Pali Zina Zofanana Zomwe Zimasiyanasiyana
"Kodi mwachita opaleshoni yotani kumanzere kwanu?" "Ngati mulibe coloni , mumapanga bwanji?" Anthu omwe ali ndi matenda opatsirana (IBD) ndi omwe achita opaleshoni amamva funso ili, kapena ofanana, kuchokera kwa akatswiri azaumoyo kapena ena. Kwa iwo omwe sali odziwika bwino mu zikhalidwe za m'mimba, kusiyana pakati pa mitundu ina ya opaleshoni yopangira IBD kungakhale kosavuta.
Ndikofunika kuti titha kufotokoza kusiyana kwa opaleshoni imeneyi kwa omwe sadziwa, chifukwa si onse amene amamvetsa kuti ostomy ndi yotani, kapena j-poch, ndipo kusiyana kuli kofunika.
Ikani mophweka kwambiri: ileostomy (kapena chiboliboli chirichonse) chimatanthauza kuti pali thumba lovala kunja kwa thupi kuti lisonkhanitse zinyalala. Ndi j-pouch , chinsalu chikugwiritsidwa mu thumba lomwe linapangidwa mkati (kulengedwa kuchokera m'mimba yaing'ono ), ndi kuchotsa "mwachizolowezi," kudzera mu anus .
Ndamva? Ayi? Tiyeni tipite kuzinthu zenizeni za kusiyana pakati pa mitundu iwiriyi ya opaleshoni.
Opaleshoni ya Ostomy
Kuchita opaleshoni ya ostomy kungatheke pa zifukwa zosiyanasiyana, kuphatikizapo chithandizo cha ulcerative colitis kapena matenda a Crohn (mitundu ikuluikulu ya IBD).
Colostomy Surgery. Mu opaleshoni ya colostomy , mbali ya coloni imachotsedwa, ndipo stoma imapangidwa. Nthendayi ndi pamene chiwalo cha m'mimba chimatulutsidwa kudzera mu khoma la m'mimba kuti pakhale chitseko chomwe chimachokera m'thupi.
Mbali yaing'ono ya m'matumbo ndiyo kunja kwa thupi. Stoma ilibe mapeto, choncho sikumva kupweteka. Chombo cha ostomy chimavala pamwamba pa stoma kuti chigwire chophimba, ndipo chogwiritsira ntchito chikugwiritsidwa ntchito m'nyumbamo nthawi ndi nthawi, pakufunika. Zotsatira zake (zomwe sitima yomwe imachokera ku stoma imatchedwa) ikhoza kukhala yolimba kusiyana ndi kayendetsedwe ka matumbo kupyolera mu colon.
Opaleshoni ya Ileostomy. Kuchita opaleshoni ya ileostomy, matumbo onse aakulu (colon) amachotsedwa, ndipo stoma imapangidwa kuchokera m'mimba yaing'ono. Mofanana ndi mtundu wa colostomy, chogwiritsidwa ntchito kunja chimayikidwa pamwamba pa stoma kuti itenge chibowo pamene chimachoka m'thupi. Chophimbacho chimachotsedwa mu chimbudzi pakakhala kofunikira. Zolembazo zimakhala ndi madzi pang'ono kuposa zomwe zimachokera ku colostomy.
Anthu amene adagwira opaleshoni ya ostomy amakhala moyo wathanzi. Izi ndi zoona makamaka chifukwa opaleshoni ya ostomy kawirikawiri imachitidwa kuti athetse vuto lalikulu lomwe lingathe kuwononga (monga IBD). Zipangizo zamakono ndizovuta kwambiri, ndipo zipangizo zosiyanasiyana zimathandiza kuthana ndi mavuto omwe amakhala nawo ndi kukhala ndi stoma.
J-Pouch Surgery
Kuchita opaleshoni ya j-pouch (yomwe imatchedwa kuti lial poch-anal anastomosis, kapena IPAA) imayamba yofanana ndi imene inachitidwa ku ileostomy: matumbo akulu amachotsedwa. Komabe, palinso gawo lina la opaleshoniyi, pamene gawo lomaliza la matumbo aang'ono (lotchedwa terminal ileum) amagwiritsidwa ntchito popanga "thumba" pang'ono. Thumba nthawi zambiri limafanana ndi "J," koma mawonekedwe ena agwiritsidwa ntchito, kuphatikizapo "S" ndi "W." Thumbali liri mkati mwa thupi, kotero pakamaliza opaleshoni, palibe stoma yofunikira.
Opaleshoni yonseyo imakhala ikuchitidwa muzitsulo, ndipo anthu ambiri amakhala ndi ileostomy yaifupi kwa kanthawi pakati pa opaleshoni. Kuchedwa kumene pakati pa opaleshoni kumapangitsa mkatikatikatikatikati a matumbo kuchiritsa. Pamene dokotala ndi wodwalayo ali okonzeka, ileostomy imasinthidwa, stoma imachotsedwa, ndipo thumba latsopano limagwiritsidwa ntchito ku anus (kapena rectum , ngati itsala mmalo). Opaleshoniyi imangotengedwa kwa odwala IBD omwe ali ndi ulcerative kolitis, koma pali zosiyana .
Chifukwa Chake Kusiyanasiyana Ndikofunika
Ngakhale kuti izi ndizokwapula kwakukulu za opaleshoni ya ostomy ndi IPAA, nkofunika kukumbukira kuti sikuti mtundu uliwonse wa opaleshoni ya ubongo kwa IBD idzagwirizanitsa ndi imodzi mwazigawo zabwino.
Komabe, kudziwa kusiyana kwakukulu kungakuthandizeni posankha zochita pa opaleshoni, komanso kungaphunzitse pofotokozera anzanu, achibale, kapena akatswiri a zaumoyo omwe sadziwa zochitika zapadera.
Kodi munayamba mwafotokozera wina opaleshoni yanu ya ostomy kapena j-pouch? Muthandiza bwanji dokotala wanu kapena bwenzi lanu kumvetsa? Ndiuzeni za izi mwa kundiyendera pa Facebook, Twitter, kapena Google+.
Chitsime:
Zokonza Zowonongeka Zokhudza National Digestive Information. "Opaleshoni ya Ostomy ya Bowel." National Institute of Diabetes ndi Digestive ndi Impso Matenda (NIDDK). Jul 2014. 23 May 2015.
Clinical Cleveland. "Mbalame Yachifumu." Clinical Cleveland. 2015. May 23, 2015.