Ingabe udokotela wakho ukutshelile ngokuhlinzwa kwesisu? Noma ingabe kukhona umuntu omaziyo ozohlinzwa? Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane uma uzwa leli gama. "Luhlobo luni lwento lolu?", "Impilo yami izobe injani ngemva kwalokhu?" Kuphakama imibuzo eminingi engqondweni yakho. Kodwa uma sesikwazi kahle lokhu, lokho kwesaba kuyanyamalala. Namuhla, sizokhuluma ngakho konke kalula, ngendlela ongayiqonda.
Kuyini ngempela i-Urostomy?
Kalula nje, i-urostomy inqubo yokuhlinzwa edala indlela entsha yokuthi umchamo (umchamo) uphume emzimbeni wakho. Kule nqubo, udokotela ohlinzayo udala isikhala esincane, noma imbobo, esiswini sakho esivezwa esikhumbeni. Ngokwezokwelapha, lokhu kubizwa ngokuthi i-stoma .
Cabanga ngohlelo lwethu lomchamo njengohlelo lwamapayipi amanzi. Umchamo okhiqizwa yizinso uhamba ngemibhobho emibili (ureters) uye esinyeni, lapho ukhishwa khona emzimbeni ngepayipi elinye (urethra). Ngezinye izikhathi, ithangi eliyinhloko lalolu hlelo (isinyi) noma imibhobho exhunywe kulo yonakaliswa ngenxa yokugula noma ingozi. Ngemuva kwalokho, kufanele kudalwe enye indlela ukuze umchamo uphume emzimbeni. Yingakho kwenziwa lokhu kuhlinzwa.
Umchamo uyaqhubeka nokuphuma emzimbeni ngale stoma. Isikhwama esikhethekile (isikhwama se-urostomy) sisetshenziselwa ukuqoqa umchamo ophumayo, bese unamathela ku-stoma. Lokhu kuvame ukuba ukuhlinzwa okuhlala njalo. Lokhu kusho ukuthi akunakuguqulwa. Kodwa ungakhathazeki, ithimba lakho lezokwelapha lizokusiza ukuthi ujwayele impilo yakho yansuku zonke ngalolu shintsho olusha.
Kungani kudingeka ukuba nohlobo olunjalo lokuhlinzwa?
Kunezizathu eziningana zokuthi kungani umuntu angadinga ukuhlinzwa kwe-urostomy. Izizathu eziyinhloko zifaka:
- Ukususwa kwesinye ngenxa yomdlavuza wesinye: Lesi yisona sizathu esivame kakhulu. Uma isinye sisusiwe ngokuphelele (i-cystectomy) ngenxa yomdlavuza, le nqubo isetshenziswa ngoba ayikho indawo lapho umchamo ungaqongelela khona.
- Ukulimala kwesinye: Lapho isinye sonakaliswe kakhulu ngenxa yengozi, ukugula, noma ukwelashwa ngemisebe.
- Ukungakwazi ukuzibamba umchamo: Ezimweni ezimbi kakhulu, ayikho indlela yokulawula umchamo.
- Ukulimala komgogodla: Lapho umsebenzi wesinyi ulahleka ngenxa yokulimala komgogodla.
- Izinkinga zokuzalwa: Izinkinga zokuzalwa ezifana ne-spina bifida.
- Ukulimala kwe-urethra: Lapho ipayipi elikhipha umchamo emzimbeni lonakele.
- Okunye ukukhubazeka ohlelweni lomchamo: Ezinye izinkinga ezivimbela ukuthi umchamo ungakhishwa kahle.
Ngamafuphi, lokhu kuhlinzwa kuyisisombululo sokwenza impilo ibe lula futhi iphephe kunoma yisiphi isimo esibucayi lapho umchamo ungenakukhishwa khona emzimbeni ngendlela evamile.
Ingabe zikhona izinhlobo zokuhlinzwa kwe-urostomy?
Yebo, kunezindlela eziningana eziyinhloko zokwenza lokhu kuhlinzwa. Kuya ngesimo sakho sezempilo kanye nesiphetho sikadokotela ohlinzayo.
Umsele we-Ileal - Lena yindlela evame kakhulu.
Kule nqubo, udokotela ohlinzayo ususa ingxenye encane yengxenye yokugcina yamathumbu akho amancane (ileum) . Bese kuba khona umzila omncane ofana nethubhu odalwe kule ngxenye. Amathubhu amabili athwala umchamo ovela ezinso (ureters) axhunywe kule misele esanda kudalwa. Esinye isiphelo somzila sixhunywe ku-stoma (stoma) edalwe esiswini. Umchamo ovela ezinso uphuma ku-stoma ngale misele entsha. I-stoma ivame ukutholakala ngakwesokudla kwesisu.
Umsele wekholoni
Lokhu kufana kakhulu nendlela yangaphambilini, ngaphandle kokuthi esikhundleni sokuthatha ingxenye yamathumbu amancane ukuze kudalwe umsele omusha, kusetshenziswa ingxenye yamathumbu amakhulu (i-sigmoid colon) .
Ureterostomy
Kule nqubo, akukho ngxenye yamathumbu ekhishwayo. Udokotela uxhuma ipayipi elilodwa noma womabili athwala umchamo ovela ezinso ngqo aye esithweni esidalwe esiswini .
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Ngaphambi kokuhlinzwa, udokotela wakho ohlinzayo kanye nethimba lezokwelapha bazokhuluma nawe ngokucophelela. Bazokuchazela okulandelayo:
- Kungani udinga lokhu kuhlinzwa?
- Kwenzekani ngesikhathi sokuhlinzwa?
- Yini ongayilindela ngemva kokuhlinzwa?
- Yiziphi izingozi ezihlobene nalokhu?
Uzokwaziswa ukuthi uzile ukudla, okungukuthi, uzithibe ekudleni nasekuphuzeni, isikhathi esithile ngaphambi kokuhlinzwa. Bazokutshela nokuthi kufanele uyeke yini ukuthatha noma yimiphi imithi ovame ukuyithatha noma uqhubeke nokuyithatha. Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini kanye nemithi yamakhambi.
Ngaphezu kwalokho, ngaphambi kokuhlinzwa, udokotela nabahlengikazi bazokhuluma nawe ukuze bakhethe indawo engcono kakhulu esiswini sakho yokwenza i-stoma. Lena kufanele ibe yindawo ongayibona kalula, uyifinyelele, futhi ube nendawo eyisicaba. Lokhu kuzokwenza kube lula ngawe ukushintsha isikhwama kamuva.
Kwenzekani ngesikhathi sokuhlinzwa nangemva kwalokho?
Ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile. Lokhu kusho ukuthi ngeke uzizwe lutho, uzobe ulele ngokuphelele. Ukuhlinzwa kungathatha cishe amahora ayi-6. Udokotela ohlinzayo uzodala i-stoma endaweni ekhethiwe kusengaphambili bese exhuma ipayipi kuyo ukuze kuthwalwe umchamo. Ngezinye izikhathi, ezimweni ezifana nomdlavuza, kungadingeka ukususa ezinye izitho ezifana nesinye, ama-lymph node, noma izingxenye zesistimu yokuzala (i-prostate kwabesilisa, isibeletho kwabesifazane).
Ngemva kokuhlinzwa, uzoyiswa egunjini lokululama bese udluliselwa egunjini lapho isimo sakho sesizinzile.
- Kungase kubekwe ipayipi elilodwa noma ngaphezulu (amapayipi okukhipha amanzi) ukuze kususwe uketshezi oluqongelela emzimbeni.
- Imithi inikezwa ukulawula ubuhlungu.
- Ukuze uvimbele ukuqhekeka kwegazi kanye ne-pneumonia, ukhuthazwa ukuba uhlale embhedeni ngokushesha okukhulu, ushukumise imilenze yakho, futhi uhambe ngosizo lothile.
- Ungaqala ukudla nokuphuza ngendlela evamile ezinsukwini ezimbalwa.
| Uhlobo lwengozi | Incazelo |
|---|---|
| Izingozi ezivamile ezihambisana nokuhlinzwa | Izinkinga ezihlobene nokubulala izinzwa, izifo, umonakalo ezithweni ezizungezile, amahlule egazi, ukopha ngokweqile, i-pneumonia. |
| Izinkinga ezingaba khona kamuva | Ukuvaleka kwepayipi ngenxa yezibazi, izifo noma amanxeba esikhumba azungeze i-stoma, ukwakheka kwe-hernia, amatshe ezinso noma ukwehluleka kwezinso, izinkinga ze-metabolic. |
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile. Kodwa ngokuvamile inqubo ephephile kakhulu. Udokotela wakho uzokwenza konke okusemandleni akhe ukunciphisa lezi zingozi.
Kuzothatha isikhathi esingakanani ukululama? Kufanele ngibone udokotela nini?
Abanye abantu baphuma esibhedlela zingakapheli izinsuku ezintathu zokuhlinzwa, kanti abanye kungadingeka bahlale isonto noma ngaphezulu. Ngesikhathi usesibhedlela, abasebenzi abahlengikazi bazokufundisa ukuthi ungayigcina kanjani i-stoma yakho ihlanzekile, ukuthi ungayisebenzisa kanjani isikhwama, nokuthi ungayishintsha kanjani. Lokhu kuyinto entsha, ngakho-ke kungase kuzwakale kungavamile ekuqaleni, kodwa uzojwayela ngemva kwesikhashana.
Ngemva kokubuyela ekhaya, kungathatha cishe izinyanga ezimbili ukululama ngokuphelele ngaphambi kokuba ubuyele emsebenzini noma esikoleni. Phakathi nalesi sikhathi, uzothola ithuba lokujwayela ukusebenzisa isikhwama sakho se-urostomy.
Uma unezinkinga, shayela udokotela wakho ngokushesha, ikakhulukazi uma unezinye zalezi zimpawu:
- Imfiva
- Ukopha okungavamile
- Ubuhlungu obukhulu
- Ubunzima bokusebenzisa isikhwama se-urostomy
- Ukushintsha kombala noma iphunga lomchamo
Imibuzo embalwa engqondweni yawo wonke umuntu
Uma kukhulunywa ngalolu hlobo lokuhlinzwa, abantu abaningi banemibuzo efanayo. Ake sithole izimpendulo zayo futhi.
Ibukeka kanjani i-stoma? Izwakala kanjani?
Uma uqala ukubona i-stoma yakho, ingase ivuvuke kancane, ibomvu, futhi ivuvukele. Kodwa ungakhathazeki, lokhu kuzoshintsha ngokuhamba kwesikhathi. I-stoma izoncipha kancane kancane bese iphenduka umbala opinki noma obomvu. Ingase ibe yindilinga noma ibe yi-oval ngesimo. I-stoma yabanye abantu ingase iphakanyiswe kancane ngaphezu kwesikhumba, kanti eminye ingase ibe yisicaba esikhumbeni.
Into ebaluleke kakhulu ukuthi i-stoma ayinazo iziphetho zemizwa. Lokhu kusho ukuthi awukwazi ukuyizwa. Nakuba isikhumba esizungezile singase sibe buhlungu kuze kube yilapho inxeba lokuhlinzwa liphola, ngeke uzwe lutho uma uthinta i-stoma.
Isikhwama se-urostomy kufanele sishintshwe kangaki?
Kunezinto ezimbili lapha: ukuthulula isikhwama nokushintsha isikhwama.
- Ukukhipha: Kuzodingeka ukhiphe isikhwama kaningi njengoba ubuya endlini yokugezela ngaphambi kokuhlinzwa. Ngokuvamile njalo emahoreni ambalwa. Ungalindi kuze kube yilapho isikhwama sesigcwele ngokuphelele. Kungcono ukusikhipha uma sesigcwele cishe ingxenye yesithathu noma ingxenye. Lokhu kuzosiza ukuvimbela isikhwama ukuthi singavuzi futhi sibangele izifo zesikhumba.
- Ukushintsha: Isikhathi sokushintsha siyahlukahluka kuye ngohlobo lwesistimu yezikhwama oyisebenzisayo. Ezinye zidinga ukushintshwa nsuku zonke. Ezinye izinhlobo zingasetshenziswa izinsuku ezintathu noma isonto elilodwa.
Izindaba ezinhle ukuthi kukhona isitsha esikhulu sokukhipha amanzi ongasinamathisela esikhwameni sakho se-urostomy uma ulala ebusuku, ukuze ulale kahle ubusuku bonke ungavuki.
Uzivumelanisa kanjani nalolu shintsho olusha?
Kungathatha isikhathi ukujwayela ukuphila nalolu shintsho emzimbeni wakho. Lokhu kujwayelekile kakhulu. Ekuqaleni, ungase uzizwe udangele, uthukuthele, noma wesaba. Ungase ukhathazeke ngokuthi abanye abantu bazocabangani ngalokhu.
Khuluma nodokotela wakho, umndeni wakho, kanye nabangani abaseduze ngale mizwa. Kukhona namaqembu okusekela abantu abaye bahlinzwa ngalolu hlobo. Bangakuqonda kahle kakhulu okuhlangenwe nakho kwakho. Ungafunda okuningi kokuhlangenwe nakho kwabo futhi uthole amandla.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-urostomy akumelwe ukwesabe. Kuyindlela yokuhlinzwa ephephile engenza impilo yakho ibe lula, futhi ngokuvamile isindise impilo yakho.
- Kuzothatha isikhathi ukujwayela lolu shintsho lomzimba olusha. Kuvamile ukuzizwa udangele futhi wesaba ngakho. Khuluma nomuntu omethembayo ngale mizwa.
- Ukugcina i-stoma kanye nesikhumba esizungezile kuhlanzekile futhi komile kubaluleke kakhulu ukuvimbela izinkinga.
- Ungalokothi unqikaze ukukhuluma nodokotela wakho nganoma iyiphi inkinga encane noma inkinga ongase ube nayo.
- Usengaphila impilo evamile, esebenzayo, nejabulisayo ngemva kokuhlinzwa kwe-urostomy.
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