Ileostomy

Iyo ileostomy inoshandiswa kufambisa marara kunze kwemuviri. Uku kuvhiya kunoitwa kana colon kana rectum isiri kushanda nemazvo.

Izwi rekuti "ileostomy" rinobva mumazwi "ileum" uye "stoma." Yako ileum ndiyo yakaderera chikamu chemuviri wako mudumbu. "Stoma" zvinoreva "kuvhura." Kugadzira ileostomy, chiremba anovhiya anoita kuvhura mudumbu rako rusvingo uye anounza kupera kweileum kuburikidza nekuvhura. Iyo ileum inozosungirirwa paganda.

Usati wavhiyiwa kuti ugadzire ileostomy, unogona kunge uchivhiyiwa kuti ubvise yako yese colon uye rectum, kana kungori chikamu chemuviri wako mudumbu.

Kuvhiya uku kunosanganisira:

• Diki ura resection
• Yese mudumbu colectomy
• Yakazara proctocolectomy

Iyo ileostomy inogona kushandiswa kwenguva pfupi kana yakareba.

Kana ileostomy yako iri yenguva pfupi, zvinowanzoreva kuti ura hwako hwese hukuru hwakabviswa. Nekudaro, iwe uchine chikamu chidiki cheyako rectum. Kana iwe ukavhiyiwa pane chikamu chemuhomba wako muhombe, wako wekuchengeta hutano anogona kuda iro rinosara ura hwako kuzorora kwechinguva. Iwe unoshandisa ileostomy iwe uchipora kubva mukuvhiya uku. Paunenge usisachide futi, uchave nekumwe kuvhiyiwa. Kuvhiya uku kuchaitwa kuti ubatanidze kumagumo kwetumbu diki. Iwe hauchazodi iyo ileostomy mushure meizvi.

Iwe unozofanirwa kuishandisa kwenguva yakareba kana ako ese makuru ura uye rectum zvabviswa.

Kugadzira ileostomy, chiremba anovhiya anoita akacheka mashoma ekuvhiya mumadziro edumbu rako. Chikamu chemuviri wako mudiki uyo uri kure kwazvo kubva mudumbu rako unounzwa uye unoshandiswa kuita kuvhura. Iyi inonzi stoma. Kana iwe ukatarisa kune yako stoma, iwe uri kunyatso tarisa kune iyo lining yemukati mako. Inotaridzika zvakanyanya senge mukati medama rako.

Dzimwe nguva, iyo ileostomy inoitwa sedanho rekutanga mukugadzira iyo ileal anal dura (inonzi J-pouch).

Ileostomy inoitwa kana matambudziko ane ura hwako hukuru anogona kurapwa chete nekuvhiya.

Kune akawanda matambudziko anogona kutungamira mukuda kwekuvhiyiwa uku. Zvimwe ndeizvi:

• Chirwere chinoputira chirwere (ulcerative colitis kana chirwere cheCrohn). Ichi ndicho chikonzero chakajairika chekuvhiyiwa uku.
• Colon kana rectal cancer
• Yakakurumbira polyposis
• Kuremara kwekuzvarwa kunosanganisira ura hwako
• Tsaona inokuvadza ura hwako kana chimwe chirwere chemukati

Taura nemupi wako nezve izvi zvingangoitika njodzi nematambudziko.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Zviitiko kumishonga
• Matambudziko ekufema
• Kubuda ropa, kuwanda kweropa
• Utachiona

Njodzi dzekuvhiya uku ndedze:

• Kubuda ropa mukati medumbu rako
• Kukuvadza kune nhengo dziri pedyo
• Kupererwa nemvura mumuviri (kushaya mvura yakakwana mumuviri wako) kana paine yakawanda mvura yemvura kubva kune yako ileostomy
• Dambudziko rekutora hunodiwa kubva kuchikafu
• Utachiona, kusanganisira mumapapu, weti turakiti, kana dumbu
• Kupora kwakashata kweronda mune yako perineum (kana yako rectum yakabviswa)
• Mavara matumbu mudumbu mako anokonzeresa kuvharika kweiyo dumbu ura
• Ronda richivhurika

Nguva dzose udza mupi wako kuti ndeapi mishonga yauri kutora, kunyangwe mishonga, zvinowedzera, kana mahebhu awakatenga pasina mushonga.

Usati wavhiyiwa, taura nemupi wako nezve zvinotevera zvinhu:

• Kushamwaridzana uye zvepabonde
• Kubata pamuviri
• Mitambo
• Shanda

Pakati pevhiki mbiri usati wavhiyiwa:

• Vhiki mbiri usati wavhiyiwa, unogona kukumbirwa kuti urege kutora zvinodhaka zvinoita kuti ropa rako rigwinike. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), Naprosyn (Aleve, Naproxen), nevamwe.
• Kumbira mupi wako kuti ndeapi madhiragi aunofanirwa kutora pazuva rekuvhiyiwa kwako.
• Ukasvuta, edza kurega. Kumbira mupiki wako kuti akubatsire.
• Nguva dzose rega mupi wako azive nezve chero kutonhora, dzihwa, kupisa, herpes kuputika, kana chimwe chirwere chaungave uinacho usati wavhiyiwa.

Zuva rakapfuura kuvhiyiwa kwako:

• Iwe unogona kukumbirwa kunwa chete zvinwiwa zvakajeka senge muto, gadzira muto, uye mvura mushure meimwe pfungwa.
• Mupiki wako anokuudza iwe nguva yekurega kudya uye kunwa.
• Mupi wako anogona kukukumbira kuti ushandise enemas kana laxatives kujekesa ura hwako.

Pazuva rekuvhiyiwa kwako:

• Tora mishonga yawakaudzwa kunwa nekumwa mvura shoma.
• Unozoudzwa nguva yekuuya kuchipatara.

Iwe uchave uri muchipatara kwemazuva matatu kusvika manomwe. Iwe unogona kumbogara kwenguva yakareba kana ileostomy yako yaive yekukurumidzira kushanda.

Iwe unogona kukwanisa kuyamwa echando machipisi pazuva rimwe chete sekuvhiyiwa kwako kuti unyaradze nyota yako. Nezuva rinotevera, iwe unogona kunge uchizobvumidzwa kunwa zvinwiwa zvakajeka. Iwe unozowedzera zvishoma nezvishoma mvura yakasviba uye wozopa zvinyoro-nyoro pane zvaunodya sezvo ura hwako huchitanga kushanda zvakare. Unogona kunge uchidya zvekare mazuva maviri mushure mekuvhiyiwa kwako.

Vazhinji vanhu vane ileostomy vanokwanisa kuita yakawanda yezviitiko zvavaiita vasati vavhiyiwa. Izvi zvinosanganisira mitambo yakawanda, kufamba, kurima gadheni, kukwira makomo, uye zvimwe zviitiko zvekunze, uye mhando zhinji dzebasa.

Kana iwe uine chirwere chisingaperi, chakadai seCrohn chirwere kana ulcerative colitis, ungangoda kurapwa kunoenderera.

Enterostomy

• Bland kudya
• Chirwere cheCrohn - kubuda
• Ileostomy nemwana wako
• Ileostomy uye kudya kwako
• Ileostomy - kutarisira stoma yako
• Ileostomy - kuchinja homwe yako
• Ileostomy - kubuda
• Ileostomy - chii chekubvunza chiremba wako
• Kugara neileostomy yako
• Chikafu chakaderera-fiber
• Yese colectomy kana proctocolectomy - kubuda
• Mhando dze ileostomy
• Ulcerative colitis - kubuda

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Colon uye rectum. Mu: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 51.

Raza A, Araghizadeh F. Ileostomies, colostomies, pouches, uye anastomoses. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chits. 117.

Reddy VB, Longo WE. Ileostomy. Mune: Yeo CJ, ed. Kuvhiya kwaShackelford kweAlimentary Tract. 8th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 84.