Uma udokotela wakho ekutshela ukuthi kuzodingeka usebenzise 'i-stoma', isikhwama esiswini sakho, ngemuva kokuhlinzwa, ungase uzizwe wesaba kakhulu futhi ukhathazekile. "Ngizophuma kanjani manje?", "Ingabe abanye bazokuqonda lokhu?", "Ngeke ngikwazi yini ukuphila njengoba ngangivame?" Imibuzo eminingi ingase ifike engqondweni yakho. Kuvamile kakhulu. Kodwa empeleni akwesabisi njengoba ucabanga. Namuhla, ake sixoxe ngokuthi iyini i-stoma, ukuthi ungayinakekela kanjani, nokuthi ungaphila kanjani nayo ngokujwayelekile.
Kuyini i-stoma ngamagama alula?
Ake sithi indlela evamile lapho indle (indle) iphuma khona emzimbeni wethu, i-anus, ayifinyeleleki ngenxa yesimo esithile sempilo noma ingozi. Ngemuva kwalokho kufanele sithole enye indlela yokususa indle emzimbeni.
Kalula nje, i-stoma iyimbobo encane edalwa udokotela ohlinzayo odongeni lwesisu sakho (isisu).
Lokhu kuhlinzwa kubizwa ngokuthi i-colostomy . Kule nqubo, kuthathwa ingxenye enempilo yekholoni lakho bese ixhunywa embotsheni esesiswini sakho. Bese kuthi, esikhundleni sokuphuma ngendunu, imfucuza, noma indle, iphume ngale mbobo ye-stoma. Sibeka isikhwama esikhethekile (isikhwama) phezu kwale mbobo ukuze siqoqe imfucuza.
Kungani umuntu edinga i-stoma?
Kunezizathu eziningana ezenza umuntu angase ahlinzwe i-colostomy kanye ne-stoma. Lokhu kwenzelwa ukusindisa impilo yesiguli noma ukuthuthukisa ikhwalithi yempilo yakhe.
Nazi ezinye zezizathu eziyinhloko:
- Ukuvaleka kwamathumbu noma ukuqhekeka: Uma amathumbu evaleka noma eqhekeka ngesizathu esithile, imfucuza ayinandlela yokudlula.
- Umdlavuza: Uma ingxenye yekholoni noma i-rectum idinga ukususwa ngenxa yomdlavuza.
- Isifo sikaCrohn noma i-ulcerative colitis: Lezi yizimo zokuvuvukala okukhulu kwamathumbu. Ngezinye izikhathi, izingxenye zamathumbu ezonakele zidinga ukususwa.
- Ukukhubazeka kokuzalwa: Ezinye izingane zingase zizalwe zinezinkinga ezithile zamathumbu.
- Ukulimala okukhulu ku-colon: Uma i-colon yonakele, njengasengozini.
- I-Diverticulitis: Lesi yisimo lapho kwakheka khona izikhwama ezincane odongeni lwe-colon, ezithelelekayo futhi zivuvuke.
Okubalulekile, akuzona zonke izimbobo ezihlala njalo . Ngezinye izikhathi odokotela bakha imbobo yesikhashana ukuze banike ingxenye yamathumbu eyonakele isikhathi sokuphola.Kubekwa i-stoma. Ngemva kokuba ihlale endaweni yayo amasonto noma izinyanga ezimbalwa futhi ithumbu selipholile, iyasuswa kolunye ukuhlinzwa bese ixhunyaniswa kabusha nethumbu. Kodwa-ke, uma ingxenye enkulu yethumbu isusiwe, i-stoma ingadinga ukugcinwa unomphela.
Ungayinakekela kanjani kahle i-stoma nesikhwama?
Ngemva kokuhlinzwa, uzohlala esibhedlela izinsuku ezimbalwa. Ngaphambi kokuba uye ekhaya, udokotela noma umhlengikazi uzokukhombisa ukuthi ungayishintsha kanjani isikhwama futhi ugcine isikhumba esizungeze i-stoma sihlanzekile. Nakuba kungase kuzwakale kungavamile ekuqaleni, ngemva kwesikhashana, lokhu kuzoba yingxenye yenqubo yakho yansuku zonke.
| Izinyathelo | Okufanele ngikwenze |
|---|---|
| 1. Isikhathi sokushintsha isikhwama. | Shintsha isikhwama uma sesigcwele ingxenye eyodwa kwezintathu (1/3). Ungalindi kuze kube yilapho sesigcwele ngokuphelele. Lokhu kuzokwandisa amathuba okuthi isikhwama sizokhululeka ngenxa yesisindo kanye nokungcola kuzongena esikhumbeni sakho. |
| 2. Ukususa isikhwama esidala | Ngesikhathi ucindezela phansi esikhumbeni ngesandla esisodwa, susa kancane kancane ingxenye enamathelayo yesikhwama ngesinye isandla. Ungalokothi udonse kakhulu, ngoba lokhu kungalimaza isikhumba. |
| 3. Ukususwa kwemfucuza | Thululela imfucuza esesikhwameni endlini yangasese bese ulahla isikhwama kude. Uma kuyisikhwama esingasetshenziswa kabusha, sigeze bese usihlanza kahle. |
| 4. Ukuhlanza isikhumba | Sula isikhumba esizungeze i-stoma ngobumnene ngendwangu ehlanzekile noma izicubu ezimanziswe ngamanzi. Uma usebenzisa insipho, sebenzisa insipho ethambile, engenaphunga. Bese uyivumela yome kahle. |
| 5. Ukufaka isikhwama esisha | Sika imbobo yesikhwama esisha ukuze ilingane kahle ne-stoma. Uma imbobo inkulu kakhulu, imfucuza ingangena esikhumbeni futhi ibangele ukucasuka kwesikhumba. Bese uyibopha ngokuqinile esikhumbeni. |
Izinkinga ezingaba khona kanye nezixazululo zazo
Ukuhlala ne-stoma kungaletha izinkinga ezincane. Ukwazi ngazo kungakusiza ukuthi ubhekane nazo ngaphandle kokukhathazeka.
- Ukubomvu kwesikhumba noma ukucasuka: Lena inkinga evamile. Lokhu kungabangelwa ukungcola okungena esikhumbeni. Isixazululo esingcono kakhulu ukugcina isikhumba sihlanzekile futhi somile njalo. Buza udokotela wakho ngamakhilimu akhethekile (amakhilimu okuvimbela) avikela isikhumba.
- Izinguquko kumbala nosayizi we-stoma: Ezinsukwini zokuqala ngemva kokuhlinzwa, i-stoma izoba bomvu ngokumnyama futhi ivuvuke. Ngokuhamba kwesikhathi, ukuvuvukala kuzokwehla futhi usayizi uzoncipha. Kuzohlala kupinki noma kubomvu ngombala. Lokhu kuvamile. Njengoba usayizi ushintsha, khumbula ukunciphisa ukuvulwa kwesikhwama ukuze kulingane nosayizi.
- Igesi: Njengoba kuvamile ukuba negesi emathunjini akho, isikhwama ngezinye izikhathi singagcwala igesi. Nciphisa ukudla okubangela igesi, njengeklabishi, ikholifulawa, ubhontshisi kanye ne-lentile. Kukhona nezikhwama ezinesikhala esincane sokukhipha igesi.
- Indle enamanzi: Ngezinye izikhathi indle yakho ingaba namanzi amaningi (njengohudo). Lokhu kungaholela ekuphelelweni amanzi emzimbeni njengoba umzimba wakho ulahlekelwa amanzi amaningi nosawoti. Ngakho-ke phuza amanzi amaningi, amajusi, kanye nojusi wewolintshi. Lokhu kuzokusiza ukuthi ufake esikhundleni sama-electrolyte owalahlekile, njenge-sodium ne-potassium.
- Ukopha okuvela esifubeni: Kujwayelekile ukuthi amaconsi ambalwa egazi aphume esifubeni uma usihlanza. Kodwa-ke, uma ukopha kungayeki, noma uma ubona igazi ngaphakathi esikhwameni , tshela udokotela wakho ngokushesha.
- Ukwehla kwesisu: Lesi yisimo esingavamile. Lokhu kwenzeka lapho ingxenye yamathumbu iphuma nge-stoma. Uma ubona into efana nale, ungesabi futhi ubone udokotela wakho. Kungase kudingeke ukuthi uhlinzwe kancane ukuze kulungiswe.
Isikhathi sokubona udokotela ngokushesha
Uma unezinye zezimpawu ezilandelayo, ungazinaki futhi ubone udokotela wakho ngokushesha.
| Izimpawu zesixwayiso okufanele uziqaphele | |
|---|---|
| 🔴 | Uma isikhumba esizungeze i-stoma sibomvu, sibuhlungu, sivuvukele, noma sikhipha uketshezi. |
| 🔴 | Uma unomkhuhlane ongaphezu kwama-degrees Fahrenheit angu-101 (38.3 Celsius). |
| 🔴 | Uma unesicanucanu, ukuhlanza, ubuhlungu obukhulu esiswini, ukuqunjelwa okukhulu noma isifo sohudo. |
| 🔴 | Uma ubhekene nezimpawu zokuphelelwa ngamanzi emzimbeni: isibonelo, ubuthakathaka obukhulu, ukudikiza kwemisipha, kanye nokwehla kokuchama kaningi kanye nenani lomchamo. |
| 🔴 | Uma kukhona ukuphuma kwegazi okuqhubekayo okuvela esifubeni noma uma ubona igazi ngaphakathi kwesikhwama. |
Impilo evamile ene-stoma... kungenzeka ngempela?
Lona umbuzo omkhulu kunayo yonke engqondweni yawo wonke umuntu. Impendulo ithi, "Yebo, kungenzeka ngempela!"
Izikhwama ze-stoma zanamuhla zincane kakhulu futhi ziyisicaba. Ngakho akekho ozoqaphela ukuthi zingaphansi kwezingubo. Futhi, lezi zikhwama zenziwe ngendlela yokuthi iphunga lingaphumi. Ngakho akudingeki ukhathazeke ngokunuka.
Ungacabangi nge-stoma nesikhwama sakho njengomthwalo, kodwa kunalokho njengezinto ezimbili ezikusiza futhi zikunike inkululeko. Zikusiza ukuthi uphume ngokukhululeka, wenze izinto ozithandayo, futhi uxoxe nabantu ngaphandle kokuya endlini yangasese kaningi.
Ungaya emsebenzini, uvivinye umzimba, ugeze, ubhukude, futhi ube nokuphila okuvamile. Uma uzizwa unamahloni noma ungakhululekile ngalokhu ekuqaleni, khuluma nodokotela wakho ngakho. Ezinye izibhedlela zinabahlengikazi abaqeqeshwe ngokukhethekile (abelaphi be-ostoma) ngalokhu. Kukhona namaqembu okusekela lapho abantu abaye baba nokuhlangenwe nakho okufanayo behlangana khona. Ukujoyina indawo enjalo kungakunika amandla amaningi engqondo.
Umlayezo Wokuya Nawe Ekhaya
- I-stoma iyisidingo sezokwelapha ukuze wonge noma wenze impilo yakho ibe lula, akuyona into okufanele ube namahloni ngayo.
- Ukugcina i-stoma kanye nesikhumba esizungezile kuhlanzekile futhi komile kuyindlela engcono kakhulu yokuvimbela izinkinga eziningi.
- Ungaphila impilo evamile nesebenzayo ene-stoma.
- Uma unokungabaza noma ukukhathazeka nganoma iyiphi inkinga encane, ungesabi ukukhuluma nodokotela wakho ngayo.
- Amandla engqondo owathola emndenini wakho, kubangani, futhi, uma kudingeka, emaqenjini okusekelana azoba usizo olukhulu kuwe kulolu hambo.
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