Inkqubo yomzimba wakho yokususa umchamo yinto esihlala siyithatha njengento elula, akunjalo? Umchamo, oveliswa zizintso, uhamba ngemibhobho ebizwa ngokuba yi-ureters, uqokelelana kwisinyi, kwaye uphuma xa kufuneka. Kodwa kwenzeka ntoni ukuba isinyi sakho siyeka ukusebenza ngokuchanekileyo, okanye kufuneka sisuswe ngokupheleleyo? Umzimba ulahlekelwa yindlela yawo yendalo yokususa umchamo. Kulapho inkqubo yotyando ekhethekileyo iqala khona - enika isisombululo esibalulekileyo.
Yintoni kanye kanye i-Ureterostomy?
Ngamafutshane, i-Ureterostomy yinkqubo yotyando apho ii-ureters - iityhubhu ezithwala umchamo ukusuka kwizintso zakho ukuya kwisinyi sakho - ziqhagamshelwe kwisinyi endaweni yoko ziqhagamshelwe kumngxuma omncinci owenziwe kumphezulu wesisu sakho. Lo mngxuma usandul' ukwenziwa ubizwa ngokuba yi- stoma .
Cinga ngolu hlobo: Khawucinge ngemibhobho emibini efaka amanzi etankini. Ngoku, masithi itanki yaphukile okanye kufuneka isuswe. Isisombululo kukukhupha imibhobho etankini uze uyiqondise ngqo ngaphandle. Kwi-ureterostomy, isinyi ('itanki') siyadlula, kwaye ii-ureters ('imibhobho') zidluliselwa ngqo kwi-stoma ziye ngaphandle komzimba.
Emva kotyando, umchamo uphuma ngqo kwizintso, udlula kwii-ureters, kwaye uphume emzimbeni nge-stoma. Ukuze kuqokelelwe lo mchamo, kufakwe ingxowa yeplastiki ekhethekileyo, eyaziwa ngokuba yi- pouch , ejikeleze i-stoma. Kuya kufuneka ukhuphe le ngxowa rhoqo, rhoqo njengoko ubuya kuchama ngokuqhelekileyo. Kwiintsana, umchamo ungaqokelelwa kwi-diaper.
Injongo ephambili yolu tyando kukudala indlela ethembekileyo yokuphuma komchamo emzimbeni ngokukhuselekileyo xa isinyi singasasebenzi. Ngokuqhelekileyo, le yinkqubo ehlala ihleli.
Ngubani Ofuna Olu Ngqesho?
Ugqirha wakho unokucebisa i-ureterostomy ukuba isinyi sakho asikwazi ukusebenza kakuhle ukugcina okanye ukukhupha umchamo. Zininzi izizathu ezinokubangela le meko:
| Isizathu | Ingcaciso elula |
|---|---|
| Ukususwa Kwesinye | Isinyi kufuneka sisuswe ngokupheleleyo ngenxa yomhlaza okanye esinye isifo. |
| Umonakalo Wesinye | Ukulimala kakhulu ngenxa yengozi okanye ezinye izizathu kuye konakala isinyi kangangokuba asisakwazi ukulungiswa. |
| Iimeko Zokuzalwa | Iimeko ezithile ezikhoyo xa umntwana ezalwa, njenge -Spine Bifida , zithintela isinyi ukuba singasebenzi kakuhle. |
| Ukulimala koMgogodla | Ukonakala komqolo kuphazamisa amandla okulawula ukusebenza kwesinyi. |
Amalungiselelo angaphambi kotyando
Ngaphambi kotyando, ugqirha wakho uya kuyalela iimvavanyo ezininzi ukuze ahlole kakuhle imeko yakho:
- Uvavanyo Lokusebenza Kwezintso: Ukuvavanya indlela ezisebenza ngayo izintso zakho.
- Uvavanyo lweGazi: Ukujonga imeko yakho yempilo iyonke.
- Uvavanyo lweMifanekiso (i-X-ray, i-Ultrasound): Ukuze ubone izintso kunye nomzila womchamo.
- I-Retrograde Pyelogram: Idayi ekhethekileyo ifakwe kwi-ureters, kwaye kuthathwa ii-X-ray ukuze kujongwe inkqubo yomchamo.
- I-CT Scan okanye i-MRI: Ezi zibonelela ngemifanekiso eneenkcukacha zomzimba ukuze ufumane umfanekiso ocacileyo.
Ukongeza, iqela lakho lotyando liza kuxoxa nawe ngendawo efanelekileyo yestoma. Oku kudla ngokukhethwa ukuze kubonakale lula, kuphephe ukunxiba amabhanti, kwaye kube kwindawo ethe tyaba yesikhumba engenamibimbi.
Utyando kunye nendlela esebenza ngayo le nkqubo
Ngexesha lotyando, ugqirha ukhupha i-ureter enye okanye zombini kwisinyi aze azidibanise ne-stoma esandula ukwenziwa esiswini sakho. Umchamo awusangeni kwisinyi.
Nantsi indlela esebenza ngayo le nkqubo intsha:
Ngokungafaniyo nendlela yendalo yomchamo, istoma ayinayo imisipha ye-sphincter yokulawula ukuhamba komchamo. Ngenxa yoko, umchamo uya kuphuma rhoqo kwizintso udlula kwi-ureters uze uphume kwi-stoma.
Ukuqokelelwa komchamo kubandakanya la manyathelo:
- Ukuncamathisela iPouch: Inkqubo yokufunxa inamacandelo amabini: isithintelo sesikhumba esinamathela esiswini esijikeleze istoma, kunye nesithintelo sokuqokelela esinamathele kwisithintelo. Ezinye iinkqubo zidityaniswe zombini zibe yinto enye.
- Isithintelo Sesikhumba: Esi sihlala sisincamathelisi esimile okwesikwere esinomngxuma osikiweyo ukuze silingane nestoma. Sinamathela ngokuqinileyo eluswini, sithintela ukuvuza komchamo.
- Ingxowa Yokuqokelela: Le ngxowa inamathela kwisithintelo kwaye iqokelela umchamo ophuma kwi-stoma.
Kuya kufuneka ukhuphe isikhwama xa sele sigcwele malunga nesinye kwisithathu ukuya kwisiqingatha. Uninzi lweengxowa zinevalvu encinci ezantsi, ekuvumela ukuba ukhuphe umchamo uye kwindlu yangasese ngaphandle kokususa isikhwama sonke. Ebusuku, ungaqhagamshela ityhubhu ende kwivalvu uze uyincamathisele kwingxowa enkulu yokukhupha amanzi.
Ingxowa idla ngokunxitywa phantsi kwempahla kwaye ayibonakali.
Ukhathalelo lweSisu kunye nePouch
Emva kotyando, ugqirha okanye umongikazi wakho uya kunika imiyalelo eneenkcukacha malunga nokunyamekela i-stoma yakho, ulusu olujikelezileyo, kunye nesingxobo. Ucoceko olufanelekileyo lubalulekile.
Ukhathalelo lwemihla ngemihla luquka:
- Hlamba istoma kunye nolusu olujikelezileyo ngobunono ngesepha namanzi athambileyo.
- Hlamba kakuhle uze womise.
- Ukutshintsha isikhwama rhoqo, ngesiqhelo rhoqo emva kweentsuku ezi-5 ukuya kwezi-7, okanye ngaphambi koko ukuba siyavuza okanye singcole.
Ukugcina indawo ye-stoma icocekile kwaye yomile kubaluleke kakhuluukuthintela ukurhawuzelelwa lusu kunye nosulelo.
Iingozi kunye neengxaki ezinokubakho
Njengalo naluphi na utyando, i-ureterostomy ineengozi ezinokubakho. Xoxa ngazo kakuhle nogqirha wakho kwangaphambili:
- Usulelo
- Ukopha
- Uphuhliso lweHernia
- Ukucaphuka kwesikhumba okanye ukusabela kwe-allergy ejikeleze i-stoma
- Ukungaphumeleli ukufezekisa isiphumo esifunekayo
- Ukwakheka kwezicubu ezibuhlungu
Ixesha lokuqhagamshelana noGqirha wakho
Jonga i-stoma yakho kunye nolusu olujikelezileyo ngokusondeleyo. Nxibelelana nogqirha wakho ngoko nangoko ukuba uqaphela oku:
- Ubomvu, amaqhakuva, okanye amaqhuqhuva eluswini olujikeleze istoma.
- Ukonakala kolusu okanye izilonda.
- Utshintsho kwimbonakalo yomchamo (umbala omnyama, igazi, igwebu eligqithisileyo) okanye ivumba.
- Iimpawu zosulelo ezifana nomkhuhlane, ukugodola, iintlungu zomqolo, isicaphucaphu, ukuhlanza, okanye ukungabi namdla wokutya.
I-Urostomy vs. Nephrostomy vs. Ureterostomy
La magama achaza iintlobo ezahlukeneyo zotyando lokuguqula umchamo:
- I-Urostomy: Eli ligama eliqhelekileyo lalo naluphi na utyando oludala umngxuma (stoma) wokuguqula umchamo usuke kwisinyi. I-Ureterostomy lolunye uhlobo lwe-urostomy. Ezinye iintlobo zinokubandakanya ukusebenzisa icandelo lamathumbu ukwenza umjelo.
- I-Nephrostomy: Kule nkqubo, kufakwa ityhubhu (i-catheter) ngqo kwizintso ukuze kukhutshwe umchamo ungene kwingxowa yangaphandle. Oku kudla ngokusetyenziswa xa ii-ureters zivaliwe kwaye zisenokuba zezexeshana.
- Ureterostomy: Njengoko kuchaziwe apha ngasentla, oku kubandakanya ngokukodwa ukudibanisa iiureters ngqo kwi-stoma eludongeni lwesisu.
Ukuphila Emva Kotyando
Ukuziqhelanisa nobomi emva kotyando lwe-ureterostomy kungathatha ixesha. Kuqhelekile ukuba neemvakalelo zokungakwazi ukuchama ngendlela eqhelekileyo. Thetha ngokukhululekileyo nogqirha wakho okanye umcebisi; banokukunika inkxaso kunye nezixhobo.
Khumbula, awuwedwa. Abantu abaninzi baye baphumelela ekuziqhelaniseni nokuphila ne-stoma. Gxila kwinto yokuba olu tyando lukuvumela ukuba uphile ubomi obusempilweni nobude.
Izinto ezibalulekileyo ekufuneka ziqwalaselwe
- I-ureterostomy ibuyisela umchamo kwizintso ngokuthe ngqo nge-stoma esiswini, idlula kwisinyi.
- Kudla ngokuba yimfuneko xa isinyi sisusiwe okanye singasebenzi ngenxa yomhlaza, ukwenzakala, okanye iingxaki zokuzalwa.
- Ingxowa egqunywe phezu kwestoma iqokelela umchamo, ofuna ukukhutshwa nokutshintshwa rhoqo.
- Ukugcina i-stoma kunye nolusu olujikelezileyo lucocekile kwaye lomile kubalulekile.
- Lumka xa kukho iimpawu zeengxaki ezifana nokurhawuzelelwa lusu, usulelo, okanye utshintsho kumchamo, kwaye uqhagamshelane nogqirha wakho ngokukhawuleza.
Isikhanyeli: Eli nqaku linika ulwazi ngokubanzi malunga nale meko kwaye akufuneki lithathe indawo yeengcebiso ezivela kugqirha wakho. Soloko uqhagamshelana neengcali zempilo.
Imibuzo Ebuzwa Rhoqo (Ii-FAQ)
Yintoni i-stoma?
I-stoma ngumngxuma owenziwe ngotyando phezu kwesisu ovumela umchamo (okanye isitulo, kwezinye iintlobo ze-ostomies) ukuba uphume emzimbeni.
Kufuneka ndikhuphe kangaphi ingxowa?
Ngokwesiqhelo kuya kufuneka ukhuphe ingxowa xa ivakala ngathi iphantse ibe yi-1/3 ukuya kwi-2/4. Ubuninzi bokuchama buxhomekeke kubungakanani bomchamo wakho, kodwa ngokuqhelekileyo buqala kwiiyure ezimbalwa ukuya kumaxesha aliqela ngemini.
Ngaba ndingakwazi ukuphila ubomi obusebenzayo nge-ureterostomy?
Ewe! Uninzi lwabantu luyaziqhelanisa kakuhle kwaye luqhubeka nokuphila ubomi obupheleleyo nobusebenzayo. Ngokhathalelo olufanelekileyo lwe-stoma kunye nolawulo lwengxowa, ungathatha inxaxheba kwimisebenzi emininzi, kuquka ukudada, imidlalo, kunye nokuhamba.
Kuza kwenzeka ntoni ukuba i-stoma iyacaphuka okanye isulelekile?
Ukuba ubona ububomvu, izilonda, ukuvuza okungapheliyo, okanye ezinye iimpawu zokurhawuzelelwa okanye usulelo olujikeleze istoma, kubalulekile ukuqhagamshelana nomboneleli wakho wezempilo ngoko nangoko ukuze ahlolwe aze anyangwe.
Ngaba utyando lwe-ureterostomy luhlala luhleli?
Kwiimeko ezininzi, i-ureterostomy yinkqubo esisigxina. Nangona kunjalo, kwezinye iimeko ezithile (njengokuvinjelwa okwethutyana), amalungiselelo angezinye anokuqwalaselwa, kodwa oku akwenzeki rhoqo.
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