Ingabe unesikhwama esinamathiselwe esiswini sakho ukuze ukhiphe indle yakho? Kungenzeka ukuthi uke wahlinzwa nge-colostomy noma i-ileostomy njengendlela yokwelapha isifo samathumbu noma isimo samathumbu. Cishe uyazi ukungakhululeki kokuphila nalesi sikhwama. Ngakho-ke, umbuzo abantu abaningi abanawo uthi, "Angikwazi yini ukusibuyisela emuva ngendlela esasiyiyo?" Kungenziwa ngempela. Yilokho esikhuluma ngakho namuhla.
Kuyini Ukuguqulwa Kwe-Ostomy?
Kalula nje, ukuguqulwa kwesisu kuyindlela yokuhlinzwa esusa isikhwama esiswini sakho futhi ibuyisele ukusebenza kwamathumbu akho. Ungase ukhumbule ukuthi ngesikhathi sokuhlinzwa kwakho kokuqala, odokotela bavula imbobo esiswini sakho lapho ingxenye yamathumbu akho (ikholoni noma i-ileum) iphuma khona ngesikhumba. Sikubiza ngokuthi i-stoma . Indle yaphuma ngaleyo stoma.
Manje, kulokhu kuhlinzwa kokubuyisela emuva, amathumbu ayexhunywe ku-stoma abuyiselwa esiswini futhi ahlanganiswe kabusha namanye amathumbu. Ngemuva kwalokho, imbobo esiswini (stoma) iyavalwa. Ngemva kwalokhu, uzokwazi ukuyokhipha indle nge-anus futhi ngendlela yakudala.
Kungani abantu abaningi kangaka befuna ukwenza lokhu kuhlinzwa?
Lokhu kuyinto encike kuwe ngempela. Abantu abaningi bakhetha lokhu ngoba bafuna ukuya endlini yangasese futhi ngendlela yabo endala, evamile. Lokhu kuhlinzwa kufana nethuba lokubuyela empilweni ababenayo ngaphambi kokufakwa kwesikhwama se-ostomy.
Ngemva kwalokhu kuhlinzwa, awusadingeki ukhathazeke ngokushintsha isikhwama sakho se-ostomy noma ukugcina isikhumba esizungeze i-stoma yakho sihlanzekile. Ngezinye izikhathi, ukuhlala nezinto ezifana nokuvuza esikhwameni kanye nokungezwani komzimba nesikhumba kungaba yinto ecindezelayo kakhulu. Ngakho-ke lokhu kuhlinzwa kuyimpumuzo enkulu ukukhululeka kuyo yonke leyo mithwalo.
Ngingakufanelekela kanjani lokhu kuhlinzwa?
Uma ufuna ukwenza lokhu kuhlinzwa, udokotela wakho uzocabangela izinto ezimbalwa. Akuwona wonke umuntu ongenza lokhu kuhlinzwa. Kuya ngempilo yakho. Ngokuvamile, lokhu kuhlinzwa kucatshangelwa ngemva kwezinyanga ezi-3 kuya kwezi-12.
Bheka ithebula elingezansi ukuthola izimfanelo eziyinhloko ezidingekayo kulokhu.
| Okudingeka kwenziwe | Kalula nje... |
|---|---|
| Ukwelashwa kwamanxeba okuhlinzwa kwamathumbu | Ngemva kokuhlinzwa kokuqala, amanxeba angaphakathi kwamathumbu kufanele aphulukiswe ngokuphelele. Akufanele kube nokuvuza okuvela ezindaweni lapho amathumbu ayexhumene khona. |
| Ukuxolelwa kwesifo samathumbu | Isimo sakho samathumbu (isib. ukutheleleka, ukuvuvukala) kufanele selapheke ngokuphelele manje. |
| Umsebenzi wemisipha yangemuva | Imizwa nemisipha e-rectum edingekayo ukulawula ukunyakaza kwamathumbu kumele isebenze kahle. |
| Isimo sempilo sisonke | Impilo yakho yomzimba kumele ibe yinhle ngokwanele ukuze imelane nokuhlinzwa okunye. |
Yiziphi izivivinyo ezenziwa ngaphambi kokuhlinzwa?
Udokotela wakho angenza izivivinyo eziningana ukuze abone ukuthi ufanelekile yini ukuhlinzwa, njengokuthi:
- I-Endoscopy: Ipayipi elinekhamera lifakwa nge-anus ukuze kuhlolwe izifo noma ukuvinjelwa ngaphakathi kwamathumbu.
- I-X-ray ehlukanisayo: Kunikezwa uketshezi olukhethekile (uketshezi oluhlukanisayo) bese kwenziwa i-X-ray ukuze kubonakale ukuthi kukhona yini ukuvuza emathunjini.
- Ukuhlolwa Kwe-Digital Rectal: Udokotela usebenzisa umunwe wakhe ukuhlola imisipha ye-rectum.
- Ukuhlolwa kwegazi: Ukuhlolwa kwegazi kwenziwa ukuze kutholakale ngesimo sakho sokudla okunempilo kanye nezinye izinkinga zempilo.
Kwenzekani ngesikhathi sokuhlinzwa?
Uzonikezwa i-anesthesia ejwayelekile, ngakho ngeke uzwe lutho ngesikhathi sokuhlinzwa, uzobe ulele. Udokotela ngokuvamile uzolandela lezi zinyathelo:
1. Ingxenye yamathumbu (stoma) enamathele esikhumbeni sesisu iyasuswa futhi ihlukaniswe.
2. Leso sigaba sibe sesixhunywa kabusha engxenyeni engezansi yamathumbu. Lokhu kubizwa ngokuthi i-anastomosis ngokwezokwelapha.
3. Ekugcineni, wonke amanxeba okuhlinzwa, okuhlanganisa nomgodi we-stoma esiswini, ayavalwa.
Lokhu kuhlinzwa kuvame ukuba lula kunokuhlinzwa kokuqala kwe-ostomy. Kuthatha cishe ihora elilodwa noma amabili kuphela. Kodwa-ke, ngezinye izikhathi kungathatha isikhathi eside uma kukhona izicubu zesilonda ezivela ekuhlinzweni kwangaphambilini.
Yiziphi izingozi nemiphumela emibi engase ivele ngemva kokuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile. Ukutheleleka, ukopha, kanye nokuqhekeka kwegazi kungenzeka.
Kodwa kunengozi enkulu kakhulu eqondene ngqo nalokhu kuhlinzwa. Leso yisimo esibizwa ngokuthi ukuvuza kwe-anastomotic . Okusho ukuthi, ukuvuza okuvela endaweni lapho amathumbu amabili axhumene khona. Lokhu kungaba yingozi kancane, ngoba amagciwane avela emathunjini angangena emgodini wesisu futhi abangele ukutheleleka. Uma unezimpawu ezifana nomkhuhlane nobuhlungu obukhulu esiswini esingezansi, kufanele usole. Kodwa lokhu kwenzeka kaningi kakhulu.
Imiphumela emibi yesikhashana
Lokhu okulandelayo kuvame ukwenzeka ezinsukwini zokuqala ngemva kokuhlinzwa:
- Ubuhlungu nokungakhululeki: Amanxeba okuhlinzwa angabangela ubuhlungu obuncane nokungakhululeki, okufana nesisu esigcwele.
- I-Paralytic Ileus: Kujwayelekile ukuthi amathumbu ahambe kancane izinsuku ezimbalwa ngemva kokuhlinzwa. Yingakho kunikezwa ukudla okumanzi kuqala.
- Izinguquko emikhubeni yamathumbu: Lapho amathumbu eqala ukusebenza futhi, ungase uzwe isifo sohudo ekuqaleni. Abanye abantu bangase babe nokuqunjelwa. Kuvamile futhi ukuthi kudingeke uye endlini yangasese kaningi. Lokhu kuzothuthuka ngemva kwezinyanga ezimbalwa.
Imiphumela emibi yesikhathi eside
- I-Hernia: Ingxenye yamathumbu iphuma esikhumbeni ngokuhlinzwa.
- Ukunamathela kwesisu: Ukunamathela kwezicubu ngaphakathi kwesisu ngenxa yokuhlinzwa.
- Ukungakwazi ukuzibamba kwendle: Abanye abantu bangase babe nobunzima bokulawula amathumbu abo ngenxa yemisipha ebuthakathaka ye-rectal. Lokhu kungelashwa ngokwelashwa ngokomzimba.
Kuthatha isikhathi esingakanani ukululama? Kufanele nginakekele kanjani ukudla kwami?
Ngokuvamile kuthatha amasonto ayisithupha kuya kwayisishiyagalombili ukululama ngokugcwele. Phakathi nalesi sikhathi, uzophinde uthole amandla akho kancane kancane.
Kudingeka uqaphele kakhulu ngokudla kwakho neziphuzo zakho.
- Qala ngokudla okulula ukukugaya, okungena-fiber eningi (isib. ubhanana, ilayisi, isinkwa).
- Phuza amanzi amaningi , ikakhulukazi uma uqunjelwe.
- Yeka ukuphuza utshwala, iziphuzo ezine-carbonated (njenge-soda), kanye nekhofi isikhashana.
- Esikhundleni sokudla ukudla okuthathu okukhulu, yidla ukudla okuncane kaningana ngosuku.
- Thola ukuthi yikuphi ukudla okukwenza ungakhululeki bese ukugwema isikhashana.
Into ebaluleke kakhulu:Ungenzi izinto ezifana nokuphakamisa izinsimbi noma ukushayela kuze kube yilapho udokotela wakho ekunike imvume.
Yiziphi izimpawu ezidinga ukuthi ubonane nodokotela ngokushesha?
Uzonikezwa izinsuku zokulandelela ngemva kokuhlinzwa. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezingezansi, bona udokotela wakho ngokushesha.
- Uma ubuhlungu nokuvuvukala kuba kubi kakhulu
- Uma kukhona isicanucanu nokuhlanza
- Uma unomkhuhlane
- Uma kukhona uketshezi olufana nobovu oluvela enxebeni lokuhlinzwa
- Uma uhudo noma ukuqunjelwa kuqhubeka
- Uma unenkinga yokugcina ukudla noma uketshezi kuphansi
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kokuguqula i-ostomy kuyithuba elihle lokususa isikhwama se-ostomy bese ubuyela empilweni evamile.
- Lokhu kuhlinzwa akulona olwawo wonke umuntu. Udokotela wakho uzonquma ukuthi uyakufanelekela yini noma cha.
- Kuzothatha isikhathi ukuphulukiswa ngemva kokuhlinzwa. Futhi, ukuhamba kwakho kwamathumbu kungashintsha ekuqaleni. Ungakhathazeki ngalokho, kuvamile.
- Zizwe ukhululekile ukukhuluma nodokotela wakho nganoma yiziphi izinkinga, ukungakhululeki, noma ukungabaza ongase ube nakho.
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