Ukuhlinzwa kwe-Ureterostomy: Funda ngendlela yokukhipha umchamo ngaphandle kwesinye

Umchamo uyingxenye evamile yomzimba wakho, into esingacabangi kakhulu ngayo, akunjalo? Umchamo, okhiqizwa yizinso, uhamba ngamapayipi amabili bese uqoqana esinyeni, lapho ukhishwa khona uma kudingeka. Kodwa cabanga ukuthi kwenzekani uma esinyeni sakho siyeka ukusebenza ngesizathu esithile, noma uma kufanele sisuswe? Ayikho indlela yokuthi umchamo uphume emzimbeni. Namuhla sizokhuluma ngokuhlinzwa okukhethekile okuzosiza esimweni esinjalo.

Kuyini i-ureterostomy ngamagama alula?

Kalula nje, i-ureterostomy inqubo yokuhlinzwa lapho amapayipi amabili athwala umchamo esuka ezinso zakho eya kwesinye (abizwa ngokuthi 'ama-ureter') ekhishwa kwesinye futhi esikhundleni salokho axhunywe embobeni encane esikhumbeni sakho noma esiswini. Lo mbobo omusha ubizwa ngokuthi i-stoma . Kunje. Cabanga ngamapayipi amabili amanzi axhunywe ethangini lamanzi. Manje ithangi seliphukile. Senzani? Sisusa ithangi bese sikhipha amapayipi amabili amanzi ngqo. Kwenzeka into efanayo lapha. Sidlula esinyeni (ithangi lamanzi) bese senza amapayipi omchamo ('ama-ureter') aphume ngqo emzimbeni ngaleyo 'stoma'. Ngemuva kwalokho, umchamo uvela ngqo ezinso bese uphuma emzimbeni ngale 'stoma'. Ukuze kuqoqwe lo mchamo, kubekwa isikhwama sepulasitiki esikhethekile, esibizwa ngokuthi isikhwama, sizungeze i-stoma. Kuzodingeka ukhiphe isikhwama izikhathi eziningi njengoba uvame ukuchama. Kumntwana omncane, lo mchamo ungaqoqwa nase-diaper.

Ubani odinga lokhu kuhlinzwa?

Udokotela wakho angase akuncome lokhu kuhlinzwa uma isinye sakho singakwazi ukukhipha umchamo ngendlela evamile. Kungaba nezizathu eziningana zalokhu.

Wenzani ngaphambi kokuhlinzwa?

Ngaphambi kokuhlinzwa, udokotela uzokwenza izivivinyo eziningana ukuze athole isimo sangempela somzimba wakho.

• Ukuhlolwa kokusebenza kwezinso : Hlola ukuthi izinso zakho zisebenza kahle kangakanani.
• Ukuhlolwa kwegazi : Thola ulwazi ngempilo yomzimba jikelele.
• Ukuhlolwa kwezithombe: Ukuhlolwa okufana ne -X-ray noma i-ultrasound scan kuthatha izithombe zezinso kanye nohlelo lomchamo.
• I-Retrograde Pyelogram: Kulokhu, kufakwa uketshezi olukhethekile (udayi) e -urethra bese kuthathwa i-X-ray.
• I-CT scan: Lokhu kungathatha izithombe zomzimba ezihlukaniswe ngezigaba futhi kunikeze isithombe esicacile.
• I-MRI : Lokhu kungaveza nezithombe ezicacile kakhulu zezinso kanye nomgudu womchamo.

Ngaphezu kwalokho, udokotela noma umhlengikazi uzokhuluma nawe ngaphambi kokuhlinzwa ukuze anqume indawo engcono kakhulu yokubeka i-stoma. Ngokuvamile ibekwa endaweni ebonakala kalula kuwe, ngeke ibambeke ezingutsheni zakho (isb., ibhande), futhi ayinazo izimbobo zesikhumba .

Kwenzeka kanjani ukuhlinzwa futhi lolu hlelo lusebenza kanjani?

Ngesikhathi sokuhlinzwa, udokotela ohlinzayo uzohlukanisa i-urethra yakho eyodwa noma zombili esinyeni sakho bese ezixhumanisa ne-'stoma' esanda kudalwa. Manje, umchamo ngeke udlulele kwesinyeni. Manje ake sibone ukuthi lolu hlelo olusha lusebenza kanjani. I-'stoma', okungukuthi, imbobo, ayinawo umsipha ('sphincter') ovimba umchamo ukuthi ungaphumi, njengalowo ose-urethra yethu. Ngakho-keUmchamo awukwazi ukulawulwa. Uyaqhubeka nokugeleza uphuma econsini le-kidney. Nansi indlela umchamo oqoqwa ngayo: 1. Isikhwama sinamathiselwa phezu kwe-stoma: Lolu hlelo 'lokugoqa' lunezingxenye ezimbili. Esinye 'yisithiyo'. Esinye 'yisikhwama sokuqoqa'. Ngezinye izikhathi kunezimo lapho zombili lezi zinto zihlanganiswa khona. 2. 'Isithintelo': Lesi yisisetshenziswa esiyisikwele esinembobo phakathi esifanelana ne-'stoma'. Sinamatheliswe esikhumbeni ngesinamathiseli esikhethekile. Ngakho-ke, umchamo awuphumi. 3. 'Isikhwama': Lesi sikhwama sixhunywe 'kusithintelo'. Manje umchamo ovela ezinso uqoqwa ngqo kulesi sikhwama. Ngokuvamile, isikhwama sidinga ukuthululwa uma sesigcwele ingxenye yesithathu noma ingxenye. Ungathulula umchamo wakho endlini yangasese ngaphandle kokukhipha isikhwama ngokuvula i-valve encane phansi kwesikhwama. Ebusuku, ungaxhuma ipayipi kule valve bese uqoqa umchamo esikhwameni esikhulu. Lesi sikhwama sifihlwe ngaphansi kwezingubo zakho ukuze singabonakali.

Ungayinakekela kanjani i-stoma nesikhwama?

Ngemva kokuhlinzwa, udokotela wakho noma umhlengikazi uzokufundisa ukuthi ungayigcina kanjani i-stoma yakho, isikhumba esizungezile, kanye nesikhwama kuhlanzekile. Bazokufundisa nokuthi ungayishintsha kanjani isikhwama. Kubaluleke kakhulu ukugcina i-stoma yakho ihlanzekile futhi yomile ngaso sonke isikhathi. Kufanele wenze okulandelayo nsuku zonke:

• Geza i -stoma kanye nesikhumba esizungezile usebenzisa insipho namanzi athambile.
• Hlanza ngamanzi kuze kube yilapho insipho iphela.
• Bese uyivumela yome kahle.

Isikhwama sidinga ukushintshwa ngesikhathi esifanele. Ngokuvamile, isikhwama esidala sidinga ukususwa ngokuphelele bese kufakwa esisha ngemva kwezinsuku ezi-5 kuya kweziyi-7 .

Ziyini izingozi nezinkinga zokuhlinzwa?

Njenganoma yikuphi ukuhlinzwa, kunezingozi ezihilelekile. Xoxa ngalokhu nodokotela wakho ngaphambi kokwenza inqubo.

• Ukutheleleka.
• Ukopha .
• I-Hernia.
• Ubomvu , ukuvuvukala, noma ezinye izimo zokungezwani komzimba eduze kwe-stoma.
• Ukwehluleka ukufeza imiphumela elindelekile evela ekuhlinzweni.
• Ukwakheka kwezicubu zesilonda.

Kunini lapho udinga ukukhuluma nodokotela?

Kufanele uhlale unake i-stoma yakho kanye nesikhumba esizungezile. Uma ubona noma yiziphi izinguquko, tshela udokotela wakho ngokushesha.

Izinguquko zesikhumba ezizungeze i-stoma: Izimpawu zokutheleleka

Izici okufanele uziqaphele	Incazelo
Ukubomvu kwesikhumba noma ukuqubuka	Uma isikhumba esizungeze i-stoma sibomvu futhi sibukeka njenge-eczema.
Ukuqhuma kwesikhumba noma ukugqwala	Uma isikhumba sibonakala somile, siqhekekile, noma silimele.
Izilonda zesikhumba	Izilonda zesikhumba zingabangelwa ukuvuza komchamo phakathi kwesikhwama kanye ne-stoma.
Ushintsho kumchamo	Umchamo omnyama, igazi emchameni, uketshezi oluningi, noma iphunga elinamandla.
Ezinye izimpawu	Ubuhlungu emhlane, umkhuhlane, isicanucanu kanye/noma ukuhlanza, ukulahlekelwa yisifiso sokudla.

Uma unezinye zalezi zimpawu, bona udokotela wakho ngokushesha .

Ingabe i-Urostomy, i-Nephrostomy, ne-Ureterostomy ziyafana?

Cha. Nakuba konke lokhu kungokwesithathu ukuhlinzwa okushintsha indlela umchamo okhishwa ngayo, kuhlukile komunye nomunye.

• I-Urostomy: Leli igama elivamile. I-Ureterostomy nayo uhlobo lwe-urostomy. Kodwa-ke, kunezinye izindlela ze-urostomy. Isibonelo, ukuthatha ucezu lwamathumbu amancane bese udala i-urethra entsha.
• I-Nephrostomy: Lokhu kuhilela ukufaka ipayipi (i-catheter) ngqo ezinso, eliqoqa umchamo ngaphandle komzimba liwufake esikhwameni. Lokhu kuvame ukwenziwa kubantu abane-ureter evalekile. Lokhu kuvame ukuba okwesikhashana.

I-ureterostomy inqubo ehlukile, lapho i-urethra ixhunywe ngqo esikhumbeni. Kungaba nzima kancane ukujwayela impilo ngemva kokuhlinzwa. Ungase uzizwe ungakhululekile ngokungakwazi ukuchama ngendlela evamile njengabanye abantu. Kodwa khuluma nodokotela wakho ngakho ngokukhululekile. Angakunikeza ukwesekwa ngokomzwelo okudingayo noma akuxhumanise nabantu abangakusiza. Khumbula, awuwedwa. Baningi abanye abantu abaye bahlinzwa. Futhi, cabanga ngalokhu kuhlinzwa njengendlela yokukusiza uphile impilo engcono nende.

Umlayezo Wokuya Nawe Ekhaya

• I-ureterostomy inqubo yokuhlinzwa edlula esinyeni bese ixhuma i-ureter esuka ezinso iye embotsheni (stoma) esikhumbeni ukuze kukhishwe umchamo.
• Lokhu kuvame ukudingeka uma isinyi singasasebenzi ngenxa yomdlavuza, ingozi, noma ukukhubazeka kokuzalwa.
• Isikhwama sinamathiselwa ngaphandle komzimba ukuze kuqoqwe umchamo, futhi sidinga ukuthululwa futhi sishintshwe njalo.
• Kubaluleke kakhulu ukugcina i-stoma kanye nesikhumba esizungezile kuhlanzekile futhi komile**.
• Uma ubona noma yiziphi izimpawu ezingavamile njengokubomvu kwesikhumba, izilonda, izinguquko emchameni, noma umkhuhlane, yazisa udokotela wakho ngokushesha.

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