Uma udokotela wakho ekutshela noma othile emndenini wakho ukuthi kuzodingeka usebenzise isikhwama se-colostomy, ungase uzizwe wesaba futhi ukhathazekile kancane. Kuvamile ukuba nemibuzo efana nokuthi, " Ngizobhekana kanjani nalokhu?", "Abanye abantu bazocabangani?", "Ngeke ngikwazi yini ukuphila ngendlela engangiphila ngayo?" Kodwa ungakhathazeki. Lokhu akunzima noma akushintshi impilo njengoba ungase ucabange. Uma unolwazi olufanele, ungaphila impilo yakho ngendlela evamile ngalokhu. Ake sixoxe ngakho konke ngendlela elula necacile.
Okokuqala, siyini isikhwama se-colostomy?
Kalula nje, lesi yisikhwama esikhethekile esikusiza ukuthi ukhiphe indle, noma indle, emzimbeni wakho ngemva kokuhlinzwa. Ngokuvamile, sikhipha indle nge-anus. Kodwa-ke, ngenxa yezimo ezithile zezokwelapha (njengomdlavuza wamathumbu amakhulu) noma lapho ingxenye yamathumbu amakhulu yonakele kakhulu, odokotela benza ukuhlinzwa okubizwa ngokuthi i -colostomy .
Okwenzekayo lapha ukuthi ingxenye engezansi kwekholoni yakho ikhishwa ngaphansi kwesikhumba sesisu sakho bese kwakheka imbobo encane. Lo mbobo opinki, oyindilinga ubizwa ngokuthi i -stoma . Indle yakho manje iphuma kule stoma. Kodwa ngokungafani ne-rectum yethu, le stoma ayinayo imisipha noma imizwa yokulawula indle. Ngakho-ke asikwazi ukulawula ukuthi sifuna nini ukuphuma indle. Yingakho lesi sikhwama se-colostomy sinamathiselwe phezu kwe-stoma ukuze kuqoqwe indle ephuma ngokuzenzakalelayo.
Abanye abantu kufanele basebenzise lesi sikhwama okwesikhashana, okungukuthi, kuze kube yilapho amathumbu abo ephola. Abanye kufanele basisebenzise impilo yabo yonke. Kungakhathaliseki ukuthi siyini isizathu, ngemva kwesikhathi esithile, abantu abaningi bayasijwayela futhi bajwayele ukuphila kwabo okuvamile futhi.
Umehluko phakathi kwesikhwama se-Colostomy nesikhwama se-Ostomy
Kungenzeka ukuthi uke wezwa "ngesikhwama se-ostomy." Uyini umehluko phakathi kwalokhu okubili?
I-Ostomy yigama elijwayelekile lanoma yimuphi umgodi owenziwe ngokuhlinzwa ukuze kuvunyelwe ukungcola ukuthi kuphume emzimbeni. Lo mgodi ubizwa ngokuthi i-stoma. Ngakho-ke, noma yisiphi isikhwama umuntu one-ostomy asisebenzisa ukuqoqa ukungcola "yisikhwama se-ostomy."
I-colostomy uhlobo lokuhlinzwa kwe-ostomy. Lokhu kusho ukuthi zonke izikhwama ze-colostomy ziyisikhwama se-ostomy, kodwa akuzona zonke izikhwama ze-ostomy eziyisikhwama se-colostomy.
Lokhu kuzocaca kuwe uma ubheka ithebula elingezansi.
| Uhlobo lwe-Ostomy | I-stoma yenziwe kuphi? | Yini efika esikhwameni? |
|---|---|---|
| I-Colostomy | Amathumbu Amakhulu | Isihlalo |
| I-Ileostomy | Amathumbu Amancane - Ileum | Isihlalo (ngokuvamile sikhululekile) |
| Urostomy | Uhlelo Lomchamo | Umchamo |
Kunezinhlobo eziningana zezikhwama ze-colostomy.
Akukho sayizi eyodwa efanela zonke izikhwama. Kunezinhlobo ezahlukene ongakhetha kuzo kuye ngezidingo zakho nendlela yakho yokuphila.
- Uhlelo olunengxenye eyodwa: Lolu hlelo lunesikhwama kanye nengxenye enamathela esikhumbeni. Uma ushintsha isikhwama, kufanele usisuse ngokuphelele bese ugqoka esisha. Kulula kakhulu ukuzisebenzisa.
- Uhlelo olunezingcezu ezimbili: Lokhu kuqukethe izingxenye ezimbili: ipuleti/i-wafer eyisisekelo enamathela esikhumbeni kanye nesikhwama esinamathela kuso. Isikhwama singashintshwa njengoba kudingeka, futhi ipuleti eyisisekelo kufanele lishintshwe njalo ezinsukwini ezimbili kuya kwezintathu.
- Izikhwama ezivaliwe: Lezi zingcono kakhulu uma isihlalo sakho sijiyile. Uma isikhwama sesigcwele, usisusa nje bese ufaka esisha. Kufanele usishintshe cishe kabili ngosuku.
- Izikhwama ezikhipha amanzi: Lezi zingcono kakhulu uma indle yakho inamanzi. Ungathulula imfucuza ngembobo engaphansi kwesikhwama, uyivale futhi, bese uyisebenzisa kabusha. Udinga ukushintsha isikhwama sonke njalo ezinsukwini ezimbili kuya kwezintathu.
- Ama-mini pouch: Lawa ama-smacks amancane kakhulu angasetshenziswa isikhathi esifushane, njengalapho ubhukuda noma ujima.
Ungakhathazeki, udokotela wakho noma umhlengikazi we-Stoma Care uzokusiza ukuthi ukhethe isikhwama esikufanele kakhulu.
Uphila kanjani impilo ejwayelekile ngesikhwama?
Lena yinkinga enkulu abantu abaningi abanayo. Nakuba kungase kuzwakale kungavamile ekuqaleni, lawa macebiso azokusiza.
Uzotshela abanye ngalokhu?
Ukukhuluma nabangani bakho abaseduze, umndeni, kanye nabangane bakho abakhulu kungasiza ekunciphiseni umthwalo engqondweni yakho. Kungumqondo omuhle futhi ukukhuluma nomuntu omethembayo emsebenzini, njengoba ungase udinge usizo.
Uyasibona isikhwama ngaphandle? Uyasizwa yini umsindo?
Lokhu kuyinto abantu abaningi abacabanga ukuthi ayidingeki. Cela umuntu omethembayo ukuthi ahlole ukuthi isikhwama siyabonakala yini ngaphansi kwezingubo zakho. Isikhwama esifakwe kahle ngeke sibonakale ngaphansi kwezingubo. Ukuthulula isikhwama uma sesigcwele ingxenye eyodwa kwezintathu (1/3) kuzokwenza singabonakali kakhulu futhi singavuzi kakhulu. Ngezinye izikhathi kungase kube nomsindo omncane lapho umoya uphuma estoma, okuyinto evamile.
Ngingagqoka noma yiziphi izingubo engizifunayo?
Kungenzeka ngempela! Ungenza isikhwama singabonakali ngaphansi kwezingubo zakho ezivamile. Izingubo ezikhululekile ezingacindezeli isikhwama zizoba ngcono kuwe ekuqaleni. Manje kunezingubo zangaphansi ezikhethekile ngisho nezingubo zokubhukuda ezenzelwe lokhu.
Ingabe kuzothinta impilo yocansi?
Kuvamile ukuzizwa ungakhululekile futhi unamahloni ekuqaleni. Kodwa ungavumeli lokhu kuphazamise impilo yakho yocansi. Khulula isikhwama sakho bese uhlanza ngaphambi kokuba uye ocansini. Uma kudingeka, khuluma nodokotela wakho ngesembozo esincane se-stoma ongasisebenzisa kuphela ngesikhathi socansi.
Ungakwazi yini ukuzivocavoca?
Yebo. Ungenza noma yini kusukela ekuzivocavoceni okulula kuya emisebenzini enamandla kakhulu. Kodwa-ke, uma wenza noma yikuphi ukuvocavoca okucindezela isisu sakho, njengokuphakamisa izinsimbi, buza udokotela wakho ngengubo ekhethekile yokusekela noma i-stoma guard yokuvikela i-stoma yakho.
Izinto okufanele uziqaphele lapho udla futhi uphuza
Yebo, ngokuqaphela kancane lokho okudlayo, unganciphisa kakhulu ukungakhululeki okufana negesi, ukuqunjelwa, kanye nesifo sohudo .
| Isimo | Ukudla Okufanele Ukugwenywe Noma Ukukhawulelwe |
|---|---|
| Amaviki ambalwa okuqala ngemva kokuhlinzwa | |
| Ezigabeni zokuqala (yidla ukudla okulula ukugayeka) | Ukudla kobisi okunamafutha amaningi (ubisi olunamafutha amaningi, i-ayisikhilimu), ukudla okune-fiber ephezulu (ubhontshisi, imifino eluhlaza, izithelo), inyama enamafutha, iziphuzo ezine-carbonated, utshwala. |
| Ukudla okubangela iphunga | |
| Uma kunenkinga ngephunga lapho uthulula isikhwama | Utshwala, i-asparagus, ubhontshisi, i-broccoli, iklabishi, amaqanda, inhlanzi, igalikhi, u-anyanisi. |
| Ukudla okubangela igesi (umoya) | |
| Uma unenkinga yokuqunjelwa | Ushizi osukhulile, ubhontshisi, ubhiya, iklabishi, iziphuzo ezine-carbonated, ikhofi, u-anyanisi, izithelo ezingavuthiwe, isipinashi. |
Into ebaluleke kakhulu ukuzama ukudla okusha ekhaya, ngakunye ngakunye. Khona-ke uzokwazi ngokwakho ukuthi ukudla kulungile yini emzimbeni wakho noma cha.
Indlela yokushintsha isikhwama se-colostomy
Umhlengikazi esibhedlela uzokukhombisa ngqo ukuthi ungakwenza kanjani lokhu, kodwa khumbula lezi zinyathelo eziyisisekelo.
1. Uma udinga ukukhipha isikhwama osisebenzisile, faka imfucuza kuso endlini yangasese.
2. Geza izandla zakho kahle ngensipho bese uzomisa ngethawula elihlanzekile.
3. Ngesikhathi usunduza isikhumba kancane uzungeze i-stoma emuva ngesandla esisodwa, donsa isikhwama kancane esikhumbeni ngesinye isandla. Ungalokothi udonse ngamandla.
4. Faka isikhwama esivuliwe esikhwameni sepulasitiki bese usibopha sivalwe.
5. Hlanza isikhumba esizungeze i-stoma ngamanzi afudumele kanye nendwangu ethambile noma ama-wipes. Bese usiyeka some kahle.
6. Uma kudingeka, kala usayizi we-stoma bese usika i-wafer yesikhwama esisha ibe yileyo sayizi eqondile. Ngaphandle kwalokho, ungasebenzisa isikhwama esisikiwe ngaphambilini.
7. Beka imbobo yesikhwama esisha phezu kwe-stoma bese ucindezela kancane cishe imizuzwana engama-45 ukuqinisekisa ukuthi inamathela kahle esikhumbeni.
8. Uma usebenzisa isikhwama esingavalwa kabusha, vala phansi kwaso ngokuqinile nge-clamp.
9. Faka isikhwama esinemfucuza emgqonyeni kadoti bese ugeza izandla zakho kahle futhi.
Umlayezo Wokuya Nawe Ekhaya
- Kuvamile ukuzizwa wesaba uma uqala ukuzwa ngesikhwama se-colostomy. Kodwa kuyinto engathuthukisa ikhwalithi yempilo yakho futhi ilawuleke.
- Khuluma nodokotela wakho noma nomhlengikazi wokunakekela i-stoma ukuze ukhethe uhlobo lwesikhwama olufanele wena.
- Gcina i-stoma kanye nesikhumba esizungezile kuhlanzekile futhi komile. Uma ubona noma yikuphi ukubomvu, ukulunywa, noma ubuhlungu, tshela udokotela wakho ngokushesha.
- Ngokuqaphela ukudla kwakho, ungalawula ukungakhululeki okufana negesi nokuqunjelwa.
- Ungabi namahloni okukhuluma ngokukhululekile nodokotela wakho nganoma yiziphi izinkinga zomzimba noma zengqondo ongase ube nazo kulokhu.
- Ngokuhamba kwesikhathi, lokhu kuzoba yingxenye yempilo yakho yansuku zonke. Zinike isikhathi salokho.
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