Kunzima ukuchaza ukwesaba nokukhathazeka umama noma ubaba akuzwayo lapho betshelwa ukuthi ingane yabo encane idinga ukuhlinzwa. Kungaba yinto ebuhlungu kakhulu, ikakhulukazi lapho ingane ingakwazi
ukuzichamela yodwa. Kodwa uma udokotela wakho ekhulume ngokuhlinzwa kwe-vesicostomy, ungakhathazeki. Lesi yisisombululo sesikhashana nesiphephile kakhulu sokuvimbela umonakalo wezinso zengane yakho. Ake sicacise noma yimiphi imibuzo ongase ube nayo ngalokhu namuhla.
Kalula nje, iyini le Vesicostomy?
I-vesicostomy inqubo yokuhlinzwa evumela ingane ukuthi ikhiphe isinyi sayo uma inenkinga yokuchama yodwa. Kule nqubo, udokotela ohlinzayo
wenza isikhala esincane kakhulu esiswini sengane, ngokuvamile ngaphansi kwenkaba. Umehluko ukuthi umchamo uphuma ngqo e-napkin, kunokuba ungene esikhwameni esinamathiselwe esiswini. Inhloso eyinhloko yale nqubo
ukuvimbela umchamo ukuthi ungabuyeli ezinso, ulimaze izinso futhi ubangele izifo zomgudu womchamo (UTIs). Into ebalulekile ukuthi lokhu akusona isisombululo esihlala njalo. Kumane kuyisinyathelo sesikhashana kuze kube yilapho imbangela eyinhloko yokungakwazi komntwana ukuchama isilashiwe.
Kungani ingane encane idinga i-vesicostomy?
Uma isinye sengane singaphumi kahle, ingcindezi engaphakathi kwaso iyanda futhi umchamo uqala ukugeleza ubuyele ezinso. Lokhu kungabangela umonakalo omkhulu ezinso. Kunezizathu eziningana eziyinhloko zokuthi kungani kungadingeka i-vesicostomy.
| Isimo/Imbangela | Incazelo elula |
|---|
| I-spinal bifida noma i-neurogenic bladder | Ukungakwazi ukuchama kahle ngenxa yesici sokuzalwa noma ubuthakathaka emgogodleni noma ezinzwa ezilawula isinyi. |
| I-Vesicoureteral reflux (VUR) | Umchamo ugeleza usuka kwesinyeni uye ezinso. |
| Ukuvaleka kokuphuma kwesinyi | Kukhona ukuvinjelwa okuthile endleleni yomchamo ophuma esinyeni. |
| Ama-UTI aphindaphindayo | Ukutheleleka okuvamile okubangelwa ukuchama okungafanele. |
| Ezinye izinkinga zokuzalwa | Izimo ezifana ne-Prune belly syndrome, ebangelwa ukukhubazeka kokuzalwa. |
Lokhu kuhlinzwa kuvame ukwenziwa ezinganeni
ezingaphansi kweminyaka emi-5. Kodwa-ke, akuvamile kakhulu, ukwenziwa ezinganeni ezindala.
Ungayilungiselela kanjani ingane ngaphambi kokuhlinzwa?
Udokotela wakho uzokunikeza imiyalelo ecacile ngalokhu.
- Yazisa udokotela nganoma yimiphi imithi ingane yakho eyithathayo kanye nanoma yikuphi ukungezwani komzimba ingane yakho engase ibe nakho.
- Udokotela wakho uzokutshela ngqo ukuthi kufanele uyeke nini ukuncelisa ingane yakho (kufaka phakathi ubisi lwebele kanye nefomula ) ngaphambi kokuhlinzwa. Kubaluleke kakhulu ukulandela le miyalelo ngqo.
Ukuhlinzwa kwenziwa kanjani?
Ngemva kokuba ingane iyiswe egumbini lokuhlinzwa, inikezwa
i-anesthesia ejwayelekile . Lokhu kusho ukuthi ingane ilele ngokuphelele futhi
ayizizwa ubuhlungu. Udokotela ohlinzayo ube esesika isisu sengane, enze isikhala esincane esinyeni, bese ehlela isikhala ukuze siphume ngesikhala esenziwe esiswini. Yonke inqubo ithatha
cishe ihora noma amabili . Ngemva kokuhlinzwa, kukhona into eyodwa encane ongayenza. Udokotela uzokutshela ukuthi ufake i-catheter encane esikhaleni izikhathi eziningana ngosuku
ukuze uyilule. Lokhu kwenzelwa ukuvimba isikhala ukuthi sivaleke ngokushesha kakhulu. Isibhedlela sizokutshela ngqo ukuthi ukwenze kanjani lokhu nokuthi ukwenze isikhathi esingakanani.
Kwenzekani ngemva kokuhlinzwa? Unakekela kanjani umntwana?
Lena yingxenye ebaluleke kakhulu kubazali.
Ukuhlala esibhedlela kanye nobuhlungu
Iningi lezingane lingaya ekhaya emahoreni ambalwa ngemva kokuhlinzwa. Ngezinye izikhathi, kungadingeka zilale esibhedlela ubusuku bonke ukuze zihlolwe. Kungase kube nobuhlungu ngemva kokuhlinzwa. Lokhu kungaqedwa ngokuthatha umuthi wokuqeda izinhlungu (njenge-ibuprofen noma i-acetaminophen) onikezwe udokotela. Ubuhlungu kufanele buphele ngokuphelele ezinsukwini ezimbalwa.
Ukunakekelwa ngemva kokubuyela ekhaya
- Ukuhlanzeka: Ukugcina isikhumba esizungeze indawo eboshiwe kanye nendawo ihlanzekile futhi yomile kubalulekile ukuvimbela ukutheleleka.
- Ukushintsha amanabukeni: Shintsha amanabukeni njalo njengenjwayelo. Sebenzisa inabukeni elikhulu ngokwanele ukumboza kahle imbobo.
- Ukungezwani nesikhumba : Kuvamile ukuthi ukuqubuka kwesikhumba kuvele eduze kwembobo. Ungasebenzisa ukhilimu wokuqubuka kwenabukeni onconywe udokotela wakho ngalokhu.
- Imisebenzi: Ingane ingabuyela esikoleni sabantwana abancane noma esikoleni cishe ngesonto. Kodwa-ke, imisebenzi engalimaza indawo yokungena, njengokulwa, ukugibela ibhayisikili , nokugijima kufanele igwenywe isikhashana.
Kufanele ngibone nini udokotela ngokushesha?
Ngokuvamile azikho izinkinga ezinkulu, kodwa uma uhlangabezana nanoma yiziphi izimpawu ezingezansi, kufanele
uxhumane nodokotela wakho ngokushesha .
| Isikhathi sokuthola iseluleko sezokwelapha ngokushesha |
|---|
| 🌡️ | Uma ingane inomkhuhlane omkhulu . |
| 🔴 | Uma indawo ezungeze imbobo ibomvu kakhulu, ivuvukele , noma ikhombisa izimpawu zokutheleleka. |
| 🩸 | Uma kukhona igazi emchameni. |
| 😫 | Uma ubuhlungu bengane buqhubeka naphezu kokusebenzisa imithi. |
| 🚫 | Uma i-catheter enikeziwe ukuze inwetshwe, imbobo ayikwazi ukufakwa . |
| ⚠️ | Uma ingxenye yesinyi iphumile embotsheni (i-bladder prolapse) futhi ingenakukwazi ukusunduzelwa ngaphakathi. (Lokhu kungenzeka ngesikhathi sokuhamba kwamathumbu, njengalapho ingane iphuma. Ngokuvamile ibuyela ngaphakathi ngokwayo. Uma kungenjalo, ungayisunduzela ngaphakathi ngobumnene ngeminwe ehlanzekile. Kodwa uma ingaphumi, khuluma nodokotela wakho .) |
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-vesicostomy akumelwe kwesatshwe. Kuyindlela yokuhlinzwa ephephile kakhulu neyesikhashana eyenziwa ukuvikela izinso zengane.
- Ngemva kokuhlinzwa, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo, ikakhulukazi ukugcina imbobo ihlanzekile futhi uyinwebe kahle.
- Lokhu akuhlali njalo. Ngemva kokuba isimo esiyisisekelo sengane seselashwe, udokotela ohlinzayo uzovala lesi sivalo.
- Uma unokungabaza noma imibuzo, ungalokothi ucabange kabili ngokubuza udokotela wakho.
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