Kuvhiya kubvisa zvose kana chikamu chekoloni kurwara chirwere chekudya
Kuvhiyiwa kweColostomy kunogona kushandiswa kurapa mamiriro ezvinhu akawanda ekudya, kusanganisira chirwere chekoloni, chirwere cheCrohn, kubatwa kwepamuviri, kuberekwa kwekuberekwa, uye diverticulitis . Vanhu vazhinji vangave vachitya pfungwa yekuve nokuvhiyiwa kwe colostomy, asi chokwadi ndechokuti inogona kuunza hukuru hwehupenyu hukuru, kuwedzera hupenyu hwemunhu, kana kutoponesa hupenyu. Kuvhiyiwa kweColostomy, mumashoko akajeka, ndeye apo chikamu chekoloni chibviswa (chinonzi colectomy ) uye muvhura unogadzirwa mudumbu kubvumira mbatya kuti ibude mumuviri uye kuunganidzwa mumushonga unopfeka mudumbu.
Overview
Chirwere chinonzi chirwere chinoshandiswa pakuvhiya kubva munhengo yechipfuva kusvika mumuviri. Colostomy, kubva ku "colon" uye "ostomy," ndiko kuvhiyiwa apo muvheti unogadzirwa kubva mumakoloni (kana mumatumbo makuru) kunze kwemuviri.
Panguva yekuvhiyiwa kwechirasiyumu, chiremba anovhiya anogona kubvisa chikamu chekoni, izvo zvinoita kuti chikoni chive muzvikamu zviviri zvakasiyana (funga kuti munda wegindu ungaita sei kana wakagurwa hafu). Imwe mugumo wekoloni inopfuura nepakati duku duku mudumbu remuviri. Chikamu chiduku chemukati, chinonzi stoma kana chiri kunze kwemuviri, chinobvumira dhayi kuti ibve mumuviri kubva pamakoroni. Imwe mugumo wekoloni, iyo yakabatanidzwa nekwakabatana, inogona kubviswa kana kuvharwa ne sutures uye yakasara mudumbu.
Mushure mokuvhiyiwa, tsvina inounganirwa kune kunze kwemuviri neine ostomy appliance. Mazuva ano mashizha anosvika mumhando dzakasiyana-siyana, hukuru, mavara, uye zvigadzirwa kuti zvienderane nemararamiro avanoita.
Dumbu uye danda rakapoteredza (peristomal skin) rinoda kutarisirwa kwakakosha kunodzidziswa kuvarwere mushure mekuvhiyiwa nechiremba chinonzi enterostomal therapy (ET) mukoti .
Yenguva pfupi inopera
A colostomy inogona kuva yenguva pfupi kana kusingaperi.
Temporary Colostomy
Chirwere chenguva pfupi chinogona kushandiswa apo chikamu chekoni (kazhinji chikamu chepasi) chinoda kuporesa, sekunge kushungurudza kana kuvhiyiwa.
Mushure mokunge coloni ichiporeswa, colostomy inogona kushandurwa, kudzorera chigadziro chemuviri kuti zvive zvakanaka.
Mukudengenyeka kwemaronda, iyo migumo miviri yekoloni inogadziriswa uye nzvimbo iyo stoma yakasikwa mudumbu yakavharwa. Utumbo hukuru hunogadzirwa, zvakare zvakare, muhutu hunoenderera mberi pakati pemukati muduku uye rectum. Kufamba kwepamuviri kunopedzwa kuburikidza ne rectum.
Permanent Colostomy
A colostomy permanently (dzimwe nguva inonziwo kuguma colostomy) inodiwa kune mamwe mamiriro ezvinhu, kusanganisira anenge 15 muzana yemararamiro emakoroni emakoroni. Iyi nzira yekuvhiya inowanzoshandiswa apo rectum inoda kubviswa nekuda kwezvirwere kana kenza. Yakawanda yekoloni inogonawo kubviswa uye chikamu chakasara chinoshandiswa kugadzira stoma.
Mhando dzeUkuvhiya
Kune marudzi akasiyana-siyana emarudzi evanhu:
Kukwidza
Iyi colostomy ine mukova wakagadzirwa kubva pakakwira kumusoro uye yakasikwa pane kurudyi kwemuviri. Nemhaka yokuti stoma yakasikwa kubva kune chikamu chekutanga chekoloni, chigaro chakapfuura nepakati che stoma chinowedzera mvura uye ine utachiona hwemakemikari hunogumbura ganda. Urwu urwu hwekuvhiya rairasiyo ndiyo yakanyanya kufanana.
Transverse
Kuvhiyiwa uku kunogona kuita kuti imwe kana maviri zvizaruriro mudumbu repamusoro, pakati, kana kurudyi izvo zvakasikwa kubva pakutenderera kwekoroni.
Kana pane zvivhurwa zviviri mu stoma (inonzi "double-barrel-colostomy"), imwe inoshandiswa kupfutidza pasi uye imwe inoshandiswa kupfugama. Chigaro chinopedzwa kuburikidza ne stoma chakapfuura nepakakwira chikwata, saka inowanzova yakasviba kana inenge yakasikwa.
Kunyorera kana sigmoid
Mukuvhiya uku, kuburuka kana sigiminiid colon inoshandiswa kugadzira stoma, kazhinji kuruboshwe ruduku pasi. Iyi ndiyo inowanzoshandiswa pakuvhiyiwa kwechirasi uye inowanzogadzira chigaro chinonzi semi-yakaumbwa kuti chigadzikane zvakanaka nokuti chakapfuura nepakakwira uye inopfurikidza colon.
Surgery
Kuvhiyiwa kweColostomy inoshandiswa zvikuru uye inoda kugara muchipatara kwemazuva mashomanana nemavhiki masere kana kupfuura zvekudzorera kumba. Iwe uchagamuchira mirayiridzo kubva kunechiremba wako wekuvhima pamusoro pekugadzirira mumazuva anotungamirira kuvhii rako.
Kugadzirira Colostomy Surgery. Kana uri kutora mimwe mishonga, chiremba wako anogona kukukumbira kuti ubvunze chiremba wekuraira pamusoro pekuenderera mberi, kurega, kana kugadzirisa mukana wezvinodhaka panguva yekuvhiya kwako uye convalescence.
Zvakakosha kuita kuti chiremba chiremba aone mishonga yose sezvo vamwe vanogona kudzivisa kuporesa (zvakadai sa prednisone ) kana kusangana nemamwe madhiragi.
Iwe unogonawo kuve nechimwe chiitiko chekuongorora zviitiko zvisati zvaitika pakuvhiyiwa kwako, zvakadai sepanyama uye chifu x-ray. Iwe unofanirwawo kusangana nemumwe mukoti anokwanisa kukudzidzisa iwe kutarisira sei ostomy yako. Mumusangano wekutanga, unogona kukurukura kuti stoma yako ichaiswa papi pamimba yako, chii chaunoda chaunoda pakarepo mushure mekuvhiyiwa, uye kuti ungakwanisa sei kukodzera yako ostomy mumararamiro ako.
Kuvhiyiwa kweColostomy kunowanzodikanwa kuti chigadziro chepfudzi chichenese. Muzuva kana maviri musati mavhiyiwa, iwe uchitevera mirayiridzo yako yechiremba kuti ubvise zvose zvigaro kubva mumuviri wako, sekunge iwe uri kugadzirira colonoscopy. Izvi zvinogona kuitwa kuburikidza nekutsanya, nenyama, marashi, chero ipi zvayo yezvinyorwa zvinotarisa zvakadai seGoLytely kana Phospho Soda, kana kusanganiswa kweizvi.
Iwe unogonawo kubvunzwa kutora maantibayoti kana mamwe mishonga yekudzivirira zvirwere zvisati zvaitika, panguva, uye mushure mekuvhiyiwa.
MuChipatara. Pamberi pekuvhiyiwa iwe uchagamuchira IV kuti uwane mvura inoshandiswa uye unyanzvi. Kuvhiyiwa pachako kuchagara maawa akawanda.
Paunomutsa, chikwama che colostomy chichabatanidzwa pamimba yako pamusoro penhengo yako itsva uye iwe unogonawo kuva nemamwe kana akawanda emvura.
Mushure mokunge imwe nguva muchigadzirisa, iwe uchaendeswa kuchipatara chako apo chiremba anogadza kuti zviratidzo zvako zvinokosha (kupisa, ropa, kupumzika) zvakasimba.
Kwemazuva mashomanana mushure mekuvhiyiwa, iwe ucharamba uchiwana mishonga inorwadza kuburikidza ne IV. Iwe haungagamuchiri chikafu kusvikira vanachiremba vachinzwa mheremhere kubva pamimba yako inoratidza kuti matumbu ako "achimuka."
Vanamukoti vako vanogona kukubvisa pamubhedha uye wakamira kana akagara pachigaro mazuva mashomanana mushure mekuvhiyiwa, zvichienderana nemamiriro ako. Kuramba nekufamba nokukurumidza sezvinobvira kunokosha zvikuru pakugadzirisa, kunyange zvazvo zvisingashamisi pakutanga.
Mushure mekunge chiremba anonzwa mhere-mhere uye stoma inotanga kushanda, unogona kupiwa zvinonwiwa zvakakwana zvekudya, zvakadai semucheka, gelatin, uye juice. Kana iyo mvura yakachena yakanyatsorarirwa zvakanaka, chiremba wako achaita kuti vashandi vazive kuti kudya kwako kunogona kufambira mberi kusvika kune zvakakwana zvinodhaka kana zvokudya zvakasimba.
Wako uye mukoti anogona kukushanyira usati wapinda muchipatara kuti akubatsire kudzidza zvakawanda nezvekutarisira stoma yako uye kuchinja ostomy yako. Iwe unodawo kuziva kuti unogona kupi kuwana yako colostomy zvigadzirwa uye chero mirayiridzo yakakosha pamusoro peiestomy yako.
Kuwanazve kumba
Kudzoka kumba kunowanzotora vhiki nhanhatu, kunyange zvingave zviri kwenguva refu kuvarwere vanorwara zvikuru vasati vavhiyiwa kana vane vane matambudziko. Chiitiko chicharehwa pakutanga, uye kusimudza, mabasa epamba, uye kutyaira hazvikurudzirwi.
Vashandi vezvipatara vachakukurudzira nezvekudya kwako apo iwe unotanga kusvika kumba, izvo zvingave zvisingakwanisi kugadzirisa fiber . Kugadzwa nguva dzose nechiremba wako kunobatsira kuona kuti mimba yako uye nzvimbo yakapoteredza stoma iri kurapa zvakanaka.
Iwe uchange uri kudzidza kuchengetedza stoma yako mumavhiki mashomanana ekutanga okudzikinura. Wako uye mukoti achapindura mibvunzo chero ipi zvayo uye angakubatsira nehombodo yako yekutanga yekutanga.
Chiremba wako achakuudza iwe kana iwe wakagadzirira kudzoka mabasa ako ezuva ose kubasa, kuchikoro, kana kumba. Kana yako colostomy ichishandurwa, chiremba wako achakubatsira kuti usarudze kana izvi zvichiita zvichienderana nekudzoka kwako uyewo purogiramu yako pachako.
Sources:
McKesson Provider Technologies. "Colostomy uye Ileostomy." University of Michigan Health System. 11 Nov 2006.
National Institute of Diabetes and Digestive and Kidney Diseases. "Ileostomy, Colostomy, uye Ileoanal Reservoir Surgery." National Digestive Diseases Information Clearinghouse Aug 2014.
United Ostomy Association of America, Inc. "Mibvunzo Inowanzobvunzwa Kutevera Ostomy Surgery." UOAA 2013.