Chiwerengero cha proctocolectomy ndi ileostomy

Proctocolectomy yathunthu ndi ileostomy ndi opaleshoni yochotsa m'matumbo onse (matumbo akulu) ndi rectum.

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

Kwa proctocolectomy yanu:

• Dokotala wanu azidula opaleshoni m'mimba mwanu.
• Kenako dokotalayo adzachotsa matumbo anu akulu ndi thumbo.
• Dokotala wanu amathanso kuyang'ana ma lymph node ndipo amatha kuchotsa ena mwa iwo. Izi zimachitika ngati opaleshoni yanu ikuchitika kuti muchotse khansa.

Kenako, dotolo wanu amapanga leostomy:

• Dokotala wanu azidula pang'ono m'mimba mwanu. Nthawi zambiri izi zimapangidwa m'munsi kumanja kwa mimba yanu.
• Gawo lomaliza la matumbo anu ang'onoang'ono (ileum) limakokedwa kudzera pamalowo. Kenako amasokera pamimba panu.
• Kutsegula uku m'mimba mwako kopangidwa ndi ileamu yanu kumatchedwa stoma. Chopondapo chidzatuluka kutsegulaku ndikutenga thumba lotulutsa madzi lomwe mudzapachikidwe kwa inu.

Madokotala ena amagwiritsa ntchito kamera. Kuchita opareshoni kumachitika ndi mabala ochepera ochepera, ndipo nthawi zina kumachepetsa kwambiri kuti dokotalayo azitha kuthandizira ndi dzanja. Ubwino wa opaleshoniyi, womwe umatchedwa laparoscopy, umachira mwachangu, kupweteka pang'ono, ndikucheka pang'ono.

Proctocolectomy yathunthu ndi opareshoni ya ileostomy imachitika pamene mankhwala ena samathandiza mavuto m'matumbo anu akulu.

Amakonda kuchita izi mwa anthu omwe ali ndi matenda opatsirana. Izi zimaphatikizapo ulcerative colitis kapena matenda a Crohn.

Kuchita opaleshoniyi kumathanso kuchitidwa ngati muli ndi:

• Colon kapena khansa ya m'matumbo
• Wodziwika bwino polyposis
• Kutuluka magazi m'matumbo mwanu
• Zolepheretsa kubadwa zomwe zawononga matumbo anu
• Matenda kuwonongeka kwa ngozi kapena kuvulala

Chiwerengero cha proctocolectomy ndi ileostomy nthawi zambiri chimakhala chotetezeka. 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:

• Kuwonongeka kwa ziwalo zapafupi m'thupi komanso m'mitsempha ya m'chiuno
• Kutenga, kuphatikiza m'mapapu, kwamikodzo, ndi m'mimba
• Minofu yotupa imatha kupangika m'mimba mwanu ndikupangitsa kutsekeka kwamatumbo ang'ono
• Chilonda chako chitha kutseguka kapena kuchira bwino
• Kutenga zakudya m'thupi moperewera
• Phantom rectum, kumverera kuti rectum yako idakalipo (yofanana ndi anthu omwe adadulidwa mwendo)

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.

Lankhulani ndi omwe amakupatsani zinthu izi musanachite opareshoni:

• Kukondana komanso kugonana
• Masewera
• Ntchito
• Mimba

Pakati pa masabata awiri musanachite opareshoni:

• Mutha kufunsidwa kuti musiye kumwa mankhwala omwe amalepheretsa magazi anu kuphimba. Izi ndi monga aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), Naprosyn (Aleve, Naproxen), ndi ena.
• Ngati mumasuta, yesetsani kusiya. Funsani omwe akukuthandizani kuti akuthandizeni.
• Nthawi zonse muuzeni omwe amakupatsani ngati muli ndi chimfine, malungo, malungo, kapena matenda ena 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. Wothandizira anu adzakupatsani malangizo a izi.

Patsiku la opareshoni yanu:

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

Mudzakhala mchipatala masiku atatu mpaka 7. Muyenera kukhala nthawi yayitali ngati munachitidwa opaleshoniyi chifukwa chadzidzidzi.

Mutha kupatsidwa ma ice chips kuti muchepetse ludzu lanu tsiku lomwelo ndi opaleshoni yanu. Pofika tsiku lotsatira, mwina mudzaloledwa kumwa zakumwa zoonekeratu. Mutha kuwonjezera madzi akumwa pang'onopang'ono kenako zakudya zofewa ku zakudya zanu pamene matumbo anu ayambanso kugwira ntchito. Mutha kukhala mukudya zakudya zofewa masiku awiri mutachitidwa opaleshoni.

Mukakhala mchipatala, muphunzira momwe mungasamalire ileostomy yanu.

Mudzakhala ndi chikwama cha ileostomy chomwe chakukonzerani. Ngalande mu thumba lanu nthawi zonse. Muyenera kuvala chikwama nthawi zonse.

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

Mungafunike chithandizo chamankhwala nthawi zonse ngati muli ndi matenda osachiritsika, monga:

• Matenda a Crohn
• Zilonda zam'mimba

• Chitetezo cha bafa cha akulu
• 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
• Kupewa kugwa
• Colectomy yathunthu kapena proctocolectomy - kutulutsa
• Mitundu ya ileostomy
• Mukakhala ndi nseru ndi kusanza

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.