Iproctocolectomy iyonke kunye nengxowa ye-ileal-anal

Iyonke inkqubo ye-proctocolectomy kunye ne-ileal-anal poch utyando kukususa amathumbu amakhulu kunye nolona hlobo lukhulu. Olu tyando lwenziwa kwinqanaba elinye okanye amabini.

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

Unokuba nenkqubo kwinqanaba elinye okanye amabini:

• Ugqirha wakho uza kwenza utyando esiswini sakho. Emva koko ugqirha wakho uya kususa amathumbu akho amakhulu.
• Emva koko, ugqirha wakho wotyando uyakususa i-rectum yakho. I-anus kunye ne-anal sphincter yakho iya kushiyeka endaweni. I-anal sphincter sisihlunu esivula i-anus yakho xa unentshukumo yamathumbu.
• Emva koko ugqirha wakho uza kwenza isingxobo kwii-intshi ezili-12 zokugqibela (iisentimitha ezingama-30) zamathumbu akho amancinci. Ingxowa ithungelwe kwi-anus yakho.

Abanye oogqirha benza lo msebenzi besebenzisa ikhamera. Olu tyando lubizwa ngokuba yi-laparoscopy. Kuyenziwa ngokusikwa okuncinci okuncinci. Ngamanye amaxesha kunqunyulwa kakhulu ukuze ugqirha akwazi ukunceda ngesandla. Izibonelelo zolu tyando kukuchacha ngokukhawuleza, iintlungu ezincinci, kunye nokusikwa okuncinci okuncinci.

Ukuba une-ileostomy, ugqirha wakho uza kuyivala ngexesha lokugqibela lotyando.

Le nkqubo inokwenziwa:

• Ukudumba okwenziwa sisilonda sikabhobhosi
• I-polyposis eqhelekileyo

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

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

Iingozi zolu tyando zibandakanya:

• Izicubu ezibandayo ngokusikwa, okubizwa ngokuba yi-hernia engafakwanga
• Ukonakala kwamalungu akufuphi emzimbeni kunye ne-nervis kwi-pelvis
• Izicubu ezinqabileyo ezenzeka esiswini kwaye zibangele ukuvaleka kwamathumbu amancinci
• Indawo apho amathumbu amancinci athungelwe kwi-anus (anastomosis) anokuvuleka, abangele usulelo okanye ithumba, elinokubusongela ubomi
• Ukuvuleka kwenxeba
• Usulelo lwenxeba

Soloko uxelela umboneleli wakho wezempilo ukuba ngawaphi amayeza owathathayo, nditsho amayeza, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.

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:

• Unokucelwa ukuba usele kuphela ulwelo olucacileyo, olufana nomhluzi, ijusi ecacileyo, kunye namanzi emva kwexesha elithile.
• Landela imiyalelo oyinikiweyo malunga nexesha lokuyeka ukutya nokusela.
• Kuya kufuneka usebenzise i-enemas okanye i-laxatives ukucoca amathumbu akho. Umboneleli wakho uya kukunika imiyalelo ngendlela yokusebenzisa.

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. Uyakwazi ukongeza ulwelo olujiyileyo kwaye emva koko ukutya okuthambileyo kwisidlo sakho njengoko amathumbu akho eqala ukusebenza kwakhona.

Ngelixa usesibhedlele kwinqanaba lokuqala lotyando lwakho, uya kufunda indlela yokuyinyamekela ileostomy yakho.

Uya kuba ne-4 ukuya kwi-8 yokuhamba kwamathumbu ngosuku emva kolu tyando. Kuya kufuneka uhlengahlengise indlela ophila ngayo ukuze wenze oku.

Uninzi lwabantu 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.

Ukubuyisela proctocolectomy; Ukuthengiswa kwakhona kwe-anal; Isingxobo se-Ileal-anal; J-ingxowa; S-ingxowa; Ingxowa yepelvic; Isingxobo se-Ileal-anal; Ileal ingxowa-anal analastomosis; IPAA; Utyando lwe-Ileal-anal reservoir

• 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

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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.