Ingabe wena noma othile omaziyo wake watshelwa udokotela ngokuhlinzwa kwe-'ileostomy'? Kuvamile ukuzizwa wesaba kancane futhi ube nemibuzo eminingi uma uzwa igama. "Luhlobo luni lokuhlinzwa lolu?", "Kungani ngidinga ukwenza lokhu?", "Impilo yami izobe injani ngemva kokuhlinzwa?" Izinto ezinjalo cishe zigijima engqondweni yakho. Ungakhathazeki, kuvamile. Namuhla, sizoxoxa ngalokhu kuhlinzwa okubizwa ngokuthi i-ileostomy ngendlela elula kakhulu ongayiqonda.
Kalula nje, iyini i-Ileostomy?
I-ileostomy inqubo yokuhlinzwa eshintsha indlela umzimba wakho odlula ngayo indle. Cabanga ngohlelo lwakho lokugaya ukudla njengombhobho wamanzi. Ngezinye izikhathi, ingxenye yalolu hlelo, ikakhulukazi ikholoni, iyeka ukusebenza kahle ngenxa yokugula noma ezinye izizathu. Yilapho odokotela benquma ukwenza lo msebenzi wokuhlinzwa.
Kule nqubo, udokotela ohlinzayo udala isikhala esincane esiswini sakho, esibizwa ngokuthi i-stoma, esikhumbeni. Isiphetho samathumbu akho amancane, esibizwa ngokuthi i-ileum , sibe sesinamathiselwa ku-stoma esanda kudalwa.
Kwenzekani manje? Esikhundleni semfucuza evela ekudleni okudlayo eyehla emathunjini amakhulu iphume endunu, iphuma emzimbeni ngqo nge-stoma emathunjini amancane. Isikhwama esikhethekile (isikhwama se-ostomy) esinamathiselwe ku-stoma sisetshenziselwa ukuqoqa imfucuza ephumayo.
Into ebalulekile ukuthi lokhu kuhlinzwa kungaba okwesikhashana noma okuhlala njalo , kuye ngesimo sakho. Ungakhuluma nodokotela wakho mayelana nokuthi lokhu kuhlinzwa kungabuyiselwa emuva yini uma ikholoni yakho iphola kamuva.
Yiziphi izinhlobo eziyinhloko zokuhlinzwa kwe-ileostomy?
Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa kwe-ileostomy. Ukuze uqonde umehluko phakathi kwalokhu okubili, bheka ithebula elingezansi.
| Uhlobo lokuhlinzwa | Indlela kanye nohlobo lokwenza |
|---|---|
| I-Ileostomy ye-Loop | Lokhu kuvame ukuba okwesikhashana.Lapha, udokotela ukhipha ingxenye efana neluphu yamathumbu amancane embotsheni eyenziwe esiswini, avule uhlangothi lwayo olulodwa, bese edala i-stoma. Lokhu akukuqedi ngokuphelele ukuxhumana phakathi kwamathumbu amancane namathumbu amakhulu. |
| Ukuqeda i-Ileostomy | Lokhu kuvame ukuba phakade . Lapha, amathumbu amancane ahlukaniswe ngokuphelele namathumbu amakhulu, futhi i-stoma idalwa ngokuthatha ingxenye engezansi yamathumbu amancane. Le ndlela isetshenziswa ezimweni lapho amathumbu amakhulu wonke esuswa khona. |
Kungani umuntu angadinga i-ileostomy?
Uma unesifo esikuvimbela ukusebenzisa amathumbu akho amakhulu (ikholoni) noma ingxenye yokugcina yamathumbu akho amancane (ileum), ungase udinge i-ileostomy. Ngezinye izikhathi lokhu kwenziwa njengengxenye yokuhlinzwa okukhulu. Nazi ezinye zezizathu eziyinhloko:
- Ukuvaleka kwamathumbu: Ukuvaleka endaweni ethile emathunjini.
- Ukubhoboza kwamathumbu: Imbobo odongeni lwamathumbu.
- Umdlavuza we-Coloral.
- I-Diverticulitis: Ukutheleleka emathunjini.
- Ezinye izifo ze-polyposis ezizuzwa njengefa: Isibonelo, izimo ezifana ne-FAP ne-JPS.
- Izifo zamathumbu ezivuvukalayo: Izibonelo ezinhle kakhulu zalokhu yi- Ulcerative colitis kanye nesifo sikaCrohn .
Ngezinye izikhathi lokhu kuhlinzwa kwenziwa ukuze kunikwe ikhefu lesikhashana lamathumbu akho futhi kuvumele ukuthi aphole. Kodwa-ke, uma ingxenye noma wonke umathumbu wakho udinga ukususwa, ungase udinge i-ileostomy ehlala njalo.
Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?
Ukulungiselela ukuhlinzwa
Ngaphambi kokuhlinzwa, kuzodingeka ulungiselele amathumbu. Udokotela wakho uzokunikeza imiyalelo eqondile yokuthi yini okufanele uyenze nokuthi yiziphi izinto eziwuketshezi okufanele uziphuze. Kuzodingeka futhi unciphise ukudla nokuphuza kwakho izinsuku ezimbalwa ngaphambi kokuhlinzwa.
Indlela ukuhlinzwa okwenziwa ngayo
Lokhu kuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile , okusho ukuthi ngeke uzwe lutho. Udokotela uzokwenza i-incision esiswini sakho, athole ingxenye yamathumbu akho amancane ethintekile, bese edala i-stoma njengoba kuxoxwe ngakho ekuqaleni. Lokhu kuhlinzwa kungenziwa ngezindlela ezimbili:
1. Ukuhlinzwa okuvulekile (i-Laparotomy): Ukuhlinzwa kwenziwa ngokusikwa okukodwa okude esiswini.
2. Ukuhlinzwa okungenasidingo kakhulu / Ukuhlinzwa kwe-Laparoscopic: Ukuhlinzwa kwenziwa ngokusika okuncane esiswini nangosizo lwekhamera.
Udokotela uzochaza kusengaphambili ukuthi hlobo luni lokuhlinzwa oluzokwenziwa.
Ukululama Nokuphila Ne-Ileostomy
Ngemva kokuhlinzwa, kuzodingeka uhlale esibhedlela izinsuku ezimbalwa. Phakathi nalesi sikhathi, umhlengikazi oqeqeshwe ngokukhethekile (umhlengikazi we-ostomy) uzokusiza kakhulu. Bazokufundisa ukuthi ungayigcina kanjani i-stoma yakho ihlanzekile, ukuthi ungayishintsha kanjani isikhwama sakho, nokuthi ungaphila kanjani impilo evamile.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Njengoba lokhu kuwukuhlinzwa okukhulu, kungathatha cishe amasonto ayi-6 kuya kwayi-8 ukululama ngokuphelele. Ezinsukwini zokuqala ngemva kokuhlinzwa, uzodinga ukudla uketshezi nokudla okuthambile kuphela. Udokotela wakho uzokweluleka ngokuthi ungabuyela kanjani kancane kancane ekudleni okuvamile. Abanye abantu kungadingeka benze izinguquko ezihlala njalo ekudleni kwabo.
Ungayikhipha kanjani indle nge-ileostomy?
Manje indle yakho ayiphumi ngendunu yakho. Kunalokho, ingena ngqo esikhwameni nge-stoma esiswini sakho. Awukwazi ukulawula lokhu . Lokho kusho ukuthi ngeke uzizwe sengathi udinga ukuphuma. Kodwa ukuchama kwakho ngeke kushintshe. Kuzoqhubeka kwenzeka njengokujwayelekile.
Ingabe lokhu kuhlinzwa kuzothinta impilo yami yonke?
Lutho neze. Ukuba ne-ileostomy akuthinti impilo yakho nganoma iyiphi indlela. Eqinisweni, lokhu kuhlinzwa kwenziwa njengokwelashwa kwezimo ezingaba yingozi kakhulu. Ngakho-ke, akugcini nje ngokuthuthukisa ikhwalithi yempilo yakho, kodwa ngezinye izikhathi kuze kusindise nokuphila kwakho .
Nini lapho kufanele uthole iseluleko sezokwelapha
Kubaluleke kakhulu ukwazisa udokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi izinkinga ngemva kokuhlinzwa kwakho. Qaphela kakhulu izimpawu ezingezansi.
| Uma unalezi zimpawu, shayela udokotela wakho ngokushesha. | |
|---|---|
| Iphunga elibi | Uma kukhona iphunga elibi nelingathandeki elivela esifubeni noma endaweni ezungezile. |
| Inxeba noma ukuphuma kwegazi | Uma indawo ezungeze i-stoma ibuhlungu, ibuhlungu, noma iphuma igazi. |
| Ukuhlanza nobuhlungu | Uma unezinhlungu zesisu ezingapheli, isicanucanu, noma ukuhlanza. |
| Ukungakwazi ukuzibamba | Uma indle ingaqongeleli esikhwameni isikhathi esingaphezu kwamahora ayisithupha. Lokhu kungaba uphawu lokuvaleka kwamathumbu. Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. |
I-ileostomy, noma ngabe ingeyesikhashana, iyisipiliyoni esishintsha impilo. Kuvamile ukuzinika isikhathi sokujwayela imikhuba emisha. Ungase uzizwe unesizungu futhi ungakhululekile. Yiba nesineke nawe. Khuluma ngemizwa yakho nomndeni wakho, umngane omethembayo, futhi, uma kudingeka, umeluleki. Udokotela wakho kanye nabasebenzi bobuhlengikazi bahlala bekulungele ukukusiza. Ngakho ungesabi ukubuza noma yimiphi imibuzo.
Umlayezo Wokuya Nawe Ekhaya
- I-ileostomy inqubo yokuhlinzwa yokushintsha indlela indle ephuma ngayo emzimbeni. Lokhu kwenziwa ngembobo ebizwa ngokuthi i-stoma, edalwa esikhumbeni sesisu.
- Lokhu kuhlinzwa kwenziwa njengokwelashwa kwezimo ezibucayi ezifana nomdlavuza wamathumbu amakhulu, izifo ezinzima, kanye nokuvinjelwa.
- Lokhu kungaba okwesikhashana noma okuhlala njalo, futhi ngokuvamile kuyindlela yokuhlinzwa esindisa impilo futhi ethuthukisa ikhwalithi yempilo.
- Abasebenzi bezokwelapha bazokuqondisa ukuthi ungayinakekela kanjani i-stoma yakho kanye nesikhwama ngemva kokuhlinzwa.
- Uma uzwa izimpawu eziyisixwayiso njengobuhlungu besisu, ukuhlanza, noma ukungaphumi kahle kwamathumbu amahora amaningana, xhumana nodokotela wakho ngokushesha.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho