Yakazara proctocolectomy uye ileal-anal homwe

Yakazara proctocolectomy uye ileal-anal homwe kuvhiya ndiko kubviswa kweiyo huru ura uye yakawanda yeiyo rectum. Kuvhiya kunoitwa mune imwe kana maviri matanho.

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

Iwe unogona kunge uine maitiro mune imwe kana maviri matanho:

• Chiremba wako achaita kucheka kwekuvhiya mudumbu rako. Ipapo chiremba wako anovhiya achabvisa ura hwako hukuru.
• Tevere, chiremba wako anovhiya achabvisa yako rectum. Anus yako uye anal sphincter yako ichasara munzvimbo. Iyo anal sphincter ndiyo mhasuru iyo inovhura anus yako kana iwe uine ura kufamba.
• Ipapo chiremba wako anovhiya achaburitsa homwe kubva mumasendimita gumi nemaviri ekupedzisira (ako masendimita makumi matatu) ohudumbu hwako. Homwe yakasonwa kune yako anus.

Vamwe vanachiremba vanovhiya vachishandisa kamera. Kuvhiya uku kunonzi laparoscopy. Izvo zvinoitwa nemashoma mashoma ekuvhiya. Dzimwe nguva kucheka kukuru kunoitwa kuti chiremba anovhiya abatsire neruoko. Zvakanakira kuvhiyiwa uku kukurumidza kupora, kurwadziwa kushoma, uye mashoma mashoma ekucheka.

Kana uine ileostomy, chiremba wako anovhara iyo panguva yekupedzisira yekuvhiya.

Maitiro aya anogona kuitirwa:

• Ulcerative colitis
• Yakakurumbira polyposis

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

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

Ngozi dzekuvhiyiwa idzi dzinosanganisira:

• Bulging tishu kuburikidza nekucheka, inonzi incisional hernia
• Kukuvadza kunhengo dziri pedyo mumuviri uye tsinga dziri muchiuno
• Mavara enyama anoumba mudumbu uye anokonzeresa kuvharika kwemukati dumbu
• Iyo nzvimbo iyo ura mudiki hwakasonerwa kune anus (anastomosis) inogona kuuya yakavhurika, ichikonzera hutachiona kana bundu, izvo zvinogona kutyisidzira hupenyu
• Ronda richivhurika
• Ronda hutachiona

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

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:

• Unogona kukumbirwa kunwa zvinwiwa zvakajeka chete, senge muto, muto wakachena, uye mvura mushure menguva yakati.
• Tevedzera rairo dzawakapihwa nezve nguva yekurega kudya nekumwa.
• Iwe ungangoda kushandisa enemas kana laxatives kubvisa ako matumbo. Mupiki wako anokupa rairo yekuti ungashandise sei.

Pazuva rekuvhiyiwa kwako:

• Tora mishonga yawakaudzwa kunwa nekamwe kamvura.
• Unozoudzwa nguva yekuuya kuchipatara.

Iwe uchave uri muchipatara kwemazuva matatu kusvika manomwe. Nezuva rechipiri, iwe ungangodaro unokwanisa kunwa zvakajeka zvinodhaka. Iwe unozokwanisa kuwedzera zvinwiwa zvakakora uyezve zvinyoro-nyoro pane zvaunodya sezvo ura hwako huchitanga kushanda zvakare.

Paunenge uri muchipatara padanho rekutanga rekuvhiyiwa kwako, iwe unozodzidza maitiro ekuchengeta ileostomy yako.

Iwe uchave uine 4 kusvika ku8 ura hwekufamba pazuva mushure mekuvhiyiwa uku. Iwe unozofanirwa kugadzirisa mararamiro ako pane izvi.

Vanhu vazhinji vanopora zvizere. Ivo vanokwanisa kuita zviitiko zvakawanda zvavaive vachiita vasati vavhiyiwa. Izvi zvinosanganisira mitambo yakawanda, kufamba, kurima gadheni, kukwira makomo, uye zvimwe zviitiko zvekunze, uye mhando zhinji dzebasa.

Kudzorera proctocolectomy; Ileal-anal resection; Homwe-anal anal homwe; J-homwe; S-homwe; Pelvic homwe; Homwe-anal anal homwe; Ileal homwe-anal anastomosis; IPAA; Ileal-anal reservoir kuvhiya

• 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 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.