Kuvhiyiwa chero kupi zvako kuchaunza huwandu hwekutya nekuzvidya mwoyo. Ileostomy chirwere hachina kusiyana kana zvichiitika pakukonzera kusava nechokwadi, asi muzviitiko zvakawanda ileostomy chirwere chinoponesa upenyu chinogona kuwedzera hupenyu hwomunhu.
Kunyanya kuisa, chirwere ichoostomy ndechokuti kana zvese kana chikamu chekoni (musikana mukuru) chibviswa uye chikamu chemucheche maduku chinopinda kuburikidza nemadziro emimba, kuitira kuti fecal nyaya iparadzwe kubva kune anus.
Pane misiyano yakasiyana-siyana pamarudzi akasiyana-siyana ekurasikirwa kweeaseostomy kunogona kutora, izvo zvinotsanangurwa pasi apa. Anotiostomy inogona kuitwa nekuda kwezvikonzero zvakasiyana siyana, kusanganisira chirwere cheCrohn, chirwere chekurwara, chirwere chemhuri , kana chirwere chekoloni . Mune zvimwe zviitiko, the ileostomy inogona kuchinjwa panguva yokuvhiyiwa inotevera.
Chinonzi An Ostomy?
Chirwere chepamuviri ndechokuti chirwere chinoshandiswa kugadzira mukova kubva munhengo kune kunze kwomuviri. Muzviitiko zvakawanda, izvi zvinoitwa kuitira kupa imwe nzira kuti muviri uise zvinhu zvinosvibisa (urini uye chigaro ). Izvi zvinosanganisira colostomy , ileostomy, uye chirwere chinonzi urostomy. Dzimwe nguva, neostomy ingangodaro ichitumidzwa sechinhu chiduku chekufamba.
Panguva yekuvhiya ileostomy, hutumbu hukuru hunowanzobviswa. Mune zvimwe zviitiko, rectum (chikamu chekupedzisira chemukati mamukaka) uye anus inosara mukati memuviri, asi mune dzimwe nguva vanogonawo kubviswa.
Nekoloni (uye zvichida anus uye / kana rectum) yaenda, imwe nzira inofanira kugadzirirwa kuitira chigaro kuti ibve mumuviri. Mune ileostomy, chikamu chemukati mudumbu (iyo ileum) inounzwa kuburikidza nemadziro emimba kune kunze kwomuviri.
Mune zvimwe zviitiko, the ileostomy inogona kuitwa nezvose kana chikamu chekoloni chakasara chakasimba.
Muzviitiko zvakawanda, izvi zvingava zvikonzero zvenguva pfupi, zvakadai sekukuvadza kana zvirwere kumakoloni.
Kuti ukwanise kubatanidza iaum kune kunze kwemuviri, kuvhura kunofanira kuitwa mudumbu remuviri. Chikamu chiduku cheeaum chinounzwa kuburikidza nekuzarura mudumbu chinonzi stoma (izwi rechiGiriki rokuti "muromo"). Iyo stoma inowanamatira kumadziro emimba uye apo gumbo richabva mumuviri.
Aina
Zvose zvipenyu hazvina kusikwa zvakaenzana; kune marudzi akasiyana eeostomi anoshandiswa pakurapa zvirwere kana mamiriro ezvinhu.
Standard kana Brooke Ileostomy. Uyu ndiwo rudzi rweleostomy inowanzoitwa, kunyanya mumamiriro ezvinhu ekuronda, chirwere cheCrohn, mhuri ye polyposis uye kenza. Iro raiva pakutanga rakanzi mushure mekuvhiya chiremba wechiChirungu, Bryan Nicholas Brooke, uyo akagadzira dzimwe nzira dzachiri kushandiswa mukuvhiya ileostomy nhasi. MuBrooke ileostomy, iyo stoma inoshandiswa nekushandura chikamu cheeveum shure kwayo, chakafanana nekukanda shure mukombe wejira, uye kuigunzva kumimba. Sarasi kazhinji inowanzova yemvura kana yekunamatira-yakafanana nekusanganiswa uye inounganirwa mune imwe yeostomy appliance yakabatanidzwa mudumbu pane stoma.
Iyi ndiyo yerudzi rwemhuka dzisina kukodzera dzinoitirwa varwere vane chirwere cheCrohn.
Continent ileostomy. Nyika yakadaro ileostomy ine misiyano yakasiyana kubva kuBrooke ileostomy, asi chikuru ndeyokuti varwere vane continent ileostomy havapfeki maitiro e ostomy. Pane kudaro, gorosi nevhavhavha inoshandiswa kubva payeeum. Iyi valve iri mukati meromasuo emimba (panzvimbo ye stoma, iri kunze). Kubudisa tsvina, duku tube - catheter - inoiswa mukati mechidziro kubvisa tsvina. Ikopa yakavharwa pamusoro pemagetsi kusvikira yava nguva yekudurura gorosi. Nyika yakadaro ileostomy inogona kuitika mumamiriro ekurasikirwa kwechirwere, mhuri ye polyposis uye kenza.
Chirafu chepelvic chinoshandiswa (j-pouch) . Inosanganiswa pano nokuti ileostomy ndiyo imwe danho rekuita, asi kana rapera, chirwere ichi hachidi kuti chigadzirwa chekunze kana catheter kubata kana kubvisa tsvina. Mune chirongwa chakadai chekuvhiya, gorosi inogadzirwa kubva kumagumo ekupedzisira. Kazhinji iyi gorosi inogadzirwa muchimiro che "j", asiwo inogona kuitwa muchimiro che "s" kana "w." Chikamu kana kuti yese rectum uye anus inochengetedzwa mune chirongwa ichi chekuvhiya. Kuvhiyiwa kwepelvic inowanzoitwa mumatanho maviri kana matatu, neBrooke ileostomy ndiyo danho rokutanga. Icoostomy ndiyo inoshandurwa zvakare, uye gungwa remukati rinobatanidzwa kune rectum kana anus, uye gumbo rinogona kubva kubva mumuviri pasina kushandiswa kwekushandisa kwekunze.
Kutarisira Ostomy
Ne stoma munzvimbo, chigadzirwa che ostomy chichadiwa kuti chigadzire chigaro kana chichibva mumuviri kuburikidza ne stoma. An inferostomal therapy (ET) mukoti ndiye mutarisiri wehutano anobatsira ostomy varwere kuchengeta stoma yavo. Varwere vane neostomy itsva vacharayirirwa kuti vangashandura sei chigadzirwa che ostomy . Izvo zvipfeko zveganda re ostomy zvinoda kunyatsochengetwa mudumbu kuitira kudzivirira ganda rakapoteredza stoma kubva pakubatana nesheori. Mune zvimwe zviitiko, nguva dzose kusangana nesheori kunogona kukonzera ganda pedo ne stoma (peristomal skin) kuti iparadzwe kana kuputsika.
Iko kune chigadziro chemakemikari anoshandiswa kubva kumakambani akasiyana-siyana emakambani ekupa. Inobva kumapurasitiki akazaruka anogona kushandiswa zuva rega rega, kune zviduku, imwe-mashizha anoshandiswa anogona kushandiswa pachiitiko chinokosha kana kushambira. Vamwe varwere vanogona kuedza marudzi akasiyana-siyana emidziyo asati agadzirisa pane izvo zvinoshanda zvakanaka.
Zvaunotarisira Kubva Kuchengetedzwa kweUnoostomy Surgery
Kuwana ileostomy ndiko kuvhiyiwa kukuru uye kugara kwechipatara kuchava kupi zvako kubva kune mazuva akawanda kusvika pavhiki. Nguva yekudzorera inogona kusvika kumasvondo matanhatu, zvichienderana nezvimwe zvinhu zvakasiyana-siyana kusanganisira rudzi rwekuvhiya yeoostomy uye hutano hwako usati wabvuma.
Kusangana Nechechi Nurse
Mumazuva asati avhiyiwa, iwe neshamwari yako yehutano inotarisira basa rakasiyana-siyana rakabatana nekusvika kwako kuchipatara nekuvhiyiwa. Iwe uchasangana ne an ET mukoti, uyo achakurukura nyaya shomanana dzakasiyana newe. Nyaya yekutanga ichava nzvimbo yako stoma. Ichi chinhu chinokosha pakufungidzirwa kwemaostomy, uye chinoda kunzwisisa kwevanhu vose muboka rehutano. Wako uye mukoti achatora mararamiro ako, zvipfeko zvakafanana, kuti unopfekedza sei nguvo dzako, uye zvaunofarira mukufunga nezve stoma kuiswa.
Zvadaro iwe uchataura nezvekuti iwe uchatarisira sei ileomyomy mushure mekuvhiyiwa. Kuti uwane ileostomy yakakwana, iwe uchawana mazano pamhando dzemhando dzemapurisa dzinogona kushanda zvakakunakira iwe. Wako uye mukoti anogona kukupa iwe unogona kuenzanisa kubva kumakambani akasiyana-siyana, uyewo ruzivo rwekupi kuti uwane zvakawanda kana zvichidiwa. Nokuda kwekondinendi yenyika, iwe uchataura pamusoro pekuti ungadurura sei gungwa, uye kuti inguva yakawanda sei inofanira kuitwa, uye kuti ungachengete sei valve.
Chipatara chako uye Chiremba Wenyu
Iwe unogona kutarisira kuti uongorore mushure mekunge wabvumirwa kuti uvhiwe. Miedzo shomanana inogona kuitwa inosanganisira kuongorora ropa uye chifu x-rays. Mukana wako wokuvhiya uye / kana gastroenterologist yako achaenda pamusoro pemishonga yako yemazuva ano uye iwe uone kana kushanduka kunoda kuitwa musati mavhiyiwa.
Iwe uchawana zvakare kubva kunechiremba wako kuti iwe uchagadzirira sei colon yako yekuvhiya. Iwe unogona kunge uchida kugadzirira sekunge iwe uri kuenda kune colonoscopy. Iko kunofanirwa kunogona kuitwa mune imwe nzira dzakasiyana-siyana, asi chinangwa ndechokubvisa colon yako yese zvese. Iwe unogonawo kupiwa mamwe mishonga inotora mumazuva asati avhiyiwa, akadai semishonga inorwisa mabhakitiriya.
The Surgery
Zuva rekuvhiyiwa iwe uchabvumirwa kupinda kuchipatara uye watanga pa IV mvura. Kuvhiya kwako kuchapedza maawa akawanda. Paunomutsa mukudzoka, uchaona kuti une stoma kana kuti valve padumbu rako, ine shanduro pamusoro payo. Iwe unogona kuva nekuvhiya mvura uye neogastric (NG) tube munzvimbo. Panogona kuva nemimwe michina yezvokurapa iyo ichakubatsira iwe mukurwadziwa kwako nekugadzirisa, zvakadai sekunamatira kwe morphine kana kuwedzera kwepineumatic cuffs pamakumbo ako.
Chipatara Chigara
Chiremba wako anonyatsocherechedza chirwere chako apo iwe uri muchipatara. Iwe usati wakwanisa kudya kana kunwa, boka rako rezvechiremba rinoteerera dumbu rako kuti rive mhere. Kana iwe uchirarama sezvaunotarisirwa, unogona kupedza kudya kwemanheru mumazuva mashomanana, uye wozopiwa zvokudya zvakasimba zvishoma nezvishoma, mumatanho. Vanamukoti vako vangangokubvisa pamubhedha uye kufamba nokukurumidza sezvinobvira, nokuti kufamba kunokosha pakuwana muviri wako mumugwagwa kuti uwanezve.
Kudzorera Kwako Musha
Kana ukasunungurwa kubva kuchipatara, iwe ucharamba uchidzoka kumba. Iwe unogona kugamuchira kushanyirwa kana vaviri kubva kumukoti anoshanyira kana muzvipiri muchipatara mumazuva achangobva kubuda kwako. Iwe uchave wakarongerwa masangano nechiremba wako kuitira kuti nzvimbo yako yekugadzirira uye iwe kugona kuve kuongororwa. Iwe unogonawo kuva nekumisano pamwe neAndi mukoti wako, kana kuchipatara kana kumba, kuti akubatsire kuburikidza nehutachiona hwekutanga hwekushanda kwako.
Kudzokera kumabasa nguva dzose kunotora vhiki dzinoverengeka, uye chiremba wako anofanira kukupa chibvumirano nguva dzese dzekuitazve mabasa akaita semabasa epamba, kurovedza muviri, zvepabonde, uye kudzokera kubasa. Zvokudya zvako zvingave zvisingabviri mumavhiki ekutanga pamba, zvichida nezvokudya zvisingabatsiri kana zvimwe zvirongwa zvekudya sezvinotsanangurwa nechiremba wako.
Kana ioostomy yako ichinguva chiduku uye ichizoshandurwa, iwe uchakurukura kuronga chirwere chechipiri neboka rako rezvehutano.
Sources:
American Cancer Society. "Ileostomy." Cancer.org 17 Mar 2011. 31 Jan 2016.
NHS Choices. "Ileostomy." National Health Service 3 Sept 2012. 31 Jan 2016.
United Ostomy Associations of America, Inc. "Ileostomy Guide." Ostomy.org 2011. 31 Jan 2016.