Ngezinye izikhathi kufanele sibhekane nezinkinga zempilo esingenakuzicabanga. Ukungakwazi ukuzibamba ngenxa yendle singazi noma ukuqunjelwa okukhulu okungabekezeleleki kungenye yazo. Kunzima kangakanani ukuphila nalezi zimo? Abantu abaningi bahlushwa amahloni nokuhlazeka kokuya emphakathini nokwenza umsebenzi wabo. Ngakho-ke namuhla sikhuluma ngokuhlinzwa okukhethekile okungasiza ngezinkinga ezinjalo futhi kwenze impilo ibe lula futhi.
Kalula nje, kuyini i-cecostomy?
I-cecostomy inqubo yokuhlinzwa. Kule nqubo, odokotela abahlinzayo benza ukusika okuncane ohlangothini lwesokudla lwesisu sakho bese befaka ithubhu elincane ku-cecum, ingxenye yokuqala yamathumbu amakhulu. Esinye isiphetho sethubhu singaphakathi kwe-cecum, kanti esinye isiphetho sivezwe ngaphezu kwesikhumba sesisu. Lena inqubo yokuhlinzwa eyenziwa kokubili ezinganeni nakubantu abadala.
Ungase wesabe kancane uma uzwa lokhu. Ungase ucabange, "Ungaba kanjani nepayipi esiswini sakho?" Kodwa kubukeka njengento encane kakhulu. Futhi izinzuzo zalo ziphakeme kakhulu. Ake sixoxe ngakho kabanzi.
Ubani odinga lokhu kuhlinzwa?
Lokhu kuhlinzwa akudingekile ekuqunjweni okuvamile noma ekungalawuleki kwamathumbu ngezikhathi ezithile. Kunconywa kubantu abangakwazi ukuzibamba kakhulu noma ukuqunjelwa yindle, ikakhulukazi lapho ezinye izindlela zokwelapha zingaphumelelanga.
Ezinye zezimo zezokwelapha ezingabangela lezi zimo yilezi:
- Izinkinga zokuzalwa: Isibonelo, i-anus engakheki kahle ngesikhathi sokuzalwa (i-imperforate anus).
- Isifo sikaHirschsprung: Lesi yisimo esibangela ubunzima bokuphuma kwendle ngenxa yenkinga ngamaseli ezinzwa emathunjini amakhulu.
- I-Klippel Feil syndrome: Lesi yisimo esingavamile esibangelwa ukuhlangana kwamathambo omgogodla.
- I-Spine bifida: Iphutha lokuzalwa ekukhuleni komgogodla kanye nomgogodla.
Kumntwana noma umuntu omdala onalezi zimo, impilo yansuku zonke ingaba nzima kakhulu. Lokhu kuhlinzwa kuyabasiza kakhulu.
I-cecostomy tube isisiza kanjani? Umehluko phakathi kwe-enema ne-cecostomy tube
Ukuze siqonde lokhu, sidinga kuqala ukwazi ukuthi iyini i-enema. I-enema inqubo ehilela ukufaka uketshezi emathunjini amakhulu ukuze kusize indle idlule kalula. Indlela yendabuko esiyaziyo ukunikeza i-enema nge-anus.
Ubuchwepheshe bokuhlinzwa kwe-cecostomy ukuthi buvumela indlela ekhethekile ye-enema ebizwa ngokuthi i-antegrade enema . Manje ake sibheke umehluko phakathi kwalezi zindlela ezimbili.
| Indlela | Incazelo |
|---|---|
| I-enema yendabuko (i-enema ye-Retrograde) | Lena indlela yokufaka uketshezi ngendunu. Lokhu kudinga ukuthi ulale phansi. Kufanele futhi ulinde cishe ihora elilodwa ngemva kokufaka uketshezi. Lena inqubo enzima futhi ethatha isikhathi. |
| I-enema ye-Antegrade (ngokusebenzisa i-cecostomy) | Uketshezi lufakwa ngepayipi le-cecostomy esiswini sakho. Ungakwenza lokhu uhleli endlini yangasese . Uma uketshezi seluxhunywe epayipini, luya ngqo ekuqaleni kwamathumbu akho amakhulu, ngakho amathumbu akho ahlanzwa ngokushesha nangendlela ephumelelayo. Lena indlela elula kakhulu, eyimfihlo, nekhululayo. |
Uyitholile? Ngale ndlela ye-enema ye-antegrade, awusadingeki ulale phansi bese wenza i-enema ngokunganaki. Ungenza lo msebenzi kalula, uhleli endlini yangasese, wedwa.
Ukulungiselela ukuhlinzwa nokuthi kwenzekani
Ngosuku olungaphambi kokuhlinzwa, kuzodingeka uhlanze amathumbu akho ngokuphelele (ukulungiselela amathumbu) ngokwemiyalelo kadokotela wakho.
Ngesikhathi sokuhlinzwa:
- Uzonikezwa umuthi wokulalisa ukuze ungezwa ubuhlungu.
- Udokotela wenza ukusika okuncane ohlangothini olungezansi kwesokudla lwesisu.
- Kusetshenziswa amasu akhethekile okuthwebula izithombe, ithubhu le-cecostomy lifakwa ngokusikwa ku-cecum.
- I-cecum ibekwa eduze kodonga lwesisu futhi iqiniswe ngezithungo eziningana.
- Esinye isiphetho sepayipi sibekwa ebusweni besikhumba bese siboshelwa esikhumbeni ngeplasta uma kudingeka.
Yiziphi izinzuzo nezingozi zokuhlinzwa kwe-cecostomy?
Njenganoma iyiphi inqubo yezokwelapha, lena inezinzuzo kanye nezingozi ezithile.
Izinzuzo:
- Izingozi zokungcola ezincishisiwe kakhulu: Njengoba ungakwazi ukulawula indle yakho, ungahlala uhlanzekile usuku lonke.
- Ukuzethemba okwandisiwe:Ukuzizwa kahle ngawe ngoba ulahlekelwa amahloni nokwesaba.
- Impilo ekhuthele: Ungenza izinto ezinjengokuya esikoleni, emsebenzini, ukuphuma nabangani, nokubhukuda ngaphandle kokwesaba "ukuthi kufanele uhlale useduze nendlu yangasese."
- Akusadingeki amanabukeni noma izingubo zangaphansi zokuzivikela.
Izingozi ezingaba khona:
- Izinkinga ezihlobene nokubulala izinzwa: Izinto ezifana nomphimbo obuhlungu nokuhlanza ngemva kokuvuka.
- Ukubhoboza kwamathumbu: Imbobo emathunjini amakhulu eyenzeka ngengozi ngesikhathi sokuhlinzwa.
- I-stomal stenosis: Ukuncipha kwengxenye yamathumbu eduze nendawo yokufaka ithubhu.
- Ukuvuza kwesisu: Uketshezi lwe-enema oluphuma nxazonke kwepayipi lungene esiswini.
Lezi zingozi azivamile, futhi ithimba lakho lezokwelapha lizokwenza konke okusemandleni alo ukuzivimbela.
Kwenzekani ngemva kokuhlinzwa?
Kunezinto ezimbalwa okufanele uzilandele ngesikhathi nangemva kwesikhathi sakho sokululama.
- Ukuphuma esibhedlela: Iningi labantu liyakwazi ukuya ekhaya ngosuku olufanayo nokuhlinzwa kwabo.
- Ubuhlungu: Ungase uzizwe ungakhululekile futhi ubuhlungu ngemva kokuya ekhaya. Ungasebenzisa imithi yokubulala izinhlungu oyinikezwe udokotela wakho ngalokhu.
- Imikhawulo yemisebenzi: Kufanele ugweme ukubhukuda amasonto amabili ngemva kokuhlinzwa. Kufanele futhi ugweme ezemidlalo kanye nokuphakamisa izinto ezisindayo amasonto amane kuya kwayisithupha .
- Ukunakekelwa kwesikhathi eside:
- Udinga ukubona udokotela ngemva kwesonto noma amabili ukuze ususwe imithungo.
- Ithimba lezokwelapha lizokufundisa kangcono ukuthi ungaqala nini futhi kanjani ukwenza i-enema ye-antegrade usebenzisa i-cecostomy tube.
- Ngezinye izikhathi ithubhu yesikhashana ifakwa ngesikhathi sokuhlinzwa bese ishintshwa ibe yithubhu ehlala njalo, yesikhathi eside uma uya emtholampilo ngemva kwamasonto ayisithupha. Lena inqubo encane, engenabuhlungu eyenziwa ngaphandle kokubulala izinzwa.
- Into ebaluleke kakhulu ukuthi leli payipi le-cecostomy lidinga ukushintshwa njalo ezinyangeni eziyi-6 kuya kweziyi-12. Lokhu futhi kuyinto elula eyenziwa emtholampilo.
Uma unalezi zimpawu, bona udokotela ngokushesha.
Uma uhlangabezana nanoma yiziphi izimpawu zenkinga ngemva kokuhlinzwa, kufanele wazise udokotela wakho ngokushesha.
| Izimpawu zesixwayiso okufanele uziqaphele | |
|---|---|
| - Ubuhlungu besisu | - Uma ithubhu le-cecostomy seliphumile endaweni yalo |
| - Uma kunzima ukudlulisa uketshezi lwe-enema ngepayipi | - Umkhuhlane. Lokhu kungaba uphawu lokutheleleka esiswini (i-peritonitis). |
| - Uma ubunzima bokulawula ukuhamba kwamathumbu buqhubeka | - Uma kukhona ubomvu, ukopha, noma ukuvuvukala eduze kwepayipi |
Umlayezo Wokuya Nawe Ekhaya
- I-Cecostomy iwukuhlinzwa okusindisa impilo okwenziwa ukwelapha ubunzima obukhulu bokulawula amathumbu kanye nokuqunjelwa.
- Lokhu kuvumela indlela elula ebizwa ngokuthi i-antegrade enema yokuhlanza ikholoni. Lokhu kukuvumela ukuthi wenze lo msebenzi kalula ngenkathi uhleli endlini yangasese.
- Lokhu kuhlinzwa kunciphisa ukunyakaza kwamathumbu okungenasidingo, kwandisa ukuzethemba, futhi kuvumela impilo yokuxhumana nabantu esebenzayo.
- Lesi yisisombululo sesikhathi eside. Ukunakekelwa kwangemva kokuhlinzwa, njengokushintsha ipayipi njalo ezinyangeni ezingu-6-12, kubaluleke kakhulu.
- Ungesabi ukukhuluma ngokukhululekile nodokotela wakho nganoma yiziphi izinkinga ezingase ziphakame ngesikhathi noma ngemva kokuhlinzwa.
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