Cabanga ukuthi isinyi sakho kwadingeka sisuswe ngesizathu esithile, noma asisebenzi kahle. Pho umchamo okhiqizwa emzimbeni uphuma kanjani? Kumelwe ukuthi nawe ube nale nkinga. Yilapho odokotela bephendukela khona kulokho okubizwa ngokuthi 'ukuhlinzwa kokuphambuka komchamo' noma i-Urinary Diversion . Nakuba lokhu kungase kubonakale kuyindaba eyinkimbinkimbi, namuhla sizokhuluma ngakho kalula, ngendlela ongayiqonda.
Okokuqala, ake sibheke ukuthi uhlelo lwethu lomchamo lusebenza kanjani.
Ukuze siqonde lokhu, sidinga kuqala ukuqonda inqubo evamile yokwakheka komchamo kanye nokukhishwa komchamo emzimbeni wethu. Kulula kakhulu.
- Izinso: Lezi zifana nezihlungi ezimbili zamanzi. Zihlunga igazi lethu, zisuse imfucuza engafuneki kanye namanzi angaphezulu, bese zenza "umchamo."
- Ama-ureter: Umchamo okhiqizwa ezinso uthuthwa uye esinyeni ngamapayipi amabili. Lawa mapayipi amabili abizwa ngokuthi ama-ureter.
- Isinye: Lokhu kufana nebhaluni elincane. Yisikhwama esiqoqa futhi sigcine umchamo.
- Umchamo: Uma isinyi sigcwele, umchamo uphuma ngaleli payipi.
Lonke lolu hlelo lulawulwa ukuxhumana kwemizwa phakathi kobuchopho nesinye. Uma isinye sesigcwele, kuthunyelwa isignali ebuchosheni. Ubuchopho bube sebutshela isinye ukuthi sinciphe kanye nemisipha emgudwini womchamo ukuthi iphumule.
Kungani umuntu angadinga lolu hlobo lokuhlinzwa?
Lokhu kuhlinzwa kuyadingeka kuphela uma isinye singasebenzi kahle noma sidinga ukususwa. Kungaba nezizathu eziningana zalokhu.
- Umdlavuza wesinye .
- Ukulimala kwesinyi okubangelwa ukwelashwa ngemisebe yomdlavuza.
- Izifo zesinye ezingamahlalakhona ezenzeka njalo futhi ezingapheli.
- Ukulimala okukhulu ohlelweni lomchamo.
- Izinkinga zokuzalwa ezifana ne -spina bifida.
- Izifo zesimiso sezinzwa ezifana ne-Multiple Sclerosis (MS) .
- Ukungakwazi ukuzibamba okukhulu noma ubuhlungu obungabekezeleleki esinyeni.
Into ebaluleke kakhulu ukuthi umchamo udinga ukuphuma emzimbeni. Uma kungenjalo, lowo mchamo ungabuyela emuva futhi ubeke ingcindezi ezinso, okungaholela ezimweni ezimbi njengokwehluleka kwezinso. Umgomo oyinhloko walokhu kuhlinzwa ukuvimbela lowo monakalo.
Yiziphi lezi zinhlobo zokuhlinzwa?
Kalula nje, odokotela abahlinzayo basebenzisa ingxenye encane yamathumbu akho ukudala indlela entsha yokuphuma komchamo. Lokhu kwenziwa ngezindlela ezimbili eziyinhloko. Ake sibheke lezi zindlela ezimbili ngendlela elula ukuyiqonda.
| Uhlobo lokuhlinzwa | Okwenzekayo kulula. |
|---|---|
| Ukuphambukisa Okungalawuleki | Udokotela ohlinzayo udala imbobo (stoma) esikhumbeni sesisu. I-urethra ixhunywe engxenyeni yamathumbu futhi inamathele kule mbobo. Umchamo uyaqhubeka nokugeleza uphuma kule mbobo uye esikhwameni sangaphandle (isikhwama se-ostomy) esinamathiselwe kuso. Lesi sikhwama sidinga ukuthululwa njalo. Lokhu kubizwa nangokuthi i-urostomy . |
| Ukuphambukisa Izwekazi | Lapha, ingxenye yamathumbu isetshenziswa ukudala isikhwama ngaphakathi emzimbeni esiqoqa umchamo. Lokhu kungenziwa ngezindlela ezimbili. Kungaba kwakheka isinye esisha (i-neobladder) esixhunywe ku-urethra, noma kwakheka isikhwama esingathululwa ngembobo encane (stoma) esiswini nge-catheter. |
Indlela yokungakwazi ukuzibamba: Umsele we-Ileal
Lena yindlela evame ukusetshenziswa kakhulu. Lapha awukwazi ukulawula ukugeleza komchamo. Uqoqana ngokuzenzakalelayo esikhwameni.
- Izinzuzo:
- Ukuhlinzwa kulula kunezinye izindlela.
- Asikho isidingo sokuzihlanza nge-catheter.
- Okubi:
- Abanye abantu bangase bazizwe bengakhululekile ngokwengqondo ukugqoka isikhwama esiqoqa umchamo.
- Isikhwama singase sivuze noma sikhiphe iphunga.
Izindlela zokukhipha umchamo ngokulawula
1. Isikhwama sase-Indiana
Ngale ndlela, kufakwa isikhwama esenziwe ngamathumbu ngaphakathi emzimbeni. Umgudu womchamo uxhunywe kulokhu. Ingxenye encane yamathumbu, exhunywe kulesi sikhwama, ilethwa embotsheni encane (stoma) eyenziwe esiswini. Umchamo awuphumi ngokwawo. Cishe njalo emahoreni amane, kufanele ufake ithubhu elincane (i-catheter) ngesandla ngalesi sikhala ukuze ukhiphe umchamo esikhwameni.
- Izinzuzo:
- Njengoba umchamo uqukethwe emzimbeni, asikho isidingo sesikhwama sangaphandle.
- Kuncane ingozi yokuvuza noma iphunga ngoba akukho sikhwama.
- I-stoma ingagcinwa ivaliwe nge-plaster.
- Okubi:
- Ukuhlinzwa kuthatha isikhathi eside.
- Kufanele ufake ipayipi bese ukhipha isinye sakho ngezikhathi ezithile, cishe njalo emahoreni amane.
- Ngezinye izikhathi imbobo ingavimbeka, izicubu zesibazi zingakheka, amatshe angakheka ngaphakathi kwesikhwama, noma izifo zingavela.
- Kubaluleke kakhulu: Uma ngesizathu esithile ithubhu ingenakufakwa futhi isikhwama singenakukhishwa, singase siqhume. Lesi yisimo esiphuthumayo sezokwelapha. Esimweni esinjalo, kufanele uye ngokushesha eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU).
2. Ukudala isinyi esisha (i-Neobladder)
Lokhu kuyinto eseduze kakhulu nomgudu womchamo ojwayelekile. Lapha, isinyi esisha esenziwe ngamathumbu sixhunywe ku-urethra yakho yokuqala. Ngakho-ke akukho sikhala sangaphandle (i-stoma). Uma udinga ukuchama, kufanele ufinyeze imisipha yesisu sakho ukuze wenze kanjalo.
- Izinzuzo:
- Inqubo yokuchama ifana kakhulu nendlela evamile.
- Akukho sikhala sangaphandle (i-stoma) okufanele sinakekelwe.
- Okubi:
- Ukuhlinzwa kuthatha isikhathi eside.
- Ungase ube nokungakwazi ukuzibamba isikhathi esingangezinyanga eziyisithupha ngemva kokuhlinzwa. Abanye abantu bangase babe nalesi simo ebusuku.
- Abanye abantu abakwazi ukukhipha ngokuphelele isinyi sabo esisha. Kungase kudingeke futhi ukuthi bafakwe ipayipi nge-urethra, okwesikhashana noma unomphela, ukuze bakhiphe umchamo wabo.
Sinjani isikhathi sokululama ngemva kokuhlinzwa?
Kungathatha inyanga noma ezimbili ukululama ngokugcwele nokuthola amandla ngemva kokuhlinzwa okunje. Kuthatha isikhathi ukujwayela uhlelo olusha. Kudingeka ubekezele ngalokho.
- Umsebenzi: Ngokuvamile ungabuyela emsebenzini zingakapheli inyanga noma ezimbili.
- Imisebenzi: Uma usululame, ungabuyela ekuzivocavoceni nakwezemidlalo. Kodwa-ke, thintana nodokotela wakho ngaphambi kokuzibandakanya kwezemidlalo ezithinta umzimba noma ukubhukuda.
- Ukudla: Udokotela weluleka ukudla ukudla okuthambile, okulula ukukugaya ngenyanga yokuqala ngemva kokuhlinzwa.
- Ukuhamba: Akukho mingcele ekuhambeni. Kodwa-ke, sicela uphathe izinto ezengeziwe (izikhwama ze-ostomy, ama-catheter) nawe.
Lokhu kuhlinzwa kungakuthinta kokubili ngokomzimba nangokwengqondo . Kuvamile ukuzizwa ukhathazekile futhi ukhathazekile ngempilo yakho yocansi kanye nobuhlobo bakho nomlingani wakho ngalesi simo esisha. Kubaluleke kakhulu ukukhuluma ngokukhululekile ngalokhu nodokotela wakho.
Ngingambona nini udokotela?
Uma ubona izimpawu zokutheleleka komgudu womchamo, bona udokotela wakho ngokushesha.
- Imfiva
- Ukuthuthumela ngenxa yokubanda
- Isicanucanu noma ukuhlanza
- Ubuhlungu emhlane noma esiswini
- Umchamo ushintsha umbala (uba mnyama) noma unephunga elinamandla
Ngaphezu kwalokho, uma isikhumba esizungeze i-stoma yakho siba bomvu, sivuvukele, ubomvu noma umchamo uvuza, noma uma unenkinga yokufaka i-catheter, yazisa udokotela wakho ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa Kokuchezukisa Umchamo kwenziwa ukuze kumiswe umonakalo ezinso zakho uma isinye sakho singasebenzi kahle.
- Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa: indlela lapho umchamo uqoqwa khona esikhwameni sangaphandle (esingaguquki) kanye nendlela lapho umchamo uqoqwa khona esikhwameni esenziwe ngaphakathi emzimbeni (esiguquki).
- Udokotela wakho uzonquma indlela engcono kakhulu kuwe ngokusekelwe esimweni sakho sempilo. Khuluma naye ngokucophelela ngakho.
- Kuzothatha isikhathi ukujwayela uhlelo olusha ngemva kokuhlinzwa. Yiba nesineke ngalo. Uma uzizwa ungakhululekile ngokomzwelo, funa iseluleko sezokwelapha kanye nokusekelwa.
- Uma unomkhuhlane, ukubanda, izinguquko emchameni wakho, noma izinkinga nge-stoma yakho, tshela udokotela wakho ngokushesha .
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