Urostomy - stoma ndi chisamaliro cha khungu

Matumba a Urostomy ndi matumba apadera omwe amagwiritsidwa ntchito kupezera mkodzo pambuyo pa opaleshoni ya chikhodzodzo.

M'malo mopita ku chikhodzodzo, mkodzo upita kunja kwa mimba yanu. Gawo lomwe limakhala kunja kwa mimba yako limatchedwa stoma.

Pambuyo pokodza, mkodzo wanu umadutsa mu stoma yanu kupita m'thumba lapadera lotchedwa urostomy thumba.

Kusamalira stoma yanu ndi khungu lozungulira ndikofunikira kwambiri kupewa matenda akhungu ndi impso.

Stoma yanu imapangidwa kuchokera mbali ya m'mimba mwanu yotchedwa ileum. Odzidzimutsa amamangiriridwa kumapeto kwa chidutswa chochepa cha ileamu yanu. Mapeto ena amakhala stoma ndipo amakoka kudzera pakhungu la mimba yanu.

Stoma ndi wosakhwima kwambiri. Stoma wathanzi ndi ofiira ofiira komanso otentha. Stoma yanu iyenera kutuluka pang'ono pakhungu lanu. Sizachilendo kuwona mamina pang'ono. Magazi amwazi kapena magazi ochepa ochokera ku stoma anu ndi abwinobwino.

Simuyenera kusunga chilichonse mu stoma, pokhapokha ngati wothandizira zaumoyo atakuwuzani.

Stoma yanu ilibe mathero amitsempha, chifukwa chake simudzatha kumva china chake chikakhudza. Inunso simungamve ngati atadulidwa kapena kuchotsedwa. Koma muwona mzere wachikaso kapena choyera pa stoma ngati udafufutidwa.

Pambuyo pa opareshoni, khungu lozungulira stoma lanu liyenera kuwoneka ngati momwe lidalili musanachite opaleshoni. Njira yabwino yotetezera khungu lanu ndi:

• Pogwiritsa ntchito chikwama kapena thumba lokhala ndi kukula koyenera, mkodzo sutuluka
• Kusamalira khungu mozungulira stoma yanu

Kusamalira khungu lanu m'dera lino:

• Sambani khungu lanu ndi madzi ofunda ndikuumitsa bwino musanayike chikwama.
• Pewani mankhwala osamalira khungu omwe ali ndi mowa. Izi zimatha kupangitsa khungu lanu kuuma kwambiri.
• Osagwiritsa ntchito zinthu pakhungu mozungulira stoma yanu yomwe ili ndi mafuta. Izi zitha kupangitsa kuti zikhale zovuta kulumikiza chikwamacho pakhungu lanu.
• Gwiritsani ntchito mankhwala apadera osamalira khungu. Izi zimapangitsa mavuto pakhungu lanu kuchepa.

Onetsetsani kuti mukuchiza khungu lofiira kapena kusintha khungu nthawi yomweyo, vuto likakhala laling'ono. Musalole kuti vutoli likule kapena kukhumudwitsidwa musanamufunse omwe akukuthandizani.

Khungu lozungulira stoma lanu limatha kuzindikira zinthu zomwe mumagwiritsa ntchito, monga chotchinga khungu, tepi, zomatira, kapena thumba palokha. Izi zitha kuchitika pang'onopang'ono pakapita nthawi ndipo sizingachitike kwa milungu, miyezi, kapenanso zaka mutagwiritsa ntchito mankhwala.

Ngati muli ndi tsitsi pakhungu lanu pozungulira stoma yanu, kulichotsa kungathandize thumba kuti likhalebe motetezeka.

• Gwiritsani ntchito lumo lodulira, kumetera magetsi, kapena mankhwala a laser kuti muchotse tsitsilo.
• Musagwiritse ntchito lumo lolunjika kapena lumo lachitetezo.
• Samalani kuti muteteze stoma yanu ngati muchotsa tsitsi mozungulira.

Itanani omwe akukuthandizani mukawona kusintha kulikonse mu stoma yanu kapena khungu lozungulira.

Ngati stoma yanu:

• Ndi lofiirira, lotuwa, kapena lakuda
• Ali ndi fungo loipa
• Ndi youma
• Amakoka pakhungu
• Kutsegula kumakwanira kuti matumbo anu adutsemo
• Ali pamlingo wakhungu kapena wakuya
• Amakankhira patali pakhungu ndikukhala motalikirapo
• Kutsegula khungu kumachepa

Ngati khungu lozungulira stoma yanu:

• Kukokera mmbuyo
• Ndi ofiira
• Zimapweteka
• Kutentha
• Kutupa
• Kutuluka magazi
• Akukhetsa madzi
• Kuyabwa
• Ili ndi zotupa zoyera, zotuwa, zofiirira, kapena zofiira
• Ali ndi zotumphukira mozungulira pakhosi la tsitsi lomwe ladzaza mafinya
• Ali ndi zilonda zopanda m'mbali

Komanso itanani ngati:

• Mukhale ndi mkodzo wochepa kuposa masiku onse
• Malungo
• Ululu
• Khalani ndi mafunso kapena nkhawa zokhudzana ndi stoma kapena khungu lanu

Kusamalira mafupa - urostomy; Kusintha kwamikodzo - urostomy stoma; Cystectomy - urostomy stoma; Pewani ngalande

Tsamba la American Cancer Society. Kuwongolera Urostomy. www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/ostomies/urostomy.html. Idasinthidwa pa Okutobala 16, 2019. Idapezeka pa Ogasiti 25, 2020.

DeCastro GJ, McKiernan JM, Benson MC. Zosokoneza mkodzo kontinenti. Mu: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, olemba. Urology wa Campbell-Walsh. Wolemba 12. Philadelphia, PA: Elsevier; 2021: chaputala 140.

Lyon CC. Kusamalira Stoma. Mu: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, olemba. Kuchiza kwa Matenda a Khungu: Njira Zambiri Zakuchiritsira. 5th ed. Philadelphia, PA: Elsevier; 2018: chap 233.

• Khansa ya Chikhodzodzo
• Matenda a Chikhodzodzo
• Ostomy