Ingqikithi ye-proctocolectomy nge-ileostomy

Ingqikithi ye-proctocolectomy ne-ileostomy ukuhlinzwa ukususa lonke ikholoni (amathumbu amakhulu) ne-rectum.

Uzothola i-anesthesia ejwayelekile ngaphambi kokuhlinzwa kwakho. Lokhu kuzokwenza ulale futhi ungabi nezinhlungu.

Nge-proctocolectomy yakho:

• Udokotela wakho ohlinzayo uzokwenza ukusika kokuhlinzwa esiswini sakho esingezansi.
• Ngemuva kwalokho udokotela wakho ohlinzayo uzokhipha amathumbu akho amakhulu kanye ne-rectum.
• Udokotela wakho ohlinzayo angabheka futhi ama-lymph node akho futhi angasusa amanye awo. Lokhu kwenziwa uma ukuhlinzwa kwakho kwenziwa ukukhipha umdlavuza.

Okulandelayo, udokotela wakho ohlinzayo uzokwakha i-ileostomy:

• Udokotela wakho ohlinzayo uzokwenza ukusika okuncane esiswini sakho. Imvamisa lokhu kwenziwa engxenyeni engezansi yesisu sakho.
• Ingxenye yokugcina yamathumbu akho amancane (ileum) idonswa ngale ndlela yokusika. Bese ithungelwa esiswini sakho.
• Lokhu kuvuleka esiswini sakho okwakhiwe yi-ileum yakho kubizwa ngokuthi i-stoma. Indle izophuma kulokhu kuvulwa futhi iqoqe esikhwameni samanzi esizonamathiselwa kuwe.

Abanye odokotela abahlinzayo benza lo msebenzi besebenzisa ikhamera. Ukuhlinzwa kwenziwa ngokusikeka okuncane okumbalwa, futhi kwesinye isikhathi kusike okukhulu ukuze udokotela ohlinzayo akwazi ukusiza ngesandla. Izinzuzo zalokhu kuhlinzwa, okubizwa ngokuthi yi-laparoscopy, kungukululama okusheshayo, ubuhlungu obuncane, nokusikeka okumbalwa okuncane.

Ingqikithi ye-proctocolectomy ngokuhlinzwa kwe-ileostomy yenziwa lapho okunye ukwelashwa kungazisizi izinkinga ngamathumbu akho amakhulu.

Kuvame ukwenziwa kubantu abanesifo sokuvuvukala kwamathumbu. Lokhu kufaka phakathi i-ulcerative colitis noma isifo seCrohn.

Lokhu kuhlinzwa kungenziwa futhi uma une:

• Umdlavuza wekoloni noma we-rectum
• I-polyposis ejwayelekile
• Ukopha emathunjini akho
• Ukukhubazeka kokuzalwa okulimaze amathumbu akho
• Ukulimala kwamathumbu engozini noma ekulimaleni

Ingqikithi ye-proctocolectomy ene-ileostomy ivame kakhulu ukuphepha. Ubungozi bakho buzoya ngempilo 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:

• Ukulimala kwezitho zomzimba eziseduze kanye nezinzwa ezithangeni
• Ukutheleleka, kufaka phakathi amaphaphu, umgudu wokuchama kanye nesisu
• Izicubu ezibomvu zingakheka esiswini sakho futhi zibangele ukuvimba kwamathumbu amancane
• Isilonda sakho singavuleka noma singapholi kahle
• Ukumuncwa kabi kwezakhamzimba ekudleni
• I-Phantom rectum, umuzwa wokuthi i-rectum yakho isekhona (ngokufana nabantu abanqunywe isitho)

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.

Khuluma nomhlinzeki wakho ngalezi zinto ngaphambi kokuhlinzwa:

• Ukusondelana nobulili
• Ezemidlalo
• Sebenza
• Ukukhulelwa

Phakathi namasonto ama-2 ngaphambi kokuhlinzwa kwakho:

• Ungacelwa ukuthi uyeke ukuthatha imithi eyenza kube nzima ngegazi lakho ukuminyana. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), Naprosyn (Aleve, Naproxen), nezinye.
• Uma ubhema, zama ukuyeka. Cela usizo kumhlinzeki wakho.
• Njalo utshele umhlinzeki wakho uma unomkhuhlane, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma ezinye izifo 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 uzokunika imiyalo yalokhu.

Ngosuku lokuhlinzwa kwakho:

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

Uzohlala esibhedlela izinsuku ezintathu kuya kwezi-7. Kungadingeka ukuthi uhlale isikhathi eside uma ngabe uhlinziwe ngenxa yesimo esiphuthumayo.

Unganikezwa ama-ice chips ukunciphisa ukoma kwakho ngosuku olufanayo nokuhlinzwa kwakho. Ngosuku olulandelayo, cishe uzovunyelwa ukuphuza iziphuzo ezicacile. Uzokwazi ukwengeza uketshezi olujiyile kancane bese udla ukudla okuthambile ekudleni kwakho njengoba amathumbu akho eqala ukusebenza futhi. Kungenzeka ukuthi udla ukudla okuthambile ezinsukwini ezimbili ngemuva kokuhlinzwa kwakho.

Ngenkathi usesibhedlela, uzofunda ukuthi ungayinakekela kanjani i-ileostomy yakho.

Uzoba nesikhwama se-ileostomy esikulungele. Ukudonsa amanzi esikhwameni sakho kuzohlala njalo. Uzodinga ukugqoka isikhwama ngaso sonke isikhathi.

Abantu abaningi abanalokhu kuhlinzwa bayakwazi ukwenza imisebenzi eminingi abebekwenza ngaphambi kokuhlinzwa kwabo. Lokhu kufaka phakathi ezemidlalo, ezokuvakasha, izingadi, izintaba, neminye imisebenzi yangaphandle, nezinhlobo eziningi zomsebenzi.

Ungadinga ukwelashwa okuqhubekayo uma unesimo esingelapheki, njenge:

• Isifo seCrohn
• I-ulcerative colitis

• Ukuphepha kwamakamelo abantu abadala
• 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
• Ukuvimbela ukuwa
• Ukukhishwa okuphelele kwe-colectomy noma i-proctocolectomy
• Izinhlobo ze-ileostomy
• Lapho unesicanucanu nokuhlanza

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.