Kutulutsa pang'ono matumbo - kutulutsa

Munachitidwa opareshoni kuti muchotse matumbo anu onse (matumbo ang'ono). Mwinanso mungakhale ndi ileostomy.

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.
• Mutha kukhala ndi mavuto ndi zotupa zonunkha kapena zonunkhira kapena kutsekula m'mimba ngati gawo lalikulu la m'matumbo anu atatulutsidwa.
• Mutha kukhala ndi mavuto ndi ileostomy 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.

Dokotala wanu adzakupatsani mankhwala opweteka oti mugwiritse kunyumba.

• Ngati mukumwa mankhwala opweteka katatu kapena kanayi patsiku, imwani nthawi yomweyo tsiku lililonse kwa masiku atatu kapena anayi. Amawongolera kupweteka motere. Funsani omwe akukuthandizani ngati mungathe kumwa acetaminophen (Tylenol) kapena ibuprofen (Advil kapena Motrin) kuti akuthandizeni kupweteka ndikupewa kumwa mankhwala opweteka a narcotic.
• 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 dokotala nthawi yomwe muyenera kuyambiranso kumwa mankhwala anu mukatha kuchitidwa opaleshoni.

Ngati zakudya zanu zachotsedwa, mwina mudzakhala ndi zidutswa zing'onozing'ono zamatepi zomwe zimayikidwa mu incision yanu. Izi zidutswa za tepi zidzagwa zokha. Ngati cheke chanu chatsekedwa ndi suture yosungunuka, mwina mudakhala ndi guluu wokutira. Guluu uwu umamasulidwa ndipo udzadzipangira 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, dokotala wanu angakuuzeni kangati kuti musinthe ndi nthawi yomwe mungaleke 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 ileostomy, tsatirani malangizo othandizira kuchokera kwa omwe amakupatsani.

Idyani chakudya chochepa kangapo patsiku. Osadya katatu kwakukulu. Muyenera:

• 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.

Ngati muli ndi zotchinga zolimba:

• Yesetsani kudzuka ndikuyenda mozungulira. Kukhala wachangu kumathandiza.
• Ngati mungathe, tengani mankhwala ochepetsa ululu omwe dokotala wanu adakupatsani. Amatha kukupangitsani kudzimbidwa.
• Mutha kugwiritsa ntchito zofewetsa pansi ngati dokotala akukuuzani kuti zili bwino.
• Funsani dokotala ngati mungathe kumwa mkaka wa magnesia kapena magnesium citrate. Musamamwe mankhwala ofewetsa mankhwalawa musanapemphe dokotala.
• Funsani omwe akukuthandizani ngati zili bwino kudya zakudya zomwe zili ndi michere yambiri kapena kumwa mankhwala owonjezera monga psyllium (Metamucil).

Lankhulani ndi omwe amakupatsani ngati muli ndi mafunso okhudza ileostomy ndi zomwe mumadya.

Bwererani kuntchito pokhapokha mukakhala okonzeka. Malangizo awa atha kuthandiza:

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

Itanani dokotala wanu ngati muli ndi izi:

• Malungo a 101 ° F (38.3 ° C) kapena kupitilira apo, kapena 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 kukukulira, ndipo mankhwala opweteka samathandiza
• Lostostomy yanu yaleka kugwira ntchito kwa tsiku limodzi kapena awiri
• Kusintha kwa mawonekedwe anu, monga m'mphepete mwake mukung'ambika, kukoka kapena kutuluka magazi komweko, kufiira, kutentha, kutupa, kapena kupweteka kwakukulirakulira
• Kupuma pang'ono kapena kupweteka pachifuwa
• Kutupa miyendo kapena kupweteka kwa ana anu

Kuchita matumbo ang'onoang'ono - kutulutsa; Matumbo resection - matumbo ang'ono - kutulutsa; Kutulutsidwa kwa gawo la m'matumbo ang'ono - kutulutsa; Enterectomy - kutulutsa

Elmously A, Inde HL. Kuwongolera kutsekeka kwakanthawi kochepa. Mu: Cameron JL, Cameron AM, olemba, eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 13. Philadelphia, PA: Elsevier; 2020: 129-132.

Harris JW, Evers BM. Matumbo aang'ono. 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 49.

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

Yeo HL, Michelassi F, Management ya matenda a Crohn a matumbo ang'onoang'ono. Mu: Cameron JL, Cameron AM, olemba, eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 13. Philadelphia, PA: Elsevier; 2020: 129-132.

• Khansa yoyipa
• Matenda a Crohn
• Kutsekeka kwa m'mimba ndi Ileus
• Kutulutsa pang'ono matumbo

• Zakudya za Bland
• Matenda a Crohn - kutulutsa
• Zakudya zamadzi zonse
• Kudzuka pabedi pambuyo pa opaleshoni
• Ileostomy ndi mwana wanu
• Ileostomy ndi zakudya zanu
• Ileostomy - kusamalira stoma yanu
• Ileostomy - kusintha thumba lanu
• Ileostomy - kumaliseche
• Ileostomy - zomwe mungafunse dokotala wanu
• Zakudya zochepa
• Chisamaliro cha bala la opaleshoni - chotseguka
• Mitundu ya ileostomy
• Kusintha kouma-kouma kumasintha

• Khansa Yam'mimba
• Kutsekula m'mimba
• Matenda Aang'ono Amkati