Ingqikithi yesisu se-colectomy

Ingqikithi yesisu se-colectomy ukususwa kwethumbu elikhulu kusuka engxenyeni ephansi kakhulu yamathumbu amancane (ileum) kuya ku-rectum. Ngemuva kokukhishwa, ukuphela kwethumbu elincane kuthungelwe ku-rectum.

Uzothola i-anesthesia ejwayelekile ngaphambi kokuhlinzwa kwakho. Lokhu kuzokukhulula ukulala nobuhlungu.

Ngesikhathi sokuhlinzwa:

• Udokotela wakho ohlinzayo uzokwenza ukusika kokuhlinzwa esiswini sakho.
• Udokotela ohlinzayo uzokhipha amathumbu akho amakhulu. I-rectum ne-anus yakho izosala endaweni.
• Udokotela wakho ohlinzayo uzothunga ukuphela kwamathumbu akho amancane ku-rectum yakho.

Namuhla, abanye odokotela abahlinzayo benza le khamera besebenzisa ikhamera. Ukuhlinzwa kwenziwa ngokusikeka okumbalwa okuhlinzekwayo, futhi kwesinye isikhathi ukusikwa okukhulu ngokwanele ukuthi udokotela ohlinzayo asize ngokuhlinzwa. Izinzuzo zalokhu kuhlinzwa, okubizwa ngokuthi yi-laparoscopy, kungukululama okusheshayo, ubuhlungu obuncane, nokusikeka okumbalwa okuncane.

Inqubo yenziwa kubantu abane:

• Isifo seCrohn esingakasakazeli ku-rectum noma endunu
• Ezinye izicubu zomdlavuza wekoloni, lapho i-rectum ingathinteki
• Ukuqunjelwa okukhulu, okubizwa ngokuthi i-colonic inertia

Ingqikithi ye-colectomy yesisu ivame ukuphepha. Ingozi yakho incike empilweni yakho jikelele. Buza umhlinzeki wakho wezokunakekelwa kwempilo ngalezi zinkinga ezingenzeka.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukusabela emithini
• Izinkinga zokuphefumula
• Ukopha, amahlule egazi
• Ukutheleleka

Izingozi zokuhlinzwa lokhu yilezi:

• Ukopha ngaphakathi kwesisu sakho.
• Ukulimala kwezitho zomzimba eziseduze.
• Izicubu ezibomvu zingakheka esiswini futhi zidale ukuvimba kwamathumbu amancane.
• Ukuvuza kwesitokisi kusuka ekuxhumaneni phakathi kwamathumbu amancane kanye ne-rectum. Lokhu kungadala ukutheleleka noma ithumba.
• Ukuqhuma kokuxhumana phakathi kwamathumbu amancane ne-rectum. Lokhu kungadala ukuvinjelwa kwamathumbu.
• Kuvuleka isilonda.
• Ukutheleleka kwesilonda.

Hlala utshela umhlinzeki wakho ukuthi yimiphi imithi oyisebenzisayo, ngisho nemithi, izithasiselo, noma amakhambi owathengile ngaphandle kwencwadi kadokotela. Buza ukuthi imiphi imithi okufanele uyithathe ngosuku lokuhlinzwa kwakho.

Ngaphambi kokuhlinzwa, khuluma nomhlinzeki wakho ngalezi zinto ezilandelayo:

• Ukusondelana nobulili
• Ukukhulelwa
• Ezemidlalo
• Sebenza

Phakathi namasonto ama-2 ngaphambi kokuhlinzwa kwakho:

• Emasontweni amabili ngaphambi kokuhlinzwa, ungacelwa ukuthi uyeke ukuthatha imishanguzo eyenza kube nzima ngegazi lakho ukuminyana. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), uNaprosyn (Aleve, Naproxen), nezinye.
• Buza ukuthi imiphi imithi okufanele uyithathe ngosuku lokuhlinzwa kwakho.
• Uma ubhema, zama ukuyeka. Cela usizo kumhlinzeki wakho.
• Njalo vumela umhlinzeki wakho azi nganoma yikuphi ukubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma ezinye izifo ongaba nazo ngaphambi kokuhlinzwa kwakho.

Ngosuku olungaphambi kokuhlinzwa kwakho:

• Landela imiyalo yomhlinzeki wakho mayelana nokuthi yini okufanele uyidle noma uyiphuze. Ungacelwa ukuthi uphuze kuphela iziphuzo ezicacile, njengomhluzi, ujusi ocacile, namanzi ngesikhathi esithile emini.
• Uzotshelwa ukuthi uyeke nini ukudla nokuphuza. Ungacelwa ukuthi uyeke ukudla ukudla okuqinile ngemuva kwamabili, kepha ungaba neziphuzo ezicacile kuze kufike emahoreni amabili ngaphambi kokuhlinzwa.
• Umhlinzeki wakho angakucela ukuthi usebenzise ama-enemas noma ama-laxatives ukusula amathumbu akho. Uzothola imiyalo yokuthi uzisebenzisa kanjani.

Ngosuku lokuhlinzwa kwakho:

• Thatha imithi otshelwe ukuthi uyiphuze ngophuzo oluncane lwamanzi.
• Uzotshelwa ukuthi ufika nini esibhedlela.

Uzohlala esibhedlela izinsuku ezintathu kuya kwezi-7. Ngosuku lwesibili, uzokwazi ukuphuza iziphuzo ezicacile. Uzokwazi ukwengeza uketshezi olujiyile kancane bese udla ukudla okuthambile ekudleni kwakho njengoba amathumbu akho eqala ukusebenza futhi.

Ngemuva kwale nqubo, ungalindela ukuba nokuhamba kwamathumbu amane kuya kwayisithupha ngosuku. Ungadinga ukuhlinzwa okwengeziwe ne-ileostomy uma unesifo seCrohn futhi sisakazeka ku-rectum yakho.

Abantu abaningi abanalokhu kuhlinzwa balulama ngokuphelele. Bayakwazi ukwenza iningi lemisebenzi abebeyenza ngaphambi kokuhlinzwa kwabo. Lokhu kufaka phakathi ezemidlalo, ezokuvakasha, izingadi, izintaba, neminye imisebenzi yangaphandle, nezinhlobo eziningi zomsebenzi.

I-anoremosis ye-Ileorectal; I-colectomy engaphansi

• Ukudla kweBland
• Ileostomy nengane yakho
• Ileostomy nokudla kwakho
• Ileostomy - ukunakekela i-stoma yakho
• Ileostomy - ukushintsha isikhwama sakho
• Ileostomy - ukukhishwa
• Ileostomy - yini ongayibuza udokotela wakho
• Ukuphila ne-ileostomy yakho
• Ukudla okuphansi kwe-fiber
• Ukukhishwa okuphelele kwe-colectomy noma i-proctocolectomy
• Izinhlobo ze-ileostomy
• I-ulcerative colitis - ukuphuma

Mahmoud NM, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Ikholoni ne-rectum. Ku: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 51.

URaza A, Araghizadeh F. Ileostomies, ama-colostomies, izikhwama, nama-anastomoses. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 117.