Ngezinye izikhathi siba nezinkinga zempilo esinamahloni okukhuluma ngazo, kodwa ezithinta kakhulu izimpilo zethu. Njengokungakwazi ukulawula ukuhamba kwamathumbu, noma ukungakwazi ukuzikhulula izinsuku eziningi. Lokhu kuyinto enzima kakhulu futhi ecindezela ingqondo kokubili enganeni encane kanye nomuntu omdala. Lesi simo singaba yisithiyo esikhulu sokuya esikoleni, ukuya emsebenzini, kanye nokuxhumana nabanye abantu emphakathini. Ngakho-ke namuhla sikhuluma ngokuhlinzwa okukhethekile odokotela abakuphakamisayo njengesixazululo sezinkinga ezinjalo.
Kalula nje, kuyini i-appendicostomy?
Nakuba igama lingase lizwakale liyinkimbinkimbi, inqubo ilula kakhulu ukuyiqonda. Ukususwa kwe-appendicectomy, noma njengoba kwaziwa kakhulu odokotela, inqubo ye-MACE (Malone Antegrade Colonic Enema) , inqubo yokuhlinzwa.
Kalula nje, nakhu okwenzekayo:
Kusetshenziswa ingxenye yesithasiselo sakho , kwenziwa ipayipi elincane kusukela esikhumbeni sesisu sakho kuya kumathumbu akho amakhulu/amathumbu amakhulu. Le nqubo isebenzisa uketshezi olukhethekile (i-enema) ukuhlanza ingaphakathi le-colon yakho nokusiza indle ukuthi idlule kalula.
Imbobo encane eyenziwe esikhumbeni sesisu exhumanisa le ndlela ibizwa ngokuthi i-stoma . Lokhu kuvame ukwenziwa eduze kwenkaba (inkinobho yesisu) noma ohlangothini lwesokudla lwesisu. Ngakho-ke ayibonakali kakhulu ngaphandle.
Enye yezinzuzo ezinkulu zale ndlela ukuthi ungakwazi ukulawula inqubo yokunyakaza kwamathumbu. Lokho kusho ukuthi ungazinqumela ukuthi ufuna ukuhlanza nini futhi kangaki ikholoni yakho.
Ubani ngempela odinga lokhu kuhlinzwa?
Odokotela bavame ukuncoma lokhu kuhlinzwa kubantu abangakwazanga ukulawula ukuhamba kwabo kwamathumbu ngezinye izindlela zokwelapha, njengokushintsha ukudla, izithasiselo zefayibha, noma ukuqeqeshwa okufana ne-biofeedback. Kwenziwa kokubili ezinganeni nakubantu abadala.
Uma wena noma ingane yakho ninezinye zezimo ezilandelayo, ungase uthande ukukhuluma nodokotela wakho mayelana nokuhlinzwa kwe-MACE.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| Ukuqunjelwa Okukhulu | Izimo okunzima ukuzelapha ngisho nangemithi, njengokungaphumi kwamathumbu izinsuku eziningi. |
| Ukungakwazi ukuzibamba kwendle | Ukunyakaza kwamathumbu okungahleliwe noma okungalawulwa. |
| I-Spine Bifida | Iphutha lokuzalwa emgogodleni kanye nasesimisweni sezinzwa esithinta ukulawula amathumbu. |
| Ukukhubazeka kwe-Anorectal | Ukukhubazeka kokuzalwa endaweni ye-anus noma i-rectum. |
| Isifo seHirschsprung | Ubunzima bokuphuma kwendle ngenxa yokukhula okungafanele kwamangqamuzana ezinzwa emathunjini amakhulu. |
Ake sifunde nangendlela ukuhlinzwa okwenziwa ngayo.
Ngaphambi kokuhlinzwa
Udokotela wakho uzokuchazela ngokucacile ukuthi yini okudingeka uyenze ngaphambi kokuhlinzwa.
- Ukudla nokuphuza: Uzokwaziswa ukuthi kufanele uyeke ukudla nokuphuza isikhathi esingakanani ngaphambi kokuhlinzwa.
- Ukuhlanzwa Kwamathumbu: Kuzokwenziwa inqubo ekhethekile yokuhlanza amathumbu ngokuphelele (Ukulungiselela Amathumbu) ngosuku olwandulela ukuhlinzwa.
- Eminye imithi: Uma uphuza imithi yezinye izimo, kubaluleke kakhulu ukubuza udokotela wakho ukuthi kufanele yini uphuze leyo mithi ngaphambi kokuhlinzwa.
Ngesikhathi sokuhlinzwa
Lokhu kuhlinzwa kuvame ukwenziwa nge-laparoscopically . Okusho ukuthi, "njengokuhlinzwa kwe-key-hole." Kwenziwa ngokufaka ikhamera namathuluzi ngokusebenzisa izimbobo eziningana ezincane esiswini, kunokwenza i-incision enkulu. Lokhu kuphumela esikhathini esincane sokuphola kanye nezibazi ezincane.
Ngesikhathi sokuhlinzwa, udokotela ohlinzayo:
1. Bathatha ingxenye encane ye-appendix noma yamathumbu akho bese beyibumba ibe yipayipi.
2. Leyo tube ixhunywe ngaphakathi kwamathumbu amakhulu.
3. Esinye isiphetho sepayipi sinamathele embotsheni encane (stoma) eyenziwe esikhumbeni sesisu.
4. Ekuqaleni, ithubhu elincane, elibizwa ngokuthi i-catheter, lifakwa okwesikhashana ku-stoma ukuze lihlale livulekile.
Lokhu kuhlinzwa ngokuvamile kungathatha cishe amahora amabili.
Ngemva kokuhlinzwa
Uzohlala esibhedlela isikhashana nje, cishe usuku olulodwa noma ezimbili. Phakathi naleso sikhathi, abasebenzi abahlengikazi bazokufundisa indlela yokuhlanza amathumbu akho nge-stoma yakho esanda kuzalwa. Uzoqeqeshwa ukwenza lokhu wedwa uma usubuyela ekhaya.
Yiziphi izinzuzo nemiphumela emibi yalokhu kuhlinzwa?
Inzuzo eyinhloko ukuthi uthola ukulawula ukuhamba kwakho kwamathumbu. Lokhu kukuvumela ukuthi uphile impilo evamile, udlale imidlalo, futhi uye emsebenzini ngaphandle kwamahloni noma ukwesaba. Ubumfihlo bakho buvikelwe futhi ngoba abanye abakwazi ukubona i-stoma yakho.
Kukhona ingozi yemiphumela emibi (izinkinga) . Akuwona wonke umuntu ozobhekana nalokhu, kodwa kubalulekile ukuqaphela.
- Ngezinye izikhathi inani elincane lendle noma uketshezi lungavuza endunu.
- Ngezinye izikhathi indlela edalwe (i-stoma) ingaba mncane.
- Abanye abantu bangase babe nobunzima bokuqunjelwa noma ukulawula ukuhamba kwabo kwamathumbu ngisho nangemva kokuhlinzwa.
Ngokuvamile kuthatha cishe inyanga ukuphulukiswa. Odokotela bakweluleka ukuthi ugweme ukuphakamisa okunzima kanye nemidlalo enzima phakathi naleso sikhathi. Ngemva cishe kwenyanga, ithubhu yesikhashana (i-catheter) efakwa ku-stoma iyasuswa. Ngemva kwalokho, ungafaka ithubhu ngokwakho kuphela uma udinga ukuhlanza amathumbu akho.
Kufanele ubonane nodokotela ngokushesha nini?
Uma wena noma ingane yakho nithola noma yiziphi izimpawu ezilandelayo ngemva kokuhlinzwa, shayela udokotela wakho ngokushesha noma ufune ukwelashwa.
| Izimpawu okufanele uziqaphele | |
|---|---|
| Imfiva | Ukushisa komzimba okwenyukayo. |
| Ukuqunjelwa | Ukuvuvukala kwesisu kanye nokungakhululeki. |
| Isicanucanu nokuhlanza | Isicanucanu Nokuhlanza. |
| Ubuhlungu, ukubomvu, noma ukuvuvukala endaweni yokuhlinzwa | Lezi kungaba izimpawu zokutheleleka. |
| Ubunzima bokufaka ithubhu | Lokhu kungaba uphawu lokuthi indlela ye-stoma inciphile. |
| Uketshezi oluphuma esifubeni | Ukuvuza okuqhubekayo koketshezi noma indle ngisho nangemva kokuba ipayipi selisusiwe. |
Ingabe lokhu kuhlinzwa kungalungiseka?
Yebo. Uma wena noma ingane yakho ngandlela thile niphinde nikwazi ukuzikhulula ngendlela evamile, le ndlela yokuphuma emzimbeni ingasuswa ngokuhlinzwa futhi ibuyiselwe esimweni sayo esijwayelekile. Le nqubo ayilimazi ukusebenza kwamathumbu amakhulu.
Ekugcineni, izinkinga zamathumbu ziyinto engakususa injabulo nokuzethemba empilweni. Kodwa ezokwelapha zanamuhla zinezixazululo ezisebenzayo zazo. Udokotela wakho ungumuntu ongcono kakhulu wokunquma ukuthi lokhu kuhlinzwa kulungile yini kuwe noma enganeni yakho. Ngakho-ke, funda kabanzi ngalokhu, xoxa ngenkinga yakho ngokucacile, bese uthola ukwelashwa okungcono kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- I-Appendicostomy (ukuhlinzwa kwe-MACE) inqubo yokuhlinzwa eyenziwa kubantu abanokuqunjelwa okukhulu noma ubunzima bokulawula ukunyakaza kwabo kwamathumbu.
- Lapha, i-appendix isetshenziselwa ukudala indlela esuka esikhumbeni sesisu iye emathunjini amakhulu, futhi ngayo, amathumbu ayagezwa ukuze kusize ekukhipheni indle.
- Lokhu kuhlinzwa kwenziwa kokubili ezinganeni nakubantu abadala, futhi kungathuthukisa kakhulu izinga lempilo.
- Uma uba nezimpawu ezifana nomkhuhlane, ubuhlungu besisu, noma ukuvuvukala ngemva kokuhlinzwa , xhumana nodokotela wakho ngokushesha.
- Ukuze unqume ukuthi lokhu kuyindlela efanele yokwelapha, kubalulekile ukukhuluma ngokukhululekile nodokotela wakho ngazo zonke izinto ezikukhathazayo.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Kuyini Ukungajwayelekile Kokuhamba/Ukuhamba?
Kujwayelekile ukuxhuga izinsuku ezimbili kuya kwezintathu ngemva kokulimala komlenze. Kodwa-ke, igama elithi 'Abnormal Walk' liyigama lezokwelapha elibhekisela kumuntu olahlekelwa yibhalansi ngenkathi ehamba, ehudula umlenze owodwa phansi, ehamba ngezinyawo zakhe zisakazeke kabanzi, noma ehamba esekele umlenze owodwa, okuyisibonakaliso esikhulu sesifo esibi sezinzwa/amathambo!
💬 Yiziphi izizathu eziyinhloko zalolu shintsho olusheshayo/oluhamba kancane kancane endleleni yokuhamba (i-Abnormal Gait)?
Kunezimbangela ezine eziyinhloko zalokhu: 1) 'Umonakalo omkhulu ebuchosheni noma emithanjeni' - isifo sohlangothi, isifo sikaParkinson (ukuhamba ngezinyawo ezibanzi/ukuhamba kancane), noma ukucindezeleka komgogodla. 2) 'I-Osteoarthritis' - lapho idolo noma i-hip joint iguga futhi iba ubuhlungu obungabekezeleleki. 3) Isifo sikashukela sibangela ukulahlekelwa yibhalansi ngenxa ye-neuropathy emilenzeni. 4) Indlebe yangaphakathi/i-Vertigo (i-Balance system disorder).
💬 Uma ukuhamba sekungajwayelekile, yiziphi 'izimo ezibulalayo/eziphuthumayo' okufanele uye esibhedlela ngokushesha, ngaphandle kokuthatha imithi yobuhlungu ekhaya?
Uma usukhulile, akuyona into enkulu uma amadolo akho eguga bese uxega. Kodwa ingozi enkulu! Uma umuntu owayehamba kahle, ngemizuzu/amahora ambalwa, 1) 'Umlenze owodwa uyahudula phansi/olunye uhlangothi lukhubazekile (ubuthakathaka be-Unilateral)', 2) Uma ungakwazi ukukhuluma ngesikhathi esisodwa futhi ubuso bakho bubuna, ngokuqinisekile 'kuyi-Stroke' (ukukhubazeka/ukufa emahoreni amathathu)! 3) Uma ungakwazi ukuhamba nhlobo ngemva kwengozi yomgwaqo, kufanele uye esibhedlela ngokushesha!
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