Ngaba wena okanye umntu omaziyo wakha waxelelwa ngugqirha malunga notyando lwe-colostomy? Kuqhelekile ukuba uzive usoyika kwaye unexhala xa usiva ngaloo nto. "Kuthetha ukuthini ukuba nebhegi?", "Ngaba ndiza kukwazi ukubuyela kubuntu bam bakudala?", njl. Usenokuba uzibuza. Kodwa ungakhathazeki. Akoyiki njengoko ucinga. Namhlanje, siza kuthetha ngayo ngendlela elula kakhulu onokuyiqonda.
Ngamafutshane, yintoni i-colostomy?
I-colostomy yinkqubo yotyando etshintsha indlela umzimba wakho odlula ngayo kwindle. Ngokwesiqhelo, indle yethu iphuma nge-anus. Kodwa xa inxalenye yekholoni yethu yonakele ngenxa yesifo okanye ingozi ethile, kunokufuneka ukuba loo nxalenye iphumle okanye iyisuse ngonaphakade, kwaye kubekho indlela entsha yokuphuma kwendle.
Kule nkqubo, ugqirha wenza umngxuma omncinci, okanye umngxuma, eludongeni lwesisu sakho oluvezwa lusu. Oku sikubiza ngokuba yi-stoma . Emva koko, inxalenye yamathumbu akho amakhulu (ikholoni) iyathathwa ize idityaniswe nale stoma.
Ngoko ke emva kotyando, akuyi kufuneka uye kwindlu yangasese njengesiqhelo. Endaweni yoko, inkunkuma yomzimba wakho, eyindle yakho, iya kuphuma kwi-stoma eyadalwa esiswini sakho ize iqokelele kwingxowa ekhethekileyo (ingxowa ye-colostomy) eqhotyoshelwe kuyo.
Abanye abantu banesi sifo sokukhupha isisu okwethutyana, kangangeenyanga ezimbalwa kuphela. Kodwa abanye abantu kufuneka bahlale naso ubomi babo bonke. Konke oku kuxhomekeke kwimeko yakho yempilo. Ugqirha wakho uza kukuchazela ngokweenkcukacha oku.
Ngaba kukho iintlobo ze-colostomy?
Ewe, kukho iintlobo ezahlukeneyo ze-colostomies. Ezi zahlulwe ngokwenxalenye yamathumbu amakhulu (ikholoni) edibene nodonga lwesisu. Makhe sijonge iintlobo eziphambili.
| Uhlobo lwe-colostomy | Inkcazo kunye nohlobo lwendle |
|---|---|
| I-Sigmoid Colostomy | Olu lolona hlobo luxhaphakileyo. Kule nkqubo, inxalenye yokugqibela yamathumbu amakhulu (i-sigmoid colon) emile okwe-'S' inamathele kulusu olukwicala lasekhohlo lesisu. Ngenxa yokuba indle ihamba umgama omde emathunjini ize iphume, idla ngokuba nkulu . |
| I-Colostomy Ehlayo | Apha, inxalenye yamathumbu amakhulu kwicala lasekhohlo, ngaphezulu nje kwenxalenye efana no-'S' (ikholoni ehlayo), iqhagamshelwe eluswini. Indle ephuma apha iqinile kakhulu . |
| I-Clostomy eguqukayo | Kule nkqubo, inxalenye ephezulu yamathumbu amakhulu (i-transverse colon), ehamba ngesisu, iqhagamshelwe eluswini. Oku kudla ngokwenziwa okwethutyana. Oku kwenziwa ukuze kunikwe indawo eyonakeleyo yamathumbu ithuba lokuphumla ngelixa iphola. Indle ephuma apha inamanzi kwaye ithambile kuba sisiqingatha samathumbu kuphela esihambileyo. |
Ugqirha wakho kunye nogqirha baya kugqiba ukuba loluphi uhlobo olulungele wena.
Kutheni umntu kufuneka enze i-colostomy?
Zininzi izizathu zokuba kwenziwe utyando lwe-colostomy. Ezinye zezokwexeshana, ngelixa ezinye zisisigxina.
Xa kufuneka i-colostomy yexeshana:
- I-Diverticulitis: Usulelo okanye ukudumba kwamathumbu amakhulu.
- IBD (Isifo samathumbu esivuthayo): Iimeko ezichaphazela amathumbu, njengesifo sikaCrohn.
- Ukulimala kwamathumbu: Ukonakala kwamathumbu ngenxa yengozi.
- Ukuvaleka kwamathumbu: Ukuvaleka kwendlela yokungena kwendle kwindawo ethile emathunjini.
- I-Anal fistula: Umbhobho ongaqhelekanga phakathi kwempundu nolusu.
- Ezinye iindlela zotyando lwamathumbu: Emva kokuba icandelo lamathumbu lisusiwe, ukunika indawo ixesha lokuphola ngaphambi kokuba ezinye iindawo zidibene.
Xa kufuneka i-colostomy esisigxina:
- Ukungakwazi ukulawula indle enganyangekiyo (iFecal Incontinence).
- Umhlaza weColorectal oPhambili.
- Xa i-rectum kunye ne-anus zisuswa ngotyando ngonaphakade.
Uzilungiselela njani ngaphambi kotyando?
Ekubeni olu lutyando olukhulu, kukho izinto ezimbalwa ekufuneka uzilungiselele kwangaphambili.
- Ukuthetha nogqirha wakho: Ngaphambi kotyando lwakho, ugqirha wakho uza kuthetha nawe malunga nenkqubo, iingozi zayo, kunye nendlela ubomi bakho obuza kutshintsha ngayo emva kotyando. Banokuxoxa nangokulawula iintlungu.
- Uvavanyo:Baza kwenza izinto ezifana novavanyo lwegazi kunye ne-EKG ukuze babone ukuba ufanelekile na utyando.
- Ukuchonga indawo oza kuyibeka kuyo istoma yakho: Umongikazi we-Wound Ostomy Continence Nurse (WOCN) uhlala ekufundisa indlela yokusebenzisa istoma kunye nengxowa yakho. Baya kukunceda ukhethe indawo ekhululekileyo yestoma yakho, indawo engayi kuphazamisana neempahla zakho okanye imisebenzi yemihla ngemihla.
- Ngomhla wotyando: Kufuneka ungatyi kangangeeyure ezi-6 ngaphambi kotyando. Kufuneka uyeke nokusela ulwelo, olufana namanzi, kangangeeyure ezi-2 ngaphambi kotyando. Ugqirha wakho unokucebisa ukuba uthathe i-tube preparation ukuze ucoce amathumbu akho.
Kwenzeka ntoni emva kotyando? Neengxaki ezinokubakho
Emva kotyando, uza kuhlala esibhedlele iintsuku ezi-3 ukuya kwezi-7. Ngeli xesha, uza kuqala ukutya ngendlela eqhelekileyo kancinci kancinci. Abasebenzi bomongikazi baza kukufundisa yonke into ekufuneka uyazi malunga nokunyamekela i-stoma yakho kunye nokutshintsha ibhegi yakho.
Utyando lwe-colostomy ludla ngokuba yinkqubo ekhuselekileyo, kodwa njengalo naluphi na utyando, kukho iingozi ezithile.
| Iingxaki ezinokwenzeka | Inkcazo |
|---|---|
| Ukurhawuzelelwa lusu | Ulusu olujikeleze i-stoma lunokuba bomvu kwaye lube buhlungu ngenxa yokudibana nendle. Le yingxaki eqhelekileyo. Ukusebenzisa ibhegi elingana kakuhle kunokunceda kakhulu ekusombululeni le ngxaki. |
| Ukuvaleka kwamathumbu | Izicwili ezikhula emva kotyando zinokwenza kube nzima ukuphuma kwendle. Oku kunokunyangeka ngamayeza okuqunjelwa. |
| Utshintsho kwi-stoma | I-stoma inokuthi irhoxe (irhoxe) okanye iphume kakhulu eluswini (irhoxe). Oku kunokwenza kube nzima ukufaka ibhegi kakuhle. |
| I-Parastomal Hernia | Izihlunu ezijikeleze istoma ziba buthathaka, nto leyo ebangela ukuba inxalenye yamathumbu ityhale. Oku kubonakala ngathi yiqhuma elikufutshane nestoma. |
Umele ufowunele ugqirha wakho nini
- Ukuqhinwa okungapheliyo okanye urhudo.
- Isicaphucaphu okanye ukuhlanza.
- Igazi esitulweni.
- Utshintsho kumbala okanye kubukhulu bestoma.
- Ivumba elibi elivela kwi-stoma okanye ukuba iyavaleka.
- Umkhuhlane okanye iintlungu eziqatha zesisu.
Ukuba unayo nayiphi na kwezi mpawu, kufuneka ufowunele ugqirha wakho ngoko nangoko . Xa kukho imeko engxamisekileyo, yiya kwiSebe leNgxamiseko (i-ETU) lesibhedlele esikufutshane.
Ubomi bunjani xa unebhegi?
Le yeyona ngxaki inkulu kubantu abaninzi.
- Indlela eya kutshintsha ngayo ukuya kwindlu yangasese: Emva kotyando, indle iya kuphuma kwi-stoma. Ukuba usenayo i-anus, usenokuba ne-mucus encinci ngamanye amaxesha. Oku kuqhelekile. Indle entsha iya kuphuma kwi-stoma. Into ebalulekileyo kukuba, ngokungafaniyo ne-rectum, i-stoma ayinazo izihlunu ezinokumisa indle. Ke ngoko, awunakulawula ukuhamba kwendle. Kwenzeka ngokuzenzekelayo.
- Ngaba kufuneka usoloko uphethe ibhegi?
Abantu abaninzi banxiba ibhegi rhoqo. Iibhegi kule mihla zincinci kangangokuba azibonakali phezu kweempahla. Ngoko ke unganxiba nayiphi na impahla oyifunayo. Abanye abantu abane-sigmoid colostomy banokuqikelela ukuba baya kuba nentshukumo yokuhambisa isisu nini. Banokusebenzisa ibhegi kuphela ngaloo maxesha.
- Ngaba i-colostomy yexeshana ingatshintshwa?
Ewe. Ukuba i-colostomy yakho yeyexeshana, ungenza olunye utyando ukuze ibuyele kwimo yayo yokuqala xa impilo yakho iphucuka. Ugqirha wakho uya kugqiba ukuba uza kukwenza nini oku. Kungathatha iinyanga ezimbalwa okanye unyaka.
Umyalezo Wokuya Ekhaya
- Utyando lwe-colostomy lutyando olusindisa ubomi, oludla ngokuba yimfuneko. Musa ukuyoyika ngokungeyomfuneko.
- Emva kotyando, indle iqokelelwa kwingxowa enamathele kumngxuma (stoma) owenziwe eluswini lwesisu. Oku akunakulawulwa.
- Kubaluleke kakhulu ukugcina istoma kunye nolusu oluyijikelezileyo lucocekile. Uza kunikwa imiyalelo eneenkcukacha malunga noku esibhedlele.
- Ukuba unemibuzo okanye izinto ezikuxhalabisayo, thetha nogqirha wakho okanye abasebenzi babongikazi ngazo ngokukhululekileyo. Musa ukuba neentloni.
- Ungaphila ubomi obuqhelekileyo nobupheleleyo nge-colostomy. Awuwedwa, baninzi abanye abaphila ngolu hlobo.
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