Maitiro emuviri wako ekubvisa weti chinhu chatinowanzo tora sechisina basa, handiti? Weti, inogadzirwa neitsvo, inofamba ichidzika nemachubhu anonzi ureters, inoungana mudundira, uye inobuda kana zvichidikanwa. Asi chii chinoitika kana dundira rako rikarega kushanda nemazvo, kana kuti richida kubviswa zvachose? Muviri unorasikirwa nenzira yawo yechisikigo yekubvisa weti. Apa ndipo panotanga kuvhiyiwa kwakakosha - iyo inopa mhinduro inokosha.
Chii chinonzi ureterostomy?
Muchidimbu, Ureterostomy inzira yekuvhiya apo machubhu anotakura weti kubva kuitsvo kuenda kudundira anobviswa kubva kudundira uye panzvimbo pezvo anobatanidzwa neburi diki rinogadzirwa pamusoro pedumbu rako. Iri buri idzva rinonzi stoma .
Funga nezvazvo seizvi: Fungidzira mapaipi maviri achiisa mvura mutangi. Zvino, ngatitii tangi rakatyoka kana kuti rinofanira kubviswa. Mhinduro yacho ingave yekubvisa mapaipi kubva mutangi woaendesa zvakananga kunze. Mu ureterostomy, dundira ('tangi') rinobviswa, uye ma ureter ('mapaipi') anodzoserwa zvakananga kuburikidza nestoma kuenda kunze kwemuviri.
Mushure mekuvhiyiwa, weti inoyerera zvakananga kubva muitsvo, kuburikidza neureters, uye inobuda mumuviri kuburikidza nestoma. Kuti weti iyi iunganidzwe, bhegi repurasitiki rakakosha, rinozivikanwa sechikwama , rinosungirirwa rakatenderedza stoma. Uchafanira kubvisa zvese zviri mubhegi iri nguva nenguva, kazhinji kacho kakawanda sezvawaiwanzoita weti. Kune vacheche, weti inogona kuunganidzwa mumanapukeni.
Chinangwa chikuru chekuvhiyiwa uku ndechekugadzira nzira yakavimbika yekuti weti ibude mumuviri zvakachengeteka kana dundira risisina kushanda. Kazhinji, iyi inzira inogara iripo.
Ndiani Anoda Kuvhiyiwa Uku?
Chiremba wako anogona kukukurudzira kuti ureterostomy iongororwe kana dundira rako risingashande zvakanaka kuchengetedza kana kuburitsa weti. Zvikonzero zvakawanda zvinogona kukonzera izvi:
| Chikonzero | Tsananguro Iri Nyore |
|---|---|
| Kubviswa kweDundira | Dundira rinofanira kubviswa zvachose nekuda kwekenza kana chimwe chirwere. |
| Kukuvara kweDundira | Kukuvara kwakanyanya kunokonzerwa netsaona kana zvimwe zvikonzero kwakakuvadza dundira zvekuti harina kugadziriswa. |
| Mamiriro Ekuzvarwa Nawo | Zvimwe zvirwere zvinowanikwa pakuzvarwa, zvakaita seSpine Bifida , zvinotadzisa dundira kushanda nemazvo. |
| Kukuvara Kwemusana | Kukuvadzwa kwemusana kunokanganisa kugona kudzora mashandiro edundira. |
Kugadzirira Kuvhiyiwa Pamberi Pekuvhiyiwa
Chiremba wako asati avhiyiwa, acharaira bvunzo dzinoverengeka kuti anyatsoongorora mamiriro ako ezvinhu:
- Kuongororwa Kwekushanda Kweitsvo: Kuongorora kuti itsvo dzako dziri kushanda zvakanaka sei.
- Kuongororwa kweRopa: Kuongorora hutano hwako hwese.
- Kuongororwa kwemifananidzo (X-ray, Ultrasound): Kuona itsvo nenzira yeweti.
- Retrograde Pyelogram: Dhayi yakakosha inopinzwa muureters, uye maX-ray anotorwa kuti aongorore mashandiro eweti.
- CT Scan kana MRI: Izvi zvinopa mifananidzo yakadzama yemuviri kuti zvive pachena.
Pamusoro pezvo, timu yenyu yekuvhiya ichakurukura nemi nzvimbo yakanakira stoma. Izvi zvinowanzosarudzwa kuti zvionekwe zviri nyore, kudzivirira mabhandi ehembe, uye kuva panzvimbo yakati sandara isina makwinya.
Kuvhiyiwa uye Mashandiro Ehurongwa
Munguva yekuvhiyiwa, chiremba anobvisa ureter imwe kana ese ari maviri kubva mudundira oibatanidza nestoma ichangobva kugadzirwa padumbu rako. Weti haichapindi mudundira.
Heino mashandiro anoita sisitimu itsva:
Kusiyana nenzira yemushonga weti yechisikigo, stoma haina tsandanyama dzinoita kuti weti ifambe zvakanaka. Saka, weti inoramba ichibuda kubva muitsvo ichienda muureters yobuda mustoma.
Kuunganidzwa kweweti kunosanganisira matanho aya:
- Kubatanidza Chikwama: Sisitimu yekuputira ine zvikamu zviviri: chidziviriro cheganda chinonamatira padumbu rakatenderedza stoma, uye chikwama chinounganidzirwa pachirindiro. Mamwe masisitimu anobatana kuita chidimbu chimwe chete.
- Chinodzivirira Ganda: Ichi chinowanzova chinamira chakaita sesikweya chine buri rakachekwa kuti rikwane padumbu. Chinonamatira zvakanaka paganda, zvichidzivirira kubuda kweweti.
- Chikwama Chekuunganidza: Chikwama ichi chinonamatira pachivharo uye chinotora weti inobuda mudumbu.
Uchafanira kubvisa zvese zviri mupaketi kana zvazara chikamu chimwe muzvitatu kusvika hafu. Mapaketi mazhinji ane vharuvhu diki pasi, zvichikubvumidza kuti ubvise weti muchimbuzi usingabvise paketi yese. Husiku, unogona kubatanidza chubhu refu kuvharuvhu woibatanidza nebhegi guru rekudonhedza mvura.
Chikwama ichi chinowanzo pfekerwa pasi pezvipfeko uye hachionekwe.
Kutarisirwa kweStoma neHomwe
Mushure mekuvhiyiwa, chiremba wako kana nesi achakupa mirairo yakadzama yekutarisira stoma yako, ganda rakakupoteredza, uye bhegi. Hutsanana hwakakodzera hwakakosha.
Kuchengetwa kwezuva nezuva kunosanganisira:
- Kuchenesa stoma neganda rakakomberedza zvinyoro nyoro nesipo nemvura.
- Kusukurudza zvakanaka wopukuta.
- Kuchinja homwe nguva nenguva, kazhinji mazuva mashanu kusvika manomwe ega ega, kana kuti nokukurumidza kana ikadonhedza mvura kana kuti ikasviba.
Kuchengetedza nzvimbo yakachena uye yakaoma yedumbu kwakakosha zvikurukudzivirira kutsva kweganda uye hutachiona.
Njodzi Dzingangoitika uye Matambudziko
Kufanana nekuvhiyiwa kupi zvako, ureterostomy ine njodzi dzinogona kuitika. Taura izvi nachiremba wako zvizere usati waita:
- Utachiona
- Kubuda ropa
- Kukura kweHernia
- Kutsamwiswa kweganda kana kuti allergic reactions dzakatenderedza stoma
- Kukundikana kuwana mhedzisiro yaidiwa
- Kuumbwa kwemavanga
Nguva Yokutaura naChiremba Wako
Tarisa dumbu rako neganda rakakupoteredza. Bata chiremba wako nekukasika kana ukaona:
- Kutsvuka, mapundu, kana maronda paganda rakatenderedza stoma.
- Kuputsika kweganda kana maronda.
- Kuchinja kwechitarisiko cheweti (ruvara rwakasviba, ropa, furo rakawandisa) kana kunhuwa.
- Zviratidzo zvehutachiona zvakaita sefivha, dzihwa, kurwadziwa nemusana, kuda kurutsa, kurutsa, kana kushaya chido chekudya.
Urostomy vs. Nephrostomy vs. Ureterostomy
Aya mazwi anotsanangura mhando dzakasiyana dzekuvhiyiwa kwekubvisa weti:
- Urostomy: Iri izwi rinoshandiswa kureva chero kuvhiyiwa kunogadzira mukana (stoma) weti inobviswa padundira. Ureterostomy ndeimwe yemhando dze urostomy. Dzimwe mhando dzingasanganisira kushandisa chikamu cheura kugadzira nzira.
- Nephrostomy: Mukuita uku, chubhu (catheter) inopinzwa zvakananga muitsvo kuti ibudise weti mubhegi rekunze. Izvi zvinowanzoshandiswa kana ureter yakavharwa uye inogona kuva yenguva pfupi.
- Ureterostomy: Sezvatsanangurwa pamusoro apa, izvi zvinosanganisira kubatanidza ureters zvakananga nestoma iri pamadziro edumbu.
Kurarama Mushure mekuvhiyiwa
Kujaira hupenyu mushure mekuvhiyiwa ureterostomy kunogona kutora nguva. Zvakajairika kunzwa manzwiro ekusakwanisa kuita weti nenzira yakajairika. Taura pachena nachiremba wako kana mupi wezano; vanogona kukupa rutsigiro nezvinhu zvekushandisa.
Yeuka kuti hausi wega. Vanhu vazhinji vakabudirira kurarama nestoma. Tarisa pachokwadi chekuti kuvhiyiwa uku kunokugonesa kurarama hupenyu hune hutano uye hwakareba.
Zvinhu Zvinokosha Zvaunofanira Kuziva
- Ureterostomy inobvisa weti kubva muitsvo zvakananga kuburikidza nestoma iri padumbu, ichipfuura nepadundira.
- Kazhinji zvinodikanwa kana dundira rabviswa kana kuti risisashande nekuda kwekenza, kukuvara, kana matambudziko ekuzvarwa nawo.
- Bhokisi rinopfekwa pamusoro pedumbu rinounganidza weti, iyo inoda kubudiswa nekuchinjwa nguva nenguva.
- Kuchengetedza dumbu neganda rakaripoteredza zvakachena uye zvakaoma kwakakosha.
- Ngwarira zviratidzo zvematambudziko akadai sekutsva kweganda, hutachiona, kana shanduko muweti, uye taura nachiremba wako nekukasika.
Chiziviso: Chinyorwa chino chinopa ruzivo rwakawanda nezvechirwere ichi uye hachifanirwe kutsiva mazano anopiwa nachiremba wako. Gara uchibvunza nyanzvi yehutano.
Mibvunzo Inowanzo bvunzwa (Mibvunzo Inowanzo bvunzwa)
Chii chinonzi stoma?
Stoma inzvimbo inoburitswa nekuvhiyiwa pamusoro pedumbu iyo inobvumira weti (kana tsvina, mune mamwe marudzi e ostomies) kubuda mumuviri.
Ndinofanira kubvisa zvinhu zvose zviri mubhegi kangani?
Kazhinji unofanira kubvisa zvese zviri mubhegi kana zvasvika pachikamu chimwe muzvitatu kusvika hafu yezvakazara. Kuwanda kwezvinwiwa izvi kunoenderana nekukura kweweti yako uye saizi yebhegi, asi kazhinji zvinobva pamaawa mashoma ega ega kusvika kakawanda pazuva.
Ndingakwanisa here kurarama hupenyu hune simba ne ureterostomy?
Ehe! Vanhu vazhinji vanojairana zvakanaka uye vanoramba vachirarama hupenyu hwakazara uye hune simba. Nekutarisirwa zvakanaka kwestoma uye kutarisirwa kwebhegi, unogona kutora chikamu muzviitiko zvakawanda, zvinosanganisira kushambira, mitambo, uye kufamba.
Chii chinoitika kana stoma ikatsamwiswa kana kutapukirwa?
Kana ukaona kutsvuka, maronda, kubuda kwemvura nguva dzose, kana zvimwe zviratidzo zvekutsamwiswa kana hutachiona hwakakomberedza stoma, zvakakosha kuti utaure nachiremba wako nekukasika kuti aongororwe uye arapwe.
Kuvhiyiwa kweureterostomy kunogara kwenguva refu here?
Kazhinji, ureterostomy inzira inogara iripo. Zvisinei, mune dzimwe mamiriro ezvinhu chaiwo (sekuvharika kwechinguva), dzimwe nzira dzingashandiswa, asi izvi hazviwanzoitiki.
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