Xa ugqirha wakho ekuxelela okanye umntu omaziyo ukuba kufuneka ufake ibhegi esiswini sakho ukuze ukhuphe indle yakho, kuyinto eqhelekileyo ukuziva wothukile kwaye usoyika. "Luyintoni olu tyando?", "Ingaba olu luhlala luhleli?", "Ngaba andizukukwazi ukuphila ubomi obuqhelekileyo?" Usenokuba nemibuzo emininzi engqondweni yakho. Ungakhathazeki. Masithethe ngolu tyando, olubizwa ngokuba yi-'Fecal Diversion', ngendlela elula kakhulu onokuyiqonda.
Yintoni le 'Fecal Diversion'?
'Ukuphambuka kwendle', ngokufutshane, kukutshintsha okwethutyana okanye okusisigxina kwindlela yendalo yokuphuma kwendle emzimbeni (i-rectum) ukuze iphume ngesikhumba sesisu. Imbobo eyenziweyo eyenziwe ngolu hlobo eluswini lwesisu ibizwa ngokuba yi-stoma .
Esi stoma senziwe kusetyenziswa inxalenye yamathumbu.
- Ukuba udala i-stoma ngokudibanisa amathumbu akho amancinci nolusu, ibizwa ngokuba yi-ileostomy .
- Ukuba ikholoni yakho idibene nolusu, ibizwa ngokuba yi- colostomy .
Ngoku usenokuba uzibuza ukuba kutheni oku kwenziwa. Oogqirha badla ngokucebisa olu tyando ngezizathu ezahlukeneyo:
- Ukuphelisa izifo ezinzima okanye iingxaki ezinxulumene ne-rectum okanye i-anus.
- Njengonyango lomhlaza wamathumbu amakhulu .
- Ukungakwazi ukuzibamba .
Khawucinge nje, i-rectum yethu inemisipha efana nesangqa (imisipha ye-sphincter) elawula ukuhamba kwendle. Yiyo loo nto sinokubamba size siphume indle xa sifuna. Kodwa i-stoma eyenziweyo ayinayo imisipha elawulayo. Yiyo loo nto singenakukwazi ukulawula ukuhamba kwendle. Yiyo loo nto kufuneka sinxibe ibhegi ekhethekileyo (isixhobo sokuqokelela i-ostomy ) eqhagamshelwe kwi-stoma ukuze siqokelele indle ephumayo.
Esi stoma sinokuba sesexeshana okanye esisisigxina . Kuxhomekeke kwimeko yakho yempilo. Umzekelo, ukopha kwamathumbuEmva kokuba icandelo lempundu lisikiwe laza lasuswa, kwaye ezinye iindawo ezimbini eziseleyo ziphinde zahlanganiswa, kwenziwa i-stoma yexeshana ukuze inike ukuphumla de i-anastomosis iphole. Nje ukuba indawo iphole, kwenziwa olunye utyando lokususa i-stoma kwaye kudalwe indlela eqhelekileyo yokuhamba kwendle. Nangona kunjalo, kwiimeko apho i-anus kunye ne-rectum zisusiwe ngokupheleleyo, i-stoma kufuneka igcinwe ngokusisigxina.
Olu tyando lwenziwa njani nge-laparoscopically?
I-Laparoscopy, njengoko sonke sisazi, luhlobo " lotyando lwe-keyhole." Kule nto, endaweni yokwenza umngxuma omkhulu, kwenziwa imingxunya embalwa kakhulu esiswini.
I -laparoscope , ityhubhu encinci enekhamera kunye nokukhanya ngaphambili, ifakwa esiswini ngenye yezi zigcawu. Imifanekiso evela kwikhamera iboniswa kwisikrini esikhulu (imonitha) kwigumbi lotyando. Ugqirha ujonga isikrini aze enze utyando esebenzisa izixhobo ezikhethekileyo ezifakwe kwezinye izigcawu ezincinci.
Inzuzo yale ndlela kukuba akukho nxeba likhulu, ngoko ke iintlungu azinciphi, ukuphola ngokukhawuleza, kunye neentsuku ezimbalwa esibhedlele.
Yenziwa njani i-stoma?
Kukho iintlobo ezimbini eziphambili ze-stomas. Indlela ezidalwe ngayo yahlukile kancinci.
| Uhlobo lwestoma | Indlela elula yokwenza |
|---|---|
| Isiphelo seStoma | Oku kuquka ukuzisa isiphelo samathumbu (esincinci okanye esikhulu) ngqo kumphezulu wesikhumba sesisu, usincamathisele eluswini, size sithunge kunye. Isiphelo samathumbu siphuma njengomngxuma apha. |
| I-Loop Stoma | Le yindlela edla ngokusetyenziswa ukwenza i-stoma yexeshana. Kule ndlela, kufakwa iluphu yamathumbu phezu kolusu, kwaye kwenziwa umngxuma omncinci kuyo. Oku kudala into efana nemingxunya emibini. Ukuthintela le luphu ukuba ingabuyeli esiswini, kufakwa intonga encinci yeplastiki phantsi kwayo kangangeentsuku ezimbalwa emva kotyando. Emva koko iyasuswa. |
Kwenzeka ntoni emva kotyando? Masifunde ngexesha lokuchacha
Emva kolu hlobo lotyando, kufuneka uhlale esibhedlele iintsuku ezimbini okanye ezintathu . Nje ukuba utyando lugqityiwe, ibhegi iya kubekwa phezu kwestoma yakho. Kuya kuthatha usuku okanye ezimbini ukuba inkqubo yakho yokugaya ukutya iqale ukusebenza kwakhona. Kulapho ke kuphela apho indle iqala ukuphuma kwistoma.
Ngethuba usesibhedlele, umongikazi oqeqeshwe ngokukodwa ekunyamekeleni i-stoma uza kukubonisa indlela yokutshintsha ibhegi yakho kunye nokugcina ulusu olujikeleze i-stoma yakho lucocekile. Ekuqaleni, baza kukubonisa indlela yokwenza ezi zinto, baze emva koko bakufundise indlela yokuzenza ngokwakho. Ngoko ke xa ufika ekhaya, uya kukwazi ukuzenza ezi zinto wedwa.
Ngenxa yokuba le yinto entsha, uza kuziva utshintsho olukhulu, emzimbeni nasengqondweni. Ngamanye amaxesha ungaziva unzima kakhulu kwaye udanile. Oku kuqhelekile. Khumbula ukuba awuwedwa. Umongikazi wakho, ugqirha wakho, kunye nosapho lwakho bakhona ukukunceda. Thetha nabo nanini na xa uziva uphantsi.
Kusenokuba nzima ekuqaleni, kodwa ngokuhamba kwexesha uza kuqhelana nolu tshintsho lutsha. Kukho izigidi zabantu kwihlabathi liphela abasebenza ngokuqhelekileyo, bethatha inxaxheba kuluntu, kwaye bephila ngolonwabo. Yiyo loo nto kubaluleke kangaka ukuhlala uqinile.
Umyalezo Wokuya Ekhaya
- 'Ukuphambuka kwindle' yinkqubo yotyando ehambisa indlela yokungena kwendle kumphezulu wesikhumba esiswini. Isithuba esenziweyo sibizwa ngokuba yi-stoma .
- Ngenxa yokuba olu tyando lwenziwa nge-laparoscopically (keyhole), iintlungu azibalulekanga kangako kwaye ukuchacha kuyakhawuleza.
- Ngenxa yokuba i-stoma ayilawuleki, kufuneka unxibe ibhegi ekhethekileyo ( ibhegi ye-ostomy ) ngalo lonke ixesha ukuze uqokelele indle.
- I-stoma inokuba yeyokwexeshana okanye engapheliyo. Kuxhomekeke kwimeko yakho yempilo. Buza ugqirha wakho ngale nto.
- Uza kubona utshintsho emzimbeni nasengqondweni emva kotyando. Oku kuqhelekile. Ungaze ungathandabuzi ukucela uncedo kwaye uthethe nosapho lwakho kunye nabasebenzi bezonyango.
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