Isisombululo Seengxaki Zomchamo Womntwana Wakho: Masithethe NgeVesicostomy

Isisombululo Seengxaki Zomchamo Womntwana Wakho: Masithethe NgeVesicostomy

Physician Reviewed — Not Medical Advice

Njengomzali, kunzima kakhulu ukuva ukuba umntwana wakho udinga utyando. Kubuhlungu kakhulu ukubukela umntwana wakho esokola xa echama. Nangona kunjalo, ukuba ugqirha wakho ukhankanye i-vesicostomy, nceda ungoyiki. Esi sisisombululo esikhuselekileyo, sexeshana esenzelwe ukuthintela umonakalo wexesha elide kwizintso zomntwana wakho. Masijongane neenkxalabo zakho kwaye siphendule nayiphi na imibuzo onokuba nayo namhlanje.

Ngamazwi alula, yintoni iVesicostomy?

I-vesicostomy yinkqubo yotyando eyenziwa xa umntwana enengxaki yokukhupha isinyi sakhe eyedwa. Ngexesha lale nkqubo, ugqirha wenza umngxuma omncinci kakhulu esiswini esisezantsi, ngesiqhelo ngaphantsi kweqhosha lesisu, ukuvumela umchamo ukuba uphume ngqo kwisinyi.

Uphawu olukhethekileyo lwale nkqubo kukuba umchamo uphuma ngqo kwi-napkin yomntwana, endaweni yokuba ungene kwingxowa yokuqokelela yangaphandle. Injongo ephambili kukuthintela umchamo ukuba ungabuyeli kwizintso, ngaloo ndlela uzikhusele ekonakaleni kwaye unciphise umngcipheko we -Urinary Tract Infections (`UTIs`).

Okubaluleke kakhulu, esi ayisosisombululo esihlala sihleli. Linyathelo lexeshana elisetyenziselwa ukukhusela umntwana wakho de kubekho unyango lweengxaki zakhe zomchamo.

Kutheni Umntwana Edinga I-Vesicostomy?

Xa isinyi somntwana singaphumi kakuhle, uxinzelelo olungaphakathi lunokuqokelelwa, okubangela ukuba umchamo ubuyele umva uye kwizintso. Oku kunokukhokelela kumonakalo omkhulu wezintso. Kukho izizathu ezininzi eziphambili zokuba kutheni kufuneka i-vesicostomy.

Imeko/Isizathu Ingcaciso elula
I-spinal bifida okanye i-neurogenic bladder Ukungakwazi ukukhupha isinyi ngenxa yeziphene zokuzalwa okanye iingxaki zemithambo-luvo ezilawula isinyi.
I-Vesicoureteral reflux (VUR) Umchamo uphuma kwisinyi ubuyela umva uye kwizintso.
Ukuvaleka kokuphuma kwesinyi Ukuvaleka kwendlela apho umchamo uphuma khona kwisinyi.
Ii-UTI eziphindaphindayo Usulelo oluqhelekileyo olubangelwa kukungaphumi kakuhle kwesinyi.
Ezinye iziphene zokuzalwa Iimeko ezifana ne-Prune belly syndrome ezibangelwa zizinto ezizalwa nazo.

Olu tyando lwenziwa kakhulu kubantwana abangaphantsi kweminyaka emi-5 ubudala , nangona ngamanye amaxesha lunokuba yimfuneko nakubantu abadala.

Ufanele Ulungiselele Njani Umntwana Wakho Utyando?

Ugqirha wakho uza kukunika imiyalelo ecacileyo eyenzelwe iimfuno zomntwana wakho.

  • Yazisa ugqirha malunga nawo onke amayeza asetyenziswa ngumntwana wakho kunye nazo naziphi na izinto ezibangela ukuba umntwana wakho abe ne-allergies .
  • Ugqirha uza kukunika izikhokelo ezichanekileyo malunga nokuba kufuneka uyeke nini ukutyisa umntwana wakho ( ubisi lwebele , ubisi lwebisi , njl.njl.) ngaphambi kotyando. Kubalulekile ukulandela le miyalelo ngokuchanekileyo.

Kwenzeka ntoni ngexesha lenkqubo?

Emva kokuba umntwana wakho esiwe kwigumbi lotyando, uza kunikwa i-anesthesia jikelele . Oku kuqinisekisa ukuba umntwana wakho uhlala elele kwaye akaziva ntlungu ngexesha lotyando.

Ugqirha uza kwenza umngxuma omncinci esiswini esisezantsi, enze umngxuma kwisinyi, aze awuncamathisele eluswini. Le nkqubo idla ngokuthatha malunga neyure enye ukuya kwezimbini .

Emva kotyando, kunokufuneka wenze inkqubo elula: ngamanye amaxesha ufake i-catheter encinci kwindawo evulekileyo ukuze uyilule kancinci njengoko ugqirha wakho eyalele. Oku kuthintela ukuba indawo evulekileyo ingavali ngaphambi kwexesha. Abasebenzi besibhedlele baya kukufundisa ngqo indlela yokwenza oku.

Kwenzeka Ntoni Emva Kotyando? Umnyamekela Njani Umntwana Wakho?

Le yeyona nxalenye ibalulekileyo kubazali.

Ukuhlala esibhedlele kunye noLawulo lweentlungu

Uninzi lwabantwana lunokubuyela ekhaya emva kweeyure ezimbalwa emva kotyando. Ngamanye amaxesha, kufuneka umntu ahlale ubusuku bonke ukuze ajongwe. Kulindeleke ukuba kubekho ukungakhululeki okuncinci, okunokulawulwa ngamayeza okunciphisa iintlungu acetyiswa ngugqirha (njenge-ibuprofen okanye i-acetaminophen). Oku kungakhululeki kudla ngokuphela kwiintsuku ezimbalwa.

Ukhathalelo Lwasekhaya

  • Ucoceko: Gcina indawo ejikeleze umngxuma icocekile kwaye yomile ngamaxesha onke ukuthintela usulelo.
  • Ukutshintsha iinapukeni: Tshintsha iinapukeni rhoqo njengesiqhelo, uqinisekise ukuba inapukeni inkulu ngokwaneleyo ukuba ikwazi ukungena kwindawo evulekileyo.
  • Ukurhawuzelelwa lusu : Kuqhelekile ukubona amaqhuqhuva elusu ajikeleze umngxuma. Ungasebenzisa ikhrimu yokurhawuzelelwa yi-diaper ecetyiswe ngugqirha wakho.
  • Imisebenzi: Umntwana wakho unokubuya kwikhaya lokunyamekela abantwana okanye esikolweni kwisithuba seveki. Nangona kunjalo, imisebenzi enokubangela ukonakala kwendawo yokungena—njengokudlala i-roughhousing, ukulwa, okanye ukukhwela iibhayisekile —kufuneka inqunyelwe ixesha elithile.

Ufanele Ufune Nini Unyango Ngokukhawuleza?

Iingxaki ezinkulu azixhaphakanga, kodwa ukuba ubona naziphi na kwezi mpawu zilandelayo, qhagamshelana nogqirha wakho okanye ufune iinkonzo zonyango ezingxamisekileyo ngoko nangoko.

Ixesha Lokufuna Unyango Olungxamisekileyo
🌡️ Umntwana wakho uba nomkhuhlane ophezulu.
🔴 Indawo ejikeleze umngxuma ibomvu kakhulu, idumbile, okanye ibonisa iimpawu zosulelo.
🩸 Kukho igazi kumchamo.
😫 Intlungu yomntwana wakho iyaqhubeka nangona efumana amayeza.
🚫 Awukwazi ukufaka i-catheter ukuze wolule.
⚠️ Inxalenye yesinyi iphuma ngomngxuma (i-bladder prolapse) kwaye ayinakutyhalelwa ngasemva. Oku kungenzeka ngexesha lokuhamba kwamathumbu. Ukuba ayirhoxi yodwa, ungayityhalela ngasemva kancinci ngeminwe ecocekileyo; kungenjalo, qhagamshelana nogqirha wakho.

Umyalezo oya nawo ekhaya

  • Ukuhlinzwa nge-vesicostomy akukho nto yoyikisayo; yinkqubo ekhuselekileyo neyexeshana yokukhusela izintso zomntwana wakho.
  • Ukulandela imiyalelo kagqirha wakho emva kotyando kubaluleke kakhulu, ingakumbi ukugcina indawo icocekile nokwenza ukolula okufunekayo.
  • Oku akuhlali ixesha elide. Xa imeko engundoqo ilungisiwe, ugqirha uza kuyivala loo ndawo ivulekayo.
  • Ungaze ungathandabuzi ukunxibelelana nogqirha wakho ukuba unamathandabuzo okanye inkxalabo encinci.