Ileostomy: ndi chiyani, ndi chiyani ndikusamalira

Zamkati

• Ndi chiyani
• Kusamalira ileostomy

Ileostomy ndi mtundu wamachitidwe omwe amalumikizirana pakati pa m'matumbo ang'ono ndi khoma lam'mimba kuti alole ndowe ndi mpweya kuti zichotsedwe pomwe sizingadutse m'matumbo akulu chifukwa cha matenda, kupita ku thumba lomwe limakwanira thupi.

Njirayi imachitika pambuyo pochitidwa opaleshoni m'thupi, makamaka ngati khansa m'matumbo, ulcerative colitis ndi matenda a Crohn, mwachitsanzo, ndipo amatha kukhala osakhalitsa kapena okhazikika, kukhala ofunikira nthawi zonse, kuti munthuyo ali ndi chisamaliro chofunikira popewa matenda akhungu ndi zotupa.

Ndi chiyani

Lileostomy imatumizanso kutuluka kwa m'matumbo ang'onoang'ono m'matumbo mukamasintha, kuwonetsedwa makamaka atachitidwa opaleshoni kuti athetse khansa m'matumbo kapena m'matumbo, ulcerative colitis, matenda a Crohn, diverticulitis kapena zotupa m'mimba. Chifukwa chake, ndowe ndi mpweya zimayikidwa m'thumba lakutolere lomwe limakwanira thupi ndikufunika kuti lisinthidwe pafupipafupi.

M'matumbo mumakhala mayamwidwe amadzi komanso zochita za tizilombo tomwe timakhala m'matumbo, zomwe zimasiya ndowezo ndizovuta komanso zolimba. Chifukwa chake, pankhani ya ileostomy, popeza palibe gawo lomwe limadutsa m'matumbo akulu, chimbudzi chimakhala chamadzi komanso chosakanika, chomwe chimatha kuyambitsa khungu.

Ileostomy ndi mtundu wa ostomy, womwe umafanana ndi njira yochitira opaleshoni yomwe cholinga chake ndi kulumikiza chiwalo ndi chilengedwe chakunja ndipo, pamenepa, m'matumbo ang'ono ndi khoma la m'mimba. Chifukwa cha njirayi, a stoma amapangidwa, omwe amafanana ndi tsamba la khungu komwe kulumikizana kunapangidwira, komwe kumatha kukhala kosatha, zikatsimikiziridwa kuti palibe kuthekera kosunga magwiridwe antchito amatumbo, kapena kwakanthawi, momwe imakhalabe mpaka matumbo atachira.

Kusamalira ileostomy

Chisamaliro chachikulu pambuyo pa leostomy chimakhudzana ndi thumba ndi stoma, kuti tipewe kutupa ndi matenda pamalopo. Chifukwa chake, ndikofunikira kuti thumba la ileostomy lisinthidwe pafupipafupi, makamaka ikafika 1/3 yamphamvu zake, kupewa kutuluka, ndipo zomwe zili mkatizi ziziponyedwa mchimbudzi ndi chikwama chotayidwa kuti chisatenge matenda. Komabe, matumba ena amatha kugwiritsidwanso ntchito, chifukwa chake ndikofunikira kuti munthuyo atsatire malangizo ophera tizilombo.

Pofuna kupewa kukwiya pakhungu chifukwa cha acidity ya ndowe, ndikofunikira kuti kutsegula kwa thumba ndikukula kwa stoma, kuteteza malowo omwe atulutsidwa kuti asakumane ndi khungu. Kuphatikiza apo, ngakhale palibe kulumikizana pakati pazomwe zatulutsidwa mchikwamacho ndi khungu, mutachotsa chikwamacho ndikofunikira kuyeretsa dera ndi stoma bwino, malinga ndi malangizo a namwino, youma khungu bwino ndikuyika linalo thumba.

Angathenso kuwonetsedwa ndi dokotala kuti azigwiritsa ntchito mankhwala opopera kapena mafuta oteteza, omwe amaletsa kukwiya pakhungu chifukwa cha zomwe zatulutsidwa mu ileostomy. Ndikofunikanso kuti munthuyo amwe madzi ambiri masana, chifukwa pamakhala chiopsezo chachikulu chakuchepa kwa madzi m'thupi, chifukwa ndowe ndizamadzi kwambiri ndipo palibe kubwezeretsanso madzi ndi thupi chifukwa chakuti ndowe sizimamwa madzi kudutsa m'matumbo akulu.

Onani zambiri pazakusamalira pambuyo pa ileostomy.