Ngamanye amaxesha kufuneka senze utyando olukhulu lwamathumbu, akunjalo? Usenokuba ukhe weva ukuba emva kotyando olunjalo, kwakheka umngxuma omncinci, obizwa ngokuba yi-`(stoma)`, kumphezulu wesikhumba sesisu. Kuqhelekile ukuba uzive usoyika kwaye unexhala xa usiva oku. Namhlanje siza kuthetha ngento ekwanzima kancinci, kodwa ebaluleke kakhulu. Oko kukuthi, yintoni i-`Mucous Fistula` kwaye kutheni ifuneka.
Yintoni iMucous Fistula?
Ngamafutshane, i-fistula ye-mucous ngumngxuma omncinci owenziwe ngokudibanisa inxalenye yamathumbu akho esusiweyo okwethutyana nolusu lwesisu sakho.
Cinga nje, amathumbu ethu akangombhobho nje kuphela. Ahlala evelisa ulwelo olubizwa ngokuba yi-mucus ukuze azikhusele kwaye ancede izinto zihambe ngokulula. Ngoku, masithi inxalenye yamathumbu isusiwe ngenxa yemeko yempilo, okanye yahlulwe kumzimba wonke kuba kufuneka iphumle. Emva koko, loo nxalenye yamathumbu engasebenziyo iyaqhubeka nokuvelisa loo mucus.
Ngoko ke, ukuba ezi zinto ziphumayo azinandawo yokuya kuzo, zinokuqokelelana emathunjini zize zibangele iintlungu, ukungonwabi, kunye nosulelo. Oko kwenziwa yi-mucous fistula kukudala indlela yokuba ezo zinto ziphumayo ziphume emzimbeni ngokulula nangokukhuselekileyo.
Ngokwesiqhelo, uya kuba nezimbobo ezimbini (stomas) ngexesha lolu hlobo lotyando.
1. I-stoma ephambili (i-Colostomy okanye i-Ileostomy): Kulapho ukutya okucoliweyo kunye nendle ziphuma khona. Ingxowa incamatheliswe apha.
2. I-Mucous fistula: Le incinci kunenye. Incindi ye-mucous esiyikhankanyileyo iphuma kule.
Kutheni sifuna i-fistula ye-mucous?
Oku kudla ngokwenziwa kunye nolunye utyando lwamathumbu. Kungafuneka ikakhulu kubantu abanezifo zamathumbu ezibangelwa kukudumba (IBD). Kukwakho nezinye izizathu ezininzi.
| Imeko/Isizathu | Ingcaciso elula |
|---|---|
| Isifo sikaCrohn kunye ne-Ulcerative colitis | Ezi zizifo ezibangela ukudumba kwamathumbu ixesha elide. Olu tyando lwenziwa ukuze inxalenye yamathumbu eyonakeleyo ifumane ixesha lokuphola. |
| Umhlaza weColoral | Le ndlela isetyenziswa okwethutyana de iindawo zamathumbu ziphinde zadibana emva kokuba isisu esinomhlaza sisusiwe. |
| I-Diverticulosis | Usulelo lwezakhiwo ezincinci ezifana neengxowa ezikhula ngaphandle kweendonga zamathumbu. |
| Ukuvaleka kwamathumbu okanye iingozi | Le ndlela isetyenziswa xa inxalenye yamathumbu ivalekile okanye yonakele kwingozi ide iphole. |
Kutheni iintsana ezincinci zidinga oku?
Ngamanye amaxesha neentsana ezisandul’ ukuzalwa kufuneka zenze olu tyando.
- Impundu engasebenzi kakuhle: Abanye abantwana bazalwa bengenamngxuma kwimpundu. Oku kuthetha ukuba akukho ndlela yokuba indle idlule. Kwenziwa i-colostomy yexeshana ukuvumela indle ukuba idlule kwaye kwenziwa i-fistula ye-mucous ukuvumela i-mucus ukuba idlule de umntwana abe namandla ngokwaneleyo ukuba enze utyando lokulungisa.
- Ukuvaleka kwamathumbu: Ezinye iintsana zinemiqobo okanye ukuqhawuka kwamathumbu. Ukuba oku akunakulungiswa ngotyando olunye, kunokufuneka i-fistula yesikhashana ye-mucous.
Luhamba njani olu tyando kunye nenkqubo enxulumene nalo?
Oku kudla ngokwenziwa ngugqirha we-colorectal ogxile ekuhlinzeni amathumbu amakhulu okanye amathumbu amancinci.
Ngaphambi kotyando
Ugqirha wakho uza kukuchazela ngokucacileyo into ekufuneka uyenze ngaphambi kotyando. Ezi zizinto ekufuneka uzenze rhoqo:
- Musa ukutya okanye ukusela nantoni na kangangeeyure eziliqela ngaphambi kotyando (ukuzila ukutya).
- Yeka okwethutyana ukuthatha amayeza athile (ingakumbi lawo anciphisa ukujiya kwegazi) njengoko ugqirha wakho eyalele.
- Ukuba uyatshaya, kubalulekile ukuyeka ubuncinane iiveki ezimbalwa ngaphambi kotyando. Ukutshaya kwandisa umngcipheko weengxaki emva kotyando kwaye kulibazisa ukuphola kwenxeba.
- Khupha uze ucoce amathumbu akho ngokupheleleyo ngokusela isiselo esikhethekileyo (ukulungiselela amathumbu) esinikwe ngugqirha wakho.
Ngexesha lotyando
Olu tyando lwenziwa phantsi kwe-anesthesia eqhelekileyo. Oku kuthetha ukuba awuyi kuva nto, uza kube ulele. Ugqirha uza kwenza oku kulandelayo:
1. Kwenziwa ukusika phezu kolusu lwesisu ukuze kufikelelwe kwindawo efanelekileyo yamathumbu.
2. Inxalenye yamathumbu enesifo okanye inxalenye efuna ukuphumla iyahlulwa.
3. Isiphelo esinye senxalenye esebenzayo yamathumbu siqhagamshelwe kwindawo ephambili eyenziwe esiswini (stoma). Oku kubizwa ngokuba yi-ileostomy okanye i-colostomy.
4. Kwenziwa omnye umngxuma omncinci uze uqhagamshelwe kwelinye icala lenxalenye yamathumbu ekhubazekileyo. Le yi -mucous fistula .
5. Emva koko i-incision ephambili iyathungwa.
6. Iingxowa ezikhethekileyo (iingxowa ze-ostomy) zincamatheliswe kuzo zombini iindawo ezivulekileyo.
Iingenelo, iingozi, kunye nexesha lokubuyela kwimeko yesiqhelo
Njengalo naluphi na utyando, olu lunezibonelelo kunye neengozi.
| Iinzuzo | Iingozi ezinokubakho |
|---|---|
| Nqanda ukuba i-mucus ingaqokeleli kwi-colon engasebenzi kakuhle kwaye ivumele ukuba iphume ngokukhuselekileyo. | Usulelo okanye ukwenzakala kwesikhumba esijikeleze umngxuma. |
| Ukuthintela iintlungu, ukungonwabi, kunye nosulelo olubangelwa kukuqokelelana kwe-mucus. | I-stoma isenokurhoxa (ukurhoxa) okanye iphume (ukurhoxa) eluswini. |
| Ukunika inxalenye yamathumbu eyonakeleyo yonke into efunekayo ukuze iphiliswe. | I-Hernia ijikeleze ukuvulwa. |
| Ukuphuma kwegazi okanye i-mucus kwi-rectum (i-Diversion proctitis). |
Ixesha lokuchacha
Uza kuhlala esibhedlele kangangeveki emva kotyando. Ngeli xesha, abasebenzi bonyango baza kukufundisa indlela yokucoca nokutshintsha iistoma kunye neepokotho zakho, kunye nendlela yokunyamekela ulusu oluzingqongileyo. Ekuqaleni, iistoma zinokubonakala zinkulu kancinci, zimnyama, kwaye zimanzi, kodwa ekuhambeni kwexesha ziya kuncipha kwaye zithambe.
Kwinqanaba lokuqala, kukho inani eligqithisileyo le-mucus evela kwi-fistula ye-mucous.Ingaphuma. Ngoko ke kufuneka unxibe ibhegi encinci ukuze wenze loo nto. Kodwa ekuhambeni kwexesha, oku kukhupha amanzi kuya kuncipha kakhulu. Ngamanye amaxesha kuya kuncipha ukuya kwinqanaba apho inokugqunywa ngesiqwenga esiqhelekileyo segauze.
Ingaba oku kuhlala kuhleli?
Enye yezona zinto zixhalabisa abantu abaninzi kukuba le meko iya kuba yimeko yobomi bonke. Iindaba ezimnandi zezokuba kwiimeko ezininzi, oku kungokwexeshana. Oku kwenzelwa ukunika indawo echaphazelekayo yamathumbu ithuba lokuphola kunye nethuba lokuphiliswa. Le nkqubo yokuphiliswa ingathatha iiveki, iinyanga, okanye iminyaka. Ukuba ugqirha wakho ugqiba ekubeni enze njalo, banokudibanisa kwakhona indawo yamathumbu ngotyando kwaye bakuvumele ukuba uphume ngendlela eqhelekileyo.
Ufanele ubize ugqirha nini ngoko nangoko
Emva kokuba ubuyele ekhaya, ukuba ufumana naziphi na kwezi mpawu, kufuneka ufowunele ugqirha wakho ngoko nangoko . Okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
- Ukuba kukho igazi esitulweni.
- Ukuba wopha kakhulu kwaye ungaqhelekanga.
- Ukuba ufumana isicaphucaphu nokuhlanza rhoqo.
- Ukuba uneempawu zosulelo, ezinje ngomkhuhlane, ukubanda, kunye nokungcangcazela.
- Ukuba unengxaki yokuchama okanye yokukhupha indle (kwi-stoma ephambili).
Ukuphila ne-stoma kunokuba nzima ekuqaleni. Kodwa wakuba ufunde indlela yokuyilawula, ungaphila ubomi obuqhelekileyo ngokupheleleyo. Vula kugqirha wakho malunga nemibuzo okanye iinkxalabo onokuba nazo.
Umyalezo Wokuya Ekhaya
- I-fistula ye-mucous ngumngxuma okhuselayo ovumela i-mucus eveliswa yinxalenye engasebenzi kakuhle yamathumbu ukuba isuswe emzimbeni emva kotyando lwamathumbu.
- Oku kudla ngokwenziwa kunye nolunye utyando olukhulu (i-colostomy okanye i-ileostomy).
- Kwiimeko ezininzi, esi sisisombululo sexeshana . Xa amathumbu epholile, anokubuyiselwa esiqhelweni ngotyando.
- Kubaluleke kakhulu ukukhathalela kakuhle i-stoma yakho kunye nolusu oluyijikelezileyo. Isibhedlele siza kukunika iingcebiso ngale nto.
- Ukuba ufumana iimpawu ezingaqhelekanga ezifana nokopha kakhulu, umkhuhlane, okanye ukuhlanza , qhagamshelana nogqirha wakho ngoko nangoko.
- Thetha nogqirha wakho malunga nayo nayiphi na inkxalabo okanye imibuzo onokuba nayo malunga noku. Baya kukwazi ukukunceda.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho