kubata nekubvisa tsvina kana tichida. Asi stoma inogadzirwa haina tsandanyama inodzora kudaro. Ndosaka tisingakwanise kudzora kufamba kwetsvina. Ndosaka tichifanira kupfeka bhegi rakakosha ( ostomy collecting device) rakabatana nestoma kuti titore tsvina inobuda.
Dumbu iri rinogona kuva renguva pfupi kana kuti renguva dzose . Zvinoenderana nemamiriro ehutano hwako. Semuenzaniso, kubuda ropa mudumbuMushure mekunge chikamu chemudumbu chachekwa uye chabviswa uye zvimwe zvikamu zviviri zvasara zvabatanidzwazve, stoma yenguva pfupi inogadzirwa kuti ipe zororo kusvika anastomosis yapora. Kana nzvimbo yacho yapora, kuvhiyiwa kumwe kunoitwa kuti stoma ibviswe uye kugadzira nzira yakajairika yetsvina. Zvisinei, kana anus nerectum zvabviswa zvachose, stoma inofanira kuchengetedzwa zvachose.
Kuvhiyiwa uku kunoitwa sei ne laparoscopically?
Laparoscopy, sezvatinoziva tese, imhando ye "keyhole surgery ." Muizvi, pachinzvimbo chekuita kucheka kukuru, maburi madiki mashoma chete ndiwo anogadzirwa mudumbu.
Laparoscope , chubhu diki ine kamera nechiedza pamberi, inopinzwa mudumbu kuburikidza neimwe yenzvimbo dzakachekwa. Mifananidzo kubva pakamera inoratidzwa pachidzitiro chikuru (monitor) mukamuri rekuvhiyira. Chiremba anotarisa skrini uye anoita kuvhiyiwa achishandisa zvishandiso zvakakosha zvakapinzwa kuburikidza nedzimwe nzvimbo diki dzekucheka.
Chakanakira nzira iyi ndechekuti hapana kukuvara kukuru, saka kurwadziwa kushoma, kupora nekukurumidza, uye mazuva mashoma muchipatara.
Stoma inogadzirwa sei?
Kune mhando mbiri huru dzemastoma. Maitiro aanoitwa akasiyana zvishoma.
| Rudzi rwestoma | Nzira iri nyore yekugadzira |
|---|---|
| Stoma Yekupedzisira | Izvi zvinosanganisira kuunza magumo eura (diki kana guru) zvakananga pamusoro peganda redumbu, kuribatanidza neganda, uye kurisonerera pamwe chete. Mugumo weura unobuda seburi pano. |
| Dumbu reLoop | Iyi ndiyo nzira inowanzo shandiswa kugadzira stoma yenguva pfupi. Muizvi, denderedzwa reura rinounzwa pamusoro peganda, uye denderedzwa diki rinoitwa pamusoro paro. Izvi zvinogadzira zvinoita semaburi maviri. Kudzivirira denderedzwa iri kuti risadzokere mudumbu, tsvimbo diki yepurasitiki inoiswa pasi payo kwemazuva mashoma mushure mekuvhiyiwa. Inobva yabviswa. |
Chii chinoitika mushure mekuvhiyiwa? Ngatidzidzei nezvenguva yekupora
Mushure mekuvhiyiwa kwerudzi urwu, unowanzo gara muchipatara kwemazuva maviri kana matatu . Kana kuvhiyiwa kwapera, bhegi rinoiswa pamusoro pestoma yako. Zvinotora zuva rimwe kana maviri kuti kugaya kwako kutange kushanda zvakare. Ndipo chete panotanga kubuda tsvina mustoma.
Paunenge uri muchipatara, mukoti akadzidziswa zvakanyanya nezvekuchengetedzwa kwestoma achakuratidza maitiro ekuchinja bhegi rako uye kuchengetedza ganda rakatenderedza stoma yako rakachena. Pakutanga, vachakuratidza maitiro ekuita zvinhu izvi, uye vozokudzidzisa maitiro ekuzviitira wega. Saka paunosvika kumba, uchakwanisa kuita zvinhu izvi wega.
Nekuti ichi chinhu chitsva, uchanzwa shanduko huru, mumuviri nemupfungwa. Dzimwe nguva unganzwa kuremerwa uye kusuruvara. Izvi zvakajairika. Yeuka kuti hausi wega. Mukoti wako, chiremba wako, nemhuri yako varipo kuti vakubatsire. Taura navo chero nguva yaunenge wakasuruvara.
Pakutanga zvingava zvakaoma, asi nekufamba kwenguva uchajaira shanduko itsva iyi. Kune mamiriyoni evanhu pasi rose vari kushanda zvakanaka, vari kutora chikamu munharaunda, uye vari kurarama vachifara. Ndosaka zvichikosha kuti urambe wakasimba.
Mharidzo Yekuenda Nayo Kumba
- 'Kuchinja tsvina' inzira yekuvhiya inoendesa nzira yetsvina pamusoro peganda riri padumbu. Paburi rinogadzirwa rinonzi stoma .
- Nekuti kuvhiyiwa uku kunoitwa ne laparoscopically (keyhole), marwadzo haanyanyi kuderera uye kupora kunokurumidza.
- Nekuti stoma haidzoreki, bhegi rakakosha ( ostomy bag ) rinofanira kupfekwa nguva dzese kuti utore tsvina.
- Stoma inogona kuva yenguva pfupi kana kuti inogara kwenguva refu. Zvinoenderana nemamiriro ehutano hwako. Bvunza chiremba wako nezvazvo.
- Uchaona shanduko mumuviri nemupfungwa mushure mekuvhiyiwa. Izvi zvakajairika. Usambozeza kukumbira rubatsiro uye taura nemhuri yako nevashandi vezvehutano.
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