Kana chiremba wako akakuudza kuti unofanira kuvhiyiwa ura, zvakajairika kuti unzwe kutya kukuru uye kuzvidya mwoyo. Paunonzwa zita rakadai sekuti "proctocolectomy," zvinogona kuita sekunge zvakaoma. Asi usazvidya moyo. Uku kuvhiyiwa kunoponesa hupenyu kunogona kukubatsira kurarama hupenyu huri nani nekuderedza zviratidzo zvako zvazvino. Tichataura nezvezvinhu zvese nenzira iri nyore yaunogona kunzwisisa.
Chii chinonzi Proctocolectomy?
Zvichitaurwa zviri nyore, proctocolectomy kubviswa kweura hwako nechikamu chekupedzisira cherectum.
Ngatitsanangurei izvi zvishoma. Ura hukuru chikamu chakareba chakaita sechubhu yekugaya chikafu. Chine zvikamu zvikuru zvitatu:
1. Colon: Ichi ndicho chikamu chikuru. Chinotora mvura kubva mumarara anosara muchikafu chatinodya uye chinoachinja kuita chimiro chakasimba, chinonzi tsvina.
2. Dhuremu: Iri ndiro chikamu chipfupi chedhuremu chinotevera ura. Ndipo panochengetwa tsvina kwenguva pfupi isati yaburitswa.
3. Huro: Nzvimbo inobuda tsvina mumuviri.
Saka, mukuvhiyiwa kweproctocolectomy, zvese ura nerectum zvinobviswa, kana kuti chikamu chazvo. "Procto" zvinoreva rectum. "Colectomy" zvinoreva kubviswa kweura.
Sei uchifanira kuvhiyiwa kwerudzi urwu?
Pane zvikonzero zvakawanda zvinoita kuti kuvhiyiwa kukuru kwakadaro kuitwe. Chikonzero chikuru ndechekuti chirwere chiri muura chinotadzisa chikamu ichocho chemuviri kushanda zvakanaka kana kuti chirwere chacho chinoisa upenyu panjodzi.
| Dambudziko rehutano | Tsananguro iri nyore |
|---|---|
| Zvirwere zveMatumbu Zvinozvimba | Kana mukati meura mukaramba muchikuvara uye muchizvimba nekuda kwezvirwere zvakaita seUlcerative Colitis nechirwere cheCrohn , kuvhiyiwa kunogona kudiwa kana chirwere chacho chisingagoni kudzorwa nemishonga. |
| Kenza yemudumbu uye mamiriro ezvinhu asati aita kenza | Kumisa kupararira kwemasero ekenza yemuura kana mumamiriro ezvinhu akadai seFamilial Adenomatous Polyposis (FAP) , inova chirwere chinogara nhaka chinokonzera mazana emapolyps ane mukana wekuita kenza. |
| Zvimwe zvikonzero | Matambudziko akadai sekufa kwenyama yemudumbu nekuda kwekushaikwa kweropa (ischemia), kuvimbiwa kwakanyanya, kukuvara kwakanyanya mudumbu, kana diverticulitis . |
Unoita sei tsvina mushure mekuvhiyiwa?
Uyu ndiwo mubvunzo mukuru unobvunzwa nevanhu vazhinji. Kana ura hwemukati nerectum zvabviswa, nzira yakajairika yekuti tsvina ibude inorasika. Zvino ungaita sei tsvina? Mhinduro yacho inoenderana nerudzi rweproctocolectomy yawakaita. Chiremba wako ndiye achasarudza nzira yakakodzera zvichienderana nemamiriro ako ehutano.
Kune nzira dzinoverengeka huru:
1. Kuvhiyiwa kweIleostomy
Izvi zvinosanganisira kubatanidza chikamu chekupedzisira cheura hwako hudiki, chinonzi ileum, neburi diki (stoma) rinogadzirwa muganda redumbu rako. Bhegi re ostomy rinozobatanidzwa paburi kuti riunganidze tsvina. Izvi zvinogona kuva zvechigarire kana zvechinguvana . Zvechinguvana zvinongoitwa chete kusvika muviri wako wapora. Izvi zvinogona kuchinjwa gare gare nekuvhiyiwa kumwe.
2. Ileoanal Pouch (kugadzirwa kwebhegi remukati)
Iyi inzira inonakidza zvikuru. Inonziwo Restorative Proctocolectomy. Chikamu cheura hwako hudiki (ileum) chinotorwa uye chikwama chidiki chinogadzirwa kubva machiri. Funga nezvacho sechikamu chitsva chemuviri wako chinogona kubata tsvina yako kwenguva pfupi, kungofanana nerectum yako. Zvadaro, chikwama chinobatanidzwazve neanus yako. Mushure meiyi nzira, uchakwanisa kuenda kuchimbuzi wobva waita tsvina nguva nenguva mushure mechinguva. Nzira inowanzoitwa iyi inonzi J-pouch .
3. Subtotal Proctocolectomy (kusiya chikamu chimwe chete)
Muizvi, chikamu cheura hukuru chinosara. Kana zvichikwanisika kuita izvozvo, chikamu chasara cheura chinogona kubatanidzwazve neanus kana kune rimwe divi remudumbu (anastomosis). Zvisinei, dzimwe nguva, gomba rechinguvana mudumbu rinogona kufanira kugadzirwa uye bhegi retsvina (colostomy) rinoiswa kusvika nzvimbo yekubatanidza yapora.
Chinhu chinonyanya kukosha ndechekuti chiremba wako akuudze kuti ndeipi yenzira idzi yakakunakira. Saka, kurukura chero mibvunzo kana zvinokunetsa nachiremba wako.
Chii chinoitika usati wavhiyiwa, panguva, uye mushure mekuvhiyiwa
Usati wavhiyiwa
Kana kusiri kuvhiyiwa kwekukurumidzira, uchava nenguva yekugadzirira.
- Mavhiki mashoma asati asvika: Chiremba wako achakutsanangurira nezve kuvhiyiwa kwacho, njodzi dzacho, uye zvaungasarudza.
- Mavhiki maviri usati watanga: Kana uchitora mishonga inobvisa ropa, uchaudzwa kuti urege kana kuderedza. Uchakurudzirwa kudya chikafu chine fiber yakawanda uye kunwa mvura yakawanda.
- Maawa makumi maviri nemana usati wavhiyiwa: Uchapiwa mushonga wekuchenesa ura hwako zvakakwana. Uchaudzwawo kuti udye zvinwiwa chete pazuva iroro. Unogonawo kupiwa mishonga inorwisa utachiona kudzivirira hutachiona mushure mekuvhiyiwa.
Panguva yekuvhiyiwa
Ucharadzikwa pasi peanesthesia, saka hauzonzwi chero chinhu. Kuvhiyiwa uku kunogona kuitwa nenzira mbiri huru:
- Kuvhiyiwa Kwakavhurika: Nzira yechinyakare, inoitwa kuburikidza nekucheka kukuru mudumbu.
- Kuvhiyiwa kweLaparoscopic: Kunozivikanwawo se "keyhole", izvi zvinoitwa nekucheka zvidimbu zvidiki mudumbu uye kuisa kamera nemidziyo yakapfava kuburikidza nazvo. Nzira iyi inoita kuti munhu akwanise kupora nekukurumidza uye marwadzo ashoma.
Chiremba anozobvisa chikamu cheura chine chirwere nokungwarira uye oita mabasa anodiwa (ileostomy, pouch, kana re-connection) sezvakambotaurwa kare.
Mushure mekuvhiyiwa
Uchafanira kugara muchipatara kweinenge vhiki. Munguva iyi, uchachinjwa zvishoma nezvishoma kubva pakudya kwemvura kuenda kune kwakasimba. Kana uine ostomy (bhegi), mukoti akadzidziswa (WOCN - Wound Ostomy Continence Nurse) achakudzidzisa mashandisirwo ayo uye kuchengetedza ganda rako rakachena.
Ndezvipi zvinetso zvinogona kuitika?
Sekunge kune chero kuvhiyiwa kupi zvako, kune njodzi nematambudziko anogona kuitika, asi kazhinji izvi ndezvenguva pfupi.
| Rudzi rwedambudziko | Tsananguro |
|---|---|
| Matambudziko akajairika ekuvhiyiwa | Kusangana nekurwadziwa, kubuda ropa mukati, hutachiona, kuvharika kwemudumbu, nezvimwewo. |
| Matambudziko ane chekuita ne ostomy (bhegi) | Utachiona hweganda hwakatenderedza stoma, hunopinda kana kubuda mustoma.Dambudziko rinonzi phantom rectum rinogonawo kuitika. Uku kunzwa kwekunge uchifanira kuita tsvina kunyangwe rectum yabviswa. Izvi zvinodzikira nekufamba kwenguva. |
| Matambudziko ane chekuita neIleoanal Pouch (mukati mebhegi) | Pouchitis , kubuda kwemvura mumuviri, uye kusazvidzora kwetsvina. Zvizhinji zveizvi zvinorapika. |
Ndezvipi zvinhu zvinokonzeresa njodzi zvinoda kushanyirwa nachiremba?
Kana ukaona chimwe chezviratidzo zvinotevera mushure mekuvhiyiwa kwako, fonera chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara.
- Kuzvimba, kurwadziwa mudumbu, kuda kurutsa, uye kuvimbiwa (izvi zvinogona kuva zviratidzo zvekuvharika kwemudumbu).
- Kurwadziwa kwakanyanya mudumbu, fivha, urwa hunobuda kubva pakachekwa (izvi zviratidzo zvehutachiona).
Usakanganwa, kana uchinzwa chimwe chinhu chisina kujairika, usachiregeredza. Zvakachengeteka kutsvaga mazano echiremba.
Mharidzo Yekuenda Nayo Kumba
- Kunyangwe proctocolectomy iri kuvhiyiwa kukuru, inogona kurapa zvirwere zvinotyisidzira hupenyu uye kukubvumira kurarama hupenyu hwakanaka.
- Kune nzira dzakasiyana dzekubvisa tsvina mushure mekuvhiyiwa. Vamwe vanhu vanofanira kurarama nebhegi re ostomy, nepo vamwe vane dzimwe nzira dzinovabvumira kubvisa tsvina zvakanaka. Chiremba wako ndiye achasarudza zvakakunakira.
- Zvinotora nguva kuti upore. Unogona kudzokera kuhupenyu hwako hwemazuva ese mumwedzi mishoma. Zvakakosha kuti uve nemoyo murefu uye uteedzere mirairo yachiremba wako panguva iyi.
- Sununguka kukurukura zvese zvaunotya, kusava nechokwadi, uye mibvunzo nachiremba wako. Izvi zvichakupa simba guru repfungwa.
- Kunyangwe kugara nebhegi re ostomy kunogona kuva dambudziko pakutanga, kana wangojaira, unogona kuramba uchishanda zvakanaka. Kune michina yakawanda uye nzira dziripo nhasi dzekubatsira neizvi.
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