Yakazara proctocolectomy neileostomy

Yakazara proctocolectomy neileostomy kuvhiyiwa kubvisa iyo yese colon (hombe ura) uye rectum.

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

Yako proctocolectomy:

• Chiremba wako achaita kucheka kwekuvhiya mudumbu rako rezasi.
• Ipapo chiremba wako anovhiya achabvisa ura hwako hukuru uye rectum.
• Chiremba wako anovhiya anogona zvakare kutarisa ako lymph node uye anogona kubvisa mamwe acho. Izvi zvinoitwa kana kuvhiya kwako kuri kuitirwa kubvisa cancer.

Tevere, chiremba wako anovhiya achagadzira ileostomy:

• Chiremba wako achaita chidimbu chidiki chekuvhiya mudumbu rako. Kazhinji kazhinji izvi zvinogadzirwa muchikamu chezasi kurudyi chedumbu rako.
• Chikamu chekupedzisira chemuviri wako mudiki (ileum) chinodhonzwa kuburikidza neiyi yekucheka cheka. Inobva yasonerwa padumbu rako.
• Uku kuvhura mudumbu mako kwakaumbwa neileum yako kunonzi stoma. Stool ichabuda pamusuwo uyu uye inounganidza muhombodo yemadhiragi inosungirirwa kwauri.

Vamwe vanachiremba vanovhiya vachishandisa kamera. Kuvhiya kunoitwa nemadiki mashoma ekuvhiya, uye dzimwe nguva akacheka akakura kuitira kuti chiremba anovhiya abatsire neruoko. Zvakanakira kuvhiyiwa uku, uko kunonzi laparoscopy, ndiko kukurumidza kupora, kurwadziwa kushoma, uye mashoma mashoma ekucheka.

Yakazara proctocolectomy neye ileostomy kuvhiya kunoitwa kana kumwe kurapwa kusingabatsire matambudziko nematumbu ako makuru.

Inowanzoitwa muvanhu vane hutachiona hwechirwere. Izvi zvinosanganisira ulcerative colitis kana chirwere cheCrohn.

Uku kuvhiya kunogona kuitwawo kana uine:

• Colon kana gomarara remukono
• Yakakurumbira polyposis
• Kubuda ropa mumatumbo ako
• Kuremara kwekuzvarwa kwakakuvadza ura hwako
• Utachiona hwemukati kubva mutsaona kana kukuvara

Yakazara proctocolectomy neileostomy 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:

• Kukuvadza kunhengo dziri pedyo mumuviri uye kumitsipa iri muchiuno
• Utachiona, kusanganisira mumapapu, weti turakiti, uye dumbu
• Zvishoma zvemavara zvinogona kuumba mudumbu mako uye zvichikonzera kuvharika kwemukati mudumbu
• Ronda rako rinogona kuvhurika kana kupora zvisingaite
• Kusatora zvakanaka zvinovaka muviri kubva muzvikafu
• Phantom rectum, kunzwa kuti rectum yako ichiripo (yakafanana nevanhu vakadimburwa gumbo)

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.

Taura nemupi wako nezve izvi zvinhu usati waitwa oparesheni:

• Kushamwaridzana uye zvepabonde
• Mitambo
• Shanda
• Kubata pamuviri

Pakati pevhiki mbiri usati wavhiyiwa:

• Iwe unogona kukumbirwa kumira kutora mishonga inoita kuti zviomere iro ropa rako kugwamba. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), Naprosyn (Aleve, Naproxen), nevamwe.
• Ukasvuta, edza kurega. Kumbira mupiki wako kuti akubatsire.
• Nguva dzose udza mupi wako kana iwe uine dzihwa, dzihwa, fivha, herpes breakout, kana zvimwe zvirwere usati wavhiyiwa.

Zuva rakapfuura kuvhiyiwa kwako:

• Unogona kukumbirwa kunwa zvinwiwa zvakajeka chete, senge muto, muto wakachena, nemvura, mushure menguva yakati.
• Tevedzera rairo dzawakapihwa nezve nguva yekurega kudya nekumwa.
• Iwe ungangoda kushandisa enemas kana laxatives kubvisa ako matumbo. Wako mupi achakupa rairo yeichi.

Pazuva rekuvhiyiwa kwako:

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

Iwe uchave uri muchipatara kwemazuva matatu kusvika manomwe. Unogona kumbogara kwenguva yakareba kana iwe ukavhiyiwa nekuda kwechimbichimbi.

Iwe unogona kupihwa echando machipisi ekurerutsa nyota yako pazuva rimwe chete sekuvhiyiwa kwako. Nezuva rinotevera, iwe unogona kunge uchizobvumidzwa kunwa zvinwiwa zvakajeka. Iwe unononoka kukwanisa kuwedzera mukobvu zvinwiwa uyezve zvinyoro chikafu kune chako chikafu sezvo ura hwako hwatanga kushanda zvakare. Unogona kunge uchidya chinyoro chekudya mazuva maviri mushure mekuvhiyiwa kwako.

Paunenge uri muchipatara, iwe unozodzidza maitiro ekuchengeta yako ileostomy.

Iwe unenge uine homwe yeileostomy iyo yakakukwanira iwe. Drainage muhomwe yako ichave yenguva dzose. Iwe unozofanirwa kupfeka homwe nguva dzese.

Vanhu vazhinji vanovhiyiwa ava vanokwanisa kuita zviitiko zvakawanda zvavaiita vasati vavhiyiwa. Izvi zvinosanganisira mitambo yakawanda, kufamba, kurima gadheni, kukwira makomo, uye zvimwe zviitiko zvekunze, uye mhando zhinji dzebasa.

Iwe ungangoda kurapwa kwekuenderera mberi kana iwe uine chirwere chisingaperi, senge:

• Chirwere cheCrohn
• Ulcerative colitis

• Kuchengetedzwa kwekugezera kwevakuru
• 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
• Kudzivirira kudonha
• Yese colectomy kana proctocolectomy - kubuda
• Mhando dze ileostomy
• Paunenge uine kusvotwa uye kurutsa

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.