Colostomy

Colostomy yog ib txoj kev phais mob uas coj ib kawg ntawm txoj hnyuv tawm los ntawm qhov qhib (stoma) uas ua hauv plab phab ntsa. Cov quav txav mus los ntawm txoj hnyuv los ntawm txoj hnyuv mus rau hauv ib lub hnab uas txuas rau lub plab.

Cov txheej txheem feem ntau yog ua tom qab:

• Kev rov plob plab hnyuv
• Kev raug mob rau txoj hnyuv

Lub colostomy yuav raug ncua sijhawm lossis tas mus li.

Colostomy tau ua tiav thaum koj tseem ua tshuaj loog (pw tsaug zog thiab tsis hnov ​​mob). Nws tuaj yeem ua tiav nrog kev phais loj hauv plab lossis nrog lub koob yees duab me me thiab ob peb qho kev txiav me me (laparoscopy).

Kev siv txoj kev siv yog nyob ntawm lwm yam txheej txheem yuav tsum tau ua. Kev phais phais feem ntau tau ua nyob nruab nrab ntawm lub plab. Kev rov quav lossis tso quav yog ua raws li xav tau.

Txog rau colostomy, ib kawg ntawm cov hnyuv noj qab haus huv tau coj tawm los ntawm kev qhib qhov ncauj ua rau phab ntsa plab, feem ntau nyob rau sab laug. Cov npoo ntawm cov quav yog stitched rau daim tawv nqaij ntawm qhov qhib. Cov lus qhib no hu ua stoma. Lub hnab hu ua stoma cov khoom siv tau muab tso rau ib ncig ntawm qhov qhib txhawm rau tso quav.

Koj txoj kev ua paug koj sab yog yuav luv. Yog tias koj muaj kev phais mob rau qee qhov ntawm koj lub plab hnyuv loj, txoj kev mob plab tso cai rau lwm qhov ntawm koj txoj hnyuv so thaum koj rov zoo. Thaum koj lub cev tau zoo tu qab los ntawm thawj qhov kev phais mob, koj yuav muaj lwm txoj kev phais kom rov txuas ntxiv rau qhov kawg ntawm txoj hnyuv. Qhov no feem ntau ua tom qab 12 lub lim tiam.

Cov laj thawj colostomy ua tiav suav nrog:

• Kev kis mob ntawm lub plab, xws li perforated diverticulitis lossis ua mob qog ntshav.
• Kev raug mob rau txoj hnyuv lossis lub qhov quav (piv txwv li, siv phom tua).
• Kev thaiv ib feem lossis ua tiav ntawm txoj hnyuv loj (txoj hnyuv tawm tuaj).
• Mob raum lossis mob hnyuv tws.
• Lub qhov txhab lossis cov fistulas hauv cov perineum. Thaj chaw ntawm qhov quav thiab chaw mos (poj niam) lossis qhov quav thiab hnoos qeev (txiv neej).

Kev phom sij ntawm cov tshuaj loog thiab kev phais mob suav nrog:

• Kev tsis haum tshuaj, teeb meem ua pa
• Los ntshav, ntshav txhaws, kis kab mob

Kev phom sij ntawm colostomy suav nrog:

• Los ntshav hauv koj lub plab
• Puas tsuaj rau cov kabmob uas nyob ze
• Kev tsim kho lub hlwv ntawm thaj chaw ntawm kev phais mob
• Plob hau tiv thaiv qhov tawv ncauj ntau dua li qhov nws yuav tsum tau (ua kom mob ntawm colostomy)
• Nqaim lossis txhaws ntawm lub qhov ncauj plab kom pom tawm (stoma)
• Caws pliav nqaij ua nyob rau hauv plab thiab ua rau txhaws cov hnyuv
• Daim tawv nqaij tsis haum
• Qhov tawg qhib

Koj yuav tau pw hauv tsev khomob 3 rau 7 hnub. Koj tuaj yeem nyob sijhawm ntev dua yog tias koj lub plab colostomy tau ua tiav raws li txheej txheem xwm txheej kub ntxhov ceev.

Koj yuav tsum cia koj maj mam rov qab mus rau koj cov kev noj haus ib txwm:

• Tib hnub uas zoo li koj txoj kev phais mob, koj yuav tuaj yeem nqus dej khov rau ntawm daim txiag khov ua kom yooj yim rau koj qhov nqhis dej.
• Txog hnub tom qab, koj yuav raug cia kom haus cov dej ntshiab huv.
• Cov kua hauv cov tuab tuab thiab tom qab ntawd cov zaub mov muag yuav raug muab ntxiv thaum koj cov hnyuv pib rov ua haujlwm dua. Koj tuaj yeem nquag noj nyob rau hauv 2 hnub tom qab phais tus mob.

Lub colostomy tso quav (quav) los ntawm cov nyuv mus rau hauv lub hnab colostomy. Colostomy quav feem ntau softer thiab kua ntau dua cov quav uas tso raws ib txwm. Qhov kev ntxhib los mos ntawm cov quav yog nyob ntawm qee qhov ntawm txoj hnyuv tau siv los tsim lub colostomy.

Ua ntej koj yuav tawm hauv tsev kho mob, tus kws saib xyuas neeg mob ostomy yuav qhia koj txog kev noj haus thiab seb yuav saib xyuas koj txoj colostomy li cas.

Qhib plab hnyuv - stoma tsim; Kev phais plab - kev tsim colostomy; Colectomy - colostomy; Mob hnyuv - Colostomy; Mob raum - mob caj dab; Diverticulitis - colostomy

• Loj lub plab hnyuv rov qab - tso tawm

• Colostomy - Series

Albers BJ, Lamon DJ. Kev kho txoj hnyuv / colostomy tsim. Hauv: Baggish MS, Karram MM, eds. Atlas of Pelvic Anatomy thiab Gynecologic phaisCov. 4 tug ed. Philadelphia, PA: Elsevier; 2016: chap 99.

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Nyuv thiab qhov quav. Hauv: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Phau Ntawv Txog Kev phais mob: Txheej Txheem Qoob Loo ntawm Kev xyaum phais mob niaj hnubCov. 20 tus ed. Philadelphia, PA: Elsevier; 2017: chap 51.

Russ AJ, Delaney CP. Lub pob txha prolapse. Hauv: Fazio Lub Caij VW, Lub Koom Txoos JM, Delaney CP, Kiran RP, eds. Kev Kho Mob Tam Sim No nyob rau Colon thiab Rectal Kev Kho MobCov. 3lawm ed. Philadelphia, PA: Elsevier; 2017: chap 22