Ileostomy

Iileostomy isetyenziselwa ukukhupha inkunkuma ngaphandle komzimba. Olu tyando lwenziwa xa ikholoni okanye i-rectum ingasebenzi kakuhle.

Igama "ileostomy" livela kumagama "ileum" kunye "stoma." Iiley yakho yeyona ndawo iphantsi emathunjini akho amancinci. "Stoma" kuthetha "ukuvula." Ukwenza i-ileostomy, ugqirha wotyando wenza ukuvula eludongeni lwesisu sakho kwaye azise isiphelo se-ileum ngokuvula. I-ileum emva koko incamathele kulusu.

Ngaphambi kokuba utyando lwenze i-ileostomy, unokuhlinzwa ukuze ususe yonke ikholoni kunye ne-rectum, okanye nje inxalenye yamathumbu akho amancinci.

Olu tyando lubandakanya:

• Ukuthengiswa kwakhona kwamathumbu amancinci
• I-colectomy yesisu sisonke
• Iproctocolectomy iyonke

I-ileostomy inokusetyenziselwa ixesha elifutshane okanye ixesha elide.

Xa i-ileostomy yakho yeyokwexeshana, ihlala ithetha ukuba onke amathumbu akho makhulu asuswe. Nangona kunjalo, ubuncinci ubuncinci benxalenye yerektum yakho. Ukuba uqhaqho kwinxalenye yamathumbu akho amakhulu, umboneleli wakho wezempilo unokufuna ukuba intsalela yamathumbu akho aphumle okwethutyana. Uya kusebenzisa ileostomy ngelixa uphilayo kolu tyando. Xa ungayifuni kwakhona, uya kuphinda wenze olunye utyando. Olu tyando luyakwenziwa ukuze kuqhotyoshelwe iphela amathumbu amancinci. Awusayi kuyidinga ileostomy emva koku.

Kuya kufuneka uyisebenzise ixesha elide ukuba onke amathumbu akho amakhulu kunye neer rectum zisusiwe.

Ukwenza i-ileostomy, ugqirha wotyando wenza ukusika okuncinci eludongeni lwesisu sakho. Inxalenye yamathumbu akho amancinci ekude esiswini sakho iyaziswa kwaye isetyenziselwa ukuvula. Oku kubizwa ngokuba yi-stoma. Xa ujonga i-stoma yakho, ujonge ulusu lwamathumbu akho. Ijongeka ngathi ingaphakathi esidleleni sakho.

Ngamanye amaxesha, i-ileostomy yenziwa njengenyathelo lokuqala lokwenza i-ileal anal reservoir (ebizwa ngokuba yi-J-poch).

Ileostomy yenziwa xa iingxaki zamathumbu akho amakhulu zinokunyangwa kuphela ngotyando.

Zininzi iingxaki ezinokukhokelela kwisidingo solu tyando. Ezinye zezi:

• Isifo samathumbu esivuthayo (ulcerative colitis okanye isifo seCrohn). Esi sesona sizathu siqhelekileyo solu tyando.
• Umhlaza okanye umhlaza we-rectal
• I-polyposis eqhelekileyo
• Iziphene zokuzalwa ezibandakanya amathumbu akho
• Ingozi eyonakalisa amathumbu akho okanye olunye uxinzelelo lwamathumbu

Thetha nomboneleli wakho malunga nale mingcipheko kunye neengxaki.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Impendulo kumayeza
• Iingxaki zokuphefumla
• Ukopha, amahlwili egazi
• Usulelo

Iingozi zolu tyando zezi:

• Ukopha ngaphakathi esiswini sakho
• Ukonakala kwamalungu akufutshane
• Ukuphelelwa ngamanzi emzimbeni (ukungabikho kolwelo olwaneleyo emzimbeni wakho) ukuba kukho amanzi amaninzi avela kwi-ileostomy yakho
• Ubunzima bokufunxa izondlo ezifunekayo ekutyeni
• Usulelo, kubandakanywa nemiphunga, umchamo, okanye isisu
• Ukuphilisa kakubi kwesilonda kwi-perineum yakho (ukuba i-rectum yakho isuswe)
• Izicubu ezibomvu esiswini sakho ezibangela ukuvaleka kwamathumbu amancinci
• Ukuvuleka kwenxeba

Soloko uxelela umboneleli wakho ukuba ngawaphi amayeza owathabathayo, nditsho amayeza, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.

Ngaphambi kotyando lwakho, thetha nomboneleli wakho ngezi zinto zilandelayo:

• Ukusondelelana kunye nokwabelana ngesondo
• Ukukhulelwa
• Imidlalo
• Umsebenzi

Ngexesha leeveki ezi-2 ngaphambi kotyando lwakho:

• Kwiiveki ezimbini ngaphambi kotyando, unokucelwa ukuba uyeke ukuthatha iziyobisi ezenza kube nzima kwigazi lakho ukuba lijiye. Oku kubandakanya iasprini, ibuprofen (Advil, Motrin), Naprosyn (Aleve, Naproxen) kunye nezinye.
• Buza umboneleli wakho ukuba zeziphi iziyobisi omele uzithathe ngosuku lotyando lwakho.
• Ukuba uyatshaya, zama ukuyeka. Cela uncedo kumboneleli wakho.
• Soloko umboneleli wakho ekwazi malunga nokubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, okanye esinye isigulo onokuba naso ngaphambi kotyando.

Usuku ngaphambi kokuhlinzwa kwakho:

• Unokucelwa ukuba usele kuphela ulwelo olucacileyo olufana nomhluzi, ijusi ecacileyo, kunye namanzi emva kwexesha elithile.
• Umboneleli wakho uya kukuxelela ukuba uyeke nini ukutya nokusela.
• Umboneleli wakho unokucela ukuba usebenzise i-enemas okanye i-laxatives ukucoca amathumbu akho.

Ngomhla wotyando lwakho:

• Thatha la mayeza waxelelwa ukuba uthathe ngesiphuzo esincinci samanzi.
• Uzakuxelelwa ukuba ufike nini esibhedlele.

Uya kuba sesibhedlele iintsuku ezi-3 ukuya kwezi-7. Kuya kufuneka uhlale ixesha elide ukuba i-ileostomy yakho yayikukusebenza okungxamisekileyo.

Unokwazi ukuncancisa iitshipsi zomkhenkce kwangolo suku utyando lwakho ukunciphisa ukunxanwa kwakho. Ngosuku olulandelayo, uya kuvunyelwa ukuba usele ulwelo olucacileyo. Uya kongeza kancinci ulwelo olujiyileyo kwaye emva koko ukutya okuthambileyo kwisidlo sakho njengoko amathumbu akho eqala ukusebenza kwakhona. Unokutya kwakhona kwiintsuku ezimbini emva kotyando lwakho.

Uninzi lwabantu abane-ileostomy bayakwazi ukwenza uninzi lwemisebenzi ababeyenza ngaphambi kotyando lwabo. Oku kubandakanya uninzi lwezemidlalo, ukuhamba, ukwenza igadi, ukunyuka intaba, kunye neminye imisebenzi yangaphandle, kwaye uninzi lweentlobo zomsebenzi.

Ukuba unesifo esinganyangekiyo, esifana nesifo seCrohn okanye isifo sezilonda, unokufuna unyango oluqhubekayo.

Ukungena

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

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

URaza A, Araghizadeh F. Ileostomies, ii-colostomies, iipakethi kunye ne-anastomoses. 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.

UReddy VB, uLongo WE. Ileostomy. Ku: Ewe CJ, ed. Utyando lwe-Shackelford lwe-Alimentary Tract. Ngomhla we-8. IPhiladelphia, PA: Elsevier; 2019: isahl. 84.