Usenokuba ukhe wababona okanye weva ngabantu abanesakhiwo esincinci esifana nengxowa enamathele esiswini sabo. Xa ubona oku, abantu abaninzi bayazibuza, "Yintoni le?" Oku kudla ngokunxulumene nohlobo oluthile lotyando lwamathumbu. Namhlanje siza kuthetha ngolunye utyando olunjalo. Yimeko ebizwa ngokuba yiMucous Fistula. Igama lisenokuvakala liyinkimbinkimbi kancinci, kodwa ungakhathazeki. Masiyigcine ilula kwaye icacile.
Ngamafutshane, yintoni iMucous Fistula?
Khawuthelekelele ukuba inxalenye yamathumbu ethu kufuneka isuswe ngotyando ngenxa yokugula okanye isuswe okwethutyana ekusebenzeni kwayo ukuze iphumle. Emva koko, ugqirha uyayisusa loo nxalenye yamathumbu kwikhonkco.
Ngoku cinga ngale ndlela. Amathumbu ethu akangombhobho nje kuphela. Ahlala evelisa ukukhupha ulwelo ngaphakathi. Oku sikubiza ngokuba yi-mucus . Njengamathe emilonyeni yethu, olu lwelo lufana ne-mucus lunceda ukukhusela ulwelo lwangaphakathi lwamathumbu, luwathintele ekukhuhlaneni, kwaye luthintele umonakalo ovela kumasuntswana okutya angagayekiyo.
Ngoko ke, xa inxalenye yamathumbu iqhekekile, loo nxalenye yamathumbu iyaqhubeka nokukhupha i-mucus. Ukuba le ncindi ayinandawo yokuya kuyo, inokuqokeleleka ngaphakathi kwamathumbu aqhekekileyo ize ibangele iingxaki ezinkulu ezifana neentlungu kunye nosulelo.
Ukuthintela loo ngxaki, oogqirha benza i -fistula ye-mucous .
Ngamafutshane, oku kubandakanya ukudibanisa ngotyando isiphelo samathumbu aqhekekileyo nomngxuma omncinci (stoma) owenziwe eluswini lwesisu. Emva koko, endaweni yokuba i-mucus eveliswa emathunjini iphume nge-anus, i-stoma esandul’ ukwenziwa iphuma emzimbeni. Oku kusebenza njengomjelo owongezelelweyo.
Kutheni umntu edinga olu hlobo lotyando?
Olu tyando ludla ngokwenziwa kunye nolunye utyando olukhulu. Ixesha elininzi, oku kuyimfuneko kwiimeko ezithile zamathumbu. Makhe sijonge ukuba zeziphi ezo.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Izifo Zamathumbu Ezivuthayo (IBD) | Olu didi lubandakanya ikakhulu isifo sikaCrohn kunye ne -ulcerative colitis.I-Ulcerative Colitis sisifo esibangela ukudumba okuhlala ixesha elide kunye nezilonda emathunjini. |
| Umhlaza weColorectal | Kwimeko yomhlaza wamathumbu amakhulu, olu tyando lunokuba yimfuneko emva kokuba inxalenye yomhlaza yamathumbu amakhulu isusiwe. |
| I-Diverticulosis | Iinxalenye ezincinci ezifana nengxowa eludongeni lwekholoni. Ezi zinokubangela iintlungu eziqatha ukuba zinosulelo. |
| Ukwenzakala okanye ukwenzakala kwamathumbu | Ukuba amathumbu onakele ngenxa yengozi okanye esinye isizathu, oku kwenzelwa ukunika indawo eyonakeleyo ukuphumla ide iphole. |
| Ukuvaleka kwamathumbu | Ukuba amathumbu avalekile ngokupheleleyo ngesizathu esithile, olu tyando lunokuba yimfuneko ngelixa kusenziwa unyango lokuvaleka. |
| I-Familial Adenomatous Polyposis | Le yimeko yelifa apho amakhulu eentsholongwane ezincinci (iipolyps) zenzeka khona kumathumbu amakhulu, ezinokuthi zibe ngumhlaza. |
Ngaba neentsana ezincinci ziyayidinga le nto?
Ewe, ngamanye amaxesha iintsana ezisandul’ ukuzalwa nazo kufuneka zenze olu tyando. Oku kungenxa yokuba zizalwa zineziphene ezimbini.
1. Impundu eyomileyo: Abanye abantwana bazalwa bengenampundu. Ngoko ke, kufuneka kwenziwe indlela yokuphuma kwendle yabo. I-colostomy yexeshana kunye ne-fistula ye-mucous zenzelwe oku. Xa umntwana ekhulile kancinci kwaye enamandla, oku kusetyenziswa de impundu ilungiswe ngotyando lokulungisa.
2. I-Intestinal Atresias: Abanye abantwana bazalwa benamathumbu avaliwe okanye eqhawukileyo. Ukuba oku akunakulungiswa ngotyando olunye, i-mucous fistula yexeshana inokufuneka.
Olu tyando lwenziwa njani?
Njengoko benditshilo ngaphambili, i-fistula ye-mucous ayidalwanga yodwa. Idla ngokwenziwa kunye nolunye utyando olubizwa ngokuba yi-colostomy okanye i-ileostomy . Makhe sijonge ukuba zeziphi ezo zimbini.
- Ukuphelisa i-colostomy: Kule nkqubo, ugqirha otyandayo udibanisa isiphelo esinye samathumbu amakhulu (ikholoni) nomngxuma (istoma) owenziwe eluswini lwesisu sakho. Indle iphuma kwesi stoma.
- I-End ileostomy: Kulapho isiphelo samathumbu akho amancinci (ileum) siqhagamshelwe khona nomngxuma owenziwe eluswini lwesisu sakho. Indle iphuma kwesi stoma.
Ngoko ke, xa une-end colostomy okanye i-end ileostomy efana nale, une -stomas ezimbini esiswini sakho. Esinye senzelwe ukuba isitulo siphume, kwaye esinye yi -mucus fistula stoma eyenzelwe ukukhupha i-mucus ephuma kwicandelo lamathumbu elalingasasebenzi.
I-stoma evumela ukuba indle iphume idla ngokuba nkulu kancinci. I-fistula ye-mucous incinci kakhulu.
Xa ujonga i-stoma, ibonakala ngathi ingaphakathi lesidlele sethu, ipinki kwaye ifumile. Ekubeni ingenamithambo-luvo, ayivakali ibuhlungu xa uyichukumisa.
Emva kotyando, isikhwama se-ostomy sibekwa ngaphandle kwestoma zombini. Ekuqaleni, i-fistula ye-mucous inokuvelisa ukukhupha okuninzi, ngoko ke ifuna nesikhwama esincinci. Nangona kunjalo, ngokuhamba kwexesha, ubungakanani bokukhupha buyancipha. Ngelo xesha, kunokwenzeka ukugcina isikhwama sigqunywe nge-gauze endaweni yesikhwama.
Ndingazilungiselela njani ngaphambi kotyando?
Ekubeni olu lutyando olukhulu, kufuneka ulungiselele kwangaphambili. Ugqirha wakho uza kukuchazela oku ngokweenkcukacha. Nazi izinto oza kucelwa ukuba uzenze:
- Ukuzila Ukutya: Kuya kufuneka uyeke ngokupheleleyo ukutya nokusela kangangeeyure ezimbalwa ngaphambi kotyando.
- Ukuyeka Amayeza: Ugqirha wakho unokukucebisa ukuba uyeke okwethutyana ukuthatha amayeza athile (ingakumbi amayeza okunciphisa igazi) ngaphambi kotyando.
- Ukuyeka ukutshaya: Oku kubaluleke kakhulu. Ukuba utshaya, kufuneka uyeke ukutshaya ubuncinane kwiiveki ezimbalwa ngaphambi kotyando lwakho. Ukutshaya kwandisa umngcipheko weengxaki emva kotyando kwaye kulibazise ukuphola kwenxeba.
- Ukucoca amathumbu: Ugqirha uza kukunika ulwelo olukhethekileyo (ukulungiselela amathumbu) ukuze ulusele ukuze ucoce amathumbu akho ngokupheleleyo ngaphambi kotyando.
Ingaba oku kuhlala kuhleli? Ngaba kuya kuhlala kuhleli?
Lo ngumbuzo oboyikisa abantu abaninzi xa bewuva. Kodwa iindaba ezimnandi zezokuba, uninzi lwexesha, oku akuhlali kuhleli.
Kwabaninzi abantu, i-fistula ye-mucous kunye ne-colostomy/ileostomy ehambelana nayo zenzeka okwethutyana.Eyona njongo iphambili apha kukunika amathumbu avuvukileyo nawonakeleyo ukuphumla kunye nexesha lokuphola.
Le nkqubo yokuphiliswa ingathatha iiveki, iinyanga, okanye unyaka. Nje ukuba amathumbu akho aphile ngokupheleleyo, ugqirha wakho angenza olunye utyando lokudibanisa kwakhona iindawo eziqhekekileyo zamathumbu akho. Emva koko, uya kukwazi ukwenza iintshukumo zesisu eziqhelekileyo kwakhona.
Zithini iingozi kunye neengxaki zoku?
Njengakwezinye iintlobo zotyando, kukho iingozi kunye neengxaki ezithile ezinokwenzeka, kodwa ayinguye wonke umntu oza kuhlangabezana nazo.
| Iingxaki ezinokubakho | |
|---|---|
| Usulelo | Iintsholongwane zinokwenzeka ngeenxa zonke kwinxeba okanye kwi-stoma yotyando. |
| I-Hernia | Izihlunu zesisu ezijikeleze i-stoma ziyabuthathaka, nto leyo ebangela ukuba inxalenye yamathumbu iphume phantsi kolusu. |
| Iingxaki ezinxulumene nestoma | I-stoma isenokutshona ngaphantsi kolusu (ukurhoxa), iphume kakhulu (iprolapse), okanye inciphise umngxuma (ukuqina). |
| Iingxaki zolusu | Ingxowa enamathele kwi-stoma okanye ukuphuma kwayo kunokubangela izilonda zesikhumba, ukubomvu, okanye ukurhawuzelelwa. |
| I-Diversion Proctitis | Ngenxa yokuba indle ayishukumi, ukudumba kunokwenzeka kwi-rectum. Oku kunokubangela ukuba igazi okanye amahlwili egazi adlule. |
| Ukufa kwezicubu (iNecrosis) | Kunqabile kakhulu ukuba izicwili ezikwi-stoma zife ngenxa yokuncipha kokunikezelwa kwegazi. |
Udinga ukufowunela ugqirha ngaliphi ixesha?
Wakufika ekhaya emva kotyando, kufuneka uqaphele iimpawu ezithile ezilumkisayo. Ukuba ubona nayiphi na kwezi, kufuneka ufowunele ugqirha wakho ngokukhawuleza .
- Ukuba unomkhuhlane okanye uziva ubanda (ezi zinokuba ziimpawu zosulelo).
- Ukuba isicaphucaphu nokuhlanza kuyaqhubeka.
- Ukuba kukho ukopha okugqithisileyo kwi-stoma okanye kunye nendle.
- Ukuba unengxaki yokukhupha indle okanye yokuchama.
- Ukuba i-stoma itshintsha umbala (umzekelo, ukuba ijika ibe mfusa okanye ibe mnyama).
Umyalezo Wokuya Ekhaya
- I-Mucous fistula yindlela ekhuselekileyo yokukhupha i-mucus kwinxalenye yamathumbu engenanto emva kotyando lwamathumbu.
- Oku kudla ngokwenziwa kwiimeko ezifana nesifo samathumbu esibangelwa kukudumba (IBD), umhlaza, okanye ukwenzakala kwamathumbu.
- Oku kudla ngokuba yinto yexeshana. Xa amathumbu epholile, iindawo zamathumbu zinokudityaniswa kwakhona ngotyando.
- Ukuba nestoma enye okanye ezimbini esiswini sakho kunokuvakala kungaqhelekanga ekuqaleni, kodwa uza kufundiswa indlela yokuzinyamekela ngokufanelekileyo esibhedlele.
- Ukuba unemibuzo, iinkxalabo, okanye amathandabuzo malunga noku, ungaze woyike ukuthetha ngokukhululekileyo nogqirha wakho. Bahlala bekulungele ukukunceda.
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