Ngaba ugqirha wakho ukuxelele ngotyando lwe-urostomy? Okanye ngaba kukho umntu omaziyo oza kwenza olu tyando? Kuqhelekile ukuba uzive usoyika kwaye uxhalabile xa usiva eli gama. "Luhlobo luni lwento olu?", "Luza kuba njani ubomi bam emva koku?" Imibuzo emininzi iphakama engqondweni yakho. Kodwa xa sisazi kakuhle ngale nto, olo loyiko luyanyamalala. Namhlanje, siza kuthetha ngayo yonke into ngokulula, ngendlela onokuyiqonda.
Yintoni kanye kanye i-Urostomy?
Ngamafutshane, i-urostomy yinkqubo yotyando edala indlela entsha yokuphuma komchamo (umchamo) emzimbeni wakho. Kule nkqubo, ugqirha wenza umngxuma omncinci, okanye umngxuma, esiswini sakho ovezwa eluswini. Ngokwezonyango, oku kubizwa ngokuba yi-stoma .
Cinga ngenkqubo yethu yomchamo njengenkqubo yamanzi. Umchamo oveliswa zizintso uhamba ngemibhobho emibini (ureters) uye kwisinyi, apho ukhutshwa khona emzimbeni ngenye ityhubhu (urethra). Ngamanye amaxesha, itanki ephambili yale nkqubo (isinyi) okanye imibhobho edibene nayo yonakaliswa ngenxa yokugula okanye ingozi. Emva koko, kufuneka kudalwe enye indlela yokuvumela umchamo ukuba uphume emzimbeni. Yiyo loo nto olu tyando lwenziwa.
Umchamo uyaqhubeka nokuphuma emzimbeni ngale stoma. Ibhegi ekhethekileyo (ibhegi ye-urostomy) isetyenziselwa ukuqokelela umchamo ophumayo, kwaye unamathele kwi-stoma. Olu lutyando oluhlala luhleli. Oku kuthetha ukuba alunakuguqulwa. Kodwa ungakhathazeki, iqela lakho lezonyango liza kukunceda ulungelelanise ubomi bakho bemihla ngemihla ngolu tshintsho lutsha.
Kutheni kuyimfuneko ukwenza olu hlobo lotyando?
Kukho izizathu ezahlukeneyo zokuba umntu afune utyando lwe-urostomy. Ezona zizathu ziphambili ziquka:
- Ukususwa kwesinyi ngenxa yomhlaza wesinyi: Esi sesona sizathu siqhelekileyo. Xa isinyi sisusiwe ngokupheleleyo (cystectomy) ngenxa yomhlaza, le nkqubo isetyenziswa kuba akukho ndawo yokuqokelelwa komchamo.
- Ukonakala kwesinyi: Xa isinyi sonakele kakhulu ngenxa yengozi, ukugula, okanye unyango lwemitha.
- Ukungakwazi ukuzibamba komchamo: Kwiimeko ezinzima, akukho ndlela yokulawula umchamo.
- Ukonakala komqolo: Xa umsebenzi wesinyi ungasebenzi kakuhle ngenxa yokwenzakala komqolo.
- Iingxaki zokuzalwa: Iziphene zokuzalwa ezifana ne-spina bifida.
- Ukonakala kwe-urethra: Xa umbhobho okhupha umchamo emzimbeni wonakele.
- Ezinye iingxaki kwinkqubo yomchamo: Ezinye iingxaki ezithintela ukukhutshwa komchamo ngendlela efanelekileyo.
Ngamafutshane, olu tyando sisisombululo sokwenza ubomi bube lula kwaye bukhuseleke kuyo nayiphi na imeko enzima apho umchamo ungenakukhutshwa emzimbeni ngokwesiqhelo.
Ngaba kukho iintlobo zotyando lwe-urostomy?
Ewe, kukho iindlela ezininzi eziphambili zokwenza olu tyando. Kuxhomekeke kwimeko yakho yempilo kunye nesigqibo sikagqirha.
Umjelo we-Ileal - Le yeyona ndlela ixhaphakileyo.
Kule nkqubo, ugqirha ukhupha iqhekeza elincinci lenxalenye yokugqibela yamathumbu akho amancinci (ileum) . Emva koko, kwenziwa umjelo omncinci ofana nombhobho kwesi siqwenga. Iityhubhu ezimbini ezithwala umchamo kwizintso (ureters) ziqhagamshelwe kule mjelo intsha. Elinye icala lomjelo liqhagamshelwe kwistoma (stoma) eyenziwe esiswini. Umchamo ovela kwizintso uphuma kwistoma ngale mjelo intsha. Istoma idla ngokuba kwicala lasekunene lesisu.
Umjelo wekholoni
Oku kufana kakhulu nendlela yangaphambili, ngaphandle kokuba endaweni yokuthatha icandelo lamathumbu amancinci ukwenza umjelo omtsha, kusetyenziswa icandelo lamathumbu amakhulu (i-sigmoid colon) .
Ureterostomy
Kule nkqubo, akukho nxalenye yamathumbu ekhutshwayo. Ugqirha uqhagamshela ityhubhu enye okanye zombini ezithwala umchamo ukusuka kwizintso ukuya ngqo kwi-stoma eyenziwe esiswini .
Uzilungiselela njani ngaphambi kotyando?
Ngaphambi kotyando, ugqirha wakho kunye neqela lezonyango baza kuthetha nawe ngononophelo. Baza kukuchazela oku kulandelayo:
- Kutheni udinga olu tyando?
- Kwenzeka ntoni ngexesha lotyando?
- Yintoni onokuyilindela emva kotyando?
- Ziziphi iingozi ezinxulumene noku?
Uya kucetyiswa ukuba uzile ukutya, oko kukuthi, ungatyi kwaye ungaseli, kangangexesha elithile ngaphambi kotyando. Baza kukuxelela nokuba kufuneka uyeke na ukuthatha amayeza oqhele ukuwathatha okanye uqhubeke nokuwathatha. Kubaluleke kakhulu ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, kuquka iivithamini kunye namayeza emifuno.
Ukongeza, ngaphambi kotyando, ugqirha kunye nabahlengikazi baza kuthetha nawe ukuze bakhethe indawo efanelekileyo esiswini sakho yokwenza i-stoma. Le yindawo onokuyibona ngokulula, uyifikelele, kwaye ube nomphezulu othe tyaba. Oku kuya kwenza kube lula kuwe ukutshintsha ibhegi kamva.
Kwenzeka ntoni ngexesha nasemva kotyando?
Olu tyando lwenziwa phantsi kwe-anesthesia eqhelekileyo. Oku kuthetha ukuba awuyi kuva nto, uya kuba ulele ngokupheleleyo. Olu tyando lungathatha malunga neeyure ezi-6. Ugqirha uza kudala i-stoma kwindawo ekhethiweyo kwangaphambili aze adibanise ityhubhu kuyo ukuze ithwale umchamo. Ngamanye amaxesha, kwiimeko ezifana nomhlaza, kunokufuneka ukuba kususwe ezinye izitho ezifana nesinyi, ii-lymph nodes, okanye iindawo zenkqubo yokuzala (i-prostate kumadoda, isibeleko kubasetyhini).
Emva kotyando, uza kuthathwa usiwe kwigumbi lokuchacha uze udluliselwe kwigumbi lokulaliswa xa imeko yakho izinzile.
- Ityhubhu enye okanye ezingaphezulu (iidrain) zingafakwa ukuze kususwe ulwelo oluqokelelana emzimbeni.
- Amayeza anikwa ukulawula iintlungu.
- Ukuthintela ukuqhekeka kwegazi kunye ne-pneumonia, ukhuthazwa ukuba uhlale ebhedini ngokukhawuleza, ushukumise imilenze yakho, kwaye uhambe ngoncedo lomntu.
- Ungaqala ukutya nokusela ngendlela eqhelekileyo kwiintsuku ezimbalwa.
| Uhlobo lomngcipheko | Inkcazo |
|---|---|
| Iingozi eziqhelekileyo ezinxulumene notyando | Iingxaki ezinxulumene ne-anesthesia, usulelo, umonakalo kwizitho ezingqongileyo, amahlwili egazi, ukopha kakhulu, i-pneumonia. |
| Iingxaki ezinokwenzeka kamva | Ukuvaleka kombhobho ngenxa yezilonda, usulelo okanye amanxeba esikhumba ajikeleze i-stoma, ukwakheka kwe-hernia, amatye ezintso okanye ukungasebenzi kakuhle kwezintso, imiba ye-metabolic. |
Njengakwezinye iindlela zotyando, kukho iingozi ezithile ezibandakanyekileyo. Kodwa ngokubanzi yinkqubo ekhuselekileyo kakhulu. Ugqirha wakho uya kwenza konke okusemandleni akhe ukunciphisa ezi ngozi.
Kuza kuthatha ixesha elingakanani ukuze ndiphile? Ndingaya nini kugqirha?
Abanye abantu bayaphuma esibhedlele kwiintsuku ezintathu emva kotyando, ngelixa abanye banokufuna ukuhlala iveki okanye ngaphezulu. Ngelixa usesibhedlele, abasebenzi bonyango baza kukufundisa indlela yokugcina i-stoma yakho icocekile, indlela yokusebenzisa isikhwama, kunye nendlela yokusitshintsha. Le yinto entsha, ngoko ke isenokuvakala ingaqhelekanga ekuqaleni, kodwa uza kuqhelana nayo emva kwexesha elithile.
Emva kokuba ubuyele ekhaya, kungathatha malunga neenyanga ezimbini ukuba uphile ngokupheleleyo ngaphambi kokuba ubuyele emsebenzini okanye esikolweni. Ngeli xesha, uya kuba nethuba lokuqhela ukusebenzisa ibhegi yakho ye-urostomy.
Ukuba uneengxaki, fowunela ugqirha wakho ngoko nangoko, ingakumbi ukuba unezinye zezi mpawu:
- Ifiva
- Ukopha okungaqhelekanga
- Intlungu ebuhlungu
- Ubunzima bokusebenzisa ibhegi ye-urostomy
- Utshintsho kumbala womchamo okanye ivumba lawo
Imibuzo embalwa engqondweni yomntu wonke
Xa sithetha ngolu hlobo lotyando, abantu abaninzi banemibuzo efanayo. Masifumane iimpendulo zayo.
Injani i-stoma? Ivakala njani?
Xa uqala ukubona istoma yakho, isenokuba idumbile kancinci, ibomvu, kwaye ikrwelekile. Kodwa ungakhathazeki, oku kuya kutshintsha ngokuhamba kwexesha. Istoma iya kuncipha kancinci ize ibe pinki okanye umbala obomvu. Isenokuba yingqukuva okanye ibe yi-oval. Istoma yabanye abantu inokuphakama kancinci ngaphezu kolusu, ngelixa eminye inokuba tyaba nxamnye nolusu.
Eyona nto ibalulekileyo kukuba istoma ayinazo iingcingo zemithambo-luvo. Oku kuthetha ukuba awukwazi ukuyiva. Nangona ulusu olujikelezileyo lunokuba buhlungu de inxeba lotyando liphole, awuyi kuva nto xa uchukumisa istoma.
Ibhegi ye-urostomy kufuneka itshintshwe kangaphi?
Kukho izinto ezimbini apha: ukukhupha ingxowa kunye nokutshintsha ingxowa.
- Ukukhupha: Kuya kufuneka ukhuphe yonke into ebhegini rhoqo njengoko ubusiya kwigumbi lokuhlambela ngaphambi kotyando. Ngokwesiqhelo rhoqo emva kweeyure ezimbalwa. Musa ukulinda de igcwale yonke into ebhegini. Kungcono ukuyikhupha xa sele igcwele malunga nesithathu okanye isiqingatha. Oku kuya kunceda ukuthintela ukuba ibhegi ingavuzi kwaye ibangele usulelo lolusu.
- Ukutshintsha: Ixesha lokutshintsha liyahluka ngokuxhomekeke kuhlobo lwenkqubo yebhegi oyisebenzisayo. Ezinye kufuneka zitshintshwe yonke imihla. Ezinye iintlobo zingasetyenziswa iintsuku ezintathu okanye iveki yonke.
Iindaba ezimnandi zezokuba kukho isitya esikhulu sokukhupha amanzi onokusifaka kwibhegi yakho ye-urostomy xa ulala ebusuku, ukuze ukwazi ukulala kamnandi ubusuku bonke ungavuki.
Uziqhelanisa njani nolu tshintsho lutsha?
Kungathatha ixesha ukuqhela ukuphila nolu tshintsho emzimbeni wakho. Oku kuqhelekile. Ekuqaleni, usenokuziva ulusizi, unomsindo, okanye usoyika. Usenokukhathazeka ngento abanye abantu abaza kuyicinga ngale nto.
Thetha nogqirha wakho, usapho, kunye nabahlobo abasondeleyo ngale mvakalelo. Kukwakho namaqela enkxaso kubantu abaye benza olu hlobo lotyando. Banokuqonda amava akho kakuhle. Ungafunda lukhulu kumava abo kwaye ufumane amandla.
Umyalezo Wokuya Ekhaya
- Utyando lwe-urostomy alunanto yakwenza woyike. Lutyando olukhuselekileyo olunokwenza ubomi bakho bube lula, kwaye luhlala lusindisa ubomi bakho.
- Kuza kuthatha ixesha ukuqhelana nolu tshintsho lutsha lomzimba. Kuqhelekile ukuba uzive ulusizi kwaye usoyika ngalo. Thetha nomntu omthembayo ngale mvakalelo.
- Ukugcina istoma kunye nolusu oluyijikelezileyo lucocekile kwaye lomile kubaluleke kakhulu ukuthintela iingxaki.
- Ungaze ungathandabuzi ukuthetha nogqirha wakho ngayo nayiphi na ingxaki okanye ingxaki encinci onokuba nayo.
- Usenokuphila ubomi obuqhelekileyo, obusebenzayo, nobonwabisayo emva kotyando lwe-urostomy.
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