Kuchita opaleshoni kuchotsa zonse kapena mbali ya coloni kuti athetse matenda opatsirana
Kuchita opaleshoni ya opaleshoni ingagwiritsidwe ntchito pofuna kuthana ndi matenda ambiri, kuphatikizapo khansa yamtundu, matenda a Crohn, kutsekula m'mimba, kuwonongeka kwa m'mimba, ndi diverticulitis . Anthu ambiri akhoza kuopa lingaliro la opaleshoni ya colostomy, koma zoona ndizoti nthawi zambiri zimabweretsa moyo wapamwamba, kuwonjezera moyo wa munthu, kapena kupulumutsa moyo. Opaleshoni ya colostomy, mwachidule, ndi pamene mbali ya coloni imachotsedwa (yotchedwa colectomy ) ndipo kutseguka kumapangika m'mimba kuti alole kuti chinyama chichoke mthupi ndi kusonkhanitsidwa mu chipangizo chomwe chavala pamimba.
Mwachidule
Chiwalo cha ostomy ndi kutsegulira opangidwa kuchokera ku chiwalo chamkati kupita ku thupi. Colostomy, kuchokera ku "colon" ndi "ostomy," ndi opaleshoni yomwe imatsegulidwa kuchokera kumtunda (kapena matumbo akulu) kunja kwa mimba.
Pa opaleshoni ya colostomy, dokotalayo amatha kuchotsa gawo la coloni, zomwe zimapangitsa kuti colon ikhale mbali ziwiri (ganizirani za momwe munda wa munda udzawonekera ngati utadulidwa pakati). Mapeto amodzi a koloni amadutsa mu khola laling'ono m'mimba. Gawo laling'ono la m'matumbo, lotchedwa stoma pamene liri kunja kwa thupi, limalola kuti zinyalala zichoke mu thupi kuchoka kumtunda. Mapeto ena a coloni, omwe amamangiriridwa ndi rectum, akhoza kuchotsedwa kapena kutsekedwa ndi sutures ndi kusiya m'mimba.
Pambuyo pa opaleshoni, zowonongeka zimasonkhanitsidwa kunja kwa thupi ndi chovala cha ostomy. Mankhwala amasiku ano amakwera mumitundu yosiyanasiyana, makulidwe, mitundu, ndi zipangizo kuti zigwirizane ndi moyo wa wokonda.
Mphuno ndi chikopa chapafupi (phungu) zimadalira chisamaliro chapadera chimene amaphunzitsidwa kwa odwala pambuyo pa opaleshoni ndi namwino wa enterostomal therapy (ET) .
Osakhalitsa ndi Osatha
Colostomy mwina ikhoza kukhala yochepa kapena yosatha.
Sakhalitsa Colostomy
Kuchuluka kwa kanthawi kochepa kungagwiritsidwe ntchito pamene gawo la coloni (makamaka gawo lochepetseka) likufunika kuchiza, monga pambuyo pozunzika kapena opaleshoni.
Ng'ombe ikatha, colostomy ikhoza kusinthidwa, kubwezeretsanso ntchitoyi.
Mu kusintha kwa colostomy, mapeto awiri a colon amathandizidwanso ndipo malo omwe stoma analengedwa mimba imatsekedwa. Matumbo akuluakulu amapangidwa, kachiwiri, kulowa mu chubu lopitirira pakati pa matumbo aang'ono ndi rectum. Kusuntha kwa thupi kumachotsedwa kudzera mu rectum.
Colostomy yosatha
Mbalame yotchedwa colostomy (nthawi zina imatchedwanso mapeto colostomy) ndi yofunikira pazinthu zina, kuphatikizapo 15 peresenti ya khansa ya coloni. Kuchita opaleshoni imeneyi kumagwiritsidwa ntchito nthawi zambiri pamene kachilomboka kakuyenera kuchotsedwa chifukwa cha matenda kapena khansa. Ambiri a coloni akhoza kuchotsedwa ndipo gawo lotsala limagwiritsidwa ntchito popanga stoma.
Mitundu Yopaleshoni
Pali mitundu yosiyanasiyana ya mitundu:
Akukwera
Mbalameyi imakhala ndi kutsegula kochokera kumtunda wokwera pamwamba ndipo imapangidwa kumbali yoyenera ya mimba. Chifukwa chakuti stoma imapangidwa kuchokera ku gawo loyamba la koloni, chinsalu chinadutsa mu stoma chili ndi madzi ambiri ndipo chimakhala ndi michere yomwe imakhumudwitsa khungu. Opaleshoni ya colostomy ili yosavomerezeka kwambiri.
Kutembenukira
Kuchita opaleshoniyi kungapangitse malo awiri kapena awiri pamwamba pamimba, pakati, kapena kumanja komwe amapangidwa kuchokera kumtundu wambiri .
Ngati pali ziwalo ziwiri mu stoma (wotchedwa coloralomy), imodzi imagwiritsidwa ntchito kudutsa chopondapo ndipo ina imagwiritsidwa ntchito kudutsa. Chotupa chomwe chimachotsedwa kupyolera mu stoma chadutsa pamtunda wopita pamwamba, kotero chimakhala chamadzi kapena chopangidwa.
Kutsika kapena sigmoid
Mu opaleshoni iyi, kutsika kapena sigimoid colon kumagwiritsidwa ntchito popanga stoma, makamaka kumanzere pamimba. Uwu ndiwo mtundu wochuluka wa opaleshoni ya colostomy ndipo umapanga chithunzithunzi chomwe chimapangidwa bwino kuti chikhale bwino chifukwa chakudutsa pamtunda wodutsa.
Opaleshoni
Opaleshoni ya colostomy ndi ntchito yaikulu ndipo idzafuna chipatala kwa masiku osachepera masiku asanu ndi limodzi kapena masabata asanu kapena kuposerapo pakhomo. Mudzalandira malangizo kuchokera kwa dokotala wanu opaleshoni momwe mungakonzekere masiku omwe akutsogolera opaleshoni yanu.
Kukonzekera Colostomy Opaleshoni. Ngati mukugwiritsa ntchito mankhwala ena, dokotala wanu angakufunseni kuti muwone dokotala yemwe akumupatsa malangizo kuti apitirize, kusiya, kapena kusintha mlingo wa mankhwala pa opaleshoni yanu.
Ndikofunika kuti dokotalayo azindikire mankhwala onse monga momwe ena amalepheretsa kuchiritsa (monga prednisone ) kapena kugwirizana ndi mankhwala ena.
Mwinanso mungafunikire kukhala ndi mayesero ena a chizolowezi musanachitike opaleshoni yanu, monga x-ray ndi thupi. Muyeneranso kukumana ndi namwino ndi namwino amene angakuphunzitseni momwe mungasamalire ostomy yanu. Pamsonkhano woyamba, mungakambirane komwe mimba yanu idzaikidwa pamimba mwanu, ndi chithandizo chotani chomwe mudzachifuna mwamsanga mutatha opaleshoni, komanso momwe mungagwirizane ndi momwe mumakhalira.
Kuchita opaleshoni yachipatala nthawi zambiri kumafuna chithunzithunzi choyeretsa. Pa tsiku limodzi kapena awiri musanachite opaleshoni, mutha kutsatira malangizo anu opaleshoni kuti muchotse chotupa chanu chonse, ngati kuti mukukonzekera colonoscopy. Izi zikhoza kuchitidwa mwa kusala kudya, kutsekemera, kumwa mankhwala ofewetsa ofewa, mankhwala amodzi omwe amadziwika monga GoLytely kapena Phospho Soda, kapena kuphatikiza izi.
Mwinanso mungapemphedwe kuti mutenge antibayotiki kapena mankhwala ena kuti muteteze matenda asanafike, pakapita, komanso pambuyo pa opaleshoniyo.
Mu chipatala. Mwamsanga musanachite opaleshoni mudzalandira IV kuti mulandire madzi ndi mankhwala. Kuchita opaleshoniyo kumatenga maola angapo.
Mukadzutsa, thumba la colostomy lidzamangiriridwa pamimba pamtunda wanu watsopano komanso mutha kukhala ndi machubu amodzi kapena ambiri.
Pambuyo pake, mutasamukira m'chipinda chanu kuchipatala pamene dokotala amadziwa kuti zizindikiro zanu (kuthamanga, kuthamanga kwa magazi, kupuma) ndizokhazikika.
Kwa masiku ochepa mutatha opaleshoni, mupitiriza kulandira mankhwala opweteka kudzera mu IV. Simungalandire chakudya kufikira madokotala atamva zithunzithunzi kuchokera pamimba mwako zomwe zimasonyeza kuti m'matumbo "akudzuka."
Anamwino anu angakupatseni inu pabedi ndi kuima kapena kukhala pa mpando masiku angapo pambuyo pa opaleshoni, malingana ndi matenda anu. Kuima ndi kuyendayenda mwamsanga ndikofunika kwambiri kuti pakhale njira yobwezeretsa, ngakhale kuti sizingakhale zomasuka poyamba.
Dokotalayo akamva phokoso ndipo mimba imayamba kugwira ntchito, mukhoza kupatsidwa zakumwa zoyenera, monga msuzi, gelatin, ndi juzi. Ngati mankhwala osamalitsa amavomereza bwino, dokotala wanu amalola antchitowa kudziwa kuti zakudya zanu zimatha kupita kumadzi okwanira kapena chakudya cholimba.
Wanu ndi namwino angakuchezerani musanachoke kuchipatala kuti muthandizidwe kuti mudziwe zambiri za kusamalira stoma yanu ndikusintha thumba lanu la ostomy. Mudzafunanso kudziwa komwe mungapeze katundu wanu wa colostomy ndi malangizo apadera okhudza ostomy wanu.
Kubwezeretsa Kunyumba
Kubwezeretsa kunyumba kumakhala pafupifupi masabata asanu ndi limodzi, ngakhale kungakhale yaitali kwa odwala omwe akudwala kwambiri asanayambe opaleshoni kapena amene ali ndi mavuto. Ntchito idzaletsedwa poyamba, ndipo kukweza, ntchito zapakhomo, ndi kuyendetsa galimoto sizikulimbikitsidwa.
Ogwira ntchito kuchipatala akukulangizani za zakudya zanu mukafika kunyumba, zomwe zingakhale zochepa chabe . Kuikidwa nthawi zonse ndi dokotala wanu opaleshoni kudzakuthandizani kutsimikizira kuti mimba yanu ndi dera lozungulira stoma likuchira bwino.
Mudzaphunzira kusamalira stoma yanu pamasabata angapo oyambirira kuti muthe kuchira. Wanu ndi namwino adzayankha mafunso alionse ndipo angakuthandizeni ndi kusintha kwa thumba lanu loyamba.
Dokotala wanu akudziwitsani pamene mwakonzeka kuyambiranso ntchito zanu nthawi zonse kuntchito, kusukulu, kapena kunyumba. Ngati colostomy yanu ikasinthidwa, dokotala wanu adzakuthandizani kusankha pomwe zingatheke pogwiritsa ntchito chithandizo chanu komanso nthawi yanu.
Zotsatira:
Makampani opatsa a McKesson. "Colostomy ndi Ileostomy." Health University System ya University of Michigan. 11 Nov 2006.
National Institute of Diabetes ndi Matenda a Kumimba ndi Impso. "Ileostomy, Colostomy, ndi Ileoanal Reservoir Surgery." National Digestive Diseases Clearinghouse Aug 2014.
United Ostomy Association of America, Inc. "Mafunso Ofunsidwa Kawirikawiri Otsatira Opaleshoni ya Ostomy." UOAA 2013.