Ingabe wena noma othile omaziyo wake watshelwa udokotela mayelana nokuhlinzwa kwe-colostomy? Kuvamile ukuzizwa wesaba futhi wethukile kancane uma uzwa ngakho. "Kusho ukuthini ukuba nesikhwama?", "Ingabe ngiyoke ngikwazi ukubuyela kumuntu wami wakudala?", njll. Ungase uzibuze. Kodwa ungakhathazeki. Akwesabisi njengoba ucabanga. Namuhla, sizoxoxa ngakho ngendlela elula kakhulu ongayiqonda.
Kalula nje, kuyini i-colostomy?
I-colostomy inqubo yokuhlinzwa eshintsha indlela umzimba wakho odlula ngayo indle. Ngokuvamile, indle yethu iphuma nge-anus. Kodwa uma ingxenye yekholoni yethu yonakele ngenxa yesifo noma ingozi ethile, kungadingeka ukuthi leyo ngxenye iphumule noma iyisuse unomphela, kanye nendlela entsha yokuphuma kwendle.
Kule nqubo, udokotela ohlinzayo wenza imbobo encane, noma imbobo, odongeni lwakho lwesisu oluvezwa esikhumbeni. Lokhu sikubiza ngokuthi i-stoma . Ngemuva kwalokho, ingxenye yamathumbu akho amakhulu (ikholoni) iyathathwa bese ixhunyaniswa nale stoma.
Ngakho-ke ngemva kokuhlinzwa, ngeke kudingeke uye endlini yangasese njengenjwayelo. Kunalokho, indle yomzimba wakho, okuyindle yakho, izophuma esithweni esidalwe esiswini sakho bese iqoqwa esikhwameni esikhethekile (isikhwama se-colostomy) esinamathiselwe kuso.
Abanye abantu banalesi sifo i-colostomy okwesikhashana, izinyanga ezimbalwa kuphela. Kodwa abanye abantu kufanele baphile naso impilo yabo yonke. Konke lokhu kuncike esimweni sakho sezokwelapha. Udokotela wakho uzochaza lokhu ngokuningiliziwe.
Ingabe zikhona izinhlobo ze-colostomy?
Yebo, kunezinhlobo eziningana zama-colostomies. Lezi zihlukaniswa ngokwengxenye yamathumbu amakhulu (ikholoni) exhunywe odongeni lwesisu. Ake sibheke izinhlobo eziyinhloko.
| Uhlobo lwe-colostomy | Incazelo kanye nohlobo lwendle |
|---|---|
| I-Sigmoid Colostomy | Lolu uhlobo oluvame kakhulu. Kule nqubo, ingxenye yokugcina yamathumbu amakhulu (i-sigmoid colon) enobunjwa obungu-'S' inamathele esikhumbeni ohlangothini lwesobunxele lwesisu. Ngenxa yokuthi indle ihamba ibanga elide emathunjini bese iphuma, ivame ukuba nkulu . |
| I-Colostomy Eyehlayo | Lapha, ingxenye yamathumbu amakhulu ohlangothini lwesobunxele, ngaphezu nje kwengxenye enobume buka-'S' (ikholoni eyehlayo), ixhunywe esikhumbeni. Indle ephuma lapha iqinile kakhulu . |
| I-Transverse Colostomy | Kule nqubo, ingxenye engenhla yamathumbu amakhulu (i-transverse colon), edlula esiswini, ixhunywe esikhumbeni. Lokhu kuvame ukwenziwa okwesikhashana. Lokhu kwenzelwa ukunikeza ingxenye yamathumbu eyonakele ukuphumula ngenkathi iphola. Indle ephuma lapha inamanzi futhi ithambile kancane ngoba ingxenye yamathumbu kuphela ehambile. |
Udokotela wakho kanye nodokotela ohlinzayo bazonquma ukuthi yiluphi uhlobo olufanele wena.
Kungani umuntu edinga ukuhlinzwa kwe-colostomy?
Kunezizathu eziningi zokuthi kungani kungenziwa i-colostomy. Ezinye zingezesikhashana, kanti ezinye zihlala unomphela.
Uma kudingeka i-colostomy yesikhashana:
- I-Diverticulitis: Ukutheleleka noma ukuvuvukala kwamathumbu amakhulu.
- IBD (Isifo Sokuvuvukala Kwamathumbu): Izimo ezithinta amathumbu, njengesifo sikaCrohn.
- Ukulimala kwamathumbu: Ukulimala kwamathumbu ngenxa yengozi.
- Ukuvaleka kwamathumbu: Ukuvaleka kwendlela yokuhamba kwendle endaweni ethile emathunjini.
- I-Anal fistula: Ipayipi elingajwayelekile phakathi kwe-anus nesikhumba.
- Ukuhlinzwa kwamathumbu: Ngemva kokususwa kwengxenye yamathumbu, ukunikeza indawo isikhathi sokuphola ngaphambi kokuba izingxenye ezisele zixhunywe ndawonye.
Uma kudingeka i-colostomy ehlala njalo:
- Ukungakwazi ukulawula indle engelapheki (i-Fecal Incontinence).
- Umdlavuza We-Colorectal Othuthukile.
- Uma i-rectum kanye ne-anus zisuswa unomphela ngokuhlinzwa.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Njengoba lokhu kuwukuhlinzwa okukhulu, kunezinto ezimbalwa okudingeka uzilungiselele kusengaphambili.
- Ukukhuluma nodokotela wakho: Ngaphambi kokuhlinzwa kwakho, udokotela wakho ohlinzayo uzokhuluma nawe ngenqubo, izingozi zayo, nokuthi impilo yakho izoshintsha kanjani ngemva kokuhlinzwa. Bangaxoxa nangokuphathwa kobuhlungu.
- Ukuhlolwa:Bazokwenza izinto ezifana nokuhlolwa kwegazi kanye ne-EKG ukuze babone ukuthi ufanelekile yini ukuhlinzwa.
- Ukunquma ukuthi uzosibeka kuphi i-stoma yakho: Umhlengikazi We-Wound Ostomy Continence (WOCN) uzokufundisa ukuthi ungayisebenzisa kanjani i-stoma yakho kanye nesikhwama. Bazokusiza futhi ukuthi ukhethe indawo ekhululekile kakhulu ye-stoma yakho, engeke iphazamise izingubo zakho noma imisebenzi yansuku zonke.
- Ngosuku lokuhlinzwa: Kufanele ugweme ukudla amahora ayisithupha ngaphambi kokuhlinzwa. Kufanele futhi uyeke ukuphuza uketshezi, njengamanzi, amahora ama-2 ngaphambi kokuhlinzwa. Udokotela wakho angase akuncome ukuthi uthathe isilungiselelo samathumbu ukusiza ukuhlanza amathumbu akho.
Kwenzekani ngemva kokuhlinzwa? Nezinkinga ezingaba khona
Ngemva kokuhlinzwa, uzohlala esibhedlela izinsuku ezi-3 kuya kweziyi-7. Phakathi nalesi sikhathi, uzoqala kancane kancane ukudla ngendlela evamile. Abasebenzi bokunakekela bazokufundisa nakho konke okudingeka ukwazi mayelana nokunakekela i-stoma yakho nokushintsha isikhwama sakho.
Ukuhlinzwa kwe-colostomy ngokuvamile kuyindlela ephephile, kodwa njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile.
| Izinkinga ezingaba khona | Incazelo |
|---|---|
| Ukucasuka kwesikhumba | Isikhumba esizungeze i-stoma singaba bomvu futhi sibe buhlungu ngenxa yokuthintana nendle. Lena inkinga evamile. Ukusebenzisa isikhwama esifanelana kahle kungasiza kakhulu ekuxazululeni lokhu. |
| Ukuvinjelwa Kwamathumbu | Izicubu zezibazi ezakheka ngemva kokuhlinzwa zingenza kube nzima ukuphuma kwendle. Lokhu kungelashwa ngemithi yokuqunjelwa. |
| Izinguquko ku-stoma | I-stoma ingahoxa (ukuhoxa) noma iphume kakhulu esikhumbeni (ukuhlanzeka). Lokhu kungenza kube nzima ukulingana kahle nesikhwama. |
| I-Hernia ye-Parastomal | Imisipha ezungeze i-stoma iba buthakathaka, okwenza ingxenye yamathumbu idlule. Lokhu kubukeka njengeqhubu eliseduze ne-stoma. |
Ukushayela nini udokotela wakho ucingo
- Ukuqunjelwa okuqhubekayo noma uhudo.
- Ukucanuzela noma ukuhlanza.
- Igazi esitulweni.
- Izinguquko kumbala noma usayizi we-stoma.
- Iphunga elibi elivela esifubeni noma livaleke.
- Umkhuhlane noma ubuhlungu obukhulu esiswini.
Uma unezinye zalezi zimpawu, kufanele ushayele udokotela wakho ucingo ngokushesha . Uma kwenzeka isimo esiphuthumayo, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Impilo injani ngesikhwama?
Lena yinkinga enkulu kubantu abaningi.
- Indlela ukuya endlini yangasese okuzoshintsha ngayo: Ngemva kokuhlinzwa, indle izophuma esithweni sangasese. Uma usenayo indunu, ungase ube nenani elincane le-mucus ngezinye izikhathi. Lokhu kuvamile. Indle entsha izophuma esithweni sangasese. Into ebalulekile ukuthi, ngokungafani ne-rectum, i-stoma ayinayo imisipha engavimba indle. Ngakho-ke, awukwazi ukulawula ukudlula kwendle. Kwenzeka ngokuzenzakalelayo.
- Ingabe udinga njalo ukuphatha isikhwama?
Abantu abaningi bagqoka isikhwama ngaso sonke isikhathi. Izikhwama kulezi zinsuku zincane kakhulu kangangokuthi azibonakali phezu kwezingubo. Ngakho-ke ungagqoka noma yiziphi izingubo ozifunayo. Abanye abantu abane-sigmoid colostomy bangabikezela ukuthi bazophuma nini esiswini. Bangasebenzisa isikhwama kuphela ngalezo zikhathi.
- Ingabe i-colostomy yesikhashana ingaguqulwa?
Yebo. Uma i-colostomy yakho ingeyesikhashana, ungenza olunye ukuhlinzwa ukuze ibuyele esimweni sayo sokuqala lapho impilo yakho ithuthuka. Udokotela wakho uzonquma ukuthi uzokwenze nini lokhu. Kungathatha izinyanga ezimbalwa noma unyaka.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-colostomy kuyindlela yokusindisa impilo, evame ukudingeka. Ungakwesabi ngokungadingekile.
- Ngemva kokuhlinzwa, indle iqoqwa esikhwameni esinamathiselwe embotsheni (stoma) eyenziwe esikhumbeni sesisu. Lokhu akunakulawulwa.
- Kubaluleke kakhulu ukugcina i-stoma kanye nesikhumba esizungezile kuhlanzekile. Uzonikezwa imiyalelo eningiliziwe ngalokhu esibhedlela.
- Uma unemibuzo noma ukukhathazeka, khuluma nodokotela wakho noma abasebenzi abahlengikazi ngakho ngokukhululekile. Ungabi namahloni.
- Ungaphila impilo evamile ngokuphelele, egcwele ngokuhlinzwa kwe-colostomy. Awuwedwa, baningi abanye abaphila kanje.
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