Ukukhishwa kwamathumbu amancane - ukukhishwa

Uhlinzwe ukukhipha wonke noma ingxenye yamathumbu akho amancane (amathumbu amancane). Kungenzeka futhi ukuthi ube ne-ileostomy.

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.
• Ungaba nezinkinga ngezihlalo ezinamafutha noma ezinuka kabi noma uhudo uma kukhishwa ingxenye enkulu yamathumbu akho amancane.
• Ungaba nezinkinga nge-ileostomy 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.

Udokotela 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. Buza umhlinzeki wakho ukuthi ungathatha i-acetaminophen (Tylenol) noma ibuprofen (Advil noma iMotrin) ukusiza ngobuhlungu nokugwema ukuthatha umuthi wezinhlungu we-narcotic.
• 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 udokotela wakho ukuthi kufanele uqale nini ukuthatha imishanguzo yakho ejwayelekile futhi ngemuva kokuhlinzwa.

Uma okuyisisekelo sakho kususiwe, cishe uzoba nezicucu ezincane zeteyipu ezibekwe ngaphesheya kokuqhekeka kwakho. Lezi zingcezu zeteyiphu zizowa zodwa. Uma imbobo yakho ivaliwe ngomthungo oncibilikayo, kungenzeka ukuthi ube neglue elimboze imbobo. Le glue izokhululeka futhi izozihambela 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, udokotela wakho uzokutshela ukuthi uyishintshe 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-ileostomy, landela imiyalo yokunakekelwa evela kumhlinzeki wakho.

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

• 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.

Uma unezihlalo ezinzima:

• Zama ukusukuma uhambe uzungeze okuningi. Ukusebenza ngokwengeziwe kungasiza.
• Uma ukwazi, thatha kancane imithi yezinhlungu udokotela akunike yona. Bangakwenza uqunjelwe.
• Ungasebenzisa izithambisi zendle uma udokotela wakho ekutshela ukuthi kulungile.
• Buza udokotela wakho ukuthi ungathatha ubisi lwe-magnesia noma i-magnesium citrate. Ungathathi noma imiphi imishanguzo ngaphandle kokucela udokotela wakho kuqala.
• Buza umhlinzeki wakho ukuthi kulungile yini ukudla ukudla okuqukethe i-fiber eningi noma uthathe umkhiqizo we-fiber ongaphezulu kwekhawunta njenge-psyllium (Metamucil).

Khuluma nomhlinzeki wakho uma unemibuzo mayelana ne-ileostomy nokudla kwakho.

Buyela emsebenzini kuphela lapho uzizwa ukulungele. 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.
• Udokotela wakho angabhala incwadi ukukhawulela imisebenzi yakho yomsebenzi uma wenza umsebenzi onzima.

Shayela udokotela wakho uma unokunye kwalokhu okulandelayo:

• Umkhuhlane ka-101 ° F (38.3 ° C) noma ngaphezulu, noma umkhuhlane ongapheli 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 bucayi, nemithi yezinhlungu ayisizi
• I-ileostomy yakho iyekile ukusebenza usuku noma izinsuku ezimbili
• Izinguquko ku-incision yakho, njengemiphetho iyadonsa, ukuphuma kwamanzi noma ukuphuma kwegazi okuvela kuwo, ubomvu, ukufudumala, ukuvuvukala, noma ubuhlungu obukhulayo
• Ukuphefumula noma ubuhlungu besifuba
• Imilenze evuvukele noma ubuhlungu ematholeni akho

Ukuhlinzwa kwamathumbu amancane - ukukhishwa; Ukuvuselelwa kwamathumbu - amathumbu amancane - ukukhishwa; Ukutholwa kabusha kwengxenye yamathumbu amancane - ukukhishwa; I-Enterectomy - ukukhishwa

Ngobuhle A, Yeo HL. Ukuphathwa kokuvinjelwa kwamathumbu amancane. Ku: UCameron JL, uCameron AM, ama-eds. Ukwelashwa Kwamanje. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2020: 129-132.

UHarris JW, i-Evers BM. Amathumbu amancane. 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 49.

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

Yeo HL, Michelassi F, Ukuphathwa kwesifo sikaCrohn sesibeletho esincane. Ku: UCameron JL, uCameron AM, ama-eds. Ukwelashwa Kwamanje. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2020: 129-132.

• Umdlavuza we-Colorectal
• Isifo seCrohn
• Ukuvinjelwa kwamathumbu kanye no-Ileus
• Ukuthengiswa kabusha kwamathumbu amancane

• Ukudla kweBland
• Isifo seCrohn - ukukhipha
• Ukudla okugcwele ketshezi
• Ukuvuka embhedeni ngemuva kokuhlinzwa
• Ileostomy nengane yakho
• Ileostomy nokudla kwakho
• Ileostomy - ukunakekela i-stoma yakho
• Ileostomy - ukushintsha isikhwama sakho
• Ileostomy - ukukhishwa
• Ileostomy - yini ongayibuza udokotela wakho
• Ukudla okuphansi kwe-fiber
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile
• Izinhlobo ze-ileostomy
• Izinguquko zokugqoka ezimanzi nezomile

• Umdlavuza Wamathumbu
• Ukuvinjelwa Kwamathumbu
• Ukuphazamiseka Okuncane Kwamathumbu