Zomwe muyenera kudziwa zokhudza kudzimbidwa mukatha opaleshoni

Maphunziro a Zaumoyo

Kuchira kuchokera ku opareshoni kumatha kukhala chinthu chosasangalatsa, kaya mukuyambiranso komwe kumakhudzana ndi bondo m'malo mwake kapena mukungoyembekezera kuti thupi lanu lizimva bwino potsatira njira yothandizira odwala. Mukachira, chinthu chomaliza chomwe mukufuna ndi vuto lina. Komabe, kaya dokotala wanu adakambirana nanu kapena ayi, anthu ambiri amadzimbidwa pambuyo pochitidwa opaleshoni. Kudziwa zomwe mungayembekezere ndikupanga dongosolo kungachepetse zovuta zakudabwaku. Werengani kuti mudziwe momwe mungachitire.

Kodi nkwachibadwa kudzimbidwa pambuyo pochitidwa opaleshoni?

Ndizofala, ngakhale kuyembekezeredwa, kuti odwala adzimbidwe atangopitidwa, akutero Jemiel Nejim , MD, dokotala wothandiza anthu pochita opaleshoni ku Hospital for Special Surgery ku New York. Pali zifukwa zosiyanasiyana zomwe zimapangitsa kudzimbidwa pambuyo pochita opareshoni, iliyonse yomwe imakhudza kwambiri kuchuluka kwa kudzimbidwa kuposa mtundu wa opareshoni yokha, kupatula maopaleshoni am'mimba ndi m'mimba.

Ngakhale maopaleshoni ena onsewa komanso mitundu ina ya maopaleshoni imayambitsa kusowa kwa matumbo, zinthu ziwirizi ndizosiyana kwambiri: Matumbo ndi maopaleshoni ena am'mimba angayambitse leus momwe matumbo amayambira kugwira ntchito, akuti Michael Philbin , MD, dotolo wa opaleshoni ku Edina Plastic Surgery ku Edina, Minnesota. Ndi njira zina, pali zifukwa zingapo zomwe zingayambitse kudzimbidwa pambuyo pochita opaleshoni.

Anesthesia

Mankhwala opatsirana opatsirana panthawi yochita opaleshoni amatha kukhala ndi vuto lakudzimbidwa mukachira. Anesthesia ndi mawu ofotokozera omwe amafotokoza mankhwala osiyanasiyana, Dr. Jemiel Nejim akuti. Mtundu wa anesthesia komanso nthawi yochita opaleshoni zimakhudza kuthekera kwa kudzimbidwa pambuyo pa opaleshoni. Opaleshoni yomwe imatenga nthawi yayitali imalumikizidwa ndi komwe kumapangitsa kudzimbidwa.

Zizolowezi zina zimayang'ana pakugwiritsa ntchito dzanzi pamankhwala ochititsa dzanzi, omwe amathandiza kuchepetsa kuchuluka kwa mankhwala omwe amagwiritsidwa ntchito motero amachepetsa kuthekera kwa kudzimbidwa pambuyo pochitidwa opaleshoni.

Mankhwala opweteka pambuyo pa opaleshoni

Kudzimbidwa pambuyo pa opaleshoni nthawi zambiri kumachitika chifukwa cha mankhwala opioid opweteka, omwe amaperekedwa ngati gawo la ochititsa dzanzi kapena kupweteka kwa ululu pambuyo pa opaleshoniyi, malinga ndi Dr. Philbin.

Malinga ndi Inara Nejim, Pharm.D., Wamankhwala wazachipatala ku Hospital for Special Surgery, Mankhwala kuchokera m'kalasi la mankhwala opioid, monga Percocet , oxychodone kapena magwire , Ndi maziko a mwala wapakona pakuthana ndi ululu wapa postoperative, ndipo chimodzi mwazovuta zawo zomwe amadziwika ndizodzimbidwa.

Makhalidwe

Ngakhale m'moyo watsiku ndi tsiku, kusowa kwa madzi m'thupi ndi chimodzi mwazomwe zimayambitsa kudzimbidwa. Pambuyo pa opareshoni, thupi limafuna madzi ambiri kuti athandizire kuchira. Popanda iwo, kudzimbidwa kumatha kuchitika, onetsetsani kuti mumamwa madzi ambiri.

Zomwezo zimaphatikizanso kudya zakudya zopatsa thanzi: Sikuti aliyense akhoza kukhala ndi chilakolako atachita opaleshoni, koma kudya zakudya zopatsa mphamvu kapena zomwe zili ndi vitamini B-12 ndichinsinsi chothandizira zinthu kuyenda.

Pomaliza, kusachita masewera olimbitsa thupi, chifukwa china chodziwika cha kudzimbidwa, kumakhala kofala pambuyo pochitidwa opaleshoni. Dr. Philbin amalimbikitsa kugwira ntchito ndi dokotala wanu kuti mumvetsetse kuti ndi liti, komanso kwa nthawi yayitali bwanji, mutha kuyamba kuyenda mosamala panthawi yopuma kuti muchepetse kudzimbidwa kokhudzana ndi kusagwira ntchito.

Kodi ndiyenera kuda nkhawa liti ndikudzimbidwa ndikatha opaleshoni?

Ngakhale kudzimbidwa pambuyo poti kuchitidwa opaleshoni sikwachilendo, makamaka ngati mukukumana ndi zina mwazomwe zili pamwambazi, pali zizindikilo zina zofunika kuziyang'ana zomwe zitha kuwonetsa vuto lalikulu.

Malinga ndi Dr. Philbin, mutha kuyembekeza kuti kudzimbidwa kumatha masiku ochepa, kutengera momwe mumaloledwa kukhala achangu komanso kuchuluka kwa mankhwala opweteka omwe amatuluka pambuyo pa op. Zowawa zam'mimba chifukwa chakuphulika nditachitidwa opaleshoni ndizofala kwambiri ndipo zitha kukhala chifukwa cha mpweya wotsekemera kapena madzi owonjezera, malinga ndi Dr. Jemiel Nejim. Madzi awa amatha kutulutsa mwachilengedwe m'masiku ochepa. Kuphulika kwa mimba kungathandizidwe mwa kudya zakudya zing'onozing'ono, kuwonjezeka kwa ntchito komanso kumwa mankhwala a simethicone, omwe amagwira ntchito pophwanya thovu lalikulu m'matumbo kukhala tinthu tating'onoting'ono, kuwapangitsa kukhala kosavuta kudutsa.

Ngati mukumva kupweteka kapena kutuluka magazi, kapena ngati kudzimbidwa kumatha masiku atatu, pitani kuchipatala. Kudzimbidwa kwanthawi yayitali kumatha kubweretsa zotupa m'mimba, kumatako kumatako, komanso nthawi zambiri matenda monga kulephereka kwa leus kapena matumbo, komwe kumafunikira chithandizo chamankhwala china.

Kodi chimathandiza ndi kudzimbidwa pambuyo pa opaleshoni?

Nkhani yabwino ndiyakuti pali njira zambiri zochepetsera kudzimbidwa komwe kumachitika chifukwa cha opaleshoni, makamaka ngati mupanga dongosolo ndi dokotala pasanapite nthawi. Kaya kudzera kusintha kwa zakudya zisanachitike kapena pambuyo pa opaleshoni kapena kudziwa njira zothandizirana ndi ena, kukonzekera kungapangitse kuti ntchitoyi ikhale yosavuta.

Asanachite opaleshoni

Ngati wina ali ndi nkhawa asanachitike opareshoni yokhudzana ndi kudzimbidwa, chinthu chabwino kuchita ndikulankhula momasuka ndikumakambirana za mavutowo asanafike opaleshoni, akutero Dr. Jemiel Nejim. Izi ndizowona makamaka kwa iwo omwe ali kale ndi vuto lakudzimbidwa. Ngati pali mankhwala omwe mwachizolowezi amakuchitirani bwino, dziwani izi ndi gulu lanu lachipatala musanachite opareshoni. Ngati mukuloledwa ndi dokotala wanu, onjezerani zakudya zanu kapena muyambe kugwiritsira ntchito zofukizira musanachite opaleshoni ngati kudzimbidwa kuli kovuta.

Pambuyo pa opaleshoni

Malinga ndi Dr. Inara Nejim, imodzi mwanjira zabwino kwambiri zopewera zovuta zakudzimbidwa komwe sikukuthandizidwa kunyumba ndikulankhula moona mtima za mankhwala mukamatulutsa magazi-komanso poyimbirana foni. Namwino amapitilira zonse zomwe mwapatsidwa ndipo amatha kufotokozera momwe mungasamalire bwino kudzimbidwa kwanu pogwiritsa ntchito zakudya komanso mankhwala owonjezera.

Zakudya

Ngati zizindikiro zanu za kudzimbidwa ndizochepa kapena sizinakhalepo nthawi yayitali, ndizotheka kuchepetsa vutoli ndi mankhwala apanyumba , monga kuwonjezera zakudya zazikulu zomwe zimadziwika kuti zithandizira kudzimbidwa:

• Kudya kwamadzimadzi: Thupi lanu likathiridwa madzi okwanira kutengera madzi mumatumbo, mayendedwe amatumbo amakhala osavuta.
• Mbewu za Chia: Mbeu za chia zikamayenda mthupi, zimasinthasintha ngati gel, zomwe zimathandiza kupewa mipando yolimba.
• Nyemba, nyemba, ndi nandolo: Zakudya zamtunduwu zimalimbikitsa chimbudzi chathanzi ndikuthandizira kulimbikitsa matumbo nthawi zonse.
• Mbewu zonse: Mbeu zonse zimakhala ndi ulusi wambiri kuposa mikate yoyera kapena pastas ndipo zimatha kukhala zothandiza kwambiri posuntha zinthu.
• Zipatso za zipatso: Malalanje ndi zipatso zamphesa zili ndi vitamini C wambiri, yemwe amadziwika kuti amatunga madzi m'matumbo, kusunga mipando yofewa komanso yosavuta kudutsa.
• Prunes kapena prune madzi: Chipatso ichi chimakhala ndi sorbitol yambiri, yomwe imakhala ndi mankhwala ofewetsa tuvi tolimba.
• Masamba obiriwira: Mtundu uwu wa veggie umakhala ndi magnesium yambiri, yomwe imathandizira kukoka madzi m'matumbo.
• Psyllium kumbukirani: Ndi mankhwala otsegulitsa m'mimba ambirimbiri, ochokera ku mbewu za chomera cha Plantago ovata. Amakonda kupezeka pakauntala ndipo ndi othandiza kwambiri kudzimbidwa. Mtundu woyenga bwino wa mankhusu a psyllium amalembedwa ngati Metamucil.

Mankhwala

Ngati mayankho omwe ali pamwambapa amakusiyani kuti mulimbikitsidwe, njira yotsatira yodzitchinjiriza ndi zotsekemera kapena zofewetsa.

• Zofewetsa chopondapo: Mankhwalawa (monga Mkate ) amagwira ntchito potunga madzi mu chopondapo ndikupangitsa kuti zikhale zosavuta kudutsa, atero Dr. Philbin. Omachepetsa mpando amatha kutenga maola 24 mpaka 48 kuti agwire ntchito.
• CHIKWANGWANI mankhwala ofewetsa tuvi tolimba: Zowonjezera izi (monga Metamucil , Fibercon , ndi Citrucel ) imakulitsanso madzi pogona, kuwathandiza kuti adutse m'matumbo. Mankhwala otsekemera amatenga maola 12 mpaka 24 kuti apereke mpumulo.
• Polyethylene glycol mankhwala ofewetsa tuvi tolimba: Mankhwalawa osmotic (monga Miralax kapena mkaka wa magnesia ) amagwira ntchito pobweretsa madzi mu lumen ya matumbo, ndikupangitsa malowa kukhala osavuta kudutsa. Mankhwala otsekemera a Osmotic amatenga maola 12 mpaka 72 kuti apange zotsatira.

Ngati mankhwalawa alephera kupereka mpumulo, mzere wotsatirawo umalimbikitsa pang'ono mankhwala ofewetsa tuvi tolimba, ma suppositories kenako, ngati kuli koyenera, enema.

• Mankhwala olimbikitsa: Mankhwalawa (monga Dulcolax ndipo Senokot ) amachititsa kuti matumbo agwedezeke ndikuyambitsa matumbo. Mankhwala olimbikitsa otsekemera amatenga maola 6 mpaka 12 kuti agwire ntchito.
• Zowonjezera: Mankhwalawa amatunga madzi kuchokera m'matumbo kupita kumalo olimba kwambiri a chopondapo poyambitsa minofu yamatumbo kuti igwirizane, kugwirira ntchito limodzi kuyambitsa matumbo. Ma suppositories nthawi zambiri amatenga mphindi 15 mpaka 60 kuti athandize.
• Enema: Kalasi yamankhwala iyi imagwira ntchito polowetsa zamadzimadzi m'matumbo, zofewetsa ndi kumasula chopondapo. Adani Nthawi zambiri amatenga mphindi zochepa kuti apange zotsatira.

ZOKHUDZA: Kutsika kwa mankhwala ofewetsa tuvi tolimba

Kudzimbidwa sikusangalatsa konse, makamaka ngati kuli kophatikizana ndi kuchira kuchokera ku opaleshoni. Komabe, popanga pulani ndi dokotala musanachite opaleshoni, kudziwa zomwe zimayambitsa, kukhathamiritsa zakudya zanu, ndikukhala ndi malingaliro owonjezera pa akaunti yanu, mutha kuyambiranso zinthu ndikuchepetsa zovuta posachedwa.