Chiwerengero cha proctocolectomy ndi ileal-anal thumba

Opaleshoni ya thumba la proctocolectomy ndi leal-anal ndikutulutsa m'matumbo akulu komanso rectum yambiri. Kuchita opaleshoniyo kumachitika gawo limodzi kapena awiri.

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

Mutha kukhala ndi njirayi gawo limodzi kapena awiri:

• Dokotala wanu adzadula m'mimba mwanu. Kenako dokotalayo adzachotsa matumbo anu akulu.
• Kenako, dotolo wanu akuchotsani kachilomboka. Anus wanu ndi anal sphincter zidzasiyidwa m'malo. The anal sphincter ndi minofu yomwe imatsegula anus yanu mukamayenda.
• Kenako dokotalayo adzapanga thumba kuchokera m'masentimita 30 omaliza am'matumbo anu ang'ono. Chikwamachi chasokedwa kumtunda kwanu.

Madokotala ena amagwiritsa ntchito kamera. Kuchita opaleshoniyi kumatchedwa laparoscopy. Zimachitika ndi mabala ochepa opangira opaleshoni. Nthawi zina zimadulidwa kuti dotolo azitha kuthandizira ndi dzanja. Ubwino wa opaleshoniyi ndikumachira mwachangu, kupweteka pang'ono, ndikucheka pang'ono.

Ngati muli ndi ileostomy, dokotalayo amatseka pakumaliza kwa opareshoniyo.

Izi zitha kuchitika:

• Zilonda zam'mimba
• Wodziwika bwino polyposis

Zowopsa za ochititsa dzanzi ndi opaleshoni yonse ndi izi:

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

Zowopsa zochitidwa opaleshonizi ndi monga:

• Minyewa yotupa kudzera pakadulidwe, yotchedwa nthenda yotupa
• Kuwonongeka kwa ziwalo zapafupi m'thupi ndi mitsempha m'chiuno
• Minofu yotupa yomwe imapanga m'mimba ndikupangitsa kutsekeka kwamatumbo ang'ono
• Malo omwe matumbo aang'ono amasokonekera ku anus (anastomosis) atha kutseguka, ndikupangitsa matenda kapena chotupa, zomwe zitha kupha moyo
• Kutsegula bala
• Matenda opweteka

Nthawi zonse uzani wothandizira zaumoyo wanu mankhwala omwe mukumwa, ngakhale mankhwala, zowonjezera, kapena zitsamba zomwe mwagula popanda mankhwala.

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:

• Mutha kupemphedwa kuti muzimwa zakumwa zomveka bwino, monga msuzi, madzi oyera, ndi madzi pakapita nthawi.
• Tsatirani malangizo omwe mwapatsidwa okhudza nthawi yosiya kudya ndi kumwa.
• Mungafunike kugwiritsa ntchito enema kapena mankhwala otsegulitsa m'mimba kuti muchotse matumbo anu. Wopezayo amakupatsani malangizo amomwe mungagwiritsire ntchito.

Patsiku la opareshoni yanu:

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

Mudzakhala mchipatala masiku atatu mpaka 7. Patsiku lachiwiri, mudzatha kumwa zakumwa zomveka bwino. Mutha kuwonjezera madzi akumwa kenako zakudya zofewa pazakudya zanu pamene matumbo anu ayambanso kugwira ntchito.

Mukakhala mchipatala gawo loyamba la opareshoni, muphunzira momwe mungasamalire ileostomy yanu.

Mutha kukhala ndi matumbo 4 mpaka 8 patsiku pambuyo pa opaleshoniyi. Muyenera kusintha moyo wanu kuti muchite izi.

Anthu ambiri 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.

Kubwezeretsa proctocolectomy; Kuchita bwino; Thumba lachikopa; J-thumba; S-thumba; Thumba la pelvic; Thumba lachikopa; Ileal thumba-kumatako anastomosis; IPAA; Opaleshoni yamadzi osungira

• 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 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.