Yese mudumbu colectomy

Yakazara mudumbu colectomy ndiko kubviswa kweakakura ura kubva kune yakaderera chikamu chedumbu dumbu (ileum) kuenda kune rectum. Mushure mekunge yabviswa, kupera kwemukati mudumbu kwakasonerwa kune rectum.

Iwe unozogamuchira general anesthesia usati wavhiyiwa. Izvi zvinokuita iwe kurara uye kurwadziwa kusununguka.

Munguva yekuvhiyiwa:

• Chiremba wako achaita kucheka kwekuvhiya mudumbu rako.
• Chiremba anovhiya achabvisa ura hwako hukuru. Yako rectum uye anus zvichasiiwa munzvimbo.
• Chiremba wako anovhiya achasona kumagumo kwetumbu rako diki kune yako rectum.

Nhasi, vamwe varapi vanovhiya vachishandisa kamera. Kuvhiya kunoitwa nezvidimbu zvidiki zvekuvhiya, uye dzimwe nguva akacheka akakura akakwana kuti chiremba anovhiya abatsire pakuvhiya. Zvakanakira kuvhiyiwa uku, uko kunonzi laparoscopy, ndiko kukurumidza kupora, kurwadziwa kushoma, uye mashoma mashoma ekucheka.

Maitiro anoitirwa vanhu vane:

• Chirwere cheCrohn chisina kupararira kune rectum kana anus
• Mamwe matumbo ekenza yekoloni, apo rectum haina kukanganiswa
• Kuzvimbirwa kwakanyanya, kunodaidzwa kuti colonic inertia

Yese mudumbu colectomy inowanzo kuve yakachengeteka. Ngozi yako inoenderana nehutano hwako hwese. Kumbira mupiki wako wezvehutano nezve izvi zvinogona kunetsa.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

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

Ngozi dzekuvhiyiwa idzi ndeidzi:

• Kubuda ropa mukati medumbu rako.
• Kukuvadza kunhengo dziri pedyo mumuviri.
• Zvishoma zvemavara zvinogona kuumba mudumbu uye zvichikonzera kuvharika kwemukati mudumbu.
• Kuvuza kwechigaro kubva pakubatana pakati pemukati mudumbu uye rectum. Izvi zvinogona kukonzera hutachiona kana bundu.
• Kupenga kwekubatana pakati pemukati mudumbu uye rectum. Izvi zvinogona kukonzera kuvhara kwematumbo.
• Ronda richivhurika.
• Ronda hutachiona.

Nguva dzose udza mupi wako kuti ndeapi mishonga yauri kutora, kunyangwe mishonga, zvinowedzera, kana mahebhu awakatenga pasina mushonga. Bvunza kuti ndeipi mishonga yaunofanira kutora pazuva rekuvhiyiwa kwako.

Usati wavhiyiwa, taura nemupi wako nezvezvinhu zvinotevera:

• Kushamwaridzana uye zvepabonde
• Kubata pamuviri
• Mitambo
• Shanda

Pakati pevhiki mbiri usati wavhiyiwa:

• Vhiki mbiri usati wavhiyiwa, unogona kukumbirwa kuti urege kunwa mishonga inoita kuti ropa rako rigwinike. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), Naprosyn (Aleve, Naproxen), nevamwe.
• Bvunza kuti ndeipi mishonga yaunofanira kutora pazuva rekuvhiyiwa kwako.
• Ukasvuta, edza kurega. Kumbira mupiki wako kuti akubatsire.
• Nguva dzose rega mupi wako azive nezve chero kutonhora, dzihwa, fivha, herpes kuputika, kana zvimwe zvirwere zvaungave nazvo usati wavhiyiwa.

Zuva rakapfuura kuvhiyiwa kwako:

• Tevera mirairo yemupi wako nezve chekudya nekumwa. Iwe unogona kukumbirwa kunwa chete zvinwiwa zvakajeka, senge muto, muto wakachena, uye mvura pane imwe nguva mukati mezuva.
• Iwe uchaudzwa nguva yekurega kudya uye kunwa. Iwe unogona kukumbirwa kuti urege kudya chikafu chakasimba mushure meusiku pakati pehusiku, asi iwe unogona kukwanisa kuve nezvinwiwa zvakajeka kusvikira maawa maviri usati wavhiyiwa.
• Mupi wako anogona kukukumbira kuti ushandise enemas kana laxatives kujekesa ura hwako. Iwe unowana mirairo pamusoro pekuishandisa.

Pazuva rekuvhiyiwa kwako:

• Tora mishonga yawakanzi utore nekunwa zvishoma mvura.
• Unozoudzwa nguva yekuuya kuchipatara.

Iwe uchave uri muchipatara kwemazuva matatu kusvika manomwe. Nezuva rechipiri, iwe ungangodaro unokwanisa kunwa zvakajeka zvinwiwa. Iwe unononoka kukwanisa kuwedzera mukobvu zvinwiwa uyezve zvinyoro chikafu kune chako chikafu sezvo ura hwako hwatanga kushanda zvakare.

Mushure meiyi nzira, iwe unogona kutarisira kuve neane mana kusvika matanhatu ura kufamba pazuva. Iwe ungangoda kumwe kuvhiyiwa uye ileostomy kana iwe uine Crohn chirwere uye ichipararira kune yako rectum.

Vanhu vazhinji vanovhiyiwa vanopora zvizere. Ivo vanokwanisa kuita yakawanda yezviitiko zvavaive vachiita pamberi pekuvhiyiwa kwavo. Izvi zvinosanganisira mitambo yakawanda, kufamba, kurima gadheni, kukwira makomo, uye zvimwe zviitiko zvekunze, uye mhando zhinji dzebasa.

Ileorectal anastomosis; Subtotal colectomy

• Bland kudya
• 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 NM, 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.