Ungayinyamekela njani i-K-Pouch yakho (i-Continental Ileostomy) ngokufanelekileyo?

Ukuba ukhe wenziwa utyando olubandakanya i-K-pouch, usenokuba noloyiko kwaye ungaqinisekanga malunga nokujongana nayo yonke imihla. Yinto eqhelekileyo leyo. Kodwa ukuba unolwazi olufanelekileyo, ukuyilawula akunzima kangako. Ngoko ke namhlanje, masithethe ngokuba yintoni i-K-pouch kunye nendlela yokuyinyamekela ngokufanelekileyo.

Kalula nje, yintoni i-K-Pouch?

I-K-pouch, okanye i-continental ileostomy , yinkqubo yotyando edibanisa inxalenye yokugqibela yamathumbu akho amancinci, i-ileum , nolusu lwesisu sakho. Oogqirha benza oku ukuze benze indlela yokuba inkunkuma iphume xa umzimba wakho ungakwazi ukuyisusa ngokuqhelekileyo inkunkuma.

Okwenza i-K-pouch yahluke kwezinye iintlobo ze-ileostomy kukuba ugqirha wenza ivalvu ekhethekileyo. Le valve ithintela inkunkuma ukuba ingaphumi yodwa. Endaweni yoko, xa kufuneka ukhuphe ingxowa, ungafaka ityhubhu ebizwa ngokuba yi-catheter ukuze ikhuphe inkunkuma.

Khawuthelekelele, njengoko ulwelo kunye nokutya okucoliweyo kuqokeleleka ngaphakathi kweli bhegi, uxinzelelo olungaphakathi kuyo luyanda. Ukuba olu xinzelelo alukhululwa, ibhegi inokukrazuka, igqobhoke, okanye ivalvu ingatyibilika kwaye inkunkuma ingavuza. Yiyo loo nto kubaluleke kakhulu ukuyikhupha ngexesha.

Kufuneka ndikhuphe kangaphi esi sikhwama?

Ukuphindaphindwa kokuchitha oku kunokwahluka kumntu nomntu, kodwa kukho imigaqo ethile ngokubanzi.

Emva nje kotyando, ugqirha wakho uza kubeka i-catheter engaphakathi , ityhubhu eshiywe endaweni yayo yokukhupha inkunkuma. Le tyhubhu kuya kufuneka ishiywe endaweni yayo kangangeeveki ezi-3-4 ukuvumela ingxowa entsha ukuba ivuthwe, oko kuthetha ukuba iya kuba namandla ngakumbi. Emva koko, uya kukwazi ukukhupha ingxowa izihlandlo ezininzi ngemini. Ngokuhamba kwexesha, ukuphindaphinda kokukhupha kuya kuncipha kancinci kancinci.

Thetha nogqirha wakho, ugqirha wotyando, okanye ingcali ye-enterostomal (unesi we-ET ) ngale nto. Kusenokwenzeka ukuba ukhe wadibana nalo nesi ngaphambi kotyando lwakho. Baza kukukhumbuza indlela yokunyamekela i-stoma kunye nengxowa yakho.

Indlela echanekileyo yokukhupha i-K-Pouch

Ukukhupha amanzi rhoqo kungcono kwiiveki ezi-3-4 zokuqala zebhegi entsha. Ukuba ityhubhu ye-catheter iphume ngengozi ngeli xesha, ungakhathazeki. Ungayifaka kwakhona ngokwakho ngokulandela la manyathelo alula:

• Khulula izihlunu zakho zesisu kancinci.Ukugoba idolo elinye kunokunceda ngeli xesha.
• Thambisa i-catheter kwakhona usebenzisa i-lubricant enyibilikayo emanzini. Musa ukusebenzisa iimveliso ezine-petroleum jelly, ezifana neVaseline.
• Phinda ufake i-catheter kwinqanaba eliphawulwe ngaphambili. Ukuba oku kubonakala kunzima, phumla kancinci, utshintshe indawo, uze uzame kwakhona.

Ngeli xesha lokuqala, kufuneka unkcenkceshele i-catheter izihlandlo ezininzi ngemini, usebenzisa malunga ne-ounce (30ml) yamanzi aqhelekileyo empompini, ukuze ukhuphe inkunkuma.

Ukuba indle ayiphumi emva kokwenza ezi zinto, into efana namasuntswana okutya isenokunamathela. Ngelo xesha, khupha i-catheter, uyihlambe kakuhle ngamanzi epompo, uze uyiphinde uyifake.

Emva kweeveki ezi-3-4

Emva kweeveki ezi-3-4 zokuqala, ungayeka ukukhupha indle rhoqo kwaye uqale ukukhupha amathumbu akho amaxesha amaninzi ngemini. Olu tshintsho lwenziwa emva kotyelelo lwakho lokuqala emva kotyando nogqirha wakho.

• Khupha ibhegi rhoqo emva kweeyure ezimbini emini, ngelixa uvukile.
• Khupha ibhegi yakho ngaphambi kokuba ulale ebusuku naxa uvuka kusasa.
• Kuphephe ukutya okanye ukusela nantoni na iiyure ezi-2 ngaphambi kokulala.
• Ebusuku, ungayishiya i-catheter endaweni yayo ukuze uqhubeke nokukhupha inkunkuma. Okanye ungabeka i-alamu yokukuvusa uze uyikhuphe.

Kwiiveki ezimbalwa ezizayo, ungandisa kancinci kancinci ixesha phakathi kokukhupha ingxowa. Emva kweenyanga ezi-3 zotyando, ngokuqhelekileyo akukho miqathango ikhethekileyo. Kuya kufuneka ukhuphe ingxowa malunga nezihlandlo ezi-4-6 ngemini, kwaye unkcenkceshele malunga nezihlandlo ezibini ngemini. Kodwa khumbula, khupha ingxowa nanini na xa uziva uzele okanye uzele. Kubalulekile ukwenza oku ngaphambi kokuzilolonga nangaphambi kokuba ulale.

Ungayinyamekela njani i-catheter kunye nolusu?

Kubalulekile ukugcina ulusu olujikeleze i-catheter lucocekile kwaye lukhuselekile, kunye nokuqinisekisa ukuba i-catheter ayivalwanga kwaye inkunkuma ikhutshwa kakuhle.

Imiyalelo yenyathelo ngenyathelo

1. Ukuhlamba izandla : Okokuqala, hlamba izandla zakho kakuhle ngesepha namanzi afudumeleyo uze uzomise ngetawuli ecocekileyo.

2. Nkcenkceshela i-catheter: Susa kwaye ulahle i-dressing phezu kwenxeba (stoma). Yahlula i-catheter kwingxowa yokuqokelela inkunkuma uze uthulule umxholo we-catheter kwisinki.

3. Galela amanzi: Galela malunga ne-ounce (30ml) yamanzi kwisirinji yebhalbhu. Ukuze kube lula, phawula umgangatho kwisirinji nge-permanent marker okanye i-nail polish .

4. Ukutofa ngamanzi: Cinezela kancinci amanzi avela kwisirinji ungene kwi-catheter.

5. Ukulahla inkunkuma: Ngelixa ucinezela isirinji, cinezela i-catheter ngesinye isandla ukuze ususe isirinji. Emva koko khupha i-catheter uze uvule idreyini ukuze ukhuphe inkunkuma esityeni. Ungaze utsale ulwelo oluvela kwi-catheter lubuyele kwisirinji.

6. Ukujonga Ukuthintela: Ukuba amanzi afakiweyo abonakala ngathi anengxaki yokuphuma, okanye ukuba i-catheter ivalekile yinto efana ne-mucus, yihlambe rhoqo de inkunkuma ihambe kakuhle. Ukuba amanzi awangeni kwaye akaphumi, yisuse i-catheter, uyihlambe kakuhle, uze uyiphinde uyifake.

7. Ukucoca ulusu: Nje ukuba inkunkuma iyeke ukuhamba, phinda udibanise i-catheter ebhegini. Coca inxeba (i-stoma) kunye nolusu olujikelezileyo kakuhle. Sebenzisa isepha engenamafutha kunye namanzi afudumeleyo. Hlamba kakuhle, womise, uze womise ngetawuli ethambileyo.

8. Faka i-dressing: Beka iileya ezimbini ze-gauze dressing eqhekekileyo zijikeleze inxeba, uziqinise ngeteyipu ukuba kuyimfuneko.

9. Ukucoca kokugqibela:Susa zonke izinto ezingabalulekanga, hlamba isinki kunye nesirinji kakuhle ngesepha uze uziyeke zome. Okokugqibela, hlamba izandla zakho kakuhle kwakhona.

Ezinye iingcebiso ezibalulekileyo

• Jonga i-catheter rhoqo ukuqinisekisa ukuba inkunkuma ikhutshwa kakuhle. Yinkcenkceshele kabini ngemini, okanye njengoko ugqirha okanye umongikazi wakho eyalele.
• Jonga istoma yakho yonke imihla. Ifanele ibonakale ikhazimla, ifumile, kwaye ibomvu. Ukuba ubona naluphi na utshintsho kwinkangeleko yayo, xelela ugqirha wakho ngoko nangoko.
• Ukuba indle yakho ityebile kwaye ivakala ngathi idlula kancinci kwi-catheter, kunokufuneka usele amanzi amaninzi, ijusi yeziqhamo , okanye ezinye izinto ezilulwelo. Zama ukusela malunga neeglasi ezili-10-12 zamanzi ngosuku.

I-K-Pouch, I-Ileostomy yelizwekazi, ukhathalelo lwe-ileostomy, i-stoma, i-catheter, utyando, amathumbu, ukhathalelo lwe-ostomy IsiSinhala, ukhathalelo lwe-K-Pouch