Ukuhlinzwa Kwamathambo: Funda Ngokuphila Nesikhwama Sendle

Mhlawumbe wena noma othile omaziyo utshelwe udokotela nge-ostomy. Kuvamile ukuzizwa wesaba kancane, ukhathazekile, futhi unamahloni uma uzwa ngesikhwama esibekwa eceleni kwesisu sakho ukuze kukhishwe indle noma umchamo wakho. Kodwa lokhu kungasindisa impilo, noma kungenza impilo yakho ibe lula kakhulu. Ngakho ake sixoxe ngakho ngamazwi alula, akunjalo?

Iyini ngempela i-ostomy?

Kalula nje, i-ostomy inqubo yokuhlinzwa edala indlela ehlukile yokukhipha imfucuza (okungukuthi, indle noma umchamo) emzimbeni wakho lapho indlela yakho evamile yokususa imfucuza (okungukuthi, indle noma umchamo) ingasasebenzi. Lokhu kuhlinzwa kungenziwa uma ingxenye yomgudu wakho wokugaya ukudla noma womchamo yonakele, noma uma udinga ukunikeza leyo ngxenye isikhathi sokuphulukiswa.

Kulokhu kuhlinzwa, udokotela ohlinzayo udala isikhala esincane esiswini sakho. Lokhu kubizwa ngokuthi 'i-stoma' . Ngemuva kwalokho, ingxenye enempilo yesistimu yakho yokugaya ukudla noma yomchamo esebenzayo ihlukaniswa nengxenye engasebenzi kahle bese ixhunyaniswa ne-stoma esanda kudalwa.

Ngemva kwalokhu kuhlinzwa, indle noma umchamo kuzophuma esithweni sakho sangasese. Lo mfucuza uzoqongelela esikhwameni esincane esinamathiselwe esithweni sakho sangasese. Lokhu sikubiza ngokuthi isikhwama se-ostomy . Indlela esenziwa ngayo ngezinye izikhathi ingeyesikhashana, ngezinye izikhathi ihlala njalo.

• I-Ostomy Yesikhashana: Lokhu kwenzelwa ukunikeza amathumbu akho noma umgudu womchamo ithuba lokuphulukiswa ngemva kwesimo sempilo noma ukuhlinzwa. Uma lezo zingxenye sezibuyele esimweni sazo esijwayelekile, zingasuswa ngokuhlinzwa okunye.
• I-Ostomy Ehlala Njalo: I-ostomy ehlala njalo iyadingeka uma ingxenye yesistimu yakho yokugaya ukudla noma yomchamo yonakele kakhulu, noma uma leyo ngxenye kufanele isuswe ngokuphelele.

Kungani umuntu edinga i-ostomy?

Kunezizathu eziningana zokuthi kungani ungase ufune ukwenza i-ostomy. Lesi simo sivame kakhulu kunalokho ongase ucabange. Ake sibheke ithebula elingezansi ngokuningiliziwe.

Yiziphi izinhlobo eziyinhloko zama-ostomies?

Uhlobo lwe-ostomy luncike ekutheni iyiphi ingxenye yomzimba wakho edlulayo. Kunezinhlobo ezintathu eziyinhloko.

• I-Colostomy: Lokhu kuhilela ukuxhuma ingxenye yamathumbu akho amakhulu (ikholoni) ne-stoma edalwe esiswini sakho. Indle iphuma ngalokhu.
• Ileostomy: Lokhu kuhilela ukuxhumanisa ukuphela kwamathumbu akho amancane (ileum) ne-stoma. Lokhu kuvumela ukudlula kwendle.
• I-Urostomy: Kulokhu, ama-ureter akho, amapayipi athwala umchamo, axhunywe ngqo ku-stoma, edlula esinyeni. Umchamo uphuma ngalokhu.

Yiziphi izinzuzo kanye nezingozi ezingaba khona zokuhlinzwa?

Uma udinga ukususa ingxenye yomgudu wakho wokugaya ukudla noma womchamo, noma uma udinga ukuyeka ukuyisebenzisa, i-ostomy ingaba inqubo esindisa impilo. Kungathuthukisa kakhulu ikhwalithi yokuphila komuntu ohlala ezwa ubuhlungu futhi esezindlini zangasese ngenxa yezimo ezithile ezingamahlalakhona.

Njengakuzo zonke izinhlobo zokuhlinzwa, kunezingozi nezinkinga ezingase zenzeke, kodwa kungaba lula ukuzilawula uma uzazi kusenesikhathi.

Nazi ezinye zezinkinga ezivamile ezingase zenzeke:

• Ukucasuka Kwesikhumba: Isikhumba esizungeze i-stoma singaba bomvu futhi sicasuke ngenxa yendle noma umchamo. Lena inkinga evamile. Lokhu kungavinjelwa kakhulu ngokuqinisa isikhwama kahle nokusihlanza njalo.
• Ukungalingani Kwama-Electrolyte: Amathumbu ethu amakhulu yilapho amanzi nezakhamzimba zimuncwa khona emzimbeni. Njengoba le ngxenye idlula nge-colostomy noma i-ileostomy, umzimba ungaphelelwa amanzi emzimbeni noma ube nokungalingani kwama-electrolyte. Udokotela wakho uzochaza ukuthi ungakuvimbela kanjani lokhu.
• Ukuvaleka: Ngezinye izikhathi amathumbu angavaleka okwesikhashana ngenxa yezicubu ezibomvu ezakheka emathunjini ngemva kokuhlinzwa noma ngenxa yokudla okungagayiwe.
• I-Parastomal Hernia: Uma udonga lwesisu oluzungeze i-stoma luba buthakathaka, izicubu ezingaphakathi kwesisu zingaphuma, zakhe i-hernia.
• I-Prolapsed Stoma: Ngezinye izikhathi ingxenye yamathumbu ingaphuma nge-stoma. Esikhathini esiningi, udokotela angayifaka futhi, kodwa akuvamile ukuthi kudingeke ukuhlinzwa.

Uma ubona into efana nale, into engcono kakhulu ongayenza ukungesabi bese ukhuluma nodokotela wakho.

Unakekela futhi ushintshe kanjani isikhwama sakho se-ostomy?

Kungathatha amasonto afika kwangu-8 ukuthi inxeba lakho liphole ngokuphelele ngemva kokuhlinzwa. Phakathi nalesi sikhathi, umhlengikazi oqeqeshwe ngokukhethekile we-Wound Ostomy Continence Nurse (WOCN) uzokufundisa ukuthi ungashintsha kanjani futhi uhlanze kanjani isikhwama sakho.

Iningi labantu lidinga ukushintsha izikhwama zabo njalo ezinsukwini ezi-3 kuya kweziyi-7. Abanye abantu bathanda ukuzishintsha nsuku zonke. Khumbula lezi zinto lapho ushintsha isikhwama sakho.

• Sula noma yikuphi ukumunca esifubeni.
• Hlanza isikhumba esizungeze i-stoma kahle usebenzisa amanzi afudumele kanye nensipho ethambile .
• Hlanza kahle ngamanzi ukuze ususe noma yikuphi ukusalela kwensipho.
• Yomisa kahle indawo.

Into ebaluleke kakhulu ukuhlola i-stoma yakho nsuku zonke . Uma kubonakala sengathi ishintshile ngobukhulu, ukuma, noma umbala, noma uma ivuvukele noma ibuhlungu, shayela udokotela wakho ngokushesha.

Kunini lapho kudingeka ushayele udokotela ucingo ngokushesha?

Yiziphi izimpawu udokotela azibonile ngemva kokuhlinzwa?Kungaba nzima ukwazi ukuthi kufanele ukhulume nini. Uma uzizwa sengathi kukhona okungahambi kahle, ungangabazi ukukhuluma. Shayela udokotela wakho ngokushesha, ikakhulukazi uma unalezi zimpawu.

• Uma kukhona iphunga elibi elivela esifubeni
• Uma i-stoma iphuma igazi kakhulu
• Uma ubonisa izimpawu zokutheleleka njengomkhuhlane, isicanucanu, nokuhlanza
• Uma unezinhlungu zesisu ezinzima ezihlala isikhathi esingaphezu kwamahora amathathu
• Uma kukhona ukuvuvukala, ukubomvu, noma ukuxebuka kwesikhumba
• Uma unendle enamanzi isikhathi esingaphezu kwamahora ayisithupha

Eminye imibuzo evame ukubuzwa

Ingabe lokhu kuhlinzwa kuyalungiseka? (Ingabe kuyalungiseka?)

Yebo, ngezinye izikhathi kungenzeka. Lokhu kuncike empilweni yakho iyonke nokuthi ingxenye eyonakele yamathumbu akho noma uhlelo lomchamo ilulame kahle kangakanani. Uma lezo zingxenye sezisebenza ngokugcwele futhi, ungakhuluma nodokotela wakho ohlinzayo mayelana nokuhlinzwa ukuze kuguqulwe i-ostomy.

Uya kanjani endlini yangasese unesikhwama se-ostomy?

Ngisho nangemva kokuhlinzwa kwesisu, kusadingeka usebenzise indlu yangasese. Kodwa hhayi kokubili ukuhamba kwamathumbu nomchamo. Ake uzicabange une-urostomy. Bese uchamela esikhwameni, kodwa uya endlini yangasese ukuyokhipha indle. Umuntu one-colostomy noma i-ileostomy uzokhipha indle esikhwameni, kodwa uya endlini yangasese ukuyokhipha indle. Usebenzisa nendlu yangasese ukuthulula isikhwama sakho sesisu.

Kungenzeka yini ukuphila ngendlela evamile nge-ostomy?

Impela. Ukuba ne-ostomy akukuthinti isikhathi sakho sokuphila. Futhi akukuvimbeli ukuba uphile impilo egcwele, esebenzayo. Isimo sezokwelapha esaholela esidingweni se-ostomy singathinta impilo yakho, kodwa i-ostomy ngokwayo ayithinti. Eqinisweni, ngezinye izikhathi i-ostomy ingandisa isikhathi sakho sokuphila.

Kungakhathaliseki ukuthi kungokwesikhashana noma kungunaphakade, ukuba ne-ostomy kuyishintsho elikhulu empilweni yakho. Kubalulekile ukuthola ukwesekwa njengoba uqala lolu hambo. Ukukhuluma namaqembu okusekelana nabantu abadlule kulolu lwazi kungaba umthombo omkhulu wamandla.