Ingabe udokotela ukutshelile ukuthi wenze i-colostomy (i-Loop Colostomy) ? Ungakhathazeki, sizoxoxa ngakho.

Uma udokotela wakho ekutshela nge-colostomy, ungase uzizwe ukwesaba okukhulu nokukhathazeka. Ungase ube nemibuzo eminingi engqondweni yakho, njengokuthi "Ingabe kuzomele ngiphile nesikhwama esiswini sami?", "Ingabe lokhu kuphakade?", "Bazocabangani abanye abantu?" Lowo muzwa uvamile kakhulu. Kodwa ungesabi. Esikhathini esiningi, lokhu kuyinto yesikhashana . Kuyisixazululo sesikhashana nje kuze kube yilapho inkinga ethile emzimbeni wakho iphola. Namuhla, sizoxoxa ngokuthi i-loop colostomy iyini, kungani yenziwa, nokuthi impilo yakho izoba njani ngemva kwayo.

Kuyini i-Loop Colostomy?

Kalula nje, i-colostomy inqubo yokuhlinzwa lapho ikholoni yakho, ingxenye yamathumbu akho amakhulu ethwala indle, inqunywa khona bese ingxenye ephezulu yayo ixhunywe embotsheni entsha esikhumbeni sesisu sakho. Lo mbobo ubizwa ngokuthi i-stoma . Esikhundleni sokuphuma ngendunu njengenjwayelo, indle iqoqana esikhwameni esikhethekile esinamathiselwe esiswini sakho ngale stoma.

Manje ake sibheke ukuthi i-loop colostomy iyini. Lolu uhlobo oluvame kakhulu, futhi oluvame ukuba lwesikhashana, lwe-colostomy. Kule nqubo, udokotela ohlinzayo uthatha i-loop (ingxenye efana nendandatho) yamathumbu embobeni eyenziwe esiswini bese eyisika phakathi kunokuba ayinqume ngokuphelele. Lokhu kwenza kube lula ukubuyela emuva kamuva. Yingakho odokotela bekhetha le ndlela uma udinga ukunikeza amathumbu akho isikhathi esincane sokuphulukiswa. Kungase kudingeke uhlale ngale ndlela amasonto ambalwa, izinyanga ezimbalwa, noma ngisho neminyaka embalwa. Kuya ngesimo sakho.

Kukuziphi izimo lapho lokhu kuhlinzwa kuyadingeka khona?

Kunezizathu ezimbili eziyinhloko: ukuphambukisa imfucuza kanye nokunciphisa ukucindezeleka.

1. Ukuphambukisa imfucuza

Cabanga ukuthi ingxenye yamathumbu akho idinga ukuphola ngemva kokulimala, ukutheleleka, noma ukuhlinzwa. Njengoba nje wenza umsebenzi omkhulu womgwaqo futhi uphambukisa ithrafikhi uye komunye umgwaqo ukuze unciphise ukuminyana kwethrafikhi, asithumeli indle kude nalapho idinga ukuphola khona, kodwa kunalokho siyivumela iphume ngembobo entsha esiswini sakho. Lokhu kuvimbela indle ukuthi ingangeni endaweni elimele, ephola futhi ibangele ukutheleleka, futhi kunikeza leyo ndawo ikhefu.

2. Ukunciphisa ukucindezeleka

Ake sithi kukhona ukuvaleka noma ukuvaleka endaweni ethile emathunjini akho. Khona-ke indle ayikwazi ukwehla. Lokhu kuhlinzwa kudala imbobo phezu kokuvaleka futhi kuvumela indle ukuthi iphume. Okwamanje, odokotela bangayilapha i-blockage. Ngemva kokuba leyo ngxenye isipholile, amathumbu angaphinde axhunywe.

Lokhu kuhlinzwa kwenzelwa ukunikeza amathumbu akho ukuphumula kanye nesivikelo esidingekayo ukuze alulame. Kungaba ukwelashwa okubalulekile nokusindisa impilo.

Yiziphi izimo i-Loop Colostomy esisiza kuzo?

Nazi ezinye izimo lapho lokhu kuhlinzwa kungadingeka khona:

• I-Diverticulitis
• I-ulcerative colitis
• Isifo sikaCrohn
• Ukuvaleka kwamathumbu amakhulu
• Ngemva kokuhlinzwa kwe-colectomy okungaphelele
• Ukulimala okukhulu noma ukutheleleka e-rectum noma endaweni ezungezile

Uyini umehluko phakathi kwe-Loop Colostomy kanye ne-End Colostomy?

Lezi yizinhlobo ezimbili eziyinhloko zokuhlinzwa kwe-colostomy. Kubalulekile ukuthi uqonde umehluko phakathi kwalokhu okubili.

Kwenzekani ngaphambi nangemva kokuhlinzwa?

Ngaphambi kokuhlinzwa

Ngaphambi kokuhlinzwa, uzothola ithuba lokuhlangana nodokotela. Lapho, uzokwaziswa ngokugcwele ngokuhlinzwa, izingozi zako, kanye nezinguquko zendlela yokuphila ezizodingeka ngemva kokuhlinzwa. Uzocelwa ukuthi uyeke ukudla noma ukuphuza cishe amahora ayisithupha ngosuku ngaphambi kokuhlinzwa. Unganikwa futhi i-enema noma umuthi wokuhlanza amathumbu akho. Uma ufika esibhedlela, uzofakwa ngaphansi kwe-anesthesia futhi ukuhlinzwa kuzoqala.

Ngesikhathi sokuhlinzwa

Kuye ngesimo sakho, lokhu kuhlinzwa kungenziwa nge-laparoscopically (ngokusebenzisa ukuhlikihla okuncane ngekhamera) noma njengenqubo evulekile . Ukuhlinzwa nge-laparoscopic kulula kuwe futhi kungakusiza ukuthi ululame ngokushesha. Udokotela ohlinzayo ususa iluphu yamathumbu, adale i-stoma, bese eyinamathisela esikhumbeni bese eyithunga.

Ngemva kokuhlinzwa

Kuzodingeka uhlale esibhedlela izinsuku ezimbalwa ngemva kokuhlinzwa.

• Ukudla: Okokuqala, nikeza ukudla okumanzi, bese kancane kancane ufaka ukudla okuvamile.
• Ukunakekela i-stoma yakho: Lena yingxenye ebaluleke kakhulu. Umhlengikazi oqeqeshwe ngokukhethekile ekunakekeleni i-stoma yakho (i-Wound Ostomy Continence Nurse - WOCN) uzokufundisa konke kusukela ekuhlanzeni i-stoma yakho kuya ekushintsheni isikhwama sakho.
• Ubuhlungu: Kunikezwa imithi yokubulala izinhlungu.
• Indle: Kungathatha izinsuku ezimbalwa ukuthi indle iphume esitobhini. Ungakhathazeki ngakho.

Ingabe zikhona izingozi nezinkinga zalokhu kuhlinzwa?

Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile, kodwa odokotela benza konke okusemandleni abo ukuzilawula.

Ngingawushintsha nini umgudu wami wokukhipha indle?

Leli yithemba elikhulu kubantu abaningi. Impendulo yalokhu incike empilweni yakho. Udinga ukuphulukiswa ngokuphelele ekuhlinzweni kanye nesimo esiyisisekelo esaholela ekuhlinzweni. Abanye abantu bangaba nalolu hlinzeko lokubuyela emuva emavikini ambalwa noma ezinyangeni ezimbalwa. Kwabanye, kungathatha iminyaka eminingana. Udokotela wakho uzokuhlola njalo futhi ahlele ukuhlinzwa uma ezwa ukuthi usukulungele.

Kufanele ngimtshele nini udokotela nge-colostomy yami?

Uma unezinye zezimpawu ezilandelayo, yazisa udokotela wakho noma umhlengikazi we-stoma ngokushesha.

• Ukuqunjelwa okuqhubekayo noma uhudo .
• Ukucanuzela noma ukuhlanza okuqhubekayo.
• Igazi esitulweni.
• Uma ubona ushintsho kusayizi ojwayelekile noma umbala we-stoma.
• Uma kukhona iphunga elibi nelingavamile elivela esifubeni.
• Uma i-stoma izizwa ivalekile .