Iyintoni iMitrofanoff Procedure? Makhe sithethe ngayo ngokulula.

Ngamanye amaxesha kufuneka sijongane neengxaki zempilo esingenakuzicinga. Ingakumbi xa kuziwa kwiingxaki zesinyi, kunzima kakhulu ukungakwazi ukuchama ngokuqhelekileyo. Ukuphila nezi meko ngumceli mngeni omkhulu kumntwana nakubantu abadala. Ukuze sincede abantu abanjalo, namhlanje sithetha ngotyando olukhethekileyo olwenziwayo ukuze ubomi babo bube lula. Oku kubizwa ngokuba yiMitrofanoff Procedure. Nangona eli gama lingaqhelekanga, izibonelelo zalo zixabiseke kakhulu.

Ngamafutshane, yintoni le tyando yeMitrofanoff?

Utyando lweMitrofanoff lutyando oludala umngxuma omncinci (obizwa ngokuba yistoma ) esiswini ukuvumela umchamo ukuba uphume kwisinyi. Le yinkqubo ekhethekileyo kuba oogqirha basebenzisa inxalenye yomzimba wakho ukwenza lo mngxuma. Leyo yi -appendix yakho.

Khawuthelekelele, usebenzisa i-scrotum yakho, udala indlela encinci efana nombhobho ukusuka kwisinyi sakho ukuya esiswini sakho. Emva koko, xa kufuneka uchame, ungafaka i-catheter , umbhobho oguquguqukayo, ngale ndawo ivulekileyo (stoma) ukuze ukhuphe isinyi sakho.

Le nkqubo yaqalwa ukuqaliswa ngo-1976 nguprofesa ogama linguPaul Mitrofanoff. Yiyo loo nto yathiywa igama layo. Ikwabizwa ngokuba yi-'appendicovesicostomy'.

Masiqale siqonde kancinci ngala malungu omzimba wethu.

Ukuze uqonde ngokupheleleyo olu tyando, kuyanceda ukuba nombono omncinci wendlela esebenza ngayo inkqubo yomchamo yomzimba wethu kunye ne-ureter.

• Isinyi: Esi sisingxobo esinemisipha esifana nebhaluni. Umchamo owenziwa zizintso zethu ngokucoca igazi udlula kwiityhubhu ezimbini ezincinci (ureters) uze uqokeleleke kwesi sinyi. Xa sigcwele, siziva sifuna ukuchama. Emva koko, umchamo uphuma emzimbeni nge-urethra.
• Isihlomelo: Le yinxalenye yenkqubo yethu yokugaya ukutya. Yityhubhu encinci ekwicala elisezantsi lasekunene lesisu sakho, enamathele kwinxalenye yokuqala yamathumbu akho amakhulu. Oogqirha abasazi ukuba yintoni enye imisebenzi enayo. Kodwa singaphila ubomi obusempilweni ngaphandle kwayo. Abantu abaninzi bayayisusa ngotyando xa befumana i-appendicitis. Ngoko ke, akukho ngxaki ngokuyisebenzisa kwezinye iindlela eziluncedo.

Khawucinge ukuba awunayo i-appendix, oko kuthetha ukuba yasuswa kutyando lwangaphambili, ubuya kwenza ntoni? Kukho nesisombululo saloo nto. Kwimeko enjalo, ugqirha uza kuyisusa i-appendix emathunjini akho amancinci.Bathabatha iqhekeza elincinci baze benze le ndlela. Ibizwa ngokuba yindlela yeMonti okanye yeMonti-Yang.

Kwenzeka ntoni ngokwenene ngexesha lotyando lweMitrofanoff?

Oku kukuvumela ukuba ukhuphe isinyi sakho ngokwakho ngokufaka i-catheter ngomngxuma osesiswini sakho (stoma). Oku kubizwa ngokuba yi-self-catheterization .

Kuyo yonke imini, ngamaxesha athile (ngesiqhelo rhoqo emva kweeyure ezi-3-4), kuya kufuneka wenze oku kulandelayo:

1. Ityhubhu eguquguqukayo (i-catheter) ifakwa ngomngxuma (i-stoma) esiswini kwaye ikhokelwa kwindlela eyenziweyo eya kwisinyi.

2. Wonke umchamo uthululwa kwindlu yangasese okanye kwisitya esisecaleni kombhobho.

3. Xa isinyi singasekho, i-catheter iyasuswa. Umnyango (stoma) uyavaleka ngokuzenzekelayo. Akukho mchamo uvuzayo apho.

Le ndlela ilula, ayibuhlungu kangako, kwaye ikhululekile kubantu abaninzi kunokufaka i-catheter kwi-urethra eqhelekileyo.

Ngubani odinga olu tyando?

Utyando lweMitrofanoff lunokuba yimfuneko kubantwana nakubantu abadala. Siza kuzijonga zombini ngokwahlukeneyo.

Kutheni umntwana edinga utyando lweMitrofanoff?

Abanye abantwana bazalwa benobuthathaka obuthile kwinkqubo yabo yemithambo-luvo. Oku kubangela ukuba bangakwazi ukulawula izihlunu zesinye. Oku kubizwa ngokuba yi-neurogenic bladder . Kwakhona, abantwana abaneengxaki zenkqubo yomchamo wokuzalwa banokufuna olu tyando.

Izizathu eziqhelekileyo zokuba abantwana badinga olu tyando zezi:

• I-Spine Bifida: Ubuthathaka bomqolo obukhoyo ekuzalweni.
• Ukuphuma kwesinyi okanye ukukhupha isinyi ngaphandle: Ukuvezwa kwesinyi ngaphandle ngenxa yokwakheka okungaphelelanga kodonga lwesisu ngexesha lokuzalwa.
• I-Cerebral Palsy: Imeko echaphazela iintshukumo zomzimba kunye nolawulo lwemisipha ngenxa yomonakalo engqondweni.
• I-Sacral agenesis: Ukungabikho kwenxalenye esezantsi yomqolo ekuzalweni.
• Ukulimala komqolo.

Kutheni umntu omdala edinga utyando lweMitrofanoff?

Abantu abadala basenokungakwazi ukulawula isinyi sabo ngezizathu ezahlukeneyo.

• Iimeko zomhlaza: Iimeko ezifana nomhlaza wesinyi, umhlaza weprostate, okanye umhlaza we-colorectal.
• Ukungakwazi ukulawula umchamo: Ukungakwazi ukuzibamba kakhulu komchamo.
• Ukudumba kwesinyi (Cystitis).
• Izifo zenkqubo yemithambo-luvo: Isinyi se-neurogenic esibangelwa ziimeko ezifana ne-multiple sclerosis okanye isifo sikaParkinson.
• Ukulimala komqolo, ukukhubazeka, okanye iithumba zomqolo.
• Istroke.

Kwenzeka ntoni ngaphambi, ngexesha nasemva kotyando?

Kuqhelekile ukuziva usoyika kancinci xa uthetha ngotyando olukhulu olunje. Kodwa ukwazi kakuhle indlela ezi zinto ezenzeka ngayo kunokunceda ekunciphiseni olo loyiko.

Ngaphambi kwenkqubo

Ukunciphisa umngcipheko wokosuleleka ngexesha lotyando, amathumbu akho kufuneka abe ngenanto kangangoko kunokwenzeka. Oku kufuna ukuba ulandele imiyalelo kagqirha wakho ngokuchanekileyo. Oku kungabandakanya:

• Ukuzila ukutya ngosuku olungaphambi kotyando.
• Ukusela isiselo esikhethekileyo ukuze ucoce amathumbu ngokupheleleyo (ukucoca amathumbu).

Ngexesha lenkqubo

Olu tyando lwenziwa phantsi kwe -anesthesia jikelele . Oku kuthetha ukuba awuyi kuva nto ngexesha lotyando, kwaye uya kube ulele ngokupheleleyo.

Ugqirha ulandela la manyathelo:

1. Kuza kwenziwa isilonda esiswini sakho.

2. I-appendix yahlulwe kumathumbu amakhulu.

3. Isiphelo esinye saso siqhagamshelwe kumngxuma omncinci owenziwe kwisinyi, kwaye esinye isiphelo siqhagamshelwe kumngxuma omncinci (stoma) owenziwe eluswini lwesisu.

4. Kwenziwa isakhiwo esifana nevalvu apho i-ureter iqhagamshela khona kwisinyi ukuthintela umchamo ukuba ungabuyeli umva. Le valve iyaqina kwaye ivale xa isinyi sizala, ithintela umchamo ukuba ungaphumi ngendlela edaliweyo.

5. Ukuze kukuncede ukhuphe umchamo de isinyi sakho siphole, kufakwa umbhobho wexeshana (ityhubhu ye-suprapubic) ngqo kwisinyi sakho. Oku kuqokelela umchamo kwingxowa engaphandle komzimba wakho.

6. Ngamanye amaxesha, iityhubhu ezincinci (i-ureteral stents) zinokufakwa kwiityhubhu ezithwala umchamo ukusuka kwizintso ukuya kwisinyi (i-ureters). Oku akuyomfuneko kumntu wonke.

7. Ekugqibeleni, i-incision ephambili eyenziweyo yotyando ivalwa ngezititshi ezinyibilikayo.

Emva kwenkqubo

Emva kotyando, kuya kufuneka uhlale esibhedlele kangangeveki. Ngeli xesha:

• Awuyi kuvunyelwa ukuba utye iintsuku ezininzi. Endaweni yoko, uza kunikwa ulwelo lwe-IV ukuze unike amathumbu akho ixesha lokuphola.
• Kusuku lokuqala okanye ezimbini, kuya kufuneka ulale ebhedini. Uya kukwazi ukujikajika nokuhambisa imilenze yakho, kodwa awuyi kuvunyelwa ukuba uvuke uhlale phantsi.
• Xa usiya ekhaya, i-catheter kunye netyhubhu ye-'suprapubic' yexeshana ziya kufakwa ngaphakathi kwendlela entsha eyenziweyo (i-Mitrofanoff tunnel) ukuthintela ukuba ingavaleki. Le catheter kuya kufuneka ishiywe endaweni yayo kangangeeveki ezi-4.
• Ukuba ezo 'stents ze-ureteral' zifakiwe, kuya kufuneka kwenziwe enye inkqubo encinci ukuze zisuswe kwiiveki ezimalunga nezi-6-8.
• Ngomhla ofundiswa ngawo ukuzilungisa, ugqirha uza kususa zombini iityhubhu zexeshana eofisini. Oku akudingi olunye utyando.

Ziziphi iingenelo kunye neengozi zalo tyando?

Njengakweyiphi na inkqubo yezonyango, kukho iingenelo kunye neengozi ezithile.

Ukubuyisela kunye nobomi emva kotyando

Kwiiveki ezimbalwa zokuqala emva kotyando, unokufumana oku kulandelayo:

• Igazi elincinci kumchamo (i-hematuria).
• Ukushwabana okubuhlungu kwemisipha yesinyi (ukuqaqamba kwesinyi).

Ugqirha wakho uza kukunika amayeza okuthomalalisa iintlungu kunye nemithi yokukhulula imisipha kwezi zinto.

Emva kweeveki ezimalunga nezi-6, kuya kufuneka ubone ugqirha wakho ukuze ufunde indlela yokufaka i-catheter ngokwakho (ukuzilungisa ngokwakho).

Nangona kunjalo, kufuneka uhlale uqaphela ukusebenza kwenkqubo yakho yomchamo. Kufuneka wenze olu vavanyo lulandelayo minyaka le:

• Uvavanyo lwegazi ukujonga inqanaba lee-electrolytes egazini nakwimisebenzi yezintso.
• I-Cystoscopy (uvavanyo lwangaphakathi lwesinyi).
• Iiskeni ze-ultrasound zezintso kunye nesinyi.
• Uvavanyo lwe-X-ray lwezintso, isinyi kunye ne-urethra.

Ixesha lokubona ugqirha ngoko nangoko

Ukuba ufumana naziphi na kwezi mpawu, kufuneka ufowunele ugqirha wakho ngoko nangoko :

• Ukungakwazi ukukhupha yonke into kwisinyi.
• Ukopha kakhulu, ukudumba, okanye ukukrweleka.
• Isicaphucaphu nokuhlanza.
• Intlungu ebuhlungu.
• Iimpawu zosulelo, ezinje ngokukhupha ulwelo olunuka kakubi okanye umkhuhlane.

Yintoni umahluko phakathi kweMitrofanoff kunye neUrostomy?

Zombini ezi ndlela ziquka ukudlulisa umchamo ngomngxuma esiswini. Nangona kunjalo, nge -urostomy , kwenziwa indlela yokudlula isinyi kunye nokukhupha umchamo ngqo kwizintso. Abanye abantu abane-urostomy kufuneka banxibe ibhegi yokuqokelela umchamo ngamaxesha onke. Oku kuthetha ukuba abanakulawula ukuhamba komchamo wabo. Nangona kunjalo, nge-Mitrofanoff, unenkululeko engakumbi kuba unokukhupha isinyi sakho kuphela nge-catheter xa kufuneka.

Ingaba olu tyando luhlala luhleli?

Oku kunokuguqulwa. Oko kukuthi, umngxuma unokususwa ngotyando. Nangona kunjalo, i-appendix ayixhunyelelwanga emathunjini, kuba ayilolungu libalulekileyo. Emva kokuba i-Mitrofanoff isusiwe, kunokufuneka uchame ngokuqhelekileyo nge-urethra, okanye kunokufuneka ufake i-catheter kuyo ukuze ukhuphe isinyi sakho, okanye kunokufuneka wenze i-urostomy. Le yinto ekufuneka uyixoxe nogqirha wakho.