Kungenzeka ukuthi uke wababona noma wezwa ngabantu abanesakhiwo esincane esifana nesikhwama esinamathele esiswini sabo. Uma ubona lokhu, abantu abaningi bayazibuza, "Kuyini lokhu?" Lokhu kuvame ukuhlotshaniswa nohlobo oluthile lokuhlinzwa kwamathumbu. Namuhla sizokhuluma ngokuhlinzwa okunjalo. Kuyisimo esibizwa ngokuthi i-Mucous Fistula. Igama lingase lizwakale liyinkimbinkimbi kancane, kodwa ungakhathazeki. Masigcine kulula futhi kucacile.
Kalula nje, iyini i-Mucous Fistula?
Ake sithi ingxenye yamathumbu ethu idinga ukususwa ngokuhlinzwa ngenxa yokugula noma isuswe okwesikhashana ekusebenzeni kwayo ukuze iphumule. Ngemuva kwalokho, udokotela ohlinzayo uyayinqamula leyo ngxenye yamathumbu okuxhumana.
Manje cabanga ngakho ngale ndlela. Amathumbu ethu awawona nje umbhobho. Ahlala ekhiqiza uketshezi oluvela ngaphakathi. Lokhu sikubiza ngokuthi i-mucus . Njengamathe emilonyeni yethu, lolu ketshezi olufana ne-mucus lusiza ukuvikela ulwelwesi lwangaphakathi lwamathumbu, luwavimbele ekugudlaneni, futhi luvimbele umonakalo ovela ezinhlayiyeni zokudla ezingagaywanga.
Ngakho-ke, lapho ingxenye yamathumbu inqamuka, leyo ngxenye yamathumbu iyaqhubeka nokukhipha ulwelwesi. Uma lokhu kuphuma kungenayo indawo yokuya, kunganqwabelana ngaphakathi kwamathumbu anqamuka futhi kubangele izinkinga ezinkulu njengobuhlungu nokutheleleka.
Ukuze kuvinjelwe leyo nkinga, odokotela bakha i -fistula ye-mucous .
Kalula nje, kuhilela ukuxhuma ngokuhlinzwa ukuphela kwamathumbu anqunyiwe nomgodi omncane (i-stoma) owenziwe esikhumbeni sesisu. Bese kuthi, esikhundleni sokuthi ulwelwesi olukhiqizwa emathunjini luphume nge-anus, i-stoma esanda kudalwa iphume emzimbeni. Lokhu kusebenza njengokukhipha amanzi engeziwe.
Kungani umuntu angadinga lolu hlobo lokuhlinzwa?
Lokhu kuhlinzwa kuvame ukwenziwa kanye nolunye ukuhlinzwa okukhulu. Esikhathini esiningi, lokhu kuyadingeka ezimweni ezithile zamathumbu. Ake sibheke ukuthi ziyini lezo.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| Izifo Zamathumbu Ezivuvukalayo (IBD) | Lesi sigaba sihlanganisa kakhulu isifo sikaCrohn kanye nesifo sofuba esiswini.I-Ulcerative Colitis yisifo esibangela ukuvuvukala isikhathi eside kanye nezilonda emathunjini. |
| Umdlavuza we-Colorectal | Ezimweni zomdlavuza wamathumbu amakhulu, lokhu kuhlinzwa kungadingeka ngemva kokuba ingxenye yomdlavuza wamathumbu amakhulu isisusiwe. |
| I-Diverticulosis | Amaqhubu amancane afana nesikhwama odongeni lwekholoni. Lokhu kungabangela ubuhlungu obukhulu uma etheleleka. |
| Ukulimala noma ukulimala kwamathumbu | Uma amathumbu onakele ngengozi noma esinye isizathu, lokhu kwenzelwa ukunikeza indawo eyonakele ukuphumula kuze kube yilapho iphola. |
| Ukuvinjelwa Kwamathumbu | Uma amathumbu evaleka ngokuphelele ngesizathu esithile, lokhu kuhlinzwa kungadingeka ngenkathi kwelashwa ukuvaleka. |
| I-Familial Adenomatous Polyposis | Lesi yisimo esizuzwa njengefa lapho amakhulu ezimila ezincane (ama-polyp) akheka khona emathunjini amakhulu, okungaphenduka umdlavuza. |
Ingabe izingane ezincane nazo ziyakudinga lokhu?
Yebo, ngezinye izikhathi izinsana ezisanda kuzalwa nazo kufanele zenze lokhu kuhlinzwa. Lokhu kubangelwa kakhulu yizinkinga ezimbili zokuzalwa.
1. I-anus engasebenzi kahle: Ezinye izingane zizalwa zingenayo i-anus. Ngakho-ke, indlela yokuphuma kwendle idinga ukudalelwa zona. I-colostomy yesikhashana kanye ne-fistula ye-mucous yenzelwe lokhu. Uma ingane isikhulile futhi inamandla, lokhu kusetshenziswa kuze kube yilapho i-anus ilungiswa ngokuhlinzwa kokulungisa.
2. Ukuvuvukala kwamathumbu: Ezinye izingane zizalwa zivaliwe noma zingenawo amathumbu. Uma lokhu kungenakulungiseka ngokuhlinzwa okukodwa, kungadingeka i-mucous fistula yesikhashana.
Lokhu kuhlinzwa kwenziwa kanjani?
Njengoba ngishilo ngaphambili, i-fistula yama-mucous ayidalwa yodwa. Ngokuvamile yenziwa kanye nolunye ukuhlinzwa okubizwa ngokuthi i-colostomy noma i-ileostomy . Ake sibheke ukuthi ziyini lezo ezimbili.
- Ukuqeda i-colostomy: Kule nqubo, udokotela ohlinzayo uxhuma ingxenye eyodwa yamathumbu akho amakhulu (ikholoni) nomgodi (i-stoma) owenziwe esikhumbeni sesisu sakho. Indle iphuma kulesi stoma.
- I-ileostomy yokuphela: Yilapho ingxenye engezansi yamathumbu akho amancane (ileum) ixhunywe khona embotsheni eyenziwe esikhumbeni sesisu sakho. Indle iphuma kulesi stoma.
Ngakho-ke, uma une-end colostomy noma i-end ileostomy efana nale, une -stomas ezimbili esiswini sakho. Esinye siwukuphumela kwendle, kanti esinye siwukuphumela kwe-mucus fistula stoma okwenzelwe ukukhipha i-mucus ephuma engxenyeni yamathumbu eyayinqanyuliwe.
I-stoma evumela indle ukuthi iphume ivame ukuba nkulu kancane. I-fistula ye-mucous incane kakhulu.
Uma ubheka i-stoma, ibukeka sengathi ingaphakathi lesihlathi sethu, ipinki futhi imanzi. Njengoba ingenazo izinzwa, ayizwakali ibuhlungu uma uyithinta.
Ngemva kokuhlinzwa, kufakwa isikhwama se-ostomy ngaphandle kwe-stomas zombili. Ekuqaleni, i-fistula ye-mucous ingakhiqiza uketshezi oluningi, ngakho-ke idinga nesikhwama esincane. Kodwa-ke, ngokuhamba kwesikhathi, inani loketshezi liyancipha. Ngaleso sikhathi, kungenzeka ukugcina isikhwama simbozwe nge-gauze esikhundleni sesikhwama.
Kufanele ngilungiselele kanjani ngaphambi kokuhlinzwa?
Njengoba lokhu kuwukuhlinzwa okukhulu, udinga ukulungiselela kusenesikhathi. Udokotela wakho uzokuchazela lokhu ngokuningiliziwe. Nazi izinto ovame ukucelwa ukuba uzenze:
- Ukuzila Ukudla: Kuzodingeka uyeke ngokuphelele ukudla nokuphuza amahora amaningana ngaphambi kokuhlinzwa.
- Ukuyeka Imithi: Udokotela wakho angase akucebise ukuthi uyeke okwesikhashana ukuthatha imithi ethile (ikakhulukazi imithi yokunciphisa igazi) ngaphambi kokuhlinzwa.
- Ukuyeka ukubhema: Lokhu kubaluleke kakhulu. Uma ubhema, kufanele uyeke ukubhema okungenani amasonto ambalwa ngaphambi kokuhlinzwa kwakho. Ukubhema kwandisa ingozi yezinkinga ngemva kokuhlinzwa futhi kulibazise ukuphola kwenxeba.
- Ukuhlanza amathumbu: Udokotela uzokunika uketshezi olukhethekile (ukulungiselela amathumbu) ukuze uluphuze ukuze uhlanze amathumbu akho ngokuphelele ngaphambi kokuhlinzwa.
Ingabe lokhu kuhlala njalo? Ingabe kuzohlala kuze kube phakade?
Lo mbuzo uyethusa abantu abaningi uma bewuzwa. Kodwa izindaba ezinhle ukuthi, isikhathi esiningi, lokhu akuyona into ehlala njalo.
Kubantu abaningi, i-fistula ye-mucous kanye ne-colostomy/ileostomy ehambisana nayo kwakheka okwesikhashana.Umgomo oyinhloko lapha ukunikeza amathumbu avuvukele futhi alimele ukuphumula kanye nesikhathi sokuphulukiswa.
Le nqubo yokuphulukiswa ingathatha amasonto, izinyanga, noma ngisho nonyaka. Uma ithumbu lakho selipholile ngokuphelele, udokotela wakho ohlinzayo angenza olunye uhlinzo ukuze axhume kabusha izingxenye zamathumbu akho ezinqunyiwe. Ngemva kwalokho, uzokwazi ukunyakaza kwethumbu okuvamile futhi.
Yiziphi izingozi nezinkinga zalokhu?
Njenganoma yikuphi ukuhlinzwa, kunezingozi nezinkinga ezingase zenzeke, kodwa akuwona wonke umuntu ozobhekana nalokhu.
| Izinkinga Ezingaba Khona | |
|---|---|
| Ukutheleleka | Ukutheleleka kungavela eduze kwesilonda noma i-stoma yokuhlinzwa. |
| I-Hernia | Imisipha yesisu ezungeze i-stoma iba buthaka, okubangela ukuba ingxenye yamathumbu iphume ngaphansi kwesikhumba. |
| Izinkinga ezihlobene ne-stoma | I-stoma ingase ingene ngaphansi kwezinga lesikhumba (ukuhoxa), iphume kakhulu (iqhubeke), noma inciphise imbobo (ukuqina). |
| Izinkinga zesikhumba | Isikhwama esinamathiselwe esifubeni noma ukuphuma kwaso kungabangela izilonda zesikhumba, ukubomvu, noma ukulunywa. |
| I-Diversion Proctitis | Ngenxa yokuthi indle ayinyakazi, ukuvuvukala kungenzeka e-rectum. Lokhu kungabangela ukuthi igazi noma amahlule egazi adlule. |
| Ukufa kwezicubu (i-Necrosis) | Akuvamile kakhulu ukuthi izicubu ezise-stoma zife ngenxa yokuncipha kokunikezwa kwegazi. |
Udinga ukufonela udokotela ngasiphi isikhathi?
Uma usufikile ekhaya ngemva kokuhlinzwa, kufanele uqaphele izimpawu ezithile eziyisixwayiso. Uma ubona noma yikuphi kwalokhu, kufanele ushayele udokotela wakho ngokushesha .
- Uma unomkhuhlane noma uzizwa ubanda (lokhu kungaba izimpawu zokutheleleka).
- Uma isicanucanu nokuhlanza kuqhubeka.
- Uma kukhona ukuphuma kwegazi ngokweqile okuvela esifubeni noma ngendle.
- Uma unenkinga yokuchitha noma yokuchama.
- Uma i-stoma ishintsha umbala (isibonelo, uma iphenduka ibe nsomi noma ibe mnyama).
Umlayezo Wokuya Nawe Ekhaya
- I-fistula ye-mucous iyindlela ephephile yokukhipha i-mucus engxenyeni yamathumbu enqanyuliwe ngemva kokuhlinzwa kwamathumbu.
- Lokhu kuvame ukwenziwa ezimweni ezifana nesifo samathumbu esivuvukalayo (IBD), umdlavuza, noma ukulimala kwamathumbu.
- Lokhu kuvame ukuba okwesikhashana. Uma ithumbu selipholile, izingxenye zamathumbu zingaxhunywa kabusha ngokuhlinzwa.
- Ukuba ne-stoma eyodwa noma ezimbili esiswini sakho kungase kuzwakale kungavamile ekuqaleni, kodwa uzofundiswa ukuthi ungazinakekela kanjani kahle esibhedlela.
- Uma unemibuzo, ukukhathazeka, noma ukungabaza ngalokhu, ungesabi ukukhuluma ngokukhululekile nodokotela wakho. Bahlala bekulungele ukukusiza.
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