Kungenzeka ukuthi wesatshwe yigama elithi 'Urostomy'. Noma mhlawumbe lapho udokotela ekhuluma ngalolu hlobo lokuhlinzwa, kufika imibuzo eminingi engqondweni. Empeleni, lokhu akusikho okufanele ukwesabe. Lena inqubo edala enye indlela yokuthi umuntu onenkinga ethile ohlelweni lomchamo olujwayelekile lomzimba akhiphe umchamo. Kalula nje, lena yindlela yokusiza umzimba wethu. Ngakho-ke, namuhla sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.
Kuyini i-Urostomy ngamagama alula?
I-urostomy inqubo yokuhlinzwa edala imbobo encane esiswini sakho, noma esiswini, ukuze umchamo udlule kuyo. Lo mbobo ubizwa ngokuthi 'i-stoma' ngokwezokwelapha. Lokhu kusho ukuthi umchamo okhiqizwa emzimbeni wakho, esikhundleni sokuphuma ngokujwayelekile, uphuma ngale mbobo entsha. Lokhu kubizwa ngokuthi 'ukuphambuka komchamo' .
Ukuze siqoqe umchamo ophuma kanje, sisebenzisa isikhwama esikhethekile (isikhwama se-urostomy) esinamathiselwe ku-stoma. Singakwazi-ke ukususa kalula umchamo oqoqekayo kuleyo sikhwama.
Ezimweni eziningi, i-urostomy ihlala njalo futhi ayinakuguqulwa. Kodwa ungakhathazeki. Udokotela wakho kanye nethimba lezokwelapha bazokwenza konke okusemandleni abo ukukusiza ukuthi ujwayele le ndlela entsha yokuphila.
Kukuziphi izimo lapho lokhu kuhlinzwa kuyadingeka khona?
Kunezizathu eziningana zokuthi kungani kungenziwa i-urostomy. Ake sizibheke kuthebula elingezansi.
| Isizathu sokuhlinzwa | Incazelo elula |
|---|---|
| Umdlavuza Wesinye | Lesi yisona sizathu esivame kakhulu. Lokhu kuhlinzwa kwenziwa uma isinyi sidinga ukususwa ( i-cystectomy ) ngenxa yomdlavuza. |
| Umonakalo wesinye | Uma isinyi sonakaliswe yingozi, ukugula, noma ukwelashwa ngemisebe. |
| Ukungakwazi ukuzibamba komchamo | Ezimweni ezimbi kakhulu lapho umchamo ungabanjwa nganoma iyiphi indlela futhi uvuza ngokungalawuleki. |
| Ukulimala komgogodla | Ngenxa yokulimala komgogodla noma izimo zokuzalwa ezifana ne-spina bifida . |
| Ukulimala kwe-urethra | Uma ipayipi elithwala umchamo lisuka kwesinyeni liye ngaphandle lonakele. |
Kungakhathaliseki ukuthi yisiphi isizathu, ukuhlinzwa kwe-urostomy kudala indlela entsha nephephile yomchamo yokuphuma emzimbeni.
Ingabe zikhona izinhlobo zokuhlinzwa kwe-urostomy?
Yebo, kunezindlela eziningana zokwenza lokhu kuhlinzwa. Ziqanjwe ngokwendlela indlela entsha yomchamo edalwe ngayo.
Umsele we-Ileal - Indlela evame ukusetshenziswa kakhulu
Lena inqubo evame kakhulu. Lapha, udokotela ohlinzayo uthatha ingxenye encane yamathumbu akho amancane bese enza ipayipi ngayo. Esinye isiphetho sale payipi sixhunywe ku-stoma eyakheke esiswini sakho. Esinye isiphetho sixhunywe kumapayipi amabili athwala umchamo ezinso zakho (ama-ureter). Umchamo okhiqizwa ezinso zakho ube usugeleza ngaleli payipi elisha bese uphuma ku-stoma.
Umsele WaseKoloni
Lokhu kufana kakhulu nendlela eshiwo ngenhla, ngaphandle kokuthi ingxenye yamathumbu amakhulu (ikholoni) isetshenziswa ukudala ithubhu esikhundleni samathumbu amancane.
Ureterostomy
Ngale ndlela, ipayipi alenziwa ngengxenye yamathumbu enjalo. Kunalokho, ama-ureter avela ezinso axhunywe ngqo ku-stoma edalwe esiswini.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Ngaphambi kokuhlinzwa, udokotela wakho ohlinzayo kanye nethimba lakho bazokhuluma nawe ngokucophelela. Bazokuchazela okulandelayo:
- Kungani udinga lokhu kuhlinzwa?
- Kwenzekani ngesikhathi sokuhlinzwa?
- Yini ongayilindela ngemva kokuhlinzwa?
- Yiziphi izingozi ezihlobene nalokhu?
Bazokweluleka nangokuthi kufanele uyeke nini ukudla nokuphuza ngaphambi kokuhlinzwa, nokuthi kufanele uyeke yini noma cha ukuthatha noma yimiphi imithi ovame ukuyithatha. Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nezithasiselo ozithathayo.
Ngaphambi kokuhlinzwa, ithimba lakho lezokwelapha lizokusiza ukhethe indawo engcono kakhulu esiswini sakho ukuze wakhe i-stoma. Kufanele kube yindawo eyisicaba ongayibona kalula, uyifinyelele, futhi uyifinyelele.
Kwenzekani ngesikhathi sokuhlinzwa?
Uzofakwa ngaphansi kwe-anesthesia ejwayelekile ngesikhathi sokuhlinzwa. Ngakho-ke ngeke uzwe ubuhlungu . Udokotela ohlinzayo uzodala i-stoma endaweni ekhethiwe esiswini sakho bese exhumanisa ama-ureter kuyo.
Ngezinye izikhathi, ikakhulukazi ezimweni zomdlavuza, lonke noma ingxenye yesinyi kungadingeka isuswe ngesikhathi esifanayo. Futhi, uma kudingeka, izitho ezifana ne-appendix, ama-lymph node, noma i-prostate gland kwabesilisa noma esibelethweni kwabesifazane kungadingeka zisuswe. Lokhu kuhlinzwa kungathatha amahora afinyelela kwayi-6 .
Sinjani isikhathi sokululama ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzoqala uyiswe egunjini lokululama bese udluliselwa egunjini.
- Kuzobekwa imisele eyodwa noma ngaphezulu ukuze kususwe uketshezi oluqongelela emzimbeni.
- Kuzohlinzekwa imithi yobuhlungu edingekayo.
- Uzokhuthazwa ukuthi uhlale embhedeni ngokushesha okukhulu, ushukumise imilenze yakho, futhi uhambe ngosizo lwabasebenzi bezokwelapha. Lokhu kungasiza ekuvimbeleni izimo ezifana nokuqhekeka kwegazi kanye ne-pneumonia .
- Ungaqala ukudla nokuphuza ngendlela evamile ezinsukwini ezimbalwa.
Ngokuvamile kuzodingeka uhlale esibhedlela izinsuku eziphakathi kwezi-3 nezi-7. Phakathi nalesi sikhathi, uzofundiswa ukuthi ungayinakekela kanjani i-stoma yakho nokuthi ungayisebenzisa kanjani isikhwama sakho somchamo. Ngemva kokubuyela ekhaya, kungathatha cishe izinyanga ezimbili ukubuyela emisebenzini evamile (emsebenzini, esikoleni).
Ngingashayela nini udokotela ucingo?
Uma unemibuzo noma ukukhathazeka mayelana ne-urostomy yakho, khuluma nodokotela wakho. Qiniseka ukuthi ufuna iseluleko sezokwelapha, ikakhulukazi uma unezinye zalezi zimpawu:
- Imfiva
- Ukopha okungavamile
- Ubuhlungu obukhulu
- Ubunzima bokusebenzisa isikhwama se-urostomy
- Ukushintsha kombala womchamo noma iphunga elinamandla
Imibuzo evamile mayelana nokuphila nodokotela we-urostomy
Cishe unemibuzo eminingi mayelana nokuphila ngemva kwalokhu kuhlinzwa. Ake siyiphendule.
Ibukeka kanjani i-stoma? Izwakala kanjani?
Uma uqala ukubheka i-stoma yakho, ingase ivuvuke kancane, ibomvu ngokumnyama, futhi ibonakale iphukile. Lokhu kuvamile. Ngokuhamba kwesikhathi, ukuvuvukala kuzokwehla, kube nombala opinki okhanyayo, futhi kunciphe ngobukhulu. Kungase kube yindilinga noma kube yi-oval ngesimo.
Okubaluleke kakhulu, i-stoma ayinazo iziphetho zemizwa. Ngakho-ke, i-stoma ayizwa lutho noma ilimele . Nakuba indawo ezungezile ingase izwe ubuhlungu kuze kube yilapho inxeba lokuhlinzwa liphola, i-stoma ngokwayo ayizwa ubuhlungu.
Isikhwama se-urostomy kufanele sishintshwe kangaki?
Ukuthulula isikhwama nokusishintsha ngokuphelele kuyizinto ezimbili ezihlukene.
- Ukuthulula isikhwama: Njengoba nje ubungachama ngaphambi kokuhlinzwa, kufanele uthulule isikhwama njalo emahoreni ambalwa. Ungalindi kuze kube yilapho isikhwama sesigcwele ngokuphelele. Kungcono ukusithulula uma sesigcwele ingxenye yesithathu (1/3) noma ingxenye eyodwa (1/2). Lokhu kuzosiza ekuvimbeleni ukuthi isikhwama singavuzi futhi sibangele izifo zesikhumba. Uma ulele ebusuku, ungaxhuma lesi sikhwama endaweni enkulu yokugcina amanzi (isitsha sokukhipha amanzi). Lokhu kuzokuvumela ukuthi ulale ngaphandle kokuvuka ebusuku.
- Ukushintsha isikhwama: Lokhu kuncike ohlotsheni lwesistimu yokupakisha oyisebenzisayo. Ezinye zidinga ukushintshwa nsuku zonke, kanti ezinye zingasetshenziswa izinsuku ezintathu noma ngisho nesonto.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-urostomy kuyindlela yokuhlinzwa ezokusiza futhi yenze impilo yakho ibe lula, hhayi into okufanele uyesabe.
- Lokhu ngokuvamile kuyishintsho oluhlala njalo, kodwa uzothola lonke ulwazi nokusekelwa okudingayo ukuze ujwayele eqenjini lakho lezokwelapha.
- Kubaluleke kakhulu ukugcina isikhumba esizungeze i-stoma sihlanzekile futhi somile. Lokhu kungasiza ekuvimbeleni izifo zesikhumba.
- Kungakhathaliseki ukuthi ukhathazekile ngokomzimba noma ngokomzwelo ngalokhu, khuluma nodokotela wakho ngakho ngokukhululekile. Uma kudingeka, joyina amaqembu okusekelana nabanye abaye baba nokuhlangenwe nakho okufanayo.
- Usengaphila impilo egcwele, esebenzayo ngemva kokuhlinzwa kwe-urostomy.
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