Colectomy yonse yam'mimba

Colectomy wathunthu wam'mimba ndikutulutsa matumbo akulu kuchokera kutsika kwa m'matumbo (ileum) kupita kumtunda. Akachotsedwa, kumapeto kwa matumbo ang'onoang'ono kumasokerera kumtunda.

Mudzalandira mankhwala oletsa ululu musanachite opaleshoni. Izi zidzakupangitsani kugona ndi kumva ululu.

Pa opaleshoni:

• Dokotala wanu adzadula m'mimba mwanu.
• Dokotalayo adzachotsa matumbo anu akulu. Rectum wanu ndi anus zidzasiyidwa m'malo.
• Dokotala wanu amasoka kumapeto kwa matumbo anu ang'onoang'ono ku rectum yanu.

Masiku ano, madokotala ena opaleshoni amachita izi pogwiritsa ntchito kamera. Kuchita opaleshoniyi kumachitika ndi mabala ocheperako ochepa, ndipo nthawi zina amadulidwa okulirapo kuti opaleshoniyi athandizire. Ubwino wa opaleshoniyi, womwe umatchedwa laparoscopy, umachira mwachangu, kupweteka pang'ono, ndikucheka pang'ono.

Njirayi yachitika kwa anthu omwe ali ndi:

• Matenda a Crohn omwe sanafalikire ku rectum kapena anus
• Ena khansa ya m'matumbo zotupa, pomwe thumbo silikukhudzidwa
• Kudzimbidwa kwakukulu, kotchedwa colonic inertia

Colectomy m'mimba yonse nthawi zambiri imakhala yotetezeka. Kuopsa kwanu kumadalira thanzi lanu lonse. Funsani wothandizira zaumoyo wanu za izi.

Zowopsa za ochititsa dzanzi ndi opaleshoni yonse ndi izi:

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

Zowopsa zochitidwa opaleshoniyi ndi izi:

• Kukhetsa magazi mkati mwa mimba yako.
• Kuwonongeka kwa ziwalo zapafupi m'thupi.
• Minofu yotupa imatha kupangika m'mimba ndikupangitsa kutsekeka kwamatumbo ang'ono.
• Kutayikira kwa chopondapo kuchokera kulumikizana kwamatumbo ang'onoang'ono ndi rectum. Izi zitha kuyambitsa matenda kapena chotupa.
• Kukula kwa kulumikizana pakati pamatumbo ang'ono ndi rectum. Izi zitha kuyambitsa kutsekeka kwamatumbo.
• Kutsegula bala.
• Matenda opweteka.

Nthawi zonse muuzeni omwe akukuthandizani mankhwala omwe mukumwa, ngakhale mankhwala, zowonjezera, kapena zitsamba zomwe mwagula popanda mankhwala. Funsani mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.

Musanachite opaleshoni, lankhulani ndi omwe amakupatsani zinthu izi:

• Kukondana komanso kugonana
• Mimba
• Masewera
• Ntchito

Pakati pa masabata awiri musanachite opareshoni:

• Milungu iwiri musanachite opareshoni, mutha kupemphedwa kuti musiye kumwa mankhwala omwe amalepheretsa magazi anu kuphimba. Izi ndi monga aspirin, ibuprofen (Advil, Motrin), Naprosyn (Aleve, Naproxen), ndi ena.
• Funsani 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, kuphulika kwa herpes, kapena matenda ena omwe mungakhale nawo musanachite opareshoni.

Dzulo lisanachitike opaleshoni yanu:

• Tsatirani malangizo a omwe amakupatsani omwe amadya ndi kumwa. Mutha kupemphedwa kumwa zakumwa zomveka bwino, monga msuzi, madzi oyera, ndi madzi nthawi ina masana.
• Udzadziwitsidwa nthawi yosiya kudya ndi kumwa. Mutha kufunsidwa kuti musiye kudya chakudya chotafuna pakati pausiku, koma mutha kukhala ndi zakumwa zomveka bwino mpaka maola awiri musanachite opareshoni.
• Wothandizira anu akhoza kukupemphani kuti mugwiritse ntchito mankhwala opangira mankhwala opatsirana pogonana kapena mankhwala otsegulitsa m'mimba kuti muchotse matumbo anu. Mupeza malangizo amomwe mungagwiritsire ntchito.

Patsiku la opareshoni yanu:

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

Mudzakhala mchipatala masiku atatu mpaka 7. Pofika tsiku lachiwiri, mudzatha kumwa zakumwa zomveka bwino. Mutha kuwonjezera madzi akumwa pang'onopang'ono kenako zakudya zofewa ku zakudya zanu pamene matumbo anu ayambanso kugwira ntchito.

Pambuyo pa njirayi, mutha kuyembekezera kukhala ndi matumbo 4 mpaka 6 patsiku. Mungafunike kuchitidwa opareshoni yambiri ndi ileostomy ngati muli ndi matenda a Crohn ndipo imafalikira ku rectum yanu.

Anthu ambiri omwe achita opaleshoniyi amachira kwathunthu. Amatha kuchita zambiri zomwe anali kuchita asanachite opareshoni. Izi zimaphatikizapo masewera ambiri, maulendo, kulima, kukwera mapiri, ndi zina zakunja, ndi mitundu yambiri ya ntchito.

Ioreorectal anastomosis; Colectomy yochuluka

• Zakudya za Bland
• 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 NM, 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.