Uma udokotela wakho ekutshela ukuthi udinga ukuhlinzwa "i-colostomy," okusho isikhwama esiswini sakho, ungase uzizwe ukwesaba okukhulu nokushaqeka. Lokho kuvamile kakhulu. Kodwa uma usukwazi kahle ukuthi kuyini lokhu, ukwesaba kwakho kuzophela ngezinga elikhulu. Ikakhulukazi uhlobo esikhuluma ngalo namuhla, olubizwa ngokuthi "i-loop colostomy," oluvame ukwenziwa okwesikhashana kuphela. Ngakho ake sixoxe ngakho konke kalula nangokucacile.
Kalula nje, iyini i-loop colostomy?
Ake sithi kwenziwa ukulungiswa okukhulu komgwaqo, ngakho umgwaqo uvaliwe bese kudaleka indlela yesikhashana yokuthutha izimoto. I-looptomy ejikelezayo iyafana.
Kalula nje, i-colostomy inqubo yokuhlinzwa lapho ingxenye yamathumbu akho amakhulu (ikholoni) inqunywa khona bese ilethwa ebusweni besikhumba esiswini sakho, okwenza kube nomgodi wokwenziwa. Lo mgodi ubizwa ngokuthi "i-stoma." Kusukela manje kuqhubeke, indle yakho (isihlalo) izophuma ngale stoma, bese ingena esikhwameni esikhethekile esinamathiselwe kuyo, esikhundleni sokuphuma nge-anus yakho.
I-loop colostomy ingenye yezindlela zokwenza lokhu. Kulesi simo, udokotela ukhipha i-loop yamathumbu embobeni eyenziwe esiswini, enze i-incision encane, bese edala izikhala ezimbili. Lolu uhlobo oluvame kakhulu lwe-colostomy. Inzuzo enkulu yalokhu ukuthi ngokuvamile ingeyesikhashana futhi kulula ukuxhuma kabusha amathumbu bese ususa isikhwama (ngemuva). Ngakho-ke lena yindlela esetshenziswayo uma udinga ukunika amathumbu akho isikhathi esincane sokuphola.
Kungani udinga ukwenza lolu hlobo lokuhlinzwa?
Kunezizathu ezimbili eziyinhloko zokuba ne-loop colostomy.
1. Ukuphambukisa: Ake sithi unokulimala, ukutheleleka, noma ukuhlinzwa engxenyeni yamathumbu akho. Ukuze leyo ngxenye iphole, udinga ukuvimba ukudlula kwendle kuyo isikhashana. Uma ungakwenzi lokho, inxeba lingatheleleka futhi inqubo yokuphulukiswa ingahle ibambezeleke. Ngakho-ke lokhu kuhlinzwa kudala indlela yokuthi indle idlule kuyo isuka endaweni yangaphambilini, okupha leyo ngxenye ukuphumula.
2. Ukunciphisa ukucindezeleka: Ngezinye izikhathi, ukuvaleka kungavela ndawana thize emathunjini. Lokhu kusho ukuthi indle ayikwazi ukudlula ngenxa yento efana nesimila noma ukuvaleka. Bese, ingcindezi engaphakathi emathunjini iyanda bese iqala ukuvuvukala. Ezimweni ezinjalo, lapho kudalwa i-stoma phezu kwendawo evalekile ukuze kuvunyelwe indle ukuba iphume okwesikhashana, leyo ngcindezi iyancishiswa bese uthola impumuzo. Bese, udokotela angelapha ukuvaleka.
Ezinye izimo ezidinga lokhu kuhlinzwa:
- I-Diverticulitis
- I-ulcerative colitis
- Isifo sikaCrohn
- Ukuvaleka kwamathumbu amakhulu
- Ngemva kokuhlinzwa ukuze kususwe ingxenye yamathumbu (i-Partial colectomy)
- Ukulimala okukhulu kwendunu noma izifo
Uyini umehluko phakathi kwe-loop kanye ne-colostomy yokuphela?
Lezi yizinhlobo ezimbili eziyinhloko zokuhlinzwa kwe-colostomy. Bheka ithebula elingezansi ukuze uqonde kalula umehluko phakathi kwalokhu okubili.
| Isici | I-Loop Colostomy | Ukuphela kwe-Colostomy |
|---|---|---|
| Inhloso eyinhloko | Kunika amathumbu ikhefu lesikhashana ukuze aphole. | Kwenziwa lapho ingxenye engezansi yamathumbu ikhutshaziwe unomphela noma isusiwe. |
| Imikhawulo yamathumbu | Zombili iziphetho zamathumbu (ezongena ngendle kanye nezongena nge-mucus) zitholakala eduze komunye nomunye ngaphakathi kwe-stoma. | Ingxenye engenhla kuphela, lapho kuphuma khona indle, ekhishwa njenge-stoma. Ingxenye engezansi ithungwa ivalwe ngaphakathi emzimbeni noma isuswe ngokuphelele. |
| Ohlala njalo/owesikhashana? | Ngokuvamile kuba okwesikhashana futhi kuyashintshashintsha. | Ngokuvamile ihlala njalo . |
Kwenzekani ngaphambi, ngesikhathi nangemva kokuhlinzwa?
Ukuqaphela le nqubo kuzokulethela ukuthula kwengqondo okukhulu.
Ngaphambi kokuhlinzwa
Ngaphambi kokuhlinzwa, udokotela wakho uzokhuluma nawe ngalokhu ngokuningiliziwe. Uzochaza ukuthi ukuhlinzwa kuzokwenziwa kanjani, yiziphi izingozi ezingase zenzeke, nokuthi yiziphi izinguquko endleleni yakho yokuphila ezizodingeka ngemva kokuhlinzwa. Uma ufisa, ungaxoxa nangemithi yobuhlungu ngalesi sikhathi. Uzokwaziswa ukuthi ungadli noma uphuze lutho cishe amahora ayisithupha ngosuku lokuhlinzwa. Unganikezwa nokulungiselela amathumbu ukuze uhlanze amathumbu akho.
Indlela ukuhlinzwa okwenziwa ngayo
Lokhu kuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile. Kunezindlela ezimbili zokwenza lokhu.
- Ukuhlinzwa kwe-Laparoscopic: Lokhu kuhilela ukwenza izimbobo ezimbalwa ezincane esiswini, kunokuba kube ukusika okukhulu, futhi ukuhlinzwa kwenziwa ngosizo lwekhamera. Le ndlela ikhululekile kuwe futhi ingakusiza ukuthi ululame ngokushesha.
- Ukuhlinzwa okuvulekile: Esimweni esiphuthumayo noma esiyinkimbinkimbi, lokhu kuhlinzwa kungadingeka kwenziwe ngokuvula isisu.
Udokotela ususa iluphu yamathumbu endaweni eyayiphawulwe ngaphambilini, ayinamathisele esikhumbeni, bese edala i-stoma.
Ngemva kokuhlinzwa
Uma usuphinde waphaphama ngemva kokuhlinzwa, kuzodingeka uhlale esibhedlela izinsuku ezimbalwa. Phakathi nalesi sikhathi:
- Ukudla: Okokuqala, nikeza ukudla okumanzi, bese kancane kancane ufaka ukudla okuvamile.
- Ukunakekelwa kwe-Colostomy: Umhlengikazi oqeqeshwe ngokukhethekile (Umhlengikazi we-Wound Ostomy Continence - WOCN) uzokufundisa konke kusukela endleleni yokugcina i-stoma yakho ihlanzekile kuya endleleni yokushintsha isikhwama sakho.
- Ukulawula ubuhlungu: Uma uphuma esibhedlela, uzonikezwa imithi yokwelapha izinhlungu ozoyisebenzisa ekhaya.
- Indle: Indle izoqala ukuphuma esithweni sangasese ezinsukwini ezimbalwa ngemva kokuhlinzwa.
Uma uqala ukubona i-stoma, ingase ibukeke inkulu, ibomvu, futhi ivuvukele. Ungakhathazeki ngalokho. Njengoba iphola, ukubukeka kwayo kuzoshintsha kakhulu, ibe pinki futhi ibe yindilinga.
Yiziphi izingozi nezinkinga zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile, njengokungezwani komzimba nokuhlinzwa kanye nokutheleleka. Kodwa-ke, kunezinye izinkinga ezithinta i-colostomy.
| Inkinga | Incazelo |
|---|---|
| Ukucasuka kwesikhumba | Isikhumba esizungeze i-stoma singaba bomvu, silume, futhi sibe buhlungu ngenxa yokuthinta indle. Lena inkinga evamile. Ukusebenzisa isikhwama esifanelana kahle kungasiza ekulawuleni lokhu ngezinga elikhulu. |
| Ukuvaleka kwamathumbu | Indle ingase ivaleke ekuphumeni kwe-stoma ngenxa yezicubu zesibazi ezakheka ngemva kokuhlinzwa noma ngezinye izizathu. |
| Ukuhoxa kwe-stoma noma ukwehla kwe-prolapse | I-stoma ingase ishone ezingeni lesikhumba noma iphume ngokungadingekile. Lokhu kungenza kube nzima ukuqinisa isikhwama kahle. |
| I-Hernia (i-hernia ye-Parastomal) | Imisipha yesisu ezungeze i-stoma iba buthakathaka, okuvumela izingxenye zamathumbu ukuthi ziphume ngaphansi kwesikhumba. Kungase kube neqhubu eduze kwe-stoma. |
Ngingakwazi yini ukususa lesi sikhwama bese ngibuyela esimweni esijwayelekile?
Yebo, ungakwazi! Leyo inzuzo enkulu ye-loop colostomy. Ngemva kokuba isimo sakho sokuqala sesipholile ngokuphelele, udokotela wakho uzokuxilonga, enze olunye uhlinzo lokuxhumanisa izinhlangothi zombili zamathumbu akho, bese evala i-stoma. Lokhu kungathatha amasonto amaningana, izinyanga, noma ngisho neminyaka. Kuncike empilweni yakho.
Uzobona nini udokotela wakho
Kufanele uhlale uqaphela lezi zimpawu. Uma unenkinga, yazisa udokotela wakho noma umhlengikazi wakho we-colostomy ngokushesha.
- Ukuqunjelwa okuqhubekayo noma uhudo.
- Ukucanuzela noma ukuhlanza okuqhubekayo.
- Igazi esitulweni.
- Ushintsho kusayizi ojwayelekile noma umbala we-stoma.
- Iphunga elingavamile elivela esifubeni.
- Ukuphela okuphelele kokuphuma kwendle esitobhini.
I-loop colostomy iwushintsho olukhulu empilweni yakho. Kodwa khumbula, lokhu kuyindlela yokwelapha ebaluleke kakhulu, esindisa impilo enikeza amathumbu akho ithuba lokuphola. Futhi, imvamisa kuba yesikhashana . Ngokunakekelwa okufanele nokulandela imiyalelo kadokotela wakho, ungaphatha lesi sikhathi ngempumelelo futhi ubuyele empilweni evamile.
Umlayezo Wokuya Nawe Ekhaya
- I-loop colostomy iwukuhlinzwa, okuvame ukuba okwesikhashana , okwenziwa ukusiza amathumbu akho ukuba alulame.
- Nakuba lokhu kuyinguquko enkulu empilweni, kungaphathwa kahle ngokuqeqeshwa nokwazi okufanele.
- Ukugcina i-stoma kanye nesikhumba esizungezile kuhlanzekile kubaluleke kakhulu ukuvimbela izinkinga zesikhumba.
- Uma isimo sakho sokuqala sesipholile, ungasuswa i-colostomy ngokuhlinzwa kwesibili bese ubuyela esimweni esijwayelekile.
- Ungesabi ukukhuluma nodokotela wakho nganoma yiziphi izinkinga noma ukungakhululeki ongase ube nakho.
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