Khawucinge ukuba isinyi sakho bekufuneka sisuswe ngesizathu esithile, okanye asisebenzi kakuhle. Ngoko ke umchamo oveliswa emzimbeni uphuma njani? Umele ukuba nawe ubunale ngxaki. Kulapho oogqirha baphendukela khona kwinto ebizwa ngokuba yi-'urinary diversion surgery' okanye i-Urinary Diversion . Nangona oku kungabonakala ngathi yingongoma enzima, namhlanje siza kuthetha ngayo ngokulula, ngendlela onokuyiqonda.
Okokuqala, makhe sijonge indlela esebenza ngayo inkqubo yethu yomchamo.
Ukuze sikuqonde oku, kufuneka siqale siqonde inkqubo eqhelekileyo yokwakheka komchamo kunye nokukhupha umchamo emzimbeni wethu. Kulula kakhulu.
- Izintso: Ezi zifana nezihluzo zamanzi ezibini. Zihluza igazi lethu, zisuse inkunkuma engafunekiyo kunye namanzi angaphezulu, kwaye zenze "umchamo."
- Ii-ureters: Umchamo oveliswa kwizintso uthwalwa uye kwisinyi ngemibhobho emibini. Le mibhobho mibini ibizwa ngokuba zii-ureters.
- Isinyi: Oku kufana nebhaluni encinci. Yingxowa eqokelela kwaye igcine umchamo.
- Umchamo: Xa isinyi sigcwele, umchamo uphuma ngale tube.
Lonke eli qhinga lilawulwa lunxibelelwano lwemithambo-luvo phakathi kobuchopho kunye nesinyi. Xa isinyi sigcwele, kuthunyelwa umyalezo engqondweni. Emva koko ingqondo ixelela isinyi ukuba sinciphe kwaye izihlunu ezikwindlela yomchamo ziphumle.
Kutheni umntu edinga olu hlobo lotyando?
Olu tyando lufuneka kuphela xa isinyi singasebenzi kakuhle okanye kufuneka sisuswe. Kunokubakho izizathu ezininzi zoku.
- Umhlaza wesinyi .
- Umonakalo wesinyi obangelwa lunyango lwemitha yomhlaza.
- Usulelo olungapheliyo lwesinyi oluvela rhoqo kwaye olungapholiyo.
- Ukonzakala okukhulu kwinkqubo yomchamo.
- Iziphene zokuzalwa ezifana ne -spina bifida.
- Izifo zenkqubo yemithambo-luvo ezifana neMultiple Sclerosis (MS) .
- Ukungakwazi ukuzibamba okanye iintlungu ezinganyamezelekiyo kwisinyi.
Eyona nto ibalulekileyo kukuba umchamo kufuneka uphume emzimbeni. Ukuba awuphumi, loo mchamo ungabuyela umva uze ubeke uxinzelelo kwizintso, nto leyo enokubangela iimeko ezinzima ezifana nokungasebenzi kakuhle kwezintso. Injongo ephambili yolu tyando kukuthintela loo monakalo.
Ziziphi ezi ntlobo zotyando?
Ngamafutshane, oogqirha basebenzisa icandelo elincinci lamathumbu akho ukudala indlela entsha yokuphuma komchamo. Oku kwenziwa ngeendlela ezimbini eziphambili. Makhe sijonge ezi ndlela zimbini ngendlela elula ukuyiqonda.
| Uhlobo lotyando | Okwenzekayo kulula. |
|---|---|
| Ukuphambuka Okungenasiphelo | Ugqirha wenza umngxuma (stoma) eluswini lwesisu. Umchamo uqhagamshelwe kwiqhekeza lamathumbu kwaye unamathele kulo mngxuma. Umchamo uyaqhubeka uphuma kulo mngxuma uye kwingxowa yangaphandle (ibhegi ye-ostomy) enamathele kuyo. Le ngxowa kufuneka ikhutshwe rhoqo. Oku kukwabizwa ngokuba yi-urostomy . |
| Ukuphambuka kwelizwekazi | Apha, inxalenye yamathumbu isetyenziselwa ukwenza ingxowa ngaphakathi emzimbeni eqokelela umchamo. Oku kungenziwa ngeendlela ezimbini. Kungenziwa ingqaka entsha (neobladder) eqhagamshelwe kwi-urethra, okanye kwenziwe ingxowa enokukhutshwa ngomngxuma omncinci (stoma) esiswini nge-catheter. |
Indlela yokungakwazi ukuzibamba: Umjelo we-Ileal
Le yindlela esetyenziswa kakhulu. Apha awukwazi ukulawula ukuhamba komchamo. Uqokelelana ngokuzenzekelayo ebhegini.
- Iingenelo:
- Utyando lulula kunezinye iindlela.
- Akukho mfuneko yokuzilungisa nge-catheter.
- Iingxaki:
- Abanye abantu banokuziva bengakhululekanga ngokwengqondo xa benxibe ibhegi eqokelela umchamo.
- Ingxowa isenokuvuza okanye ikhuphe ivumba elibi.
Iindlela zokukhupha umchamo ngokulawula
1. Ingxowa yase-Indiana
Ngale ndlela, kufakwa isikhwama esenziwe ngamathumbu ngaphakathi emzimbeni. Indlela yomchamo iqhagamshelwe koku. Inxalenye encinci yamathumbu, eqhagamshelwe koku, iziswa kwindawo encinci (stoma) eyenziwe esiswini. Umchamo awuphumi ngokwawo. Malunga neeyure ezine, kufuneka ufake ngesandla ityhubhu encinci (i-catheter) ngale ndawo ukuze ukhuphe umchamo kwisikhwama.
- Iingenelo:
- Ekubeni umchamo ungaphakathi emzimbeni, akukho mfuneko yokuba kubekho ingxowa yangaphandle.
- Akukho mngcipheko mkhulu wokuvuza okanye ukuvumba kuba akukho bhegi.
- I-stoma ingagcinwa ivaliwe ngeplasta.
- Iingxaki:
- Utyando luthatha ixesha elide.
- Kufuneka ufake ityhubhu uze ukhuphe isinyi sakho rhoqo, malunga neeyure ezine.
- Ngamanye amaxesha umngxuma unokuvaleka, kuvele amanxeba, kuvele amatye ngaphakathi kwesingxobo, okanye kubekho usulelo.
- Kubaluleke kakhulu: Ukuba ngesizathu esithile ityhubhu ayinakufakwa kwaye ibhegi ayinakukhutshelwa ngaphandle, ingaqhuma. Le yingxamiseko yezonyango. Kwimeko enjalo, kufuneka uye kwiSebe leNgxamiseko lesibhedlele (ETU).
2. Ukudala isinyi esitsha (iNeobladder)
Le yeyona nto ikufutshane kakhulu nomchamo oqhelekileyo. Apha, isinyi esitsha esenziwe ngamathumbu siqhagamshelwe kwi-urethra yakho yokuqala. Ngoko ke akukho sithuba sangaphandle (stoma). Xa kufuneka uchame, kufuneka ucuthe izihlunu zesisu sakho ukuze wenze njalo.
- Iingenelo:
- Inkqubo yokuchama ifana kakhulu nendlela eqhelekileyo.
- Akukho sithuba sangaphandle (i-stoma) ekufuneka sinyamekelwe.
- Iingxaki:
- Utyando luthatha ixesha elide.
- Usenokuba nokungakwazi ukuzibamba kangangeenyanga ezintandathu emva kotyando. Abanye abantu banokuba nale meko ebusuku.
- Abanye abantu abakwazi ukukhupha yonke into kwisinyi sabo esitsha. Basenokufuna nokufakwa ityhubhu nge-urethra, nokuba okwethutyana okanye ngokusisigxina, ukuze bakhuphe yonke into.
Linjani ixesha lokuchacha emva kotyando?
Kungathatha inyanga okanye ezimbini ukuchacha ngokupheleleyo nokubuyela amandla emva kotyando olunje. Kuthatha ixesha ukuqhelana nale nkqubo intsha. Kufuneka ube nomonde ngaloo nto.
- Umsebenzi: Ngokwesiqhelo ungabuyela emsebenzini kwisithuba senyanga okanye ezimbini.
- Imisebenzi: Wakuba uphilile, ungabuyela ekuzilolongeni nakwimidlalo. Nangona kunjalo, qhagamshelana nogqirha wakho ngaphambi kokuba ubandakanyeke kwimidlalo yokudibanisa umzimba okanye ukudada.
- Ukutya: Ugqirha ucebisa ukuba utye ukutya okuthambileyo nokulula ukukugaya kwinyanga yokuqala emva kotyando.
- Ukuhamba: Akukho miqathango ekuhambeni. Nangona kunjalo, nceda uze nezinye izinto (iingxowa ze-ostomy, ii-catheters) ukuba kuyimfuneko.
Olu tyando lunokukuchaphazela emzimbeni nasengqondweni . Kuqhelekile ukuba nexhala kwaye ukhathazeke ngobomi bakho besondo kunye nolwalamano lwakho neqabane lakho ngale meko intsha. Kubaluleke kakhulu ukuthetha ngokukhululekileyo ngale nto nogqirha wakho.
Ndifanele ndibonane nogqirha nini?
Ukuba ufumana iimpawu zosulelo lomchamo, bonana nogqirha wakho ngoko nangoko.
- Ifiva
- Ukungcangcazela ngenxa yokubanda
- Isicaphucaphu okanye ukuhlanza
- Intlungu yomqolo okanye yesisu
- Umchamo utshintsha umbala (uba mnyama) okanye ube nevumba elibi
Ukongeza, ukuba ulusu olujikeleze istoma yakho luba bomvu, ludumbile, luvuza ubovu okanye umchamo, okanye ukuba unengxaki yokufaka i-catheter, yazisa ugqirha wakho ngoko nangoko.
Umyalezo Wokuya Ekhaya
- Utyando lokuGuquguqula umchamo lwenziwa ukuze kuthintelwe umonakalo kwizintso zakho xa isinyi sakho singasebenzi kakuhle.
- Kukho iintlobo ezimbini eziphambili zotyando: indlela apho umchamo uqokelelwa khona kwingxowa yangaphandle (engaguqukiyo) kunye nendlela apho umchamo uqokelelwa ngayo kwingxowa eyenziwe ngaphakathi emzimbeni (ilizwekazi).
- Ugqirha wakho uza kugqiba indlela efanelekileyo kuwe ngokwemeko yakho yempilo. Thetha naye ngononophelo ngayo loo nto.
- Kuza kuthatha ixesha ukuqhelana nale nkqubo intsha emva kotyando. Yiba nomonde ngayo. Ukuba uziva ungakhululekanga ngokweemvakalelo, funa ingcebiso noncedo lwezonyango.
- Ukuba unomkhuhlane, ugodola, utshintsho kumchamo wakho, okanye iingxaki ngestoma yakho, xelela ugqirha wakho ngoko nangoko .
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