Uke wafakwa isikhwama esiswini sakho ngenxa yesimo sezokwelapha? Lokhu kubizwa ngokuthi i-stoma ngokwezokwelapha. Ukuphila ngale ndlela kungaba yinto engakhululekile futhi ekhungathekisayo kancane. Umbuzo omkhulu ezingqondweni zabantu abaningi uthi, "Ngizokwazi yini ukuya endlini yangasese njengoba ngangivame ukwenza?" Empeleni kukhona impendulo enhle kulowo mbuzo. Kwabaningi, lesi stoma sesikhashana singaguqulwa ngokuhlinzwa okunye (ukuhlinzwa okubuyiselwe emuva) futhi sibuyiselwe esimweni lapho bangakhipha khona indle evamile. Ake sixoxe ngalokhu ngokuningiliziwe namuhla.
Ingabe wonke umuntu angahlinzwa lokhu?
Lona umbuzo obaluleke kakhulu. Udokotela wakho kanye nodokotela wakho nizonquma ndawonye ukuthi ngabe lokhu kuhlinzwa kokuguqula i-stoma kulungile yini kuwe noma cha. Kunezinto eziningana okufanele uzicabangele lapho wenza lesi sinqumo.
- Impilo yakho iyonke: Umzimba wakho udinga ukuba nempilo enhle ukuze uhlinzwe lolu hlobo futhi ululame ngokushesha ngemva kokuhlinzwa.
- Inani le-rectum elisele ngemva kokuhlinzwa kokuqala: Ukuze kuhlanganiswe kabusha iziphetho ezimbili zamathumbu, kumele kube ne-rectum eyanele esele.
- Amandla emisipha yangemuva: Udokotela uzohlola nokuthi imisipha ezungeze i-rectum yakho iqine ngokwanele yini ukunikeza amandla adingekayo okukhipha indle.
- Uhlelo lwakho lokwelashwa: Uma welashwa isifo esifana nomdlavuza, lokhu kuhlinzwa kokubuyisela emuva kuzohlehliswa kuze kube yilapho konke lokho kwelashwa (isibonelo, i-chemotherapy) sekuqediwe.
Kalula nje, into eyinhloko lapha ukuthi umzimba wakho usukulungele yini ukuhlinzwa kwesibili, nokuthi kungenzeka yini ngobuchwepheshe ukuxhumanisa amathumbu kabusha.
Ngaphambi kwalokhu kuhlinzwa, udokotela wakho uzokuxilonga ngokucophelela futhi, uma kudingeka, angase akuncomele ukuzivocavoca noma ukwelashwa ngokomzimba. Lokhu kuzosiza ukuqinisa imisipha e-rectum yakho futhi kukusize ukuthi ukhululeke kahle ngemva kokuhlinzwa.
Yisiphi isikhathi esingcono kakhulu sokuhlinzwa?
Ngokuvamile, isikhathi esingcono kakhulu sokwenza lokhu kuhlinzwa kokubuyela emuva cishe izinyanga ezintathu ngemva kokuhlinzwa kwakho kokuqala. Kodwa-ke, kunezimo lapho kungathatha khona isikhathi esingafika onyakeni. Isizathu salokhu ukunikeza amanxeba angaphakathi nokuvuvukala isikhathi esanele sokuphulukiswa nomzimba ukuthi ubuyele esimweni esijwayelekile. Ngezinye izikhathi, kunabantu abenza lokhu kuhlinzwa ngisho nangemva kweminyaka eminingana. Ngakho ungakhathazeki, ungakhuluma nodokotela wakho bese unquma isikhathi esikufanele kakhulu.
Ukuguqulwa kwe-Colostomy kanye ne-Ileostomy
Ku-colostomy, ingxenye yamathumbu akho amakhulu (ikholoni), kanye ne-ileostomy, ingxenye yamathumbu akho amancane (ileum), ikhishwa ngesikhumba sesisu sakho ukuze kudalwe i-stoma. Nakuba izindlela zalokhu kuhlinzwa okubili zihlukile kancane, umqondo oyisisekelo uyafana. Okusho ukuthi, iziphetho ezimbili zamathumbu ahlukene zixhunyaniswa kabusha ukuze indle idlule endleleni evamile.
Indlela ukuhlinzwa okwenziwa ngayo
1. I-Anesthesia: Okokuqala, uzonikezwa i-anesthesia. Ngakho ngeke uzwe lutho ngesikhathi sokuhlinzwa, uzolala ubuthongo obuphelele.
2. Ukukhishwa kwamathumbu: Okulandelayo, udokotela ohlinzayo uzokhulula kancane kancane ingxenye yamathumbu akho enamathele esikhumbeni sesisu sakho.
3. I-Anastomosis: Ngemuva kwalokho, iziphetho ezimbili zamathumbu ahlukene ziyahlanganiswa futhi zixhunywe. Lokhu kubizwa ngokuthi i-anastomosis ngokwezokwelapha. Lokhu kuxhumana kungenziwa kusetshenziswa uhlobo olukhethekile lwe-staples noma ngokuthunga ngesandla.
4. Ukuvalwa kwenxeba: Ngemva kokuba amathumbu exhunywe ngaphakathi, i-stoma kanye nokusikwa kokuhlinzwa kuyavalwa.
Lokhu kuhlinzwa kuvame ukuthatha cishe amahora angu-2-4 , kodwa uma unezicubu zesilonda noma i-hernia evela ekuhlinzweni kwangaphambilini, kungathatha isikhathi eside.
Izinkinga kanye nezingozi ezingaba khona ngemva kokuhlinzwa
Njenganoma yikuphi ukuhlinzwa, kunezingozi nezinkinga ezingase zenzeke. Kodwa-ke, lezi zivame ukuphathwa. Ukuguqulwa kwe-colostomy kubhekwa njengokunengozi enkulu kancane yezinkinga kune-ileostomy reversals.
| Inkinga engaba khona | Kusho ukuthini lokho? |
|---|---|
| Ukutheleleka Kwenxeba | Isimo esinjengokubomvu, ukuvuvukala, ubuhlungu, kanye nobomvu obuzungeze inxeba lokuhlinzwa. |
| I-Ileus | Ukuvaleka kwamathumbu okwesikhashana, okuvimbela umoya, uketshezi, nokudla ukuthi kungaqhubeki phambili. |
| Ukuvinjelwa Kwamathumbu | Ukuvaleka kwendlela yamathumbu ngenxa yezicubu zesibazi. |
| Ukuvuza kwe-Anastomotic | Indle evuza esiswini isuka endaweni lapho kuxhunywa khona amathumbu. Lesi yisimo esibi kakhulu. |
| I-Hernia | Ingxenye yamathumbu iphuma ngaphansi kwesikhumba nge-stoma noma i-incision. |
| I-Sepsis | Isimo esibi lapho ukutheleleka kusakazeka khona emzimbeni wonke futhi kungaba yingozi empilweni. |
| Uma unalezi zimpawu, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela. | |
| |
Uma ubhema , ukuyeka noma ukunciphisa ukubhema kwakho ngaphambi kokuhlinzwa kungasiza kakhulu ekunciphiseni ingozi yokutheleleka ngamanxeba.
Isikhathi sokululama nezinto okufanele zilandelwe ekhaya
Ngemva kokuhlinzwa, ngokuvamile uzohlala esibhedlela izinsuku ezintathu kuya kweziyi-10 . Uzothunyelwa ekhaya uma usukwazi ukudla ukudla okuqinile futhi ukusebenza kwamathumbu akho sekubuyele esimweni esijwayelekile.
Okufanele ukulindele ngemva kokubuyela ekhaya
Ukunyakaza kwakho kwamathumbu kungase kushintshe kancane ekuqaleni. Ungakhathazeki, lokhu kuvamile.
- Indle enamanzi noma ekhululekile: Ekuqaleni, indle ingaba namanzi kancane.
- Ukuya endlini yangasese kaningi: Kungase kudingeke uye endlini yangasese izikhathi eziningana ngosuku.
- Ukuphuthuma: Ungase uzizwe unesidingo sokuya endlini yangasese ngokushesha nje lapho uzizwa unesidingo sokuzikhulula.
- Ukuzizwa sengathi awukakakhiphi ngokuphelele amathumbu akho: Ngisho nangemva kokuya endlini yangasese, ungase uzizwe sengathi amathumbu akho awakakhiphi ngokuphelele.
Iningi lalezi zimpawu liyancipha kancane kancane bese libuyela esimweni esijwayelekile ngokuhamba kwesikhathi.
Ukudla
Udinga ukuqaphela kakhulu ukudla kwakho ngesikhathi sokululama kwakho.
- Ukudla okune-fiber ephansi: Emasontweni ambalwa okuqala, udokotela wakho uzokweluleka ukuthi udle ukudla okulula ukukugaya futhi okune-fiber ephansi.
- Ukudla okuncane: Kungcono ukudla ukudla okuncane okungu-5-6 ngosuku kunokudla okukhulu okuthathu ngosuku.
- Phuza uketshezi oluningi: Phuza amanzi amaningi kanye nezinye izinto eziwuketshezi (njengejusi) usuku lonke. Lokhu kubaluleke kakhulu ekusebenzeni kwamathumbu.
- Yeka lezi zinto okwesikhashana:
- Ukudla okunamafutha, okunamafutha, nokunongwe kakhulu.
- Ukudla okugcwalisa isisu ngomoya, njengeklabishi, u-anyanisi nobhontshisi.
- Iziphuzo ezidakayo, utshwala, kanye ne-caffeine eningi.
Ukuzivocavoca kanye nemisebenzi
Ungase uzizwe ukhathele kancane ngemva kokufika ekhaya, ngakho-ke phumula ngokwanele.
- Ukuzivocavoca okulula: Qala ukuzivocavoca okulula, njengokuhamba, kuphela ngemva kokuba udokotela wakho ekunike imvume.
- Gwema ukuphakamisa izinsimbi: Ungaphakamisi izinto ezisindayo inyanga noma ngaphezulu.
- Ukushayela: Gwema ukushayela isikhashana. Cela imvume kudokotela wakho ngaphambi kokuqala konke lokhu futhi.
Ngokuvamile kuthatha cishe amasonto ayi-6-8 ukululama ngokuphelele. Phakathi nalesi sikhathi, kubaluleke kakhulu ukubekezela nokulandela imiyalelo kadokotela.
Umlayezo Wokuya Nawe Ekhaya
- Uma une-colostomy yesikhashana noma i-ileostomy, kuvame ukukwenzeka ukuyibuyisela esimweni sayo esijwayelekile ngokuhlinzwa kokubuyisela emuva.
- Kufanele uxoxe nodokotela wakho ohlinzayo ukuthi ngabe lokhu kuhlinzwa kukulungele yini nokuthi yisiphi isikhathi esingcono kakhulu sokukwenza.
- Kuthatha isikhathi ukululama ngokugcwele ngemva kokuhlinzwa, ngakho-ke kubalulekile ukuba nesineke futhi unike umzimba wakho ukuphumula okudingayo.
- Landela imiyalelo kadokotela wakho mayelana nokudla kanye nomsebenzi ngesikhathi sokululama kwakho.
- Uma uhlangabezana nanoma yiziphi izimpawu eziyisixwayiso njengomkhuhlane, ubuhlungu obukhulu, ukuphuma kobomvu esilondeni, noma izinguquko ezingavamile esitulweni, yazisa udokotela wakho ngokushesha.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho