Ukukhishwa okuphelele kwe-colectomy noma i-proctocolectomy

Uhlinzwe ukukhipha amathumbu akho amakhulu. I-anus yakho ne-rectum yakho nayo kungenzeka isusiwe. Kungenzeka futhi ukuthi ube ne-ileostomy.

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.

Landela imiyalo yomhlinzeki wakho wezokunakekelwa kwempilo yokuthi ungazinakekela kanjani ekhaya.

Uma i-rectum yakho noma i-anus isala, ungahle ube nomuzwa wokuthi udinga ukuhambisa amathumbu akho. Ungavuza futhi indle noma amafinyila emasontweni ambalwa okuqala.

Uma i-rectum yakho isusiwe, ungahle uzizwe izithungo ezikule ndawo. Kungazwakala kuthambile lapho uhleli.

Cishe uzoba nobuhlungu lapho ukhwehlela, uthimula futhi wenze ukunyakaza okungazelelwe. Lokhu kungahlala amasonto ambalwa kepha kuzothuthuka ngokuhamba kwesikhathi.

Umsebenzi:

• Kungathatha amasonto ambalwa ukuthi ubuyele emisebenzini yakho ejwayelekile. Buza udokotela 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 umuthi wezinhlungu izikhathi ezi-3 noma ezi-4 ngosuku, wuphuze ngezikhathi ezifanayo usuku ngalunye izinsuku ezi-3 kuye kwezi-4. Ilawula 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 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 ngemisipha yokuqedwa, 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-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 udokotela wakho.

Buza umhlinzeki wakho ukuthi kufanele uphuze okungakanani uketshezi usuku ngalunye ukuvimbela ukuthola ukomisa.

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:

• Umkhuhlane ka-101 ° F (38.3 ° C) noma ngaphezulu, noma umkhuhlane ongapheli ne-acetaminophen (iTylenol)
• Isisu esivuvukile
• Zizwe ugula esiswini sakho noma uphonsa kakhulu futhi awukwazi ukugcina ukudla phansi
• 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-colostomy yakho iyekile ukubeka noma imaphi amanzi noma indle usuku olulodwa noma ezimbili
• Izinguquko ku-incision yakho efana nemiphetho iyadonsa, ukuphuma kwamanzi noma ukuphuma kwegazi okuvela kuwo, ubomvu, ukufudumala, ukuvuvukala, noma ubuhlungu obukhulayo
• Ukuphefumula okuncane noma ubuhlungu besifuba
• Imilenze evuvukele noma ubuhlungu ematholeni akho
• Ukunyuka kwamanzi kusuka kumgogodla wakho
• Ukuzizwa usinda endaweni yakho engxenyeni

Qeda ileostomy - colectomy noma proctolectomy - ukukhipha; Izwekazi leostomy - ukukhishwa; I-Ostomy - colectomy noma i-proctolectomy - ukukhishwa; Ukubuyiselwa kwe-proctocolectomy - ukukhishwa; Ukukhishwa kwe-Ileal-anal - ukukhishwa; Isikhwama se-Ileal-anal - ukukhishwa; J-isikhwama - ukukhishwa; S-isikhwama - ukukhishwa; Isikhwama se-pelvic - ukukhishwa; Ileal-anal anastomosis - ukukhipha; Isikhwama se-Ileal-anal - ukukhishwa; Isikhwama se-Ileal - i-anal anastomosis - ukukhishwa; IPAA - ukukhishwa; Ukuhlinzwa kwedamu le-Ileal-anal - ukukhipha

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 M, abahleli. Amakhono Wabahlengikazi Abasemtholampilo: Okuyisisekelo Kumakhono Athuthukile. Umhlaka 9. ENew York, NY: Pearson; 2016: isahluko 26.

• Umdlavuza we-Colorectal
• Ileostomy
• Ukuvinjelwa kwamathumbu kanye no-Ileus
• Ingqikithi yesisu se-colectomy
• Ingqikithi yesikhwama se-proctocolectomy ne-ileal-anal
• Ingqikithi ye-proctocolectomy nge-ileostomy
• I-ulcerative colitis

• Ukudla kweBland
• 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

• Izifo zeColonic
• I-Colorectal Cancer
• Izifo zikaCrohn
• I-Diverticulosis ne-Diverticulitis
• Ukuvinjelwa Kwamathumbu
• I-Ulcerative Colitis