Ukukhishwa kwamathumbu amakhulu - ukukhishwa

Uhlinzwe ukukhipha wonke noma ingxenye yamathumbu akho amakhulu (amathumbu amakhulu). Kungenzeka futhi ukuthi ube ne-colostomy. Lo mbhalo uchaza ukuthi yini ongayilindela ngemuva kokuhlinzwa nokuthi ungazinakekela kanjani ekhaya.

Ngesikhathi nangemva kokuhlinzwa, uthole uketshezi olufakwa emthanjeni (IV). Kungenzeka futhi ukuthi ufake ithubhu emakhaleni akho nasesiswini sakho. Kungenzeka ukuthi uthole ama-antibiotic.

Ungaba nalezi zinkinga ngemuva kokubuyela ekhaya usuka esibhedlela:

• Ubuhlungu lapho ukhwehlela, uthimula futhi wenze ukunyakaza okungazelelwe. Lokhu kungathatha amasonto ambalwa.
• Izitulo ezinzima, noma ungeke ukwazi ukunyakaza kwamathumbu nhlobo.
• Ungahle ube nohudo.
• Ungaba nezinkinga nge-colostomy yakho.

Landela imiyalo yomhlinzeki wakho wezokunakekelwa kwempilo yokuthi ungazinakekela kanjani ekhaya.

Umsebenzi:

• Kungathatha amasonto ambalwa ukuthi ubuyele emisebenzini yakho ejwayelekile. Buza umhlinzeki wakho uma kukhona imisebenzi okungafanele uyenze.
• Qala ngokuhamba amabanga amafushane.
• Khulisa umsebenzi wakho kancane. Ungaziphusheli kanzima.

Umhlinzeki wakho uzokunika imithi yezinhlungu oyiphuzayo ekhaya.

• Uma uphuza imishanguzo yezinhlungu izikhathi ezintathu noma ezi-4 ngosuku, yisebenzise ngezikhathi ezifanayo usuku ngalunye izinsuku ezi-3 kuye kwezi-4. Balawula ubuhlungu kangcono ngale ndlela.
• Ungashayeli noma usebenzise eminye imishini esindayo uma uphuza imishanguzo yezinhlungu. Le mithi ingakwenza ukozele futhi yehlise isikhathi sakho sokuphendula.

Cindezela umcamelo phezu kokuqhekeka kwakho lapho udinga ukukhwehlela noma ukuthimula. Lokhu kusiza ukudambisa izinhlungu.

Buza umhlinzeki wakho ukuthi kufanele uqale nini ukuthatha imishanguzo yakho ejwayelekile futhi ngemuva kokuhlinzwa.

Uma okuyisisekelo noma ama-suture akho esusiwe, ungahle ube nezingcezu ezincane zeteyipu ezibekwe kuyo yonke imbobo yakho. Lezi zingcezu zeteyiphu zizowa zodwa. Uma imbobo yakho ivaliwe ngomthungo oncibilikayo, ungahle ube neglue elimboze imbobo. Le glue izokhululeka futhi iziphumele yodwa. Noma, ingahluzwa ngemuva kwamasonto ambalwa.

Buza umhlinzeki wakho lapho ungageza khona noma ungene kubhavu.

• KULUNGILE uma amateyipu emanzi. Ungazicwilisi noma uzihlanze.
• Gcina isilonda sakho somile ngaso sonke isikhathi.
• Amateyipu azowa awabo ngemuva kwesonto noma amabili.

Uma unengubo, umhlinzeki wakho uzokutshela ukuthi uyishintsha kangaki nokuthi ungayeka nini ukuyisebenzisa.

• Landela imiyalo yokuhlanza isilonda sakho nsuku zonke ngensipho namanzi. Bheka ngokucophelela noma yiziphi izinguquko enxebeni njengoba wenza lokhu.
• Pat isilonda sakho somile. Ungayikhuhli yomile.
• Buza umhlinzeki wakho ngaphambi kokufaka i-lotion, ukhilimu, noma amakhambi esilondeni sakho.

Ungagqoki izingubo eziqinile ezigcobayo enxebeni lakho ngenkathi seliphola. Sebenzisa iphedi elincanyana eligaxwe ngaphezulu ukuyivikela uma kudingeka.

Uma une-colostomy, landela imiyalo yokunakekelwa evela kumhlinzeki wakho. Ukuhlala esicamelweni kungakwenza ukhululeke kakhudlwana uma ukuhlinzwa bekuku-rectum yakho.

Yidla ukudla okuncane izikhathi eziningana ngosuku. Ungadli izidlo ezinkulu ezi-3.

• Khipha isikhala sokudla kwakho okuncane.
• Faka ukudla okusha emuva ekudleni kwakho kancane.
• Zama ukudla amaprotheni nsuku zonke.

Okunye ukudla kungadala igesi, izitulo ezikhululekile, noma ukuqunjelwa njengoba ululama. Gwema ukudla okudala izinkinga.

Uma ugula esiswini noma uhudo, shayela umhlinzeki wakho.

Buza umhlinzeki wakho ukuthi kufanele uphuze okungakanani uketshezi usuku ngalunye ukuze uvimbele ukungabi namanzi.

Uma unezihlalo ezinzima:

• Zama ukusukuma uhambe uzungeze okuningi. Ukusebenza ngokwengeziwe kungasiza.
• Uma ukwazi, thatha kancane umuthi wezinhlungu umhlinzeki akunikeze wona. Bangakwenza uqunjelwe. Uma ulungile nomhlinzeki wakho, zama ukusebenzisa i-acetaminophen (iTylenol) noma ibuprofen (Advil noma iMotrin) ukusiza ngobuhlungu.
• Ungasebenzisa izithambisi zendle uma udokotela wakho ekutshela ukuthi kulungile.
• Buza umhlinzeki wakho ukuthi ungathatha ubisi lwe-magnesia noma i-magnesium citrate. Ungathathi noma yimaphi ama-laxatives ngaphandle kokubuza umhlinzeki wakho kuqala.
• Buza umhlinzeki ukuthi kulungile yini ukudla ukudla okuqukethe i-fiber eningi noma uthathe noma yimuphi umkhiqizo we-fiber ongaphezulu kwekhawunta njenge-psyllium (Metamucil).

Buyela emsebenzini kuphela uma uzizwa usukulungele. Lezi zeluleko zingasiza:

• Ungahle ulunge lapho ukwazi ukusebenza endlini amahora ama-8 futhi uzizwe ulungile lapho uvuka ngakusasa ekuseni.
• Ungahle uthande ukuqala emuva itoho nomsebenzi omncane ekuqaleni.
• Umhlinzeki wakho angabhala incwadi ukukhawulela imisebenzi yakho yomsebenzi uma wenza umsebenzi onzima.

Shayela umhlinzeki wakho uma unokunye kwalokhu okulandelayo:

• Imfiva engu-101 ° F (38.3 ° C) noma ngaphezulu, noma unemfiva engapheli ne-acetaminophen (iTylenol)
• Isisu esivuvukile
• Zizwe ugula esiswini sakho noma uchitha kakhulu
• Angizange ngibe nokuhamba kwamathumbu ngemuva kwezinsuku ze-4 ngiphumile esibhedlela
• Bekulokhu kunyakaza amathumbu futhi ngokungazelelwe bayama
• Izitokisi ezimnyama noma ezilindile, noma kunegazi kulindle wakho
• Ubuhlungu besisu obuya ngokuya buba bukhulu, futhi umuthi wezinhlungu awusizi
• Ukuphefumula noma ubuhlungu besifuba
• Ukuvuvukala emilenzeni noma ubuhlungu ematholeni akho
• Izinguquko ku-incision yakho, njengemiphetho iyadonsa, ukuphuma kwamanzi noma ukuphuma kwegazi okuvela kuwo, ubomvu, ukufudumala, noma ubuhlungu obubi
• Ukunyuka kwamanzi kusuka kumgogodla wakho

Ukukhuphuka kwe-colectomy - ukukhishwa; Ukwehla kwe-colectomy - ukukhishwa; I-transverse colectomy - ukukhishwa; I-hemicolectomy yangakwesokudla - ukukhishwa; I-hemicolectomy yangakwesobunxele - ukukhishwa; Ukuhlinzwa okwenziwe ngesandla kwamathumbu - ukukhishwa; Ukukhishwa kwangaphakathi okuphansi - ukukhishwa; Sigmoid colectomy - ukukhishwa; I-subtotal colectomy - ukukhishwa; I-proctocolectomy - ukukhishwa; Ukukhishwa kwamakholoni - ukukhishwa; I-laparoscopic colectomy - ukukhishwa; I-Colectomy - ukukhishwa okuyingxenye; Ukuvuselelwa kwesisu esiswini - ukukhishwa; Umdlavuza wekoloni - ukukhishwa kwamathumbu

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugen S, Fry RD. Ikholoni ne-rectum. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa: Isisekelo Sebhayoloji Sokuzijwayeza Kwamanje Kokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 51.

USmith SF, uDuell DJ, uMartin BC, uGonzalez L, ukunakekelwa kuka-Aebersold M. Perioperative. Ku: Smith SF, uDuell DJ, Martin BC, Gonzalez L, Aebersold ML, abahleli. Amakhono Wabahlengikazi Abasemtholampilo: Okuyisisekelo Kumakhono Athuthukile. Umhlaka 9. ENew York, NY: Pearson; 2017: isahluko 26.

• Umdlavuza we-Colorectal
• I-Colostomy
• Isifo seCrohn
• Ukuvinjelwa kwamathumbu kanye no-Ileus
• Ukuthengiswa kwamathumbu amakhulu
• I-ulcerative colitis

• Ukudla kweBland
• Ukushintsha isikhwama sakho se-ostomy
• Ukudla okugcwele ketshezi
• Ukuvuka embhedeni ngemuva kokuhlinzwa
• Ileostomy - ukunakekela i-stoma yakho
• Ileostomy - ukushintsha isikhwama sakho
• Ukudla okuphansi kwe-fiber
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile

• Izifo zeColonic
• Ama-polyp Colonic
• I-Colorectal Cancer
• I-Diverticulosis ne-Diverticulitis
• Ukuvinjelwa Kwamathumbu
• I-Ulcerative Colitis