Iko Kune Zvimwe Zvimwe Kufananidza Uye Kusiyana Iwe Unofanira Kuziva
"Wakavhiya rudzi rwei iwe kuruboshwe rwako?" "Kana iwe usisina colon zvakare, unoita sei?" Vanhu vane chirwere chinoputira chirwere (IBD) uye avo vakambovhiyiwa vanogona kunzwa mubvunzo uyu, kana wakafanana, kubva kune vashandi vehutano kana vamwe. Kune avo vasingatauri mumatambudziko emimba, kusiyana pakati pezvimwe zvemhando dzekuvhiyiwa kwakaitwa kweBD kunogona kunge isina kugadzikana.
Zvakakosha kuti uwane kukwanisa kutsanangura kusiyana kwezvipayenzi izvi kune avo vasingazivi, nokuti havasi vose vanonzwisisa kuti ostomy chii, kana kuti j-pouch chii, uye kusiyana kunokosha.
Ita zvakanyanyisa: yeoostomy (kana chero chero ipi zvayo) inoreva kuti kune chikwama chakapfekedzwa kunze kwemuviri kutora tsvina. Ne j-pouch , chigaro chinosungirwa muhomwe iyo yakaitwa mukati (yakagadzirwa kubva pamucheche muduku ), uye yakabvisa "kazhinji," kuburikidza ne anus .
Ndazviwana? Aihwa? Ngatitikei kune zvimwe zvakananga pamusoro pekusiyana pakati pemhando mbiri idzi dzekuvhiya.
Ostomy Surgery
Kuvhiyiwa kweputi kunogona kuitwa nekuda kwezvikonzero zvakasiyana-siyana, kusanganisira sekurapa kwechirwere chepachirwere kana chirwere cheCrohn (maviri maitiro makuru eBD).
Colostomy Surgery. Mukuvhiya kwechirasi , chikamu chekoloni chinobviswa, uye stoma inogadzirwa. A stoma inenge apo chikamu chemukati chacho chichidururwa kuburikidza nemadziro emuviri kuti zvive nekuzarura umo chigaro chinobva mumuviri.
Chechi chikamu chiduku chemukati chaicho chiri kunze kwemuviri. Iyo stoma haina mitsipa yekuguma, saka hainzwi inorwadza. Chigadzirwa chemaostomy chakapfekedzwa pamusoro pe stoma kuti chibate chigaro, uye chigadzirwa chacho chinodururwa muimba yega yega nenguva, kana zvichidiwa. Izvo zvinokonzerwa (izvo chigaro chinouya kubva mu stoma chinonzi) chinogona kunge chisina kusimba kupfuura kufamba kwechikwata kuburikidza nehutoni hutendere.
Ileostomy Surgery. Muvhipia ileostomy, yose yemukati huru (colon) inobviswa, uye stoma inogadzirwa kubva pamucheche muduku. Kungofanana ne-colostomy, chigadzirwa chekunze chakapfekedzwa pamusoro pe stoma kuti itore chigaro sezvo ichibva mumuviri. Iyo mbiru inodururirwa muimba yega kana zvichidiwa. Mhedzisiro inowanzova mvura yakawanda kupfuura yakabuda kubva ku colostomy.
Vanhu vane chirwere chinonzi ostomy vanorarama hupenyu huzere. Izvi zvinonyanya kukosha nokuti chirwere chemaostomy chaiwanzoitwa kuitira kubata chirwere chakaipa, chinogona kukanganisa (zvakadai seBD). Mafunguro emagetsi ikozvino akaoma zvikuru, uye zvinhu zvakasiyana-siyana zvinowanikwa kuti zvibatsire nezvinetso zvekugara ne stoma.
J-Pouch Surgery
Kuvhiya kwej-pouch (inowanzozivikanwa nezita rokuti leal pouch-anal anastomosis, kana IPAA) inotanga yakafanana neyakagadzirirwa neoostomy: hutumbu hukuru hubviswa. Zvisinei, panewo chimwe chikamu chekuvhiya uku, uko chikamu chekupedzisira chemukati mudumbu (chinonzi terminal terminal) chinoshandiswa kugadzira "chiduku" chiduku. Chikwama chinowanzoumbwa se "J," asi mamwe maumbirwo akashandiswa, kusanganisira "S" uye "W." Ichi chikwata chiri mukati memuviri, saka pakupera kwekuvhiyiwa, hapana stoma inokosha.
Kuvhiyiwa kwose kunowanzoitwa mumatanho, uye vanhu vazhinji vane leostomy yenguva duku kwepanguva mukati mekuvhiya. Izvi zvinononoka pakati pekuvhiya kunoita mukati mehomwe yakagadzirwa kubva kumuduku wekati mumukomana kuti apore. Apo chiremba uye chiremba vakagadzirira, ileostomy inoshandurwa, stoma inobviswa, uye chikwama chitsva chinowanikwa kune anus (kana kuti rectum , kana yasara panzvimbo). Izvi zvinowanzoitwa chete kune IBD varwere vane ulcerative colitis, asi pane zvimwe zvisiri izvo .
Chikonzero Nei Kusiyana Kunokosha
Kunyange zvazvo aya ari mamwe maitiro akakura pamusoro pekuvhiya kweOstomy uye IPAA, zvakakosha kuyeuka kuti haisi mhando dzose dzekuvhiya kwemafupa yeBD dzichakwanisa kusvika kune imwe yezvikamu zvakanaka.
Zvisinei, kuziva zvipikano zvakakura zvinogona kubatsira kana uchiita zvisarudzo pamusoro pekuvhiya, uye zvinogonawo kudzidzisa kana uchitaura kune shamwari, mhuri, kana vashandi vehutano vasingazivi nezvekuvhiya kwakanyanya.
Wakave wakambofanira kutsanangurira ostomy yako kana j-pouch chirwere kune mumwe munhu here? Wakabatsira sei chiremba wako wehutano kana shamwari yako kuti unzwisise? Ndiudzei nezvekushanyira ini pane Facebook, Twitter, kana Google+.
Kunobva:
National Digestive Diseases Information Clearinghouse. "Ostomy Surgery of the Bowel." National Institute of Diabetes uye Digestive uye Kidney Diseases (NIDDK). Jul 2014. 23 May 2015.
Cleveland Clinic. "Ileal Pouches." Cleveland Clinic. 2015. 23 May 2015.