Kodi Ileostomy Ndi Chiyani?

Zamkati

• Zifukwa zokhala ndi ileostomy
• Kukonzekera ileostomy
• Ndondomeko
• Kuchira kuchokera ku ileostomy
• Kuopsa kwa ileostomy
• Kuwona kwakanthawi

Ileostomy

Lileostomy ndikutsegulidwa kwa opaleshoni komwe kumalumikiza ileamu yanu kumpanda wamimba. Ileamu ndiyo kumapeto kwenikweni kwa m'mimba mwanu. Kudzera potseguka kwa khoma m'mimba, kapena stoma, m'mimba mwake mumalumikizidwa. Mutha kupatsidwa thumba lomwe mudzaveke kunja. Chikwama ichi chimasonkhanitsa chakudya chanu chonse chopukutidwa.

Njirayi imachitika ngati rectum kapena colon yanu singagwire bwino ntchito.

Ngati ileostomy yanu ndi yakanthawi kochepa, matumbo anu adzalumikizidwanso mkati mwathupi lanu mukachira.

Kuti mukhale ndi ileostomy yosatha, dokotalayo amachotsa kapena kupyola rectum, colon, ndi anus. Poterepa, mudzakhala ndi chikwama chomwe chimasonkhanitsiratu zinyalala zanu. Zitha kukhala zamkati kapena zakunja.

Zifukwa zokhala ndi ileostomy

Ngati muli ndi vuto lalikulu la m'matumbo lomwe silingachiritsidwe ndi mankhwala, mungafunike ileostomy. Chimodzi mwa zifukwa zomwe zimayambitsa leostomy ndi matenda opatsirana am'mimba (IBD). Mitundu iwiri yamatenda otupa ndi matenda a Crohn's and ulcerative colitis.

Matenda a Crohn atha kuphatikizira gawo lililonse lam'mimba, kuyambira mkamwa mpaka kumatako, kuchititsa kutupa kwa zingwe ndi zilonda komanso zipsera.

Ulcerative colitis imakhalanso ndi kutupa, zilonda, ndi zipsera koma imakhudza matumbo akulu ndi thumbo.

Anthu omwe ali ndi IBD nthawi zambiri amapeza magazi ndi ntchofu m'mipando yawo, ndikuchepetsa thupi, kusadya bwino, komanso kupweteka m'mimba.

Mavuto ena omwe angafune ileostomy ndi awa:

• khansa yam'mimba kapena yamatumbo
• chikhalidwe chotengera banja chotchedwa polyposis, momwe ma polyps amapangira m'matumbo omwe angayambitse khansa
• zopindika m'mimba
• kuvulala kapena ngozi zomwe zimakhudza matumbo
• Matenda a Hirschsprung

Kukonzekera ileostomy

Kupeza ileostomy kumabweretsa zosintha zambiri m'moyo wanu. Komabe, mudzaphunzitsidwa zomwe zithandizira kuti kusinthaku kukhale kosavuta. Mutha kuyankhulana ndi adotolo momwe izi zingakhudzire:

• moyo wogonana
• ntchito
• zochitika zolimbitsa thupi
• Mimba zamtsogolo

Onetsetsani kuti dokotala akudziwa mankhwala owonjezera, mankhwala, ndi zitsamba zomwe mukumwa. Mankhwala ambiri amakhudza momwe matumbo amagwirira ntchito pochepetsa. Izi zimagwiranso ntchito pakauntala komanso mankhwala akuchipatala. Dokotala wanu angakuuzeni kuti musiye kumwa mankhwala milungu iwiri musanachite opaleshoni. Uzani dokotala wanu za zomwe muli nazo, monga:

• chimfine
• chimfine
• kuphulika kwa nsungu
• malungo

Kusuta ndudu kumapangitsa kuti thupi lanu lizichira pambuyo pochitidwa opaleshoni. Ngati mumasuta, yesetsani kusiya.

Imwani madzi ambiri ndikukhala ndi thanzi labwino m'masabata omwe akutsogolera opaleshoni yanu.

Tsatirani malangizo a dokotala wanu okhudzana ndi zakudya m'masiku asanachitike opareshoni. Nthawi ina, akhoza kukulangizani kuti musinthe zakumwa zokha. Mudzalangizidwa kuti musadye chilichonse, kuphatikiza madzi, pafupifupi maola 12 musanachite opareshoni.

Dokotala wanu amathanso kukupatsani mankhwala ofewetsa tuvi tolimba kapena mankhwala otulutsira m'mimba.

Ndondomeko

Ileostomy imachitika mchipatala pansi pa anesthesia wamba.

Mukakomoka, dokotalayo angadule midline yanu kapena kuchita laparoscopic pogwiritsa ntchito zocheperako komanso zida zoyatsa. Mudzadziwa musanachite opareshoni njira yomwe ikulimbikitsidwa matenda anu. Malingana ndi momwe mulili, dokotalayo angafunike kuchotsa rectum ndi colon.

Pali mitundu ingapo yama ileostomies okhazikika.

Pa leostomy yokhazikika, dokotalayo amapanga pang'ono pokha pomwe ndi tsamba la ileostomy yanu. Adzakoka chingwe cha leamu yanu kudzera mu chekecha. Gawo ili la matumbo anu limatembenukira mkati, kuwonetsa mkati. Ndi yofewa komanso yapinki, ngati mkati mwa tsaya. Gawo lomwe limatuluka limatchedwa stoma. Itha kupita mpaka mainchesi awiri.

Anthu omwe ali ndi leostomy yamtunduwu, yotchedwanso Brooke ileostomy, sangakhale ndi nthawi yowonera zinyalala zawo zikulowa mchikwama chapulasitiki chakunja.

Mtundu wina wa ileostomy ndi kontinentiyo, kapena Kock, ileostomy. Dokotala wanu amagwiritsa ntchito gawo la m'matumbo anu kuti apange chikwama chamkati chokhala ndi stoma yakunja yomwe imakhala ngati valavu. Izi ndizolumikizidwa kukhoma la m'mimba mwanu. Nthawi zingapo patsiku mumayika chubu losunthika kudzera mu stoma ndikulowa m'thumba. Mumatulutsa zinyalala zanu kudzera mu chubu ichi.

Ubwino wa Kock ileostomy ndikuti palibe thumba lakunja ndipo mutha kuwongolera mukamatulutsa zinyalala zanu. Njirayi imadziwika kuti k-thumba. Nthawi zambiri imakhala njira yokomera ileostomy chifukwa imathetsa kufunikira kwa thumba lakunja.

Njira yosiyana, yotchedwa J-poch ndondomeko, ikhoza kuchitidwa ngati mutachotsa colon yanu yonse ndi rectum. Pochita izi, adotolo amapanga thumba lamkati kuchokera ku ileamu yomwe imalumikizidwa ndi ngalande ya anal, yomwe imakupatsani mwayi woti mutulutse zinyalala zanu mosadukiza.

Kuchira kuchokera ku ileostomy

Muyenera kukhala mchipatala kwa masiku osachepera atatu.Si zachilendo kukhala m'chipatala kwa sabata limodzi kapena kupitilira apo, makamaka ngati ileostomy yanu idachitika mwadzidzidzi.

Zakudya zanu ndi madzi anu zidzakhala zochepa kwakanthawi. Patsiku la opareshoni yanu, mutha kungopeza ma ice chips. Zamadzimadzi omveka mwina aziloledwa tsiku lachiwiri. Pang'onopang'ono, mudzatha kudya zakudya zolimba pamene matumbo anu asintha kusintha.

Kumayambiriro koyambirira atachitidwa opaleshoni, mutha kukhala ndi mpweya wambiri wamatumbo. Izi zidzatsika m'matumbo mwanu. Anthu ena apeza kuti kugaya chakudya chaching'ono mpaka chachinayi patsiku ndikwabwino kuposa chakudya chachikulu katatu. Dokotala wanu angakuuzeni kuti mupewe zakudya zina kwakanthawi.

Mukamachira, kaya muli ndi thumba lamkati kapena lakunja, mudzayamba kuphunzira momwe mungayang'anire thumba lomwe lidzatolere zinyalala zanu. Muphunziranso kusamalira stoma yanu ndi khungu lozungulira. Mavitamini omwe amatuluka mu ileostomy yanu amatha kukwiyitsa khungu lanu. Muyenera kusunga dera la stoma loyera komanso louma.

Ngati muli ndi ileostomy, mungaone kuti muyenera kusintha kwambiri moyo wanu. Anthu ena amafuna thandizo ku gulu lothandizira ostomy. Kukumana ndi anthu ena omwe asintha moyo wawo atachitidwa opaleshoni iyi ndipo atha kubwerera kuntchito zawo zanthawi zonse kumatha kuchepetsa nkhawa zomwe muli nazo.

Muthanso kupeza anamwino omwe amaphunzitsidwa mwapadera kuyang'anira ileostomy. Awonetsetsa kuti mumakhala ndi moyo wabwino ndi ileostomy yanu.

Kuopsa kwa ileostomy

Opaleshoni iliyonse imabweretsa zoopsa. Izi zikuphatikiza:

• matenda
• magazi magazi
• magazi
• matenda amtima
• sitiroko
• kuvuta kupuma

Zowopsa zomwe zimafotokozedwa ndi ma ileostomies ndi monga:

• kuwonongeka kwa ziwalo zozungulira
• kutuluka magazi mkati
• kulephera kuyamwa michere yokwanira mchakudya
• kwamikodzo, m'mimba, kapena m'mapapo matenda
• kutsekeka m'mimba chifukwa chofufumitsa
• zilonda zomwe zimatseguka kapena zimatenga nthawi yayitali kuti zipole

Mutha kukhala ndi vuto ndi stoma yanu. Ngati khungu lozungulira limakwiya kapena lonyowa, mudzakhala wovuta kupeza chisindikizo ndi thumba lanu la ostomy. Izi zitha kubweretsa kutayikira. Dokotala wanu amatha kukupatsani mankhwala opopera kapena ufa kuti muchiritse khungu lomwe lakwiya.

Anthu ena amanyamula chikwama chawo chakunja ndi lamba. Ngati muvala lamba mwamphamvu, zimatha kubweretsa zilonda zam'mimba.

Mudzakhala ndi nthawi zomwe palibe kutulutsa kumabwera kudzera mu stoma yanu. Komabe, ngati izi zikupitilira kwa maola opitilira anayi kapena asanu ndi limodzi ndipo mukumva nseru kapena kukokana, itanani dokotala wanu. Mutha kukhala ndi kutsekeka kwamatumbo.

Anthu omwe adakhala ndi ileostomies amathanso kupeza kusalinganika kwama electrolyte. Izi zimachitika mukakhala kuti mulibe zinthu zofunika magazi anu, makamaka sodium ndi potaziyamu. Izi zimawonjezeka ngati mungataye madzi ambiri kudzera kusanza, thukuta, kapena kutsegula m'mimba. Onetsetsani kuti mwadzaza madzi, potaziyamu, ndi sodium.

Kuwona kwakanthawi

Mukaphunzira kusamalira njira yanu yatsopano yochotsera, mudzatha kutenga nawo mbali pazambiri zomwe mumachita pafupipafupi. Anthu omwe ali ndi ileostomies:

• kusambira
• kukwera
• sewera masewera
• idyani m'malesitilanti
• msasa
• kuyenda
• amagwira ntchito zambiri

Kukweza kwambiri kumatha kukhala vuto chifukwa kumatha kukulitsa ileostomy yanu. Lankhulani ndi dokotala ngati ntchito yanu ikufuna kukweza kwambiri.

Kukhala ndi ileostomy nthawi zambiri sikusokoneza zochitika zogonana kapena kuthekera kokhala ndi ana. Zitha kufuna kuti muphunzitse anzanu omwe simugonana nawo, omwe mwina sadziwa ma ileostomies. Muyenera kukambirana za ostomy ndi mnzanu musanapite patsogolo.