Usenokuba woyikiswa ligama elithi 'Urostomy'. Okanye mhlawumbi xa ugqirha ethetha ngolu hlobo lotyando, kuvela imibuzo emva kwenye engqondweni. Enyanisweni, oku akuyonto ifanelekileyo yokoyika. Le yinkqubo edala enye indlela yokuba umntu onengxaki ethile kwinkqubo eqhelekileyo yomchamo emzimbeni aphume umchamo. Ngamafutshane, le yindlela yokunceda umzimba wethu. Ngoko ke, namhlanje siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.
Yintoni i-Urostomy ngokulula?
I-urostomy yinkqubo yotyando edala umngxuma omncinci esiswini sakho, okanye esiswini, ukuze umchamo udlule kuwo. Lo mngxuma ubizwa ngokuba yi-'stoma' ngokwezonyango. Oku kuthetha ukuba umchamo oveliswa emzimbeni wakho, endaweni yokuba uphume ngesiqhelo, uphuma ngomngxuma omtsha. Oku kubizwa ngokuba yi -'urinary diversion' .
Ukuze siqokelele umchamo ophuma ngolu hlobo, sisebenzisa ibhegi ekhethekileyo (ibhegi ye-urostomy) enamathele kwi-stoma. Emva koko singawususa ngokulula umchamo oqokelelana kuloo bhegi.
Kwiimeko ezininzi, i-urostomy ayiguquki kwaye ayilungiseki. Kodwa ungakhathazeki. Ugqirha wakho kunye neqela lezonyango baya kwenza konke okusemandleni abo ukukunceda uqhelane nale ndlela intsha yokuphila.
Kuxa kutheni apho olu tyando luyimfuneko?
Kukho izizathu ezahlukeneyo zokuba kwenziwe utyando lwe-urostomy. Makhe sizijonge kwitheyibhile engasezantsi.
| Isizathu sotyando | Ingcaciso elula |
|---|---|
| Umhlaza Wesinye | Le yeyona sizathu sixhaphakileyo. Olu tyando lwenziwa xa kufuneka kususwe isinyi ( cystectomy ) ngenxa yomhlaza. |
| Umonakalo wesinyi | Ukuba isinyi sonakaliswe yingozi, ukugula, okanye unyango lwemitha. |
| Ukungakwazi ukuzibamba komchamo | Kwiimeko ezinzima apho umchamo ungabanjwa nangayiphi na indlela kwaye uvuza ngaphandle kolawulo. |
| Umonakalo womqolo | Ngenxa yokwenzakala komqolo okanye iimeko zokuzalwa ezifana ne-spina bifida . |
| Ukonakala kwe-urethra | Xa umbhobho othwala umchamo usuka kwisinyi usiya ngaphandle wonakele. |
Nokuba siyintoni na isizathu, utyando lwe-urostomy ludala indlela entsha nekhuselekileyo yokuphuma komchamo emzimbeni.
Ngaba kukho iintlobo zotyando lwe-urostomy?
Ewe, kukho iindlela ezahlukeneyo zokwenza olu tyando. Zithiywe ngokwendlela edalwe ngayo indlela entsha yomchamo.
Umjelo we-Ileal - Eyona ndlela isetyenziswa kakhulu
Le yeyona nkqubo ixhaphakileyo. Apha, ugqirha uthatha iqhekeza elincinci lamathumbu akho amancinci aze enze ityhubhu ngalo. Elinye icala lale tyhubhu liqhagamshelwe kwi-stoma eyenziwe esiswini sakho. Elinye icala liqhagamshelwe kwityhubhu ezimbini ezithwala umchamo kwizintso zakho (ureters). Umchamo oveliswa kwizintso zakho uze udlule kule tyhubhu intsha uphume kwi-stoma.
Umjelo weKoloniki
Oku kufana kakhulu nendlela ekhankanyiweyo apha ngasentla, ngaphandle kokuba kusetyenziswa inxalenye yamathumbu amakhulu (ikholoni) ukwenza umbhobho endaweni yamathumbu amancinci.
Ureterostomy
Ngale ndlela, umbhobho awenziwa ngesiqwenga samathumbu ngolo hlobo. Endaweni yoko, ii-ureters ezivela kwizintso ziqhagamshelwe ngqo kwi-stoma eyenziwe esiswini.
Uzilungiselela njani ngaphambi kotyando?
Ngaphambi kotyando, ugqirha wakho kunye neqela lakho baza kuthetha nawe ngononophelo. Baza kukuchazela oku kulandelayo:
- Kutheni udinga olu tyando?
- Kwenzeka ntoni ngexesha lotyando?
- Yintoni onokuyilindela emva kotyando?
- Ziziphi iingozi ezinxulumene noku?
Baza kukunika iingcebiso malunga nokuba uyeke nini ukutya nokusela ngaphambi kotyando, kunye nokuba ufanele uyeke na ukuthatha amayeza oqhele ukuwasebenzisa. Qiniseka ukuba uxelela ugqirha wakho ngawo onke amayeza, iivithamini, kunye nezongezo ozisebenzisayo.
Ngaphambi kotyando, iqela lakho lezonyango liza kukunceda ukhethe indawo efanelekileyo esiswini sakho yokwenza i-stoma. Kufuneka ibe yindawo ethe tyaba onokuyibona, uyifikelele, kwaye uyifikelele ngokulula.
Kwenzeka ntoni ngexesha lotyando?
Uza kufakwa phantsi kwe-anesthesia eqhelekileyo ngexesha lotyando. Ngoko ke awuyi kuva ntlungu . Ugqirha uza kudala i-stoma kwindawo ekhethiweyo esiswini sakho aze adibanise ii-ureters kuyo.
Ngamanye amaxesha, ingakumbi kwiimeko zomhlaza, lonke okanye inxalenye yesinyi ingadinga ukususwa ngaxeshanye. Kwakhona, ukuba kuyimfuneko, amalungu anjenge-appendix, i-lymph nodes, okanye i-prostate gland kumadoda okanye isibeleko kubasetyhini kungafuneka isuswe. Olu tyando lungathatha ukuya kuthi ga kwiiyure ezi-6 .
Linjani ixesha lokuchacha emva kotyando?
Emva kotyando, uza kuqala usiwe kwigumbi lokuchacha uze udluliselwe kwigumbi lonyango.
- Kuza kufakwa umsele omnye okanye ngaphezulu ukuze kususwe ulwelo oluqokelelana emzimbeni.
- Amayeza entlungu afunekayo aya kubonelelwa.
- Uza kukhuthazwa ukuba uhlale ebhedini ngokukhawuleza, ushukumise imilenze yakho, kwaye uhambe ngoncedo lwabasebenzi bezonyango. Oku kunokunceda ekuthinteleni iimeko ezifana nokuqhekeka kwegazi kunye ne-pneumonia .
- Ungaqala ukutya nokusela ngendlela eqhelekileyo kwiintsuku ezimbalwa.
Ngokwesiqhelo kuya kufuneka uhlale esibhedlele phakathi kweentsuku ezi-3 nezi-7. Ngeli xesha, uya kufundiswa indlela yokunyamekela i-stoma yakho kunye nendlela yokusebenzisa ingxowa yakho yomchamo. Emva kokuba ubuyele ekhaya, kungathatha malunga neenyanga ezimbini ukubuyela kwimisebenzi yesiqhelo (emsebenzini, esikolweni).
Ndifanele ndimfowunele nini ugqirha?
Ukuba unemibuzo okanye iinkxalabo malunga ne-urostomy yakho, thetha nogqirha wakho. Qiniseka ukuba ufuna ingcebiso yezonyango, ingakumbi ukuba unezinye zezi mpawu:
- Ifiva
- Ukopha okungaqhelekanga
- Intlungu ebuhlungu
- Ubunzima bokusebenzisa ibhegi ye-urostomy
- Utshintsho kumbala womchamo okanye ivumba elibi
Imibuzo eqhelekileyo malunga nokuphila ne-urostomy
Mhlawumbi unemibuzo emininzi malunga nobomi emva kolu tyando. Masiyiphendule.
Injani i-stoma? Ivakala njani?
Xa uqala ukujonga i-stoma yakho, isenokuba idumbile kancinci, ibomvu bumnyama, kwaye ibonakale ikruqukile. Oku kuqhelekile. Ekuhambeni kwexesha, ukudumba kuya kuncipha, kube nombala opinki okhanyayo, kwaye kunciphe ngobukhulu. Isenokuba yingqukuva okanye ibe yi-oval ngemilo.
Okona kubaluleke kakhulu, istoma ayinazo iziphelo zemithambo-luvo. Ngenxa yoko, istoma ayiva nto okanye ayibuhlungu . Nangona indawo ejikelezileyo isenokuva iintlungu de inxeba lotyando liphole, istoma ngokwayo ayiva iintlungu.
Ibhegi ye-urostomy kufuneka itshintshwe kangaphi?
Ukukhupha ibhegi nokuyitshintsha ngokupheleleyo zizinto ezimbini ezahlukeneyo.
- Ukukhupha ingxowa: Njengokuba ubuya kuchama ngaphambi kotyando, kufuneka ukhuphe ingxowa rhoqo emva kweeyure ezimbalwa. Musa ukulinda ingxowa ide izalise ngokupheleleyo. Kungcono ukuyikhupha xa igcwele isiqingatha (1/3) okanye isiqingatha (1/2). Oku kuya kunceda ukuthintela ingxowa ekuvuzeni nasekubangeleni usulelo lolusu. Xa ulele ebusuku, ungayidibanisa le ngxowa kwindawo enkulu yokugcina amanzi (isikhongozeli sokuhambisa amanzi). Oku kuya kukuvumela ukuba ulale ngaphandle kokuvuka ebusuku.
- Ukutshintsha ibhegi: Oku kuxhomekeke kuhlobo lwenkqubo yokufunxa oyisebenzisayo. Ezinye kufuneka zitshintshwe yonke imihla, ngelixa ezinye zingasetyenziswa iintsuku ezi-3 okanye iveki.
Umyalezo Wokuya Ekhaya
- Utyando lwe-urostomy lutyando oluza kukunceda kwaye lwenze ubomi bakho bube lula, kungekhona into omele uyoyike.
- Oku kudla ngokuba lutshintsho oluhlala luhleli, kodwa uya kufumana lonke ulwazi kunye nenkxaso oyifunayo ukuze uqhele oko kwiqela lakho lezonyango.
- Kubaluleke kakhulu ukugcina ulusu olujikeleze istoma lucocekile kwaye lomile. Oku kunokunceda ekuthinteleni ukosuleleka lusu.
- Nokuba ukhathazekile ngokwasemzimbeni okanye ngokweemvakalelo ngale nto, thetha ngokukhululekileyo nogqirha wakho ngayo. Ukuba kuyimfuneko, joyina amaqela enkxaso nabanye abaye baba namava afanayo.
- Usenokuphila ubomi obupheleleyo nobukhutheleyo emva kotyando lwe-urostomy.
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