Iwe kana mumwe munhu waunoziva mungave makatya uye makatya zvishoma apo chiremba akataura nezvekuvhiyiwa kunonzi 'Proctectomy'. Izvozvo zvakajairika. Ndiani asingade pfungwa yekuvhiyiwa, handiti? Asi kana tichiziva zvinhu izvi zvakajeka uye nemazvo, tinogona kubvisa kutya kusingakoshi uye kutarisana nako nerunyararo rwepfungwa. Saka nhasi, ngatitaurei nezve uku kuvhiyiwa kweProctectomy nemashoko akareruka.
Zvichitaurwa zviri nyore, chii chinonzi Proctectomy?
Kuvhiyiwa kweproctectomy inzira yekuvhiya inobvisa chikamu cherectum yako kana kuti rese. Iye zvino ungave uchishamisika kuti rectum chii. Ndiyo chikamu chekupedzisira cheura hwako hukuru, chakareba masendimita matanhatu. Kunyanya, ndiyo chikamu chiri pamusoro peanus, uko tsvina inobuda. Mune zvimwe zviitiko, zvichienderana nemamiriro ezvinhu, rectum inogonawo kubviswa panguva yekuvhiyiwa uku.
Sei uchifanira kuvhiyiwa kwerudzi urwu?
Pane zvikonzero zvikuru zvakawanda zvekuvhiyiwa kukuru kwakadaro. Chiremba anokurudzira kuvhiyiwa uku chete kana pasina imwe nzira.
- Kenza yemudumbu: Ichi ndicho chikonzero chikuru uye chinowanzo shandiswa pakubvisa masero ekenza. Kuvhiyiwa uku kunodiwa kubvisa masero ekenza uye kudzivirira kupararira kwawo.
- Chirwere cheInflammatory Bowel Disease (IBD): Ungave wakambonzwa nezveulcerative colitis kana chirwere cheCrohn . Kana izvi zvikanyanya kuoma zvekuti hazvigone kudzorwa nemishonga uye mamwe marapirwo, kuvhiyiwa kunogona kudiwa kuderedza marwadzo nemanyoka anokonzerwa nazvo.
- Familyal Adenomatous Polyposis (FAP): Ichi chirwere chinokonzerwa nemajini. Chinokonzera kuti pave nekukura kudiki (polyps) muura nemurectum. Kukura uku kune mukana mukuru wekuva nekenza nekufamba kwenguva. Saka kuvhiyiwa uku kunokurudzirwa sedanho rekudzivirira kukura kwekenza.
Kunyange zvazvo kuvhiyiwa uku kuri kukuru, rubatsiro rwakunopa kukuponesa kubva kuchirwere chinouraya chakadai sekenza haruna mutengo.
Unogadzirira sei usati wavhiyiwa?
Chiremba wako achakuongororwa zvizere usati wavhiyiwa. Zvakakosha kuti unzwisise hutano hwako usati waronga kuvhiyiwa kwako.
- Kuongororwa: Kuongororwa ropa, ECG, uye kumwe kuongororwa kwemifananidzo kana zvichidikanwa. Kana usati wamboongororwa colonoscopy , unofanirawo kuzviita.
- Kugadzirira ura: Izvi zvakakosha zvikuru.Pamberi pekuvhiyiwa, ura hunofanira kunge husina chinhu uye hwakachena. Kuti izvi zviitike, chiremba achanyora mushonga wekurara ( laxative ) kana kushandisa enema .
- Mishonga: Kana uri kutora mishonga, yakaita semishonga inobvisa ropa mumuviri, uchakumbirwa kuti urege kuitora mazuva mashoma usati wavhiyiwa. Iva nechokwadi chekuudza chiremba wako nezvemishonga yese yauri kutora.
- Kusvuta: Kana uri munhu anosvuta, kurega zvachose mavhiki mashoma usati wavhiyiwa kunobatsira zvikuru pakupora.
Kuvhiyiwa kunoitwa sei uye mhando huru dzezvirwere
Usati watanga kuvhiyiwa, chiremba weanotindivadza achakupa anesthesia. Saka uchange wakarara panguva yese yekuvhiyiwa usinganzwe kurwadziwa.
Rudzi rwekuvhiyiwa kweproctectomy kwaunoitwa zvinoenderana nerudzi rwechirwere, nzvimbo yacho, uye kukura kwacho. Kune mhando nhatu huru.
| Rudzi rweKuvhiya | Tsananguro |
|---|---|
| Kubviswa kwechibereko chemudumbu (APR) | Muizvi, rectum yako yese, anus, uye tsandanyama dzakaipoteredza (sphincter tsandanyama) zvinobviswa. Nekuti anus inobviswa, panowanikwa buri mudumbu kuti tsvina ipfuure nepaburi. Izvi zvinonzi ostomy . Paburi rinosungirirwa kunze kweburi. Stool inoungana mupaburi iri. Paburi iri rinoda kubviswa kanoverengeka pazuva. Kuvhiyiwa uku kunoitwa kana kenza iri pedyo ne anus. |
| Kubviswa kwepamberi kwakaderera (LAR) | Izvi zvinosanganisira kuedza kuchengetedza anus netsandanyama zvakanyanya sezvinobvira. Chikamu chine chirwere chete ndicho chinobviswa, uye chikamu chasara cheura chine hutano chinodzoserwa ku anus ( anastomosis ). Kana izvi zvikabudirira, bhegi re ostomy haridiwi. Unogona kubuda tsvina zvakanaka. |
| Kubviswa kwerectal nerobhoti | Iyi inzira yemazuva ano, isinganyanyi kupindira inoshandiswa pakuvhiya kweLAR. Chiremba anoshandisa tekinoroji yerobhoti kuita kuvhiya uku nemazvo uye nemazvo. Zvakanakira izvi kudzikira kweropa, kupora nekukurumidza, uye kunyatsoita nemazvo. |
Chii chinoitika mushure mekuvhiyiwa?
Mushure mekuvhiyiwa, uchafanira kugara muchipatara kwemazuva mashoma, pamwe vhiki, zvichienderana nemamiriro ako ezvinhu.
- Kudzora marwadzo: Ucharamba uchiwana mishonga yekudzora marwadzo auri kunzwa.
- Machubhu: Catheter inogona kuiswa kuti ibudise weti uye mamwe machubhu (madhireni) anogona kuiswa kuti abvise mvura inoungana panzvimbo yekuvhiyiwa. Izvi ndezvenguva pfupi.
- Chikafu: Ungasakwanisa kudya pakutanga. Sezvo kugaya kwako kuchidzoka, uchatanga wapiwa mvura, wozotanga wapiwa kudya kwakapfava zvishoma nezvishoma.
- Kurapa muviri: Nyanzvi yekurapa muviri inogona kukubatsira kuti uwane simba uye ufambe.
Usati waenda kumba, timu yako yezvekurapa ichakutsanangurira mabatirwo eronda rako, mashandisirwo emishonga yekurwadziwa, chikafu chekudya, uye chero mirairo yaunofanira kutevedzera.
Ndezvipi njodzi nematambudziko ekuvhiyiwa?
Kufanana nekuvhiyiwa kupi zvako kukuru, kuvhiyiwa kweproctectomy kunogona kuva nematambudziko akati wandei, uye zvakakosha kuziva nezvazvo.
| Rudzi rweMatambudziko | Tsananguro |
|---|---|
| Matambudziko Enguva Pfupi | |
| Utachiona | Utachiona hunogona kuitika panzvimbo yakachekwa kana mukati medumbu. |
| Kubuda ropa | Kana ukabuda ropa rakawanda panguva yekuvhiyiwa kana mushure mekuvhiyiwa, ungangoda kuwedzerwa ropa. |
| Kugwamba kweropa | Mushure mekuvhiyiwa, ropa rinogwamba mumakumbo nekuda kwekuwedzera kwekumira. Kana rikafamba kuenda kumapapu ( pulmonary embolism ), rine njodzi. |
| Kubuda kwemvura mukubatana | Kana kubuda kwemvura kukaitika panzvimbo yakabatanazve ura (anastomosis), kuvhiyiwa kuchafanirwa kuitwazve. |
| Matambudziko Enguva Refu | |
| Kusashanda zvakanaka pabonde | Kuvhiyiwa uku kunogona kukuvadza tsinga dzinobatanidzwa mukushanda kwepabonde, izvo zvinogona kukonzera kusagadzikana kwesimba rekuita zvepabonde kuvarume kana kusagadzikana kwesimba rekuita zvepabonde kuvarume vese. |
| Kuchinja kwekufamba kwemudumbu | Ungangonzwa kuda kuenda kuchimbuzi nguva nenguva, kuda kuenda kuchimbuzi kamwe kamwe, kana kuti pamwe kuomerwa nekudzora ura hwako. |
| Matambudziko ane chekuita neOstomy | Zvirwere zvakaita sematambudziko eganda, kubuda kwemvura, kana kuti hernias zvinogona kuitika zvakapoteredza bhegi re ostomy. |
Unofanira kutaura nachiremba rini?
Kana wangosvika kumba, zvakakosha kuti uzive zvimwe zviratidzo zvekunyevera. Kana ukaona chimwe cheizvi, fonera chiremba wako nekukasika.
- Kana uine fivha inosvika 38 degrees Celsius (100.4 Fahrenheit) kana kupfuura.
- Kana marwadzo ari kuwedzera kana kuti asingaderedzi mishonga inoderedza marwadzo.
- Kana nzvimbo yakachekwa yakatsvuka, yakazvimba, kana kuti mvura yakaita semapundu iri kubuda.
- Kana ropa rakawanda richibuda.
- Kana uchinetseka kuita weti kana kuti weti isingabude zvachose.
- Kuramba uchingonzwa kuda kurutsa uye kurutsa.
- Kutadza kufema zvakanaka.
- Kana ukaona shanduko mubasa rebhegi re ostomy (ruvara, saizi).
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kweproctectomy kuvhiyiwa kukuru, asi inzira inodiwa inogona kuponesa hupenyu hwako kubva kuchirwere chakaita sekenza kana kukupa zororo kubva kuchirwere chakakomba.
- Zvakakosha zvikuru kutevedzera mirairo yachiremba usati wavhiyiwa kuti uwane mhedzisiro inobudirira.
- Zvinotora nguva kuti upore. Munguva iyoyo, iva nemoyo murefu, tevera mazano echiremba, uye tsigirwa nemhuri yako.
- Ikodzero yako kutaura pachena nachiremba wako nezvemibvunzo kana zvinokunetsa zvaungave nazvo.
- Nekushandisa tekinoroji yemazuva ano yekuvhiya, mhedzisiro yekuvhiya uku inobudirira zvikuru. Saka, tarisana neizvi nepfungwa dzakanaka.
👩🏽⚕️ Mibvunzo Inowanzo bvunzwa (FAQ) kubva kuna Chiremba
💬 Chii chinonzi proctectomy surgery?
Kuvhiyiwa kwekubvisa chikamu chedumbu kana rectum yese, inova chikamu chekupedzisira cheura hukuru.
💬 Sei kubviswa kweproctectomy kuchiitwa?
Kune zvikonzero zvikuru zvakati wandei zvekuvhiyiwa uku, zvinosanganisira kenza yemudumbu, chirwere chemudumbu chinokonzeresa kuzvimba kwakanyanya (IBD) chisingagone kudzorwa nemishonga, uye zvirwere zvemajini zvakaita seFamilial Adenomatous Polyposis (FAP), iyo inoshandiswa kudzivirira kukura kwekenza.
💬 Kuvhiyiwa kweproctectomy kunoitirwa here kenza yemudumbu?
Ehe, chikonzero chikuru uye chinowanzo shandiswa pakubvisa kenza yemudumbu ikenza yemudumbu. Kuvhiyiwa uku kwakakosha zvikuru kubvisa masero ekenza uye kudzivirira kupararira kwayo kune dzimwe nhengo dzemuviri.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment