Colostomy
Colostomy inzira yekuvhiya inounza mugumo wematumbo makuru kubudikidza nekuvhura (stoma) kunoitwa mudumbu remudumbu. Masturu anofamba nepakati pematumbo anodonha nepastoma kupinda muhombodo yakasungirirwa padumbu.
Maitiro acho anowanzoitwa mushure me:
- Bowel resection
- Kukuvara ura
Iyo colostomy inogona kunge iri pfupi-kwenguva kana yekusingaperi.
Colostomy inoitwa iwe uchinge uri pasi peanesthesia (wakarara uye usina kurwadziwa). Zvinogona kuitwa pamwe nekucheka kukuru kwekuvhiya mudumbu kana nekadiki kamera uye akati wandei akacheka (laparoscopy).
Rudzi rwemaitiro anoshandiswa zvinoenderana nekuti ndeipi imwe nzira inoda kuitwa. Iyo yekucheka yekucheka inowanzo gadzirwa pakati pe dumbu. Iyo ura resection kana kugadzirisa kunoitwa sekudikanwa.
Kune iyo colostomy, imwe mugumo wekoloni ine hutano inounzwa kuburikidza nekuvhura kunoitwa mudumbu mudhuri, kazhinji kuruboshwe. Iyo micheto yemuura yakasonwa kune ganda rekuvhura. Uku kuvhura kunonzi stoma. Bhegi rinodaidzwa kuti stoma mudziyo unoiswa wakakomberedza musuwo kubvumidza chituru kubuda.
Yako colostomy inogona kunge iri pfupi-pfupi. Kana iwe ukavhiyiwa pane chimwe chikamu chemuhomba wako muhombe, colostomy inobvumira iyo imwe chikamu chemuviri wako kuzorora iwe uchipora. Kana muviri wako uchinge wapora zvizere kubva pakuvhiya kwekutanga, uchave nekumwe kuvhiyiwa kuti ubatanidzezve magumo emukati meura. Izvi zvinowanzoitwa mushure memasvondo gumi nemaviri.
Zvikonzero colostomy yakaitwa inosanganisira:
- Utachiona hwemudumbu, senge perforated diverticulitis kana abscess.
- Kukuvadza kune colon kana rectum (semuenzaniso, pfuti ronda).
- Kusarura kana kukwana kuvhara kwehosha hombe (hutumbo hwekudzivirira).
- Rectal kana kenza yekoloni.
- Maronda kana fistula muparineum. Iyo nharaunda iri pakati peanus uye vulva (vakadzi) kana iyo anus uye scrotum (varume).
Ngozi dzeanesthesia uye kuvhiyiwa kazhinji zvinosanganisira:
- Reaction kumishonga, matambudziko ekufema
- Kubuda ropa, kugwamba kweropa, hutachiona
Ngozi dze colostomy dzinosanganisira:
- Kubuda ropa mukati medumbu rako
- Kukuvadza kune nhengo dziri pedyo
- Kubudirira kwehernia panzvimbo yekucheka kwekucheka
- Bowel inobudikira kuburikidza ne stoma kupfuura zvayaifanira (kuwanda kweiyo colostomy)
- Kupinza kana kuvhara kweiyo colostomy kuvhura (stoma)
- Mavanga matumbu achiumba mudumbu uye achikonzera kuvhara kwemukati
- Kushatirwa kweganda
- Ronda richivhurika
Iwe uchave uri muchipatara kwemazuva matatu kusvika manomwe. Iwe unogona kugara kwenguva yakareba kana yako colostomy yakaitwa senzira yekukurumidzira.
Iwe unobvumidzwa kudzoka zvishoma nezvishoma kuchikafu chako chaicho:
- Zuva rimwe chetero sekuvhiyiwa kwako, unogona kuzomwa mazaya echando kuti unyaradze nyota yako.
- Nezuva rinotevera, iwe unogona kunge uchizobvumidzwa kunwa zvinwiwa zvakajeka.
- Mvura inodzikama uyezve zvinyoro nyoro zvichawedzerwa sezvo ura hwako huchitanga kushanda zvakare. Unogona kunge uchidya zvakajairika mukati memazuva maviri mushure mekuvhiyiwa.
Iyo colostomy inodonhedza tsvina (tsvina) kubva kukoloni kuenda mubhegi recolostomy. Colostomy stool inowanzo nyorova uye yakawanda mvura kupfuura chigaro chinopfuudzwa zvakajairika. Iko kugadzirwa kwechigaro kunoenderana nechikamu chemuura chakashandiswa kugadzira colostomy.
Usati waburitswa muchipatara, mukoti weostomy anokudzidzisa nezve kudya uye kuti ungachengeta sei colostomy yako.
Utumbo kuvhura - stoma kuumbwa; Kuvhiya ura - kusikwa kwecostostomy; Colectomy - colostomy; Kenza yekoloni - colostomy; Kenza chaiyo - colostomy; Diverticulitis - colostomy
- Yakakura ura resection - kubuda
- Colostomy - Series
Albers BJ, Lamon DJ. Colon kugadzirisa / colostomy zvisikwa. Mune: Baggish MS, Karram MM, eds. Atlas yePelvic Anatomy uye Gynecologic Kuvhiya. 4th ed. Philadelphia, PA: Elsevier; 2016: chits. 99.
Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Colon uye rectum. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya: Iyo Biological Hwaro hweMazuva Ano Kuvhiya Maitiro. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 51.
Russ AJ, Delaney CP. Rectal kuwanda. Mu: Fazio anononoka VW, Chechi JM, Delaney CP, Kiran RP, eds. Parizvino Therapy muColon uye Rectal Kuvhiya. 3rd ed. Philadelphia, PA: Elsevier; 2017: chitsiko 22