I-colectomy yesisu sisonke

I-colectomy yesisu sisonke kukususwa kwethumbu elikhulu ukusuka kwelona zantsi lamathumbu amancinci (ileum) ukuya kwi-rectum. Emva kokuba isusiwe, ukuphela kwethumbu elincinci kuthungwe kwi-rectum.

Uya kufumana i-anesthesia ngokubanzi ngaphambi kotyando lwakho. Oku kuyakwenza ulale kwaye ungabikho zintlungu.

Ngexesha lotyando:

• Ugqirha wakho uza kwenza utyando esiswini sakho.
• Ugqirha uya kususa amathumbu akho amakhulu. I-rectum yakho kunye ne-anus ziya kushiyeka endaweni.
• Ugqirha wakho uza kuthunga ukuphela kwamathumbu akho amancinci kwi-rectum yakho.

Namhlanje, abanye abatyandi basebenzisa ikhamera. Olu tyando lwenziwa ngokusikwa okumbalwa okuncinci, kwaye ngamanye amaxesha ukusikwa okukhulu ngokwaneleyo ukuba ugqirha akwazi ukunceda ngokusebenza. Izibonelelo zolu tyando, olubizwa ngokuba yi-laparoscopy, kukuphola ngokukhawuleza, iintlungu ezincinci, kunye nokusikwa okuncinci okuncinci.

Inkqubo yenziwa kubantu:

• Isifo seCrohn esingasasazekanga kwi-rectum okanye kwi-anus
• Ezinye izilonda zomhlaza wekolon, xa i-rectum ingachaphazeleki
• Ukuqunjelwa okukhulu, okubizwa ngokuba yi-colonic inertia

I-colectomy yesisu sisonke ihlala ikhuselekile. Umngcipheko wakho uxhomekeke kwimpilo yakho ngokubanzi. Buza umboneleli wakho wezempilo malunga nezi ngxaki zinokwenzeka.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Impendulo kumayeza
• Iingxaki zokuphefumla
• Ukopha, amahlwili egazi
• Usulelo

Imingcipheko yokwenza olu tyando zezi:

• Ukopha ngaphakathi esiswini sakho.
• Ukonakaliswa kwamalungu akufuphi emzimbeni.
• Izicubu ezinqabileyo zingenzeka esiswini kwaye zibangele ukuvaleka kwamathumbu amancinci.
• Ukuvuza kwesitulo kunxibelelwano phakathi kwamathumbu amancinci kunye nerektamu. Oku kunokubangela usulelo okanye ithumba.
• Ukuqhekeka konxibelelwano phakathi kwamathumbu amancinci kunye ne-rectum. Oku kunokubangela ukuvaleka kwamathumbu.
• Ukuvuleka kwenxeba.
• Usulelo lwenxeba.

Soloko uxelela umboneleli wakho ukuba ngawaphi amayeza owathabathayo, nditsho amayeza, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo. Buza ukuba ngawaphi amayeza ekufuneka uwathathe ngosuku lotyando lwakho.

Ngaphambi kokuba utyandwe, thetha nomboneleli wakho ngezi zinto zilandelayo:

• Ukusondelelana kunye nokwabelana ngesondo
• Ukukhulelwa
• Imidlalo
• Umsebenzi

Ngexesha leeveki ezi-2 ngaphambi kotyando lwakho:

• Kwiiveki ezimbini ngaphambi kotyando, unokucelwa ukuba uyeke ukuthatha amayeza enza ukuba kube nzima kwigazi lakho ukuba lijiye. Oku kubandakanya iasprini, ibuprofen (Advil, Motrin), Naprosyn (Aleve, Naproxen) kunye nezinye.
• Buza ukuba ngawaphi amayeza ekufuneka uwathathe ngosuku lotyando lwakho.
• Ukuba uyatshaya, zama ukuyeka. Cela uncedo kumboneleli wakho.
• Soloko umboneleli wakho azi malunga nokubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, okanye ezinye izifo onokuba nazo ngaphambi kotyando lwakho.

Usuku ngaphambi kokuhlinzwa kwakho:

• Landela imiyalelo yomboneleli wakho malunga nento yokutya nokusela. Unokucelwa ukuba usele kuphela ulwelo olucacileyo, olufana nomhluzi, ijusi ecacileyo, kunye namanzi ngaxa lithile emini.
• Uya kuxelelwa ukuba uyeke nini ukutya nokusela. Unokucelwa ukuba uyeke ukutya ukutya okuqinileyo emva kobusuku, kodwa unokukwazi ukufumana ulwelo olucacileyo kude kube ziiyure ezimbini ngaphambi kotyando.
• Umboneleli wakho unokucela ukuba usebenzise i-enemas okanye i-laxatives ukucoca amathumbu akho. Uya kufumana imiyalelo malunga nendlela yokuzisebenzisa.

Ngomhla wotyando lwakho:

• Thatha amayeza oxelelwe ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Uzakuxelelwa ukuba ufike nini esibhedlele.

Uya kuba sesibhedlele iintsuku ezi-3 ukuya kwezi-7. Ngosuku lwesibini, uya kuba nakho ukusela ulwelo olucacileyo. Uya kuthi chu ukongeza ulwelo olujiyileyo kwaye emva koko ukutya okuthambileyo ekutyeni kwakho njengoko izibilini zakho ziqala ukusebenza kwakhona.

Emva kwale nkqubo, unokulindela ukuba nokuhamba kwamathumbu ama-4 ukuya ku-6 ngosuku. Unokufuna olunye utyando kunye neileostomy ukuba unesifo seCrohn kwaye sinwenwela kwi-rectum yakho.

Uninzi lwabantu abanolu tyando luyachacha ngokupheleleyo. Bayakwazi ukwenza uninzi lwemisebenzi ababeyenza ngaphambi kotyando lwabo. Oku kubandakanya uninzi lwezemidlalo, ukuhamba, ukwenza igadi, ukunyuka intaba, kunye neminye imisebenzi yangaphandle, kwaye uninzi lweentlobo zomsebenzi.

I-anastomosis engabalulekanga; I-colectomy engaphantsi

• Ukutya kweBland
• Ileostomy nomntwana wakho
• Ileostomy kunye nokutya kwakho
• Ileostomy - ukukhathalela i-stoma yakho
• Ileostomy-ukutshintsha ingxowa yakho
• Ileostomy - ukukhutshwa
• Ileostomy - yintoni oza kuyibuza ugqirha wakho
• Ukuhlala neileostomy yakho
• Ukutya okune-fiber encinci
• Iyonke i-colectomy okanye iproctocolectomy-ukukhutshwa
• Iindidi zeileostomy
• I-ulcerative colitis - ukukhutshwa

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

URaza A, Araghizadeh F. Ileostomies, ii-colostomies, iipakethi kunye ne-anastomoses. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahl 117.