Ngezinye izikhathi kufanele sibhekane nezinkinga zempilo esingenakuzicabanga. Ukungakwazi ukuchama ngendlela evamile kungenye yazo. Namuhla sikhuluma ngokuhlinzwa okukhethekile okwenziwa njengesixazululo lapho isinyi singakwazi ukulawulwa kahle ngenxa yezimo ezithile zezokwelapha. Ungesabi ukuzwa lokhu. Kubaluleke kakhulu ukuqaphela lokhu.
Kuyini ukuhlinzwa kwe-Mitrofanoff?
Kalula nje, lokhu kuyindlela yokuhlinzwa. Kuhilela ukudala umzila omncane ofana nethubhu kusuka kwesinye kuya esiswini sakho. Cabanga ngakho njengokudala umnyango omusha wesinye sakho. Odokotela abahlinzayo basebenzisa ingxenye yomzimba wakho ebizwa ngokuthi i-appendix ukudala lo mzila.
Ngemuva kwalokho, kufakwa ipayipi elikhethekile, elibizwa ngokuthi i-catheter, kulo mgodi omncane esiswini (obizwa ngokuthi i-stoma ) ukuze kukhishwe isinye. Lokhu kulula futhi akubuhlungu kakhulu kubantu abaningi kunokufakwa kwe-catheter nge-urethra.
Ukuze siqonde lokhu, ake siqale sibheke ukuthi uhlelo lwethu lomchamo lusebenza kanjani.
Uhlelo lomchamo emzimbeni wethu lufana nohlelo lokuhlunga.
- Okokuqala, izinso zethu zihlunga igazi, zihlukanise ukungcola, bese zikhiqiza umchamo.
- Lo mchamo ube usuhamba ngemibhobho emibili emincane ebizwa ngokuthi ama-ureter bese uqoqana esinyeni .
- Isinyi siyisitho esenziwe ngemisipha enwebeka njengebhaluni. Uma sigcwele, sizizwa sidinga ukuchama.
- Uma sichama, umchamo udlula usuka kwesinye uye ngaphandle komzimba ngepayipi elibizwa ngokuthi i-urethra .
Ngenxa yezimo ezithile zezokwelapha, le nqubo ayenzeki kahle. Yilapho-ke kudingeka khona indlela efana ne-Mitrofanoff.
Ngakho-ke siyini isithasiselo?
I-appendix iyipayipi elincane, elifana nomunwe elixhunywe engxenyeni yokuqala yamathumbu ethu amakhulu. Litholakala ohlangothini olungezansi kwesokudla lwesisu sethu.
Odokotela abakakatholi ukuthi yimuphi omunye umsebenzi osebenzayo. Abanye bathi ivikela amagciwane amahle emathunjini ethu. Kodwa into ebaluleke kakhulu ukuthi singaphila impilo enempilo ngaphandle kwezinkinga ngaphandle kwe-appendix. Kungenzeka ukuthi uke wezwa ukuthi uma une-appendicitis, kufanele uyisuse. Yileyo ndlela eyenzeka ngayo.
Enqubweni ye-Mitrofanoff, odokotela bathatha i-appendix bayisebenzisele ukudala indlela entsha yokuphuma komchamo. Uma i-appendix yomuntu isisusiwe kakade, udokotela ohlinzayo angasebenzisa ingxenye yamathumbu amancane ukudala le ndlela esikhundleni salokho.
Ubani odinga lokhu kuhlinzwa?
Lokhu kuhlinzwa kungadingeka kokubili ezinganeni nakubantu abadala. Ake sihlaziye izimo eziyinhloko ezibangela lokhu.
| Izimo lapho ukuhlinzwa kwe-Mitrofanoff kungadingeka khona | |
|---|---|
| Kwabantwana | |
Ezinye izimo zokuzalwa zithinta uhlelo lwezinzwa futhi zibangele ukungakwazi ukulawula isinye. Lokhu kubizwa ngokuthi i-neurogenic bladder . Kukhona nezinye izimo:
| |
| Kwabantu Abadala | |
Abantu abadala bangadinga futhi lokhu kuhlinzwa ngezizathu ezahlukene:
|
Indlela ukuhlinzwa okwenziwa ngayo kanye nesikhathi sokululama
Ngaphambi kokuhlinzwa
Ngaphambi kokuhlinzwa, udinga ukukhipha konke okusele emathunjini akho ukuze unciphise ingozi yokutheleleka. Lokhu kufanele kwenziwe ngokulandela imiyalelo kadokotela wakho ngqo. Lokhu kusho ukuzila ukudla nokwenza ukuhlanza amathumbu.
Ngesikhathi sokuhlinzwa
Lokhu kuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile. Lokhu kusho ukuthi ngeke uzwe lutho, uzobe ulele. Udokotela ohlinzayo uzolandela lezi zinyathelo:
1. Isikhumba sesisu siyasikwa (ukusikwa) bese i-appendix ihlukaniswa nomathumbu amakhulu.
2. Ukuphela kwepayipi le-ileostomy kuxhunywe esinyeni kanti okunye kuxhunywe embotsheni encane (stoma) eyenziwe esiswini.
3. Ukuxhumana nesinye kwenziwa njengevalvu evala ngokuzenzakalelayo uma isinye sigcwele. Lokhu kuvimbela umchamo ukuthi ungavuzi.
4. Ngemva kokuhlinzwa, kufakwa ipayipi lesikhashana (ipayipi elingaphezulu kwesisu) ukuze kuvunyelwe umchamo ukuthi udlule kuze kube yilapho isinye siphola.
5. Ekugcineni, indawo yokuhlinzwa ivalwa ngezithungo ezincibilikayo.
Ngemva kokuhlinzwa
Kuzodingeka uhlale esibhedlela izinsuku ezimbalwa, mhlawumbe isonto lonke. Ngesikhathi sokululama kwakho, ungalindela okulandelayo:
- Kuzonikezwa usawoti (i-IV fluids) kuphela izinsuku ezimbalwa.
- Emasontweni okuqala angu-4-6, i-catheter ifakwa ngaphakathi kwendlela entsha eyakhiwe (umhubhe we-Mitrofanoff) ukuze ingavaleki.
- Ngemva kwamasonto acishe abe yi-6, udokotela wakho uzokufundisa ukuthi ungakhipha kanjani isinye sakho ngokwakho usebenzisa i-catheter.
Yiziphi izinzuzo nezingozi zalokhu?
Inzuzo enkulu yalokhu kuhlinzwa ukuthi ikuvumela ukuthi ulawule ukuvuza komchamo futhi ukhiphe isinye ngaphandle kosizo lwabanye. Ngisho nezingane ezincane zingafunda ukukwenza lokhu zodwa.
Nokho, njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile.
- Kudingeka ukuhlinzwa kabusha: Ngokuhamba kwesikhathi, indlela edaliwe ingaba mfushane (i-stenosis) noma ibe buthaka, kudingeke ukuthi kuphinde kudingeke ukuhlinzwa ukuze kulungiswe.
- Ukukhiqizwa kwe-mucus: Ngisho noma i-appendix isetshenziswa kabusha, iyaqhubeka nokukhiqiza i-mucus. Ngakho-ke, le ndlela yokuphuma kumele igcinwe ihlanzekile ngokunisela njalo ngesisombululo esifana nosawoti.
- Ezinye izingozi: Amatshe esinyini, izifo zomgudu womchamo (UTIs), kanye nokopha kungase kwenzeke.
Ungesabi lezi zingozi. Udokotela wakho uzokwazisa ngakho konke lokhu futhi akunike iseluleko esidingekayo.
Kunini lapho udinga ukukhuluma nodokotela?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuhlinzwa, yazisa udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze .
- Uma ungakwazi ukukhipha isisu sakho ngokuphelele.
- Uma kukhona ukopha ngokweqile, ukuvuvukala, noma ukuklwebheka.
- Uma isicanucanu nokuhlanza kuqhubeka.
- Uma kukhona ubuhlungu obukhulu, obungabekezeleleki.
- Izimpawu zokutheleleka, njengokukhipha okunuka kabi okuvela esifubeni noma umkhuhlane.
Umlayezo Wokuya Nawe Ekhaya
- I-Mitrofanoff inqubo yokuhlinzwa ehilela ukudala indlela esuka kwesinyeni iye esikhumbeni sesisu, bese kufakwa i-catheter kuyo ukuze kukhishwe umchamo.
- Lokhu kuyadingeka kakhulu kulabo abalahlekelwe ukulawula uhlelo lwabo lomchamo ngenxa yezimo ezifana nezimo zokuzalwa, ukulimala komgogodla, noma umdlavuza.
- Ngemva kwalokhu kuhlinzwa, abantu abaningi bangaphila impilo evamile nesebenzayo. Ngisho nemisebenzi efana nokubhukuda ayinqunyelwe.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngokucophelela ngemva kokuhlinzwa futhi ube khona ngesikhathi sokuqokwa kokulandelela. Uma unenkinga, khuluma nodokotela wakho.
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