Kana chiremba wako akakuudza nezve colostomy, unogona kunzwa kutya kukuru uye kuzvidya mwoyo. Ungave uine mibvunzo yakawanda mupfungwa dzako, yakaita sekuti "Ndichafanira kugara nehomwe mudumbu mangu here?", "Izvi zvichagara zvakadaro here?", "Vamwe vanhu vachafungei?" Kunzwa ikoko kwakajairika. Asi usatya. Kazhinji, ichi chinhu chenguva pfupi . Ingori mhinduro yenguva pfupi kusvika dambudziko riri mumuviri wako rapora. Nhasi, tichataura nezvekuti loop colostomy chii, nei ichiitwa, uye kuti hupenyu hwako huchava hwakaita sei mushure mayo.
Chii chinonzi Loop Colostomy?
Zvichitaurwa zviri nyore, colostomy inzira yekuvhiya apo ura hwako, chikamu cheura hwako hukuru chinotakura tsvina, chinochekwa uye pamusoro pacho panobatanidzwa neburi idzva muganda redumbu rako. Iri buri rinonzi stoma . Panzvimbo pekubuda nepaburi semazuva ese, tsvina inoungana mubhegi rakakosha rinosungirirwa padumbu rako kuburikidza nestoma iyi.
Iye zvino ngatitarisei kuti chinonzi loop colostomy chii. Iyi ndiyo mhando ye colostomy inonyanya kuitika, uye inowanzova yenguva pfupi . Mukuita uku, chiremba anovhiya anotora loop (chikamu chakaita serin'i) yeura kubva muburi rakagadzirwa mudumbu oricheka nepakati kwete zvachose. Izvi zvinoita kuti zvive nyore kudzokera shure gare gare. Ndokusaka vanachiremba vachisarudza nzira iyi kana uchida kupa ura hwako nguva shoma yekupora. Ungangofanira kugara nenzira iyi kwemavhiki mashoma, mwedzi mishoma, kana kunyange makore mashoma. Zvinoenderana nemamiriro ako ezvinhu.
Muzviitiko zvipi apo kuvhiyiwa uku kunodiwa?
Pane zvikonzero zviviri zvikuru: kutsausa marara uye kubvisa kumanikidzwa kwesimba.
1. Kutsausa marara
Fungidzira kuti chikamu cheura hwako chinoda kupora mushure mekukuvara, hutachiona, kana kuvhiyiwa. Sezvaunenge uchiita basa guru remumugwagwa uye uchitsausa motokari kuenda kune imwe mugwagwa kuderedza kuwanda kwemotokari, hatisi kutumira tsvina kubva kwainoda kupora, asi kuti tinoirega ichibuda nepaburi idzva riri mudumbu mako. Izvi zvinodzivirira tsvina kuti isapinde munzvimbo yakakuvara, ichipora uye ichikonzera hutachiona, uye zvinopa nzvimbo iyoyo zororo.
2. Kuderedza kumanikidzwa
Fungidzira kuti pane chakavharika kana kuti chakavharika pane imwe nzvimbo muura hwako. Ipapo tsvina haigone kudzika. Kuvhiyiwa uku kunoita kuti pave neburi pamusoro pechakavharika uye kunoita kuti tsvina ibude. Panguva iyi, vanachiremba vanogona kurapa chakavharika. Mushure mekunge chikamu ichocho chapora, ura hunogona kubatanidzwazve.
Kuvhiyiwa uku kunoitwa kuti ura hwako huve nerunyararo uye dziviriro yahunofanira kuwana kuti hupore. Kunogona kuva mushonga unokosha, unoponesa hupenyu.
Kuvhiyiwa kweLoop Colostomy kunobatsira pazvirwere zvipi?
Heano mamwe mamiriro ezvinhu apo kuvhiyiwa uku kungadikanwa:
- Diverticulitis
- Ulcerative colitis
- Chirwere cheCrohn
- Kuvharika kwematumbu makuru
- Mushure mekuvhiyiwa kwechikamu checolectomy
- Kukuvara kwakanyanya kana kutapukirwa nehutachiona mu rectum kana munzvimbo yakapoteredza
Chii chiri musiyano uripo pakati peLoop Colostomy neEnd Colostomy?
Idzi ndidzo mhando mbiri huru dzekuvhiyiwa kwecolostomy. Zvakakosha kuti unzwisise musiyano uripo pakati pezviviri izvi.
| Musiyano | Kuvhiyiwa kweColostomy yeLoop | Kuguma kweColostomy |
|---|---|---|
| Chikonzero/nguva yekuita | Kazhinji zvinotora nguva uye zvinogona kuchinjwa kana ura hwapora. | Kazhinji chinogara kwenguva refu . Chinoitwa kana chirwere chacho chisingadzoreki. |
| Mhando yekuvhiyiwa | Chidimbu cheura chinobviswa, chochekwa nepakati, uye maburi maviri (rimwe retsvina, rimwe remamucus) anosiyiwa mudumbu. | Chikamu chepamusoro cheura chete ndicho chinopinzwa mudumbu uye chinogadziriswa. Chikamu chepazasi chinowanzo vharwa uye chinosiyiwa mukati memuviri. |
Chii chinoitika usati wavhiyiwa uye mushure mekuvhiyiwa?
Usati wavhiyiwa
Usati wavhiyiwa, uchawana mukana wekusangana nachiremba. Ikoko, uchaziviswa zvizere nezvekuvhiyiwa, njodzi dzakwo, uye shanduko dzemararamiro dzichadiwa mushure mekuvhiyiwa. Uchakumbirwa kurega kudya kana kunwa kwemaawa angangoita matanhatu zuva risati ravhiyiwa. Unogonawo kupihwa enema kana mushonga wekuchenesa ura hwako. Paunosvika kuchipatara, uchaiswa pasi peanesthesia uye kuvhiyiwa kuchatanga.
Panguva yekuvhiyiwa
Zvichienderana nemamiriro ako ezvinhu, kuvhiyiwa uku kunogona kuitwa ne laparoscopically (kuburikidza nekuchekwa kudiki uchishandisa kamera) kana senzira yakavhurika . Kuvhiyiwa ne laparoscopic kuri nyore kwauri uye kunogona kukubatsira kuti upore nekukurumidza. Chiremba anobvisa dumbu, ogadzira stoma, oibatanidza paganda oisona.
Mushure mekuvhiyiwa
Uchafanira kugara muchipatara kwemazuva mashoma mushure mekuvhiyiwa.
- Chikafu: Kutanga, ipai chikafu chemvura, mozotanga kudya nguva nenguva.
- Kutarisira stoma yako: Ichi ndicho chinhu chakakosha. Mukoti akadzidziswa zvakanyanya kutarisira stoma yako (Wound Ostomy Continence Nurse - WOCN) achakudzidzisa zvese kubva pakuchenesa stoma yako kusvika pakuchinja bhegi rako.
- Marwadzo: Mishonga inouraya marwadzo inopihwa.
- Chitsiko: Zvinogona kutora mazuva mashoma kuti tsvina ibude mudumbu. Usazvidya moyo nazvo.
Pane njodzi nematambudziko here nekuvhiyiwa uku?
Sekunge kune chero kuvhiyiwa kupi zvako, kune dzimwe njodzi dzinobatanidzwa, asi vanachiremba vanoita nepavanogona napo kuti vadzigadzirise.
| Rudzi rwenjodzi | Tsananguro |
|---|---|
| Njodzi dzinowanzoitika dzine chekuita nekuvhiyiwa | Kubatwa nechirwere chinopedza simba, hutachiona, kukuvara kwenhengo dzakapoteredza. |
| Matambudziko ane chekuita nestoma |
|
Ndingachinja rini colostomy yangu?
Iyi ndiyo tariro huru kune vanhu vazhinji. Mhinduro yeizvi inoenderana nehutano hwako. Unofanira kupora zvachose kubva mukuvhiyiwa uye mamiriro ezvinhu akakonzera kuvhiyiwa. Vamwe vanhu vanogona kuvhiyiwa uku kwekudzoka mukati memavhiki mashoma kana mwedzi. Kune vamwe, zvinogona kutora makore akati wandei. Chiremba wako achakutarisa nguva nenguva uye acharonga kuvhiyiwa kana vaona kuti wagadzirira.
Ndirini pandinofanira kuudza chiremba nezve colostomy yangu?
Kana uine chimwe chezviratidzo zvinotevera, zivisa chiremba wako kana mukoti westoma nekukasika.
- Kuzvimbirwa nguva dzose kana manyoka .
- Kuda kurutsa kana kurutsa nguva dzose.
- Ropa riri mutsvina.
- Kana ukaona shanduko muhukuru hwakajairika kana ruvara rwestoma.
- Kana paine hwema husina kujairika, hwakaipa hunobva mudumbu.
- Kana stoma ichinzwa yakavharika .
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kwe "loop colostomy" kunowanzoitwa kwenguva pfupi uye kunoitirwa kuti ura hwako huwane zvimwe zvinodiwa kuti hupore.
- Izvi hazvina chikonzero chekutya, uye zvinogona kuva nzira inoponesa hupenyu inobatsira muviri wako kushanda zvakanaka paunenge uchipora.
- Zvinotora nguva kuti ujairire kugara nestoma, asi vanamukoti vakadzidziswa zvakakwana nachiremba wako vachakupa ruzivo rwese nerutsigiro rwaunoda.
- Chinhu chakakosha ndechekuti kuvhiyiwa uku kudzoke kana wapora zvizere.
- Usambotya kutaura pachena nachiremba wako nezvemibvunzo, kutya, kana kusava nechokwadi kwauinako.
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