Ingabe kuye kwadingeka ukuthi uhlinzwe i-colostomy ngenxa yesimo esithile sezokwelapha noma ngemva kokuhlinzwa? Uma lokho kwenzeka, kufanele ugqoke isikhwama esixhunywe embotsheni encane (stoma) esiswini sakho. Kumelwe ukuba akukhululekile ukuhlala nalesi sikhwama ngaso sonke isikhathi. Ikakhulukazi uma usohambweni, uya emcimbini wokuzijabulisa, noma ugqoke ingubo oyithandayo, ungase uzizwe ucindezelekile kancane uma ucabanga ngalokhu. Kodwa-ke, uzomangala ukwazi ukuthi kukhona indlela yokungadingi ukusebenzisa lesi sikhwama ngaso sonke isikhathi. Yilokho esikubiza ngokuthi i-Colostomy Irrigation. Ake sixoxe ngakho namuhla.
Okokuqala, kuyini i-colostomy?
Kalula nje, i-colostomy inqubo yokuhlinzwa lapho amathumbu amakhulu, ayingxenye yesimiso sethu sokugaya ukudla, exhunywe khona embotsheni ekhethekile (stoma) eyenziwe odongeni lwesisu. Ngokuvamile, indle iphuma emzimbeni wethu nge-anus. Kodwa-ke, ngemva kokuhlinzwa kwe-colostomy, indle iphuma nge-stoma edalwe esiswini. Ngemuva kwalokho, kufakwa isikhwama esikhethekile ku-stoma ukuze kuqoqwe indle.
Abanye abantu badinga lokhu okwesikhashana kuphela. Okusho ukuthi, kuze kube yilapho umonakalo othile ku-colon noma i-rectum uphola. Udokotela ohlinzayo uxhumanisa izingxenye ezimbili zamathumbu futhi avale i-stoma. Kodwa ezinye iziguli zingadinga i-colostomy ehlala njalo impilo yazo yonke.
Okubalulekile: I-colostomy ihlukile kune-ileostomy. Ku-ileostomy, i-stoma ixhunywe emathunjini amancane, hhayi emathunjini amakhulu.
Kulungile, pho kuyini ukunisela nge-Colostomy?
Ukunisela nge-colostomy kuyindlela yokususa indle emzimbeni ngaphandle kokugqoka isikhwama se-colostomy ngaso sonke isikhathi. Empeleni, kufana ne-enema.
Lokhu kuhilela ukuhlanza ikholoni ngamanzi nge-stoma, ukuyikhipha, nokukhipha indle eqongelelekile ngesikhathi esisodwa. Lokhu kungenziwa nsuku zonke noma njalo ngemva kosuku, ngesikhathi esibekiwe kuye ngezidingo zakho. Uma usujwayele, ungaya endlini yangasese kuphela ngezikhathi ezibekiwe ukuze uhlanze amathumbu akho. Ngemva kwalokho, ungahlala ungenasikhwama usuku lonke, mane umboze i-stoma yakho ngesivalo esincane (i-Stoma Cap). Inkululeko oyitholayo kulokhu inkulu kakhulu.
Ingabe wonke umuntu angasebenzisa i-colostomy irrigation?
Cha. Lokhu akulona elawo wonke umuntu. Indlela yokunisela isebenza kuphela uma indle ephuma emzimbeni iqinile. Ngakho-ke, le ndlela ifaneleka kuphela kubantu abanezinhlobo ezithile ze-colostomies. Udokotela wakho uzonquma ukuthi lokhu kulungile yini kuwe.
Hlola ithebula elingezansi ukuze ubone ukuthi lokhu kuvame ukufanela bani.
| Uhlobo lwe-Colostomy | Incazelo kanye nesizathu sokufanisa |
|---|---|
| I-Colostomy Eyehlayo | Kulesi simo, i-stoma ixhunywe engxenyeni yekholoni eyehla ohlangothini lwesobunxele lwesisu. Uma ifika kule ngxenye, indle iqala ukujiya kancane. Ngakho-ke kulula ukunisela. |
| I-Sigmoid Colostomy | Lokhu kuhilela ingxenye yokugcina yamathumbu amakhulu. Kule ngxenye, indle ijiyile kakhulu. Lolu uhlobo olufanele kakhulu indlela yokunisela. |
Yiziphi izinto ezidingekayo zokunisela?
Le nqubo idinga imishini ekhethekile yezokwelapha. Ungayithola kudokotela wakho noma ezindaweni ezihlinzeka ngemishini yezokwelapha.
- Uhlelo Lokunisela: Lokhu kufaka phakathi isitsha kanye nepayipi lokunisela.
- Isikhwama Sokunisela: Isikhwama eside esinamathiselwe esifubeni futhi esisetshenziselwa ukuqondisa indle namanzi endlini yangasese.
- Amanzi: 500 kuya ku-1000 ml (1/2 kuya ku-1 ilitha) lamanzi afudumele (aphekiwe ngomusi).
- Ibhande Elilungisekayo: Ibhande elisetshenziselwa ukugcina umkhono wokunisela usendaweni yawo.
- Isithambisi Esisekelwe Emanzini: Isithambisi esenza kube lula ukufaka isihloko sepayipi lokunisela esitofini.
- Iziqeshana Zokuvala: Iziqeshana ezisetshenziselwa ukuvala phansi kwesikhafu.
Ukwenza kanjani lokhu ngempela? Izinto okufanele uzazi
Kubaluleke kakhulu: Indlela efanele yokunisela i-colostomy yakho izochazwa ngokucacile ngudokotela wakho noma umhlengikazi we-stoma oqeqeshwe ngokukhethekile. Ungalokothi wenze lokhu ngokusekelwe ezindlebeni noma ekuqageleni.Kubaluleke kakhulu ukuze uphephe ukulandela imiyalelo yabo ngqo.
Nazi izinto ezimbalwa okufanele uzazi ngale nqubo ngokujwayelekile:
- Lo msebenzi ungase uthathe cishe ihora ekuqaleni, kodwa uma usujwayele, isikhathi sizoncipha.
- Ukunisela ngesikhathi esifanayo nsuku zonke kunikeza imiphumela emihle kakhulu.
- Mhlawumbe uma ukhumbula isikhathi lapho wawuvame ukukhishwa isisu ngaphambi kokuhlinzwa kwe-colostomy, ukwenza lokhu ngaleso sikhathi kungasiza umzimba wakho ukuba ujwayele ngokushesha.
- Ukwenza lokhu ngokushesha ngemva kokudla noma ukuphuza isiphuzo esishisayo kungenza inqubo ibe lula.
- Uma uzwa ubuhlungu besisu noma isicanucanu ngesikhathi sokunisela, kungase kube ngenxa yesivinini esikhulu samanzi noma ukubanda kwamanzi.
- Ngemva kwamasonto ayisithupha kuya kwayisishiyagalombili, amathumbu akho azojwayela lolu hlelo futhi azophuma indle ngezikhathi ezihleliwe kuphela.
Ingabe zikhona izingozi noma izinkinga?
Njenganoma iyiphi inqubo yezokwelapha, kunezinto ezincane ezingenzeka.
Ungase uzwe ukucasuka kwesikhumba noma ukubomvu eduze kwe-stoma yakho. Kujwayelekile ukuthi i-stoma yakho yophe kancane ngezinye izikhathi. Kodwa-ke, uma isikhumba sakho sivuvukala, siluma, noma sikhipha uketshezi olunamanzi, kungaba uphawu lokutheleleka. Uma lokhu kwenzeka , tshela udokotela wakho ngokushesha.
Ukuqunjelwa noma isifo sohudo nakho kungase kwenzeke. Ngakho-ke, kubaluleke kakhulu ukudla ukudla okune-fiber eningi nokuphuza amanzi amaningi .
Ngezinye izikhathi kungase kube nokuvuza okuncane phakathi kokunisela. Lokhu kuvame ukuncipha ngokuhamba kwesikhathi.
Ukuphila nokuhlinzwa kwe-colostomy ngezinye izikhathi kungashintsha indlela ozizwa ngayo ngawe kanye nomzimba wakho. Uma uzizwa udangele, ukhathazekile, noma ucindezelekile lapho unenkinga yokulawula igesi noma iphunga lakho, ungabi namahloni okukhuluma nodokotela wakho. Angakunikeza iseluleko nokusekelwa okudingayo.
| Izimo lapho kufanele wazise udokotela wakho ngokushesha | |
|---|---|
| 🔴 | Uma ubukhulu noma ukubukeka kwe-stoma kushintsha ngokuzumayo. |
| 🔴 | Uma kukhona ukungezwani komzimba okuqhubekayo noma izimpawu zokutheleleka (ukuvuvukala, ukulunywa, ukuphuma koketshezi okufana nobomvu) esikhumbeni esizungeze i-stoma. |
| 🔴 | Uma kukhona isicanucanu esikhulu nokuhlanza. |
| 🔴 | Uma inani lomoya noma indle ephuma esitopeni lincipha kakhulu. |
| 🔴 | Uma unezinhlungu zesisu ezinzima ezihlala amahora amaningana. |
| 🔴 | Uma kukhona iphunga elingavamile, ukopha okukhulu, noma uketshezi oluphuma esifubeni. |
Umlayezo Wokuya Nawe Ekhaya
- Ukunisela nge-colostomy kuyindlela enhle yokuhlanza amathumbu akho ngezikhathi ezithile ngaphandle kokusebenzisa isikhwama se-colostomy. Lokhu kukunika inkululeko enkulu.
- Le ndlela ayifaneleki kuzo zonke izinhlobo ze-colostomies. Udokotela wakho kuphela onganquma ukuthi lokhu kulungile yini kuwe.
- Funda indlela efanele kanye nemiyalelo yokwenza ukunisela kudokotela wakho noma kumhlengikazi oqeqeshwe ngokukhethekile. Ungalokothi uzame wena ngokwakho.
- Ukuphila nokuhlinzwa kwe-colostomy kungaba yinselele, kodwa akudingeki kukuvimbele ukuba uphile impilo yakho. Ngosizo lohlelo lokunisela noma isikhwama, ungaqhubeka nokwenza izinto ozithandayo futhi uphile impilo ejabulisayo.
- Uma ubhekene nanoma yikuphi ukungakhululeki ngokomzimba noma ngokwengqondo, khuluma nodokotela wakho ngakho ngokukhululekile.
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