Umchamo yinxalenye eqhelekileyo yomzimba wakho, into esingacingi kakhulu ngayo, akunjalo? Umchamo, oveliswa zizintso, uhamba ngeetyhubhu ezimbini uze uqokeleleke kwisinyi, apho ukhutshwa khona xa kufuneka. Kodwa khawucinge ukuba kwenzeka ntoni ukuba isinyi sakho siyeka ukusebenza ngesizathu esithile, okanye ukuba kufuneka sisuswe? Akukho ndlela yokuba umchamo uphume emzimbeni. Namhlanje siza kuthetha ngotyando olukhethekileyo oluza kunceda kwimeko enjalo.
Yintoni i-ureterostomy ngokulula?
Ngamafutshane,
i-ureterostomy yinkqubo yotyando apho iityhubhu ezimbini ezithwala umchamo ukusuka kwizintso zakho ukuya kwisinyi sakho (esibizwa ngokuba yi-'ureters') zisuswa kwisinyi sakho kwaye endaweni yoko ziqhagamshelwe kumngxuma omncinci eluswini okanye esiswini sakho. Lo mngxuma mtsha ubizwa ngokuba
yi-stoma . Kunje. Khawucinge ngemibhobho yamanzi emibini eqhagamshelwe kwitanki yamanzi. Ngoku itanki iphukile. Senza ntoni? Sisusa itanki size sikhuphe imibhobho yamanzi emibini ngqo. Kwenzeka into efanayo apha. Sidlula kwisinyi (itanki yamanzi) size senze imibhobho yomchamo ('ureters') iphume ngqo emzimbeni ngaloo 'stoma'. Emva koko, umchamo uphuma ngqo kwizintso uze uphume emzimbeni ngale 'stoma'. Ukuze kuqokelelwe lo mchamo, kubekwa ingxowa yeplastiki ekhethekileyo, ebizwa ngokuba yingxowa, ijikeleze i-stoma. Kuya kufuneka ukhuphe ingxowa amaxesha amaninzi njengoko uqhele ukuchama. Kumntwana omncinci, lo mchamo unokuqokelelwa nakwi-diaper.
Olu tyando ludala indlela yokuba umchamo uphume ngokukhuselekileyo emzimbeni, nokuba isinyi asisebenzi kakuhle. Le yinkqubo ehlala ihleli.
Ngubani odinga olu tyando?
Ugqirha wakho angacebisa olu tyando ukuba isinyi sakho asikwazi ukukhupha umchamo ngokuqhelekileyo. Kunokubakho izizathu ezahlukeneyo zoku.
| Isizathu | Ingcaciso elula |
|---|
| Ukususwa kwesinyi | Ukususa isinyi ngokupheleleyo ngenxa yomhlaza okanye enye imeko yempilo. |
| Umonakalo wesinyi | Ukonakala kwesinyi ngenxa yengozi okanye esinye isizathu, okubangela ukungasebenzi kakuhle. |
| Iimeko ezibangelwa kukuzalwa | Ezinye iimeko ezikhoyo xa umntwana ezalwa, ezifana ne -Spine Bifida, zinokubangela ukuba isinyi singasebenzi kakuhle. |
| Ukulimala komqolo | Ukungakwazi ukulawula ukusebenza kwesinyi ngenxa yomonakalo kumqolo. |
Wenza ntoni ngaphambi kotyando?
Ngaphambi kokuba enze olu tyando, ugqirha uza kwenza iimvavanyo ezininzi ukuze afumanise imeko echanekileyo yomzimba wakho.
- Uvavanyo lokusebenza kwezintso : Jonga ukuba izintso zakho zisebenza kakuhle kangakanani na.
- Uvavanyo lwegazi : Fumanisa ngempilo yomzimba ngokubanzi.
- Uvavanyo lokufota: Uvavanyo olufana ne -X-ray okanye i-ultrasound scan luthatha imifanekiso yezintso kunye nenkqubo yomchamo.
- I-Retrograde Pyelogram: Kule nto, kufakwa ulwelo olukhethekileyo (idayi) kwi -urethra kwaye kuthathwa i-X-ray.
- I-CT scan: Oku kungathatha imifanekiso yomzimba enqamlezileyo kwaye kunike umfanekiso ocacileyo.
- I-MRI : Oku kunokuvelisa imifanekiso ecacileyo yezintso kunye nomgudu womchamo.
Ukongeza, ugqirha okanye umongikazi uza kuthetha nawe ngaphambi kotyando ukuze akhethe indawo efanelekileyo yokubeka istoma. Ihlala ibekwa
kwindawo ebonakala lula kuwe, engayi kubanjwa kwiimpahla zakho (umz., ibhanti), kwaye ayinazo iziqwenga zesikhumba .
Utyando lwenzeka njani kwaye le nkqubo isebenza njani?
Ngexesha lotyando, ugqirha uza kwahlula i-urethra yakho enye okanye zombini kwisinyi sakho aze azidibanise ne-'stoma' entsha. Ngoku, umchamo awuyi kungena kwisinyi. Ngoku makhe sibone indlela esebenza ngayo le nkqubo intsha. I-'stoma', oko kukuthi, ukuvulwa, ayinasihlunu ('sphincter') esithintela ukuphuma komchamo, njengalowo ukwi-urethra yethu. Ngenxa yoko,
Umchamo awunakulawulwa. Uyaqhubeka uphuma kwithontsi lezintso ngokuthontsiza. Nantsi indlela umchamo oqokelelwa ngayo: 1. Ingxowa inamathele phezu kwe-stoma: Le nkqubo 'yokugquma' inamacandelo amabini. Enye 'yi-'barrier'. Enye 'yi-'collecting pouch'. Ngamanye amaxesha kukho iimeko apho zombini ezi zinto zidityaniswe khona. 2. 'I-'Barrier': Esi sisixhobo esimile okwesikwere esinomngxuma phakathi ohambelana ne-'stoma'. Sincamatheliswe eluswini ngesincamathelisi esikhethekileyo. Ke ngoko, umchamo awuphumi. 3. 'Ingxowa': Le ngxowa iqhagamshelwe 'kwi-'barrier'. Ngoku umchamo ovela kwizintso uqokelelwa ngqo kule ngxowa. Ngokwesiqhelo, ingxowa kufuneka ikhutshwe xa igcwele isithathu okanye isiqingatha. Ungakhupha umchamo wakho kwindlu yangasese ngaphandle kokususa ingxowa ngokuvula ivalvu encinci ezantsi kwengxowa. Ebusuku, ungaqhagamshela ityhubhu kule valve kwaye umchamo uqokelele kwingxowa enkulu. Le ngxowa ifihlwe phantsi kweempahla zakho ukuze ingabonakali. Ungayinyamekela njani i-stoma kunye ne-pouch?
Emva kotyando, ugqirha okanye umongikazi wakho uza kukufundisa indlela yokugcina istoma yakho, ulusu oluyijikelezileyo, kunye nengxowa icocekile. Baza kukufundisa nendlela yokutshintsha ingxowa. Kubaluleke kakhulu ukugcina istoma yakho icocekile kwaye yomile ngamaxesha onke. Kufuneka wenze oku kulandelayo yonke imihla:- Hlamba istoma kunye nolusu olujikeleze yona usebenzisa isepha namanzi athambileyo.
- Hlamba ngamanzi ide isepha iphele.
- Emva koko yiyeke yome kakuhle.
Isikhwama kufuneka sitshintshwe ngexesha elifanelekileyo. Ngokwesiqhelo, isikhwama esidala kufuneka sisuswe ngokupheleleyo size sifakwe esitsha emva kweentsuku ezi-5 ukuya kwezi-7 . Zithini iingozi kunye neengxaki zotyando?
Njengakwezinye iintlobo zotyando, kukho iingozi ezithile ezibandakanyekileyo. Xoxa ngazo nogqirha wakho ngaphambi kokuba wenze utyando.- Usulelo.
- Ukopha .
- I-Hernia.
- Ububomvu , ukudumba, okanye ezinye iimpembelelo ze-allergy ezijikeleze i-stoma.
- Ukungaphumeleli ukufumana iziphumo ezilindelekileyo ezivela kutyando.
- Ukwakheka kwezicubu ezibomvu.
Kufuneka uthethe nini nogqirha?
Kufuneka uhlale uqaphela i-stoma yakho kunye nolusu oluyijikelezileyo. Ukuba ubona naluphi na utshintsho, xelela ugqirha wakho ngoko nangoko. Utshintsho lolusu olujikeleze i-stoma: Iimpawu zosulelo
| Iimpawu ekufuneka uzijonge | Inkcazo |
|---|
| Ubomvu besikhumba okanye ukurhawuzelela | Ukuba ulusu olujikeleze istoma lubomvu kwaye lubukeka njenge-eczema. |
| Ukuqhambuka kwesikhumba okanye ukugquma | Ukuba ulusu lubonakala lomile, luqhekekile, okanye lonzakele. |
| Izilonda zesikhumba | Izilonda zesikhumba zinokwenzeka ngenxa yokuvuza komchamo phakathi kwesingxobo kunye nestoma. |
| Utshintsho kumchamo | Umchamo omnyama, igazi emchameni, umchamo omninzi, okanye ivumba elibi. |
| Ezinye iimpawu | Intlungu yomqolo, umkhuhlane, isicaphucaphu kunye/okanye ukuhlanza, ukungabi namdla wokutya. |
Ngaba i-Urostomy, i-Nephrostomy, kunye ne-Ureterostomy ziyafana?
Hayi. Nangona zonke ezi zintathu zilutyando olutshintsha indlela umchamo okhutshwa ngayo, zahlukile enye kwenye.- I-Urostomy: Eli ligama eliqhelekileyo. I-Ureterostomy ikwaluhlobo lwe-urostomy. Nangona kunjalo, kukho ezinye iindlela ze-urostomy. Umzekelo, ukuthatha iqhekeza lesisu esincinci uze wenze i-urethra entsha.
- I-Nephrostomy: Oku kuquka ukufaka ityhubhu (i-catheter) ngqo kwizintso, eqokelela umchamo ngaphandle komzimba ebhegini. Oku kudla ngokwenziwa kubantu abane-ureters ezivalekileyo. Oku kudla ngokuba yinto yexeshana.
I-ureterostomy yinkqubo eyahlukileyo, apho i-urethra iqhagamshelwe ngqo eluswini. Kunokuba nzima kancinci ukuqhelana nobomi emva kotyando. Ungaziva ungakhululekanga ngokungakwazi ukuchama ngokuqhelekileyo njengabanye abantu. Kodwa thetha nogqirha wakho ngayo ngokukhululekileyo. Angakunika inkxaso yeemvakalelo oyifunayo okanye akudibanise nabantu abanokukunceda. Khumbula, awuwedwa. Kukho abanye abantu abaninzi abaye benza olu tyando. Kwakhona, cinga ngolu tyando njengendlela yokukunceda uphile ubomi obungcono nobude. Umyalezo Wokuya Ekhaya
- I-ureterostomy yinkqubo yotyando edlula isinyi ize idibanise i-ureter esuka kwizintso ukuya kwindawo evulekileyo (stoma) eluswini ukuze kuphume umchamo.
- Oku kudla ngokuba yimfuneko xa isinyi singasebenzi ngenxa yomhlaza, ingozi, okanye isiphene sokuzalwa.
- Ingxowa incamatheliswa ngaphandle komzimba ukuze kuqokelelwe umchamo, kwaye kufuneka ikhutshwe kwaye itshintshwe rhoqo.
- Kubaluleke kakhulu ukugcina istoma kunye nolusu oluyijikelezileyo lucocekile kwaye lomile**.
- Ukuba ubona naziphi na iimpawu ezingaqhelekanga ezifana nokubomvu kwesikhumba, izilonda, utshintsho kumchamo, okanye umkhuhlane, yazisa ugqirha wakho ngoko nangoko.
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