Cishe awucabangi kakhulu ngendlela umzimba wakho ophatha ngayo umchamo. Ngokuvamile, izinso zikhiqiza umchamo, ohamba ngamapayipi amabili (ama-ureter) ungene esinyeni, lapho ugcinwa khona uze usukulungele ukuwukhipha. Kodwa wake wacabanga ukuthi kwenzekani uma esinyeni sakho siyeka ukusebenza noma kufanele sisuswe? Esimweni esinjalo, umzimba wakho ulahlekelwa yindawo yawo yemvelo yokuphuma. Namuhla, sifuna ukukhuluma ngokuhlinzwa okukhethekile okunikeza ikhambi elibalulekile kulezi zimo.
Iyini ngempela i-Ureterostomy?
Kalula nje, i -ureterostomy inqubo yokuhlinzwa lapho amapayipi amabili (ama-ureter) athwala umchamo esuka ezinso zakho eya kwesinye ekhishwa kwesinye futhi aqondiswa esikhaleni esincane esidalwe esiswini sakho. Lesi sivalo esisha saziwa ngokuthi i -stoma .
Cabanga ngalokhu: cabanga ngamapayipi amabili amanzi axhunywe ethangini. Uma lelo thangi lonakele noma lisusiwe, wenzani? Udlula ithangi bese uhambisa amapayipi ngqo ngaphandle. Yilokho okwenzekayo lapha. Ngokudlula esinyeni, ama-ureter aqondiswa ngqo ebusweni bomzimba wakho nge-stoma.
Umchamo ube usuphuma ezinso uphuma ngqo kulesi stoma. Ukuze uqoqe umchamo, uzosebenzisa isikhwama sepulasitiki esikhethekile, noma isikhwama , esinamathiselwe eduze kwestoma. Uzothulula lesi sikhwama kaningi njengoba ubungasebenzisa indlu yangasese. Ezinganeni ezincane, lolu hlelo luvame ukushintshwa ukuze lusetshenziswe namanabukeni.
Umgomo walokhu kuhlinzwa ukuhlinzeka ngendlela ephephile nethembekile yokuthi umzimba wakho ukhiphe umchamo ngisho noma isinyi sakho singasasebenzi. Ezimweni eziningi, lokhu kuyinqubo ehlala njalo.
Ubani odinga lokhu kuhlinzwa?
Udokotela wakho angase akuncomele i-ureterostomy uma isinyi sakho singakwazi ukugcina noma ukukhipha umchamo ngokuphephile. Izizathu ezivamile zifaka:
| Isizathu | Incazelo Elula |
|---|---|
| Ukususwa Kwesinye | Ukususwa ngokuphelele kwesinyi ngenxa yomdlavuza noma ezinye izimo zezokwelapha ezimbi. |
| Ukulimala Kwesinye | Ukulahlekelwa ukusebenza kwesinyi ngenxa yokulimala noma ukulimala. |
| Izimo Zokuzalwa | Izimo ezikhona kusukela ekuzalweni, njenge -Spine Bifida , ezithinta ukusebenza kahle kwesinyi. |
| Ukulimala Kwentambo Yomgogodla | Ukulimala kwemizwa okukuvimbela ekulawuleni imisipha yesinye. |
Ukulungiselela ukuhlinzwa
Ngaphambi kwenqubo, udokotela wakho uzokwenza izivivinyo eziningana ukuhlola impilo yakho:
- Ukuhlolwa Kokusebenza Kwezinso : Ukuhlola ukuthi izinso zakho zisebenza kahle kangakanani.
- Ukuhlolwa Kwegazi : Ukuqapha impilo yakho iyonke kanye nokuphepha kwakho ngaphambi kokuhlinzwa.
- Ukuhlolwa Kwezithombe: Ama-X-ray noma ama-ultrasound scan ukuze ubone umgudu wakho womchamo.
- I-Retrograde Pyelogram: Inqubo lapho kufakwa khona idayi emgudwini womchamo ukuze kuthuthukiswe ukucaca kwe-X-ray.
- I-CT Scan : Inikeza izithombe ezinemininingwane zezinhlelo zakho zangaphakathi.
- I-MRI : Inikeza izithombe ezinemininingwane eminingi zezinso kanye nama-ureter.
Ngaphezu kwalokho, ithimba lakho lezokwelapha lizosebenzisana nawe ukuze liphawule indawo engcono kakhulu ye-stoma yakho. Bazokhetha indawo ebonakala kalula kuwe, egwema ukukhuhla ezingutsheni (njengebhande okhalweni), futhi esendaweni yesikhumba ebushelelezi, engakhuli .
Inqubo kanye Nendlela Uhlelo Olusebenza Ngayo
Ngesikhathi sokuhlinzwa, udokotela wakho ohlinzayo uzokhipha i-ureter eyodwa noma zombili esinyeni bese ezixhumanisa ne-stoma esanda kudalwa. Umchamo ngeke usangena esinyeni.
Kubalulekile ukuqonda ukuthi lolu hlelo olusha lusebenza kanjani:
I-stoma ayinawo umsipha we-sphincter (ovame ukulawula ukukhishwa komchamo). Ngakho-ke, awukwazi ukubamba umchamo wakho ; uzogeleza njalo njengoba izinso ziwukhiqiza.
Nansi indlela uhlelo lokuqoqa olusebenza ngayo:
1. Ukuhlanganisa Isikhwama: Uhlelo luqukethe isithiyo (ingxenye yokunamathela evumelana nesikhumba) kanye nesikhwama sokuqoqa. Ezinye izinhlelo zihlanganisa lezi zingxenye ezimbili zibe yinto eyodwa.
2. Isithiyo: Lesi yisiqeshana esiyisicaba esinembobo esisikiwe kusengaphambili se-stoma. I-glue yayo ekhethekile ivala ngokuqinile esikhumbeni sakho, iqinisekisa ukuthi akukho ukuvuza.
3. Isikhwama Sokuqoqa: Lokhu kuxhumanisa nesithiyo, okuvumela umchamo ukuthi ugeleze ngokuphephile ungene esikhwameni.
Kufanele uthulule isikhwama uma sesigcwele ingxenye eyodwa kwezintathu kuya kwengxenye. Ungasikhipha usiyise endlini yangasese usebenzisa ivalvu encane phansi ngaphandle kwesidingo sokususa sonke isikhwama. Ebusuku, unganamathisela isikhwama esikhulu sokukhipha amanzi ebusuku kule valve. Isikhwama senzelwe ukuba singabi sobala futhi singabonakali ngaphansi kwezingubo zakho.
Ukunakekela I-Stoma Nesikhwama Sakho
Ngemva kokuhlinzwa kwakho, ithimba lakho lezempilo lizokufundisa kahle ukuthi ungasigcina kanjani i-stoma yakho, isikhumba esizungezile, kanye nesikhwama sakho kuhlanzekile. Ukugcina i-stoma ihlanzekile futhi yomile kubaluleke kakhulu .
Landela lezi zinyathelo nsuku zonke:
- Hlanza ngobumnene i -stoma nesikhumba esizungezile usebenzisa amanzi kanye nensipho ethambile, engenaphunga.
- Hlanza kahle ukuze ususe yonke insipho eseleyo.
- Phatha indawo yome ngokuphelele.
Isikhwama sakho sidinga ukushintshwa njalo, ngokuvamile njalo ezinsukwini ezi-5 kuya kweziyi-7 , ukuqinisekisa ukuthi isivalo sihlala siphephile futhi sihlanzekile.
Yiziphi izingozi nezinkinga ezihlobene nalokhu kuhlinzwa?
Njenganoma iyiphi inqubo yokuhlinzwa, kunezingozi ezingaba khona. Kubalulekile ukuxoxa kabanzi nodokotela wakho mayelana nalezi zingozi ngaphambi kokuhlinzwa kwakho.
- Ingozi yokutheleleka.
- Ukopha .
- Ukuthuthukiswa kwe-hernia.
- Ukubomvu kwesikhumba, ukuvuvukala, noma ukusabela kokungezwani komzimba eduze kwendawo ye-stoma.
- Ukwehluleka ukufeza imiphumela yezokwelapha efiselekayo evela ekuhlinzweni.
- Ukwakheka kwezicubu zesilonda.
Kufanele uxhumane nini nodokotela wakho?
Kufanele uqaphe i-stoma yakho kanye nesikhumba esizungezile njalo. Uma ubona noma yiziphi izinguquko, sicela uxhumane nomhlinzeki wakho wezempilo ngokushesha.
| Izimpawu Zesexwayiso | Incazelo |
|---|---|
| Ubomvu noma ukuqhuma | Uma isikhumba esizungeze i-stoma sibonakala sibomvu noma sifana nokuqubuka. |
| Ukuqhekeka kwesikhumba noma ukuqhekeka | Uma isikhumba sibonakala somile, siqhekekile, noma sinezilonda. |
| Izilonda zesikhumba | Ukuvuza komchamo phakathi kwesikhwama kanye ne-stoma kungabangela izilonda zesikhumba. |
| Izinguquko emchameni | Umchamo onombala omnyama, ogcwele igazi, oqukethe i-mucus eningi, noma onephunga elibi nelinamandla. |
| Ezinye izimpawu | Ubuhlungu emhlane, umkhuhlane, isicanucanu, ukuhlanza, noma ukulahlekelwa yisifiso sokudla. |
Uma uhlangabezana nanoma yiziphi zalezi zimpawu, xhumana nodokotela wakho ngokushesha noma ufune usizo lwezokwelapha oluphuthumayo.
Ingabe i-Urostomy, i-Nephrostomy, ne-Ureterostomy ziyafana?
Cha. Nakuba zonke ezintathu ziyizinqubo zokuhlinzwa eziguqula umchamo, ziyizindlela ezihlukile.
- I-Urostomy: Leli igama elijwayelekile. I-Ureterostomy uhlobo lwe-urostomy, kodwa kunezinye, njengokudala umsele omusha womchamo kusetshenziswa ingxenye yamathumbu amancane.
- I-Nephrostomy: Lokhu kuhilela ukufaka ipayipi (`i-catheter`) ngqo ezinso ukuze kukhishwe umchamo esikhwameni sangaphandle. Lokhu kuvame ukwenziwa kuma-ureter avaliwe futhi kuvame ukuba okwesikhashana.
I-'Ureterostomy' ihlukile, njengoba ihilela ukuxhuma ama-ureter ngqo esikhumbeni.
Ukuzivumelanisa nokuphila ngemva kokuhlinzwa kungaba yinselele. Kungokwemvelo ukuzizwa ukhathazekile ngendlela yakho entsha yokuchama. Sicela ukhulume ngokukhululekile nodokotela wakho mayelana nokukhathazeka kwakho; bangakunikeza ukwesekwa ngokomzwelo okudingekayo noma bakuxhumanise nezinsizakusebenza zobungcweti. Khumbula, awuwedwa—abantu abaningi baphumelele ekuzivumelaniseni nokuphila ngale nqubo. Lokhu kuhlinzwa kuhloselwe ukukusiza uphile impilo enempilo nende.
Izinto Ezibalulekile Okufanele Uzicabangele
- I-Ureterostomyukuhlinzwa okudlula esinyeni ngokuxhuma ama-ureter embobeni esikhumbeni (`stoma`) ukuze kukhishwe umchamo.
- Lokhu kuvame ukudingeka uma isinyi sisengozini ngenxa yomdlavuza, ukulimala, noma izimo zokuzalwa.
- `Isikhwama` sangaphandle sisetshenziselwa ukuqoqa umchamo, okumele ukhishwe futhi ushintshwe njalo.
- Ukugcina i -stoma kanye nesikhumba esizungezile kuhlanzekile futhi komile kubalulekile.
- Uma ubona izimpawu ezingavamile njengokubomvu kwesikhumba, izilonda, izinguquko emchameni wakho, noma umkhuhlane, xhumana nodokotela wakho ngokushesha.
Ukuhlinzwa kwe-Ureterostomy, i-stoma, isinye, ukuhlinzwa kwezinso, ukuphambukisa umchamo, isikhwama se-ostomy, ukuhlinzwa kwesinye
