Ubomi emva kokususwa kwesinyi... Masithethe nge-Indiana Pouch

Khawuthelekelele ukuba ngenxa yemeko ethile yempilo, mhlawumbi umhlaza, kufuneka kususwe isinyi sakho sonke ngotyando. Xa oko kusenzeka, ungashiywa uzibuza, 'Owu Thixo wam, ndiza kuchama njani ngoku?' Ngumbuzo onzima. Kodwa ungakhathazeki. Zininzi izisombululo ezilungileyo zaloo nto kwizonyango zanamhlanje. Namhlanje, siza kuthetha ngesisombululo esinye esikhethekileyo. Sibizwa ngokuba yi-'Indiana Pouch.'

Kalula nje, yintoni le Indiana Pouch?

I-Indiana Pouch sisingxobo esincinci emzimbeni wakho esigcina kwaye sikhuphe umchamo. Ngamanye amazwi, sisingxobo esenziweyo esithatha indawo yesingxobo sakho. Isingxobo sakho somchamo sisitho esincinci esiqokelela kwaye sigcine umchamo. Xa sisusiwe nangasiphi na isizathu, i-Indiana Pouch iya kuthatha indawo.

Oku kuquka ukususwa kwesinyi sakho ngotyando (i-'cystectomy') kunye nokudala esi singxobo endaweni yaso. Into ekhethekileyo ngale ndlela kukuba ayihlali ivuza umchamo njengezinye iindlela zokuchama. Njengesingxobo sakho esidala, esi singxobo sikwaqokelela umchamo. Xa kufuneka, ungafaka ityhubhu ('i-catheter') ngomngxuma omncinci ('i-'stoma') owenziwe esiswini sakho ukuze ukhuphe umchamo oqokelelweyo. Nje ukuba isingxobo singenanto, ungayisusa ityhubhu.

Kuxa kutheni apho olu tyando luyimfuneko?

Ugqirha udla ngokucebisa ukuba ukhuphe isinyi sakho uze wenze i-Indiana Pouch kwezi meko zilandelayo:

• Umhlaza wesinyi: Olu tyando ludla ngokwenziwa njengonyango lomhlaza wesinyi.
• 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.
• Iingxaki zokuzalwa: Kwiimeko ezingaqhelekanga zokuzalwa ezifana ne-'Bladder exstrophy'.
• Ezinye iimeko zempilo ezinzima: Kwiimeko ezichaphazela kakhulu isinyi, ezifana ne-interstitial cystitis, kwaye ezingaphenduliyo kwezinye iindlela zonyango.

Yenziwe ngantoni le ngxowa?

Usenokuba uzibuza ukuba yenziwe ngantoni le nto. Ungamangaliswa kukuba le ngxowa yenziwe kusetyenziswa inxalenye yomzimba wakho. Oko kukuthi, inxalenye yamathumbu akho amakhulu.Yile nto eyenza le ngxowa yomchamo. Kwakhona, umngxuma omncinci (`stoma`) apho kufakwa khona i-urethra wenziwe ngenxalenye yamathumbu akho amancinci .

Uzilungiselela njani ngaphambi kotyando?

Ngaphambi kolu tyando, kuya kufuneka udibane nogqirha wakho amaxesha amaninzi. Uza kukuchazela ngenkqubo kunye nezinye iindlela onokukhetha kuzo. Uza kujonga impilo yakho iyonke, axoxe ngenkqubo, aze aphendule nayiphi na imibuzo onokuba nayo.

• Xelela ugqirha wakho ngawo onke amayeza owasebenzisayo: Nokuba usebenzisa amayeza kagqirha okanye athengiswa ngaphandle kwemvume kagqirha, kufuneka uxelele ugqirha wakho ngawo onke amayeza owasebenzisayo. Ungafuna ukuxelela ugqirha wakho ngayo nayiphi na imveliso yezityalo okanye ye-Ayurvedic oyithathayo. Izinto ezifana ne-aspirin, iintlungu, kunye ne-blood thinners zinokunyusa umngcipheko wakho wokopha. Musa ukuyeka ukuthatha nawaphi na amayeza ngaphandle kokubuza ugqirha wakho kuqala.
• Sixelele nge-allergies zakho: Sixelele ngazo naziphi na ii-allergies onazo. Oku kuquka ii-allergies kumayeza, izinto zokucoca ulusu ezifana ne-iodine, i-latex, kunye nokutya.
• Imiyalelo malunga nokutya nokusela: Uza kuyalelwa ukuba ungatyi okanye ungaseli nto emva kweentsuku ezinzulwini zobusuku ngaphambi kotyando. Ukuba ufuna ukusela naluphi na unyango, uza kuxelelwa ukuba ulusele namanzi. Kubaluleke kakhulu ukulandela le miyalelo ngokuchanekileyo.

Masifunde ngendlela olu tyando oluqhutywa ngayo.

Ngenxa yokuba olu tyando luyinkimbinkimbi, lwenziwa liqela leengcali. Eli qela lidla ngokuquka ugqirha wezifo zomchamo, ingcali yokubulala iintlungu, kunye nabasebenzi bomongikazi.

Okokuqala, ingcali yokubulala iintlungu iza kukufaka phantsi kwe-anesthesia eqhelekileyo. Oku kuthetha ukuba uza kulaliswa ubuthongo obunzulu ukuze ungabi nantlungu. Emva koko, ingcali iza kususa isinyi sakho. Oku kungenziwa njengotyando oluvulekileyo, olubandakanya ukwenza umsikelo omde esiswini sakho, okanye njengotyando lwe-laparoscopic okanye lwe-robotic, olubandakanya ukwenza imisikelo emininzi emincinci.

Emva kokususa isinyi sakho, ugqirha wakho uza kuthatha iindawo zamathumbu akho aze azisebenzise ukwenza isikhwama esitsha somchamo esimile okwebhola. Emva koko, ii-ureters ezimbini ezivela kwizintso zakho ziya kudityaniswa kwesi sikhwama sitsha. Ngoku, umchamo ovela kwizintso zakho uza kugeleza ngqo kwesi sikhwama. Baza kuphinda badibanise iindawo ezimbini zamathumbu akho ezisikiweyo. Oku kuya kuqinisekisa ukuba inkqubo yakho yokugaya ukutya ayiphazanyiswa .

Olu tyando lonke ludla ngokuthatha iiyure ezi-6 ukuya kwezi-8.

Uyisebenzisa njani kwaye uyigcina njani i-Indiana Pouch?

Le yeyona nxalenye ibalulekileyo yendlela yakho entsha yokuphila. Isenokuba yinto engaqhelekanga ekuqaleni, kodwa emva kwexesha elithile uza kuqhela.

Indlela echanekileyo yokufaka umchamo nge-catheter kwisikhwama

1. Okokuqala, hlamba izandla zakho kakuhle ngesepha.

2. Susa iplasta okanye i-gauze ejikeleze i-stoma yakho (umnyango).

3. Sula naluphi na umswakama okanye i-mucus ejikeleze i-stoma ngetawuli yephepha ecocekileyo.

4. Faka isixa esaneleyo sejeli yokuthambisa kwi-catheter oyinikiweyo. Ungasebenzisa uhlobo olucetyiswe ngugqirha wakho okanye into efana neVaseline™.

5. Ngoku faka ityhubhu kancinci kwi-stoma. Ngamanye amaxesha isenokuvakala ngathi iqinile kancinci. Ukuba oku kuyenzeka, phefumla nzulu, uphumze izihlunu zakho kancinci, ukhuphe ityhubhu kancinci, uze uzame ukuyifaka kwakhona ngekona eyahlukileyo.

6. Nje ukuba ityhubhu ifakwe kwisingxobo, umchamo uya kuqala ukuphuma. Vumela umchamo uqokelele kwindlu yangasese okanye kwisikhongozeli. Linda ude ingxobo ingabi nanto.

7. Xa umchamo uyeka ukuphuma, susa umbhobho kancinci kakhulu . Ukuba uwukhupha ngokukhawuleza kakhulu, umchamo othile ungaphuma.

8. Lahla ityhubhu esetyenzisiweyo.

9. Coca ujikeleze istoma uze ufake iqhekeza elitsha le-gauze okanye ibhandeji ukuthintela usulelo.

10. Hlamba izandla zakho kakuhle kwakhona.

Uninzi lwabantu kufuneka bachame malunga nezihlandlo ezi-6 ngemini. Ukuba usela ulwelo oluninzi, njengamanzi, kuya kufuneka uchame rhoqo. Kusenokufuneka uvuke ebusuku ukuze uchame.

Uyinkcenkceshela njani i-Indiana Pouch?

Ngenxa yokuba i-stoma yenziwe yinxalenye yamathumbu, ngokwemvelo ivelisa i-mucus. Xa le mucus iqokelelana, inokuvala umbhobho, ibangele usulelo, kwaye ibangele amatye ezintso. Ngoko ke kufuneka uhlambe isikhwama ngesisombululo se-saline kanye okanye kabini ngemini. Isibhedlele siza kukubonisa indlela yokwenza oku.

Ziziphi iingenelo kunye neengozi zale ndlela?

Njengayo nayiphi na inkqubo yezonyango, le ineenzuzo kunye neengozi.

Ukuchacha kunye nexesha lokufuna ingcebiso kagqirha

Kungathatha iinyanga ezininzi ukuba uphile ngokupheleleyo kwaye uqhele indlela yakho entsha yokuphila emva kolu tyando. Ngeli xesha, iqela lakho lezonyango liya kukunika lonke uncedo olufunayo. Emva kweeveki ezimbalwa, uya kukwazi ukubuyela emsebenzini kwaye wenze umsebenzi olula.

Ngaba i-Indiana Pouch kunye ne-Neobladder ziyafana?

Hayi. Zombini zizinto zokutshintsha isinyi, kodwa zisebenza ngendlela eyahlukileyo. I-neobladder inamathele ngqo kwi-urethra yakho, ukuze ukwazi ukuchama njengoko ubuqhele ukwenza ngaphambi kotyando. Nangona kunjalo, nge-Indiana Pouch, kufuneka ukhuphe umchamo ngetyhubhu efakwe nge-stoma esiswini sakho.