Uma ubhekene nesimo lapho isinyi sakho singakwazi ukusebenza kahle ngenxa yomdlavuza, ukulimala, noma isimo sokuzalwa, ungase ubhekane nezinselele ekukhipheni umchamo ngendlela evamile. Ezimweni ezinjalo, umzimba wakho udinga enye indlela yokukhipha umchamo; ngaphandle kwalokho, ubeka engcupheni yokulimala kwezinso . Isixazululo esisodwa udokotela wakho angase asincome inqubo eyaziwa ngokuthi i- Ureterostomy . Nakuba igama lingase lizwakale liyinkimbinkimbi, ake silichaze kalula.
Iyini ngempela i-Ureterostomy?
Kalula nje, lokhu kuyindlela yokuhlinzwa. Kuhilela ukuhlukanisa ama-ureter (amapayipi athwala umchamo esuka ezinso zakho aye kwesinye) bese uwathumela endaweni encane eyenziwe ebusweni besisu sakho. Ngokwezokwelapha, le ndawo ibizwa ngokuthi i -stoma .
Cabanga ngakho njengohlelo lwamapayipi: uma ingxenye eyodwa ivinjiwe, sakha indlela entsha yokukhipha uketshezi. Ngemva kwalokhu kuhlinzwa, umchamo wakho udlula esinyeni bese ugeleza ngqo usuka ezinso udlule esitopeni uye ngaphandle komzimba wakho. Ukuze uqoqe lo mchamo, uzosebenzisa isikhwama esikhethekile esinamathiselwe esitopeni, ongasikhipha njengoba sigcwala.
Ngokuvamile, lokhu kwenziwa njengesixazululo esihlala njalo. Kuye ngezidingo zakho, udokotela wakho ohlinzayo angase axhumanise i-ureter eyodwa noma zombili ku-stoma.
Kungani lokhu kuhlinzwa kuyadingeka?
Udokotela wakho angase asikisele le nqubo ngezizathu eziningana, ikakhulukazi lapho isinye singakwazi ukwenza umsebenzi waso ngempumelelo.
- Ukususwa kwesinye (Cystectomy): Ungase udinge ukuthi isinye sakho sisuswe ngokuphelele ngenxa yezimo ezifana nomdlavuza wesinye.
- Ukulimala kwesinye: Uma isinye sonakaliswe kakhulu ukulimala noma ezinye izimo zezokwelapha, singase singasasebenzi njengoba kuhlosiwe.
- Izimo ezingavamile zokuzalwa: Izimo ezikhona kusukela ekuzalweni, njenge-Spine Bifida, zingaphazamisa ukusebenza kwesinyi.
- Ukulimala Kwentambo Yomgogodla: Ukulimala kwentambo yomgogodla kungaphazamisa imizwa elawula isinyi, okuholela ebunzimeni bomchamo.
Ukugcina umchamo emzimbeni ngenxa yalezi zinkinga kuyingozi. Kungabangela izifo ze-Urinary Tract Infections (UTIs) njalo futhi kungase kuholele ekuhlulekeni kwezinso ngokuhamba kwesikhathi. Lokhu kuhlinzwa kusiza ekunciphiseni lezo zingozi.
Yiziphi izivivinyo ezenziwa ngaphambi kokuhlinzwa?
Ngaphambi kokuqhubeka, ithimba lakho lezokwelapha lizokwenza izivivinyo eziningana ukuze lihlole impilo yakho iyonke.
| Igama Lokuhlolwa | Lokho okuhlolayo |
|---|---|
| Ukuhlolwa kokusebenza kwezinso | Ukuhlola ukuthi izinso zakho zisebenza kahle kangakanani. |
| Ukuhlolwa kwegazi | Ukuhlola impilo yakho jikelele nokuhlola izimpawu zokutheleleka. |
| Ukuhlolwa kwezithombe (i-X-ray, i-Ultrasound) | Ukuze ubone ngeso lengqondo isakhiwo kanye nendawo yezinso zakho, ama-ureter, kanye nesinye. |
| I-pyelogram yokubuyisela emuva | Kusetshenziswa idayi kanye ne-X-ray ukuthola noma yikuphi ukuvinjelwa kwendlela yomchamo. |
| Ukuskena kwe-CT | Ukuze unikeze izithombe zomzimba wakho ezinemininingwane ehlukahlukene. |
| I-MRI | Ukuze uthole izithombe ezinemininingwane eminingi zezinso kanye nama-ureter. |
Ngaphezu kwalokho, ngaphambi kokuhlinzwa, udokotela noma umhlengikazi we-stoma okhethekile uzosebenza nawe ukukhetha indawo engcono kakhulu ye-stoma yakho. Kudingeka kube yindawo ebonakala kalula kuwe futhi engaphazamisi izingubo zakho, njengokuthi ibhande lakho lihlala kuphi .
Impilo ngemva kokuhlinzwa nokunakekelwa kwesisu
Ngemva kokuhlinzwa, kuzodingeka ujwayele inqubo entsha, kodwa akunzima njengoba kungase kubonakale.
Indlela i-stoma nesikhwama esisebenza ngayo
I-stoma ayiyona imisipha, ngakho ayikwazi ukulawula ukugeleza komchamo. Umchamo uzophuma njalo.
- Uhlelo Lokugoqa: Lokhu kuqukethe izingxenye ezimbili: isivikelo sesikhumba, esinamathela esikhumbeni sakho, kanye nesikhwama esiqoqa umchamo. Ngezinye izikhathi lezi ziza njengeyunithi eyodwa.
- Isivikelo Sesikhumba: Lesi yisiqeshana esinjengesinamathiseli esinesimbobo esifanelana ne-stoma. I-glue yaso ekhethekile iyigcina inamathele kahle esikhumbeni futhi ivimbela ukuvuza.
- Isikhwama Somchamo: Lokhu kunamathela esivimbelweni ukuze kuqoqwe umchamo.
Kufanele uthulule isikhwama uma sesigcwele ingxenye eyodwa kwezintathu kuya kwengxenye . Ungakwenza lokhu ngaphandle kokususa isikhwama ngokuvula ivalvu phansi endlini yangasese. Ebusuku, unganamathisela isikhwama sokukhipha amanzi ebusuku kuvalvu ukuze kube lula. Ngenxa yokuthi lezi zikhwama zihlala eduze komzimba, ngokuvamile azibonakali ngaphansi kwezingubo ezivamile.
Ukunakekela i-stoma yakho kanye nesikhumba esizungezile
Ukugcina i-stoma kanye nesikhumba esizungezile kuhlanzekile futhi komile kubalulekile .
- Hlanza i-stoma nesikhumba esizungezile nsuku zonke usebenzisa insipho namanzi athambile.
- Hlanza kahle ukuze ususe yonke insipho eseleyo.
- Yomisa indawo ngokuphelele; umswakama kufanele ugwenywe.
Ngokuvamile kuzodingeka ushintshe uhlelo lokufaka izikhwama njalo ezinsukwini ezi-5-7 . Ithimba lakho lezokunakekelwa kwempilo lizokunikeza imiyalelo ephelele yokuthi ungakuphatha kanjani lokhu.
Ukuxhumana nini nodokotela wakho
Hlala unake i-stoma yakho kanye nesikhumba esizungezile. Uma ubona noma yiziphi izinguquko, xhumana nodokotela wakho ngokushesha.
| Izimpawu Zesexwayiso | Incazelo |
|---|---|
| Izinkinga Zesikhumba | |
| Ubomvu noma ukuqubuka | Ukubomvu, ukulunywa, noma ukuqubuka okuzungeze i-stoma. |
| Ukuqhekeka kwesikhumba | Isikhumba esomile, esiqhekekile, noma esinamaqhubu. |
| Izimpawu Zokutheleleka | |
| Izinguquko zomchamo | Umchamo omnyama ngombala, onegazi, noma onephunga elibi elinamandla. |
| Ezinye izimpawu | Ubuhlungu emhlane, umkhuhlane, isicanucanu, ukuhlanza, noma ukulahlekelwa yisifiso sokudla. |
Umlayezo Wokuya Nawe Ekhaya
- I-ureterostomy inqubo yokuhlinzwa yokususa umchamo emzimbeni lapho isinyi singakwazi ukusebenza kahle.
- Umchamo uqondiswa kusuka ezinso uye esithweni sangaphandle bese uqoqwa esikhwameni esikhethekile.
- Ukugcina i-stoma nesikhumba esizungezile kuhlanzekile kubalulekile ukuvimbela izifo kanye nokucasuka kwesikhumba.
- Xhumana nodokotela wakho ngokushesha uma uzwa umkhuhlane, izinguquko emchameni, noma ukucasuka kwesikhumba.
- Nakuba lokhu kuhlinzwa kuyindlela yokushintsha impilo, kusiza ukuvikela izinso zakho ekulimaleni okukhulu futhi kusekela impilo enempilo.
Ukuhlinzwa kwe-Ureterostomy, i-stoma, isikhwama somchamo, ukuhlinzwa kwesinye isinyi, isifo sezinso, i-UTI, ukuhlinzwa kokukhipha umchamo, i-ostomy
