Wena okanye umntu omaziyo nomthandayo kumele ukuba uzive usoyika kancinci kwaye unomthwalo onzima entliziyweni yakho xa ugqirha ekuxelela ngolu hlobo lotyando, akunjalo? Kuqhelekile ukuba novalo xa usiva igama elikhulu elifana nelithi "Laparoscopic Abdominoperineal Resection." Kodwa ungoyiki. Namhlanje, siza kuthetha ngohlobo lotyando olu, isizathu sokuba lwenziwe, kunye nokuba kwenzeka ntoni emva kotyando ngendlela elula kakhulu onokuyiqonda.
Ngamafutshane, yintoni le tyando?
Olu lutyando olwenziwa ngugqirha. I-anus yakho, i-rectum, kunye nenxalenye esezantsi yamathumbu akho amakhulu (i-sigmoid colon) ziyasuswa. Olu tyando lwenziwa ngemingxunya emininzi emincinci esiswini sakho, endaweni yokusikwa okukhulu. Le ndlela ibizwa ngokuba yi-laparoscopy okanye "utyando lwe-keyhole."
Olu tyando ludla ngokucetyiswa ukuba umhlaza ukwindawo enzulu kwi-rectum okanye kufutshane ne-anus. Olu tyando lubaluleke kakhulu ukuba umhlaza ukwindawo ekufutshane kakhulu nemisipha ye-sphincter elawula ukuhamba kwendle, njengoko olu tyando luyimfuneko ukususa ngokupheleleyo iiseli zomhlaza kunye nezo zihlunu.
Eyona nto ibalulekileyo kukususa ngokupheleleyo umhlaza emzimbeni. Olu tyando lwenza loo nto.
Kolu tyando, kuvulwa umngxuma omtsha ukuze inkunkuma (iindle) ziphume emzimbeni wakho. Oku kubizwa ngokuba yi-stoma . Le stoma ikwisikhumba sesisu sakho. Kungoku kudibana kwamathumbu amakhulu. Oogqirha bakwabiza le nkqubo ngokuthi "yi-colostomy."
Yintoni i-stoma? Ngaba kufuneka ndiyoyike?
Akunjalo konke konke. I-stoma yinxalenye ebalulekileyo yotyando lwakho olusindisa ubomi. Cinga ngayo ngale ndlela, njenge-anus yethu, le yindlela entsha yokuphuma kwenkunkuma.
Kodwa kukho umahluko omnye. I-stoma ayinazo izihlunu ze-sphincter ezilawula ukuhamba kwendle, njengezo zikwi-anus yethu. Ngenxa yoko, asinakulawula ukuhamba kwendle xa sifuna. Ngenxa yesi sizathu, kufuneka sinxibe ibhegi ekhethekileyo (ingxowa) ukuze siqokelele inkunkuma ephumayo.
Kusenokuvakala kungaqhelekanga ukuqhelana noku ekuqaleni. Kodwa ngokuhamba kwexesha, kuya kuba yinxalenye eqhelekileyo yobomi bakho. Ukuze bakuncede ngaloo nto, kukho abasebenzi abangongikazi abafumene uqeqesho olukhethekileyo koku. Baza kukufundisa yonke into.
Indlela olu tyando lwenziwa ngayo inyathelo ngenyathelo
Kuqhelekile ukuba novalo xa ucinga ngotyando olukhulu kangaka. Kodwa wakuba uyiqonda indlela oluqhutywa ngayo, uloyiko lwakho luya kuncipha kakhulu.
| Inqanaba lotyando | Kwenzekani |
|---|---|
| 1. I-Anesthesia | Okokuqala, uza kufakwa i-anesthesia ngokupheleleyo. Oku kuthetha ukuba awuyi kuva nto de utyando luphele, kwaye uza kube ulele ngokupheleleyo. |
| 2. Ukuqalisa i-laparoscopy | Ngelixa ulele, ugqirha wenza umngxuma omncinci (malunga ne-1/2 intshi) kufutshane neqhosha lakho lesisu aze afake isixhobo esincinci esifana nekhamera (i-laparoscope) ngayo. Le khamera ikuvumela ukuba ubone ngaphakathi kwesisu sakho. Emva koko, kwenziwa imingxunya emincinci emalunga nemi-4 okanye emi-5 esiswini sakho ukuze kufakwe izixhobo ezifunekayo ukwenza utyando. |
| 3. Ukulungiselela ukususwa kwamathumbu | Imithambo yegazi ephambili ehambisa igazi kwinxalenye yekholoni eza kususwa iyanqunyulwa ize ivalwe. Emva koko, inxalenye yekholoni eza kususwa (ikholoni ye-sigmoid) iyakhululwa kwizicubu ezijikelezileyo ize yahlulwe kwisisu esikhulu esiseleyo. I-rectum nayo iyakhululwa kwizicubu ezijikelezileyo ngendlela efanayo. |
| 4. Ukususwa kwempundu | Emva kokuba iziqwenga zamathumbu zikhululwe, elinye ilungu leqela lotyando liza kwenza utyando kwindawo ephakathi kwemilenze yakho (ummandla we-perineal) kwaye lisuse ngokupheleleyo i-anus, i-rectum, kunye nenxalenye echaphazelekayo yekholoni. |
| 5. Ukudalwa kweStoma | Emva kokususa izicubu ezinomhlaza, ugqirha wenza i-stoma ngomngxuma omncinci owenziwe ngaphambili. Oku kudla ngokwenziwa kwicala lasekhohlo lesisu. Isiphelo esiseleyo sekholoni sikhutshwa ngomngxuma, sidityaniswe nolusu, size sithungwe sivalwe. |
| 6. Ukugqitywa kotyando | Ekugqibeleni, isisu (ngaphakathi esiswini) siyahlanjwa kakuhle, kwaye kubekwa umbhobho omncinci wokukhupha amanzi ukuze kukhutshwe naluphi na ulwelo olungafunekiyo olunokuba luqokelelene ngaphakathi. Oku kunceda inxeba liphole ngokukhawuleza. Emva koko, ezinye iziqwenga esiswini ziyathungwa. |
Yintoni onokuyilindela ngexesha lokuchacha?
Emva kotyando, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa, ngesiqhelo malunga neveki. Ngeli xesha, oogqirha kunye nabasebenzi bonyango baya kukunyamekela kakuhle.
Kwenzeka ntoni esibhedlele?
Xa uvuka emva kotyando, isikhwama siya kuncamathiselwa kwi-stoma yakho ukuze siqokelele inkunkuma. Kuya kuthatha iintsuku ezimbalwa ukuba inkqubo yakho yokwetyisa, okanye amathumbu, aqale ukusebenza kwakhona. Nje ukuba isebenze, uya kunikwa ulwelo lokusela ekuqaleni . Njengoko uphola kancinci kancinci, ungaqhubeka nokutya okuqinileyo rhoqo .
Ukufunda ukunyamekela i-stoma yakho
Le yeyona nxalenye ibalulekileyo. Ngelixa usesibhedlele, umongikazi oqeqeshwe ngokukodwa kunyango lwe-stoma (i-Enterostomal Therapist okanye i-ET nurse) uza kukunceda.
- Baza kukubonisa indlela yokutshintsha ibhegi yakho yestoma.
- Siza kukufundisa indlela yokugcina ulusu olujikeleze istoma lucocekile kwaye lusempilweni.
- Xa ubuyela ekhaya, uza kuziqhelanisa nendlela yokwenza ezi zinto wedwa.
Ukuphila notyando oluhlala luhleli lokususa i-colostomy lutshintsho olukhulu. Zinike ixesha lokuqhela. Ungakhathazeki nganto. Umongikazi wakho we-ET ngumntu ofanelekileyo wokubuza nayiphi na imibuzo onokuba nayo kwaye ufumane uncedo kuye.
Ukuba unemibuzo okanye unenkxalabo nangaliphi na ixesha, ungoyiki ukuthetha nogqirha wakho okanye umongikazi we-ET . Bakho ukukunceda.
Umyalezo Wokuya Ekhaya
- Olu tyando (iLaparoscopic Abdominoperineal Resection) lutyando olukhulu olunokusindisa ubomi bomhlaza werectal.
- Ngenxa yokuba oku kwenziwa kusetyenziswa indlela ethi "keyhole" (iLaparoscopy), akukho mingxunya mikhulu, ngoko ke ixesha lokuchacha likhawuleza.
- Emva kotyando, kuya kufuneka usebenzise umngxuma osisigxina esiswini sakho (stoma) ukuze inkunkuma iphume kunye nengxowa (ingxowa) yokuqokelela inkunkuma.
- Nangona ukufunda ukulawula i-stoma kunokuba nzima ekuqaleni, kungenziwa lula ngoncedo lwabasebenzi abaqeqeshwe ngokukodwa.
- Olu lutshintsho olukhulu, emzimbeni nasengqondweni. Ngoko ke vuleka kwaye uthembeke koogqirha bakho, abahlengikazi, kunye nosapho lwakho abakhoyo ukukuxhasa. Awuwedwa.
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