Ngamanye amaxesha kufuneka sijongane neengxaki zempilo esingenakuzicinga. Ukungakwazi ukuzibamba sisisu singazi nokuba singakwazi okanye ukuqhinwa kakhulu okunganyamezelekiyo yenye yazo. Kunzima kangakanani ukuphila nezi meko? Abantu abaninzi bahlushwa ziintloni nokuphoxeka kokuya esidlangalaleni nokwenza umsebenzi wabo. Ngoko ke namhlanje sithetha ngotyando olukhethekileyo olunokunceda kwiingxaki ezinjalo kwaye lwenze ubomi bube lula kwakhona.
Ngamafutshane, yintoni i-cecostomy?
I-cecostomy yinkqubo yotyando. Kule nkqubo, oogqirha benza utyando oluncinci kwicala lasekunene lesisu sakho baze bafake ityhubhu encinci kwi-cecum, inxalenye yokuqala yamathumbu amakhulu. Elinye icala letyhubhu lingaphakathi kwe-cecum, ngelixa elinye icala livezwe ngaphezulu kolusu lwesisu. Le yinkqubo yotyando eyenziwa kubantwana nakubantu abadala.
Usenokoyika kancinci xa usiva oku. Usenokungabaza, "Ungaba njani nombhobho esiswini sakho?" Kodwa kubonakala ngathi yinto encinci kakhulu. Kwaye iingenelo zayo ziphezulu kakhulu. Makhe sithethe ngayo ngakumbi.
Ngubani odinga olu tyando?
Olu tyando aluyomfuneko xa umntu equnjelwa okanye engakwazi ukuzibamba ngamathumbu ngamaxesha athile. Luyacetyiswa kubantu abangakwazi ukuzibamba okanye abangakwazi ukuzibamba ngamathumbu, ingakumbi xa ezinye iindlela zonyango zingaphumelelanga.
Ezinye zeemeko zempilo ezinokubangela ezi meko zezi:
- Iingxaki zokuzalwa: Umzekelo, i-anus engakheki kakuhle ekuzalweni (i-Imperforate anus).
- Isifo sikaHirschsprung: Esi sisifo esibangela ubunzima bokuphuma kwendle ngenxa yengxaki yeeseli zemithambo-luvo emathunjini amakhulu.
- Isifo seKlippel Feil: Esi sisifo esingaqhelekanga esibangelwa kukudibana kwamathambo omqolo emgogodleni.
- I-Spine bifida: Isiphene sokuzalwa ekuphuhlisweni komqolo kunye nomqolo.
Kumntwana okanye umntu omdala onezi meko, ubomi bemihla ngemihla bunokuba nzima kakhulu. Olu tyando lubanceda kakhulu.
Isinceda njani ityhubhu ye-cecostomy? Umahluko phakathi kwe-enema kunye netyhubhu ye-cecostomy
Ukuze sikuqonde oku, kufuneka siqale sazi ukuba yintoni i-enema. I-enema yinkqubo equka ukufaka ulwelo emathunjini amakhulu ukuze kuncedwe isitulo sidlule lula. Indlela yendabuko esiyaziyo kukunika i-enema nge-anus.
Eyona nto ikhethekileyo ngotyando lwe-cecostomy kukuba luvumela indlela ekhethekileyo ye-enema ebizwa ngokuba yi-antegrade enema . Ngoku makhe sijonge umahluko phakathi kwezi ndlela zimbini.
| Indlela | Inkcazo |
|---|---|
| I-enema yendabuko (i-enema ye-Retrograde) | Le yindlela yokufaka ulwelo nge-anus. Oku kufuna ukuba ulale phantsi. Kufuneka ulinde malunga neyure emva kokufaka ulwelo. Le yinkqubo enzima kwaye ithatha ixesha. |
| I-enema ye-Antegrade (ngokusebenzisa i-cecostomy) | Olu lwelo lufakwa ngetyhubhu ye-cecostomy esiswini sakho. Ungakwenza oku uhleli kwindlu yangasese . Nje ukuba ulwelo luqhagamshelwe kwityhubhu, luya ngqo ekuqaleni kwamathumbu akho amakhulu, ukuze amathumbu akho acocwe ngokukhawuleza nangokufanelekileyo. Le yindlela elula kakhulu, yabucala, kwaye ikhululayo. |
Uyivile? Ngale ndlela ye-enema ye-antegrade, akusekho mfuneko yokuba ulale phantsi uze wenze i-enema ngendlela engaqhelekanga. Ungayenza le nto ngokulula, uhleli kwindlu yangasese, wedwa.
Ukulungiselela utyando kunye noko kwenzekayo
Ngosuku olungaphambi kotyando, kuya kufuneka ucoce amathumbu akho ngokupheleleyo (ukulungiselela amathumbu) ngokwemiyalelo kagqirha wakho.
Ngexesha lotyando:
- Uza kunikwa amayeza okuthomalalisa umzimba ukuze ungabi nantlungu.
- Ugqirha wenza umngxuma omncinci kwicala lasekunene elisezantsi lesisu.
- Ngokusebenzisa iindlela ezikhethekileyo zokuthatha imifanekiso, ityhubhu ye-cecostomy ifakwa ngokusikwa kwi-cecum.
- I-cecum ibekwa kufutshane nodonga lwesisu kwaye iqiniswe ngezititshi ezininzi.
- Esinye isiphelo setyhubhu sibekwa phezu kolusu size sibotshelelwe eluswini ngeplasta ukuba kuyimfuneko.
Ziziphi iingenelo kunye neengozi zotyando lwe-cecostomy?
Njengayo nayiphi na inkqubo yezonyango, le ineenzuzo kunye neengozi ezithile.
Iingenelo:
- Ukunciphisa kakhulu iingozi zokungcolisa: Ekubeni unokulawula indle yakho, unokuhlala ucocekile imini yonke.
- Ukuzithemba okwandisiweyo:Ukuziva ulungile ngawe kuba ulahlekelwa ziintloni noloyiko lwakho.
- Ubomi obusebenzayo ngakumbi: Ungenza izinto ezinje ngokuya esikolweni, emsebenzini, ukuphuma nabahlobo, nokudada ngaphandle koloyiko "lokuhlala ukufutshane nendlu yangasese."
- Akusekho mfuneko yokuba neenapukeni okanye iimpahla zangaphantsi zokuzikhusela.
Iingozi ezinokubakho:
- Iingxaki ezinxulumene ne-anesthesia: Izinto ezifana nomphimbo obuhlungu kunye nokuhlanza emva kokuvuka.
- Ukugqobhoka kwamathumbu: Umngxuma okwithumbu elikhulu owenzeka ngengozi ngexesha lotyando.
- I-stomal stenosis: Ukuncitshiswa kwenxalenye yamathumbu ejikeleze indawo yokufaka ityhubhu.
- Ukuvuza kwesisu: Ulwelo lwe-enema oluphuma kwityhubhu luye esiswini.
Ezi ngozi azifumaneki lula, kwaye iqela lakho lezonyango liya kwenza konke okusemandleni alo ukuzithintela.
Kwenzeka ntoni emva kotyando?
Kukho izinto ezimbalwa ekufuneka uzilandele ngexesha lokuchacha kwakho nasemva kokuba uphulukene.
- Ukuphuma esibhedlele: Uninzi lwabantu luyakwazi ukuya ekhaya ngosuku olufanayo notyando lwabo.
- Intlungu: Usenokuziva ungakhululekanga kwaye uneentlungu emva kokuba ubuyele ekhaya. Ungasebenzisa amayeza okudambisa iintlungu achazwe ngugqirha wakho koku.
- Imiqathango yemisebenzi: Kufuneka ungaqubhi iiveki ezimbini emva kotyando. Kufuneka ungadlali imidlalo kunye nokuphakamisa izinto ezisindayo iiveki ezine ukuya kwezintandathu .
- Ukhathalelo lwexesha elide:
- Kufuneka ubone ugqirha emva kweveki okanye ezimbini ukuze ususwe imithungo.
- Iqela lezonyango liza kukuxelela ngcono ukuba ungaqala nini kwaye njani ukwenza i-enemas ye-antegrade usebenzisa ityhubhu ye-cecostomy.
- Ngamanye amaxesha ityhubhu yexeshana ifakwa ngexesha lotyando ize itshintshelwe kwityhubhu esisigxina, yexesha elide xa usiya ekliniki emva kweeveki ezi-6. Le yinkqubo encinci, engenabuhlungu eyenziwa ngaphandle kwe-anesthesia.
- Eyona nto ibalulekileyo kukuba le tube ye-cecostomy kufuneka itshintshwe rhoqo emva kweenyanga ezi-6 ukuya kwezili-12. Le yinto elula eyenziwa eklinikhi.
Ukuba unale mpawu, bonana nogqirha ngokukhawuleza.
Ukuba ufumana naziphi na iimpawu zengxaki emva kotyando, kufuneka wazise ugqirha wakho ngoko nangoko.
| Iimpawu zesilumkiso ekufuneka uziqaphele | |
|---|---|
| - Intlungu zesisu | - Ukuba ityhubhu ye-cecostomy ikhululekile endaweni yayo |
| - Ukuba kunzima ukudlulisa ulwelo lwe-enema kwityhubhu | - Umkhuhlane. Oku kungaba luphawu losulelo esiswini (peritonitis). |
| - Ukuba ubunzima bokulawula ukuhamba kwamathumbu buyaqhubeka | - Ukuba kukho ubomvu, ukopha, okanye ukudumba okujikeleze ityhubhu |
Umyalezo Wokuya Ekhaya
- I-Cecostomy lutyando olusindisa ubomi olwenziwa ukunyanga iingxaki ezinzima zokulawula amathumbu kunye nokuqhina.
- Oku kuvumela indlela elula yokucoca amathumbu ebizwa ngokuba yi-antegrade enema. Oku kukuvumela ukuba wenze lo msebenzi ngokulula ngelixa uhleli kwindlu yangasese.
- Olu tyando lunciphisa ukuhamba kwamathumbu ngokunganyanzelekanga, lunyusa ukuzithemba, kwaye luvumela ubomi boluntu obusebenzayo.
- Esi sisisombululo sexesha elide. Ukhathalelo emva kotyando, olufana nokutshintsha ityhubhu rhoqo emva kweenyanga ezi-6-12, lubaluleke kakhulu.
- Ungaze woyike ukuthetha ngokukhululekileyo nogqirha wakho malunga neengxaki ezinokuvela ngexesha okanye emva kotyando.
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