Colectomy yathunthu kapena proctocolectomy - kutulutsa

Munachitidwa opaleshoni kuti muchotse matumbo anu akulu. Anus wanu ndi rectum nawonso atha kuchotsedwa. Mwinanso mungakhale ndi ileostomy.

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.

Tsatirani malangizo a omwe amakupatsani zaumoyo momwe mungadzisamalire nokha kunyumba.

Ngati rectum kapena anus anu atsalira, mutha kukhalabe ndi malingaliro oti muyenera kusuntha matumbo anu. Muthanso kutulutsa chopondapo kapena ntchofu m'masabata angapo oyambilira.

Ngati rectum yanu yachotsedwa, mutha kumva kulumikizana kwanuko. Zingamveke bwino mukakhala.

Mutha kukhala ndi ululu mukamatsokomola, kupopera, ndikupita mwadzidzidzi. Izi zitha kukhala milungu ingapo koma zikhala bwino pakapita nthawi.

Ntchito:

• Zitha kutenga milungu ingapo kuti mubwerere kuzomwe mumachita. Funsani dokotala wanu ngati pali zina zomwe simuyenera kuchita.
• Yambani poyenda pang'ono.
• Onjezerani masewera olimbitsa thupi 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. Imayang'anira kupweteka bwino 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 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 incision yanu idatsekedwa ndikusungunuka sutures, 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 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 dokotala wanu.

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

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.
• Wothandizira anu amatha kulemba kalata kuti muchepetse ntchito zanu ngati mukugwira ntchito yolemetsa.

Itanani omwe akukuthandizani 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 kapena kuponyera kwambiri ndipo sungathe kuchepetsa chakudya
• Sanakhale ndi matumbo masiku 4 atachoka kuchipatala
• Amakhala akuyenda matumbo, ndipo mwadzidzidzi amasiya
• Mdima wakuda kapena wochedwa, kapena muli magazi m'mipando yanu
• Kupweteka kwa m'mimba komwe kukukulira, ndipo mankhwala opweteka sakuthandiza
• Colostomy yanu yasiya kutulutsa madzi kapena mipando tsiku limodzi kapena awiri
• Kusintha kwa mawonekedwe anu monga m'mbali mukukoka, kukhetsa kapena kutuluka magazi, kufiira, kutentha, kutupa, kapena kupweteka kowonjezereka
• Kupuma pang'ono kapena kupweteka pachifuwa
• Kutupa miyendo kapena kupweteka kwa ana anu
• Kuchulukitsa kwamadzi kuchokera ku rectum yanu
• Kumva kulemera m'dera lanu lachifumu

Mapeto ileostomy - colectomy kapena proctolectomy - kutulutsa; Dziko leostomy - kutulutsa; Ostomy - colectomy kapena proctolectomy - kutulutsa; Kubwezeretsa proctocolectomy - kutulutsa; Ileal-anal resection - kumaliseche; Ileal-anal thumba - kumaliseche; J-thumba - kutulutsa; S-thumba - kutulutsa; Pelvic thumba - kumaliseche; Ileal-anal anastomosis - kumaliseche; Ileal-anal thumba - kumaliseche; Ileal thumba - kumatako anastomosis - kumaliseche; IPAA - kumaliseche; Kuchita opaleshoni yamadzi - kutulutsa

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 M, olemba. Luso la Unamwino Wachipatala: Zofunikira ku Luso Lapamwamba. 9th ed. New York, NY: Pearson; 2016: chap 26.

• Khansa yoyipa
• Ileostomy
• Kutsekeka kwa m'mimba ndi Ileus
• Colectomy yonse yam'mimba
• Chiwerengero cha proctocolectomy ndi ileal-anal thumba
• Chiwerengero cha proctocolectomy ndi ileostomy
• Zilonda zam'mimba

• Zakudya za Bland
• 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

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