Ngaba umntwana wakho unengxaki yokuqhinwa? Ngaba uhlala iintsuku engahambisi isisu aze azive engakhululekanga? Okanye ngaba unengxaki yokungakwazi ukuzibamba endle engaqondanga? Wena, njengomntwana nanjengomzali, kufuneka ukuba unengxaki enkulu yezi ngxaki. Namhlanje, siza kuthetha ngonyango olukhethekileyo olunokunceda xa ezi meko kunzima ukuzilawula ngamayeza aqhelekileyo.
Yintoni i-cecostomy ngokulula?
Ngamafutshane, i-cecostomy lutyando oluncinci. Lubandakanya ukufaka ityhubhu eluswini lwesisu sakho ngqo kwinxalenye yokuqala yamathumbu akho amakhulu. Le nxalenye yokuqala yamathumbu akho amakhulu ngokwezonyango ibizwa ngokuba yi-cecum . Le tube ibizwa ngokuba yi-cecostomy tube okanye i-C tube.
Ngoku usenokuba ucinga, "Kutheni befaka ityhubhu enje?" Isizathu kukuba, baza kwenza i-enema ngale tyhubhu. I-enema lulwelo olufakwa kwi-colon ukuze lucoceke. Ngokwesiqhelo, senza i-enema nge-anus, esezantsi kwe-colon. Ulwelo luya phezulu. Oku kubizwa ngokuba yi-retrograde enema . Kodwa le ndlela ayicoci i-colon yonke.
Kodwa xa usenza i-enema ngetyhubhu ye-cecum, ulwelo lungena phezulu kwamathumbu amakhulu. Emva koko ulwelo luhamba emathunjini onke, luthwele isitulo, luze luphume nge-anus. Kufana nokugalela amanzi kumbhobho. Sibiza le enemas ye-antegrade . Le ndlela iyasebenza kakhulu kuba inokucoca amathumbu amakhulu onke. Olu nyango lolwexeshana kwabanye abantu, kodwa lunokufuneka ixesha elide kwabanye.
Ngubani ngokwenene odinga olu nyango?
I-Cecalostomy isetyenziswa kakhulu kunyango lwabantwana . Iluncedo kakhulu kubantwana abanengxaki yokuqhinwa kakhulu kwaye abangakwaziyo ukulawula amathumbu abo (ukungakwazi ukuzibamba). Khawuthelekelele indlela ekunokuba buhlungu ngayo ukuba umntwana avuza indle ngengozi ngelixa edlala nabahlobo esikolweni. Olu nyango lunokwenza umahluko omkhulu kubomi babantwana abanjalo.
Ukongeza, oku kuluncedo kakhulu kubantwana abazalwa beneengxaki ezithile zamathumbu. Umzekelo:
- Iimpazamo ze-Anorectal: Iimpazamo ze-Anorectal ziimpazamo zokuzalwa ze-anus.
- Isifo sikaHirschsprung: Ingxaki yeeseli zemithambo-luvo emathunjini ebangela ukuba indle ingashukumi kakuhle.
- I-Spine bifida: Isiphene sokuzalwa somqolo kunye nomqolo esichaphazela ulawulo lwamathumbu kunye nesinyi.
I-Cecalostomy ayikhuthazwa ngabantu abadala, kodwa kwiimeko ezikhethekileyo, i-enemas yemihla ngemihla inokunceda ukugcina ukuhamba kwamathumbu kuhleliwe kwaye kuthintele ukuhamba kwamathumbu okungalindelekanga.
Zeziphi iintlobo zeetyhubhu ezisetyenziswayo?
Kukho iintlobo ezininzi eziphambili zeepayipi ezisetyenziselwa oku. Jonga itheyibhile engezantsi ukuze uqonde lula ezi.
| Uhlobo lweThubhu | Inkangeleko kunye nenkcazo |
|---|---|
| Ityhubhu ye-C | Le yityhubhu yexeshana efakwa okokuqala ngexesha lotyando. Yi-catheter ende, ebhityileyo. Isiphelo setyhubhu esiveziweyo sijikelezwe phezu kwesisu. |
| I-Chait Trapdoor™ | Le yityhubhu esetyenziswa phantse ngokusisigxina . Ifana neqhosha elincinci elifakwa esiswini. Inxalenye engaphakathi kwamathumbu ijijekile, ukuze ihlale endaweni yayo ngaphandle kokuthungwa. |
| Iqhosha le-Enema le-MiniACE® | Le ikwayityhubhu ebonakala ngathi liqhosha kwaye isetyenziswa ngokusisigxina, njengale ingasentla. Kodwa le ifakwa ngaphakathi emathunjini kunye nebhaluni encinci evuthelweyo. |
Yenziwa njani le nkqubo?
Le nkqubo inokwahlulwa ibe ngamacandelo aliqela.
Uzilungiselela njani ngaphambi kotyando?
Ngaphambi kotyando, ugqirha wakho usenokukucela ukuba wenze amalungiselelo okulungiselela amathumbu . Oku kuthetha ukunciphisa ukutya nokusela kwakho kangangeentsuku ezimbalwa, uze emva koko uthathe iyeza lokukhupha isisu ukuze ukhuphe amathumbu akho ngokupheleleyo.
Eyona nto ibalulekileyo kukuba ukuba umntwana wakho uza kwenziwa olu tyando, uchaze yonke into eza kwenzeka ngendlela ayiqondayo, ezolileyo, necacileyo. Xa nina, njengabazali, nizithembile, oko kunamandla amakhulu nakumntwana.
Kwenzeka ntoni ngexesha lotyando?
Ngexesha lotyando, ugqirha uvula umngxuma omncinci eluswini lwesisu sakho uye kwinxalenye yamathumbu akho amakhulu ebizwa ngokuba yi-cecum.
- Ngamanye amaxesha oku kwenziwa ngesixhobo esifana nenaliti. Oku kubizwa ngokuba yi-percutaneous cecostomy . Oku kudla ngokubandakanya ukufiphaza indawo.
- Ngamanye amaxesha oku kwenziwa ngokusikwa okuncinci. Oku kubizwa ngokuba yi-operation cecostomy . Ngenxa yoku, wena okanye umntwana wakho niza kulaliswa phantsi kwe-anesthesia eqhelekileyo.
Emva kokwenza umngxuma, ugqirha usebenzisa ubuchwepheshe obukhethekileyo bekhamera (i-fluoroscopy okanye i-endoscopy) njenge-X-rays ukufaka ityhubhu ye-C ngemngxuma iye emathunjini. Emva koko ityhubhu inamathele emathunjini, kwaye amathumbu anamathele eludongeni lwesisu.
Kwenzeka ntoni emva kotyando?
Utyando ngokwalo luza kuthatha malunga neyure. Emva koko uza kuba sesibhedlele iintsuku ezimbalwa. Ngeli xesha, iqela lezonyango liza kukunyamekela kakuhle. Uza kunikwa amayeza okubulala iintsholongwane kwi-IV ukuthintela usulelo. Uza kunikwa iintlungu xa unesihlungu. Amathumbu akho aza kuba "nobuvila" emva kotyando, ngoko ke kuya kufuneka utye ukutya okumanzi de aqale ukusebenza kakuhle kwakhona.
Zithini iingenelo kunye neengozi zoku?
Njengalo naluphi na unyango lwezonyango, olu lunezibonelelo kunye neengozi.
| Iinzuzo | Iingozi |
|---|---|
|
|
Kodwa ungoyiki le mingcipheko. Iqela lakho lezonyango liza kukufundisa indlela yokugcina ityhubhu icocekile kwaye uyinyamekele. Ukuba ulandela loo miyalelo ngononophelo, ungazinciphisa kakhulu ezi mingcipheko.
Kuthatha ixesha elingakanani ukuphola kwaye uyisebenzisa njani ityhubhu?
Kuthatha malunga neeveki ezimbini ukuba indawo yotyando iphole. Ngeli xesha, ayilocebo lilungileyo ukwenza izinto ezifana nokudada okanye ukuhlamba. Kuya kufuneka ubuye emva kweeveki ezimbini ukuze ususwe izithungo zakho. Ngokwesiqhelo ungaqala ukusebenzisa ityhubhu emva kweveki yokuqala.
Ityhubhu ye-C ebekwe ekuqaleni yeyexeshana. Isetyenziswa malunga neeveki ezi-6 ukuya kwezi-8 . Emva koko, kuya kufuneka ubone ugqirha wakho. Uza kuyisusa loo tyhubhu aze afake ityhubhu esisigxina ebonakala ngathi "yiqhosha" njengoko bekutshiwo ngaphambili. Kulula kakhulu.
Le tube ifana neqhosha ithambile esiswini, ngoko ke ayibonakali kakhulu ngaphandle. Xa kufuneka wenze i-enema, kukho iqhekeza elahlukileyo le tube elinokudityaniswa neqhosha. Ulwelo lwe-enema lufakwa ngalo. Le tube isisigxina ingasetyenziswa ixesha elide kangangoko kufuneka. Nangona kunjalo, oogqirha bacebisa ukutshintsha le tube rhoqo kwiinyanga ezi-6 ukuya kwezili-12 ngenxa yezizathu zempilo.
Naziphi na ezinye izihlandlo apho kufuneka ubone ugqirha
Ukuba wena okanye umntwana wakho unezinye zezi mpawu zilandelayo, fowunela ugqirha wakho ngokukhawuleza.
- Iimpawu zosulelo: umkhuhlane, ulwelo olufana nobovu oluphuma kwindawo yombhobho.
- Intlungu engaqhelekanga: Intlungu enganyamezelekiyo, ukudumba, okanye ukopha okujikeleze ityhubhu.
- Ingxaki yombhobho: Ukuba umbhobho ubonakala ngathi usuke kwindawo yawo, okanye ukuba uphumile ngokupheleleyo.
Ukuba ityhubhu iphuma, yingxamiseko enkulu kakhulu. Kuba umngxuma ungavaleka ngokukhawuleza. Ke ngoko, ukuba oko kuyenzeka, kufuneka uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
Umyalezo Wokuya Ekhaya
- I-Cecostomy lunyango oluphumelelayo lokuqunjelwa kakhulu kunye nokungakwazi ukuzibamba kwamathumbu, ingakumbi ebantwaneni.
- Oku kwenziwa ngokuhlamba amathumbu ukusuka phezulu ukuya ezantsi (i-antegrade enema) ukunceda ekukhupheni indle.
- Nangona kukho iingozi ezithile kule ndlela, zinokuncitshiswa ngokunyamekela kakuhle umbhobho kunye nendawo engqongileyo. Iingenelo zingaphezulu kakhulu kwezo.
- Buza ugqirha wakho indlela yokucoca ityhubhu, indlela yokunika i-enema, kunye nento omawuyenze xa kukho imeko engxamisekileyo. Landela imiyalelo yakhe ngononophelo.
- Olu nyango lunika umntwana okanye wena ithuba elihle lokuphila ubomi obulawulwayo nobukhululekileyo kwakhona.
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