Vanhu vazhinji vanofunga kuti hupombwe hunoreva kuti munhu haakwanise kuita zvepabonde
Chimwe chezvizhinji zvinoshushikana nevanhu vane chirwere chinoputira chirwere (IBD) chinogona kunge chiine chirwere chepamuviri, uye kunyanya colostomy uye ileostomy chirwere, ndiyo iyo ichakanganisa nhengo dzepabonde. Vakadzi vanowanzova nehanya nekwanisi yekuita pamuviri uye kubereka, uye chii chinoita kuti chero kuora kupi kuve nako kune nhengo dzavo dzinobereka. Varume vanowanzova nehanya nehutano hwekushaya simba (kukwanisa kuchengeta erection) uye kukwanisa kubereka vana.
Kuvhiyiwa kwepamuviri kweBD uye mamwe mamiriro ezvinhu akawedzera zvakanyanya kupfuura makore. Dambudziko guru rekugadzirisa matambudziko epabonde mushure mekuvhiyiwa kwechirasi ndeyevarume vakave nekuvhiyiwa kurapa kenza rectal. Varume vane chirwere chekuvhiya kubata chirwere cheBD vane dambudziko rakanyanya kuderera rematambudziko. Iyi inzvimbo isina kunyatsotsvakurudzwa, kunyange iyo inokanganisa zvinodikanwa zvevanhu zvinonyanya kubata hupenyu hwehupenyu. Mashoko akanaka ndeokuti kunyange kana kugadzirisa kwepabonde kuchiitika, kune marapirwo anowanikwa. Kunyange zvazvo hurukuro inogona kunyadzisa, kutaura pamusoro pazvo nevashandi vezvoutano kunogona kutungamirira pakuwana rubatsiro nekugadzirisa chinetso, kana chiri chezvinhu zvemuviri zvemufananidzo zvinowanzoonekwa nevanhu vane IBD kana erectile dysfunction.
Chikonzero nei Ostomy Surgery Inogona Kuitwa
Colostomy uye ileostomy ndezvipi zviviri zvekuvhiya kwewastomy iyo inoitwa kurapa chirwere cha Crohn. Kuvhiyiwa kweputi kunoshandiswawo kubata dzimwe mhando dzehutano hwekudya, kusanganisira chirwere chekoloni uye diverticulitis.
Nokuda kwehutachiona hwehutachiona, chirwere chinonzi ileostomy chete chinoitwa sechirapa.
Mashoko akanaka ndeokuti kurapwa kwewastomy hakuiti nguva dzose kushaya simba mune varume. Izvo zvepabonde hazvibatsiri zvakananga nekuvhiyiwa uku kunoshandiswa kurapa chirwere chekudya. Zvisinei, kusava nehuwandu kune ngozi mumhando iyi yekuvhiyiwa mumimba, kunyanya mukuvhiyiwa kwakanyanya kunoitwa kurapa kenza.
Kushaya simba kunonyanya kuitika mushure mekuvhiyiwa kwechiropiyumu kupfuura iyo mushure mekuvhiyiwa kwe-ileostomy.
Apo Kusasikirwa Kunogona Kuitika
Zvinosuruvarisa, pane tsvakurudzo shomanana pamusoro pemigumisiro yepabonde yekuvhiyiwa kwepamuviri muvarwere vane IBD. Zvisinei, imwe nhau yakabudiswa inoratidza kuti kushaya huwandu hwehutera huri pasi-kunogona kuva pakati pe2% uye 4%.
Vamwe varume vanogona kuve nokushaya simba kwenguva pfupi mushure mekunge vavhiyiwa. Mune zvimwe zviitiko, zvikonzero zveizvi zvingave zvisinganzwisisi pakutanga, uye kuwana kuongororwa kwakakodzera kunogona kubatsira kuvandudza mhinduro. Kushaya simba kunogonawo kuva mugumisiro wezvinhu zvakasiyana-siyana zvinosanganisira kushaya muviri mumufananidzo uye kuoma kwakawanda pakuwanazve kubva pakuvhiyiwa. Kuvharidzira kubva pakuvhiya kunogona kutora nguva, uye chero dambudziko rinogona kunonoka kupora uye kudzokera kuchikwata chekutanga chekuita zvepabonde.
Kune mishonga inoverengeka inowanikwa yekusagadzikana uye yenguva pfupi, kusanganisira mishonga, penile implants, nekupa mazano. Mushonga unoshandiswa unobva pane rudzi rwekushaya simba munhu ane.
Nzira Yokutaura Nayo Chiremba
Kuita zvepabonde chinhu chinonetsa kuti utange kukurukura nemumwe munhu. Vanachiremba vangave vasingabvunzi nezvezvinetso zvepabonde mushure mekuvhiyiwa kwemaostomy, vachiisiya kuti murwere akure.
Imwe nzira yekunyora pasi mibvunzo pamapepa kana kutumira ivo kuburikidza ne email kana kuti mavara kuti vaite ivo vakapindura. Kuva neshamwari kunoshanyira kwachiremba kunowanzobatsira uye kunobatsira zvikuru pazvinouya pakuyeuka ruzivo mushure mekunge, asi kana izvi zvingakonzera kunyadziswa, mumwe munhu anoshanyira nachiremba angashanda zvakanaka. Kukumbira kutumira kune chiremba anonyanya kugadziriswa erectile kana zvinetso zvepabonde anogonawo kubatsira, sezvo vanachiremba ava vanobata nezvenyaya iyi zuva rose, uye zvingava nyore kutaura navo.
Zvinogona kuva hurukuro yakaoma, asi nokukurumidza dambudziko racho rinokurudzirwa, nokukurumidza rinogona kutaridzirwa uye hupenyu hwehupenyu, kusanganisira kufara kwepabonde, kunogona kuvandudzwa.
Sources:
Christensen B. "Chirwere chechirwere chechirwere uye kusagadzikana kwepabonde." Gastroenterol Hepatol (NY). 2014 Jan; 10 (1): 53-55.
Hollister. "Rudo uye Zvepabonde." Hollister Global. 2013.
National Digestive Diseases Information Clearinghouse. " Chokwadi uye Nhema Pamusoro Pechirwere Chekudya ." National Institutes of Health. Apr 2000.
Wittenauer J. "Kutarisira Ostomy Mwoyo Murefu." National Centre yekuenderera mberi Dzidzo. 2007. [PDF]