Ngamanye amaxesha sineengxaki zempilo esiba neentloni zokuthetha ngazo, kodwa ezichaphazela kakhulu ubomi bethu. Ezifana nokuba nesisu esingalawulekiyo, okanye ukungakwazi ukukhupha indle kangangeentsuku. Eli liva elinzima kakhulu nelixinzelelekileyo engqondweni kumntwana omncinci nakubantu abadala. Le meko inokuba ngumqobo omkhulu wokuya esikolweni, ukuya emsebenzini, kunye nokunxulumana nabanye abantu kuluntu. Ngoko ke namhlanje sithetha ngotyando olukhethekileyo olucetywayo ngoogqirha njengesisombululo kwiingxaki ezinjalo.
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Ngamafutshane, yintoni i-appendicostomy?
Nangona igama lisenokuvakala liyinkimbinkimbi, le nkqubo ilula kakhulu ukuyiqonda. I-Appendicectomy, okanye njengoko isaziwa kakhulu ngoogqirha, inkqubo ye-MACE (Malone Antegrade Colonic Enema) , yinkqubo yotyando.
Kalula nje, nantsi into eyenzekayo:
Usebenzisa inxalenye ye-appendix yakho , kwenziwa umbhobho omncinci ukusuka eluswini lwesisu sakho ukuya kwi-colon/amathumbu amakhulu. Le nkqubo isebenzisa ulwelo olukhethekileyo (i-enema) ukuhlamba ngaphakathi kwi-colon yakho kunye nokunceda isitulo ukuba sidlule ngokulula.
Umngxuma omncinci owenziwe eluswini lwesisu odibanisa le ndlela ubizwa ngokuba yi-stoma . Oku kudla ngokwenziwa kufutshane nenkaba (iqhosha lesisu) okanye kwicala lasekunene lesisu. Ngoko ke awubonakali kakhulu ngaphandle.
Enye yezona nzuzo zinkulu zale ndlela kukuba unokulawula inkqubo yokuhambisa amathumbu. Oko kuthetha ukuba ungazikhethela ukuba ufuna ukucoca amathumbu akho nini kwaye kangaphi.
Ngubani ngokwenene odinga olu tyando?
Oogqirha badla ngokucebisa olu tyando kubantu abangakhange bakwazi ukulawula ukuhamba kwamathumbu abo ngezinye iindlela zonyango, ezinje ngokutshintsha ukutya, izongezo zefayibha, okanye uqeqesho olunje nge-biofeedback. Lwenziwa kubantwana nakubantu abadala.
Ukuba wena okanye umntwana wakho unenye yezi meko zilandelayo, ungafuna ukuthetha nogqirha wakho malunga notyando lwe-MACE.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Ukuqhinwa Okukhulu | Iimeko ekunzima ukuzinyanga nokuba ngamayeza, ezifana nokungaphumi kwamathumbu kangangeentsuku. |
| Ukungakwazi ukuzibamba ngamathumbu | Ukuhamba kwamathumbu ngokunganyanzelekanga okanye okungalawulekiyo. |
| I-Spin Bifida | Isiphene sokuzalwa kumqolo nakwinkqubo yemithambo-luvo esichaphazela ulawulo lwamathumbu. |
| Ukungasebenzi kakuhle kwe-Anorectal | Ukuphazamiseka kokuzalwa kwindawo yempundu okanye i-rectum. |
| Isifo seHirschsprung | Ubunzima bokuphuma kwendle ngenxa yokukhula okungafanelekanga kweeseli zemithambo-luvo emathunjini amakhulu. |
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Ngaphambi kotyando
Ugqirha wakho uza kukuchazela ngokucacileyo into ekufuneka uyenze ngaphambi kotyando.
- Ukutya nokusela: Uza kwaziswa ukuba kufuneka uyeke ukutya nokusela ixesha elingakanani ngaphambi kotyando.
- Ukucocwa kwamathumbu: Kuza kwenziwa inkqubo ekhethekileyo yokucoca amathumbu ngokupheleleyo (i-Bowel Prep) ngosuku olungaphambi kotyando.
- Amanye amayeza: Ukuba usebenzisa amayeza kwezinye iimeko, kubaluleke kakhulu ukubuza ugqirha wakho ukuba ngaba ufanele uwasebenzise loo mayeza ngaphambi kotyando.
Ngexesha lotyando
Olu tyando ludla ngokwenziwa nge-laparoscopically . Oko kukuthi, "njengotyando lwe-key-hole." Lwenziwa ngokufaka ikhamera kunye nezixhobo ngemingxuma emininzi emincinci esiswini, endaweni yokwenza umsikelo omkhulu. Oku kubangela ukuba ixesha lokuphola lincinci kwaye kunciphe amanxeba.
Ngexesha lotyando, ugqirha wotyando:
1. Bathatha iqhekeza elincinci le-appendix okanye ithumbu lakho baze balibumbe libe yityhubhu.
2. Loo mbhobho uqhagamshelwe ngaphakathi kwamathumbu amakhulu.
3. Esinye isiphelo sombhobho sinamathele kumngxuma omncinci (i-stoma) owenziwe eluswini lwesisu.
4. Ekuqaleni, ityhubhu encinci, ebizwa ngokuba yi-catheter, ifakwa okwethutyana kwi-stoma ukuze ihlale ivulekile.
Olu tyando ludla ngokuthatha malunga neeyure ezimbini.
Emva kotyando
Uza kuhlala esibhedlele ixesha elifutshane, malunga nosuku olunye okanye ezimbini. Ngeli xesha, abasebenzi abangongikazi baza kukufundisa indlela yokuhlamba amathumbu akho nge-stoma yakho entsha. Uza kuqeqeshwa ukwenza oku wedwa xa ubuyela ekhaya.
Zithini iingenelo kunye neziphumo ebezingalindelekanga zolu tyando?
Eyona nzuzo iphambili kukuba ufumana ulawulo kwakhona kwiintshukumo zakho zamathumbu. Oku kukuvumela ukuba uphile ubomi obuqhelekileyo, udlale imidlalo, kwaye uye emsebenzini ngaphandle kweentloni okanye uloyiko. Ubumfihlo bakho bukhuselwe kuba abanye abakwazi ukubona i-stoma yakho.
Kukho umngcipheko weziphumo ebezingalindelekanga (iingxaki) . Asinguye wonke umntu oza kuzifumana ezi zinto, kodwa kubalulekile ukuba uqaphele.
- Ngamanye amaxesha indle encinci okanye ulwelo lunokuvuza kwi-anus.
- Ngamanye amaxesha indlela edaliweyo (i-stoma) inokuba mxinwa.
- Abanye abantu banokufumana ubunzima bokuqhinwa okanye ubunzima bokulawula ukuhamba kwamathumbu abo emva kotyando.
Kudla ngokuthatha malunga nenyanga ukuphiliswa. Oogqirha bacebisa ukuba uphephe ukuphakamisa izinto ezinzima kunye nemidlalo enzima ngelo xesha. Emva kwenyanga, ityhubhu yexeshana (i-catheter) efakwe kwi-stoma iyasuswa. Emva koko, ungayifaka ngokwakho ityhubhu kuphela xa kufuneka ucoce amathumbu akho.
Ufanele uye nini kugqirha ngoko nangoko?
Ukuba wena okanye umntwana wakho nifumana naziphi na kwezi mpawu zilandelayo emva kotyando, fowunela ugqirha wakho ngoko nangoko okanye ufune unyango.
| Iimpawu ekufuneka uziqaphele | |
|---|---|
| Ifiva | Ubushushu bomzimba obunyukileyo. |
| Ukudumba | Ukudumba kwesisu kunye nokungonwabi. |
| Isicaphucaphu nokuhlanza | Isicaphucaphu kunye nokugabha. |
| Intlungu, ubomvu, okanye ukudumba kwindawo yotyando | Ezi zisenokuba ziimpawu zosulelo. |
| Ubunzima bokufaka ityhubhu | Oku kungaba luphawu lokuba indlela ye-stoma inciphile. |
| Ulwelo oluphuma kwi-stoma | Ukuvuza okuqhubekayo kolwelo okanye ilindle nokuba sele isusiwe ityhubhu. |
Ingaba olu tyando lunokuguqulwa?
Ewe. Ukuba wena okanye umntwana wakho ngandlela ithile nifumana amandla okukhupha indle ngendlela eqhelekileyo, le ndlela idaliweyo inokususwa ngotyando kwaye ibuyiselwe kwimeko yesiqhelo. Le nkqubo ayilimazi umsebenzi wamathumbu amakhulu.
Ekugqibeleni, iingxaki zamathumbu zizinto ezinokukususa uvuyo kunye nokuzithemba ebomini. Kodwa amayeza anamhlanje anezisombululo ezisebenzayo kuzo. Ugqirha wakho ngumntu ofanelekileyo wokugqiba ukuba olu tyando lufanelekile kuwe okanye kumntwana wakho. Ngoko ke, funda ngakumbi ngale nto, xoxa ngengxaki yakho ngokucacileyo, kwaye ufumane unyango olungcono.
Umyalezo Wokuya Ekhaya
- I-Appendicostomy (utyando lwe-MACE) yinkqubo yotyando eyenziwa kubantu abanengxaki yokuqhinwa okanye ubunzima bokulawula ukuhamba kwamathumbu abo.
- Apha, i-appendix isetyenziselwa ukudala indlela esuka eluswini lwesisu ukuya emathunjini amakhulu, kwaye ngayo, amathumbu ayahlanjwa ukunceda ekukhupheni ilindle.
- Olu tyando lwenziwa kubantwana nakubantu abadala, kwaye lunokuphucula kakhulu umgangatho wobomi.
- Ukuba ufumana iimpawu ezinje ngomkhuhlane, iintlungu zesisu, okanye ukudumba emva kotyando , qhagamshelana nogqirha wakho ngoko nangoko.
- Ukuze ubone ukuba olu lolona nyango lufanelekileyo kuwe, kubalulekile ukuthetha ngokukhululekileyo nogqirha wakho ngazo zonke izinto ezikuxhalabisayo.
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