Uma udokotela wakho ekutshela ukuthi udinga ukuhlinzwa i-colostomy, kumelwe ukuthi uzizwe ukwesaba okukhulu nokushaqeka, akunjalo? "Hawu Nkulunkulu wami, impilo yami izoba njani kusukela manje?", "Ngeke ngikwazi yini ukubuyela kumuntu wami wakudala?", "Ngizophuma kanjani nalesi sikhwama?" Cishe unemibuzo eyinkulungwane engqondweni yakho. Kodwa ungesabi. Lokhu akukubi kangako noma akushintshi impilo njengoba ucabanga. Ngolwazi olufanele kanye nesiqondiso, ungasiphatha kahle lesi simo futhi uphile impilo evamile nejabulisayo. Ake sixoxe ngakho konke ngamagama alula.
Kalula nje, kuyini i-colostomy?
Okokuqala, ake sibheke ukuthi iyini. Ikholoni liyingxenye yesimiso sethu sokugaya ukudla. Kalula nje, umsebenzi walo oyinhloko ukumunca imfucuza ekhiqizwa emzimbeni wethu, okungukuthi, indle, kanye nezinye izakhamzimba ezisele. Bese kuthi imfucuza eqinile iphume emzimbeni nge-anus.
Kodwa-ke, uma amathumbu amakhulu kanye ne-rectum kungakwazi ukusebenza kahle ngenxa yokugula, ingozi, noma ukuhlinzwa, noma uma leyo ngxenye idinga ukuphumula isikhashana, umzimba wethu udinga enye indlela yokususa imfucuza.
I-colostomy imbobo yokwenziwa eyenziwe ngokuxhumanisa amathumbu amakhulu nesikhumba ebusweni besisu. Lokhu kubizwa nangokuthi i-stoma . Lena imbobo lapho imfucuza nomoya kuphuma khona emzimbeni. Lokhu kungaba okuhlala njalo kwabanye abantu, kodwa kube okwesikhashana kwabanye.
Lokhu kuyithinta kanjani impilo yami?
Ngesikhathi usesibhedlela ngemuva kokuhlinzwa, udokotela wakho kanye nabasebenzi bobuhlengikazi bazokunikeza imiyalelo eminingi yokuthi ungayinakekela kanjani, ungayihlanza kanjani, nokuthi ungenza kanjani noma yiziphi izinguquko ezidingekayo endleleni yakho yokuphila. Yebo, kuzodingeka wenze izinguquko ezincane. Kodwa uzojwayela lezo zinto ngokushesha.
Nazi ezinye izinto ezilula ezingakusiza ngalokho:
- Qaphela imithi oyiphuzayo: Eminye imithi ingabangela ukuqunjelwa noma isifo sohudo, ngakho tshela udokotela wakho ngayo yonke imithi oyiphuzayo.
- Yidla ukudla okulinganiselayo: Nciphisa ukudla okubangela igesi, njengeklabishi, ubhontshisi, namantongomane. Kungcono ukukhuluma nochwepheshe wezokudla ngalokhu bese uletha uhlu lokudla okufanele.
- Phila impilo yakho ngendlela evamile: Khumbula, i-colostomy akuyona ukuphela kwempilo yakho. Izikhwama ze-colostomy zanamuhla zenzelwe ukuba zingabonakali ngaphansi kwezingubo futhi zilingane kahle nomzimba. Lokhu kusho ukuthi abantu abaningi bangabuyela emsebenzini futhi benze imisebenzi yabo yangaphambilini (kufaka phakathi ucansi).
Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo noma ukwesaba onakho.
Kuyini Ukunisela Nge-Colostomy?
Lena enye indlela yokuphatha ukusebenza kwamathumbu. Kalula nje, kuhilela ukudlulisa amanzi emathunjini akho nge-stoma bese uwakhipha ngokuphelele ngesikhathi esibekiwe.
Lokhu kuvame ukwenziwa kanye noma kabili ngosuku ngesikhathi esifanayo, ukuze amathumbu ajwayele. Bese kuthi, ngezinye izikhathi, ukuqongelela kwemfucuza esikhwameni kungalawulwa kakhulu. Kuthatha cishe amasonto ayisithupha kuya kwayisishiyagalombili ukwenza lokhu kube yikho.
Kodwa-ke, le ndlela ayifanele wonke umuntu. Kufanele nakanjani ukhulume nodokotela wakho ukuze unqume ukuthi ikulungele yini.
| Labo abangase bafaneleke | Labo abangase bangafaneleki |
|---|---|
| Abantu abane-colostomy ehlala njalo, ikakhulukazi labo abane-stoma engxenyeni engezansi yamathumbu amakhulu (ukwehla/i-sigmoid colon), ngoba indle yabo ivame ukuba nkulu. | Abantu abanezimo ezifana ne-Irritable Bowel Syndrome (IBS). Abantu abanezinye izinkinga nge-stoma. Abantu abane-stoma etholakala engxenyeni engenhla yamathumbu amakhulu (i-ascending/transverse colon). |
Qaphela ngokudla nokuphuza nge-colostomy
Udinga ukuqaphela kakhulu ukudla kwakho emasontweni ambalwa okuqala ngemva kokuhlinzwa.
- Esikhundleni sokudla ukudla okukhulu kathathu ngosuku, yidla ukudla okuncane okucishe kube yizi-6 .
- Hlafuna ukudla kwakho kahle bese udla kancane .
- Phuza okungenani izingilazi zamanzi ezingu-8-10 ngosuku.
- Emasontweni ambalwa okuqala, yidla ukudla okunamafutha amancane nokungenawo ama-fiber amaningi .
- Uma ungeza ukudla okusha, zama ukwengeza okukodwa ngesikhathi ukuze ubone ukuthi kuthinta kanjani umzimba wakho.
| Ukudla ongakhetha kukho | Ukudla okufanele ukuqaphele/ukugweme |
|---|---|
| Inyama engenamafutha, isinkwa esimhlophe, i-pasta, ilayisi, amanzi, itiye elingena-caffeine kanye nekhofi. | Inyama enamafutha/ethosiwe, okusanhlamvu okune-fiber ephezulu njengobhontshisi, amalentili, imifino ebanga igesi njengeklabishi, i-caffeine, kanye notshwala. |
Ungakwazi yini ukuzivocavoca?
Yebo, ungakwenza nakanjani. Kodwa kufanele uqale ngokuqapha nangokulandela imiyalelo kadokotela wakho . Ukuhamba kuyindlela engcono kakhulu nephephile yokuqala ngayo.
Ukugijima
Uma ungumgijimi, ungase ube namabala abomvu noma izilonda ezincane ezizungeze i-stoma yakho, mhlawumbe ngenxa yokukhuhla esikhwameni. Lokhu kuzophola ngokuphumula. Uma kuqhubeka, tshela udokotela wakho.
Ukuzivocavoca kwesisu (Ukuhlala phansi kanye nokugoqa)
Ukuzivocavoca okucindezela imisipha yesisu, njengokuhlala phansi kanye nokuklwebheka, kanye nokuphakamisa izinsimbi kungandisa ingozi yokuba ne -hernia ezungeze i-stoma, noma i-peristomal hernia . Ngakho-ke , qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokuqala ukuzivocavoca okunjalo.
Ukubhukuda
Ukubhukuda nakho kulungile. Kodwa hlola nodokotela wakho kuqala. Bese, ngaphambi kokubhukuda, cwilisa ebhavini lokugeza ekhaya isikhashana ukuze uqiniseke ukuthi isikhwama sivalwe kahle futhi akukho ukuvuza.
Ukunikeza amanzi emzimbeni
Phuza amanzi amaningi uma uzivocavoca. Uma umchamo wakho ucacile noma uphuzi kancane, kusho ukuthi umanzi. Uma kumnyama, kungabangela izinkinga esifubeni sakho kanye nempilo yakho iyonke. Lokhu kubizwa ngokuthi ukuphelelwa amanzi emzimbeni .
Yiziphi izinkinga ezingaba khona?
Ukuphila nokuhlinzwa kwe-colostomy ngezinye izikhathi kungabangela izinkinga ezincane, futhi kubalulekile ukuzazi.
| Inkinga | Incazelo | Okufanele ngikwenze |
|---|---|---|
| Ukuvuza | Ukuvuza kwendle ngaphansi kwesikhwama kuye esikhumbeni noma emzimbeni. Ukutheleleka kwesikhumba kungenzeka. | Khuluma nodokotela wakho ngezinye izinhlobo zezikhwama. Kungase kudingeke uphinde uhlinzwe. |
| Ukuvinjelwa | Izinhlayiya zokudla ziyabhajwa ku-stoma. Izimpawu zifaka phakathi ukugcinwa kwendle, ubuhlungu besisu, ukuhlanza, kanye nokuvuvukala kwe-stoma. | Bona udokotela wakho ngokushesha. Lesi yisimo esiphuthumayo. |
| Ukuhoxa | I-stoma ishona ngaphansi kwezinga lesikhumba, okungabangela ukuvuza. | Khuluma nodokotela wakho ngamanye amadivayisi. Kungase kudingeke ukuhlinzwa. |
| I-Hernia | Ukuvela kwamathumbu ngaphansi kwesikhumba esizungeze i-stoma. | Gwema ukuphakamisa izinto ezisindayo nokuzikhandla. Gqoka ibhande lokusekela. Khuluma nodokotela wakho. |
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwesisu akusona ukuphela kwempilo yakho. Ngokuphathwa kahle, ungaphila impilo evamile nejabulisayo.
- Khuluma nodokotela wakho ngokukhululekile njalo ngokudla kwakho, ukuzivocavoca umzimba, nanoma yiziphi izinkinga ongase ube nazo.
- Qaphela kakhulu ukudla okubangela igesi kanye nokudla okungavimba i-stoma.
- Ukugwema ukuvivinya umzimba nokuphakamisa izinsimbi okucindezela imisipha yesisu kunganciphisa ingozi ye-hernia.
- Uma uzwa izimpawu zesisu esivalekile (ubuhlungu besisu, ukuhlanza, ukwehluleka ukuphuma kwendle), funa iseluleko sezokwelapha ngokushesha ngaphandle kokulibala.
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