Anthu ambiri amaganiza kuti ostomy amatanthauza kuti munthu sangathe kugonana
Chimodzi mwa zinthu zambiri zomwe zimakhudza anthu omwe ali ndi matenda opatsirana m'mimba (IBD) akhoza kukhala opaleshoni ya m'mimba, makamaka opaleshoni ya colostomy ndi ileostomy, momwe idzakhudzire malo opatsirana. Azimayi ali ndi nkhawa kwambiri kuti amatha kubereka ndi kubereka, ndipo zotsatira zake zingakhale bwanji ndi ziwalo zawo zobereka. Amuna amadzidera nkhaŵa kuti akhoza kukhala opanda mphamvu (kuthekera kusunga erection) ndi kutha kubereka ana.
Opaleshoni ya m'mimba kwa IBD ndi zinthu zina zapita patsogolo kwambiri. Chiopsezo chachikulu chokhalira ndi vuto la kugonana pambuyo pochita opaleshoni ya colostomy ndi amuna omwe athandizidwa kuti athetse khansa ya rectal. Amuna amene ali ndi opaleshoni ya ostomy kuti athetse vuto la IBD ali ndi vuto lalikulu kwambiri la mavuto. Izi ndi malo osanthuledwa bwino, ngakhale amakhudza zosowa zaumunthu zomwe zimakhudza kwambiri khalidwe la moyo. Nkhani yabwino ndi yakuti ngakhale ngati kugonana kumabwera, pali mankhwala omwe alipo. Ngakhale nkhaniyi ingachititse manyazi, kuyankhula za izo ndi akatswiri a zaumoyo kungayambitse kupeza chithandizo ndi kuthetsa vuto, kaya ndi zochitika zacithunzi za thupi zomwe zimafala kwa anthu omwe ali ndi IBD kapena erectile dysfunction.
Chifukwa Chake Opaleshoni ya Ostomy Ikhoza Kuchitidwa
Colostomy ndi ileostomy ndi mitundu iwiri ya opaleshoni ya ostomy imene imachitidwa pofuna kuchiza matenda a Crohn. Kuchita opaleshoni ya ostomy kumagwiritsidwanso ntchito pochiza mitundu ina ya matenda opweteka, kuphatikizapo khansa ya colon ndi diverticulitis.
Kwa opaleshoni ya ulcerative, opaleshoni ya ileostomy yokha ndiyochitidwa monga chithandizo.
Nkhani yabwino ndi yakuti opaleshoni ya ostomy sikuti imachititsa kuti anthu azikhala opanda mphamvu. Mankhwalawa samakhudzidwa mwachindunji ndi opaleshoni imeneyi yogwiritsira ntchito matenda opatsirana. Komabe, kuperewera ndi chiopsezo m'mimba ya opaleshoni iyi, makamaka pa opaleshoni yowonjezereka yomwe imachitika pofuna kuchiza khansa.
Kuperewera kwafala kwambiri pambuyo pa opaleshoni ya colostomy kusiyana ndi opaleshoni ya ileostomy.
Pamene Mphamvu Zitha Kuchitika
Mwamwayi, pali kafukufuku wochepa pa zochitika za kugonana kwa ostomy opaleshoni kwa odwala omwe ali ndi IBD. Komabe, lipoti lina lofalitsidwa limasonyeza kuti kuchuluka kwa zoperewera ndizochepa - mwina pakati pa 2% ndi 4%.
Amuna ena amatha kukhala ndi vuto laling'ono atatha opaleshoni ya ostomy. Nthaŵi zina, zifukwa izi sizikudziwika poyamba, ndipo kupeza matenda oyenera kungathandize kusintha zotsatira. Kupanda mphamvu kungakhalenso chifukwa cha mavuto osiyanasiyana kuphatikizapo vuto la thupi losauka komanso vuto lalikulu lochiritsidwa kuchokera ku opaleshoni. Kugonjetsa kuchokera ku opaleshoni kungatenge nthawi, ndipo mavuto alionse angakhalenso kuchepetsa kupuma ndi kubwerera kuntchito yogonana yowonongeka.
Pali mankhwala angapo omwe amapezeka kuti akhale osatha komanso osakhalitsa, monga mankhwala, penile implants, ndi uphungu. Mankhwala ogwiritsidwa ntchito adzadalira mtundu wa zopanda pake zomwe munthu ali nazo.
Mmene Mungayankhulire ndi Dokotala Wanu
Kugonana ndizovuta kuti tiyambe kukambirana ndi aliyense. Madokotala sangathe kufunsa za vuto la kugonana pambuyo pa opaleshoni ya ostomy, ndikuzisiya kuti wodwalayo abwere.
Njira imodzi ndi kulemba mafunso pamapepala kapena kuwatumiza kudzera pa imelo kapena malemba kuti awayankhe. Kukhala ndi bwenzi ndikupita kukadokotala kumakhala kofala ndipo kumathandiza kwambiri pakudziwa zambiri pambuyo pake, koma ngati izo zingayambitse manyazi, kuyendera limodzi ndi dokotala kungakhale bwino. Kufunsa kuti mutumizidwe kwa dokotala yemwe amadziwika bwino kuvutika kwa erectile kapena mavuto a kugonana angathandizenso, monga madotolo awa amagwiritsa ntchito nkhaniyi tsiku lonse, ndipo zingakhale zophweka kukambirana nawo.
Zingakhale zokambirana zovuta, koma posakhalitsa vuto likulutsidwa, mwamsanga lingathe kuthandizidwa ndipo khalidwe la moyo, kuphatikizapo chisangalalo cha kugonana, lingasinthe.
Zotsatira:
Christensen B. "Matenda Opatsirana Opaleshoni ndi Kulephera Kugonana." Gastroenterol Hepatol (NY). 2014 Jan; 10 (1): 53-55.
Hollister. "Chikondi ndi Kugonana." Hollister Global. 2013.
Zokonza Zowonongeka Zokhudza National Digestive Information. " Zoona ndi Zonyenga Zokhudza Matenda Ogwidwa ." National Institutes of Health. Apr 2000.
J. Wittenauer "Kusamalira Ostomy Oleza Mtima." Padziko Lonse la Maphunziro Okupitiriza. 2007. [PDF]