Xa ugqirha wakho ekuxelela ukuba kufuneka wenze i-"colostomy," oko kuthetha ukuba unengxowa esiswini sakho, ungaziva uloyiko olukhulu kwaye wothukile. Yinto eqhelekileyo leyo. Kodwa wakuba uyazi kakuhle ukuba yintoni le, uloyiko lwakho luya kuphela kakhulu. Ingakumbi uhlobo esithetha ngalo namhlanje, olubizwa ngokuba yi-"loop colostomy," oluhlala lwenziwa okwethutyana kuphela. Ngoko masithethe ngayo yonke into ngokulula nangokucacileyo.
Ngamafutshane, yintoni i-loop colostomy?
Khawuthelekelele ukuba kukho ukulungiswa okukhulu kwendlela, ngoko ke indlela ivaliwe kwaye kwenziwa indlela ejikayo okwethutyana ukuze kungene iimoto. I-loop colostomy iyafana.
Ngamafutshane, i-colostomy yinkqubo yotyando apho icandelo lamathumbu akho amakhulu (ikholoni) lisikwa lize liziswe phezu kolusu olusesiswini sakho, nto leyo eyenza kube nomngxuma owenziweyo. Lo mngxuma ubizwa ngokuba yi- "stoma." Ukususela ngoku, indle yakho (indle) iya kuphuma ngale stoma, ize ingene kwingxowa ekhethekileyo eqhotyoshelwe kuyo, endaweni yokuphuma nge-anus yakho.
I-loop colostomy yenye yeendlela zokwenza oku. Kwimeko enjalo, ugqirha ukhupha i-loop yamathumbu kumngxuma owenziwe esiswini, enze umngxuma omncinci, aze enze imingxuma emibini. Olu lolona hlobo luqhelekileyo lwe-colostomy. Eyona nzuzo inkulu yoku kukuba idla ngokuba yeyokwexeshana kwaye kulula ukuphinda uqhagamshelane namathumbu kwaye ususe ibhegi (ngasemva). Ngoko ke le yindlela esetyenziswayo xa ufuna ukunika amathumbu akho ixesha elincinci lokuphola.
Kutheni kufuneka wenze olu hlobo lotyando?
Kukho izizathu ezibini eziphambili zokuba ne-loop colostomy.
1. Ukuphambuka: Khawuthelekelele ukuba unesilonda, usulelo, okanye utyando kwinxalenye yamathumbu akho. Ukuze loo nxalenye iphole, kufuneka uyeke ukuhamba kwendle kuyo okwethutyana. Ukuba awukwenzi oko, inxeba linokuba nesifo kwaye inkqubo yokuphiliswa ingalibaziseka. Ngoko ke olu tyando ludala indlela yokuba indle idlule kuyo isuka kwindawo yangaphambili, inike loo nxalenye ukuphumla.
2. Ukunciphisa uxinzelelo: Ngamanye amaxesha, ukuvaleka kunokubakho ndaweni ithile emathunjini. Oku kuthetha ukuba indle ayinakudlula ngenxa yento efana nethumba okanye ukuvaleka. Emva koko, uxinzelelo olungaphakathi emathunjini luyanda kwaye luqala ukudumba. Kwiimeko ezinjalo, xa kwakheka i-stoma phezu kwendawo evalekileyo ukuze kuvunyelwe indle ukuba iphume okwethutyana, olo xinzelelo luyancitshiswa kwaye ufumana isiqabu. Emva koko, ugqirha unokunyanga ukuvaleka.
Ezinye iimeko ezifuna olu tyando:
- I-Diverticulitis
- I-ulcerative colitis
- Isifo sikaCrohn
- Ukuvaleka kwamathumbu amakhulu
- Emva kotyando lokususa inxalenye yamathumbu (i-Partial colectomy)
- Ukulimala okukhulu okanye usulelo oluvela ezimpundu
Yintoni umahluko phakathi kwe-loop kunye ne-end colostomy?
Ezi zezona ntlobo zimbini ziphambili zotyando lwe-colostomy. Jonga itheyibhile engezantsi ukuze uqonde umahluko phakathi kwezi zimbini.
| Uphawu | I-Loop Colostomy | Ukuphela kweColostomy |
|---|---|---|
| Injongo ephambili | Ukunika amathumbu ithuba lokuphumla okwethutyana. | Kwenziwa xa inxalenye esezantsi yamathumbu ingasebenzi okanye isusiwe ngokusisigxina. |
| Iziphelo zamathumbu | Zombini iziphelo zamathumbu (elo lingena ngendle kunye nelo lingena nge-mucus) zibekwe ecaleni kwenye ngaphakathi kwe-stoma. | Kuphela yincam engasentla, apho kuphuma khona ilindle, ekhutshwa njenge-stoma. Incam engasentla ithungwa ivalwe ngaphakathi emzimbeni okanye isuswe ngokupheleleyo. |
| Isisigxina/yexeshana? | Idla ngokuba yeyokwexeshana kwaye iyakwazi ukutshintshwa. | Ihlala ihleli . |
Kwenzeka ntoni ngaphambi, ngexesha nasemva kotyando?
Ukwazi le nkqubo kuya kukuzisela uxolo olukhulu lwengqondo.
Ngaphambi kotyando
Ngaphambi kotyando, ugqirha wakho uza kuthetha nawe ngale nto ngokweenkcukacha. Uza kuchaza indlela olu tyando oluza kwenziwa ngayo, zeziphi iingozi ezinokwenzeka, kunye notshintsho oluya kufuneka kwindlela yakho yokuphila emva kotyando. Ukuba unqwenela, ungathetha nangamayeza eentlungu ngeli xesha. Uya kucetyiswa ukuba ungatyi okanye usele nantoni na kangangeeyure ezi-6 ngosuku lotyando. Unganikwa nolungiselelo lwamathumbu ukuze ucoce amathumbu akho.
Indlela oluqhutywa ngayo utyando
Olu tyando lwenziwa phantsi kwe-anesthesia jikelele. Zimbini iindlela zokwenza oku.
- Utyando lwe-Laparoscopic: Oku kubandakanya ukwenza imingxunya embalwa emincinci esiswini, endaweni yokusikwa okukhulu, kwaye utyando lwenziwa ngoncedo lwekhamera. Le ndlela ikhululekile kuwe kwaye inokukunceda uphile ngokukhawuleza.
- Utyando oluvulekileyo: Kwimeko engxamisekileyo okanye enzima, olu tyando lunokufuneka lwenziwe ngokuvula isisu.
Ugqirha ususa iluphu yamathumbu kwindawo ebeyiphawulwe ngaphambili, ayincamathisele eluswini, aze enze i-stoma.
Emva kotyando
Wakuba ubuyele ezingqondweni emva kotyando, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa. Ngeli xesha:
- Ukutya: Okokuqala, mnike ukutya okumanzi, uze emva koko umnike ukutya okuqhelekileyo kancinci kancinci.
- Ukhathalelo lweColostomy: Umongikazi oqeqeshwe ngokukodwa (uMongikazi weWound Ostomy Continence - WOCN) uza kukufundisa yonke into ukususela kwindlela yokugcina istoma yakho icocekile ukuya kwindlela yokutshintsha ibhegi yakho.
- Ukulawula iintlungu: Xa uphuma esibhedlele, uza kunikwa amayeza okudambisa iintlungu oza kuwasebenzisa ekhaya.
- Indle: Indle iza kuqala ukuphuma kwi-stoma emva kweentsuku ezimbalwa emva kotyando.
Xa uqala ukubona i-stoma, isenokubonakala inkulu, ibomvu, kwaye idumbile. Musa ukoyika oko. Njengoko iphola, imbonakalo yayo iya kutshintsha kakhulu, ibe pinki kwaye ingqukuva.
Zithini iingozi kunye neengxaki zolu tyando?
Njengalo naluphi na utyando, kukho iingozi ezithile, ezifana nokunganyamezelani ne-anesthesia kunye nosulelo. Nangona kunjalo, kukwakho neengxaki ezithile ezichaphazela i-colostomy.
| Ingxaki | Inkcazo |
|---|---|
| Ukurhawuzelelwa lusu | Ulusu olujikeleze i-stoma lunokuba bomvu, lurhawuzelele, kwaye lube buhlungu ngenxa yokudibana nendle. Le yingxaki eqhelekileyo. Ukusebenzisa ibhegi elingana kakuhle kunokunceda ekulawuleni oku kakhulu. |
| Ukuvaleka kwamathumbu | Indle isenokuvaleka ukuba ingaphumi kwi-stoma ngenxa yezicubu ezivalekileyo emva kotyando okanye ngenxa yezinye izizathu. |
| Ukurhoxa kwestoma okanye ukurhoxa | I-stoma isenokutshona eluswini okanye iphume ngokungeyomfuneko. Oku kunokwenza kube nzima ukuyiqinisa kakuhle ingxowa. |
| I-Hernia (i-Parastomal hernia) | Izihlunu zesisu ezijikeleze istoma ziba buthathaka, nto leyo evumela iindawo ezithile zamathumbu ukuba ziphume ngaphantsi kwesikhumba. Kusenokubakho iqhuma kufutshane nestoma. |
Ndingayisusa le ngxowa ndize ndibuyele esiqhelweni?
Ewe, unako! Leyo yeyona nzuzo inkulu ye-loop colostomy. Emva kokuba imeko yakho yokuqala ipholile ngokupheleleyo, ugqirha wakho uza kukuhlola, enze olunye utyando lokudibanisa iziphelo zombini zamathumbu akho, aze avale i-stoma. Oku kungathatha iiveki ezininzi, iinyanga, okanye iminyaka. Kuxhomekeke kwimpilo yakho.
Uzakumbona nini ugqirha wakho
Kufuneka uhlale uqaphela ezi mpawu. Ukuba unenkxalabo, yazisa ugqirha wakho okanye umongikazi onyamekela i-colostomy ngokukhawuleza.
- Ukuqhinwa okungapheliyo okanye urhudo.
- Ukucaphuka okanye ukuhlanza okungapheliyo.
- Igazi esitulweni.
- Utshintsho kubungakanani okanye umbala oqhelekileyo westoma.
- Ivumba elingaqhelekanga elivela kwi-stoma.
- Ukuyeka ngokupheleleyo ukuphuma kwendle kwi-stoma.
I-loop colostomy lutshintsho olukhulu ebomini bakho. Kodwa khumbula, olu lunyango olubaluleke kakhulu, olusindisa ubomi olunika amathumbu akho ithuba lokuphola. Kwakhona, ludla ngokuba lolwexeshana . Ngononophelo olufanelekileyo nokulandela imiyalelo kagqirha wakho, ungalilawula ngempumelelo eli xesha kwaye ubuyele kubomi obuqhelekileyo.
Umyalezo Wokuya Ekhaya
- I-loop colostomy lutyando, oludla ngokuba lolwexeshana , olwenziwa ukunceda amathumbu akho aphile.
- Nangona olu lutshintsho olukhulu ebomini, lunokulawulwa kakuhle ngoqeqesho olufanelekileyo kunye nokuqonda.
- Ukugcina i-stoma kunye nolusu oluyijikelezileyo lucocekile kubaluleke kakhulu ukuthintela iingxaki zolusu.
- Nje ukuba imeko yakho yokuqala ipholile, unokususwa i-colostomy ngotyando lwesibini uze ubuyele kwimeko yesiqhelo.
- Musa ukoyika ukuthetha nogqirha wakho malunga neengxaki okanye ukungonwabi onokuba nakho.
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