Ingqikithi yesikhwama se-proctocolectomy ne-ileal-anal

Ukuhlinzwa okuphelele kwesikhwama se-proctocolectomy kanye ne-ileal-anal kungukukhishwa kwamathumbu amakhulu kanye ne-rectum eningi. Ukuhlinzwa kwenziwa esigabeni esisodwa noma ezimbili.

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

Ungaba nenqubo ngesigaba esisodwa noma ezimbili:

• Udokotela wakho ohlinzayo uzokwenza ukusika kokuhlinzwa esiswini sakho. Lapho-ke udokotela wakho ohlinzayo uzokhipha amathumbu akho amakhulu.
• Okulandelayo, udokotela wakho ohlinzayo uzosusa i-rectum yakho. Ingquza yakho ne-anal sphincter yakho kuzosala endaweni. I-anal sphincter imisipha evula indunu yakho lapho unyakaza amathumbu.
• Lapho-ke udokotela wakho ohlinzayo uzokwakha isikhwama emasentimitheni angu-12 okugcina (amasentimitha angama-30) wamathumbu akho amancane. Isikhwama sithungwe endunu yakho.

Abanye odokotela abahlinzayo benza lo msebenzi besebenzisa ikhamera. Lokhu kuhlinzwa kubizwa ngokuthi yi-laparoscopy. Kwenziwa ngokusikeka okuncane okumbalwa kokuhlinzwa. Kwesinye isikhathi kusikwa okukhudlwana ukuze udokotela ohlinzayo akwazi ukusiza ngesandla. Izinzuzo zalokhu kuhlinzwa ukubuyisa ngokushesha, ubuhlungu obuncane, nokusikeka okumbalwa okuncane.

Uma une-ileostomy, udokotela ohlinzayo uzoyivala ngesikhathi sokugcina sokuhlinzwa.

Le nqubo ingenzelwa:

• I-ulcerative colitis
• I-polyposis ejwayelekile

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

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

Izingozi zokuhlinzwa lokhu zifaka:

• Izicubu ezibandayo ngomsiko, obizwa ngokuthi i-hernia ecijile
• Ukulimala kwezitho eziseduze emzimbeni nezinzwa ezithangeni
• Izicubu ezibomvu ezakha esiswini futhi zibangele ukuvimba kwamathumbu amancane
• Indawo lapho kuthungelwe khona amathumbu amancane ku-anus (anastomosis) ingavuleka, idale ukutheleleka noma ithumba, okungabeka impilo engcupheni
• Kuvuleka isilonda
• Ukutheleleka kwesilonda

Hlala utshela umhlinzeki wakho wezempilo ukuthi yimiphi imithi oyiphuzayo, ngisho nemithi, izithasiselo, noma amakhambi owathengile ngaphandle kwencwadi kadokotela.

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:

• Ungacelwa ukuthi uphuze kuphela uketshezi olucacile, njengomhluzi, ujusi ocacile, namanzi ngemuva kwesikhathi esithile.
• Landela imiyalo onikezwe yona mayelana nokuthi ungayeka nini ukudla nokuphuza.
• Ungadinga ukusebenzisa ama-enemas noma ama-laxatives ukusula amathumbu akho. Umhlinzeki wakho uzokunikeza 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 bese ukudla okuthambile ekudleni kwakho njengoba amathumbu akho eqala ukusebenza futhi.

Ngenkathi usesibhedlela esigabeni sokuqala sokuhlinzwa kwakho, uzofunda ukuthi ungayinakekela kanjani i-ileostomy yakho.

Cishe uzoba nokuhamba kwamathumbu amane kuya kwangu-8 ngosuku ngemuva kwalokhu kuhlinzwa. Uzodinga ukulungisa impilo yakho kulokhu.

Iningi labantu lilulama ngokuphelele. Bayakwazi ukwenza imisebenzi eminingi abebekwenza ngaphambi kokuhlinzwa kwabo. Lokhu kufaka phakathi ezemidlalo, ezokuvakasha, izingadi, izintaba, neminye imisebenzi yangaphandle, nezinhlobo eziningi zomsebenzi.

I-proctocolectomy yokubuyisela; Ileal-anal resection; Isikhwama se-Ileal-anal; J-isikhwama; Isikhwama se-S; Isikhwama se-pelvic; Isikhwama se-Ileal-anal; Ileal anastomosis yesikhwama-anal; IPAA; Ukuhlinzwa kwedamu le-Ileal-anal

• 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 NN, 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.