Mhlawumbi wena okanye umntu omaziyo uxelelwe ngugqirha malunga notyando lwesisu. Kuqhelekile ukuba uzive usoyika kancinci, unexhala, kwaye uzive uneentloni xa usiva ngebhegi ebekwe ecaleni kwesisu sakho ukuze kuphume indle okanye umchamo wakho. Kodwa oku kungasindisa ubomi, okanye kunokwenza ubomi bakho bube lula kakhulu. Ngoko masithethe ngayo ngokulula, akunjalo?
Yintoni kanye kanye i-ostomy?
Ngamafutshane, i-ostomy yinkqubo yotyando edala enye indlela yokukhupha inkunkuma (oko kukuthi, ilindle okanye umchamo) emzimbeni wakho xa indlela yakho eqhelekileyo yokususa inkunkuma (oko kukuthi, ilindle okanye umchamo) ingasasebenzi. Olu tyando lunokwenziwa ukuba inxalenye yendlela yakho yokugaya ukutya okanye yomchamo yonakele, okanye ukuba ufuna ukunika loo nxalenye ixesha lokuphola.
Kolu tyando, ugqirha wenza umngxuma omncinci esiswini sakho. Oku kubizwa ngokuba yi-'stoma' . Emva koko, inxalenye ephilileyo yenkqubo yakho yokugaya ukutya okanye yomchamo esebenzayo iyahlulwa kwinxalenye engasebenzi kakuhle ize idityaniswe ne-stoma esandula ukwenziwa.
Emva kolu tyando, indle okanye umchamo ziya kuphuma kwi-stoma yakho. Le nkunkuma iya kuqokelelwa kwingxowa encinci enamathele kwi-stoma yakho. Le ngxowa siyibiza ngokuba yi-ostomy bag . Indlela eyenziwa ngayo ngamanye amaxesha yeyexeshana, ngamanye amaxesha isisigxina.
- I-Ostomy yexeshana: Oku kwenzelwa ukunika amathumbu akho okanye indlela yomchamo ithuba lokuphiliswa emva kwemeko yempilo okanye utyando. Xa ezo ndawo zibuyele esiqhelweni, zingasuswa ngotyando olunye.
- I-Ostomy esisigxina: I-ostomy esisigxina iyafuneka ukuba inxalenye yenkqubo yakho yokugaya ukutya okanye yomchamo yonakele kangangokuba ayilungiseki, okanye ukuba loo nxalenye kufuneka isuswe ngokupheleleyo.
Kutheni umntu efuna i-ostomy?
Kukho izizathu ezahlukeneyo zokuba kutheni ungathanda ukwenza i-ostomy. Le meko ixhaphake kakhulu kunokuba unokucinga. Makhe sijonge ngokuthe kratya le theyibhile ingezantsi.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Umhlaza Wesinye | Ukufuna enye indlela yokuchama xa isinyi sisusiwe. |
| Umhlaza weColorectal | Ukudala indlela entsha yokudlula kwendle xa inxalenye yamathumbu enomhlaza isusiwe. |
| Ukungakwazi ukuzibamba okungapheliyo | Ukuphucula umgangatho wobomi xa ezinye iindlela zonyango zingenakuwulawula. |
| I-Diverticulitis | Ukuvumela indawo yamathumbu eyonakeleyo ukuba iphiliswe ngenxa yosulelo kunye nokudumba. |
| Izifo ze-IBD (i-Ulcerative Colitis, isifo sikaCrohn) | Ukususa inkunkuma eyonakaliswe kukudumba okungapheliyo emathunjini. |
| Ukuvaleka Kwamathumbu | Xa kukho ukuvaleka kwindawo ethile emathunjini, okudala indlela yokuba indle idlule ngaphezulu kwawo. |
Ziziphi iintlobo eziphambili ze-ostomies?
Uhlobo lwe-ostomy luxhomekeke ekubeni leliphi ilungu lomzimba wakho elishiywa ngaphandle. Kukho iintlobo ezintathu eziphambili.
- I-Colostomy: Oku kuquka ukudibanisa inxalenye yamathumbu akho amakhulu (ikholoni) ne-stoma eyenziwe esiswini sakho. Indle iphuma ngale ndlela.
- Ileostomy: Oku kuquka ukudibanisa isiphelo samathumbu amancinci (ileum) nestoma. Oku kuvumela ukuba indle idlule.
- Urostomy: Kule nto, ii-ureters zakho, iityhubhu ezithwala umchamo, ziqhagamshelwe ngqo kwi-stoma, zidlula kwisinyi. Umchamo uphuma ngale nto.
Ziziphi iingenelo kunye neengozi ezinokubakho zotyando?
Ukuba ufuna ukususa inxalenye yendlela yakho yokugaya ukutya okanye yomchamo, okanye ukuba kufuneka uyeke ukuyisebenzisa, i-ostomy ingaba yindlela yokusindisa ubomi. Ingaphucula kakhulu umgangatho wobomi bomntu ohlala ebuhlungu kwaye ekwindlu yangasese ngenxa yeemeko ezithile ezingapheliyo.
Njengakwezinye iintlobo zotyando, kukho iingozi kunye neengxaki ezinokubakho, kodwa zinokuba lula ukuzilawula ukuba uzazi kwangaphambili.
Nazi ezinye zeengxaki eziqhelekileyo ezinokwenzeka:
- Ukurhawuzelelwa Lusu: Ulusu olujikeleze istoma lunokuba bomvu kwaye lurhawuzelelwe ngenxa yendle okanye umchamo. Le yingxaki eqhelekileyo. Oku kungathintelwa kakhulu ngokuyiqinisa kakuhle ibhegi kwaye uyicoce rhoqo.
- Ukungalingani kwe-Electrolyte: Amathumbu ethu amakhulu kulapho amanzi kunye nezondlo zifunxwa khona emzimbeni. Ekubeni le nxalenye ingafakwanga kwi-colostomy okanye kwi-ileostomy, umzimba unokuphelelwa ngamanzi emzimbeni okanye ube nokungalingani kwe-electrolyte. Ugqirha wakho uza kuchaza indlela yokuthintela oku.
- Ukuvaleka: Ngamanye amaxesha amathumbu anokuvaleka okwethutyana ngenxa yezicubu ezivalekileyo ezikhula emathunjini emva kotyando okanye ngenxa yokutya okungagayekiyo.
- I-Parastomal Hernia: Ukuba udonga lwesisu olujikeleze i-stoma luba buthathaka, izicwili ezingaphakathi kwesisu zinokuphuma, zenze i-hernia.
- I-Prolapsed Stoma: Ngamanye amaxesha inxalenye yamathumbu inokuphuma nge-stoma. Uninzi lwexesha, ugqirha angayibuyisela, kodwa kunqabile ukuba kufuneke utyando.
Ukuba ubona into efana nale, eyona nto ingcono onokuyenza kukungaxhalabi uze uthethe nogqirha wakho.
Uyinyamekela kwaye uyitshintsha njani ibhegi yakho ye-ostomy?
Kungathatha ukuya kuthi ga kwiiveki ezisi-8 ukuba inxeba lakho liphilise ngokupheleleyo emva kotyando. Ngeli xesha, uMongikazi weWound Ostomy Continence Nurse (WOCN) oqeqeshwe ngokukodwa uza kukufundisa indlela yokutshintsha nokucoca ibhegi yakho.
Uninzi lwabantu kufuneka batshintshe iibhegi zabo rhoqo emva kweentsuku ezi-3 ukuya kwezi-7. Abanye abantu bathanda ukuzitshintsha yonke imihla. Gcina ezi zinto engqondweni xa utshintsha ibhegi yakho.
- Sula nayiphi na i-mucus ekwi-stoma.
- Coca ulusu olujikeleze istoma kakuhle usebenzisa amanzi afudumeleyo kunye nesepha ethambileyo .
- Hlamba kakuhle ngamanzi ukuze ususe nayiphi na intsalela yesepha.
- Yomisa loo ndawo kakuhle.
Eyona nto ibalulekileyo kukujonga istoma yakho yonke imihla . Ukuba ibonakala ngathi itshintshile ngobukhulu, imo, okanye umbala, okanye ukuba idumbile okanye ibuhlungu, tsalela umnxeba ugqirha wakho ngoko nangoko.
Kunini apho kufuneka ufowunele ugqirha ngokukhawuleza?
Ziziphi iimpawu ugqirha azibonileyo emva kotyando?Kunokuba nzima ukwazi ukuba uthethe nini. Ukuba uziva ngathi kukho into engalunganga, ungathandabuzi ukuthetha. Fowunela ugqirha wakho ngoko nangoko, ingakumbi ukuba unale mpawu.
- Ukuba kukho ivumba elibi elivela kwi-stoma
- Ukuba istoma iphuma igazi kakhulu
- Ukuba ubonisa iimpawu zosulelo ezinje ngomkhuhlane, isicaphucaphu, ukuhlanza
- Ukuba unentlungu ebuhlungu esiswini ehlala ixesha elingaphezulu kweeyure ezintathu
- Ukuba kukho ukudumba, ukuba bomvu, okanye ukuxobuka kolusu
- Ukuba unendle enamanzi ixesha elingaphezulu kweeyure ezintandathu
Eminye imibuzo ebuzwa rhoqo
Ingaba olu tyando luya kuguqulwa? (Ingaba luya kuguqulwa?)
Ewe, ngamanye amaxesha kunokwenzeka. Oku kuxhomekeke kwimpilo yakho iyonke kunye nokuba inxalenye eyonakeleyo yamathumbu akho okanye inkqubo yomchamo iphiliswe kakuhle kangakanani. Ukuba ezo ndawo zisebenza ngokupheleleyo kwakhona, ungathetha nogqirha wakho malunga notyando lokuguqula i-ostomy.
Ungena njani kwindlu yangasese unebhegi ye-ostomy?
Nokuba emva kokuhlinzwa kwesisu, kusafuneka usebenzise indlu yangasese. Kodwa hayi zombini iindlela zokuhambisa amathumbu kunye nomchamo. Khawuthelekelele ukuba une-urostomy. Emva koko uchamela ebhegini, kodwa uye kwindlu yangasese ukuze uyokukhupha indle. Umntu one-colostomy okanye i-ileostomy uza kukhupha indle ebhegini, kodwa aye kwindlu yangasese ukuze ayokuchamela. Usebenzisa nendlu yangasese ukuze ukhuphe i-ostomy bag yakho.
Ngaba kunokwenzeka ukuba uphile ubomi obuqhelekileyo nge-ostomy?
Ngokuqinisekileyo. Ukuba ne-ostomy akuchaphazeli ubomi bakho bonke. Akukuthinteli nokuba uphile ubomi obupheleleyo nobusebenzayo. Imeko yezonyango eyakhokelela ekubeni ufune i-ostomy inokuchaphazela ubomi bakho, kodwa i-ostomy ngokwayo ayichaphazeli. Enyanisweni, ngamanye amaxesha i-ostomy inokwandisa ubomi bakho.
Nokuba yinto yexeshana okanye engapheliyo, ukuba ne-ostomy lutshintsho olukhulu ebomini bakho. Kubalulekile ukufumana inkxaso njengoko uqala olu hambo. Ukuthetha namaqela enkxaso nabantu abaye badlula kolu tshintsho kunokuba ngumthombo omkhulu wamandla.
Umyalezo Wokuya Ekhaya
- Utyando lwe-ostomy lutyando olutshintsha ubomi, oluhlala lusindisa ubomi okanye luphucula kakhulu umgangatho wobomi.
- Ukunyamekela ngokufanelekileyo nangokucocekileyo i-stoma kunye ne-pouch kubalulekile ukuthintela iingxaki.
- Qaphela iimpawu ezilumkisayo. Ukuba ubona nayiphi na kwezi mpawu, fowunela ugqirha wakho ngokukhawuleza.
- Ukuphila ne-ostomy yinto yokutshintsha, kodwa ungaphila ubomi obupheleleyo nobukhutheleyo. Ungaze woyike ukufuna inkxaso yeemvakalelo.
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