Mhlawumbi wena okanye umntu omaziyo kuye kwafuneka ukuba asuswe isinyi sakhe ngotyando ngenxa yemeko yempilo. Emva koko, umbuzo omkhulu ufika engqondweni: ungawukhupha njani umchamo oqokelelana emzimbeni? Kaloku, esinye isisombululo sanamhlanje yi-'Indiana Pouch'. Nangona le yingongoma enzima kancinci, masithethe ngayo ngokulula, ngendlela onokuyiqonda.
Kalula nje, yintoni le Indiana Pouch?
Isikhwama sase-Indiana sisisele esincinci, esenziwe ngotyando ngaphakathi emzimbeni wakho esisetyenziselwa ukugcina nokususa umchamo emzimbeni wakho. Cinga ngaso njengesinyi sakho, esifana nesikhongozeli esincinci esiqokelela kwaye sigcine umchamo. Xa isinyi sakho sisusiwe nangasiphi na isizathu (olu tyando lubizwa ngokuba yi-cystectomy), kufuneka kwenziwe 'isikhwama somchamo' esitsha endaweni yaso.
Le ngxowa yase-Indiana yenziwe ngamalungu omzimba wakho. Oko kukuthi, yenziwe yinxalenye yamathumbu akho. Into ekhethekileyo ngale nto kukuba, ngokungafaniyo nezinye iintlobo zotyando ezenziwa emva kokuba isinyi sisusiwe, umchamo unokuqokelelwa kwaye ugcinwe ngaphakathi kwesi sikhwama. Kanye njengokuba kwenzeka ngesinyi.
Emva koko, amaxesha amaninzi ngemini, ungafaka ityhubhu encinci (i-catheter) ngomngxuma omncinci esiswini sakho (esiwubiza ngokuba yi-'stoma') ukuze ukhuphe umchamo oqokelelweyo. Wakuba umchamo uphumile , ungayisusa ityhubhu.
Into ebalulekileyo kukuba le ndlela ayifanelekanga kuye wonke umntu. Iqela lakho lezonyango liza kuqwalasela izinto ezininzi ukuze libone ukuba ungakwenza na oku.
Zeziphi iintlobo zeemeko ezisetyenziswayo olu tyando?
Kukho izizathu ezininzi eziphambili zokuba isinyi sisuswe rhoqo. Ingxowa yase-Indiana iyacetyiswa kwezi meko zilandelayo:
- Umhlaza wesinyi: Le yeyona nto ixhaphakileyo yotyando.
- Ukungasebenzi kakuhle kwemisipha yesinyi: Ngamanye amaxesha, ngenxa yonyango lwemitha okanye umonakalo wemithambo-luvo engqondweni nasemgogodleni (isinyi se-neurogenic), imisipha yesinyi ayikwazi ukufinyela kakuhle kwaye umchamo awukwazi ukukhululwa.
- Ukukhubazeka kwesinyi esizalwa naso (i-Bladder exstrophy): Abanye abantwana banokuzalwa beneengxaki ezithile zesinyi xa bezalwa.
- I-Interstitial cystitis/bladder pain syndrome: Imeko ehamba nentlungu enganyamezelekiyo.
- Xa isinyi sonakele ngenxa yezinye iimeko zempilo ezinzulu.
Uzilungiselela njani ngaphambi kotyando?
Ngaphambi kolu tyando, ugqirha wakho uza kuthetha nawe ngononophelo. Uza kukuchazela ngenkqubo ye-Indiana Pouch kunye nezinye iindlela ezikhoyo. Uza kujonga impilo yakho ngokubanzi, uxinzelelo lwegazi, njl.
Kukho izinto ezimbalwa ekufuneka uzixelele ugqirha wakho ngeli xesha:
- Xelela ugqirha wakho ngazo zonke amayeza owasebenzisayo. Oku kuquka amayeza kagqirha, amayeza athengiswa ngaphandle kwemvume kagqirha, izongezo zezityalo, kunye neevithamini. Amanye amayeza (afana ne-aspirin kunye ne-blood thinners) anokunyusa ukopha ngexesha lotyando. Musa ukuyeka ukuthatha nawaphi na amayeza ngaphandle kokubuza ugqirha wakho kuqala.
- Sixelele ngazo naziphi na izinto ezibangela ukuba ungabi namdla . Oko kuthetha nantoni na ukususela kwi-allergies ukuya kumayeza, ukutya okuthile, ukuya kwi-latex, njl.
- Ugqirha ukucebisa ukuba ungatyi okanye ungaseli nto emva kweentsuku ezinzulwini zobusuku ngaphambi kotyando. Kufuneka ulandele loo miyalelo ngokuchanekileyo. Ukuba kufuneka uthabathe amayeza abalulekileyo, unokukwazi ukuwasela ngethamo lamanzi nje. Buza ugqirha wakho ngaloo nto.
Indlela oluqhutywa ngayo utyando
Olu lutyando olukhulu oluthatha iiyure ezi-6 ukuya kwezi-8. Lubandakanya ugqirha wezifo zomchamo, ingcali yokubulala iintlungu, kunye nabasebenzi bomongikazi.
1. I-Anesthesia: Okokuqala, i-anesthesiologist iya kukwenza ulale ngokupheleleyo (`i-anesthesia eqhelekileyo`). Ngoko awuyi kuva ntlungu ngexesha lotyando.
2. Ukususwa kwesinyi: Okulandelayo, ugqirha uza kususa isinyi sakho sonke. Oku kungenziwa njengotyando oluvulekileyo, olubandakanya ukwenza utyando olude esiswini sakho, okanye njengotyando lwe-laparoscopic okanye lwerobhothi, olubandakanya ukwenza utyando oluncinci oluncinci.
3. Ukudala isikhwama sase-Indiana: Emva kokususa isinyi, ugqirha uza kusika iindawo zamathumbu akho amakhulu kunye namathumbu amancinci aze athunge isinyi esitsha (isikhwama) kwisakhiwo esimile okwebhola.
4. Uqhagamshelo: Okulandelayo, iityhubhu ezimbini ezithwala umchamo kwizintso ('ureters') ziqhagamshelwe kwesi sikhwama sitsha. Kwenziwa umngxuma omncinci ('stoma') esiswini, ovumela ukuba uphume uye eluswini. Iindawo ezisikiweyo zamathumbu ziyaxhunyaniswa kwakhona, ukuze inkqubo yakho yokugaya ukutya ingaphazanyiswa.
5. Ukuthungwa kwamanxeba: Okokugqibela, amanxeba awenziwe ngexesha lotyando avalwa ngamathungo.
Emva kotyando, uza kusiwa kwigumbi lokuchacha okwethutyana. Wakuba ubuyele engqondweni, uza kunikwa amayeza okulawula iintlungu. Kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa. Ngeli xesha, abasebenzi bonyango baza kukufundisa indlela yokunyamekela nokucoca isikhwama sakho esitsha sase-Indiana.
Indlela yokuCoca nokuNcedisa iPouch yase-Indiana
Le yeyona nto ibalulekileyo omele uyenze yonke imihla. Kusenokuvakala kunzima ekuqaleni, kodwa emva kweentsuku ezimbalwa usenza, kuya kuba yinto eqhelekileyo.
| Inkqubo | Indlela yokwenza (elula) |
|---|---|
| Ukufakwa kweCatheterization |
Ngokwesiqhelo kufuneka ukwenze oku malunga nezihlandlo ezi-6 ngemini. Ukuba usela amanzi amaninzi, kunokufuneka ukwenze rhoqo. |
| Ukuhlamba isikhwama (Ukunkcenkceshela) | Ngenxa yokuba i-stoma yenziwe yinxalenye yamathumbu, ihlala ivelisa into efana ne-mucus. Isikhwama siyahlanjwa ukuze kususwe le mucus. Oku kuthintela nosulelo kunye nokwakheka kwamatye.
Ngokwesiqhelo, ukuhlamba ngale ndlela kanye okanye kabini ngemini kwanele. |
Ziziphi iingenelo kunye neengxaki zale ndlela?
Njengayo nayiphi na inkqubo yezonyango, le ineengenelo, iingxaki kunye neengozi.
| Iinzuzo | Iingxaki kunye neengozi |
|---|---|
|
|
Ukuchacha kunye nexesha lokubona ugqirha
Kungathatha iinyanga ezininzi ukuba uphile ngokupheleleyo kolu tyando. Kuza kuthatha ixesha ukuba umzimba wakho uqhele utshintsho. Kodwa iqela lakho lezonyango liza kukunceda kule meko. Ufanele ukwazi ukubuyela emsebenzini okanye esikolweni kwaye wenze umsebenzi olula kwiiveki ezimbalwa.
Nangona kunjalo, ukuba unezi mpawu, bona ugqirha wakho ngoko nangoko:
- Iimpawu zosulelo: umkhuhlane, ukubanda, umchamo omnyama.
- Ukuba kunzima ukufaka i-catheter okanye ukuhlamba isikhwama.
- Ukuba kukho igazi kumchamo (i-hematuria) .
- Ukuba ufumana iintlungu eziqatha esiswini okanye kwindawo ephakathi kweembambo kunye nezinqe.
Amanqaku ambalwa ongezelelweyo
Kutheni le nto ibizwa ngokuba yingxowa ethi 'Indiana'?
Le ndlela yotyando yaqala ukuphuhliswa ngeminyaka yoo-1980 liqela loogqirha kwiYunivesithi yase-Indiana eMelika. Yiyo loo nto yathiywa igama layo.
Ingaba oku kufana neNeobladder?
Nangona zifana, azifani. I-neobladder yenziwe ngamalungu afanayo esisu sakho. Kodwa iqhagamshelwe kwi-urethra yakho. Ngoko ke umchamo uphuma ngendlela efanayo naleyo wawuphuma ngayo ngaphambi kotyando. Kodwa ngesikhwama sase-Indiana, i-catheter ifakwa nge-stoma esiswini sakho ukuze kuphume umchamo.
Ubomi bakho buza kutshintsha kakhulu emva kotyando lwe-Indiana Pouch. Kuya kufuneka uqhele imikhwa emitsha. Kodwa ngolu tshintsho, uya kuba nethuba lokuphila ubomi obukhululekileyo nobungcono. Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onazo.
Umyalezo Wokuya Ekhaya
- Isikhwama sase-Indiana sisixhobo sokugcina umchamo esenziwe ngaphakathi emzimbeni kwiindawo ezithile zamathumbu akho emva kokuba isinyi sakho sisusiwe.
- Kuya kufuneka ufake i-catheter uze uyikhuphe kaninzi ngemini.
- Kubalulekile ukunkcenkceshela le ngxowa rhoqo ngesisombululo setyuwa ukuthintela usulelo.
- Nangona olu lutshintsho olukhulu ebomini, yindlela entle yokulawula umchamo ngaphandle kwengxowa engaphandle komzimba.
- Ukuba kukho naziphi na iingxaki, iimpawu ezinje ngomkhuhlane kunye nentlungu, yazisa ugqirha wakho ngoko nangoko.
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