Ileostomy - kusintha thumba lanu

Munali ndi vuto kapena matenda m'thupi lanu ndipo munkafunika opaleshoni yotchedwa ileostomy. Opaleshoniyo idasintha 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 ndikukhala thumba kangapo patsiku.

Sinthani thumba lanu masiku asanu kapena asanu ndi atatu. Ngati muli ndi kuyabwa kapena kutayikira, sinthani nthawi yomweyo.

Ngati muli ndi thumba lopangidwa ndi zidutswa ziwiri (thumba ndi kofufumitsa) mutha kugwiritsa ntchito matumba awiri osiyanasiyana sabata. Sambani ndi kutsuka thumba lomwe silikugwiritsidwa ntchito, ndipo liziume bwino.

Sankhani nthawi yamasana pomwe pamakhala zochepa kuchokera ku stoma yanu. M'mawa kwambiri musanadye kapena kumwa chilichonse (kapena ola limodzi mutatha kudya) ndibwino.

Mungafunike kusintha thumba lanu nthawi zambiri ngati:

• Mwakhala mukutuluka thukuta kuposa nthawi zonse chifukwa cha nyengo yotentha kapena masewera olimbitsa thupi.
• Muli ndi khungu lamafuta.
• Malo anu opangira madzi ndi madzi kuposa nthawi zonse.

Sambani m'manja mwanu ndikukhala ndi zida zonse. Valani magolovesi oyera azachipatala.

Chotsani chikwama. Thirani khungu kutali ndi chisindikizo. Osachotsa ostomy pakhungu lanu.

Sambani stoma yanu ndi khungu mozungulira mosamala ndi madzi a sopo.

• Gwiritsani ntchito sopo wofatsa, monga Ivory, Safeguard, kapena Dial.
• Musagwiritse ntchito sopo wokhala ndi mafuta onunkhira kapena mafuta owonjezera.
• Yang'anani mosamala ku stoma yanu ndi khungu lozungulira pozungulira kuti musinthe. Lolani kuti stoma yanu iume kaye musanalumikire thumba latsopano.

Tsatirani momwe stoma yanu imakhalira kumbuyo kwa thumba lanu latsopano ndi chotchinga kapena chotchinga (zofufumitsa ndi gawo la matumba awiri).

• Gwiritsani ntchito kalozera wa stoma wokhala ndi mitundu yosiyanasiyana, ngati muli nayo.
• Kapena, jambulani mawonekedwe a stoma yanu papepala. Mungafune kudula zojambulazo ndikuziyimika ku stoma yanu kuti muwonetsetse kuti ndi kukula ndi mawonekedwe oyenera. Mphepete mwa kutsegulira kuyenera kukhala pafupi ndi stoma, koma sayenera kukhudza stoma yokha.

Tsatirani chithunzichi kumbuyo kwa thumba lanu latsopano kapena chotchingira. Kenako dulani chofufumiracho.

Gwiritsani ntchito chotchinga khungu kapena phala kuzungulira stoma, ngati wothandizira zaumoyo wanu walimbikitsa izi.

• Ngati stoma ili pamtunda kapena pansi pa khungu lanu, kapena ngati khungu lozungulira stoma yanu silofanana, kugwiritsa ntchito phala kumathandizira kusindikiza bwino.
• Khungu lozungulira stoma lanu liyenera kukhala louma komanso losalala. Pasapezeke makwinya pakhungu mozungulira stoma.

Chotsani chithandizo kuchokera m'thumba. Onetsetsani kuti kutsegula kwa thumba latsopanoli kuli pakati pa stoma ndikumanikizika pakhungu lanu.

• Gwirani dzanja lanu pa thumba ndi chotchinga kwa masekondi 30 mutachiyika. Izi zithandizira kusindikiza bwino.
• Funsani omwe amakupatsani mwayi wogwiritsa ntchito tepi kuzungulira thumba lanu kapena chofufumitsira kuti muwasindikize bwino.

Pindani chikwama ndikutchingira.

Itanani omwe akukuthandizani ngati:

• Stoma yanu ikutupa ndipo ndi yopitilira theka la inchi (1 sentimita) yokulirapo 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.
• Stoma yanu sikuwoneka kuti ikukwanira monga kale.
• Muyenera kusintha chida chamagetsi tsiku lililonse kapena awiri.
• Mumakhala ndi zotupa pakhungu, kapena khungu lozungulira stoma lanu ndi lofiira.
• Muli ndi kutuluka kuchokera ku stoma komwe kunanunkha.
• Khungu lanu mozungulira stoma lanu likukankhira kunja.
• Muli ndi zilonda zamtundu uliwonse pakhungu lanu.
• 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.

Standard ileostomy - kusintha kwa thumba; Brooke ileostomy - kusintha kwa thumba; Dziko leostomy - kusintha; Thumba la m'mimba likusintha; Mapeto ileostomy - kusintha kwa thumba; Ostomy - kusintha kwa thumba; Matenda otupa - ileostomy ndi thumba lanu limasintha; Matenda a Crohn - ileostomy ndi kusintha kwa thumba lanu; Ulcerative colitis - ileostomy ndi thumba lanu limasintha

American Cancer Society. Kusamalira ileostomy. www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/ostomies/ileostomy/management.html. Idasinthidwa pa June 12, 2017. Idapezeka pa Januware 17, 2019.

Araghizadeh F. Ileostomy, colostomy, ndi zikwama Mu: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 117.

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Colon ndi rectum. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 51.

• 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

• Ileostomy ndi mwana wanu
• Ileostomy ndi zakudya zanu
• Ileostomy - kusamalira stoma yanu
• 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

• Ostomy