Iproctocolectomy iyonke nge-ileostomy

Iproctocolectomy iyonke nge-ileostomy ngotyando lokususa yonke ikholoni (amathumbu amakhulu) kunye ne-rectum.

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

Kwiproctocolectomy yakho:

• Ugqirha wakho uya kusika utyando esiswini sakho esisezantsi.
• Emva koko ugqirha wakho uya kususa amathumbu akho amakhulu kunye ne-rectum.
• Ugqirha wakho ugqirha unokujonga kwii-lymph node kwaye angasusa ezinye zazo. Oku kuyenziwa ukuba utyando lwakho lwenziwa ukususa umhlaza.

Emva koko, ugqirha wakho oya kwenza i-ileostomy:

• Ugqirha wakho uza kwenza utyando oluncinci esiswini sakho. Uninzi lwamaxesha amaninzi oku kwenziwa kwinqanaba lasekunene lesisu sakho.
• Inxalenye yokugqibela yamathumbu akho amancinci (ileum) itsaliwe kolu tyando lotyando. Emva koko ithungelwe esiswini sakho.
• Oku kuvulwa esiswini sakho okwenziwe yileum yakho kuthiwa yi-stoma. Isitulo siya kuphuma kolu vulo kwaye siqokelele kwingxowa yokuhambisa amanzi eya kuthi iqhotyoshelwe kuwe.

Abanye oogqirha benza lo msebenzi besebenzisa ikhamera. Utyando lwenziwa ngokusikwa okuncinci okuncinci, kwaye ngamanye amaxesha ukusikwa okukhulu ukuze ugqirha akwazi ukunceda ngesandla. Izibonelelo zolu tyando, olubizwa ngokuba yi-laparoscopy, kukuphola ngokukhawuleza, iintlungu ezincinci, kunye nokusikwa okuncinci okuncinci.

Iproctocolectomy iyonke ngoqhaqho lwe-ileostomy lwenziwa xa olunye unyango lungancedi iingxaki emathunjini akho amakhulu.

Kuqhelekileyo kwenziwa kubantu abanezifo zesibindi. Oku kubandakanya ulcerative colitis okanye isifo seCrohn.

Olu tyando lunokwenziwa kwakhona ukuba unayo:

• Umhlaza wekolon okanye we-rectum
• I-polyposis eqhelekileyo
• Ukopha emathunjini akho
• Iziphene zokuzalwa ezonakalise amathumbu akho
• Umonakalo wamathumbu kwingozi okanye ukwenzakala

Iproctocolectomy iyonke nge-ileostomy ihlala ikhuselekile. Umngcipheko wakho uya kuxhomekeka 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:

• Ukonakala kwamalungu akufuphi emzimbeni kunye nakwiimbilini kwi-pelvis
• Usulelo, kubandakanya imiphunga, indawo yokuchama kunye nesisu
• Izicubu ezinqabileyo zingenzeka esiswini sakho kwaye zibangele ukuvaleka kwamathumbu amancinci
• Inxeba lakho lingavuleka okanye liphole kakubi
• Ukufunxwa okungalunganga kwezakha mzimba kukutya
• I-Phantom rectum, imvakalelo yokuba i-rectum yakho isekhona (iyafana nabantu abanqunyulwe umlenze)

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.

Thetha nomboneleli wakho ngezi zinto ngaphambi kokuba wenze utyando:

• Ukusondelelana kunye nokwabelana ngesondo
• Imidlalo
• Umsebenzi
• Ukukhulelwa

Ngexesha leeveki ezi-2 ngaphambi kotyando lwakho:

• Unokucelwa ukuba uyeke ukuthatha amayeza enza ukuba kube nzima kwigazi lakho ukuba lijiye. Oku kubandakanya iasprini, ibuprofen (Advil, Motrin), clopidogrel (Plavix), Naprosyn (Aleve, Naproxen) nezinye.
• Ukuba uyatshaya, zama ukuyeka. Cela uncedo kumboneleli wakho.
• Soloko uxelela umboneleli wakho ukuba unokubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, okanye ezinye izifo 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 yoku.

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. Kuya kufuneka uhlale ixesha elide ukuba uye wahlinzwa ngenxa yongxamiseko.

Unokunikwa ii-ice chips ukunciphisa ukunxanwa kwakho kwangolo suku lunye lotyando lwakho. Ngosuku olulandelayo, uya kuvunyelwa ukuba usele ulwelo olucacileyo. Uya kuthi chu ukongeza ulwelo olujiyileyo kwaye emva koko ukutya okuthambileyo ekutyeni kwakho njengoko izibilini zakho ziqala ukusebenza kwakhona. Unokutya ukutya okuthambileyo kwiintsuku ezi-2 emva kotyando lwakho.

Ngelixa usesibhedlele, uya kufunda ngendlela yokunyamekela ileostomy yakho.

Uya kuba nesingxobo se-ileostomy esikulungele. Imijelo yamanzi kwisingxobo sakho iya kuhlala ihleli. Kuya kufuneka unxibe isingxobo ngalo lonke ixesha.

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

Unokufuna unyango oluqhubekayo ukuba unesifo esinganyangekiyo, esifana:

• Isifo seCrohn
• Ukudumba okwenziwa sisilonda sikabhobhosi

• Ukhuseleko kwigumbi lokuhlambela kubantu abadala
• 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
• Ukuthintela ukuwa
• Iyonke i-colectomy okanye iproctocolectomy-ukukhutshwa
• Iindidi zeileostomy
• Xa unesicaphucaphu nokugabha

UMahmoud NN, 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.