Ingabe ingane yakho encane ihlushwa ukuqunjelwa? Ingabe ihlala izinsuku ingahambi kahle futhi izizwa ingakhululekile? Noma ingabe inenkinga yokungakwazi ukuzibamba indle ingaqapheli? Wena, njengomntwana nanjengomzali, kumelwe ukuthi uhlushwa kakhulu yilezi zinkinga. Namuhla, sizokhuluma ngokwelashwa okukhethekile okungasiza lapho lezi zimo kunzima ukuzilawula ngemithi ejwayelekile.
Kuyini i-cecostomy ngamagama alula?
Kalula nje, i-cecostomy iwukuhlinzwa okuncane. Kuhilela ukufaka ipayipi esikhumbeni sesisu sakho ngqo engxenyeni yokuqala yamathumbu akho amakhulu. Le ngxenye yokuqala yamathumbu akho amakhulu ibizwa ngokuthi i-cecum ngokwezokwelapha. Le payipi ibizwa ngokuthi i-cecostomy tube noma i-C tube.
Manje ungase ucabange, "Kungani bengafaka ipayipi elinje?" Isizathu siwukuthi, bazokwenza i-enema ngaleli payipi. I-enema uketshezi olufakwa emathunjini ukuze luhlanzwe. Ngokuvamile, senza i-enema nge-anus, okuyingxenye engezansi ye-colon. Uketshezi luyakhuphuka. Lokhu kubizwa ngokuthi i-enema ye-retrograde . Kodwa le ndlela ayihlanzi ngempela lonke i-colon.
Kodwa uma wenza i-enema ngepayipi le-cecum, uketshezi lungena phezulu kwamathumbu amakhulu. Bese uketshezi luhamba emathunjini wonke, luthwala indle, bese luphuma nge-anus. Kufana nokuthulula amanzi epayipini. Lokhu sikubiza ngokuthi i-antegrade enemas . Le ndlela iyasebenza kakhulu ngoba ingahlanza wonke amathumbu amakhulu. Lokhu kwelashwa kungokwesikhashana kwabanye abantu, kodwa kungadingeka isikhathi eside kwabanye.
Ubani ngempela odinga lokhu kwelashwa?
I-Cecalostomy ivame ukusetshenziswa kakhulu kwezokwelapha izingane . Iwusizo kakhulu ezinganeni eziqunjelwe kakhulu futhi ezingakwazi ukulawula amathumbu azo (ukungakwazi ukuzibamba). Cabanga ukuthi kungaba yinto ekhungathekisa kanjani ngengane ukuvuza indle ngengozi ngenkathi idlala nabangani esikoleni. Lokhu kwelashwa kungenza umehluko omkhulu empilweni yabantwana abanjalo.
Ngaphezu kwalokho, lokhu kuwusizo kakhulu ezinganeni ezizalwa zinezinkinga ezithile zamathumbu. Isibonelo:
- Ukukhubazeka kwe-Anorectal: Ukukhubazeka kwe-Anorectal kuwukukhubazeka kokuzalwa kwe-anus.
- Isifo sikaHirschsprung: Inkinga ngamaseli ezinzwa emathunjini ebangela ukuthi indle ingahambi kahle.
- I-Spine bifida: Isici sokuzalwa somgogodla nomgogodla esithinta ukulawulwa kwamathumbu kanye nesinye.
I-Cecalostomy ayikhuthazwa kakhulu kubantu abadala, kodwa ezimweni ezikhethekile, i-antegrade enemas yansuku zonke ingasiza ekugcineni ukuhamba kwamathumbu kuhleliwe futhi kuvimbele ukuhamba kwamathumbu okungalindelekile.
Yiziphi izinhlobo zamapayipi ezisetshenziswayo?
Kunezinhlobo eziningana eziyinhloko zamapayipi asetshenziswa kulokhu. Bheka ithebula elingezansi ukuze uthole ukuqonda okulula kwalokhu.
| Uhlobo Lweshubhu | Ukubukeka kanye nencazelo |
|---|---|
| Ishubhu le-C | Leli yithubhu lesikhashana elifakwa okokuqala ngesikhathi sokuhlinzwa. Liyi-catheter ende, encane. Isiphetho sethubhu esiveziwe sigoqekile phezu kwesisu. |
| I-Chait Trapdoor™ | Leli yipayipi elisetshenziswa cishe unomphela . Libukeka njengenkinobho encane efakwa esiswini. Ingxenye engaphakathi kwamathumbu igoqekile, ngakho-ke ihlala endaweni yayo ngaphandle kokuthungwa. |
| Inkinobho ye-MiniACE® Enema | Leli futhi yipayipi elibukeka njengenkinobho futhi lisetshenziswa unomphela, njengaleli elingenhla. Kodwa leli lifakwa ngaphakathi emathunjini nebhaluni elincane elivuvukele. |
Le nqubo yenziwa kanjani?
Le nqubo ingahlukaniswa izingxenye eziningana.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Ngaphambi kokuhlinzwa, udokotela wakho cishe uzokucela ukuthi ulungiselele amathumbu . Lokhu kusho ukunciphisa ukudla nokuphuza kwakho izinsuku ezimbalwa, bese uthatha umuthi wokuhlanza ukuze ukhiphe amathumbu akho ngokuphelele.
Into ebaluleke kakhulu ukuthi uma ingane yakho izohlinzwa, uchaze konke okuzokwenzeka ngendlela eyiqondayo, ngokuthula nangokucacile. Uma nina, njengabazali, niqiniseka, kungamandla amakhulu nakumntwana.
Kwenzekani ngesikhathi sokuhlinzwa?
Ngesikhathi sokuhlinzwa, udokotela uvula imbobo encane esikhumbeni sesisu sakho aye engxenyeni yamathumbu akho amakhulu ebizwa ngokuthi i-cecum.
- Ngezinye izikhathi lokhu kwenziwa ngedivayisi efana nenaliti. Lokhu kubizwa ngokuthi i-percutaneous cecostomy . Lokhu kuvame ukuhilela ukwenza indawo ibe nezinzwa.
- Ngezinye izikhathi lokhu kwenziwa ngokusikwa okuncane. Lokhu kubizwa ngokuthi i-cecostomy yokuhlinzwa . Ngenxa yalokhu, wena noma ingane yakho nizolaliswa ngaphansi kwe-anesthesia ejwayelekile.
Ngemva kokwenza umgodi, udokotela usebenzisa ubuchwepheshe obukhethekile bekhamera (i-fluoroscopy noma i-endoscopy) njenge-X-ray ukufaka i-C-tube ngembobo iye emathunjini. I-tube bese ixhunywa emathunjini, bese i-tube ixhunywa odongeni lwesisu.
Kwenzekani ngemva kokuhlinzwa?
Ukuhlinzwa ngokwako kuzothatha cishe ihora. Uzobe usesibhedlela izinsuku ezimbalwa. Phakathi nalesi sikhathi, ithimba lezokwelapha lizokunakekela kahle. Uzonikezwa ama-antibiotic e-IV ukuvimbela ukutheleleka. Uzonikezwa ama-painkiller uma uzwa ubuhlungu. Amathumbu akho azoba "nobuvila" kancane ngemva kokuhlinzwa, ngakho kuzodingeka udle ukudla okumanzi kuze kube yilapho eqala ukusebenza kahle futhi.
Yiziphi izinzuzo nezingozi zalokhu?
Njenganoma yiluphi uhlobo lokwelashwa, lolu lunezinzuzo kanye nezingozi.
| Izinzuzo | Izingozi |
|---|---|
|
|
Kodwa ungesabi lezi zingozi. Ithimba lakho lezokwelapha lizokufundisa ukuthi ungayigcina kanjani ithubhu ihlanzekile futhi uyinakekele. Uma ulandela leyo miyalelo ngokucophelela, unganciphisa kakhulu lezi zingozi.
Kuthatha isikhathi esingakanani ukuphola futhi uyisebenzisa kanjani ithubhu?
Kuthatha cishe amasonto amabili ukuthi indawo yokuhlinzwa iphole. Phakathi naleso sikhathi, akuwona umqondo omuhle ukwenza izinto ezifana nokubhukuda noma ukugeza. Kuzodingeka ubuye ngemva kwamasonto amabili ukuze ususwe imithungo yakho. Ngokuvamile ungaqala ukusebenzisa ipayipi ngemva kwesonto lokuqala.
I-C-tube efakwa ekuqaleni ingeyesikhashana. Isetshenziswa cishe amasonto ayi-6 kuya kwayi-8 . Ngemva kwalokho, udinga ukubona udokotela wakho. Uzoyisusa leyo tube bese efaka i-unomphela ebukeka "njengenkinobho" njengoba kushiwo ngaphambili. Kulula kakhulu.
Leli payipi elifana nezinkinobho liyisicaba ngokumelene nesisu, ngakho-ke alibonakali kakhulu ngaphandle. Uma udinga ukwenza i-enema, kukhona ingxenye yepayipi ehlukile engaxhunywa enkinobheni. Uketshezi lwe-enema lufakwa ngalo. Leli payipi elihlala njalo lingasetshenziswa isikhathi eside ngangokunokwenzeka. Kodwa-ke, odokotela batusa ukushintsha leli payipi njalo ezinyangeni ezingu-6 kuya kwezingu-12 ngenxa yezizathu zokuhlanzeka.
Noma yiziphi ezinye izikhathi lapho udinga ukubona udokotela
Uma wena noma ingane yakho ninezinye zezimpawu ezilandelayo, shayela udokotela wakho ngokushesha.
- Izimpawu zokutheleleka: umkhuhlane, uketshezi olufana nobomvu oluphuma endaweni yepayipi.
- Ubuhlungu obungavamile: Ubuhlungu obungabekezeleleki, ukuvuvukala, noma ukuphuma kwegazi eduze kwepayipi.
- Inkinga yepayipi: Uma ipayipi libonakala sengathi lisukile endaweni yalo, noma uma seliphumile ngokuphelele.
Uma ipayipi liphuma, kuyisimo esiphuthumayo esibi kakhulu. Ngoba imbobo ingavaleka ngokushesha. Ngakho-ke, uma lokho kwenzeka, kufanele uye e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Cecostomy iyindlela yokwelapha ephumelelayo yokuqunjelwa okukhulu kanye nokungakwazi ukuzibamba kwamathumbu, ikakhulukazi ezinganeni.
- Lokhu kwenziwa ngokugeza ikholoni kusukela phezulu kuya phansi (i-antegrade enema) ukusiza ekukhipheni indle.
- Nakuba kunezingozi ezithile kule ndlela, zingancishiswa ngokunakekela kahle ipayipi nendawo ezungezile. Izinzuzo zidlula kakhulu lezo.
- Buza udokotela wakho ukuthi ungalihlanza kanjani ithubhu, ungalinika kanjani i-enema, nokuthi wenzeni esimweni esiphuthumayo. Landela imiyalelo yakhe ngokucophelela.
- Lokhu kwelashwa kunikeza ingane noma wena ithuba elihle lokuphila impilo elawulwayo nekhululekile futhi.
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