Kunzima ukuchaza uloyiko kunye nexhala eliviwa ngumama okanye ngutata xa bexelelwa ukuba umntwana wabo omncinci kufuneka enziwe utyando. Kungaba ngamava abuhlungu kakhulu, ingakumbi xa umntwana engakwazi
ukuzichamela yedwa. Kodwa ukuba ugqirha wakho uthethe nge-vesicostomy, ungakhathazeki. Esi sisisombululo esikhuselekileyo nesisexeshana sokunqanda umonakalo kwizintso zomntwana wakho. Masicacise nayiphi na imibuzo onokuba nayo malunga noku namhlanje.
Kalula nje, yintoni le Vesicostomy?
I-vesicostomy yinkqubo yotyando evumela umntwana ukuba akhuphe isinyi sakhe xa enengxaki yokuchama eyedwa. Kule nkqubo, ugqirha
wenza umngxuma omncinci kakhulu esiswini somntwana, ngesiqhelo ngaphantsi kwenkaba. Umahluko kukuba umchamo uphuma ngqo kwi-napkin, endaweni yokuba ungene kwingxowa enamathele esiswini. Injongo ephambili yale nkqubo
kukuthintela umchamo ukuba ungabuyeli ezintsoni, ukonakalisa izintso kwaye ubangele usulelo lwendlela yomchamo (UTIs). Into ebalulekileyo kukuba esi ayisosisombululo esihlala sihleli. Yindlela nje yexeshana de kunyangwe unobangela wokungakwazi komntwana ukuchama .
Kutheni umntwana omncinci efuna i-vesicostomy?
Xa isinyi somntwana singaphumi kakuhle, uxinzelelo olungaphakathi kuso luyanda kwaye umchamo uqala ukubuyela kwizintso. Oku kunokubangela umonakalo omkhulu kwizintso. Kukho izizathu ezininzi eziphambili zokuba kutheni kufuneka i-vesicostomy.
| Imeko/Isizathu | Ingcaciso elula |
|---|
| I-spinal bifida okanye i-neurogenic bladder | Ukungakwazi ukuchama kakuhle ngenxa yesiphene sokuzalwa okanye ubuthathaka kwintambo yomqolo okanye kwimithambo-luvo elawula isinyi. |
| I-Vesicoureteral reflux (VUR) | Umchamo ubuyela umva usuka kwisinyi uye kwizintso. |
| Ukuvaleka kokuphuma kwesinyi | Kukho ukuvaleka komchamo ophuma kwisinyi. |
| Ii-UTI eziphindaphindayo | Usulelo oluqhelekileyo olubangelwa kukuchama okungafanelekanga. |
| Ezinye iziphene zokuzalwa | Iimeko ezifana nePrune belly syndrome, ebangelwa sisiphene sokuzalwa. |
Olu tyando ludla ngokwenziwa kubantwana
abangaphantsi kweminyaka emi-5 ubudala. Nangona kunjalo, alufane lwenziwe kubantwana abadala.
Indlela yokulungiselela umntwana ngaphambi kotyando?
Ugqirha wakho uza kukunika imiyalelo ecacileyo malunga noku.
Lwenziwa njani olu tyando?
Emva kokuba umntwana esiwe kwigumbi lotyando, banikwa
i-anesthesia jikelele . Oku kuthetha ukuba umntwana ulele ngokupheleleyo kwaye
akaziva ntlungu. Emva koko ugqirha wenza umngxuma omncinci esiswini somntwana, enze umngxuma omncinci kwisinyi, aze alungise umngxuma ukuze uphume ngomngxuma owenziwe esiswini. Lonke eli nyathelo lithatha
malunga neyure okanye ezimbini . Emva kotyando, kukho into enye encinci onokuyenza. Ugqirha uza kukuxelela ukuba ufake i-catheter encinci emngxuma izihlandlo ezininzi ngemini
ukuze wolule. Oku kukuthintela umngxuma ukuba uvaleke ngokukhawuleza. Isibhedlele siza kukuxelela ngqo indlela yokwenza oku kunye nexesha omele ukwenze ngalo.
Kwenzeka ntoni emva kotyando? Unyamekela njani umntwana?
Le yeyona nxalenye ibalulekileyo kubazali.
Ukuhlala esibhedlele kunye nentlungu
Uninzi lwabantwana lunokubuyela ekhaya emva kweeyure ezimbalwa emva kotyando. Ngamanye amaxesha, banokufuna ukuhlala esibhedlele ubusuku bonke ukuze bajongwe. Kunokubakho iintlungu emva kotyando. Oku kunokupheliswa ngokuthatha iyeza lokubulala iintlungu (elifana ne-ibuprofen okanye i-acetaminophen) elichazwe ngugqirha. Iintlungu kufuneka ziphele ngokupheleleyo kwiintsuku ezimbalwa.
Ukhathalelo emva kokubuyela ekhaya
- Ucoceko: Ukugcina ulusu olujikeleze indawo etyumkileyo kunye nendawo eyomileyo lucocekile kwaye lomile kubalulekile ukuthintela usulelo.
- Ukutshintsha iinapukeni: Tshintsha iinapukeni rhoqo njengesiqhelo. Sebenzisa inapukeni enkulu ngokwaneleyo ukugquma kakuhle umngxuma.
- Ukunganyamezelani nolusu : Kuqhelekile ukuba amaqhuqhuva eluswini avele kufutshane nomngxuma. Ungasebenzisa ikhrimu yokurhawuzelela enamabele ecetyiswe ngugqirha wakho koku.
- Imisebenzi: Umntwana angabuyela kwisikolo sabantwana abancinci okanye esikolweni kwisithuba seveki. Nangona kunjalo, imisebenzi enokonakalisa indawo evulekileyo, efana nokulwa, ukukhwela ibhayisekile , kunye nokubaleka kufuneka ithintelwe okwethutyana.
Ndifanele ndimbone nini ugqirha ngoko nangoko?
Akusoloko kukho iingxaki ezinkulu, kodwa ukuba ufumana naziphi na iimpawu ezingezantsi, kufuneka
uqhagamshelane nogqirha wakho ngoko nangoko .
| Ixesha lokufuna ingcebiso yezonyango ngokukhawuleza |
|---|
| 🌡️ | Ukuba umntwana unomkhuhlane ophezulu . |
| 🔴 | Ukuba indawo ejikeleze umngxuma ibomvu kakhulu, idumbile , okanye ibonisa iimpawu zosulelo. |
| 🩸 | Ukuba kukho igazi kumchamo. |
| 😫 | Ukuba intlungu yomntwana iyaqhubeka nangona enikwa amayeza. |
| 🚫 | Ukuba i-catheter enikezelweyo ukuze ivuleke, loo mngxuma awunakufakwa . |
| ⚠️ | Ukuba inxalenye yesinyi iphumile kwindawo evulekileyo (i-bladder prolapse) kwaye ayinakutyhalelwa ngaphakathi. (Oku kunokwenzeka ngexesha lokuhamba kwamathumbu, njengaxa umntwana eqhuba amathumbu. Idla ngokubuyela ngaphakathi ngokwayo. Ukuba akunjalo, ungayityhalela ngaphakathi kancinci ngeminwe ecocekileyo. Kodwa ukuba ayiphumi, thetha nogqirha wakho .) |
Umyalezo Wokuya Ekhaya
- Utyando lwe-vesicostomy alunanto yakwenza noloyiko. Lutyando olukhuselekileyo nolwexeshana olwenziwayo ukukhusela izintso zomntwana.
- Emva kotyando, kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo, ingakumbi ukugcina inxeba licocekile kwaye ulisolule ngokufanelekileyo.
- Oku akuhlali ixesha elide. Emva kokuba imeko yomntwana engaphantsi inyangiwe, ugqirha uza kuyivala le ndawo.
- Ukuba unemibuzo okanye amathandabuzo, ungaze ucinge kabini ngokubuza ugqirha wakho.
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