Kodi ndi chiyani komanso momwe mungasamalire thumba la colostomy

Zamkati

• Pamene colostomy ikusonyezedwa
• Momwe mungasamalire thumba la colostomy
• Kodi thumba liyenera kusinthidwa liti?
• Kodi ndizotetezeka kugwiritsa ntchito chikwamacho tsiku ndi tsiku?
• Momwe mungasamalire khungu mozungulira colostomy
• Zakudya zizikhala bwanji

Colostomy ndi mtundu wa ostomy womwe umakhala ndi kulumikizana kwa m'matumbo akulu molunjika kukhoma la pamimba, kulola kuti ndowe zizilowa m'thumba, pomwe matumbo sangathe kulumikizana ndi anus. Izi zimachitika pambuyo poti achite opaleshoni kuti athetse vuto la matumbo, monga khansa kapena diverticulitis, mwachitsanzo.

Ngakhale ma colostomies ambiri amakhala osakhalitsa, chifukwa nthawi zambiri amangogwiritsidwa ntchito kupulumutsa matumbo pambuyo pochitidwa opaleshoni, ena amatha kusungidwa mpaka kalekale, makamaka pakafunika kuchotsa gawo lalikulu kwambiri la m'matumbo, lomwe sililola kubwerera kulumikiza ku anus.

Pambuyo pa opareshoni ya colostomy, si zachilendo kuti malo pakhungu pomwe matumbo adalumikizidwa, otchedwa stoma, akhale ofiira kwambiri komanso otupa, popeza m'matumbo mwavulala, komabe, zizindikirazo zidzachepa sabata yoyamba ndi mankhwala zachitidwa ndi namwino.

Pamene colostomy ikusonyezedwa

Colostomy imawonetsedwa ndi dokotala pomwe kusintha m'matumbo akulu kumadziwika kuti ndowe sizingathetsedwe moyenera ndi anus. Chifukwa chake, colostomy imawonetsedwa mutatha kuchitidwa opaleshoni ya khansa ya m'matumbo, diverticulitis kapena matenda a Crohn.

Kutengera gawo la m'matumbo akulu omwe akhudzidwa, kukwera, kutsika kapena kutsika kwa colostomy kumatha kuchitidwa, komanso kumatha kukhala kwakanthawi kapena kotsimikizika, komwe gawo lamatumbo limachotsedwa kotheratu.

Momwe colostomy imachitikira m'matumbo akulu, ndowe zomwe zimatulutsidwa nthawi zambiri zimakhala zofewa kapena zolimba ndipo sizikhala ndi acidic ngati zomwe zimachitika mu ileostomy, momwe kulumikizana pakati pamatumbo ang'ono ndi khoma lam'mimba kumapangidwa. Dziwani zambiri za ileostomy.

Momwe mungasamalire thumba la colostomy

Kuti musinthe thumba la colostomy, ndibwino kuti:

1. Chotsani chikwama, kunyamuka pang'onopang'ono kuti musavulaze khungu. Ubwino wake ndikuyika madzi ofunda pang'ono m'derali kuti athandize kusenda mosavuta;
2. Sambani stoma ndi khungu loyandikana nalo ndi nsalu yoyera yofewa yothiridwa m'madzi ofunda. Sikoyenera kugwiritsa ntchito sopo, koma ngati mukufuna, mutha kugwiritsa ntchito sopo wosalowerera ndale, yemwe ayenera kuchotsedwa bwino ndi madzi oyera musanayike chikwama chatsopano;
3. Yanikani khungu mozungulira colostomy kulola chikwama chatsopano kumamatira pakhungu. Sitikulimbikitsidwa kugwiritsa ntchito kirimu kapena chinthu chilichonse pakhungu popanda malangizo a dokotala;
4. Dulani kabowo m'thumba latsopano, kukula kofanana ndi colostomy;
5. Matani thumba latsopano kubwerera kumalo oyenera.

Zomwe zili mchikwama chodetsedwacho ziyenera kuyikidwa mchimbudzi kenako chikwama chiwoneke mu zinyalala, chifukwa sichiyenera kugwiritsidwanso ntchito chifukwa choopsa chotenga matenda. Komabe, ngati thumba likugwiritsidwanso ntchito, malangizo a wopanga amayenera kutsatidwa kuti asambe bwino ndikuwonetsetsa kuti wataya mankhwala.

Palinso mitundu ina ya matumba a colostomy omwe ali ndi zidutswa ziwiri ndipo amathandizira kuchotsa ndowe, chifukwa chidutswa chomwe chimanyamula chikwama pakhungu nthawi zonse chimakhala chomata, pomwe chikwama chokhacho chimachotsedwa ndikuchotsedwa. Ngakhale zili choncho, chidutswa cholumikizidwa pakhungu chiyenera kusinthidwa masiku awiri kapena atatu alionse.

Kodi thumba liyenera kusinthidwa liti?

Chiwerengero cha chikwama chimayenera kusinthidwa chimasiyanasiyana malinga ndi momwe matumbo amagwirira ntchito, koma choyenera ndichakuti kusinthanaku kumachitika nthawi ili thumba la 2/3.

Kodi ndizotetezeka kugwiritsa ntchito chikwamacho tsiku ndi tsiku?

Thumba la colostomy litha kugwiritsidwa ntchito popanda vuto pazochitika zonse za tsiku ndi tsiku, ngakhale kusamba, kusambira padziwe kapena kulowa munyanja, popeza madzi samakhudza dongosolo. Komabe, zimangolimbikitsidwa kuti musinthe thumba musanalowe m'madzi pazifukwa zaukhondo.

Anthu ena sangakhale omasuka kugwiritsa ntchito chikwamacho nthawi zonse, chifukwa chake pali zinthu zazing'ono, zofananira ndi zivindikiro, zomwe zitha kuyikidwa mu colostomy komanso zomwe zimalepheretsa chopondapo kutuluka kwakanthawi. Komabe, ndikofunikira kudziwa bwino momwe matumbo amayendera kuti apewe kudzikundikira ndowe m'matumbo.

Momwe mungasamalire khungu mozungulira colostomy

Njira yabwino yopewera kuyabwa pakhungu mozungulira colostomy ndikudula kutseguka kwa chikwamacho mpaka kukula koyenera, chifukwa izi zimalepheretsa ndowe kuti zisakhudzane ndi khungu.

Komabe, zodzitetezera zina zomwe ziyeneranso kutengedwa ndikutsuka khungu bwino mutachotsa chikwamacho ndikuwonetsetsa, mothandizidwa ndi galasi, ngati pali zinyalala zilizonse pansi pa colostomy.

Ngati khungu limakwiya kwambiri pakapita nthawi, tikulimbikitsidwa kuti mufunsane ndi dermatologist kapena mukalankhule ndi dokotala woyang'anira kuti mugwiritse ntchito zotchinga zotchinga zomwe sizimateteza khungu kuti lisamamirire thumba.

Zakudya zizikhala bwanji

Munthu aliyense amachita mosiyana ndi chakudya, ndipo ndikofunikira kudziwa zakudya zomwe zimayambitsa zovuta monga kudzimbidwa, fungo lamphamvu ndi mpweya. Pachifukwa ichi, muyenera kuyesa zakudya zatsopano pang'ono, ndikuwona momwe zimakhalira pa colostomy.

Mwambiri, ndizotheka kukhala ndi chakudya chabwinobwino, koma wina ayenera kudziwa zakudya zina zomwe zitha kutulutsa mawonekedwe am'mimba, monga:

Zakudya zomwe zimayenera kudyedwa kuti zithetse fungo la ndowe ndi izi: karoti, chayote, sipinachi, chimanga, yogurt yosalala, curd yonse yopanda ma Whey, tiyi wothira parsley kapena tiyi wa udzu winawake, peel wa apulo, timbewu tonunkhira ndi tiyi wa gwava.

Kuphatikiza apo, ndikofunikira kukumbukira kuti kusadya komanso kusadya kwa nthawi yayitali sikungalepheretse kupanga mpweya, ndipo ndikofunikira kudya pafupipafupi kuti ntchito ya colostomy igwire bwino ntchito.