IColostomy
IColostomy yinkqubo yoqhaqho ezisa isiphelo esinye samathumbu amakhulu ngaphandle kokuvula (stoma) okwenziwe kudonga lwesisu. Ilindle elihamba ngokuntywila emathunjini ngestoma ukuya kwingxowa eqhotyoshelwe esiswini.
Inkqubo ihlala yenziwe emva koku:
- Ukuthengiswa kwamathumbu kwakhona
- Ukwenzakala kwamathumbu
I-colostomy inokuba yexeshana elifutshane okanye esisigxina.
IColostomy yenziwa ngelixa uphantsi kweanesthesia (xa ulele kwaye ungenazintlungu). Inokwenziwa nokuba kusikwe utyando olukhulu esiswini okanye ngekhamera encinci kunye nokusikwa okuncinci (i-laparoscopy).
Uhlobo lwendlela esetyenzisiweyo luxhomekeke ekubeni yeyiphi enye inkqubo ekufuneka yenziwe. Ukusikwa kotyando kuhlala kwenziwa embindini wesisu. Ukuthengiswa ngokutsha kwamathumbu okanye ukulungiswa kwenziwa xa kufuneka njalo.
Kwicolostomy, isiphelo esinye sekholoni esempilweni sikhutshwa ngokuvulwa okwenziwe eludongeni lwesisu, ngesiqhelo kwicala lasekhohlo. Imiphetho yamathumbu athungelwe kulusu lokuvula. Olu vulo lubizwa ngokuba yi-stoma. Ingxowa ebizwa ngokuba sisixhobo se-stoma ibekwe kwindawo evulekileyo ukuvumela ilindle ukuba lichithe.
I-colostomy yakho inokuba yexesha elifutshane. Ukuba wenza utyando kwinxalenye yamathumbu akho amakhulu, icolostomy ivumela elinye icala lamathumbu akho ukuba liphumle ngelixa uphinde wachacha. Nje ukuba umzimba wakho uchache ngokupheleleyo kuqhaqho lokuqala, uya kuba nolunye utyando ukuphinda unxibelelanise iziphelo zamathumbu amakhulu. Oku kudla ngokwenziwa emva kweeveki ezili-12.
Izizathu zokwenza i-colostomy zibandakanya:
- Usulelo lwesisu, njenge-diverticulitis okanye i-abscess.
- Ukulimala kwikholoni okanye kwi-rectum (umzekelo, inxeba lokudubula).
- Ukuvaleka ngokuyinxalenye okanye okupheleleyo kwesisu esikhulu (isithintelo samathumbu).
- Umhlaza obonakalayo okanye womhlaza.
- Amanxeba okanye i-fistula kwi-perineum. Indawo phakathi kwe-anus kunye ne-vulva (abafazi) okanye i-anus kunye ne-scrotum (amadoda).
Umngcipheko we-anesthesia kunye notyando ngokubanzi kubandakanya:
- Ukuphendula kumayeza, iingxaki zokuphefumla
- Ukopha, amahlwili egazi, usulelo
Iingozi ze-colostomy zibandakanya:
- Ukopha ngaphakathi esiswini sakho
- Ukonakala kwamalungu akufutshane
- Ukuphuhliswa kwe-hernia kwindawo yokusika kotyando
- Amathumbu aphuma kwi-stoma ngaphezulu kunokuba kufanelekile (ukubola kwecolostomy)
- Ukunciphisa okanye ukuvala ukuvulwa kwe-colostomy (stoma)
- Izicubu ezibomvu ezakha esiswini kwaye zibangele ukuvaleka kwamathumbu emathunjini
- Ukukhathazeka kwesikhumba
- Ukuvuleka kwenxeba
Uya kuba sesibhedlele iintsuku ezi-3 ukuya kwezi-7. Kuya kufuneka uhlale ixesha elide ukuba i-colostomy yenziwe njengenkqubo engxamisekileyo.
Uya kuvunyelwa ukuba ubuyele kancinci kancinci kwindlela otya ngayo yesiqhelo:
- Ngemini enye njengoqhaqho lwakho, uya kuba nakho ukuncancisa iitshipsi zomkhenkce ukunciphisa ukoma kwakho.
- Ngosuku olulandelayo, uya kuvunyelwa ukuba usele ulwelo olucacileyo.
- Ulwelo olutyebileyo kunye nokutya okuthambileyo kuya kongezwa njengoko izibilini zakho ziqala ukusebenza kwakhona. Unokutya ngesiqhelo kwiintsuku ezi-2 emva kotyando.
I-colostomy idonsa isitulo (ilindle) ukusuka kwikholoni iye kwingxowa yecostostomy. Isitulo seColostomy sihlala sithambile kwaye sinamanzi ngaphezu kwesitulo esidluliswa ngesiqhelo. Ubume besitulo buxhomekeke ekubeni leliphi icandelo lamathumbu elalisetyenziselwa ukwenza icolostomy.
Ngaphambi kokuba ukhululwe esibhedlele, umongikazi we-ostomy uya kukufundisa malunga nokutya kunye nendlela yokunyamekela i-colostomy yakho.
Amathumbu ukuvulwa - ukuyilwa stoma; Ukuhlinzwa kwamathumbu - ukudala i-colostomy; Icolectomy - icostostomy; Umhlaza Colon - colostomy; Umhlaza obonakalayo - i-colostomy; Diverticulitis - icolostomy
- Ukuthengiswa kwakhona okukhulu kwamathumbu - ukukhutshwa
- IColostomy-Uthotho
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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: Isiseko sebhayiloji yoQeqesho lwangoku. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 51.
URuss AJ, Delaney CP. Ukudlula okungafakwanga. Ku: Fazio iLate VW, iCawa JM, Delaney CP, Kiran RP, eds. Unyango lwangoku kwiColon kunye noPhando oluSebenzayo. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; I-2017: isahluko 22