Ileostomy

Ileostomy imagwiritsidwa ntchito kutulutsa zinyalala m'thupi. Kuchita opaleshoniyi kumachitika pomwe kholoni kapena thumbo siligwira bwino ntchito.

Mawu oti "ileostomy" amachokera ku mawu oti "ileum" ndi "stoma." Lileamu yanu ndi gawo lotsika kwambiri la m'mimba mwanu. "Stoma" amatanthauza "kutsegula." Kuti apange ileostomy, dokotalayo amatsegula pakhoma la mimba yanu ndikubweretsa kumapeto kwa leamu kudzera potsegulira. Ileamu imaphatikizidwa pakhungu.

Musanachite opaleshoni kuti mupange leostomy, mutha kuchitidwa opareshoni kuti muchotse m'matumbo mwanu, kapena m'matumbo mwanu.

Kuchita maopaleshoni kumeneku ndi monga:

• Kutulutsa pang'ono matumbo
• Colectomy yonse yam'mimba
• Chiwerengero cha proctocolectomy

Ileostomy itha kugwiritsidwa ntchito kwakanthawi kochepa kapena kwakanthawi.

Lileostomy yanu ikakhala yakanthawi, nthawi zambiri amatanthauza kuti matumbo anu onse akulu adachotsedwa. Komabe, muli ndi gawo limodzi la rectum yanu. Ngati mukuchitidwa opaleshoni m'matumbo anu akulu, wothandizira zaumoyo wanu angafune kuti m'matumbo mwanu mupume kanthawi. Mudzagwiritsa ntchito ileostomy mukamachira opaleshoni iyi. Pamene simusowa, mudzachitidwanso opaleshoni ina. Kuchita opaleshoniyi kudzachitika kuti mufikire kumapeto kwa matumbo ang'onoang'ono. Simufunikanso ileostomy zitatha izi.

Muyenera kuigwiritsa ntchito nthawi yayitali ngati matumbo anu onse akulu ndi rectum achotsedwa.

Kuti apange ileostomy, dokotalayo amadula pang'ono pakhoma pamimba lanu. Gawo la m'matumbo anu aang'ono lomwe liri kutali kwambiri ndi mimba yanu limakwezedwa ndikugwiritsidwa ntchito kutsegulira. Izi zimatchedwa stoma. Mukayang'ana pa stoma yanu, mumayang'anitsitsa pamunsi pamatumbo anu. Zikuwoneka ngati mkati mwa tsaya lanu.

Nthawi zina, ileostomy imachitika ngati gawo loyamba pakupanga malo osungira (omwe amatchedwa J-poch).

Ileostomy imachitika mavuto amatumbo anu atha kuchiritsidwa ndi opaleshoni.

Pali zovuta zambiri zomwe zitha kubweretsa kufunikira kwa opaleshoniyi. Ena ndi awa:

• Matenda otupa (ulcerative colitis kapena matenda a Crohn). Ichi ndiye chifukwa chofala kwambiri cha opaleshoniyi.
• Colon kapena khansa ya m'matumbo
• Wodziwika bwino polyposis
• Zolepheretsa kubadwa zomwe zimakhudza matumbo anu
• Ngozi yomwe imawononga matumbo anu kapena vuto lina lam'mimba

Lankhulani ndi omwe amakupatsani zomwe zingachitike pachiwopsezo ndi zovuta.

Zowopsa za ochititsa dzanzi ndi opaleshoni yonse ndi izi:

• Zomwe zimachitika ndi mankhwala
• Mavuto opumira
• Kukhetsa magazi, magazi kuundana
• Matenda

Zowopsa za opaleshoniyi ndi izi:

• Kukhetsa magazi mkati mwa mimba yako
• Kuwonongeka kwa ziwalo zapafupi
• Kutaya madzi m'thupi (kusakhala ndi madzi okwanira mthupi lanu) ngati pali madzi ambiri ochokera ku ileostomy yanu
• Zovuta zotengera zakudya zofunikira kuchokera pachakudya
• Kutenga, kuphatikiza m'mapapu, kwamikodzo, kapena m'mimba
• Kuchira koyipa kwa bala mu perineum yanu (ngati rectum yanu idachotsedwa)
• Zilonda m'mimba mwanu zomwe zimayambitsa kutsekeka kwamatumbo ang'onoang'ono
• Kutsegula bala

Nthawi zonse muuzeni omwe akukuthandizani mankhwala omwe mukumwa, ngakhale mankhwala, zowonjezera, kapena zitsamba zomwe mwagula popanda mankhwala.

Musanachite opareshoni, lankhulani ndi omwe amakupatsani zinthu izi:

• Kukondana komanso kugonana
• Mimba
• Masewera
• Ntchito

Pakati pa masabata awiri musanachite opareshoni:

• Kutatsala milungu iwiri kuti achite opaleshoni, mwina mungafunsidwe kuti musiye kumwa mankhwala osokoneza bongo omwe amalepheretsa magazi anu kugundana. Izi ndi monga aspirin, ibuprofen (Advil, Motrin), Naprosyn (Aleve, Naproxen), ndi ena.
• Funsani omwe amakupatsani mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
• Ngati mumasuta, yesetsani kusiya. Funsani omwe akukuthandizani kuti akuthandizeni.
• Nthawi zonse muziwuza omwe akukuthandizani za chimfine, chimfine, malungo, herpes breakout, kapena matenda ena omwe mungakhale nawo musanachite opareshoni.

Dzulo lisanachitike opaleshoni yanu:

• Mutha kupemphedwa kuti muzimwa zakumwa zomveka bwino monga msuzi, madzi oyera, ndi madzi pambuyo pake.
• Wothandizira anu adzakuuzani nthawi yosiya kudya ndi kumwa.
• Wothandizira anu akhoza kukupemphani kuti mugwiritse ntchito mankhwala opangira mankhwala opatsirana pogonana kapena mankhwala otsegulitsa m'mimba kuti muchotse matumbo anu.

Patsiku la opareshoni yanu:

• Tengani mankhwala omwe munauzidwa kuti mumwe pang'ono.
• Mudzauzidwa nthawi yobwera kuchipatala.

Mudzakhala mchipatala masiku atatu mpaka 7. Muyenera kukhala nthawi yayitali ngati ileostomy yanu inali yadzidzidzi.

Mutha kuyamwa mazira oundana tsiku lomwelo ndi opaleshoni yanu kuti muchepetse ludzu lanu. Pofika tsiku lotsatira, mwina mudzaloledwa kumwa zakumwa zoonekeratu. Mudzawonjezera pang'onopang'ono madzi akumwa komanso zakudya zofewa ku zakudya zanu pamene matumbo anu ayambanso kugwira ntchito. Mutha kukhala mukudyanso masiku awiri mutachitidwa opaleshoni.

Anthu ambiri omwe ali ndi leostomy amatha kuchita zambiri zomwe anali kuchita asanawachitire opaleshoni. Izi zimaphatikizapo masewera ambiri, maulendo, kulima, kukwera mapiri, ndi zina zakunja, ndi mitundu yambiri ya ntchito.

Ngati muli ndi matenda osachiritsika, monga matenda a Crohn kapena ulcerative colitis, mungafunike chithandizo chamankhwala nthawi zonse.

Enterostomy

• Zakudya za Bland
• Matenda a Crohn - kutulutsa
• Ileostomy ndi mwana wanu
• Ileostomy ndi zakudya zanu
• Ileostomy - kusamalira stoma yanu
• Ileostomy - kusintha thumba lanu
• Ileostomy - kumaliseche
• Ileostomy - zomwe mungafunse dokotala wanu
• Kukhala ndi ileostomy yanu
• Zakudya zochepa
• Colectomy yathunthu kapena proctocolectomy - kutulutsa
• Mitundu ya ileostomy
• Anam`peza matenda am`matumbo - kumaliseche

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Colon ndi rectum. Mu: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 51.

Raza A, Araghizadeh F. Ileostomies, colostomies, zikwama, ndi anastomoses. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 11th ed. Philadelphia, PA: Elsevier; 2021: chaputala 117.

Reddy VB, Longo WE. Ileostomy. Mu: Yeo CJ, mkonzi. Opaleshoni ya Shackelford ya Alimentary Tract. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 84.