Tsarin kwalliya

Colostomy hanya ce ta tiyata wacce ke kawo ƙarshen ƙarshen babban hanji ta hanyar buɗewa (stoma) da aka yi a bangon ciki. Kujerun da ke motsawa ta hanjin hanji ta cikin stoma cikin jakar da ke haɗe da ciki.

Ana yin aikin yawanci bayan:

• Ragowar hanji
• Rauni ga hanji

Kullun fata na iya zama ɗan gajeren lokaci ko na dindindin.

Anyi kwalliyar kwalliya yayin da kake cikin cutar rashin kuzari (barci da ciwo). Zai yiwu a yi shi ko dai ta hanyar yanke babba a ciki ko kuma da ƙaramar kyamara da ƙananan ƙananan abubuwa da yawa (laparoscopy).

Nau'in tsarin da aka yi amfani da shi ya dogara da abin da ake buƙatar aiwatarwa. Yawanci ana yin tiyatar ne a tsakiyar ciki. Gyarawar hanji ko gyara anyi kamar yadda ake bukata.

Don maganin kwalliya, ana fitar da ƙarshen ƙarshen mahaifa mai lafiya ta hanyar buɗewar da aka yi a bangon ciki, yawanci a gefen hagu. An dinka gefunan hanji zuwa fata na buɗewa. Ana kiran wannan buɗewar stoma. An sanya wata jaka da ake kira kayan aiki stoma a bakin ƙofar don ba da damar kurar ta malale.

Kullunku na fata na iya zama ɗan gajeren lokaci. Idan anyi maka tiyata a wani bangare na babban hanjin ka, wani kwalliyar kwalliya zai bawa sauran bangaren hanjin ka damar hutawa yayin da kake murmurewa. Da zarar jikinka ya gama murmurewa daga aikin tiyata na farko, za a sake yi maka tiyata don sake haɗa ƙarshen babban hanjin. Ana yin wannan yawanci bayan makonni 12.

Dalilin da yasa ake yin launin fata sun hada da:

• Kamuwa da cuta na ciki, kamar perforated diverticulitis ko ƙoshin ciki.
• Rauni ga cikin hanji ko dubura (alal misali, raunin harbin bindiga).
• Bangare ko cikakken toshewar babbar hanji (toshewar hanji).
• Ciwon ciki ko ciwon kansa.
• Raunin ko fistulas a cikin perineum. Yankin tsakanin dubura da mara (mata) ko dubura da majina (maza).

Hadarin maganin sa barci da tiyata gaba ɗaya sun haɗa da:

• Amsawa ga magunguna, matsalolin numfashi
• Zub da jini, toshewar jini, kamuwa da cuta

Hadarin maganin kwalliya ya hada da:

• Zuban jini a cikin cikin ku
• Lalacewa ga gabobin da ke kusa
• Ci gaban hernia a wurin yankewar tiyata
• Hanji yana fitowa ta cikin stoma fiye da yadda yakamata (prolapse of the colostomy)
• Naruntatawa ko toshe kofofin buɗe ido (stoma)
• Tsoron nama da ke haifar da ciki da haifar da toshewar hanji
• Fatawar fata
• Rauni ya karye

Zaka kasance a asibiti na tsawon kwana 3 zuwa 7. Wataƙila za ku daɗe idan an yi aikin ku na fata azaman aikin gaggawa.

Za a ba ku izinin komawa sannu a hankali zuwa tsarin abincinku na yau da kullun:

• A rana guda a matsayin aikin tiyatar ka, zaka iya shan nonon kankara domin sauwake maka ƙishirwa.
• Da gobe, mai yiwuwa za a ba ku izinin shan ruwa mai tsabta.
• Ruwa mai kauri sannan za'a sanya abinci mai laushi yayin da hanjinku ya fara aiki kuma. Kuna iya cin abinci kullum tsakanin kwana 2 bayan tiyata.

Fatalar ruwan kwalliya tana zubar da dattin ciki (feces) daga cikin hanji zuwa cikin jakar kursiyya. Kujerun kwalliyar kwalliya yakan zama mai laushi kuma yafi ruwa fiye da kwatancen da ake wucewa koyaushe. Aurin kujeru ya dogara da wane sashin hanji aka yi amfani da shi don samar da kwalliyar fata.

Kafin a sake ku daga asibiti, wata ma'aikaciyar jinya mai kula da fata za ta koya muku game da abinci da yadda za ku kula da kwalliyarku.

Buɗewar hanji - samuwar stoma; Tiyatar hanji - halittar kwalliya; Colectomy - maganin kwalliya; Ciwon cikin hanji - colostomy; Ciwon ƙwayar cuta - maganin kwalliya; Diverticulitis - maganin kwalliya

• Babban yankewar hanji - fitarwa

• Kalan fata - Jerin

Albers BJ, Lamon DJ. Gyaran hanji / halittar kwalliya. A cikin: Baggish MS, Karram MM, eds. Atlas na Pelvic Anatomy da Gynecologic Surgery. 4th ed. Philadelphia, PA: Elsevier; 2016: babi na 99.

Mahmud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Gashin ciki da dubura. A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na Tiyata: Tushen Halittu na Ayyukan Tiyata na Zamani. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 51.

Russ AJ, Delaney CP. Rushewar mahaifa A cikin: Fazio Late VW, Church JM, Delaney CP, Kiran RP, eds. Far na yanzu a cikin ciwon hanji da na tiyata. 3rd ed. Philadelphia, PA: Elsevier; 2017: babi na 22