Ngezinye izikhathi kufanele sihlinzwe amathumbu amakhulu, akunjalo? Kungenzeka ukuthi uke wezwa ukuthi ngemva kokuhlinzwa okunjalo, kwakheka imbobo encane, ebizwa ngokuthi `(stoma)`, ebusweni besikhumba sesisu. Kuvamile ukuzizwa wesaba futhi ukhathazekile uma uzwa lokhu. Namuhla sizokhuluma ngento eyinkimbinkimbi kancane, kodwa ebaluleke kakhulu. Okusho ukuthi, iyini i-`Mucous Fistula` nokuthi kungani idingeka.
Iyini i-Mucous Fistula?
Kalula nje, i-fistula ye-mucous iwumgodi omncane odalwe ngokuxhuma ingxenye yamathumbu akho ekhishwe okwesikhashana esikhumbeni sesisu sakho ngokuhlinzwa.
Cabanga ngakho, amathumbu ethu awawona nje umbhobho. Ahlala ekhiqiza uketshezi olubizwa ngokuthi i-mucus ukuze azivikele futhi asize izinto zihambe kalula. Manje, ake sicabange ukuthi ingxenye yamathumbu isusiwe ngenxa yesimo sempilo, noma ukuthi ihlukanisiwe nomzimba wonke ngoba idinga ukuphumula. Bese, leyo ngxenye yamathumbu engasebenzi iyaqhubeka nokukhiqiza leyo mucus.
Ngakho-ke, uma lezi zinhlayiya zingenandawo yokuya, zinganqwabelana emathunjini futhi zibangele ubuhlungu, ukungakhululeki, kanye nokutheleleka. Lokho okwenziwa yi-fistula yamafinyila ukudala indlela yokuthi lezo zinhlayiya ziphume kalula nangokuphephile emzimbeni.
Ngokuvamile, uzoba nezimbobo ezimbili (ama-stomas) phakathi nalolu hlobo lokuhlinzwa.
1. I-stoma eyinhloko (i-Colostomy noma i-Ileostomy): Yilapho ukudla okugayiwe kanye nendle kuvela khona. Kufakwe isikhwama kulokhu.
2. I-fistula yamafinyila: Lena incane kunenye. Uketshezi lwamafinyila esikhulume ngalo luphuma kulena.
Kungani sidinga i-fistula ye-mucous?
Lokhu kuvame ukwenziwa kanye nokunye ukuhlinzwa kwamathumbu. Kungadingeka ikakhulukazi kubantu abanezifo zamathumbu ezivuvukalayo (IBD). Kukhona nezinye izizathu eziningana.
| Isimo/Imbangela | Incazelo elula |
|---|---|
| Isifo sikaCrohn kanye ne-Ulcerative colitis | Lezi yizifo ezibangela ukuvuvukala kwamathumbu isikhathi eside. Lokhu kuhlinzwa kwenzelwa ukunikeza ingxenye yamathumbu eyonakele isikhathi sokuphulukiswa. |
| Umdlavuza we-Colorectal | Le ndlela isetshenziswa okwesikhashana kuze kube yilapho izingxenye zamathumbu ziphinde zahlangana ngemva kokususwa kwesimila somdlavuza. |
| I-Diverticulosis | Ukutheleleka kwezakhiwo ezincane ezifana nesikhwama ezikhula odongeni lwamathumbu. |
| Ukuvinjelwa kwamathumbu noma izingozi | Le ndlela isetshenziswa lapho ingxenye yamathumbu ivinjiwe noma yonakele engozini ize iphole. |
Kungani izingane ezincane zidinga lokhu?
Ngezinye izikhathi ngisho nezinsana ezisanda kuzalwa kufanele zenze lokhu kuhlinzwa.
- Indunu engasebenzi kahle: Ezinye izingane zizalwa zingenawo umgodi endunu. Lokhu kusho ukuthi ayikho indlela yokuthi indle idlule. Kwenziwa i-colostomy yesikhashana ukuze kuvunyelwe indle ukuthi idlule futhi kudalwe i-fistula yama-mucous ukuze kuvunyelwe i-mucus ukuthi idlule kuze kube yilapho ingane isinamandla okwanele ukuba ihlinzwe ngendlela yokulungisa.
- Ukuvuvukala kwamathumbu: Ezinye izingane zinezinkinga noma ukuvaleka kwamathumbu. Uma lokhu kungenakulungiseka ngokuhlinzwa okukodwa, kungadingeka i-fistula yesikhashana yama-mucous.
Kuhamba kanjani lokhu kuhlinzwa kanye nenqubo ehambisana nakho?
Lokhu kuvame ukwenziwa udokotela ohlinzayo we-colorectal ogxile ekuhlinzeni amathumbu amakhulu noma amathumbu amancane.
Ngaphambi kokuhlinzwa
Udokotela wakho uzokuchazela ngokucacile ukuthi yini okudingeka uyenze ngaphambi kokuhlinzwa. Lezi ngokuvamile yizinto okudingeka uzenze:
- Ungadli noma uphuze lutho amahora amaningana ngaphambi kokuhlinzwa (ukuzila ukudla).
- Yeka okwesikhashana ukuphuza imithi ethile (ikakhulukazi leyo enciphisa ukujiya kwegazi) njengoba udokotela wakho ekuyalile.
- Uma ubhema, kubalulekile ukuyeka okungenani amasonto ambalwa ngaphambi kokuhlinzwa. Ukubhema kwandisa ingozi yezinkinga ngemva kokuhlinzwa futhi kulibazise ukuphola kwenxeba.
- Khulula futhi uhlanze amathumbu akho ngokuphelele ngokuphuza isiphuzo esikhethekile (ukulungiselela amathumbu) esinikezwe udokotela wakho.
Ngesikhathi sokuhlinzwa
Lokhu kuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile. Lokhu kusho ukuthi ngeke uzwe lutho, uzobe ulele. Udokotela ohlinzayo uzokwenza okulandelayo:
1. Kwenziwa i-incision ebusweni besikhumba sesisu ukuze kufinyelelwe engxenyeni efanele yamathumbu.
2. Ingxenye yamathumbu enesifo noma ingxenye edinga ukuphumula iyahlukaniswa.
3. Ukuphela kwengxenye esebenzayo yamathumbu kuxhunywe embotsheni eyinhloko eyenziwe esiswini (stoma). Lokhu kubizwa ngokuthi i-ileostomy noma i-colostomy.
4. Kwenziwa omunye umgodi omncane futhi uxhunywe komunye umkhawulo wengxenye yamathumbu ekhubazekile. Lena yi -fistula ye-mucous .
5. Bese kuthintwa ukusika okuyinhloko.
6. Izikhwama ezikhethekile (izikhwama ze-ostomy) zinamathiselwe kuzo zombili izimbobo.
Izinzuzo, izingozi, kanye nesikhathi sokululama
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo kanye nezingozi.
| Izinzuzo | Izingozi ezingaba khona |
|---|---|
| Vimbela ukuthi amafinyila anganqwabelani kumathumbu amakhulu angasebenzi kahle futhi avumele ukuthi aphume ngokuphephile. | Ukutheleleka noma ukulimala esikhumbeni esizungeze umgodi. |
| Ukuvimbela ubuhlungu, ukungakhululeki, kanye nokutheleleka okubangelwa ukunqwabelana kwamafinyila. | I-stoma ingase ihoxe (ihoxe) noma iphume (i-prolapse) esikhumbeni. |
| Ukunikeza ingxenye yamathumbu eyonakele okusele edinga ukuphulukiswa. | I-Hernia eduze kokuvulwa. |
| Ukuphuma kwegazi noma uketshezi oluphuma e-rectum (i-Diversion proctitis). |
Isikhathi sokutakula
Uzohlala esibhedlela cishe isonto elilodwa ngemuva kokuhlinzwa. Phakathi nalesi sikhathi, abasebenzi abahlengikazi bazokufundisa ukuthi ungawahlanza kanjani futhi uwashintshe kanjani ama-stoma nama-packet akho, nokuthi ungawanakekela kanjani isikhumba esiwazungezile. Ekuqaleni, ama-stoma angase abukeke emakhulu kancane, emnyama, futhi emanzi, kodwa ngokuhamba kwesikhathi azoncipha futhi abe yisicaba.
Ezigabeni zokuqala, kuba khona inani elikhulu le-mucus elivela ku-fistula ye-mucous.Ingaphuma. Ngakho-ke kufanele ugqoke isikhwama esincane salokho futhi. Kodwa ngokuhamba kwesikhathi, lokhu kukhishwa kuzoncipha kakhulu. Ngezinye izikhathi kuzoncipha kuze kufike ezingeni lapho kungambozwa khona ngendwangu evamile ye-gauze.
Ingabe lokhu kungunaphakade?
Enye yezinto ezikhathaza kakhulu abantu abaningi ukuthi lesi kuzoba yisimo sokuphila konke. Izindaba ezinhle ukuthi ezimweni eziningi, lokhu kungokwesikhashana. Lokhu kwenzelwa ukunikeza ingxenye yamathumbu ethintekile ithuba lokuphulukiswa. Le nqubo yokuphulukiswa ingathatha amasonto, izinyanga, noma ngisho neminyaka. Uma udokotela wakho enquma ukwenza kanjalo, angaphinde axhumanise ingxenye yamathumbu ngokuhlinzwa futhi akuvumele ukuthi ube nokunyakaza okuvamile kwamathumbu.
Isikhathi sokufonela udokotela ngokushesha
Ngemva kokubuyela ekhaya, uma uhlangabezana nanoma yiziphi zalezi zimpawu, kufanele ushayele udokotela wakho ucingo ngokushesha . Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Uma kukhona igazi esitulweni.
- Uma uphuma igazi ngokweqile futhi ngendlela engavamile.
- Uma uzwa isicanucanu nokuhlanza njalo.
- Uma unezimpawu zokutheleleka, njengomkhuhlane, ukubanda, nokuthuthumela.
- Uma unenkinga yokuchama noma yokuchitha indle (kusuka esithweni esiyinhloko).
Ukuphila ne-stoma kungaba yinselele ekuqaleni. Kodwa uma usufunde ukuyiphatha, ungaphila impilo evamile ngokuphelele. Vula kudokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
Umlayezo Wokuya Nawe Ekhaya
- I-fistula ye-mucous iwumgodi ovikelayo ovumela ukuthi i-mucus ekhiqizwa yingxenye yamathumbu engasebenzi kahle isuswe emzimbeni ngemva kokuhlinzwa kwamathumbu.
- Lokhu kuvame ukwenziwa kanye nolunye ukuhlinzwa okukhulu (i-colostomy noma i-ileostomy).
- Ezimweni eziningi, lokhu kuyisixazululo sesikhashana . Uma amathumbu esepholile, angabuyiselwa esimweni sawo esijwayelekile ngokuhlinzwa.
- Kubaluleke kakhulu ukunakekela kahle i-stoma yakho kanye nesikhumba esizungezile. Isibhedlela sizokunikeza iseluleko ngalokhu.
- Uma uhlangabezana nezimpawu ezingavamile njengokuphuma kwegazi okukhulu, umkhuhlane, noma ukuhlanza , xhumana nodokotela wakho ngokushesha.
- Khuluma nodokotela wakho nganoma yikuphi ukukhathazeka noma imibuzo ongase ube nayo ngalokhu. Bazokwazi ukukusiza.
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