Colostomy
Colostomy ndi njira yochitira opaleshoni yomwe imabweretsa matumbo amodzi matumbo kudzera pachitseko (stoma) chopangidwa kukhoma m'mimba. Ndowe zomwe zimadutsa m'matumbo zimadutsa mu stoma kupita m'thumba lomwe lili pamimba.
Njirayi imachitika pambuyo pake:
- Kugulitsa matumbo
- Kuvulaza matumbo
Colostomy ikhoza kukhala yayifupi kapena yosatha.
Colostomy imachitika mukakhala kuti muli ndi anesthesia (kugona komanso kumva kupweteka). Zitha kuchitidwa ndi kudula kwakukulu pamimba kapena ndi kamera yaying'ono ndi mabala ang'onoang'ono (laparoscopy).
Mtundu wa njira yogwiritsidwira ntchito umadalira njira zina zomwe ziyenera kuchitidwa. Kudula opareshoni kumapangidwa nthawi zambiri pakati pamimba. Kubwezeretsa matumbo kapena kukonza kumachitika pakufunika.
Kwa colostomy, malekezero amtundu wina wathanzi amatulutsidwa kudzera pabowo lomwe limapangidwa pakhoma pamimba, nthawi zambiri kumanzere. Mphepete mwa matumbo amalumikizana ndi khungu lotseguka. Kutsegula uku kumatchedwa stoma. Chikwama chotchedwa stoma chogwiritsira ntchito chimayikidwa mozungulira potsegulira chopondapo.
Colostomy yanu ikhoza kukhala yaifupi. Ngati mukuchitidwa opaleshoni yamatumbo anu akulu, colostomy imalola gawo lina la matumbo anu kupumula mukamachira. Thupi lanu likapezanso bwino kuyambira pa opaleshoni yoyamba, mudzachitidwanso opaleshoni ina kuti muphatikize kumapeto kwa m'matumbo akulu. Izi zimachitika pambuyo pa masabata khumi ndi awiri.
Zifukwa zomwe colostomy yachitika ndi monga:
- Matenda am'mimba, monga perforated diverticulitis kapena abscess.
- Kuvulaza kholoni kapena thumbo (mwachitsanzo, bala la mfuti).
- Kutseka pang'ono kapena kwathunthu kwa matumbo akulu (kutsekeka m'matumbo).
- Khansa yapakhungu kapena yamatumbo.
- Mabala kapena fistula mu perineum. Malo omwe ali pakati pa anus ndi maliseche (akazi) kapena anus ndi scrotum (amuna).
Zowopsa za anesthesia ndi maopareshoni ambiri ndi monga:
- Zomwe zimachitika ndi mankhwala, mavuto ampweya
- Kukhetsa magazi, magazi kuundana, matenda
Zowopsa za colostomy ndizo:
- Kukhetsa magazi mkati mwa mimba yako
- Kuwonongeka kwa ziwalo zapafupi
- Kukula kwa chophukacho pa malo odulidwa opaleshoni
- Matumbo amatuluka mu stoma kuposa momwe amayenera (kufalikira kwa colostomy)
- Kuchepetsa kapena kutseka kwa kutsegula kwa colostomy (stoma)
- Minofu yotupa yomwe imapanga m'mimba ndikupangitsa kutsekeka kwa m'mimba
- Khungu lakhungu
- Kutsegula bala
Mudzakhala mchipatala masiku atatu mpaka 7. Muyenera kukhala nthawi yayitali ngati colostomy yanu idachitidwa mwadzidzidzi.
Mudzaloledwa kubwerera pang'onopang'ono ku zakudya zanu:
- Tsiku lomwelo pakuchitidwa opaleshoni, mutha kuyamwa ma ayisi kuti muchepetse ludzu lanu.
- Pofika tsiku lotsatira, mwina mudzaloledwa kumwa zakumwa zoonekeratu.
- Madzi owola kenako zakudya zofewa zidzawonjezedwa m'matumbo mwanu mukayambiranso kugwira ntchito. Mutha kukhala kuti mukudya bwinobwino mkati mwa masiku awiri mutachitidwa opaleshoni.
Colostomy imatulutsa chopondapo (ndowe) kuchokera m'matumbo kupita m'thumba la colostomy. Mpando wa Colostomy nthawi zambiri umakhala wofewa komanso wamadzi ambiri kuposa chopondera chomwe chimadutsa bwino. Kapangidwe ka chopondapo chimatengera gawo la m'matumbo lomwe limagwiritsidwa ntchito popanga colostomy.
Musanatulutsidwe kuchipatala, namwino wa ostomy akuphunzitsani zamadyedwe komanso momwe mungasamalire colostomy yanu.
Kutsegula m'mimba - mapangidwe a stoma; Opaleshoni ya matumbo - chilengedwe cha colostomy; Colectomy - colostomy; Khansa ya m'matumbo - colostomy; Khansa yapakhungu - colostomy; Diverticulitis - colostomy
- Kutulutsa matumbo akulu - kutulutsa
- Colostomy - Mndandanda
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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 Textbook of Surgery: Maziko Achilengedwe a Njira Zamakono Zopangira Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 51.
Russ AJ, Delaney CP. Kupitilira kwadzidzidzi. Mu: Fazio Late VW, Church JM, Delaney CP, Kiran RP, olemba. Therapy Yamakono mu Colon ndi Opaleshoni Yapadera. Wachitatu ed. Philadelphia, PA: Elsevier; 2017: mutu 22