Ileostomy - kumaliseche

Munali ndi vuto kapena matenda m'thupi lanu ndipo munkafunika opaleshoni yotchedwa ileostomy. Opaleshoniyo yasintha momwe thupi lanu limatayira zinyalala.

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

Stoma yanu imapangidwa kuchokera pakatikati pamatumbo anu. Idzakhala pinki kapena yofiira, yonyowa, komanso yowala pang'ono.

Chotupitsa chomwe chimachokera ku ileostomy yanu ndi yopyapyala kapena madzi owirira, kapena atha kukhala abusa. Silolimba ngati chopondera chomwe chimachokera kumtundu wanu. Zakudya zomwe mumadya, mankhwala omwe mumamwa, ndi zinthu zina zimatha kusintha momwe chimbudzi chanu chilili chochepa kapena chochepa.

Mafuta ena amakhala achilendo.

Muyenera kutulutsa thumba lanu kasanu kapena kasanu patsiku.

Funsani wothandizira zaumoyo wanu zomwe muyenera kudya mukamasulidwa kuchipatala. Mutha kupemphedwa kutsatira zakudya zotsalira.

Lankhulani ndi omwe amakupatsani ngati muli ndi matenda ashuga, matenda amtima, kapena vuto lina lililonse, ndipo muyenera kudya kapena kupewa zakudya zina.

Mutha kusamba kapena kusamba monga mpweya, sopo, ndi madzi sizipweteketsa stoma yanu ndipo madzi sangalowe mu stoma.Palibe vuto kuchita izi popanda thumba lanu.

Mankhwala osokoneza bongo ndi mankhwala:

• Mankhwala amadzimadzi amatha kugwira ntchito bwino kuposa olimba. Tengani izi zikapezeka.
• Mankhwala ena amakhala ndi zokutira zapadera (enteric). Thupi lanu silimayamwa bwino. Funsani omwe amakupatsani kapena wamankhwala mankhwala ena.

Lankhulani ndi omwe amakupatsani ngati mukumwa mapiritsi oletsa kubereka. Thupi lanu silingathe kuwatengera mokwanira kuti musatenge mimba.

Ndibwino kutulutsa thumba lanu mukakhala pafupifupi gawo limodzi mwa magawo atatu mpaka theka lathunthu. Ndikosavuta kuposa nthawi yodzaza, ndipo sipadzakhala fungo locheperako.

Kutulutsa thumba lanu (kumbukirani - chopondapo chikhoza kutuluka mu stoma pamene mukuchita izi):

• Valani magolovesi oyera azachipatala.
• Ikani mapepala achimbudzi mchimbudzi kuti apitirire kuwaza. Kapena, mutha kusefukira mukamatulutsa thumba kuti musaphulike.
• Khalani patali kwambiri pampando kapena mbali ina yake. Muthanso kuyimirira kapena kuwerama pachimbudzi.
• Gwirani pansi pa thumba pamwamba.
• Mosamala pindani mchira wa thumba lanu pachimbudzi kuti mutulutse.
• Sambani kunja ndi mkatikati mwa mchira ndi pepala lakumbudzi.
• Tsekani thumba kumchira.

Sambani ndi kutsuka mkati ndi kunja kwa thumba.

• Namwino wanu wa ostomy akhoza kukupatsani sopo wapadera kuti mugwiritse ntchito.
• Funsani namwino wanu za kupopera mafuta osatayirira mkati mwa thumba kuti chopondapo chisamamatire.

Muyeneranso kudziwa za:

• Ileostomy - kusintha thumba lanu
• Ileostomy - kusamalira stoma yanu

Bzalani zakudya zanu bwino. Izi zithandizira kuti zakudya zamafuta ambiri zisatchingitse stoma yanu.

Zizindikiro zina za kutsekeka ndikukhwimitsa mwadzidzidzi m'mimba mwanu, stoma yotupa, nseru (kapena osanza), komanso kuwonjezeka kwadzidzidzi kwamadzi ambiri.

Kumwa tiyi wotentha ndi zakumwa zina kumatha kutsuka zakudya zilizonse zomwe zikulepheretsa stoma.

Padzakhala nthawi pamene palibe chomwe chidzatuluke mu ileostomy yanu kwakanthawi. Izi si zachilendo.

Itanani yemwe akukuthandizani nthawi yomweyo ngati thumba lanu la ileostomy likhale lopanda kanthu kuposa maola 4 mpaka 6. Matumbo anu akhoza kutsekedwa.

Osangotenga mankhwala ofewetsa tuvi tolimba ngati vutoli lichitika.

Zakudya zina zomwe zingatseke stoma yanu ndi chinanazi chosaphika, mtedza ndi mbewu, udzu winawake, mbuluuli, chimanga, zipatso zouma (monga zoumba), bowa, zotsekemera, zonunkhira, ndi masamba ena achi China.

Malangizo oti palibe chopondapo chikuchokera ku stoma yanu:

• Yesani kumasula thumba ngati mukuganiza kuti ndilothina.
• Sinthani malo anu. Yesani kugwira mawondo anu pachifuwa.
• Sambani ofunda kapena shawa ofunda.

Zakudya zina zimamasula malo anu ndipo zimatha kuonjezera zokolola mukamaliza kuzidya. Ngati mukukhulupirira kuti chakudya china chasintha malo anu, musadyeko kwakanthawi, ndikuyesanso. Zakudya izi zitha kupangitsa malo anu kumasuka:

• Mkaka, msuzi wa zipatso, zipatso ndi ndiwo zamasamba zosaphika
• Dulani msuzi, licorice, zakudya zazikulu, zakudya zonunkhira, mowa, vinyo wofiira, ndi chokoleti

Zakudya zina zimapangitsa kuti chopondapo chanu chikhale cholimba. Zina mwa izi ndi maapulosi, mbatata zophika, mpunga, mkate, chiponde, pudding, ndi maapulo ophika.

Imwani magalasi 8 mpaka 10 amadzimadzi patsiku. Imwani zambiri pakatentha kapena mutakhala otanganidwa kwambiri.

Ngati muli ndi kutsekula m'mimba kapena chimbudzi chanu chimakhala chothithikana kapena chamadzi ambiri:

• Imwani madzi owonjezera ndi ma electrolyte (sodium, potaziyamu). Zakumwa monga Gatorade, PowerAde, kapena Pedialyte zili ndi ma electrolyte. Kumwa koloko, mkaka, madzi, kapena tiyi kudzakuthandizani kupeza zakumwa zokwanira.
• Yesetsani kudya zakudya zomwe zili ndi potaziyamu ndi sodium tsiku lililonse kuti potaziyamu ndi sodium zisatsike kwambiri. Zitsanzo zina za zakudya zomwe zili ndi potaziyamu ndi nthochi. Zakudya zina zokhala ndi sodium wochuluka ndizosakaniza mchere.
• Ma Pretzels amatha kuthandizira kuchepetsa kutayika kwa madzi mu chopondapo. Amakhalanso ndi sodium yowonjezera.
• Musayembekezere kuti muthandizidwe. Kutsekula m'mimba kungakhale koopsa. Itanani omwe akukuthandizani ngati sangapite.

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.
• 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 - kumaliseche; Brooke ileostomy - kumaliseche; Dziko leostomy - kutulutsa; Mimba thumba - kutulutsa; Mapeto ileostomy - kumaliseche; Ostomy - kutulutsa; Matenda a Crohn - kutuluka kwa ileostomy; Matenda otupa - kutulutsa leostomy; Regional enteritis - kutuluka kwa ileostomy; Ileitis - kutuluka kwa ileostomy; Granulomatous ileocolitis - kutuluka kwa ileostomy; Kutulutsa kwa IBD - ileostomy; Ulcerative colitis - kutuluka kwa ileostomy

Tsamba la American Cancer Society. Kuwongolera kwa Ileostomy. www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/ostomies/ileostomy.html. Idasinthidwa pa Okutobala 16, 2019. Idapezeka Novembala 9, 2020.

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.

Raza A, Araghizadeh F. Ileostomy, colostomy, ndi zikwama. 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.

• 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 - kusamalira stoma yanu
• Ileostomy - kusintha thumba lanu
• Ileostomy - zomwe mungafunse dokotala wanu
• Kukhala ndi ileostomy yanu
• Zakudya zochepa
• Kutulutsa pang'ono matumbo - kutulutsa
• Colectomy yathunthu kapena proctocolectomy - kutulutsa
• Mitundu ya ileostomy
• Anam`peza matenda am`matumbo - kumaliseche

• Ostomy