Ileostomy - kusamalira stoma yanu

Munali ndi vuto kapena matenda m'thupi lanu ndipo munkafunika opaleshoni yotchedwa ileostomy. Opaleshoni imasintha momwe thupi lanu limatayira zinyalala (chopondapo, ndowe, kapena zimbudzi).

Tsopano muli ndi chitseko chotchedwa stoma m'mimba mwanu. Zinyalala zimadutsa stoma kupita m'thumba lomwe zimasonkhanitsa. Muyenera kusamalira stoma wanu ndikukhala mthumba kangapo patsiku.

Zomwe muyenera kudziwa za stoma yanu ndi izi:

• Stoma yanu ndiye gawo la matumbo anu.
• Idzakhala pinki kapena yofiira, yonyowa, komanso yowala pang'ono.
• Ma stomas nthawi zambiri amakhala ozungulira kapena owunda.
• Stoma ndi wosakhwima kwambiri.
• Ma stomas ambiri amatuluka pang'ono pakhungu, koma ena amakhala osalala.
• Mutha kuwona ntchofu pang'ono. Stoma yanu ikhoza kutuluka magazi pang'ono mukamatsuka.
• Khungu lozungulira stoma lanu liyenera kukhala louma.

Ndowe zomwe zimatuluka mu stoma zimatha kukhumudwitsa khungu. Chifukwa chake ndikofunikira kusamalira stoma kuti zisawonongeke pakhungu.

Pambuyo pa opaleshoni, stoma idzatupa. Ichepa pamasabata angapo otsatira.

Khungu lozungulira stoma lanu liyenera kuwoneka ngati momwe linalili lisanachitike opaleshoni. Njira yabwino yotetezera khungu lanu ndi:

• Pogwiritsa ntchito chikwama kapena thumba lokhala ndi kukula koyenera, potero zinyalala sizituluka
• Kusamalira khungu mozungulira stoma yanu

Zipangizo za Stoma ndi zidutswa ziwiri kapena zidutswa chimodzi. Seti yamagawo awiri imakhala ndi beseni (kapena chotchinga) ndi thumba. Pansi pake pamakhala mbale yomwe imamatirira pakhungu ndi kuyiteteza ku mkwiyo wa ndowe. Chidutswa chachiwiri ndi thumba lomwe chimanyamula chopanda kanthu. Chikwamachi chimamangiriridwa ku baseplate, yofanana ndi chivundikiro cha Tupperware. Mu chidutswa chimodzi, baseplate ndi zida zake zonse ndi gawo limodzi. Pansi pake pamafunika kusinthidwa kamodzi kapena kawiri pa sabata.

Kusamalira khungu lanu:

• Sambani khungu lanu ndi madzi ofunda ndikuumitsa bwino musanayike chikwama.
• Pewani mankhwala osamalira khungu omwe ali ndi mowa. Izi zimatha kupangitsa khungu lanu kuuma kwambiri.
• Musagwiritse ntchito mafuta omwe ali ndi khungu pakhungu lanu. Kuchita izi kungapangitse kuti zikhale zovuta kulumikiza chikwamacho pakhungu lanu.
• Gwiritsani ntchito zochepa, zopangira khungu kuti muchepetse mavuto akhungu.

Ngati muli ndi tsitsi pakhungu mozungulira stoma yanu, thumba lanu silimamatira. Kuchotsa tsitsi kungathandize.

• Funsani namwino wanu wa ostomy za njira yabwino yometa m'deralo.
• Ngati mumagwiritsa ntchito lezala lodzitetezera kapena sopo kapena kirimu wonyekera, onetsetsani kuti mwatsuka khungu lanu mukamaliza kumeta.
• Muthanso kugwiritsa ntchito lumo lodulira, kumetera magetsi, kapena kukhala ndi mankhwala a laser kuti muchotse tsitsi.
• Musagwiritse ntchito m'mbali molunjika.
• Samalani kuti muteteze stoma yanu ngati muchotsa tsitsi mozungulira.

Yang'anani mosamala stoma yanu ndi khungu lozungulira nthawi iliyonse mukasintha thumba lanu kapena chotchinga. Ngati khungu lozungulira stoma lanu ndi lofiira kapena lonyowa, thumba lanu silikhoza kusindikizidwa bwino pa stoma yanu.

Nthawi zina zomatira, zotchinga khungu, phala, tepi, kapena thumba zitha kuwononga khungu. Izi zikhoza kuchitika mukangoyamba kugwiritsa ntchito stoma, kapena zikhoza kuchitika mutakhala mukuzigwiritsa ntchito kwa miyezi, kapena ngakhale zaka.

Izi zikachitika:

• Funsani wothandizira zaumoyo wanu za mankhwala ochizira khungu lanu.
• Itanani omwe akukuthandizani ngati sizikuyenda bwino mukamachiza.

Ngati stoma ikudontha, khungu lanu limayamba kudwala.

Onetsetsani kuti mukuchiza khungu lofiira kapena kusintha khungu nthawi yomweyo, vuto likadali laling'ono. Musalole kuti malo owawa akule kapena kukwiya musanamufunse dokotala za izi.

Ngati stoma yanu imatenga nthawi yayitali kuposa nthawi zonse (imatuluka pakhungu kwambiri), yesani compress yozizira, ngati ayezi wokutidwa ndi thaulo, kuti ilowemo.

Simuyenera kusunga chilichonse mu stoma yanu, pokhapokha dokotala atakuwuzani.

Itanani omwe akukuthandizani ngati:

• Stoma yanu yatupa ndipo ndi yayikulu kuposa mainchesi imodzi (1 cm) kuposa yachibadwa.
• Stoma yanu ikukoka, pansi pa khungu.
• Stoma yanu ikutuluka magazi mopitilira muyeso.
• Stoma yanu yasanduka yofiirira, yakuda, kapena yoyera.
• Stoma yanu ikudontha nthawi zambiri kapena kukhetsa madzi.
• Stoma yanu sikuwoneka kuti ikukwanira monga kale.
• Muyenera kusintha zida zamagetsi kamodzi tsiku lililonse kapena awiri.
• Muli ndi kutuluka kuchokera ku stoma komwe kunanunkha.
• Muli ndi zizindikiro zakusowa madzi m'thupi (mulibe madzi okwanira mthupi lanu). Zizindikiro zina ndi mkamwa wouma, kukodza pafupipafupi, ndikumverera wopepuka kapena wofooka.
• Muli ndi kutsegula m'mimba komwe sikupita.

Itanani omwe akukuthandizani ngati khungu likuzungulira stoma yanu:

• Kukokera mmbuyo
• Ndi ofiira kapena yaiwisi
• Ali ndi totupa
• Ndi youma
• Zimapweteka kapena kuwotcha
• Kutupa kapena kutuluka panja
• Kutuluka magazi
• Kuyabwa
• Ili ndi zotupa zoyera, zotuwa, zofiirira, kapena zofiira
• Ali ndi zotumphukira mozungulira pakhosi la tsitsi lomwe ladzaza mafinya
• Ali ndi zilonda zopanda m'mbali

Komanso itanani ngati:

• Khalani ndi zinyalala zochepa kuposa masiku onse mu thumba lanu
• Khalani ndi malungo
• Pezani zowawa zilizonse
• Khalani ndi mafunso kapena nkhawa zokhudzana ndi stoma kapena khungu lanu

Standard ileostomy - chisamaliro cha stoma; Brooke ileostomy - chisamaliro cha stoma; Dziko la ileostomy - chisamaliro cha stoma; Thumba la m'mimba - chisamaliro cha stoma; Mapeto ileostomy - kusamalira stoma; Chisamaliro cha Ostomy - stoma; Matenda a Crohn - chisamaliro cha stoma; Matenda otupa - chisamaliro cha stoma; Regional enteritis - chisamaliro cha stoma; Kusamalira IBD - stoma

Beck DE. Kumanga ndi kukonza ma ostomy: kusanja stoma ya wodwalayo. Mu: Yeo CJ, mkonzi.Opaleshoni ya Shackelford ya Alimentary Tract. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 178.

Lyon CC. Kusamalira Stoma. Mu: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson I, olemba. Kuchiza kwa Matenda a Khungu: Njira Zambiri Zakuchiritsira. 5th ed. Philadelphia, PA: Elsevier; 2018: chap 233.

Raza A, Araghizadeh F. Ileostomy, colostomy, zikwama, ndi anastomoses. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 11th ed. Philadelphia, PA: Elsevier; 2021: chaputala 117.

Tam KW, Lai JH, Chen HC, ndi al. Kuwunika mwatsatanetsatane ndikuwunika meta kwamayesero omwe amayesedwa mosiyanasiyana poyerekeza njira zothandizira kusamalira khungu. Kusamalira Mabala a Ostomy. 2014; 60 (10): 26-33. PMID: 25299815 adatulutsidwa.ncbi.nlm.nih.gov/25299815/.

• Khansa yoyipa
• Matenda a Crohn
• Ileostomy
• Kukonzekera kwa m'mimba
• Kubwezeretsa matumbo akulu
• Kutulutsa pang'ono matumbo
• Colectomy yonse yam'mimba
• Chiwerengero cha proctocolectomy ndi ileal-anal thumba
• Chiwerengero cha proctocolectomy ndi ileostomy
• Zilonda zam'mimba

• Zakudya za Bland
• Matenda a Crohn - kutulutsa
• Ileostomy ndi mwana wanu
• Ileostomy ndi zakudya zanu
• Ileostomy - kusintha thumba lanu
• Ileostomy - kumaliseche
• Ileostomy - zomwe mungafunse dokotala wanu
• Kutulutsa matumbo akulu - kutulutsa
• Kukhala ndi ileostomy yanu
• Kutulutsa pang'ono matumbo - kutulutsa
• Colectomy yathunthu kapena proctocolectomy - kutulutsa
• Mitundu ya ileostomy
• Anam`peza matenda am`matumbo - kumaliseche

• Ostomy