Xa ugqirha wakho ekuxelela ukuba kuza kufuneka usebenzise 'istoma', isikhwama esiswini sakho, emva kotyando, ungaziva usoyika kakhulu kwaye uxhalabile. "Ndiza kuphuma njani ngoku?", "Ngaba abanye baya kuyiqonda le nto?", "Andizukwazi ukuphila ngendlela endandiphila ngayo ngaphambili?" Imibuzo emininzi inokuvela engqondweni yakho. Kuqhelekile kakhulu. Kodwa eneneni ayoyiki njengoko ucinga. Namhlanje, masithethe nje ngokuba yintoni istoma, indlela yokuyinyamekela, kunye nendlela yokuphila nayo ngokuqhelekileyo.
Yintoni i-stoma ngokulula?
Khawucinge nje ukuba indlela eqhelekileyo apho inkunkuma (iindle) ziphuma khona emzimbeni wethu, i-anus, ayifikeleleki ngenxa yemeko ethile yempilo okanye ingozi. Emva koko kufuneka sifumane enye indlela yokususa inkunkuma emzimbeni.
Ngamafutshane, i-stoma ngumngxuma omncinci owenziwa ngugqirha otyandayo eludongeni lwesisu sakho (isisu).
Olu tyando lubizwa ngokuba yi-colostomy . Kule nkqubo, kuthathwa inxalenye ephilileyo yekholoni yakho ize idityaniswe nomngxuma osesiswini sakho. Emva koko, endaweni yokuphuma nge-anus, iimveliso zokungcola, okanye indle, phuma ngomngxuma we-stoma. Sibeka ingxowa ekhethekileyo (ingxowa) phezu kwalo mngxuma ukuze siqokelele iimveliso zokungcola.
Kutheni umntu efuna i-stoma?
Kukho izizathu ezahlukeneyo zokuba umntu abe notyando lwe-colostomy kunye ne-stoma. Oku kwenzelwa ukusindisa ubomi besigulana okanye ukuphucula umgangatho wobomi babo.
Nazi ezinye zezizathu eziphambili:
- Ukuvaleka kwamathumbu okanye ukugqabhuka: Ukuba amathumbu avalekile okanye agqabhuka ngesizathu esithile, inkunkuma ayinandlela yokudlula.
- Umhlaza: Ukuba inxalenye yekholoni okanye i-rectum kufuneka isuswe ngenxa yomhlaza.
- Isifo sikaCrohn okanye i-ulcerative colitis: Ezi ziimeko zokudumba okukhulu kwamathumbu. Ngamanye amaxesha, iindawo ezonakeleyo zamathumbu kufuneka zisuswe.
- Iziphene zokuzalwa: Abanye abantwana banokuzalwa beneengxaki ezithile zamathumbu.
- Ukulimala okukhulu kwikholoni: Ukuba ikholoni yonakele, njengakwingozi.
- I-Diverticulitis: Le yimeko apho iingxowa ezincinci zenzeka eludongeni lwekholoni, ezithi zosulele kwaye zivuvuke.
Okubalulekileyo kukuba, ayizizo zonke iistoma ezihlala zihleli . Ngamanye amaxesha oogqirha benza istoma yexeshana ukuze banike indawo eyonakeleyo yamathumbu ixesha lokuphola.Kubekwa istoma. Emva kokuba ibekwe endaweni yayo kangangeeveki okanye iinyanga ezimbalwa kwaye amathumbu epholile, iyasuswa kwenye ityando ize idityaniswe kwakhona namathumbu. Nangona kunjalo, ukuba inxalenye enkulu yamathumbu isusiwe, istoma inokufuneka igcinwe ngokusisigxina.
Ungayinyamekela njani kakuhle i-stoma kunye nebhegi?
Emva kotyando, uza kuhlala esibhedlele iintsuku ezimbalwa. Ngaphambi kokuba uye ekhaya, ugqirha okanye umongikazi uza kukubonisa indlela yokutshintsha ibhegi kunye nokugcina ulusu olujikeleze istoma lucocekile. Nangona ekuqaleni kunokuvakala kungaqhelekanga, emva kwexesha elithile, oku kuya kuba yinxalenye yenkqubo yakho yemihla ngemihla.
| Amanyathelo | Kwenziwe ntoni |
|---|---|
| 1. Lixesha lokutshintsha ibhegi. | Tshintsha ingxowa xa igcwele isinye kwisithathu (1/3). Musa ukulinda ide igcwale ngokupheleleyo. Oku kuya kwandisa amathuba okuba ingxowa ikhululeke ngenxa yobunzima bayo kwaye inkunkuma iya kuwela eluswini lwakho. |
| 2. Ukulahla ibhegi endala | Ngelixa ucinezela ulusu ngesandla esinye, susa kancinci inxalenye enamathelayo yengxowa ngesinye isandla. Ungaze uyitsale kakhulu, kuba oku kungonakalisa ulusu. |
| 3. Ukususwa kwenkunkuma | Khupha inkunkuma ebhegini uye kwindlu yangasese uze uyilahle. Ukuba yibhegi ephinda isetyenziswe, yihlambe uze uyicoce kakuhle. |
| 4. Ukucoca ulusu | Sula ulusu olujikeleze istoma kancinci ngelaphu elicocekileyo okanye ilaphu elimanziswe ngamanzi. Ukuba usebenzisa isepha, sebenzisa isepha ethambileyo, engenavumba. Emva koko yiyeke yome kakuhle. |
| 5. Ukubopha ibhegi entsha | Sika umngxuma wengxowa entsha ukuze ilingane kakuhle nestoma. Ukuba umngxuma mkhulu kakhulu, inkunkuma ingangena eluswini kwaye ibangele ukurhawuzelelwa kwesikhumba. Emva koko, yibophe ngokuqinileyo eluswini. |
Iingxaki ezinokubakho kunye nezisombululo zazo
Ukuhlala une-stoma kunokubangela iingxaki ezincinci. Ukwazi ngazo kunokukunceda ujongane nazo ngaphandle kokukhathazeka.
- Ukubomvu okanye ukurhawuzelelwa lusu: Le yingxaki eqhelekileyo. Oku kunokubangelwa kukungcola okungena eluswini. Isisombululo esilungileyo kukuhlala ulusu lucocekile kwaye lomile. Buza ugqirha wakho ngeekhrimu ezikhethekileyo (iikhrimu zokuthintela) ezikhusela ulusu.
- Utshintsho kumbala nobukhulu bestoma: Kwiintsuku zokuqala emva kotyando, istoma iya kuba bomvu obumnyama kwaye idumbe. Ekuhambeni kwexesha, ukudumba kuya kwehla kwaye ubukhulu buya kuncipha. Iya kuhlala ipinki okanye ibomvu ngombala. Oku kuqhelekile. Njengoko ubungakanani butshintsha, khumbula ukunciphisa ukuvulwa kwengxowa ukuze ilingane nobukhulu bayo.
- Igesi: Ekubeni kuyinto eqhelekileyo ukuba negesi emathunjini akho, ingxowa ngamanye amaxesha ingazalisa igesi. Nciphisa ukutya okubangela igesi, njengekhaphetshu, ikholifulawa, iimbotyi kunye neelentile. Kukwakho neengxowa ezinesithuba esincinci sokukhupha igesi.
- Indle enamanzi: Ngamanye amaxesha indle yakho inokuba namanzi amaninzi (njengorhudo). Oku kunokubangela ukuphelelwa ngamanzi emzimbeni njengoko umzimba wakho ulahlekelwa ngamanzi amaninzi kunye neetyuwa. Ngoko sela amanzi amaninzi, iijusi, kunye nejusi yeorenji. Ezi ziya kukunceda ubuyisele ii-electrolytes ozilahlekileyo, ezifana ne-sodium kunye ne-potassium.
- Ukopha igazi kwi-stoma: Kuqhelekile ukuba amathontsi ambalwa egazi aphume kwi-stoma xa uyicoca. Nangona kunjalo, ukuba ukopha akuyeki, okanye ukuba ubona igazi ngaphakathi kwibhegi , xelela ugqirha wakho ngoko nangoko.
- Ukuwa kwesisu: Le yimeko engaqhelekanga. Oku kwenzeka xa inxalenye yamathumbu iphuma nge-stoma. Ukuba ubona into efana nale, musa ukoyika kwaye ubone ugqirha wakho. Kusenokufuneka wenze utyando oluncinci ukuze uyilungise.
Ixesha lokubona ugqirha ngoko nangoko
Ukuba unezinye zeempawu ezilandelayo, musa ukuzityeshela kwaye ubone ugqirha wakho ngoko nangoko.
| Iimpawu zesilumkiso ekufuneka uziqaphele | |
|---|---|
| 🔴 | Ukuba ulusu olujikeleze istoma lubomvu, lubuhlungu, luvuvukile, okanye lukhupha ulwelo. |
| 🔴 | Ukuba umkhuhlane ungaphezulu kwe-101 degrees Fahrenheit (38.3 Celsius). |
| 🔴 | Ukuba unesicaphucaphu, uhlanza, uneentlungu eziqatha esiswini, ukuqhina okukhulu okanye urhudo. |
| 🔴 | Ukuba ufumana iimpawu zokuphelelwa ngamanzi emzimbeni: umzekelo, ubuthathaka obukhulu, ukuxhuzula kwemisipha, kunye nokuncipha kokuchama rhoqo kunye nobungakanani bomchamo. |
| 🔴 | Ukuba kukho ukopha okuqhubekayo kwi-stoma okanye ukuba ubona igazi ngaphakathi kwibhegi. |
Ubomi obuqhelekileyo kunye ne-stoma... ingaba inokwenzeka ngokwenene?
Lo ngumbuzo omkhulu engqondweni yomntu wonke. Impendulo ithi, "Ewe, kunokwenzeka!"
Iingxowa zestoma zanamhlanje zincinci kakhulu kwaye zithe tyaba. Ngoko ke akukho mntu uya kuqaphela ukuba ziphantsi kwempahla. Kwakhona, ezi ngxowa zenziwe ngendlela yokuba ivumba lingaphumi. Ngoko ke akufuneki ukhathazeke ngokuvumba.
Musa ukucinga ngestoma nebhegi yakho njengomthwalo, kodwa cinga ngezixhobo ezibini ezikuncedayo nezikunika inkululeko. Zikunceda uphume ngokukhululeka, wenze izinto ozithandayo, kwaye udibane nabantu ngaphandle kokuya kwindlu yangasese rhoqo.
Ungaya emsebenzini, uzilolonge, uhlambe, uqubhe, kwaye uphile ubomi obuqhelekileyo. Ukuba uziva uneentloni okanye ungakhululekanga ngale nto ekuqaleni, thetha nogqirha wakho ngayo. Ezinye izibhedlele zinezinesi eziqeqeshwe ngokukodwa (iingcali zonyango lwamathambo) ngenxa yoku. Kukwakho namaqela enkxaso apho abantu abaye baba namava afanayo badibana khona. Ukujoyina indawo enjalo kunokukunika amandla amaninzi engqondo.
Umyalezo Wokuya Ekhaya
- I-stoma yimfuneko yezonyango ukuze usindise okanye wenze ubomi bakho bube lula, ayisiyonto yokuba neentloni ngayo.
- Ukugcina istoma kunye nolusu oluyijikelezileyo lucocekile kwaye lomile yeyona ndlela ilungileyo yokuthintela iingxaki ezininzi.
- Ungaphila ubomi obuqhelekileyo nobusebenzayo xa une-stoma.
- Ukuba unamathandabuzo okanye uxhalabile ngayo nayiphi na ingxaki encinci, ungaze woyike ukuthetha nogqirha wakho ngayo.
- Amandla engqondo owafumana kusapho lwakho, kubahlobo, kwaye, ukuba kuyimfuneko, amaqela enkxaso aya kuba luncedo olukhulu kuwe kolu hambo.
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