Kodi chophukacho chimakhala chiyani?

Zamkati

• Kodi chophukacho chimakhala chiyani?
• Zizindikiro zake ndi ziti?
• Zimayambitsa chiyani?
• Ndani amalandira ziwalo zaparastomal hernias?
• Kodi imakonzedwa bwanji?
• Kodi pali zovuta zina?
• Kukhala ndi vuto lodziwika bwino

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kodi chophukacho chimakhala chiyani?

Matenda opatsirana am'mimba amachitika m'matumbo mwanu mukadutsa stoma. Stoma ndi kutsegula kotseguka m'mimba mwanu, matumbo ang'onoang'ono, kapena m'matumbo omwe amakulolani kuti mulowetse zinyalala m'thumba. Izi nthawi zina zimafunikira pamene odwala ali ndi vuto la m'mimba lomwe limawalepheretsa kukhala ndi matumbo abwinobwino.

Mpaka 78 peresenti ya anthu amakhala ndi chotupa chotupa pambuyo poti achite opaleshoni kuti apange stoma, nthawi zambiri mkati mwa zaka ziwiri kuchitidwa opaleshoni.

Zizindikiro zake ndi ziti?

Matenda a parastomal hernias nthawi zambiri amakula ndikukula pang'onopang'ono. Pakukula, mutha kuzindikira:

• kupweteka kapena kusapeza bwino pofika ku stoma
• kuvuta kusunga chida chanu cha stoma m'malo mwake
• kuthamangira mozungulira stoma yanu, makamaka mukamatsokomola

Zimayambitsa chiyani?

Kukhala ndi stoma nthawi zina kumafooketsa minofu yanu yam'mimba, kuwapangitsa kuti atuluke ku stoma. Izi zitha kubweretsa matenda opatsirana. Zinthu zina zingapo zitha kupangitsa kuti pakhale chophukacho, kuphatikizapo:

• kusowa kwa zakudya m'thupi
• kusuta
• kutsokomola kosatha
• kudzimbidwa kosalekeza
• ntchito corticosteroid
• matenda atatha opaleshoni ya stoma
• kunenepa kwambiri

Ndani amalandira ziwalo zaparastomal hernias?

Anthu ena ali ndi chiopsezo chachikulu chotenga matenda opatsirana pogonana. Zomwe zimayambitsa ngozi ndizo:

• ukalamba
• kunenepa kwambiri, makamaka ngati mumakhala wonenepa m'chiuno, m'mimba, kapena m'chiuno
• khansa
• matenda ashuga
• kuthamanga kwa magazi
• matenda opuma

Kuwopsa kwanu kumawonjezeranso ngati mudakhalapo ndi chotupa cham'mimba cham'mimba.

Kodi imakonzedwa bwanji?

Nthawi zambiri, ma hernias opatsirana amatha kuchiritsidwa ndi kusintha kwa moyo, monga kuonda kapena kusiya kusuta. Kuvala lamba wothandizira m'mimba, monga chonchi, kungathandizenso kuchepetsa zizindikilo.

Komabe, za hernias za parastomal ndizovuta kwambiri moti zimafunikira kukonza maopareshoni.

Pali njira zingapo zokonzera opaleshoni ya chophukacho, kuphatikizapo:

• Kutseka stoma. Iyi ndiye njira yabwino kwambiri yokonzera chophukacho. Ndi njira yokhayo pagulu laling'ono la anthu omwe ali ndi matumbo okwanira okwanira kuti agwirizanenso ndi mathero omwe amapanga stoma.
• Kukonza chophukacho. Pochita opaleshoni yotereyi, dokotalayo amatsegula khoma la m'mimba pamwamba pa chophukacho ndikusoka minofu ndi ziwalo zina palimodzi kuti muchepetse kapena kutseka chophukacho. Kuchita opaleshoniyi kumayenda bwino kwambiri ngati chophukacho chili chochepa.
• Kusamutsa stoma. Nthawi zina, stoma yokhala ndi matenda opatsirana pogonana imatha kutsekedwa ndipo stoma yatsopano imatha kutsegulidwa gawo lina la pamimba. Komabe, chophukacho chatsopano chitha kupangidwa mozungulira stoma yatsopano.
• Thumba. Kuyika ma tesh pakadali pano ndi njira yofala kwambiri yokonza ma hernia. Kugwiritsa ntchito thumba lopangira kapena lachilengedwe lingagwiritsidwe ntchito. Thumba lachilengedwe nthawi zambiri limakhala labwino, koma limakhala lokwera mtengo kwambiri. Pakukonzanso kotere, chophukacho chimakonzedwa pogwiritsa ntchito njira zomwezo maopaleshoni ena. Kenako, mauna amaikidwa mwina pamwamba pa stoma wokonzedwa kapena pansi pa khoma la m'mimba. Potsirizira pake, maunawo amaphatikizidwa ndi minofu yozungulira. Izi zimapanga malo olimba m'mimba ndipo zimathandiza kuti chophukacho chisapangidwenso.

Kodi pali zovuta zina?

Nthawi zina, matumbo amatha kutsekeka kapena kupindika mu chophukacho. Izi zimatchinga matumbo ndipo zimatha kubweretsa kuchepa kwa magazi. Izi zimadziwika ngati kupotokola, zomwe ndizopweteka kwambiri. Kukhazikika kumafuna kuchitidwa opaleshoni mwadzidzidzi kuti amasule m'matumbo ndikubwezeretsanso magazi, kuti gawo lomwe laletsedwa m'matumbo lisawonongeke kwamuyaya.

Kukhala ndi vuto lodziwika bwino

Matenda a Parastomal hernias ndimavuto ofala a colostomies ndi ileostomies. Nthawi zambiri, amakhala opanda ziwalo kapena amangoyambitsa mavuto pang'ono ndipo amatha kuyendetsedwa bwino ndikusintha kwa moyo wawo. Nthawi yomwe opaleshoni imafunika, kukonza hernia ndi chithandizo cha mesh ndiye mankhwala othandiza kwambiri.