Ngaba wena okanye umntu omaziyo wakha waxelelwa ngugqirha ngotyando lwe-'ileostomy'? Kuqhelekile ukuziva usoyika kancinci kwaye unemibuzo emininzi xa usiva igama. "Luhlobo luni lotyando olu?", "Kutheni kufuneka ndibe nalo?", "Ubomi bam buza kuba njani emva kotyando?" Izinto ezinjalo mhlawumbi zibaleka engqondweni yakho. Ungakhathazeki, kuqhelekile. Namhlanje, siza kuthetha ngolu tyando lubizwa ngokuba yi-ileostomy ngendlela elula kakhulu onokuyiqonda.
Ngamafutshane, yintoni i-Ileostomy?
I-ileostomy yinkqubo yotyando etshintsha indlela umzimba wakho ophuma ngayo endle. Cinga ngenkqubo yakho yokugaya ukutya njengombhobho wamanzi. Ngamanye amaxesha, inxalenye yale nkqubo, ingakumbi ikholoni, iyeka ukusebenza kakuhle ngenxa yokugula okanye ezinye izizathu. Kulapho oogqirha bagqiba khona ukwenza olu tyando.
Kule nkqubo, ugqirha wenza umngxuma omncinci esiswini sakho, obizwa ngokuba yi-stoma, ngolusu. Isiphelo samathumbu akho amancinci, esibizwa ngokuba yi-ileum , emva koko sinamatheliswa kwi-stoma esandula ukwenziwa.
Kwenzeka ntoni ngoku? Endaweni yokuba inkunkuma evela ekutyeni okutyayo iye emathunjini amakhulu ize iphume empundu, iphuma emzimbeni ngqo nge-stoma emathunjini amancinci. Ingxowa ekhethekileyo (ibhegi ye-ostomy) eqhotyoshelwe kwi-stoma isetyenziselwa ukuqokelela inkunkuma ephumayo.
Into ebalulekileyo kukuba olu tyando lunokuba lolwexeshana okanye oluhlala luhleli , kuxhomekeke kwimeko yakho. Ungathetha nogqirha wakho malunga nokuba olu tyando lunokutshintshwa na ukuba ikholoni yakho iphola kamva.
Ziziphi iintlobo eziphambili zotyando lwe-ileostomy?
Kukho iintlobo ezimbini eziphambili zotyando lwe-ileostomy. Ukuze uqonde umahluko phakathi kwezi zimbini, jonga itheyibhile engezantsi.
| Uhlobo lotyando | Indlela kunye nohlobo lokwenza |
|---|---|
| I-Ileostomy yeLoop | Oku kudla ngokuba yinto yexeshana.Apha, ugqirha ukhupha icandelo elifana neluphu lesisu esincinci kwindawo evulekileyo esiswini, avule elinye icala laso, aze enze i-stoma. Oku akuwunqandi ngokupheleleyo unxibelelwano phakathi kwesisu esincinci kunye nesisu esikhulu. |
| Ukuphelisa i-Ileostomy | Oku kudla ngokuba yinto ehlala ihleli . Apha, amathumbu amancinci ahlukaniswe ngokupheleleyo kumathumbu amakhulu, kwaye i-stoma yenziwa ngokuthatha isiphelo samathumbu amancinci. Le ndlela isetyenziswa kwiimeko apho amathumbu amakhulu onke esusiwe. |
Kutheni umntu kufuneka enze i-ileostomy?
Ukuba unemeko ekuthintelayo ekusebenziseni amathumbu akho amakhulu (ikholoni) okanye inxalenye yokugqibela yamathumbu akho amancinci (ileum), unokufuna i-ileostomy. Ngamanye amaxesha oku kwenziwa njengenxalenye yotyando olukhulu. Nazi ezinye zezizathu eziphambili:
- Ukuvaleka kwamathumbu: Ukuvaleka kwamathumbu kwindawo ethile emathunjini.
- Ukugqobhoka kwamathumbu: Umngxuma eludongeni lwamathumbu.
- Umhlaza we-Coloral.
- I-Diverticulitis: Usulelo kumathumbu amakhulu.
- Ezinye izifo ze-polyposis ezibangelwa yimfuza: Umzekelo, iimeko ezifana ne-FAP kunye ne-JPS.
- Izifo zamathumbu ezibangelwa kukudumba: Imizekelo emihle yoku yi- Ulcerative colitis kunye nesifo sikaCrohn .
Ngamanye amaxesha olu tyando lwenziwa ukuze amathumbu akho aphumle okwethutyana aze aphole. Nangona kunjalo, ukuba inxalenye okanye yonke ikholoni yakho kufuneka isuswe, unokufuna i-ileostomy esisigxina.
Kwenzeka ntoni ngaphambi nangexesha lotyando?
Ukulungiselela utyando
Ngaphambi kotyando, kuya kufuneka ulungiselele amathumbu. Ugqirha wakho uya kukunika imiyalelo ethile malunga nokuba wenze ntoni kwaye usele ntoni. Kuya kufuneka unciphise ukutya nokusela kwakho kangangeentsuku ezimbalwa ngaphambi kotyando.
Indlela oluqhutywa ngayo utyando
Olu tyando lwenziwa phantsi kwe-anesthesia eqhelekileyo , oko kuthetha ukuba awuyi kuva nto. Ugqirha uza kwenza i-incision esiswini sakho, afumane indawo yamathumbu amancinci achaphazelekileyo, aze enze i-stoma njengoko bekutshiwo ngaphambili. Olu tyando lunokwenziwa ngeendlela ezimbini:
1. Utyando oluvulekileyo (iLaparotomy): Utyando lwenziwa ngokusikwa okude esiswini.
2. Utyando olungenasithintelo kangako / Utyando lweLaparoscopic: Utyando lwenziwa ngokusikwa okuncinci esiswini nangoncedo lwekhamera.
Ugqirha uza kuchaza kwangaphambili ukuba loluphi uhlobo lotyando oza kulwenza.
Ukuchacha Nokuphila Ne-Ileostomy
Emva kotyando, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa. Ngeli xesha, umongikazi oqeqeshwe ngokukodwa (umongikazi we-ostomy) uya kukunceda kakhulu. Baza kukufundisa indlela yokugcina i-stoma yakho icocekile, indlela yokutshintsha ibhegi yakho, kunye nendlela yokuphila ubomi obuqhelekileyo.
Kuthatha ixesha elingakanani ukuphiliswa?
Ekubeni olu lutyando olukhulu, kungathatha malunga neeveki ezi-6 ukuya kwezi-8 ukuze uphile ngokupheleleyo. Kwiintsuku zokuqala emva kotyando, kuya kufuneka utye izinto ezimanzi kunye nokutya okuthambileyo kuphela. Ugqirha wakho uya kukucebisa ngendlela yokubuyela kancinci kancinci kwindlela yokutya eqhelekileyo. Abanye abantu banokufuna ukwenza utshintsho oluhlala luhleli kwindlela abatya ngayo.
Ungayisusa njani indle nge-ileostomy?
Ngoku indle yakho ayiphumi nge-anus yakho. Endaweni yoko, ingena ngqo ebhegini nge-stoma esiswini sakho. Awunakuyilawula le nto . Oko kuthetha ukuba awuyi kuziva ngathi kufuneka uye. Kodwa umchamo wakho awuyi kutshintsha. Kuya kuqhubeka ukwenzeka njengesiqhelo.
Ngaba olu tyando luza kuyichaphazela indlela endiphila ngayo ubomi bam?
Akunjalo konke konke. Ukuba ne-ileostomy akuchaphazeli ubomi bakho nangayiphi na indlela. Enyanisweni, olu tyando lwenziwa njengonyango lweemeko ezinokuba yingozi kakhulu. Ngenxa yoko, aluphuculi nje umgangatho wobomi bakho, kodwa ngamanye amaxesha lusindisa nobomi bakho .
Ixesha lokufuna ingcebiso kwezonyango
Kubaluleke kakhulu ukwazisa ugqirha wakho ngokukhawuleza ukuba ufumana naziphi na iingxaki emva kotyando lwakho. Qaphela ngakumbi iimpawu ezingezantsi.
| Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza. | |
|---|---|
| Ivumba elibi | Ukuba kukho ivumba elibi nelibi elivela kwi-stoma okanye kwindawo engqongileyo. |
| Inxeba okanye ukopha | Ukuba indawo ejikeleze istoma ibuhlungu, ibuhlungu, okanye iyopha. |
| Ukuhlanza kunye nentlungu | Ukuba unentlungu engapheliyo esiswini, isicaphucaphu, okanye ukuhlanza. |
| Ukungakwazi ukuzibamba | Ukuba indle ayiqokeleli ebhegini kangangeeyure ezingaphezu kwezi-6. Oku kungaba luphawu lokuvaleka kwamathumbu. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko. |
I-ileostomy, nokuba yinto yexeshana, ngamava atshintsha ubomi. Kuqhelekile ukuba uzinike ixesha lokuziqhelanisa nemikhwa emitsha. Ungaziva unesizungu kwaye ungakhululekanga. Yiba nomonde kuwe. Thetha ngeemvakalelo zakho nosapho lwakho, umhlobo othembekileyo, kwaye, ukuba kuyimfuneko, nomcebisi. Ugqirha wakho kunye nabasebenzi bakho bobuhlengikazi bahlala bekulungele ukukunceda. Ngoko ungoyiki ukubuza nayiphi na imibuzo.
Umyalezo Wokuya Ekhaya
- I-ileostomy yindlela yotyando yokutshintsha indlela indle ephuma ngayo emzimbeni. Oku kwenziwa ngomngxuma obizwa ngokuba yi-stoma, odaleka eluswini lwesisu.
- Olu tyando lwenziwa njengonyango lweemeko ezinzima ezifana nomhlaza wamathumbu amakhulu, usulelo olunzima, kunye nokuthintelwa kwemithambo.
- Oku kunokuba kokwexeshana okanye kube yinto engapheliyo, kwaye kudla ngokuba lutyando olusindisa ubomi noluphucula umgangatho wobomi.
- Abasebenzi bezonyango baza kukunika isikhokelo sendlela yokunyamekela i-stoma kunye nesikhwama sakho emva kotyando.
- Ukuba ufumana iimpawu ezilumkisayo ezifana nentlungu yesisu, ukuhlanza, okanye ukungasebenzi kakuhle kwesisu kangangeeyure eziliqela, qhagamshelana nogqirha wakho ngoko nangoko.
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