Cabanga ngesimo lapho ungakwazi ukuchama kahle ngenxa yenkinga yesinye sakho, mhlawumbe ngenxa yomdlavuza, ingozi, noma isimo sokuzalwa. Esimweni esinjalo, udinga enye indlela yokukhipha umchamo emzimbeni wakho. Noma izinso zakho zingase zonakale . Isixazululo esisodwa odokotela abasiphakamisayo ezimweni ezinjalo ukuhlinzwa okubizwa ngokuthi i- ureterostomy . Nakuba igama lalokhu lingase lizwakale liyinkimbinkimbi kancane, ake sixoxe ngakho kalula.
Kuyini i-Ureterostomy?
Kalula nje, lena inqubo yokuhlinzwa ehilela ukususa amapayipi athwala umchamo ezinso zakho aye kwesinye (abizwa ngokuthi ama-ureter) bese uwaxhumanisa nembobo encane esikhumbeni sesisu sakho. Lo mbobo ubizwa ngokuthi i -stoma ngokwezokwelapha.
Cabanga nje, lapho ingxenye eyodwa yesistimu yamapayipi amanzi ivaliwe, sifaka ipayipi elisha ukuze sigweme ukuvaleka bese sikhipha amanzi. Ngemva kwalokhu kuhlinzwa, umchamo wakho awuyi esinyeni kodwa uphuma emzimbeni ngqo usuka ezinso ngaleyo stoma. Ukuze kuqoqwe umchamo ophumayo, kusetshenziswa isikhwama esikhethekile (isikhwama) esinamathiselwe ku-stoma. Uma lesi sikhwama sigcwele, singasithulula.
Lokhu kuhlinzwa kuvame ukwenziwa njengesixazululo esihlala njalo. Ngezinye izikhathi kungaxhunywa i-ureter eyodwa kuphela, noma kokubili kungaxhunywa.
Kungani udinga ukwenza lolu hlobo lokuhlinzwa?
Kunezizathu eziningana zokuthi kungani udokotela angase akuphakamisele lokhu kuhlinzwa. Isizathu esiyinhloko ukuthi isinye sakho asisebenzi kahle.
- Uma kwenzeka kususwa isinye: Ngezinye izikhathi, ngenxa yesimo sezokwelapha njengomdlavuza wesinye, kungadingeka ukuthi sisuswe ngokuphelele.
- Uma isinye sonakele: Uma isinye sonakele ngenxa yengozi noma esinye isimo sezokwelapha futhi singasebenzi kahle.
- Ama-Congenital Anomalies: Ezinye izimo zokuzalwa, njenge-spina bifida, zingabangela ukungasebenzi kahle kwesinyi.
- Ukulimala Kwentambo Yomgogodla: Ukulimala kwentambo yomgogodla kungathinta imizwa elawula isinyi, okubangela ubunzima bokuchama.
Kuyingozi ukuthi umchamo uvaleleke emzimbeni ngenxa yezizathu ezinjengalezi. Kungabangela ukuchama njalo.Ukutheleleka Kwendlela Yomchamo ( ama-UTI ) kungavela futhi ekugcineni kuholele ekuhlulekeni kwezinso. Ngakho-ke lokhu kuhlinzwa kunganciphisa leyo ngozi.
Yiziphi izivivinyo ezenziwa ngaphambi kokuhlinzwa?
Ngaphambi kokwenza lokhu kuhlinzwa, odokotela bazokwenza izivivinyo eziningana ukuze baqonde kangcono isimo somzimba wakho.
| Igama Lokuhlolwa | Kalula nje, ubonani kukho? |
|---|---|
| Ukuhlolwa kokusebenza kwezinso | Bona ukuthi izinso zakho zisebenza kahle kangakanani. |
| Ukuhlolwa kwegazi | Hlola impilo yomzimba jikelele nokuthi ngabe kukhona yini ukutheleleka. |
| Ukuhlolwa kwezithombe (i-X-ray, i-Ultrasound) | Thola ukuqonda okubonakalayo ngesimo nendawo yezinso, ama-ureter, kanye nesinye. |
| I-pyelogram yokubuyisela emuva | Kufakwa uketshezi olukhethekile (idayi) nge-urethra bese kuthathwa i-X-ray ukuze kubonakale ukuthi kukhona yini izithiyo ohlelweni lomchamo. |
| I-C. T. Scan (i-CT scan) | Izithombe zomzimba ezihlukaniswe ngezigaba ziyathathwa ukuze kutholakale isithombe esicacile. |
| I-M. R. I. (I-MRI) | Kutholakala izithombe ezinemininingwane eminingi zezinso kanye nomgudu womchamo. |
Futhi, ngaphambi kokuhlinzwa, udokotela noma umhlengikazi oqeqeshwe ngokukhethekile uzokhuluma nawe futhi anqume indawo engcono kakhulu yokwakha i-stoma. Kufanele ibe yindawo ongayibona kalula futhi engeke ibanjwe ezingutsheni zakho (isb., ibhande) .
Impilo ngemva kokuhlinzwa nokunakekela i-stoma
Ngemva kokuhlinzwa, kuzodingeka ujwayele indlela entsha yokuphila, kodwa akunzima njengoba ungase ucabange.
Indlela i-stoma nesikhwama ezisebenza ngayo
I-stoma ayisona isicubu. Ngakho-ke, ayikwazi ukulawula umchamo . Umchamo uyaqhubeka nokuphuma kancane kancane.
- Uhlelo Lokugoqa: Lokhu kunezingxenye ezimbili. Esinye isithiyo esinamathela esikhumbeni. Esinye isikhwama esiqoqa umchamo. Ngezinye izikhathi, amayunithi afika nakho kokubili.
- Isivikelo: Lesi isitikha esiyisikwele esinembobo phakathi nendawo ukuze silingane ne-stoma. Insini ekhethekile kulokhu isiza ukuvimbela ukuvuza komchamo futhi iwugcina unamathele esikhumbeni.
- Isikhwama somchamo: Lesi sinamathiselwe esikhumbeni. Umchamo uqoqeka ngqo kuso.
Ngokuvamile, isikhwama kufanele sikhishwe uma sesigcwele ingxenye yesithathu noma ingxenye . Ngaphandle kokususa isikhwama, ungavula ivalvu phansi bese uthulula umchamo endlini yangasese. Ebusuku, unganamathisela ipayipi kule valve bese uqoqa umchamo esikhwameni esikhulu. Njengoba lezi zikhwama zilingana kahle emzimbeni, azibonakali uma ugqoka izingubo ezivamile.
Ukunakekela i-stoma kanye nesikhumba esizungezile
Kubaluleke kakhulu ukugcina i-stoma kanye nesikhumba esizungezile kuhlanzekile futhi komile.
- Geza i-stoma nesikhumba esizungezile nsuku zonke usebenzisa insipho namanzi athambile.
- Hlanza ngamanzi kuze kube yilapho insipho iphela.
- Bese, yiyeke yome kahle. Akukuhle ukuba nomswakama.
Isikhwama kanye nesithiyo kudinga ukushintshwa njalo ezinsukwini ezi-5-7 . Isibhedlela sizokufundisa ukuthi ungakwenza kanjani konke lokhu.
Kunini lapho udinga ukukhuluma nodokotela?
Njalo naka i-stoma yakho kanye nesikhumba esizungezile. Uma ubona noma yiziphi izinguquko, yazisa udokotela wakho ngokushesha.
| Izici okufanele uziqaphele | Incazelo |
|---|---|
| Izinkinga zesikhumba | |
| Ukubomvu noma ukudumba | Uma isikhumba esizungeze i-stoma sibomvu, siyaluma, noma siyavuza. |
| Ukuqhuma kwesikhumba noma ukulimala | Uma isikhumba somile, siqhekekile, noma sinamaqhubu. |
| Izimpawu zokutheleleka | |
| Izinguquko emchameni | Umchamo omnyama, igazi emchameni, noma iphunga elinamandla. |
| Ezinye izici | Ubuhlungu emhlane, umkhuhlane, isicanucanu kanye/noma ukuhlanza, ukulahlekelwa yisifiso sokudla. |
Umlayezo Wokuya Nawe Ekhaya
- I-ureterostomy inqubo yokuhlinzwa esetshenziselwa ukukhipha umchamo emzimbeni lapho isinyi singasebenzi.
- Lokhu kuvumela umchamo ukuthi uphume ezinso ngqo ngembobo (stoma) eyenziwe esikhumbeni bese uqoqeka esikhwameni esikhethekile.
- Kubalulekile ukugcina i-stoma kanye nesikhumba esizungezile kuhlanzekile kakhulu ukuze kuvinjelwe izifo nezinkinga zesikhumba.
- Uma ubona noma yiziphi izinkinga, njengomkhuhlane, izinguquko emchameni, noma ukubomvu kwesikhumba, yazisa udokotela wakho ngokushesha.
- Nakuba lokhu kuhlinzwa kuzoba ushintsho olukhulu empilweni yakho, kuzovimbela umonakalo omkhulu ezinso zakho futhi kukusize uphile impilo enempilo.
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