Xa ugqirha wakho ekuxelela ukuba kufuneka wenze i-colostomy, kumele ukuba uzive uloyiko olukhulu kwaye wothukile, akunjalo? "Owu Thixo wam, ubomi bam buza kuba njani ukususela ngoku?", "Andisayi kuze ndikwazi ukubuyela kubuntu bam bakudala?", "Ndiza kuphuma njani nale bhegi?" Mhlawumbi unemibuzo emininzi engqondweni yakho. Kodwa ungoyiki. Oku akuyonto inzulu okanye ayitshintshi ubomi njengoko ucinga. Ngolwazi olufanelekileyo kunye nesikhokelo, ungayilawula kakuhle le meko kwaye uphile ubomi obuqhelekileyo, obonwabisayo. Masithethe ngayo yonke into ngokulula.
Ngamafutshane, yintoni i-colostomy?
Okokuqala, masijonge ukuba yintoni na. Ikholoni yinxalenye yenkqubo yethu yokugaya ukutya. Ngamafutshane, umsebenzi wayo ophambili kukufunxa inkunkuma eveliswa emzimbeni wethu, oko kukuthi, ilindle, kunye nezinye zezondlo eziseleyo. Emva koko, inkunkuma eqinileyo iphuma emzimbeni nge-anus.
Nangona kunjalo, ukuba amathumbu amakhulu kunye ne-rectum azikwazi ukusebenza kakuhle ngenxa yokugula, ingozi, okanye utyando, okanye ukuba loo nxalenye ifuna ukuphumla okwethutyana, umzimba wethu udinga enye indlela yokususa inkunkuma.
I-colostomy ngumngxuma owenziweyo owenziwe ngokudibanisa amathumbu amakhulu nolusu olukumphezulu wesisu. Oku kukwabizwa ngokuba yi-stoma . Lo ngumngxuma apho inkunkuma nomoya ziphuma khona emzimbeni. Oku kunokuba yinto ehlala ihleli kwabanye abantu, kodwa kube yinto yexeshana kwabanye.
Oku kuyichaphazela njani ubomi bam?
Ngelixa usesibhedlele emva kotyando, ugqirha wakho kunye nabasebenzi bakho bonyango baza kukunika imiyalelo emininzi yokuba ungayinyamekela njani, ungayicoca njani, kwaye wenze naluphi na utshintsho olufunekayo kwindlela yakho yokuphila. Ewe, kuya kufuneka wenze utshintsho oluncinci. Kodwa uza kuqhela ezo zinto ngokukhawuleza.
Nazi izinto ezilula ezinokukunceda ngaloo nto:
- Lumka ngamayeza owasebenzisayo: Amanye amayeza anokubangela ukuqhina okanye urhudo, ngoko ke xelela ugqirha wakho ngawo onke amayeza owasebenzisayo.
- Yitya ukutya okunesondlo esifanelekileyo: Nciphisa ukutya okubangela igesi, njengekhaphetshu, iimbotyi, kunye namandongomane. Kungcono ukuthetha nogqirha wezondlo ngale nto uze noluhlu lokutya okufanelekileyo kuwe.
- Phila ubomi bakho ngendlela eqhelekileyo: Khumbula, i-colostomy ayisosiphelo sobomi bakho. Iingxowa ze-colostomy zanamhlanje zenzelwe ukuba zingabonakali phantsi kweempahla kwaye zilingane kakuhle nomzimba. Oku kuthetha ukuba uninzi lwabantu lunokubuyela emsebenzini kwaye lubandakanyeke kwimisebenzi yalo yangaphambili (kuquka nesondo).
Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye uloyiko onalo.
Yintoni iColostomy Irrigation?
Le yindlela enye yokulawula ukusebenza kwamathumbu. Ngamafutshane, ibandakanya ukudlulisa amanzi kwikholoni yakho ngestoma yakho uze uwakhuphe ngokupheleleyo ngexesha elimiselweyo.
Oku kudla ngokwenziwa kube kanye okanye kabini ngemini ngexesha elinye, ukuze amathumbu aqhele. Emva koko, ngamanye amaxesha, ukuqokelelwa kwenkunkuma ebhegini kunokulawulwa kakhulu. Kuthatha malunga neeveki ezi-6 ukuya kwezi-8 ukuze oku kulunge.
Nangona kunjalo, le ndlela ayifanelekanga kuye wonke umntu. Ngokuqinisekileyo kuya kufuneka uthethe nogqirha wakho ukuze agqibe ukuba le ndlela ikulungele na.
| Abo banokufaneleka | Abo basenokungafaneleki |
|---|---|
| Abantu abane-colostomy esisigxina, ingakumbi abo bane-stoma kwinxalenye esezantsi yamathumbu amakhulu (i-descending/sigmoid colon), kuba indle yabo idla ngokuba lukhuni. | Abantu abaneengxaki ezifana ne-Irritable Bowel Syndrome (IBS). Abantu abanezinye iingxaki nge-stoma. Abantu abane-stoma ekwinxalenye ephezulu yamathumbu amakhulu (i-ascending/transverse colon). |
Lumka xa usitya kwaye usela nge-colostomy
Kufuneka ulumke ngakumbi malunga nokutya kwakho kwiiveki ezimbalwa zokuqala emva kotyando.
- Endaweni yokutya ukutya okukhulu kathathu ngemini, yitya ukutya okuncinci okumalunga nezi-6 .
- Hlafuna ukutya kwakho kakuhle uze utye kancinci .
- Sela ubuncinane iiglasi ezisi-8-10 zamanzi ngosuku.
- Kwiiveki ezimbalwa zokuqala, yitya ukutya okunamafutha aphantsi, okunefayibha encinci .
- Xa usongeza ukutya okutsha, zama ukongeza kube kanye ngexesha ukuze ubone ukuba kuchaphazela njani umzimba wakho.
| Ukutya onokukhetha kuko | Ukutya ekufuneka ukuqaphele/ukuphephe |
|---|---|
| Inyama engenamafutha, isonka esimhlophe, ipasta, irayisi, amanzi, iti engena-caffeine kunye nekofu. | Inyama enamafutha/eqhotsiweyo, iinkozo ezinefayibha eninzi njengeembotyi, iilentili, imifuno ebangela igesi efana nekhaphetshu, icaffeine, kunye notywala. |
Ngaba ungazilolonga?
Ewe, ungakwenza ngokuqinisekileyo. Kodwa kufuneka uqale ngononophelo nangokulandela imiyalelo kagqirha wakho . Ukuhamba lolona qheliselo lulungileyo nolukhuselekileyo onokuluqala ngalo.
Ukubaleka
Ukuba ungumgijimi, unokufumana amabala abomvu okanye izilonda ezincinci ezijikeleze i-stoma yakho, mhlawumbi ngenxa yokukhuhla ibhegi. Ezi ziya kuphola ngokuphumla kancinci. Ukuba ziyaqhubeka, xelela ugqirha wakho.
Ukuzilolonga kwesisu (Ukulala kunye nokuqhotsa)
Ukuzilolonga okubeka uxinzelelo kwizihlunu zesisu, ezinje ngokuhlala phantsi kunye nokukrwitshwa, kunye nokuphakamisa iintsimbi kunokunyusa umngcipheko wokuba ne -hernia ejikeleze i-stoma, okanye i-peristomal hernia . Ngoko ke , qiniseka ukuba uthetha nogqirha wakho ngaphambi kokuba uqale ukuzilolonga okunjalo.
Ukuqubha
Ukuqubha nako kulungile. Kodwa jongana nogqirha wakho kuqala. Emva koko, ngaphambi kokuba uqubhe, faka amanzi ebhafini ekhaya okwethutyana ukuqinisekisa ukuba ibhegi ivalwe kakuhle kwaye akukho kuvuza.
Uxinzelelo lwe-hydration
Sela amanzi amaninzi xa uzilolonga. Ukuba umchamo wakho ucacile okanye utyheli kancinci, oko kuthetha ukuba umanzi. Ukuba kumnyama, kunokubangela iingxaki kwi-stoma yakho nakwimpilo yakho iyonke. Oku kubizwa ngokuba kukuphelelwa ngamanzi emzimbeni .
Ziziphi iingxaki ezinokubakho?
Ukuphila notyando lwe-colostomy ngamanye amaxesha kunokubangela iingxaki ezincinci, kwaye kubalulekile ukuba uzazi.
| Ingxaki | Inkcazo | Kwenziwe ntoni |
|---|---|---|
| Ukuvuza | Ukuvuza kwenkunkuma phantsi kwengxowa kuye eluswini okanye emzimbeni. Iintsholongwane zolusu zinokubakho. | Thetha nogqirha wakho ngezinye iintlobo zeebhegi. Kusenokufuneka wenze olunye utyando. |
| Ukuvaleka | Amasuntswana okutya ayanamathela kwi-stoma. Iimpawu ziquka ukugcinwa kwendle, iintlungu zesisu, ukuhlanza, kunye nokudumba kwe-stoma. | Bona ugqirha wakho ngoko nangoko. Le yimeko engxamisekileyo. |
| Ukurhoxa | I-stoma ingena ngaphantsi komgangatho wesikhumba, nto leyo enokubangela ukuvuza. | Thetha nogqirha wakho ngezinye izixhobo. Kusenokufuneka utyando. |
| I-Hernia | Ukuphuma kwamathumbu phantsi kolusu olujikeleze i-stoma. | Kuphephe ukuphakamisa izinto ezinzima kunye nokuzibhokoxa. Nxiba ibhanti yokuxhasa. Thetha nogqirha wakho. |
Umyalezo Wokuya Ekhaya
- Utyando lwe-colostomy alupheli ebomini bakho. Ngolawulo olufanelekileyo, ungaphila ubomi obuqhelekileyo nobunolonwabo.
- Soloko uthetha ngokukhululekileyo nogqirha wakho malunga nokutya kwakho, umthambo, kunye nazo naziphi na iingxaki onokuba nazo.
- Lumka ngakumbi ngokutya okubangela igesi kunye nokutya okunokuvala i-stoma.
- Ukuphepha ukwenza umthambo kunye nokuphakamisa iintsimbi ezibeka uxinzelelo kwimisipha yesisu kunokunciphisa umngcipheko we-hernia.
- Ukuba ufumana iimpawu zesisu esivalekileyo (intlungu yesisu, ukuhlanza, ukungaphumeli kakuhle), funa ingcebiso kagqirha ngokukhawuleza ngaphandle kokulibazisa.
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