Colostomy

Colostomy ke ts'ebetso ea ho buoa e tlisang pheletsong e 'ngoe ea mala a maholo ka monyako (stoma) o entsoeng leboteng la mpa. Mantle a tsamaeang ka maleng a tsoa ka stoma ka mokotleng o hoketsoeng mpeng.

Tsamaiso e hangata etsoa ka mor'a:

• Ts'ebetso ea 'mele
• Ho lematsa mala

Colostomy e ka ba ea nakoana kapa ea ka mehla.

Colostomy e etsoa ha o ntse o le ka tlase ho anesthesia (o robetse ebile o se na bohloko). E kanna ea etsoa ka khaola e kholo ea ho buoa ka mpeng kapa ka kh'amera e nyane le likhechana tse nyane (laparoscopy).

Mofuta oa mokhoa o sebelisitsoeng o ipapisitse le hore na ho latela mokhoa o fe o mong o lokelang ho etsoa. Sehiloeng sa ho buoa hangata se etsoa bohareng ba mpa. Ho koaloa ha mala kapa ho lokisoa ho etsoa ha ho hlokahala.

Bakeng sa colostomy, pheletso e le 'ngoe ea kolone e phetseng hantle e hlahisoa ka lesoba le entsoeng leboteng la mpa, hangata ka lehlakoreng le letšehali. Lithako tsa mala li rokelloa letlalong la ho bula. Monyako ona o bitsoa stoma. Mokotla o bitsoang sesebelisoa sa stoma o beoa ho potoloha monyako ho lumella setuloana hore se tsoe.

Colostomy ea hau e ka ba ea nakoana. Haeba u etsoa opereishene karolong ea mala a hao a maholo, colostomy e lumella karolo e 'ngoe ea mala a hao hore e phomole ha u ntse u hlaphoheloa. Hang ha 'mele oa hau o hlaphohetsoe ka botlalo ho tsoa ho opereishene ea pele, u tla ba le ts'ebetso e' ngoe hape ea ho kopanya lipheletsong tsa mala a maholo. Hangata sena se etsoa kamora libeke tse 12.

Mabaka a ho etsoa colostomy a kenyelletsa:

• Tšoaetso ea mpa, joalo ka perforated diverticulitis kapa abscess.
• Ho lematsa kolone kapa rectum (mohlala, leqeba la sethunya).
• Thibelo e sa fellang kapa e phethahetseng ea mala a maholo (tšitiso ea mala).
• Kankere ea matsoele kapa ea mala.
• Maqeba kapa fistula ka perineum. Sebaka se pakeng tsa anus le vulva (basali) kapa anus le scrotum (banna).

Likotsi tsa anesthesia le ho buuoa ka kakaretso li kenyelletsa:

• Likabelo tsa meriana, mathata a ho hema
• Ho tsoa mali, ho koala mali, tšoaetso

Likotsi tsa colostomy li kenyelletsa:

• Ho tsoa mali ka mpeng
• Tšenyo ea litho tse haufi
• Nts'etsopele ea hernia sebakeng sa ts'ebetso ea ho buoa
• Boea bo tsoa ka har'a stoma ho feta kamoo e lokelang (ho phatloha ha colostomy)
• Ho khutsufatsa kapa ho thibela ho buloa ha colostomy (stoma)
• Matšoafo a bopang ka mpeng mme a baka ho koala mala
• Ho halefa ha letlalo
• Ho tsoa leqeba

O tla ba sepetlele matsatsi a 3 ho isa ho a 7. U kanna ua tlameha ho lula halelele haeba colostomy ea hau e entsoe joalo ka ts'ebetso ea ts'ohanyetso.

U tla lumelloa ho khutlela butle-butle lijong tsa hau tse tloaelehileng:

• Letsatsing lona leo ha u etsoa opereishene, u ka khona ho anya likhalase ho nolofatsa lenyora la hau.
• Letsatsing le hlahlamang, mohlomong o tla lumelloa ho noa maro a hlakileng.
• Maro a botenya ebe lijo tse bonolo li tla eketsoa ha mala a hao a qala ho sebetsa hape. E kanna eaba u ja ka tloaelo matsatsing a mabeli kamora ho buuoa.

Colostomy e hula setuloana (mantle) ho tsoa kolone ho ea ka mokotleng oa colostomy. Setulo sa Colostomy hangata se bonolo ebile se na le metsi ho feta setuloana se fetang ka tloaelo. Boreleli ba setulo ho latela hore na ke karolo efe ea mala e sebelisitsoeng ho theha colostomy.

Pele o lokolloa sepetlele, mooki oa lefu la masapo o tla u ruta ka lijo le mokhoa oa ho hlokomela colostomy ea hau.

Ho buloa ka maleng - sebopeho sa "stoma"; Ho buoa mala - pōpo ea colostomy; Colectomy - colostomy; Kankere ea Colon - colostomy; Kankere ea 'mala - colostomy; Diverticulitis - colostomy

• Phallo e kholo ea mala - ho tsoa

• Colostomy - Letoto la lihlooho tse

Albers BJ, Lamon DJ. Tlhahiso ea Colon / Colostomy. Ka: Baggish MS, Karram MM, li-eds. Atlas ea Pelvic Anatomy le Gynecologic Surgery. La 4 ed. Philadelphia, PA: Elsevier; 2016: khaolo ea 99.

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Colon le rectum. Ka: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: Motheo oa Biological oa Tloaelo ea Kajeno ea Thibelo. 20th, ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 51.

Russ AJ, Delaney CP. Ho phatloha ka sekhahla. Ka: Fazio Late VW, Kereke JM, Delaney CP, Kiran RP, eds. Phekolo ea hajoale ho Colon le Surgery Surgery. 3rd ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 22