Urostomy - stoma kunye nokhathalelo lolusu

Iingxowa ze-Urostomy ziingxowa ezikhethekileyo ezisetyenziselwa ukuqokelela umchamo emva kotyando lwesinyi.

Endaweni yokuya kwisinyi sakho, umchamo uya kuphuma ngaphandle kwesisu sakho. Inxalenye enamathele ngaphandle kwesisu sakho ibizwa ngokuba yi-stoma.

Emva kwe-urostomy, umchamo wakho uya kudlula kwisitoma sakho ungene kwingxowa ekhethekileyo ebizwa ngokuba yingxowa ye-urostomy.

Ukunyamekela i-stoma yakho kunye nesikhumba esikujikelezayo kubaluleke kakhulu ukukhusela ukusuleleka kwesikhumba sakho kunye neentso.

Istoma sakho senziwe ngenxalenye yamathumbu akho amancinci abizwa ngokuba yiileum. I-ureters yakho iqhotyoshelwe esiphelweni seqhekeza elincinci leileum yakho. Elinye icala liba yistoma kwaye litsalwe kulusu lwesisu sakho.

I-stoma ithambe kakhulu. I-stoma esempilweni ibomvu-bupinki kwaye ifumile. Istoma sakho kufuneka sinamathele kancinane kulusu lwakho. Kuqhelekile ukubona i-mucus encinci. Amabala egazi okanye inani elincinci lokopha kwigazi lakho liqhelekile.

Awunakuze unamathele nantoni na kwi-stoma yakho, ngaphandle kokuba umboneleli wakho wezempilo ukuxelela.

Isiseko sakho asinasiphelo semithambo-luvo, ke ngekhe ube nakho ukuziva xa kukho into eyichukumisayo. Awuyi kuziva ukuba unqunyulwe okanye ukhutshiwe. Kodwa uya kubona umgca omthubi okanye omhlophe kwi-stoma ukuba ikhutshiwe.

Emva kotyando, ulusu olujikeleze i-stoma yakho kufuneka lubonakale ngathi lwalunjalo ngaphambi kotyando. Eyona ndlela yokukhusela ulusu lwakho yile:

• Sebenzisa ingxowa ye-urostomy okanye isingxobo esinobungakanani obuchanekileyo bokuvula, ke umchamo awupheli
• Ukunyamekela ulusu olujikeleze i-stoma yakho

Ukukukhathalela kwesikhumba kule ndawo:

• Hlamba ulusu lwakho ngamanzi ashushu kwaye wome kakuhle ngaphambi kokuba uncamathisele isingxobo.
• Gwema iimveliso zokhathalelo lolusu eziqulethe utywala. Oku kunokwenza ulusu lwakho lome kakhulu.
• Sukusebenzisa iimveliso kulusu olujikeleze i-stoma yakho equlathe ioyile. Oku kunokwenza kube nzima ukuncamathisela isingxobo kulusu lwakho.
• Sebenzisa iimveliso zokhathalelo lolusu ezikhethekileyo. Oku kuyakwenza iingxaki kulusu lwakho kunqabile.

Qiniseka ukuba uphatha naluphi na umbala obomvu wolusu okanye utshintsho lolusu kwangoko, xa ingxaki incinci. Sukuvumela indawo yengxaki ukuba ibe nkulu okanye icaphuke ngakumbi ngaphambi kokuba ubuze umboneleli wakho ngayo.

Ulusu olujikeleze i-stoma yakho lunokuba novakalelo kwizixhobo ozisebenzisayo, ezinje ngesithintelo solusu, iteyiphu, ukubambelela, okanye isingxobo uqobo. Oku kunokwenzeka kancinci ngokuhamba kwexesha kwaye kungenzeki iiveki, iinyanga, okanye iminyaka emva kokusebenzisa imveliso.

Ukuba uneenwele kulusu lwakho olujikeleze istoma sakho, ukuzisusa kunokunceda isingxobo ukuba sihlale sikhuselekile.

• Sebenzisa isikere sokucheba, isichebi sombane, okanye unyango lwe-laser ukususa iinwele.
• Sukusebenzisa i-edge ethe tye okanye ukhuseleko.
• Lumka ukhusele i-stoma yakho ukuba ususa iinwele kuyo.

Fowunela umnikezeli wakho ukuba uphawula naluphi na olu tshintsho kwi-stoma yakho okanye kulusu olujikelezileyo.

Ukuba istoma sakho:

• Imfusa, ngwevu, okanye mnyama
• Inevumba elibi
• Yomile
• Ukukhupha kude nolusu
• Ukuvula kuba mkhulu ngokwaneleyo ukuba amathumbu akho angene kuwo
• Inqanaba lolusu okanye linzulu
• Ukutyhala kude nolusu kwaye kukhe kube nde
• Ukuvulwa kolusu kuya kuncipha

Ukuba ulusu olujikeleze isigxina sakho:

• Ukutsala umva
• Ubomvu
• Ibuhlungu
• Ukutsha
• Ukudumba
• Ukopha
• Ukucoca ulwelo
• Ukurhawuzelela
• Unamaqhuma amhlophe, angwevu, ansundu, okanye mnyama, kuwo
• Inamaqhuma ajikeleze ifollicle yeenwele ezele bubofu
• Inezilonda ezinemiphetho engalinganiyo

Biza kwakhona ukuba:

• Unemveliso encinci yomchamo kunesiqhelo
• Ifiva
• Intlungu
• Unayo nayiphi na imibuzo okanye inkxalabo malunga ne-stoma okanye ulusu

Ukunyamekela i-Ostomy - urostomy; Ukuphambukisa Urinary - urostomy stoma; Icystectomy - urostomy stoma; Ileal conduit

Umbutho waseMelika woMhlaza. Isikhokelo se-Urostomy. www.cancer.org/treatment/treatment-and-side-effects/physical-side-effects/ostomies/urostomy.html. Ukuhlaziywa ngo-Okthobha 16, 2019. Ifikeleleke ngo-Agasti 25, 2020.

UDeCastro GJ, uMcKiernan JM, uBenson MC. Ilizwekazi elinqamlezileyo ukuphambukiswa komchamo. Ku: UPartin AW, uDmochowski RR, uKavoussi LR, uPeter CA, ii-eds. UCampbell-Walsh Urology. Umhla we-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 140.

ILyon CC. Unonophelo lweStoma. Ku: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, ii-eds. Unyango lwezifo zolusu: Amacandelo oBuchule oNyango. Umhla we-5. IPhiladelphia, PA: Elsevier; I-2018: isahluko 233.

• Umhlaza wesinyi
• Izifo zesinyi
• Ostomy