Ileostomy - ukukhutshwa

Ubenokwenzakala okanye isifo kwinkqubo yakho yokwetyisa kwaye kufuneka utyando olubizwa ngokuba yiileostomy. Utyando lwatshintsha indlela umzimba wakho ulahla ngayo inkunkuma (ilindle).

Ngoku unendawo evulekileyo ebizwa ngokuba yistoma esiswini sakho. Inkunkuma iya kudlula kwisitoma iye kwisingxobo esiyiqokelelayo. Kuya kufuneka ukhathalele i-stoma kwaye ukhulule isingxobo amaxesha amaninzi ngemini.

Istoma sakho senziwe ngombala wamathumbu akho. Iya kuba pinki okanye ibomvu, ifume, kwaye ikhazimle kancinci.

Istool esivela kwi-ileostomy yakho ibhityile okanye ityebile ulwelo, okanye isenokuba pasty. Ayomelele njengesitulo esivela kwikholoni yakho. Ukutya okutyayo, amayeza owathathayo, kunye nezinye izinto zinokutshintsha indlela esityebe ngayo okanye esityebileyo isitulo sakho.

Isixa esithile segesi siqhelekile.

Kuya kufuneka ukhuphe isikhwama kangangezihlandlo ezi-5 ukuya kwezi-8 ngosuku.

Buza umboneleli wakho wezempilo ukuba ufanele ukutya ntoni xa ukhutshwa esibhedlele. Unokucelwa ukuba ulandele ukutya okuseleyo okuseleyo.

Thetha nomboneleli wakho ukuba unesifo seswekile, isifo sentliziyo, okanye enye imeko, kwaye kufuneka utye okanye uphephe ukutya okuthile.

Ungathatha ibhafu okanye ishawa njengomoya, isepha, kunye namanzi awazukukwenzakalisa i-stoma kwaye amanzi awayi kungena kwisistoma.Kulungile ukwenza oku ngaphandle kwengxowa yakho.

Iziyobisi kunye namayeza:

• Amayeza olwelo anokusebenza ngcono kunalawo aqinileyo. Thatha ezi zinto xa zikhona.
• Amanye amachiza anokugquma okukhethekileyo (enteric). Umzimba wakho awuzukufunxa kakuhle. Buza umboneleli wakho okanye usokhemesti ngezinye iintlobo zamayeza.

Thetha nomboneleli wakho ukuba uthatha iipilisi zolawulo lokuzalwa. Umzimba wakho awunako ukufunxa ngokwaneleyo ukuze ungakhulelwa.

Kungcono ukukhupha isingxobo sakho xa malunga nesinye kwisithathu ukuya kwisiqingatha esigcwele. Kulula kunokuba igcwele, kwaye kuya kubakho ivumba elincinci.

Ukukhupha isingxobo sakho (khumbula - isitulo sinokuhlala siphuma esastoma njengoko usenza oku):

• Nxiba iiglavu zonyango ezicocekileyo.
• Beka iphepha langasese kwindlu yangasese ukuze uhlale uphantsi. Okanye, ungagungxula njengoko ukhupha isingxobo ukunqanda ukutshiza.
• Hlala kude kakhulu esihlalweni okanye kwelinye icala laso. Unokuma okanye ugobe phezu kwendlu yangasese.
• Bamba emazantsi engxowa phezulu.
• Ngenisa ngononophelo umsila wengxowa yakho phezu kwendlu yangasese ukuze uyikhuphe.
• Coca umphandle nangaphandle kwesingxobo sephepha ngephepha langasese.
• Vala ingxowa ngomsila.

Coca kwaye uhlambe ngaphakathi nangaphandle kwesingxobo.

• Umongikazi wakho we-ostomy angakunika isepha ekhethekileyo oza kuyisebenzisa.
• Buza umongikazi wakho malunga nokutshiza i-oyile engafaki ndawo ngaphakathi kwisingxobo ukugcina isitulo ukuba singabambeleli kuso.

Kuya kufuneka uyazi malunga:

• Ileostomy-ukutshintsha ingxowa yakho
• Ileostomy - ukukhathalela i-stoma yakho

Ukuhlafuna kakuhle ukutya kwakho. Oku kuya kunceda ukugcina ukutya okunefayibha ephezulu kuthintele istoma sakho.

Eminye imiqondiso yokuvaleka kukuxinana ngesiquphe esiswini sakho, ukudumba kwesisu, isicaphucaphu (kunye okanye ngaphandle kokugabha), kunye nokonyuka ngesiquphe kwemveliso enamanzi amaninzi.

Ukusela iti eshushu kunye nolunye ulwelo kunokugungxula nakuphi na ukutya okuthintela istoma.

Kuya kubakho amaxesha apho kungabikho nto iphuma kwi-ileostomy yakho okwethutyana. Oku kuqhelekile.

Fowunela umboneleli wakho kwangoko ukuba ibhegi yakho ye-ileostomy ihlala ingenanto ngaphezulu kweeyure ezi-4 ukuya kwezi-6. Amathumbu akho anokuvalwa.

Sukuthatha i-laxative ukuba le ngxaki iyenzeka.

Ukutya okunokuthintela istoma sakho yipinapple eluhlaza, amandongomane kunye nembewu, iseleri, ipopcorn, umbona, iziqhamo ezomisiweyo (ezinje ngeediliya), amakhowa, i-chunky relish, coconut, kunye neminye imifuno yamaTshayina.

Iingcebiso xa kungekho situlo siza kuvela kwisiza sakho:

• Zama ukukhulula ukuvulwa kwesingxobo ukuba ucinga siqinile.
• Guqula indawo okuyo. Zama ukubamba amadolo akho esifubeni sakho.
• Thatha ibhafu eshushu okanye ishawa eshushu.

Olunye uhlobo lokutya luya kuzikhulula izitulo zakho kwaye lunokunyusa imveliso emva kokuba uzityile. Ukuba uyakholelwa ukuba ukutya okuthile kubangele utshintsho kwizitulo zakho, ungakutyi okwexeshana, uphinde uzame kwakhona. Oku kutya kunokubangela ukuba izitulo zakho zikhululeke:

• Ubisi, incindi yeziqhamo, kunye neziqhamo nemifuno eluhlaza
• Prune ijusi, licorice, izidlo ezinkulu, ukutya okunezipayisi, ibhiya, iwayini ebomvu kunye netshokholethi

Olunye uhlobo lokutya luya kwenza isitulo sakho sityebe. Ezinye zezi apilesauce, iitapile ezibhakiweyo, irayisi, isonka, ibhotolo yamandongomane, ipudding kunye nama-apile abhakiweyo.

Sela iiglasi eziyi-8 ukuya kwezi-10 zolwelo ngosuku. Sela ngaphezulu xa kushushu okanye xa ukhuthele kakhulu.

Ukuba unesifo sohudo okanye izitulo zakho zikhululekile okanye zinamanzi amaninzi:

• Sela ulwelo olongezelelweyo nge-electrolyte (isodiyam, potassium). Iziselo ezinje ngeGatorade, iPowerAde, okanye iPedialyte ziqulathe ii-electrolyte. Ukusela isoda, ubisi, ijusi, okanye iti kuya kukunceda ufumane ulwelo olwaneleyo.
• Zama ukutya ukutya okune-potassium kunye ne-sodium yonke imihla ukugcina amanqanaba akho e-potassium kunye ne-sodium ekubeni asezantsi kakhulu. Eminye imizekelo yokutya okune potassium ziibhanana. Okunye ukutya okunesodiyam eninzi kukutya okutyiwa okutyiwa.
• Ama-Pretzels anokunceda ukunciphisa ukulahleka kwamanzi kwisitulo. Banayo nesodium.
• Sukulinda ngaphambi kokuba ufumane uncedo. Urhudo lunokuba yingozi. Tsalela umnxeba umboneleli wakho ukuba awuyi kuhamba.

Fowunela umnikezeli wakho ukuba:

• I-stoma yakho iyadumba kwaye ingaphezulu kwesiqingatha se-intshi (isentimitha enye) inkulu kunesiqhelo.
• Istoma sakho singena ngaphakathi, ngaphantsi kwenqanaba lolusu.
• Istoma sakho sopha ngaphezu kwesiqhelo.
• I-stoma yakho ijika imfusa, mnyama, okanye mhlophe.
• Istoma sakho siyavuza rhoqo.
• Isikhundla sakho asibonakali silingana kakuhle njengangaphambili.
• Unerhashalala, okanye ulusu olujikeleze istoma sakho luhlaza.
• Unobunewunewu obukhutshiweyo kwisitoma esinuka kakubi.
• Ulusu lwakho olujikeleze isigxina sakho luyatyhala.
• Unalo naluphi na uhlobo lwesifo kulusu olujikeleze isigxina sakho.
• Unayo nayiphi na imiqondiso yokuphelelwa ngamanzi emzimbeni (akukho manzi aneleyo emzimbeni wakho). Eminye imiqondiso ngumlomo owomileyo, ukuchama rhoqo, kwaye uzive unentloko elula okanye ubuthathaka.
• Unorhudo olungapheliyo.

Ileostomy esemgangathweni - ukukhutshwa; I-Brooke ileostomy - ukukhutshwa; Ilostomy yelizwekazi - ukukhutshwa; Ingxowa yesisu - ukukhupha; Ukuphela kwe-ileostomy - ukukhutshwa; IOstomy - ukukhutshwa; Isifo sikaCrohn - ukukhutshwa kwe-ileostomy; Ukudumba kwesifo-ileostomy discharge; I-enteritis yengingqi - ukukhutshwa kweileostomy; Ukukhutshwa kwe-Ileitis - ileostomy; Ileocolitis yeGranulomatous - ukukhutshwa kweileostomy; Ukukhutshwa kwe-IBD-ileostomy; I-ulcerative colitis - ukukhutshwa kwe-ileostomy

Umbutho waseMelika woMhlaza. Isikhokelo se-Ileostomy. www.cancer.org/treatment/treatment-and-side-effects/physical-side-effects/ostomies/ileostomy.html. Ukuhlaziywa ngo-Okthobha 16, 2019. Ifikeleleke ngo-Novemba 9, 2020.

UMahmoud NN, uBleier JIS, uAarons CB, uPaulson EC, uShanmugan S, uFry RD. Ikholoni kunye ne-rectum. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 51.

URaza A, Araghizadeh F.Ileostomy, icolostomy, kunye neepakethi. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahl 117.

• Umhlaza womzimba
• Isifo seCrohn
• Ileostomy
• Ukulungiswa kwamathumbu emathunjini
• Ukuthengiswa okukhulu kwamathumbu
• Ukuthengiswa kwakhona kwamathumbu amancinci
• I-colectomy yesisu sisonke
• Iproctocolectomy iyonke kunye nengxowa ye-ileal-anal
• Iproctocolectomy iyonke nge-ileostomy
• Ukudumba okwenziwa sisilonda sikabhobhosi

• Ukutya kweBland
• Isifo seCrohn - ukukhutshwa
• Ileostomy nomntwana wakho
• Ileostomy kunye nokutya kwakho
• Ileostomy - ukukhathalela i-stoma yakho
• Ileostomy-ukutshintsha ingxowa yakho
• Ileostomy - yintoni oza kuyibuza ugqirha wakho
• Ukuhlala neileostomy yakho
• Ukutya okune-fiber encinci
• Ukuthengiswa kwamathumbu amancinci amancinci - ukukhutshwa
• Iyonke i-colectomy okanye iproctocolectomy-ukukhutshwa
• Iindidi zeileostomy
• I-ulcerative colitis - ukukhutshwa

• Ostomy