Wena noma umuntu omaziyo nomthandayo kumelwe ukuthi nizizwe nisaba kancane futhi ninomthwalo osindayo enhliziyweni yenu lapho udokotela enitshela ngalolu hlobo lokuhlinzwa, akunjalo? Kuvamile ukuba novalo uma nizwa igama elikhulu elifana nelithi "Laparoscopic Abdominoperineal Resection." Kodwa ungesabi. Namuhla, sizoxoxa ngohlobo lokuhlinzwa lolu, ukuthi kungani lwenziwa, nokuthi kwenzekani ngemva kokuhlinzwa ngendlela elula kakhulu ongayiqonda.
Kalula nje, kuyini lokhu kuhlinzwa?
Lokhu ukuhlinzwa okwenziwa udokotela ohlinzayo. I-anus yakho, i-rectum, kanye nengxenye engezansi yamathumbu akho amakhulu (i-sigmoid colon) kuyasuswa. Lokhu kuhlinzwa kwenziwa ngezimbobo eziningana ezincane esiswini sakho, kunokuba kwenziwe ngokusikwa okukhulu. Le ndlela ibizwa ngokuthi i-laparoscopy noma "ukuhlinzwa kwe-keyhole."
Lokhu kuhlinzwa kuvame ukunconywa uma umdlavuza utholakala ekujuleni kwe-rectum noma eduze kwe-anus. Lokhu kuhlinzwa kuyadingeka kakhulu uma umdlavuza useduze kakhulu nemisipha ye-sphincter elawula ukudlula kwendle, njengoba lokhu kuhlinzwa kuyadingeka ukuze kususwe ngokuphelele amangqamuzana omdlavuza kanye nalawo misipha.
Into ebaluleke kakhulu ukususa umdlavuza ngokuphelele emzimbeni. Lokhu kuhlinzwa kwenza lokho.
Kulokhu kuhlinzwa, kwakheka imbobo entsha ukuze imfucuza (indle) iphume emzimbeni wakho. Lokhu kubizwa ngokuthi i-stoma . Le stoma itholakala esikhumbeni sesisu sakho. Yingalokhu lapho amathumbu amakhulu exhumene khona. Odokotela babiza le nqubo ngokuthi "i-colostomy."
Iyini i-stoma? Ingabe kufanele ngiyesabe?
Lutho neze. I-stoma iyingxenye ebalulekile yokuhlinzwa kwakho okusindisa impilo. Cabanga ngale ndlela, njengendunu yethu, lena yindlela entsha yokuphuma kwemfucuza.
Kodwa kunomehluko owodwa. I-stoma ayinayo imisipha ye-sphincter elawula ukudlula kwendle, njengaleyo ese-anus yethu. Ngakho-ke, asikwazi ukulawula ukudlula kwendle uma sifuna. Ngenxa yalesi sizathu, sidinga ukugqoka isikhwama esikhethekile (isikhwama) ukuze siqoqe imfucuza ephumayo.
Kungase kuzwakale kungavamile ukujwayela lokhu ekuqaleni. Kodwa ngokuhamba kwesikhathi, kuzoba yingxenye evamile yempilo yakho. Ukuze bakusize ngalokho, kunabasebenzi abahlengikazi abathole ukuqeqeshwa okukhethekile kulokhu. Bazokufundisa konke.
Indlela ukuhlinzwa okwenziwa ngayo isinyathelo ngesinyathelo
Kuvamile ukuzizwa ukhathazekile lapho ucabanga ngokuhlinzwa okukhulu kangaka. Kodwa uma usuqonda ukuthi kwenziwa kanjani, ukwesaba kwakho kuzoncipha kakhulu.
| Isigaba Sokuhlinzwa | Kwenzakalani |
|---|---|
| 1. Ukubulala izinzwa | Okokuqala, uzolaliswa ngokuphelele. Lokhu kusho ukuthi ngeke uzwe lutho kuze kube yilapho ukuhlinzwa kuphelile, futhi uzolala ngokuphelele. |
| 2. Ukuqala i-laparoscopy | Ngesikhathi ulele, udokotela ohlinzayo wenza ukusika okuncane (cishe i-1/2 intshi) eduze kwesisu sakho bese efaka ithuluzi elincane elifana nekhamera (i-laparoscope) ngalo. Le khamera ikuvumela ukuthi ubone ngaphakathi kwesisu sakho. Ngemuva kwalokho, kwenziwa izimbobo ezincane ezingaba ngu-4 noma 5 esiswini sakho ukuze kufakwe izinto ezidingekayo ukuze kwenziwe ukuhlinzwa. |
| 3. Ukulungiselela ukususwa kwamathumbu | Imithambo yegazi eyinhloko ehambisa igazi engxenyeni yekholoni ezosuswa iyasikwa futhi ivalwe. Bese kuthi ingxenye yekholoni ezosuswa (ikholoni ye-sigmoid) ikhululwe ezicutshini ezizungezile bese ihlukaniswa namathumbu amakhulu asele. I-rectum nayo ikhululwe ezicutshini ezizungezile ngendlela efanayo. |
| 4. Ukususwa kwendunu | Ngemva kokukhululwa kwezingxenye zamathumbu, elinye ilungu leqembu lokuhlinzwa lizokwenza ukuhlinzwa endaweni ephakathi kwemilenze yakho (indawo ye-perineal) futhi lisuse ngokuphelele i-anus, i-rectum, kanye nengxenye ethintekile ye-colon. |
| 5. Ukudalwa kwe-Stoma | Ngemva kokususa izicubu ezinomdlavuza, udokotela ohlinzayo udala i-stoma ngembobo encane eyenziwe ngaphambilini. Lokhu kuvame ukwenziwa ohlangothini lwesobunxele lwesisu. Ingxenye esele yekholoni ikhishwa ngembobo, ixhunywe esikhumbeni, bese ithungwa ivalwe. |
| 6. Ukuqedwa kokuhlinzwa | Ekugcineni, umgodi wesisu (ngaphakathi kwesisu) ugezwa kahle, bese kubekwa ipayipi elincane lokukhipha amanzi ukuze kukhishwe noma yikuphi uketshezi olungafuneki okungenzeka ukuthi luqongelele ngaphakathi. Lokhu kusiza inxeba ukuthi liphole ngokushesha. Bese kuthi ezinye izimbobo esiswini zithungwe. |
Yini ongayilindela ngesikhathi sokululama?
Ngemva kokuhlinzwa, kuzodingeka uhlale esibhedlela izinsuku ezimbalwa, ngokuvamile cishe isonto. Phakathi nalesi sikhathi, odokotela kanye nabasebenzi abahlengikazi bazokunakekela kahle.
Kwenzekani esibhedlela?
Uma uvuka ngemva kokuhlinzwa, isikhwama sizonamathiselwa esifubeni sakho ukuze siqoqe imfucuza. Kuzothatha izinsuku ezimbalwa ukuthi uhlelo lwakho lokugaya ukudla, noma amathumbu, luqale ukusebenza futhi. Uma seluqalile, uzonikezwa uketshezi lokuphuza ekuqaleni . Njengoba ululama kancane kancane, ungadlulela ekudleni okuqinile okuvamile .
Ukufunda ukunakekela i-stoma yakho
Lena yingxenye ebaluleke kakhulu. Ngesikhathi usesibhedlela, umhlengikazi oqeqeshwe ngokukhethekile ekunakekelweni kwe-stoma (u-Enterostomal Therapist noma umhlengikazi we-ET) uzokusiza.
- Bazokukhombisa ukuthi ungayishintsha kanjani isikhwama sakho se-stoma.
- Ikufundisa indlela yokugcina isikhumba esizungeze i-stoma sihlanzekile futhi sinempilo.
- Uma usubuyela ekhaya, uzozijwayeza ukwenza lezi zinto wedwa.
Ukuphila nokuhlinzwa kwe-colostomy okuhlala njalo kuyinguquko enkulu. Zinike isikhathi sokujwayela. Ungakhathazeki ngalutho. Umhlengikazi wakho we-ET ungumuntu ongcono kakhulu wokubuza noma yimiphi imibuzo ongase ube nayo futhi uthole usizo kuye.
Uma unemibuzo noma ukukhathazeka nganoma yisiphi isikhathi, ungesabi ukukhuluma nodokotela wakho noma nomhlengikazi we-ET . Bakhona ukukusiza.
Umlayezo Wokuya Nawe Ekhaya
- Lokhu kuhlinzwa (i-Laparoscopic Abdominoperineal Resection) kuyindlela enkulu yokuhlinzwa engasindisa impilo yomdlavuza we-rectal.
- Ngenxa yokuthi lokhu kwenziwa kusetshenziswa indlela ethi "keyhole" (i-Laparoscopy), azikho izimbobo ezinkulu, ngakho-ke isikhathi sokululama sishesha kakhulu.
- Ngemva kokuhlinzwa, kuzodingeka usebenzise imbobo ehlala njalo esiswini sakho (stoma) ukuze udoti uphume kanye nesikhwama (isikhwama) sokuqoqa udoti.
- Nakuba ukufunda ukuphatha i-stoma kungaba yinselele ekuqaleni, kungenziwa kalula ngosizo lwabasebenzi abaqeqeshwe ngokukhethekile.
- Lolu ushintsho olukhulu, ngokomzimba nangokwengqondo. Ngakho-ke vuleka futhi uthembeke kodokotela bakho, abahlengikazi, kanye nomndeni wakho abakhona ukukusekela. Awuwedwa.
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