Ngaba unengxowa enamathele esiswini sakho ukuze ukhuphe inkunkuma yakho? Usenokuba ukhe wahlinzwa i-colostomy okanye i-ileostomy njengonyango lwesifo samathumbu okanye imeko. Mhlawumbi uyazi ukuba kunzima kangakanani ukuhlala nale ngxowa. Ngoko ke, umbuzo abantu abaninzi abanawo ngowokuba, "Andinakukwazi ukuyibuyisela ngendlela ebeyiyiyo?" Inokwenzeka ngokwenene. Yiloo nto sithetha ngayo namhlanje.
Yintoni i-Ostomy Reversal?
Ngamafutshane, ukuguqulwa kwesisu lutyando olususa isikhwama esiswini sakho kwaye lubuyisele ukusebenza kwamathumbu akho. Usenokukhumbula ukuba ngexesha lotyando lwakho lokuqala, oogqirha bavula umngxuma esiswini sakho apho inxalenye yamathumbu akho (ikholoni okanye ileum) iphuma khona ngesikhumba. Siyibiza ngokuba yistoma . Indle iphuma ngaloo stoma.
Ngoku, kolu tyando lokubuyisela umva, amathumbu awayedibene nestoma abuyiselwa esiswini aze adityaniswe namanye amathumbu. Emva koko, umngxuma osesiswini (stoma) uyavalwa. Emva koko, uya kukwazi ukukhupha indle nge-anus kwakhona ngendlela yakudala.
Kutheni abantu abaninzi kangaka befuna ukwenza olu tyando?
Le yinto exhomekeke kuwe ngokwenene. Abantu abaninzi bakhetha oku kuba bafuna ukuya kwindlu yangasese kwakhona ngendlela yabo endala, eqhelekileyo. Olu tyando lufana nethuba lokubuyela kubomi ababenabo ngaphambi kokuba kufakwe ibhegi ye-ostomy.
Emva kolu tyando, akusekho mfuneko yokuba ukhathazeke ngokutshintsha ibhegi yakho ye-ostomy okanye ukugcina ulusu olujikeleze i-stoma yakho lucocekile. Ngamanye amaxesha, ukuhlala nezinto ezifana nokuvuza kwibhegi kunye ne-allergies zesikhumba kunokuba nzima kakhulu. Ngoko ke olu tyando lukhululekile kakhulu ukukhululeka kuzo zonke ezo mithwalo.
Ndingalufanelekela njani olu tyando?
Ukuba ufuna ukwenza olu tyando, ugqirha wakho uza kuthathela ingqalelo izinto ezimbalwa. Asinguye wonke umntu onokwenza olu tyando. Kuxhomekeke kwimpilo yakho. Ngokwesiqhelo, olu tyando luqwalaselwa emva kweenyanga ezi-3 ukuya kwezi-12.
Jonga itheyibhile engezantsi ukuze ufumane iziqinisekiso eziphambili ezifunekayo koku.
| Yintoni ekufuneka yenziwe | Kalula nje... |
|---|---|
| Ukuphiliswa kwamanxeba otyando lwamathumbu | Emva kotyando lokuqala, amanxeba angaphakathi kwamathumbu kufuneka aphile ngokupheleleyo. Akufuneki kubekho ukuvuza kwiindawo apho amathumbu adibene khona. |
| Ukuxolelwa kwesifo samathumbu | Imeko yakho yamathumbu (umz., usulelo, ukudumba) ngoku kufuneka iphiliswe ngokupheleleyo. |
| Umsebenzi wezihlunu ze-rectum | Imithambo-luvo kunye nemisipha ekwi-rectum efunekayo ukulawula ukuhamba kwamathumbu kufuneka isebenze kakuhle. |
| Imeko yempilo iyonke | Impilo yakho yomzimba kufuneka ibe ntle ngokwaneleyo ukuze ukwazi ukumelana nolunye utyando. |
Zeziphi iimvavanyo ezenziwayo ngaphambi kotyando?
Ugqirha wakho unokwenza uvavanyo oluninzi ukuze abone ukuba ufanelekile na utyando, olufana nolu:
- I-Endoscopy: Ityhubhu enekhamera ifakwa nge-anus ukujonga izifo okanye ukuvaleka kwamathumbu.
- I-X-reyi yokwahlulahlula: Kunikwa ulwelo olukhethekileyo (ulwelo oluchaseneyo) kwaye kwenziwa i-X-reyi ukujonga ukuba kukho ukuvuza na naphi na emathunjini.
- Uvavanyo lweDijithali lweRectal: Ugqirha usebenzisa umnwe wakhe ukuhlola izihlunu zerectum.
- Uvavanyo lwegazi: Uvavanyo lwegazi lwenziwa ukuze kufunyanwe imeko yakho yesondlo kunye nezinye iingxaki zempilo.
Kwenzeka ntoni ngexesha lotyando?
Uza kunikwa i-anesthesia eqhelekileyo, ngoko awuyi kuva nto ngexesha lotyando, uza kube ulele. Ugqirha uhlala elandela la manyathelo:
1. Inxalenye yamathumbu (stoma) enamathele kulusu lwesisu iyasuswa ize yahlulwe.
2. Elo candelo liphinda lidityaniswe nenxalenye esezantsi yamathumbu. Oku kubizwa ngokuba yi-anastomosis ngokwezonyango.
3. Okokugqibela, onke amanxeba otyando, kuquka nomngxuma we-stoma esiswini, ayavalwa.
Olu tyando ludla ngokuba lula kunotyando lokuqala lwe-ostomy. Luthatha malunga neyure okanye ezimbini kuphela. Nangona kunjalo, ngamanye amaxesha lungathatha ixesha elide ukuba kukho izicubu zesilonda ezivela kutyando lwangaphambili.
Ziziphi iingozi kunye nemiphumo emibi enokwenzeka emva kotyando?
Njengalo naluphi na utyando, kukho iingozi ezithile ezibandakanyekayo. Usulelo, ukopha, kunye nokuqhekeka kwegazi kunokwenzeka.
Kodwa kukho umngcipheko omkhulu kakhulu ophathelele olu tyando. Loo meko ibizwa ngokuba kukuvuza kwe-anastomotic . Oko kukuthi, ukuvuza okuvela kwindawo apho amathumbu amabini adibene khona. Oku kunokuba yingozi kancinci, kuba iintsholongwane ezivela emathunjini zinokungena kwisisu zize zibangele usulelo. Ukuba uneempawu ezifana nomkhuhlane kunye nentlungu enzima esiswini esisezantsi, kufuneka uyicinge. Kodwa oku kwenzeka rhoqo.
Iziphumo ebezingalindelekanga zexesha elifutshane
Ezi zilandelayo ziqhelekile kwiintsuku zokuqala emva kotyando:
- Intlungu nokungakhululeki: Amanxeba otyando anokubangela iintlungu ezincinci nokungakhululeki, okufana nokugcwala kwesisu.
- I-Paralytic Ileus: Kuqhelekile ukuba amathumbu ahambe kancinci kangangeentsuku ezimbalwa emva kotyando. Yiyo loo nto kunikwa ukutya okumanzi kuqala.
- Utshintsho kwimikhwa yokuzilungisa: Xa izibilini ziqala ukusebenza kwakhona, usenokuba norhudo ekuqaleni. Abanye abantu basenokuba norhudo. Kuqhelekile nokuba kufuneka uye kwigumbi lokuhlambela rhoqo. Oku kuya kuba ngcono emva kweenyanga ezimbalwa.
Iziphumo ebezingalindelekanga zexesha elide
- I-Hernia: Inxalenye yamathumbu iphuma eluswini ngotyando.
- Ukuncamathelisa kwesisu: Ukuncamathelisa izicwili ngaphakathi esiswini ngenxa yotyando.
- Ukungakwazi ukuzibamba kwindle: Abanye abantu banokuba nobunzima bokulawula amathumbu abo ngenxa yemisipha ebuthathaka yerectal. Oku kunokunyangeka ngonyango lomzimba.
Kuthatha ixesha elingakanani ukuchacha? Ndingayinyamekela njani indlela enditya ngayo?
Kudla ngokuthatha malunga neeveki ezi-6 ukuya kwezi-8 ukuze uphile ngokupheleleyo. Ngeli xesha, uya kuphinda ufumane amandla akho kancinci kancinci.
Kufuneka ulumke kakhulu ngokutya kwakho nokusela kwakho.
- Qala ngokutya okulula ukukugaya, okungenafayibha eninzi (umz. iibhanana, irayisi, isonka).
- Sela amanzi amaninzi , ingakumbi ukuba unesifo sokuqhinwa.
- Yeka ukusela utywala, iziselo ezine-carbonated (ezifana ne-soda), kunye nekofu okwethutyana.
- Endaweni yokutya kathathu ngemini, yitya ukutya okuncinci kaninzi ngosuku.
- Chonga ukuba zeziphi ukutya ezikwenza ungakhululeki kwaye uziphephe okwethutyana.
Eyona nto ibalulekileyo:Musa ukwenza izinto ezifana nokuphakamisa iintsimbi okanye ukuqhuba imoto ude ugqirha wakho akunike imvume.
Ziziphi iimpawu ezifuna ukuba ubone ugqirha ngokukhawuleza?
Uza kunikwa iintsuku zokulandelela emva kotyando. Nangona kunjalo, ukuba ufumana naziphi na iimpawu ezingezantsi, bonana nogqirha wakho ngoko nangoko.
- Ukuba intlungu kunye nokudumba kuya kusiba mandundu
- Ukuba kukho isicaphucaphu nokuhlanza
- Ukuba unomkhuhlane
- Ukuba kukho ulwelo olufana nobovu oluvela kwinxeba lotyando
- Ukuba urhudo okanye ukuqhinwa kuyaqhubeka
- Ukuba unengxaki yokugcina ukutya okanye ulwelo luphantsi
Umyalezo Wokuya Ekhaya
- Utyando lokuguqula i-ostomy lithuba elihle lokususa i-ostomy bag kwaye ubuyele kubomi obuqhelekileyo.
- Olu tyando alulungelanga wonke umntu. Ugqirha wakho uza kugqiba ukuba uyalufanelekela na okanye akunjalo.
- Kuza kuthatha ixesha ukuba uphile emva kotyando. Kwakhona, ukuhamba kwamathumbu akho kunokutshintsha ekuqaleni. Ungakhathazeki ngaloo nto, kuyinto eqhelekileyo.
- Zive ukhululekile ukuthetha nogqirha wakho malunga nazo naziphi na iingxaki, ukungakhululeki, okanye amathandabuzo onokuba nawo.
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