Ngaba ukhe wafakelwa ibhegi esiswini sakho ngenxa yemeko yempilo? Oku kubizwa ngokuba yi-stoma ngokwezonyango. Ukuphila ngale ndlela kunokuba yinto engathandekiyo kwaye kukwadimaze kancinci. Umbuzo omkhulu kwiingqondo zabantu abaninzi ngulo, "Ngaba ndiza kukwazi ukuya kwigumbi lokuhlambela njengoko bendisenza ngaphambili?" Kukho impendulo elungileyo kuloo mbuzo. Kubantu abaninzi, le stoma yexeshana inokuguqulwa ngotyando olunye (utyando olubuyela umva) kwaye ibuyiselwe kwimeko apho banokuya kwindawo ethile ngokuqhelekileyo. Makhe sithethe ngale nto ngokweenkcukacha namhlanje.
Ngaba wonke umntu angalutyanda olu hlobo lotyando?
Lo ngumbuzo obaluleke kakhulu. Ugqirha wakho kunye nawe uza kugqiba kunye ukuba olu tyando lokuguqula i-stoma lukulungele na okanye alukulungelanga. Kukho izinto ezininzi ekufuneka uziqwalasele xa usenza esi sigqibo.
- Impilo yakho ngokubanzi: Umzimba wakho kufuneka ube sempilweni entle ukuze wenze olu hlobo lotyando kwaye uphile ngokukhawuleza emva kotyando.
- Ubungakanani be-rectum eseleyo emva kotyando lokuqala: Ukuze kuhlanganiswe kwakhona iziphelo zombini zamathumbu, kufuneka kubekho i-rectum eyaneleyo eseleyo.
- Amandla ezihlunu zesisu: Ugqirha uza kujonga nokuba izihlunu ezijikeleze i-rectum yakho zinamandla ngokwaneleyo na ukunika amandla afunekayo okukhupha indle.
- Isicwangciso sakho sonyango: Ukuba unyangwa isifo esifana nomhlaza, olu tyando lokubuyisela umva luya kurhoxiswa de lonke olo nyango (umzekelo, i-chemotherapy) lugqitywe.
Ngamafutshane, into ephambili apha kukuba ingaba umzimba wakho ukulungele na utyando lwesibini, kwaye ingaba kunokwenzeka na ngokwetekhnoloji ukuphinda udibanise amathumbu.
Ngaphambi kolu tyando, ugqirha wakho uza kukuxilonga ngononophelo, kwaye ukuba kuyimfuneko, angakucebisa ukuba wenze umthambo okanye unyango lomzimba. Oku kuya kunceda ukuqinisa izihlunu kwi-rectum yakho kwaye kukuncede ukuba uphume kakuhle emva kotyando.
Liliphi ixesha elifanelekileyo lotyando?
Ngokubanzi, ixesha elifanelekileyo lokwenza olu tyando lokubuyisela umva limalunga neenyanga ezi-3 emva kotyando lwakho lokuqala. Nangona kunjalo, kukho iimeko apho kungathatha ukuya kuthi ga kunyaka. Isizathu soku kukunika amanxeba angaphakathi kunye nokudumba ixesha elaneleyo lokuphola kunye nomzimba ukuba ubuyele esiqhelweni. Ngamanye amaxesha, kukho abantu abenza olu tyando nangona emva kweminyaka eliqela. Ngoko ke ungakhathazeki, ungathetha nogqirha wakho uze ugqibe ixesha elikufaneleyo.
Ukuguqulwa kweColostomy kunye neIleostomy
Kwi-colostomy, inxalenye yamathumbu amakhulu (ikholoni), nakwi-ileostomy, inxalenye yamathumbu amancinci (ileum), ikhutshwa ngesikhumba sesisu sakho ukuze kwenziwe i-stoma. Nangona iindlela zolu tyando zimbini zahlukile kancinci, ingcamango esisiseko iyafana. Oko kukuthi, iziphelo ezimbini zamathumbu ahlukeneyo ziyaxhunyaniswa ukuze indle idlule kwindlela eqhelekileyo.
Indlela oluqhutywa ngayo utyando
1. I-Anesthesia: Okokuqala, uza kunikwa i-anesthesia. Ngoko awuyi kuva nto ngexesha lotyando, uza kube ulele ngokupheleleyo.
2. Ukukhululwa kwamathumbu: Okulandelayo, ugqirha uza kukhulula kancinci inxalenye yamathumbu akho enamathele kulusu lwesisu sakho.
3. I-Anastomosis: Emva koko, iziphelo ezimbini zamathumbu ahlukeneyo ziyabuyiselwa kunye kwaye zifakwe. Oku kubizwa ngokuba yi-anastomosis ngokwezonyango. Olu qhagamshelo lunokwenziwa kusetyenziswa uhlobo oluthile lwe-staples okanye ngokuthunga ngesandla.
4. Ukuvalwa kwenxeba: Emva kokuba amathumbu edibene ngaphakathi, i-stoma kunye nokusikwa kotyando ziyavalwa.
Olu tyando ludla ngokuthatha malunga neeyure ezi-2-4 , kodwa ukuba unezicwili okanye i-hernia evela kutyando lwangaphambili, lungathatha ixesha elide.
Iingxaki ezinokwenzeka kunye neengozi emva kotyando
Njengakwezinye iintlobo zotyando, kukho iingozi kunye neengxaki ezinokubakho. Nangona kunjalo, ezi zinokulawulwa rhoqo. Ukuguqulwa kwe-colostomy kuthathwa njengonomngcipheko ophezulu kancinci weengxaki kune-ileostomy reversals.
| Ingxaki enokwenzeka | Ithetha ntoni le nto? |
|---|---|
| Usulelo lweNxeba | Imeko efana nokubomvu, ukudumba, iintlungu, kunye nobomvu obujikeleze inxeba lotyando. |
| Ileus | Ukuvaleka kwamathumbu okwethutyana, okuthintela umoya, ulwelo, nokutya ukuba kungaqhubeki phambili. |
| Ukuvaleka kwamathumbu | Ukuvaleka kwendlela yamathumbu ngenxa yezicubu ezibomvu. |
| Ukuvuza kwe-Anastomotic | Indle evuzayo ingena kwisisu isuka kwindawo apho kuqhagamshelwe khona amathumbu. Le yimeko embi kakhulu. |
| I-Hernia | Inxalenye yamathumbu iphuma phantsi kolusu nge-stoma okanye i-incision. |
| I-Sepsis | Imeko enzima apho usulelo lusasazeka emzimbeni wonke kwaye lunokuba yingozi ebomini. |
| Ukuba unale mpawu, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele. | |
| |
Ukuba uyatshaya , uyeka okanye unciphise ukutshaya kwakho ngaphambi kotyando kunokunceda kakhulu ekunciphiseni umngcipheko wokosuleleka ngamanxeba.
Ixesha lokuchacha kunye nezinto eziza kulandela ekhaya
Emva kotyando, uhlala esibhedlele iintsuku ezi-3 ukuya kwezili-10 . Uza kuthunyelwa ekhaya xa sele ukwazi ukutya ukutya okuqinileyo kwaye namathumbu akho abuyele esiqhelweni.
Yintoni onokuyilindela emva kokubuyela ekhaya
Iintshukumo zakho zamathumbu zisenokutshintsha kancinci ekuqaleni. Ungakhathazeki, oku kuqhelekile.
- Indle enamanzi okanye ekhululekileyo: Ekuqaleni, indle isenokuba namanzi kancinci.
- Ukuya kwindlu yangasese rhoqo: Kusenokufuneka uye kwindlu yangasese izihlandlo ezininzi ngemini.
- Ungxamiseko: Usenokufuna ukuya kwindlu yangasese kwangoko xa uziva ufuna ukuya ngasese.
- Ukuziva ngathi awukakhuphi ngokupheleleyo amathumbu akho: Kwanasemva kokuba uye kwindlu yangasese, usenokuvakalelwa kukuba amathumbu akho akakhuphi ngokupheleleyo.
Uninzi lwezi mpawu ziyancipha kancinci kancinci zize zibuyele esiqhelweni ngokuhamba kwexesha.
Ukutya
Kufuneka ulumke ngokukodwa malunga nokutya kwakho ngexesha lokuchacha kwakho.
- Ukutya okungenafayibha eninzi: Kwiiveki ezimbalwa zokuqala, ugqirha wakho uza kukucebisa ukuba utye ukutya okulula ukukugaya kwaye okunefayibha encinci.
- Ukutya okuncinci: Kungcono ukutya izidlo ezincinci ezi-5-6 ngemini kunokutya izidlo ezinkulu ezi-3 ngemini.
- Sela ulwelo oluninzi: Sela amanzi amaninzi kunye nezinye izinto ezilulwelo (ezifana neejusi) imini yonke. Oku kubaluleke kakhulu ekusebenzeni kwamathumbu.
- Yeka ezi zinto okwethutyana:
- Ukutya okunamafutha, okunamafutha, nokunongwe kakhulu.
- Ukutya okuzalisa isisu ngomoya, njengekhaphetshu, itswele kunye neembotyi.
- Iziselo ezibandayo, utywala, kunye ne-caffeine egqithisileyo.
Ukuzilolonga kunye nemisebenzi
Usenokuziva udiniwe emva kokuba ufikile ekhaya, ngoko ke phumla ngokwaneleyo.
- Ukuzilolonga okulula: Qala ukuzilolonga okulula, njengokuhamba, kuphela emva kokuba ugqirha wakho ekunike imvume.
- Kuphephe ukuphakamisa iintsimbi: Musa ukuphakamisa naziphi na izinto ezinzima kangangenyanga okanye nangaphezulu.
- Ukuqhuba: Kuphephe ukuqhuba okwethutyana. Cela imvume kugqirha wakho ngaphambi kokuba uqale konke oku kwakhona.
Kudla ngokuthatha malunga neeveki ezi-6-8 ukuze umntu aphile ngokupheleleyo. Ngeli xesha, kubaluleke kakhulu ukuba nomonde nokulandela imiyalelo kagqirha.
Umyalezo Wokuya Ekhaya
- Ukuba une-colostomy yexeshana okanye i-ileostomy, kunokwenzeka ukuba uyibuyisele kwisimo sayo esiqhelekileyo ngotyando lokubuyisela isinqe sakho kwimeko yaso eqhelekileyo.
- Ufanele uxoxe nogqirha wakho ukuba olu tyando lukulungele na kwaye liliphi ixesha elifanelekileyo lokulwenza.
- Kuthatha ixesha elithile ukuba uphile ngokupheleleyo emva kotyando, ngoko ke kubalulekile ukuba nomonde kwaye unike umzimba wakho ukuphumla okufunekayo.
- Landela imiyalelo kagqirha wakho malunga nokutya kunye nemisebenzi ngexesha lokuchacha kwakho.
- Ukuba ufumana naziphi na iimpawu ezilumkisayo ezinje ngomkhuhlane, iintlungu eziqatha, ukuphuma kobovu esilondeni, okanye utshintsho olungaqhelekanga kwindle, yazisa ugqirha wakho ngoko nangoko.
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