Uyazi nge-prolapsed stoma? Ake sixoxe ngayo!

Uke wahlinzwa i-ostomy? Noma ingabe kukhona umuntu omaziyo owake wahlinzwa? Ngezinye izikhathi ngemva kwalokhu kuhlinzwa, ungase uzizwe, noma ubone, lowo mgodi omncane esiswini sakho, i-stoma, uphuma kancane. Lokhu yilokho ngokwezokwelapha esikubiza ngokuthi i-prolapsed stoma. Kuvamile ukuzizwa ukhathazekile futhi wesaba uma ubona lokhu. Kodwa-ke, isikhathi esiningi, akukubi kangako. Ake sixoxe ngalokhu ngokuningiliziwe, akunjalo?

Iyini ngempela i-prolapsed stoma?

Kalula nje, i-prolapsed stoma iyinkinga encane engenzeka ngemva kokuhlinzwa kwe-ostomy. Njengoba wazi, i-ostomy inqubo lapho indle yakho ingadluli khona ngendlela evamile endunu yakho, futhi kwenziwa imbobo encane (stoma) esiswini sakho ukuze indle yakho iphume ingene esikhwameni. Le stoma yenziwa ngokususa ingxenye yamathumbu akho amancane noma amathumbu amakhulu.

Ngakho-ke, ku-`(Prolapsed Stoma)`, ingxenye encane yamathumbu akho iphuma nge-`(stoma)` eyadalwa. Bese i-`(stoma)` ibonakala isikhathi eside kancane kunangesikhathi yadalwa ngaso ekuqaleni. Lesi simo singabonakala ngemva kokuhlinzwa kwe-`(colostomy)` noma ukuhlinzwa kwe-`(ileostomy)`.

Cabanga nje, kufana nokuthi ugqoke isokisi bese ingxenye encane yalo iphuma, okuyinto eyenzekayo lapha.

Nakuba lokhu kungaba yinto eyesabekayo kakhulu, ngokuvamile akuyona into embi kakhulu. Udokotela wakho angase abuyisele ingxenye evelele yamathumbu akho endaweni yayo. Akuvamile ukuthi lokhu kudinge ukuhlinzwa futhi.

Ziyini izimpawu ze-prolapsed stoma?

Uphawu oluyinhloko ozolubona ukuthi ingxenye yamathumbu akho iphushelwa ngaphandle nge-`(stoma)`, futhi i-`(stoma)` ibonakala inde. Ubukhulu bengxenye yamathumbu ephuma kanje bungahluka kumuntu nomuntu. Ingaba ncane ngamasentimitha amabili (cishe i-intshi), noma ingaba nkulu ngamasentimitha ayi-10 (ngaphezu kwamasentimitha amane).

Ezinye izimpawu zifaka:

• Kungase kube nobuhlungu eduze kwe-stoma.
• Isikhumba esizungeze i-stoma singase sibe bomvu futhi sivuvuke .
• Isikhwama se-ostomy osisebenzisayo singase singalingani kahle nesikhumba sakho. Lokhu kusho ukuthi indle iyavuza phakathi kwesikhwama nesikhumba sakho.

Kunzima ukungesabi uma ubona into efana nale. Kodwa khumbula, into ebaluleke kakhulu ukufuna iseluleko sezokwelapha.

Kungani i-stoma iphuma kanje? Yiziphi izizathu?

I-prolapsed stoma ibangelwa kakhulu ukucindezela okukhulu ngaphakathi kwesisu sakho. Cabanga ngakho njengokucindezela ngaphakathi esiswini sakho, uzama ukusunduza okuthile endaweni ebuthakathaka kakhulu. Lokhu kungenzeka ezimweni ezilandelayo:

• Ukuqunjelwa kukhulu:Uma uqunjelwa njalo, ingcindezi esiswini sakho iyanda uma uzama ukuphuma indle. Lokhu kungathinta i-stoma yakho.
• Ukuthimula kakhulu, ukukhwehlela, noma ukukhama: Uma unesifo esingamahlalakhona (njenge-asthma noma i-bronchitis engapheli) esikubangela ukukhwehlela noma ukuthimula, ingcindezi ngaphakathi kwesisu sakho inganda kakhulu kunalokho okucabangayo. Ukuzikhandla ngenkathi uphakamisa izinto ezisindayo nakho kungabangela lokhu.
• Ukwanda kwesisindo noma ukukhuluphala ngemva kokuhlinzwa: Uma ukhuluphala kakhulu ngokuzumayo, kungandisa ingcindezi esiswini futhi kubangele ukuthi i-stoma iphume.
• Imisipha yesisu ebuthakathaka: Uma imisipha yesisu sakho ibuthakathaka ngenxa yokuhlinzwa noma ezinye izizathu, lokho kungathinta nalokhu. Njengoba nje udonga lubuthakathaka, lusunduza isifuba sisuka ngaphakathi.
• Ukukhulelwa: Lesi simo sivame ukwenzeka ngesikhathi sokukhulelwa, njengoba ingcindezi esiswini ikhula.
• Ukuba nesimila esikhulu esiswini: Lokhu akuvamile, kodwa uma kukhona, kungandisa nomfutho wegazi.

Ngakho-ke, kubalulekile ukunakekela i-stoma yakho nokuqaphela izimbangela ezingaba khona zalokhu.

Yiziphi izinkinga ezingaba khona ngenxa ye-prolapsed stoma?

Njengoba ngishilo ngaphambili, isikhathi esiningi, i-prolapsed stoma ayiyona into embi kakhulu. Kodwa-ke, akuvamile kakhulu , ukuthi iholele ezinkingeni ezinkulu. Yingakho kubalulekile ukufuna iseluleko sezokwelapha ngokushesha nje lapho kuvela izimpawu.

• Ukuvaleka kwamathumbu: Ingxenye ephumayo yamathumbu ingabangela ukuthi ukudla okungagayiwe kubhajwe emathunjini, kuvimbele ukuthi kungene emathunjini. Lokhu kungabangela ukuqunjelwa, ukuhlanza, kanye nokuqaqamba kwesisu.
• Ukuboshwa: Yilapho ingxenye yamathumbu ephume esiswini inamathela ku-stoma, okuyisivimbela ukuthi ingaphinde ingene. Lokhu kungaba buhlungu kakhulu.
• Ukuklinywa: Lena yinkinga eyingozi kakhulu. Uma ingxenye yamathumbu ephumile iqine kakhulu, imithambo yegazi eyinikezayo icindezelwa, futhi ukunikezwa kwegazi kunqanyulwa, leyo ngxenye yamathumbu iqala ukufa. Lokhu kubizwa ngokuthi i-necrosis. Uma lokhu kwenzeka, i-stoma ingashintsha umbala (onsomi omnyama, omnyama). Lokhu kuyisimo esiphuthumayo.

Nakuba izinkinga ezinjengalezi zingavamile, kubalulekile ukuzazi.

Iphathwa kanjani i-prolapsed stoma?

Uma une-"Prolapsed Stoma", udokotela wakho uzonquma ukuthi uzoyelapha kanjani ngokusekelwe esimweni sakho. Njengoba kushiwo ngaphambili, uma kungekho zinkinga, ungasebenzisa izindlela zokwelapha ezingadingi ukuhlinzwa.

Ukwelashwa okungeyona eyokuhlinzwa:

• Udokotela uzobuyisela amathumbu endaweni yawo: Udokotela angacindezela kancane ingxenye yamathumbu ephumile ayibuyisele esiswini.
• Ukucindezela okubandayo:Ukubeka into efana neqhwa engxenyeni ephumayo yamathumbu (hhayi ngokuqondile, kodwa egoqwe ngendwangu) kusiza ukunciphisa ukuvuvukala nokusiza amathumbu ukuthi abuyele endaweni yawo.
• Ushukela: Lokhu kungase kuzwakale kungavamile, kodwa ukufafaza ushukela omncane etafuleni phezu kwamathumbu aphumayo kuzosiza ekunciphiseni ukuvuvukala futhi kukusize ukuthi ungene emathunjini. Ushukela unomphumela we-osmotic, okuyiwona onciphisa ukuvuvukala.

Ngezinye izikhathi udokotela wakho angakukhombisa ukuthi ungakwenza kanjani lokhu kwelashwa okulula ekhaya. Kodwa-ke, ungalokothi uzame ngokwakho ngaphandle kweseluleko sezokwelapha.

Ukwelashwa ngokuhlinzwa:

Uma izindlela zokwelapha ezilula okukhulunywe ngazo ngenhla zingasebenzi, noma uma kube nezinkinga ngenxa ye-prolapsed stoma, udokotela wakho angase akuncome ukuhlinzwa.

• Ukwakha kabusha i-stoma endaweni yayo: Ingxenye yamathumbu ephumile ibuyiselwa ngaphakathi, bese i-stoma iqiniswa futhi yakhiwe kabusha.
• Ukususa ingxenye ephumayo yamathumbu bese uyifaka entsha: Ngezinye izikhathi ingxenye ephumayo yamathumbu ingase yonakale. Uma lokhu kwenzeka, ingxenye iyasikwa bese isuswa, bese kuthathwa ingxenye enhle yamathumbu bese kudalwa "i-stoma" entsha.
• Ukudala i-`(stoma)` entsha endaweni ehlukile esiswini: Ngezinye izikhathi, uma i-`(stoma)` ingenakwakhiwa endaweni ekhona, i-`(stoma)` entsha kungadingeka idalwe kwenye indawo efanelekile esiswini.

Ungesabi lokhu kuhlinzwa. Ithimba lakho lezokwelapha lizokhetha ukwelashwa okukulungele.

Ingabe i-prolapsed stoma ikhula ngokuzenzakalelayo?

Yebo, ngezinye izikhathi kungenzeka. Kodwa-ke, uma ubona ukuthi une-`(Prolapsed Stoma)`, kungcono ukwazisa udokotela. Ngoba, udinga ukwazi kahle ukuthi ngabe ngempela i-`(prolapse)` noma enye inkinga.

Kodwa-ke, ngezinye izikhathi ingxenye yamathumbu akho ephume ingabuyela emuva nge-stoma ngokwayo. Uma ulala phansi futhi uphumuza imisipha yesisu sakho, lokhu kungenzeka. Kodwa-ke, akunakwenzeka njalo ukulindela ukuthi lokhu kwenzeke.

Iyini inhloso ye-prolapsed stoma?

Ngokuvamile, inkinga iyaxazululeka ngemva kokwelashwa bese amathumbu akho enamathela esiswini sakho. Kodwa-ke, kungenzeka ukuthi lesi simo siphinde sibuye. Uma lokhu kwenzeka, kuzodingeka uphinde welashwe. Ngakho-ke, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho nokunakekela i-`(stoma)` yakho.

Kufanele ngimbone nini udokotela?

Uma ubona noma yiziphi izinguquko endleleni i-stoma yakho esebenza ngayo, bona udokotela ngokushesha. Isibonelo:

• Uma uzizwa sengathi amathumbu akho ayaphuma esifubeni sakho.
• Uma imiphetho ye-stoma ibonakala sengathi ivele ngaphezu kobuso besikhumba.
• Uma isikhwama sakho se-colostomy singahlali kahle endaweni yaso, noma uma isikhwama sigcwala ngokushesha (ngaphezu kokuvamile) ngendle evela esifubeni.

Uma ubona izinto ezinje, ungakuzibi.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Njengoba ngishilo ekuqaleni, akuvamile kakhulu ukuthi i-prolapsed stoma ingabangela izinkinga ezinkulu, njengokuvaleka kwamathumbu. Uma unezinye zalezi zimpawu, hamba uye egumbini lezimo eziphuthumayo esibhedlela esiseduze ngokushesha:

• Ubuhlungu besisu , ikakhulukazi ubuhlungu obukhulu obufika buphinde budlule.
• Uma uphuma igazi esifubeni sakho .
• Uma i-stoma ishintsha umbala (isib., onsomi omnyama, oluhlaza okwesibhakabhaka, noma omnyama), lokhu kusho ukuthi izicubu eziku-stoma seziqala ukufa.
• Ukulahlekelwa yisifiso sokudla .
• Isicanucanu nokuhlanza .
• Imfiva.

Uma unezinye zalezi zimpawu, ungachithi isikhathi futhi ufune usizo lwezokwelapha ngokushesha.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Uma une-colostomy noma i-ileostomy, cishe usuvele wazi ngezinkinga ezahlukahlukene ezingathinta i-stoma yakho. Kodwa-ke, kuvamile ukuzizwa ushaqekile, wesaba, futhi ukhathazekile lapho ubona i-stoma ephumayo, okungukuthi, ingxenye yamathumbu akho iphuma.

Kodwa khumbula, i-prolapsed stoma ngokuvamile ayisona isimo esibucayi sezokwelapha. Ezimweni eziningi, ingelashwa ngokwelashwa okulula. Into ebaluleke kakhulu ukwazisa ithimba lakho lezokwelapha uma ubona noma yini engavamile ku-stoma yakho. Balapha ukuzokusiza.

Ungalokothi unqikaze ukubuza udokotela wakho noma umhlengikazi we-stoma nge-stoma yakho, ukuthi ungayinakekela kanjani, kanye nanoma yiziphi izinkinga ezingase ziphakame (njengalesi stoma esivele sivele). Ukuqaphela kwakho kungamandla akho amakhulu.

Uma unemibuzo, ungesabi ukubuza. Sonke silapha ukuzokusiza.

I- Stoma, i-prolapse, i-ostomy, i-colostomy, i-ileostomy, amathumbu, ukuhlinzwa