Ukuthengiswa kwakhona okukhulu kwamathumbu - ukukhutshwa

Utyando lwasusa lonke okanye inxenye yamathumbu akho amakhulu (amathumbu amakhulu). Unokuba ne-colostomy. Eli nqaku lichaza into onokuyilindela emva kotyando kunye nendlela yokuzikhathalela ekhaya.

Ngexesha nasemva kotyando, wafumana ulwelo olufakwa ngaphakathi (IV). Kananjalo usenokuba unayo ityhubhu ebekwe ngeempumlo nakwisisu sakho. Usenokuba ufumene amayeza okubulala iintsholongwane.

Unokuba nazo ezi ngxaki emva kokuba ubuyele ekhaya uvela esibhedlele:

• Intlungu xa ukhohlela, uthimla, kwaye wenze iintshukumo ngequbuliso. Oku kunokuhlala kwiiveki ezininzi.
• Izitulo ezilukhuni, okanye ngekhe ube nakho ukuhamba kwamathumbu kwaphela.
• Unokuba urhudo.
• Unokuba neengxaki kwi-colostomy yakho.

Landela imiyalelo yomboneleli wakho wezempilo ngendlela yokuzikhathalela ekhaya.

Umsebenzi:

• Kungathabatha iiveki ezininzi ukubuyela kwimisebenzi yesiqhelo. Buza umboneleli wakho ukuba kukho izinto ongafanele uzenze.
• Qala ngokuthatha uhambo olufutshane.
• Yandisa umsebenzi wakho kancinci. Musa ukuzityhala kakhulu.

Umboneleli wakho uya kukunika amayeza entlungu oza kuwathatha ekhaya.

• Ukuba uthatha amayeza entlungu amaxesha ama-3 okanye ama-4 ngosuku, uwathathe ngamaxesha afanayo yonke imihla kangangeentsuku ezi-3 ukuya kwezi-4. Zilawula iintlungu ngcono ngale ndlela.
• Musa ukuqhuba okanye usebenzise oomatshini abanzima ukuba uthatha amayeza eentlungu. La mayeza anokukwenza wozele kwaye unciphise ixesha lokuphendula.

Cinezela umqamelo phezu kwesiciko sakho xa ufuna ukukhohlela okanye ukuthimla. Oku kunceda ukunciphisa intlungu.

Buza umboneleli wakho xa kufuneka uqale ukuthatha amayeza akho rhoqo emva kotyando.

Ukuba ii-staples okanye ii-sutures zisusiwe, uya kuba neetyhubhu ezincinci ezibekwe kuyo yonke into oyicokisileyo. Ezi ziqwenga zeteyiphu ziya kuwa zodwa. Ukuba i-incision yakho ivaliwe nge-suture enyibilikayo, unokuba neglue egubungela ubumbeko. Le glu iya kukhululeka ize iphume yodwa. Okanye, inokuxutywa emva kweeveki ezimbalwa.

Buza umboneleli wakho xa unokuhlamba okanye ungene ebhafini.

• Kulungile ukuba iiteyiphu zimanzi. Musa ukufunxa okanye ukhuhle.
• Gcina isilonda sakho somile ngamanye amaxesha.
• Iiteyiphu ziyakuwa zodwa emva kweveki okanye ezimbini.

Ukuba unxibe, umboneleli wakho uya kukuxelela ukuba uyitshintshe kangaphi kwaye ungayeka nini ukuyisebenzisa.

• Landela imiyalelo yokucoca inxeba lakho yonke imihla ngesepha namanzi. Jonga ngononophelo kulo naluphi na utshintsho enxebeni njengoko usenza oku.
• Pat inxeba lakho lomile. Sukuyikhuhla yomile.
• Buza umboneleli wakho ngaphambi kokuba ubeke naliphi na into yokuthambisa, ukhilimu, okanye iyeza lesilonda enxebeni lakho.

Sukunxiba iimpahla ezixineneyo ezikrwela enxebeni ngelixa lisaphila. Sebenzisa ipeyinti encinci yegeyi ukuyikhusela xa kufuneka njalo.

Ukuba une-colostomy, landela imiyalelo yokhathalelo kumboneleli wakho. Ukuhlala emqamelweni kunokukwenza ukhululeke ngakumbi ukuba utyando lwalukule rectum yakho.

Yitya intwana yokutya amatyeli aliqela ngemini. Musa ukutya izidlo ezi-3 ezinkulu.

• Khupha ngaphandle ukutya kwakho okuncinci.
• Yongeza ukutya okutsha emva kokutya kancinci.
• Zama ukutya iprotein yonke imihla.

Okunye ukutya kunokubangela igesi, izitulo ezivulekileyo, okanye ukuqunjelwa njengoko uphinde uchacha. Kuphephe ukutya okubangela iingxaki.

Ukuba uyagula esiswini okanye urhudo, tsalela umnikezeli wakho.

Buza umboneleli wakho ukuba ulwelo oluninzi ekufuneka usele yonke imihla ukuthintela ukuphelelwa ngamanzi emzimbeni.

Ukuba unezihlalo ezilukhuni:

• Zama ukuphakama uhambe ujikeleze ngakumbi. Ukusebenza ngakumbi kunokunceda.
• Ukuba unako, thatha amayeza eentlungu akunika wona. Banokukwenza ukuba uqhinwe. Ukuba kulungile nomboneleli wakho, zama ukusebenzisa i-acetaminophen (iTylenol) okanye ibuprofen (Advil okanye iMotrin) ukunceda ngeentlungu.
• Unokusebenzisa i-stool softeners ukuba ugqirha wakho ukuxelela ukuba kulungile.
• Buza umboneleli wakho ukuba ungathatha ubisi lwe-magnesia okanye i-magnesium citrate. Musa ukuthatha nayiphi na laxatives ngaphandle kokubuza umboneleli wakho kuqala.
• Buza umboneleli ukuba ngaba kulungile ukutya ukutya okunefayibha eninzi okanye uthathe nayiphi na imveliso ethengiswayo njenge-psyllium (Metamucil).

Buyela emsebenzini kuphela xa uziva ukulungele. Ezi ngcebiso zinokunceda:

• Unokuba ulungile xa ungasebenza endlini malunga neeyure ezisi-8 kwaye uziva ulungile xa uvuka kusasa.
• Unokufuna ukuqala umva ngexeshana kunye nomsebenzi olula ekuqaleni.
• Umboneleli wakho angabhala ileta ukunciphisa imisebenzi yakho ukuba wenza umsebenzi onzima.

Fowunela umnikezeli wakho ukuba unazo ezi zinto zilandelayo:

• Umkhuhlane we-101 ° F (38.3 ° C) okanye ngaphezulu, okanye unomkhuhlane ongahambelani ne-acetaminophen (iTylenol)
• Isisu esidumbileyo
• Ziva ugula esiswini sakho okanye uphosa phezulu
• Khange ndibenako ukuhamba kwamathumbu kwiintsuku ezi-4 emva kokuphuma esibhedlele
• Bebehamba ngokuhamba kwamathumbu kwaye bayeka ngequbuliso
• Izitulo ezimnyama okanye ezilindileyo, okanye kukho igazi kwizitulo zakho
• Intlungu yesisu eya isiba mandundu, kwaye amayeza eentlungu awancedi
• Ukuphefumla okufutshane okanye iintlungu zesifuba
• Ukudumba emilenzeni okanye iintlungu kumathole akho
• Utshintsho kwi-incision yakho, enjengemiphetho iyadonsa ngaphandle, idreyina okanye ukuphuma kwegazi kuyo, ubomvu, ukufudumala, okanye iintlungu eziba mandundu
• Ukonyusa umjelo wamanzi kwi-rectum yakho

Ukunyuka kwecolectomy - ukukhutshwa; Ukuhla kwecolectomy - ukukhutshwa; Colectomy enqamlezileyo - ukukhutshwa; I-hemicolectomy yasekunene-ukukhutshwa; I-hemicolectomy yasekhohlo-ukukhutshwa; Ukuncedwa kokuhlinzwa kwamathumbu - ukukhupha; Ukuthengiswa kwakhona okuphantsi okungaphandle - ukukhutshwa; Sigmoid colectomy - ukukhutshwa; I-subtotal colectomy - ukukhutshwa; Iproctocolectomy - ukukhutshwa; Ukuthengiswa kwakhona kweColon - ukukhutshwa; I-laparoscopic colectomy - ukukhutshwa; Colectomy - inxenye - ukukhutshwa; Ukurhoxiswa kwesisu esiswini - ukukhutshwa; Umhlaza weColon - ukukhutshwa kwamathumbu emathunjini

UMahmoud NN, uBleier JIS, uAarons CB, uPaulson EC, uShanmugen S, uFry RD. Ikholoni kunye ne-rectum. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango: Isiseko sebhayiloji yoQeqesho lwangoku. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 51.

USmith SF, uDuell DJ, uMartin BC, uGonzalez L, uAebersold M.Ukhathalelo lonyango. Ku: Smith SF, uDuell DJ, uMartin BC, uGonzalez L, uAebersold ML, ii-eds. Izakhono zoLondolozo lwezeKlinikhi: ezisisiseko kwizakhono eziPhambili. Umhla we-9. ENew York, NY: Pearson; I-2017: isahluko 26.

• Umhlaza womzimba
• IColostomy
• Isifo seCrohn
• Ukuphazamiseka kwamathumbu kunye ne-Ileus
• Ukuthengiswa okukhulu kwamathumbu
• Ukudumba okwenziwa sisilonda sikabhobhosi

• Ukutya kweBland
• Ukutshintsha ingxowa yakho ye-ostomy
• Ukutya okungamanzi okugcweleyo
• Ukuvuka ebhedini emva kotyando
• Ileostomy - ukukhathalela i-stoma yakho
• Ileostomy-ukutshintsha ingxowa yakho
• Ukutya okune-fiber encinci
• Unonophelo lwenxeba lotyando - luvulekile

• Izifo zeColonic
• IiColyp polyps
• Umhlaza weColorectal
• I-Diverticulosis kunye ne-Diverticulitis
• Ukuthintelwa kwamathumbu emathunjini
• Ulcerative Colitis