Kutulutsa matumbo akulu - kutulutsa

Munachitidwa opareshoni kuti muchotse matumbo anu onse kapena gawo lalikulu (matumbo akulu). Mwinanso mutha kukhala ndi colostomy. Nkhaniyi ikufotokoza zomwe muyenera kuyembekezera mukamachitidwa opaleshoni komanso momwe mungadzisamalire kunyumba.

Pa nthawi ndi pambuyo pake, munalandira madzi am'mitsempha (IV). Mwinanso mutha kukhala ndi chubu choyikidwa pamphuno ndi m'mimba mwanu. Mwina mwalandira mankhwala opha tizilombo.

Mutha kukhala ndi mavuto awa mutabwerera kunyumba kuchokera kuchipatala:

• Kupweteka mukamatsokomola, kuyetsemula, ndikupanga mayendedwe mwadzidzidzi. Izi zitha kukhala mpaka milungu ingapo.
• Zojambula zolimba, kapena mwina simungathe kuyendetsa matumbo konse.
• Mutha kukhala ndi kutsekula m'mimba.
• Mutha kukhala ndi mavuto ndi colostomy yanu.

Tsatirani malangizo a omwe amakupatsani zaumoyo momwe mungadzisamalire nokha kunyumba.

Ntchito:

• Zitha kutenga milungu ingapo kuti mubwerere kuzomwe mumachita. Funsani omwe akukuthandizani ngati pali zomwe simuyenera kuchita.
• Yambani poyenda pang'ono.
• Onjezani zochita zanu pang'onopang'ono. Osadzikakamiza kwambiri.

Wopereka chithandizo wanu amakupatsani mankhwala azowawa kunyumba.

• Ngati mukumwa mankhwala opweteka katatu kapena kanayi patsiku, imwani nthawi yomweyo tsiku lililonse kwa masiku atatu kapena anayi. Amawongolera kupweteka motere.
• Musayendetse kapena kugwiritsa ntchito makina ena olemera ngati mukumwa mankhwala opweteka. Mankhwalawa amatha kukupangitsani kuti muzisinza komanso kuti muchepetse nthawi yomwe mungachite.

Sindikizani pilo kuti musinthe mukamatsokomola kapena kuyetsemula. Izi zimathandiza kuchepetsa ululu.

Funsani omwe amakupatsani nthawi yomwe muyenera kuyambiranso kumwa mankhwala mukamachitidwa opaleshoni.

Ngati ma staples kapena suture anu achotsedwa, mwina mudzakhala ndi zidutswa zing'onozing'ono zamatepi zomwe zimayikidwa mukamadula. Izi zidutswa za tepi zidzagwa zokha. Ngati incision yanu idatsekedwa ndikusungunuka, mutha kukhala ndi guluu wokutira. Guluu uwu umamasulidwa ndikudzichokera wokha. Kapena, imatha kuchotsedwa pakatha milungu ingapo.

Funsani omwe akukuthandizani mukamasamba kapena kusambira mu bafa.

• Palibe vuto ngati matepiwo anyowa. Osazinyowetsa kapena kuzikuta.
• Sungani bala lanu nthawi zina.
• Matepiwo adzagwa okha patadutsa sabata limodzi kapena awiri.

Ngati muli ndi chovala, omwe akukuthandizani azikuwuzani kuti musinthe kangati komanso kuti mudzaleka kuyigwiritsa ntchito.

• Tsatirani malangizo otsukira bala lanu tsiku ndi tsiku ndi sopo. Yang'anirani mosamala zosintha zilizonse pachilonda pamene mukuchita izi.
• Pat bala lanu louma. Osachipukuta chouma.
• Funsani omwe akukuthandizani musanaike mafuta, zonona, kapena mankhwala azitsamba pachilonda chanu.

Osamavala zovala zolimba zomwe zimafinya pachilonda chanu pamene chikuchira. Gwiritsani ntchito chovala chopyapyala chopyapyala kuti muteteze ngati pakufunika kutero.

Ngati muli ndi colostomy, tsatirani malangizo othandizira kuchokera kwa omwe amakupatsani. Kukhala pamtsamiro kungakupangitseni kukhala omasuka ngati opaleshoniyi idali munthawi yanu.

Idyani chakudya chochepa kangapo patsiku. Osadya zakudya zazikulu zitatu.

• Patulani zakudya zanu zazing'ono.
• Onjezerani zakudya zatsopano muzakudya zanu pang'onopang'ono.
• Yesetsani kudya mapuloteni tsiku lililonse.

Zakudya zina zimatha kuyambitsa gasi, chimbudzi, kapena kudzimbidwa pamene mukuchira. Pewani zakudya zomwe zimabweretsa mavuto.

Ngati mukudwala m'mimba kapena mutsekula m'mimba, itanani omwe akukuthandizani.

Funsani omwe akukuthandizani kuchuluka kwa madzi omwe muyenera kumwa tsiku lililonse kuti mupewe kusowa madzi m'thupi.

Ngati muli ndi zotchinga zolimba:

• Yesetsani kudzuka ndikuyenda mozungulira. Kukhala wachangu kumathandiza.
• Ngati mungathe, tengani mankhwala ochepetsa ululu omwe amakupatsani. Amatha kukupangitsani kudzimbidwa. Ngati zili bwino ndi omwe amakupatsani, yesetsani kugwiritsa ntchito acetaminophen (Tylenol) kapena ibuprofen (Advil kapena Motrin) kuti muthandizire kupweteka.
• Mutha kugwiritsa ntchito zotsekemera ngati dokotala akukuuzani kuti zili bwino.
• Funsani omwe akukuthandizani ngati mungatenge mkaka wa magnesia kapena magnesium citrate. Musatenge mankhwala ofewetsa tuvi tosiyanasiyana musanapemphe wothandizira wanu poyamba.
• Funsani wothandizirayo ngati zili bwino kudya zakudya zomwe zili ndi michere yambiri kapena kutenga china chilichonse chogulitsa ngati psyllium (Metamucil).

Bwererani kuntchito pokhapokha mukakhala okonzeka. Malangizo awa atha kuthandiza:

• Mutha kukhala okonzeka pamene mutha kukhala otakataka panyumba kwa maola 8 ndikukhalabe bwino mukadzuka m'mawa.
• Mungafune kuyambiranso nthawi yochepa ndikugwira ntchito zochepa poyamba.
• Wothandizira anu amatha kulemba kalata kuti muchepetse ntchito zanu ngati mukugwira ntchito yolemetsa.

Itanani omwe akukuthandizani ngati muli ndi izi:

• Kutentha kwa 101 ° F (38.3 ° C) kapena kupitilira apo, kapena muli ndi malungo omwe samachoka ndi acetaminophen (Tylenol)
• Mimba yotupa
• Kumva kudwala m'mimba mwako kapena ukuponya kwambiri
• Sanakhale ndi matumbo masiku 4 atachoka kuchipatala
• Amakhala akuchita matumbo ndipo mwadzidzidzi amasiya
• Mdima wakuda kapena wochedwa, kapena muli magazi m'mipando yanu
• Kupweteka kwa m'mimba komwe kukukulirakulira, ndipo mankhwala opweteka samathandiza
• Kupuma pang'ono kapena kupweteka pachifuwa
• Kutupa miyendo kapena kupweteka kwa ana anu
• Zosintha mu incision yanu, monga m'mphepete ikukoka, kukhetsa kapena kutuluka magazi komweko, kufiira, kutentha, kapena kupweteka kwakukulira
• Kuchulukitsa kwamadzi kuchokera ku rectum yanu

Kukwera colectomy - kumaliseche; Kutsika kwa colectomy - kumaliseche; Transole colectomy - kumaliseche; Kumanja hemicolectomy - kumaliseche; Kumanzere hemicolectomy - kumaliseche; Dzanja lothandizidwa opaleshoni yamatumbo - kutulutsa; Kutsika kwapansi kwapansi - kutulutsa; Sigmoid colectomy - kumaliseche; Subtotal colectomy - kumaliseche; Proctocolectomy - kumaliseche; Kutulutsa koloni - kutulutsa; Laparoscopic colectomy - kumaliseche; Colectomy - tsankho - kumaliseche; Kutsegula m'mimba kumaliseche - kutulutsa; Khansa ya m'matumbo - kutulutsa kwamatumbo

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugen S, Fry RD. Colon ndi rectum. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: Maziko Achilengedwe a Njira Zamakono Zopangira Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 51.

Smith SF, Duell DJ, Martin BC, Gonzalez L, chisamaliro cha Aebersold M. Perioperative. Mu: Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold ML, olemba. Luso la Unamwino Wachipatala: Zofunikira ku Luso Lapamwamba. 9th ed. New York, NY: Pearson; 2017: mutu 26.

• Khansa yoyipa
• Colostomy
• Matenda a Crohn
• Kutsekeka kwa m'mimba ndi Ileus
• Kubwezeretsa matumbo akulu
• Zilonda zam'mimba

• Zakudya za Bland
• Kusintha thumba lanu la ostomy
• Zakudya zamadzi zonse
• Kudzuka pabedi pambuyo pa opaleshoni
• Ileostomy - kusamalira stoma yanu
• Ileostomy - kusintha thumba lanu
• Zakudya zochepa
• Chisamaliro cha bala la opaleshoni - chotseguka

• Matenda a Colonic
• Ma polyp Colonic
• Khansa Yoyenera
• Diverticulosis ndi Diverticulitis
• Kutsekula m'mimba
• Zilonda zam'mimba