Yaikulu - ndichiyani? Yaikulu: kusamala opaleshoni

Yaikulu - ndichiyani? Kodi kuchita zinthu ndi izo, kodi ndi zomwe simungathe, mtundu wa chisamaliro liyenela stoma? Mafunso onse awa amafunsidwa ndi anthu amene ali ndi osakhalitsa kapena okhazikika yaikulu.

Tanthawuzo la "yaikulu"

Ndi chiyani icho? Yaikulu - ndi chongopeka anachokera gawo la m'mimba khoma m'mimba pambuyo opaleshoni pa intestine m'munsi.

Ndi koyenera kuti excretion wa muli milandu amenewa m'pofunika kumachilambalala rectum pambuyo opaleshoni kwa zotupa, zoopsa ndi matenda ena yotupa ya m'matumbo zofuna opaleshoni (matenda amene amatupitsa, anam'peza matenda a m'matumbo). Permanent yaikulu thumbo tikuonera zonsezi pamene ayambe thirakiti m'munsi matumbo sizingatheke.

A munthu wathanzi ndi amatha kudziletsa matumbo kayendedwe ndondomeko. Izi zimatheka kupyolera sphincter, ndi ntchito yomwe anapereka reflex wabwino ndi zimatengera ku zikhumbo mitsempha akubwera kuchokera kotekisi ubongo. Pambuyo yaikulu sutulu kunja 2-3 patsiku mu mawonekedwe a chokongoletsedwa kapena poluoformlennogo chopondapo matumbo amachita maganizo.

mitundu yaikulu

Pali mitundu ingapo ya yaikulu:

• zosakhalitsa kapena okhalitsa;
• osakwatiwa-mbiya kapena ziwiri mbiya:
• kupatukana kapena kuzungulira.

A yaikulu okhazikika wayikidwa akhale moyo, mwayi kwe si chifukwa inasinthiratu mu sphincters kapena kwambiri zilonda alibe ya rectum. The yaikulu zosakhalitsa patapita kanthawi kuchotsedwa opaleshoni ndi kuchepetsa ndi patency colonic.

Single-mbiya - kudzera mdzenje anasonyeza wina mbiya m'matumbo, wachiphamaso - awiri. Kuzungulira yaikulu - mipata awiri anakonza mbali ndi mbali, kugawanika - pa mtunda wina ndi mzake.

Yaikulu - ndichiyani? Kodi ndi mitundu iti ya izo ndi chinthu choyenera kwambiri pa nkhani zosiyanasiyana? mafunso awa onse adzayankhidwa dokotala kapena namwino, maphunziro maphunziro apadera a. Yaikulu pambuyo matumbo opaleshoni zikuwoneka ngati otsegula kapena m'kamwa mwa amene akulowa m'matumbo m'mimba pamwamba. Pa iye kutupa woyamba ndipo kwambiri pamwamba pa khungu. Ndiye edema amachepetsa yosintha mu kamwa ya kutsegula yaing'ono kudzera amene fecal momasuka kubwera kwa padziko zapambuyo khoma m'mimba. Mitsempha mathero yaikulu satero, choncho muyenera kukhala osamala kwambiri kuti kuwononga inabala. Olimbikitsidwa amasulidwe ntchofu woyera - ndi ndondomeko wabwinobwino, sayenera kuopa izi.

kufunika yaikulu ndi

anthu ambiri sakudziwa chimene yaikulu. Kodi ngati chipangizo, iwo kuphunzira kokha m'chipatala. Ndipo chifukwa nthawi zambiri mantha kufunsa funso ngati mungathe moyo wabwinobwino naye. Amasamala munthu aliyense amene opareshoni otere akufuna. Amapanga m'matumbo linanena bungwe anafunika kusonyeza ndowe. Nthawi zina amapulumutsa ndi prolongs moyo wa munthu.

Usachite mantha kuti palibe cangu ndi kuthekera kayendedwe yachibadwa matumbo malo yabwino ndi nthawi yabwino. Mosamala yoyenera yaikulu khalidwe la moyo sasintha, akhoza kukhala moyo zonse, popeza sachoka matenda ake. Panopa, pali ambiri ileostomy, amene bwino Ufumuyo khungu, musaphonye fungo, musati rustle ndi osaoneka ena, koma salola limakhumudwitsa khungu ndi kuisamalira.

Ndi yaikulu, anthu kusintha, makamaka ndege maganizo ndi thupi: n'kutaya chidwi mu moyo, akataya analakwira komanso otsika. Nthawi zina, odwala kulandira chilema ndi kutembenukira mu kuganiza zodzipha. Musadandaule za izi, chifukwa chisamaliro cha yaikulu mosavuta. Matendawa, dokotalayo adzakhala momveka bwino malo ndi kuchotsa m'matumbo kuti wodwalayo omasuka kuti awone iye ndi kuyang'ana pa iye. Pambuyo pa opaleshoni, namwino adzatiuza ndi kukusonyezani inu chimene akuchitireni saletsa ndi yaikulu, matumba yaikulu zimene ziyenera ankavala yomweyo pambuyo opaleshoni, zimene patapita nthawi yina.

Only pansi zikuonetsa okhwima opaleshoni kuchotsa mbali za m'mimba khoma m'mimba, dokotala awonetsetse kuti yaikulu unapangidwa wopanda mavuto.

Opaleshoni kuthetsa m'kamwa ndi mapangidwe a permeability chilengedwe cha intestine ndi - kuipidwa ndondomeko kuti ukhoza magawo angapo kwa anthu amene amakhala yaikulu. Reconstructive opaleshoni anachita ndi madokotala opanda chidwi kwambiri chifukwa chiopsezo cha matenda oyamba, kuchulukitsa kwa mtundu uwu wa opaleshoni ndiponso kusowa chikhulupiriro mu machiritso. Yaikulu rectum zambiri aumbike mwa khansa zotupa, mabvuto ndi anorectal incontinence, chifukwa nthawi zambiri ndi zonse.

Posamalira yaikulu

Care yaikulu ayamba nthawi yomweyo pambuyo opaleshoni. Poyamba, mtima amathandiza kusintha namwino, amatsuka izo, ndiyeno akumphunzitsa kuchita nokha.

Yaikulu umafuna mwatcheru ndi chisamaliro chomwe magawo awiri: maenje mwachindunji processing ndi kusintha matumba stoma. Poyamba, mapangidwe stoma chofunika kuchotsa chopondapo, konzekera madzi owiritsa kusamba pakamwa, kuchapa khungu ndi gauze youma. Inu ndiye ayenera kutsatira mafuta pa khungu "Stomageziv" kapena muiike Lassara. Ndiyeno pafupi ndi dzenje ndi kuika nsalu ankawaviika Vaselini kuti kumanzere pakamwa. Phimbani ndi wosabala gauze, kuphimba ndi ubweya thonje ndi ntchito bandeji. Ndi zofunika kusintha kuvala iliyonse 4 h. Pambuyo mapangidwe ndi kuchiritsa yaikulu stoma angagwiritsidwe ntchito. Akuti stoma aumbike mwa choncho kumene kulibe adzalowerera yotupa, ndi pakamwa si protrude pamwamba pa khungu. Ndiye mukhoza muiike matumba yaikulu.

Anthu amene zimaŵetedwa yaikulu, muyenera kusintha matumba yaikulu m'mawa kapena musanakagone. Kusintha matumba stoma ayenera kukhala bwinobwino popanda kukoka khungu, kuchotsa chipangizo ntchito, atakulungidwa mu pepala ndi kulitaya. Chotsani zotsala za ndowe ndi kusamba madzi yaikulu ofunda yophika. Mukhoza kugwiritsa sopo ndi madzi ndi antiseptic. Pambuyo pake, muyenera bwinobwino zouma khungu ndi ntchito phala kapena mafuta. Muyezo kuyeza kukula chofunika ndi kukulitsa ndi stoma kutsegula mu ileostomy kuti moti kwathunthu analandira ndi unachitikira dzenje yaikulu. Ngati mumamwa zomatira yaikulu matumba, izo chofunika kuphatikiza ndi stoma dzenje ndi matumba dzenje stoma, Finyani iyo kukhudza kwakung'ono kwa khungu. Nkofunika kuonetsetsa kuti palibe lochedwa. The retainer kotero tithe chatsekedwa.

mitundu ya ileostomy

Pali chimodzi chigawo ndi matumba awiri chigawo yaikulu. Yotsirizira ndi zomatira mbale ndi ostomy matumba omwe cholukanalukana ndi flange a. Komabe, sangathe awo ndi kuti akhale mkwiyo wa khungu. Choncho, pamene ntchito mbale akhoza anachoka kwa masiku 3-4, ndi kusintha yekha thumba. Unstick mbale musanagwiritsire pamene tikusowa mtendere kumachitika: kuyabwa ndi wotentha kapena kuipitsidwa lolemera. Umene, thumba lili fyuluta wapadera kuti kumatha fungo ndi mpweya owonjezera. Chimodzi-chigawo ayenera m'malo pambuyo maola 6-8, kokha thumba, mbale ali anasintha ntchito bicomponent chomwecho - 2 nthawi sabata.

Malamulo kum'mamatira ileostomy

Thumba incontinence ali chitsanzo chapadera choyezera wa stoma kutsegula. Ngati mzere uwu palibe, mungathe kugwiritsa ntchito mandala film, zimene ziyenera oletsa pakamwa ndi kudula padziko m'mphepete mwa chogwirira, ndiye kudula mu mdzenje film, kuvala pepala, fotokozani m'mphepete mwa chowulungika ndi kudula dzenje. Mu zomatira matumba stoma kudula mbale dzenje 2-3 mamilimita lalikulu kuposa kukula kwa mkamwa. M'pofunika kumata kuwongola kayendedwe pambuyo kwanyengo pang'ono ndi kuchotsa filimu chochokera pansi kwa latch pamwamba wakhala kuti magawowa achire zina.

Ngati matumba yaikulu ali okonzeka ndi thumba ngalande, ziyenera anadzikhuthula pambuyo thumba ladzala ndi gawo limodzi. Izi zikhoza kuchitika pa chimbudzi, kutsegula kuda dzenje, ndiye muzimutsuka ndi youma fecal thumba. Pambuyo kuchipatalako musaiwale kutseka kuda dzenje.

chisamaliro chakhungu

Khungu poyera kuti yaikulu kukhumudwa mpaka kalekale. Choncho ndikofunikira kusamalira bwino ake kupewa kutupa ndi choipa. Zochizira khungu, pali mitundu ingapo ya kukonzekera ogwira amene chachikulu cholinga - kuteteza khungu pa zochita aukali zomatira m'munsi mbale stoma matumba ndi ndowe.

Kulumikiza mbale ntchito phala "Koloplast" ndi pang'ono mowa. Zilibe limakhumudwitsa ngakhale chofuna ndi owonongeka khungu ndipo amathandiza kuti chikukonzekera stoma matumba bwino.

Chotsani khungu pambuyo ukuchoka matumba stoma adzakhala muiike "kuyeretsa" ponena kwa khungu labwino ndi pang'ono kuonongeka. Iwo osati kuyeretsa khungu ku ndowe, ntchofu ndi mankhwala-zomatira, koma osati amachita youma ndipo ali katundu antiseptic.

Good kasitomala ndemanga analandira filimu zoteteza "khungu yachiwiri". Izo ntchito patsogolo kukonza matumba stoma. Kujambula wosanjikiza zodzitetezera chimateteza khungu kwa atolankhani mkwiyo ndewu ndi wotsatira kutupa ndi inam'thandiza kupuma.

kudya zakudya zopatsa nthanzi odwala ndi yaikulu

Palibe malire makamaka mu phwando la mankhwala osiyanasiyana. Komabe, kumbukirani kuti ndi bwino kupewa zakudya kuchititsa dilution wa chopondapo ndi kuthandiza kuchepetsa m'mimba motility: mikate yoyera, congee, . Tiyi, koko, zipatso ndi masamba, etc. Kuti kulamulira zofukiza ku yaikulu sayenera molakwika anyezi, adyo, mowa , yophika mazira. Food ayenera kudyedwa pafupipafupi ndi chakudya chochepa. Pambuyo ntchito, ayenera pang'onopang'ono kukuza zakudya ndi kusinthana kwa zakudya zabwinobwino.