Ukunyamekelwa kwesikhumba kunye nokungahambi kakuhle

Umntu ongakwaziyo ukuzibamba akakwazi ukuthintela umchamo kunye nelindle ukuba lingavuzi. Oku kungakhokelela kwingxaki zolusu kufutshane neempundu, ihips, amalungu esini, naphakathi kwe-pelvis kunye ne-rectum (perineum).

Abantu abaneengxaki zokulawula umchamo okanye amathumbu abo (abizwa ngokuba kukungakwazi ukuzibamba) basemngciphekweni weengxaki zolusu. Iindawo zolusu ezichaphazeleke kakhulu zikufutshane neempundu, ihips, amalungu esini, naphakathi kwe-pelvis kunye ne-rectum (perineum).

Ukufuma okungaphezulu kwezi ndawo kubangela iingxaki kulusu njengokubomvu, ukuxobuka, ukucaphuka, kunye nosulelo lwegwele.

Bedsores (izilonda zoxinzelelo) zinokukhula ukuba umntu:

• Khange utye kamnandi (akondlekanga)
• Ndifumene unyango ngemitha kuloo ndawo
• Uchitha ixesha elininzi okanye yonke imini kwisitulo esinamavili, isitulo esiqhelekileyo, okanye ebhedini ngaphandle kokutshintsha indawo

UKUNonophela ulusu

Ukusebenzisa i-diapers kunye nezinye iimveliso kunokwenza iingxaki zesikhumba zibe nzima. Nangona banokugcina izinto zokulala nezokucoceka iimpahla, ezi mveliso zivumela umchamo okanye isitulo ukuba sihlale sihlangana nolusu. Ngokuhamba kwexesha, ulusu luyonakala. Kufuneka kuthathelwe ingqalelo ekhethekileyo ukugcina ulusu lucocekile kwaye lomile. Oku kunokwenziwa ngu:

• Ukucoca nokomisa indawo kwangoko emva kokuchama okanye ukuhamba kwamathumbu.
• Ukucoca ulusu ngesepha ethambileyo, exutywe namanzi emva koko uhlambe kakuhle kwaye ubambe kamnandi.

Sebenzisa izixhobo zokucoca ulusu ezingenasepha ezingabangeli ukoma okanye ukucaphuka. Landela imiyalelo yemveliso. Ezinye iimveliso azidingi kucocwa.

Izithambisi zokuthambisa zinokunceda ukugcina ulusu lufumile. Gwema iimveliso eziqulethe utywala, ezinokucaphukisa ulusu. Ukuba ufumana unyango ngemitha, buza umboneleli wakho ukuba ukhuselekile na ukusebenzisa naziphi na iikhrim okanye into yokuthambisa.

Cinga ukusebenzisa itywina yolusu okanye isithintelo sokufuma. Iikhrimu okanye ioyile equkethe i-zinc oxide, i-lanolin, okanye i-petrolatum zenza umqobo okhuselayo kulusu. Ezinye iimveliso zokhathalelo lolusu, zihlala zikwimo yokutshiza okanye itawuli, zenza ifilimu ecacileyo, ekhuselayo kulusu. Umboneleli unokucebisa iikhrim zokuthintela ukunceda ukukhusela ulusu.

Nokuba ezi mveliso ziyasetyenziswa, ulusu kufuneka lusacocwa rhoqo emva kokudlula komchamo okanye isitulo. Faka isicelo kwakhona kwikrimu okanye kwioyile emva kokucoca kunye nokomisa ulusu.

Iingxaki zokungakwazi ukuzibamba zinokubangela usulelo lwegwele kulusu. Oku kukurhawuzelela, okubomvu, nokungqubana okufana namaqhakuva. Isikhumba sinokuziva siluhlaza. Iimveliso ziyafumaneka ukunyanga usulelo lwegwele:

• Ukuba ulusu lufumile ixesha elininzi, sebenzisa ipowder ngamayeza okubola, njenge-nystatin okanye i-miconazole. Sukusebenzisa umgubo wosana.
• Isithintelo sokufuma okanye uphawu lwesikhumba lunokusetyenziswa ngaphezulu komgubo.
• Ukuba ulusu olunzima luyakhula, jonga umboneleli wakho.
• Ukuba usulelo lwebacteria lwenzeka, amayeza okubulala iintsholongwane asetyenziswa kulusu okanye athathwe ngomlomo anokunceda.

Umbutho weSizwe weLizwekazi (NAFC) unolwazi oluncedo ku-www.nafc.org.

UKUBA ULALELEKILE OKANYE USEBENZISA ISITOLO SEENDLELA

Jonga ulusu kwizilonda zoxinzelelo yonke imihla. Khangela iindawo ezibomvu ezingaguquki zimhlophe xa ucinezelwe. Khangela izilonda, okanye izilonda. Xelela umboneleli ukuba ngaba kukho nawuphi na umjelo onukayo.

Ukutya okusempilweni, okunesondlo okuneekhalori ezaneleyo kunye neeproteni kunceda wena nolusu lwakho nibe sempilweni.

Yabantu ekufuneka behleli ebhedini:

• Sitshintsha isikhundla sakho rhoqo, ubuncinci rhoqo kwiiyure ezimbini
• Guqula amashiti kunye nempahla ngoko nangoko emva kokuba zingcolile
• Sebenzisa izinto ezinokunceda ukunciphisa uxinzelelo, ezinje ngemiqamelo okanye ukugoba amagwebu

Abantu abahamba ngesitulo esinamavili:

• Qinisekisa ukuba isitulo sakho sihambelana ngokufanelekileyo
• Shift ubunzima bakho yonke imizuzu eli-15 ukuya kwengama-20
• Sebenzisa izinto ezinokunceda ukunciphisa uxinzelelo, ezinje ngemiqamelo okanye ukugoba amagwebu

Ukutshaya kuchaphazela ukuphilisa ulusu, ke ukuyeka ukutshaya kubalulekile.

Incontinence - ulusu; Ukungakwazi ukuzibamba - uxinzelelo kakhulu; Incontinence - uxinzelelo isilonda; Ukungakwazi ukuzibamba - ebhedini kakhulu

• Ukuthintela izilonda zoxinzelelo

I-Bliss DZ, i-Mathiason MA, i-Gurvich O, et al, izehlo kunye nokuxela kwangaphambili kokungalawuleki okunxulumene nomonakalo wolusu kubemi bamakhaya abahlengikazi ngokuqala kokungakwazi ukuzibamba. J Inxeba leOstomy Continence nurse. Ngo-2017; 44 (2): 165-171. IINKCUKACHA: 28267124 pubmed.ncbi.nlm.nih.gov/28267124/.

IBoyko TV, iLongaker MT, iYang GP. Ukuphononongwa kolawulo lwangoku lwezilonda zoxinzelelo. Inkqubela phambili kuKhathalelo lweNxeba (iNew Rochelle). 2018; 7 (2): 57-67. IINKCUKACHA: 29392094 pubmed.ncbi.nlm.nih.gov/29392094/.

Kwon R, Rendon JL, Janis JE. Izilonda zoxinzelelo. Ku: Ingoma DH, PC yeNeligan, ii-eds. Utyando lweplastikhi: Umqulu 4: Ubunzulu obusezantsi, iTrunk kunye noBurns. Ngomhla we-4.IPhiladelphia, PA: Elsevier; I-2018: isahluko 16.

IPaige DG, iWakelin SH. Isifo solusu. Ku: Kumar P, Clark M, ii-eds. Kumar kunye neClark's Clinical Medicine. Umhla we-9. IPhiladelphia, PA: Elsevier Saunders; Ngo-2017: isahluko 31.