Ukuba amathumbu akho amakhulu kufuneka asuswe ngotyando ngenxa yemeko ethile yempilo, kuya kufuneka ube nengxowa yangaphandle (stoma) enamathele kwindawo ekhethekileyo (stoma) eyenziwe eluswini lwesisu sakho ukuze kuvunyelwe inkunkuma (indle) ukuba iphume emzimbeni wakho. Ukuhlala nale ngxowa yangaphandle yonke imihla kunokuba yinto engathandekiyo kwaye ixinezeleke kwabanye abantu. Kodwa ubusazi ukuba kukho enye indlela ngaphandle koku? Namhlanje sithetha ngengxowa ekhethekileyo (ingxowa) eyenziwe ngaphakathi emzimbeni.
Yintoni le Kock Pouch?
Ngamafutshane, iKock Pouch sisingxobo esincinci esidalwa ngugqirha wotyando ngaphakathi emzimbeni wakho, esebenzisa inxalenye yamathumbu akho amancinci. Siyenye indlela endaweni ye-ileostomy bag yangaphandle.
Kwi-ileostomy eqhelekileyo, isiphelo samathumbu amancinci siziswa kumphezulu wesikhumba esiswini, nto leyo edala i-stoma. Ngenxa yokuba indle ihlala iphuma ngalo mngxuma, kufuneka unxibe ibhegi yangaphandle ngamaxesha onke ukuze uyiqokelele.
Kodwa kwiKock Pouch, ekubeni le ngxowa ingaphakathi emzimbeni, indle ayiphumi yonke ngaxeshanye. Endaweni yoko, iqokelelana ngaphakathi kwingxowa. Ungayikhupha le ngxowa izihlandlo ezininzi ngemini, nanini na xa ufuna, ngokufaka ityhubhu encinci (i-catheter) nge-'stoma'. Oku kukwabizwa ngokuba yi-"Continence Ileostomy" . Oku kuthetha ukuba unokulawula indlela indle edlula ngayo. Le ndlela yaqalwa ngugqirha ogqirha ogama linguNils Kock. Yiyo loo nto ibizwa ngokuba yiKock Pouch.
Khawucinge ukuba kuya kuba luncedo kangakanani ukuba nolawulo kwindlela olahla ngayo inkunkuma yakho nangaliphi na ixesha, ngaphandle kokuphatha ibhegi yangaphandle. Leyo yeyona nzuzo iphambili yeKock Pouch.
Utyando lweKock Pouch lwenziwa njani?
Olu tyando luyinkimbinkimbi kancinci. Ugqirha wakho uza kulwenza ngolu hlobo:
- Okokuqala, thatha malunga nee-intshi ezili-18 zesiphelo samathumbu akho amancinci (ileum) uze usigobe sibe yi-"U".
- Okwesibini, inxalenye egobileyo ivulwa embindini kwaye imiphetho idityaniswe kwaye ithungwe kunye. Oku kudala isikhwama. Inxalenye encinci yamathumbu ishiywa ekupheleni.
- Okwesithathu, okona kubaluleke kakhulu, kusetyenziswa amathumbu aseleyo, kwenziwa ivalvu enendlela enye kufutshane nomlomo wengxowa. Oku kubaluleke kakhulu kuba yile valve ethintela inkunkuma okanye umoya ukuba ungaphumi kwi-stoma xa ingxowa igcwele.
- Ekugqibeleni, isiphelo sevalvu sinamathele ngaphakathi kwestoma eyenziwe esiswini. Ekupheleni kotyando, oogqirha bayajonga ukuqinisekisa ukuba ivalvu isebenza kakuhle.
Kwenzeka ntoni emva kotyando? Kuthatha ixesha elingakanani ukuze umntu aphile?
Emva kotyando, uza kuhlala esibhedlele kangangeentsuku ezintathu ukuya kwezintlanu. Ngeli xesha, kuza kufakwa iityhubhu ezahlukeneyo ukuze zikuncede uphile ngokukhawuleza.
- Umgca we-IV (ityhubhu efakwe emthanjeni) ukunika i-saline
- Imijelo yamanzi amdaka
- Ityhubhu yamayeza entlungu (Impompo yentlungu)
- I-catheter yomchamo
Kuya kufuneka ugcine i-catheter kwindawo yayo kangangeeveki ezimbalwa. Oku kuya kuvumela ulwelo olukwisingxobo esitsha ukuba luphume kwaye kuvumele inxeba ukuba liphilise kakuhle. Umongikazi uza kukubonisa indlela yokunyamekela i-catheter ekhaya.
Emva kweeveki ezimbalwa ubuyele ekhaya, ugqirha uza kuyisusa ityhubhu. Emva koko, umongikazi uza kukufundisa indlela yokukhupha amanzi ebhegini nge-catheter eqhelekileyo, oza kuyisebenzisa ukususela ngoku ukuya phambili.
Ekuqaleni, kusenokufuneka ukhuphe ingxowa malunga nezihlandlo ezisi-8 ngemini. Kodwa ungakhathazeki. Emva kweenyanga ezimbalwa, xa ingxowa ikhule kancinci kwaye iphola kakuhle, kusenokufuneka uyikhuphe kabini okanye kane ngemini.
| Iingenelo zeKock Pouch | Iingxaki ezinokubakho |
|---|---|
| Akukho mfuneko yokunxiba ibhegi yeentyatyambo ngaphandle. | Iingxaki zeevalvu: Ngamanye amaxesha ivalvu inokuba yinkunkuma ekhululekileyo nevuzayo. Oku kungadinga olunye utyando ukuze kulungiswe. |
| I-stoma ingagqunywa nge-gauze pad ukuze ingabonakali ngaphandle. | I-Fistula: Unxibelelwano olungaqhelekanga (njenge-tunnel) phakathi kwesinyi, ulusu, okanye elinye ilungu lomzimba. |
| Banolawulo lokukhupha indle nanini na xa befuna. | I-Pouchitis: Ukudumba kwesikhwama okubangelwa lusulelo. Inganyangwa rhoqo ngee-antibiotics. |
| Kulula ukulala ebusuku, kwaye akufuneki uvuke ukuze ukhuphe yonke into ebhegini. | Ukuncitshiswa komngxuma (Stricture/Stenosis): Izicubu ezikrwelekileyo zinokunciphisa i-stoma, nto leyo eyenza kube nzima ukufaka umbhobho. |
| Umgangatho wobomi kunye nokuzithemba kuyakhula. | I-Parastomal Hernia: I-hernia apho inxalenye yamathumbu iphuma khona nge-stoma. Le nayo kufuneka ilungiswe ngotyando. |
Masiqaphele nengxaki enkulu.
Ukuba ivalvu iyakhululeka kwaye ukuvulwa kwesingxobo kuvaliwe kwaye ityhubhu ayinakufakwa, yimeko engxamisekileyo. Kwimeko enjalo, kuya kufuneka uye kwiYunithi yoNyango oluNgxamisekileyo yesibhedlele (ETU) ngoko nangoko. Kwakhona, ukuba kufuneka wenze utyando oluphindaphindwayo ngenxa yeengxaki ezinjalo, kukho umngcipheko wokuba amathumbu amancinci abe mafutshane kwaye abe nokungabikho kokutya okunempilo (i-Short Bowel Syndrome).
Yintoni umahluko phakathi kweKock Pouch kunye neJ-Pouch?
Usenokuba ukhe weva nge-J-Pouch. Nangona zombini ziluhlobo lweengxowa zangaphakathi, zisebenza ngokwahlukileyo.
- Isikhwama se-J: Oku kuquka ukuncamathisela isikhwama kumjelo wakho wempundu. Oku kuthetha ukuba awudingi stoma. Usengakwazi ukukhupha indle ngempundu yakho njengesiqhelo. Abantu abaninzi bakhetha le ndlela. Nangona kunjalo, impundu yakho kunye nezihlunu ezijikeleze yona kufuneka zibe sempilweni entle.
- Isikhwama seKock: Isikhwama seKock sesona sikhetho silungileyo kumntu ongenakukwazi ukusebenzisa i-J-Pouch (umzekelo, ukuba i-anus nayo isusiwe) okanye kumntu oye wasebenzisa i-J-Pouch kodwa yasilela.
Ngaba kufuneka nditshintshe indlela enditya ngayo emva kolu tyando?
Ewe, ukutya ukutya okunesondlo nokulinganiselayo kubaluleke kakhulu ukuze ukhawulezise ukuchacha kwakho. Ngaphambili, usenokuba ubuzinciphile ezinye iintlobo zokutya ngenxa yesifo sakho. Ngoku ungayandisa kancinci kancinci loo ndlela yokutya.
Ukuba indle yakho ityebile kakhulu okanye imanzi kakhulu, ungayilungisa le nto ngokutshintsha indlela otya ngayo. Kufanelekile ukufuna ingcebiso kugqirha wezondlo . Ugqirha wakho angakuthumela kwenye.
Umyalezo Wokuya Ekhaya
- I-Kock Pouch yindlela entle yokukhetha ibhegi ye-ileostomy yangaphandle. Ingayiphucula kakhulu impilo yakho kunye nempilo-ntle yengqondo.
- Le yingxowa yangaphakathi eyenziwe ngotyando ngamathumbu akho amancinci. Inokukunceda ukulawula ukuhamba kwamathumbu akho.
- Njengakwezinye iintlobo zotyando, kukho umngcipheko weengxaki, ezinokufuna utyando lokuhlaziya ukuze zilungiswe.
- Eyona ndlela ilungileyo yokufumanisa ukuba le nkqubo ikulungele na kwaye yintoni elungileyo nengalunganga kukuba nengxoxo evulekileyo nenyanisekileyo nogqirha wakho. Musa ukoyika ukubuza ugqirha wakho nayiphi na imibuzo onokuba nayo.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho