Uma udokotela wakho ekutshela noma othile omaziyo ukuthi udinga ukufaka isikhwama esiswini sakho ukuze ukhiphe indle yakho, kuvamile ukuzizwa ushaqekile futhi wesaba. "Kuyini lokhu kuhlinzwa?", "Ingabe lokhu kuhlala njalo?", "Ingabe ngeke ngikwazi ukuphila impilo evamile?" Ungase ube nemibuzo eminingi engqondweni yakho. Ungakhathazeki. Ake sixoxe ngalokhu kuhlinzwa, okubizwa ngokuthi 'i-Fecal Diversion', ngendlela elula kakhulu ongayiqonda.
Kuyini lokhu kuhlinzwa 'kokuhlukaniswa kwendle'?
'Ukuphambuka kwendle', kafushane nje, ushintsho lwesikhashana noma oluhlala njalo endleleni yemvelo yokuphuma kwendle emzimbeni (i-rectum) ukuze iphume ngesikhumba sesisu. Imbobo yokwenziwa eyenziwe ngale ndlela esikhumbeni sesisu ibizwa ngokuthi i-stoma .
Lesi stoma sidalwa kusetshenziswa ingxenye yamathumbu.
- Uma udala i-stoma ngokuxhumanisa amathumbu akho amancane nesikhumba, ibizwa ngokuthi i-ileostomy .
- Uma ikholoni yakho ixhumene nesikhumba, ibizwa ngokuthi i- colostomy .
Manje ungase uzibuze ukuthi kungani lokhu kwenziwa. Odokotela bavame ukuncoma lokhu kuhlinzwa ngezizathu eziningana:
- Ukuqeda izifo eziyinkimbinkimbi noma izinkinga ezihlobene ne-rectum noma i-anus.
- Njengokwelashwa komdlavuza wamathumbu amakhulu .
- Ukungakwazi ukuzibamba .
Cabanga nje, i-rectum yethu inemisipha efana nendandatho (imisipha ye-sphincter) elawula ukudlula kwendle. Yingakho singabamba futhi sikhiphe indle noma nini lapho sifuna. Kodwa i-stoma edalwe ayinayo imisipha elawulayo. Yingakho singenakukwazi ukulawula ukudlula kwendle. Yingakho kufanele sigqoke isikhwama esikhethekile (idivayisi yokuqoqa i-ostomy ) esixhunywe ku-stoma ukuze siqoqe indle ephumayo.
Lesi stoma singaba sesikhashana noma esihlala njalo . Kuya ngesimo sakho sezempilo. Isibonelo, ukopha emathunjiniNgemva kokuba ingxenye yendunu isisikiwe futhi isusiwe futhi izingxenye ezimbili ezisele zixhunywe kabusha, kwakhiwa i-stoma yesikhashana ukuze inikeze ukuphumula kuze kube yilapho i-anastomosis iphola. Uma indawo isipholile, kwenziwa olunye ukuhlinzwa ukuze kususwe i-stoma futhi kudalwe indlela evamile yokuhamba kwendle. Kodwa-ke, ezimweni lapho indunu kanye ne-rectum kususiwe ngokuphelele, i-stoma kumele igcinwe unomphela.
Lokhu kuhlinzwa kwenziwa kanjani nge-laparoscopically?
I-laparoscopy, njengoba sonke sazi, uhlobo " lokuhlinzwa kwe-keyhole." Kulokhu, esikhundleni sokwenza i-incision enkulu, kwenziwa izimbobo ezimbalwa ezincane kakhulu esiswini.
I -laparoscope , ipayipi elincane elinekhamera kanye nokukhanya ngaphambili, ifakwa esiswini ngomunye wemivimbo. Izithombe ezivela kukhamera ziboniswa esikrinini esikhulu (imonitha) egumbini lokuhlinza. Udokotela ubheka isikrini bese enza ukuhlinzwa esebenzisa amathuluzi akhethekile afakwe ngezinye izimbobo ezincane.
Inzuzo yale ndlela ukuthi akukho ukusikwa okukhulu, ngakho-ke ubuhlungu buyancipha, ukuphola okusheshayo, kanye nezinsuku ezimbalwa esibhedlela.
I-stoma idalwa kanjani?
Kunezinhlobo ezimbili eziyinhloko zama-stoma. Indlela adalwe ngayo ihlukile kancane.
| Uhlobo lwe-Stoma | Indlela elula yokwenza |
|---|---|
| I-End Stoma | Lokhu kuhilela ukuletha ingxenye yamathumbu (encane noma enkulu) ngqo ebusweni besikhumba sesisu, ukuyinamathisela esikhumbeni, bese uyithunga ndawonye. Ingxenye yamathumbu iphuma njengembobo lapha. |
| I-Loop Stoma | Lena indlela evame ukusetshenziswa ukudala i-stoma yesikhashana. Kulokhu, kulethwa iluphu yamathumbu ebusweni besikhumba, bese kwenziwa i-incision encane phezu kwayo. Lokhu kudala lokho okufana nezimbobo ezimbili. Ukuze kuvinjelwe ukuthi le luphu ingabuyeli esiswini, kufakwa induku encane yepulasitiki ngaphansi kwayo izinsuku ezimbalwa ngemva kokuhlinzwa. Bese isuswa. |
Kwenzekani ngemva kokuhlinzwa? Ake sifunde ngesikhathi sokululama
Ngemva kwalolu hlobo lokuhlinzwa, ngokuvamile kufanele uhlale esibhedlela izinsuku ezimbili noma ezintathu . Uma ukuhlinzwa sekuqediwe, kuzobekwa isikhwama phezu kwe-stoma yakho. Kuzothatha usuku noma ezimbili ukuthi uhlelo lwakho lokugaya ukudla luqale ukusebenza futhi. Kulapho-ke kuphela lapho indle iqala ukuphuma khona e-stoma.
Ngesikhathi usesibhedlela, umhlengikazi oqeqeshwe ngokukhethekile ekunakekelweni kwe-stoma uzokukhombisa ukuthi ungasishintsha kanjani isikhwama sakho futhi ugcine isikhumba esizungeze i-stoma yakho sihlanzekile. Ekuqaleni, bazokukhombisa ukuthi uzenza kanjani lezi zinto, bese bekufundisa ukuthi uzenze kanjani wena. Ngakho-ke uma ufika ekhaya, uzokwazi ukuzenza wedwa lezi zinto.
Ngenxa yokuthi lokhu kuyinto entsha, uzozizwa ushintsha kakhulu, ngokomzimba nangokwengqondo. Ngezinye izikhathi ungase uzizwe usinda kakhulu futhi ukhungathekile. Lokhu kujwayelekile kakhulu. Khumbula ukuthi awuwedwa. Umhlengikazi wakho, udokotela wakho, nomndeni wakho bakhona ukukusiza. Khuluma nabo noma nini lapho uzizwa uphansi.
Kungaba nzima ekuqaleni, kodwa ngokuhamba kwesikhathi uzojwayela lolu shintsho olusha. Kunezigidi zabantu emhlabeni jikelele abasebenza ngokujwayelekile, abahlanganyela emphakathini, futhi abaphila ngenjabulo. Yingakho kubaluleke kangaka ukuhlala uqinile.
Umlayezo Wokuya Nawe Ekhaya
- 'Ukuphambukisa Indle' inqubo yokuhlinzwa eletha indlela yendle ebusweni besikhumba esiswini. Imbobo edalwe ibizwa ngokuthi i-stoma .
- Ngenxa yokuthi lokhu kuhlinzwa kwenziwa nge-laparoscopically (keyhole), ubuhlungu buyancipha futhi kululama ngokushesha.
- Ngenxa yokuthi i-stoma ayilawuleki, isikhwama esikhethekile ( isikhwama se-ostomy ) kumele sigqokwe ngaso sonke isikhathi ukuze kuqoqwe indle.
- I-stoma ingaba yesikhashana noma ehlala njalo. Kuya ngesimo sakho sezokwelapha. Buza udokotela wakho ngalokhu.
- Uzobhekana nezinguquko zomzimba nezengqondo ngemva kokuhlinzwa. Lokhu kuyinto evamile. Ungalokothi unqikaze ukucela usizo futhi ukhulume nomndeni wakho kanye nabasebenzi bezokwelapha.
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