Yenzelwe ntoni kwaye uyinyamekela njani ibhegi yecostostomy

Umxholo

• Xa i-colostomy iboniswa
• Uyinyamekela njani ibhegi yecostostomy
• Kufuneka itshintshwe nini ingxowa?
• Ngaba kukhuselekile ukusebenzisa ibhegi yonke imihla?
• Ungayinyamekela njani ulusu olujikeleze icolostomy
• Ukutya kufanele ukuba njani

IColostomy luhlobo lwe-ostomy oluquka unxibelelwano lwamathumbu amakhulu ngqo eludongeni lwesisu, ukuvumela ilindle ukuba libalekele engxoweni, xa ithumbu lingenakudityaniswa kwi-anus. Oku kuhlala kwenzeka emva kotyando ukunyanga iingxaki zamathumbu, ezinje ngomhlaza okanye i-diverticulitis, umzekelo.

Nangona uninzi lwee-colostomies zezokwexeshana, njengoko zihlala zisetyenziselwa ukunyanga amathumbu emva kotyando, ezinye zingagcinwa ubomi, ngakumbi xa kunyanzelekile ukuba kususwe indawo enkulu kakhulu yamathumbu, engavumeli ukuba ibuye ukuqhagamshela kwi-anus.

Emva kotyando lwe-colostomy, kuqhelekile ukuba indawo eluswini apho bekunamathele khona amathumbu, eyaziwa ngokuba yi-stoma, ukuba bomvu kakhulu kwaye idumbe, njengoko amathumbu enzakele, nangona kunjalo, le miqondiso iyakuncipha kwiveki yokuqala ngonyango yenziwe ngumongikazi.

Xa i-colostomy iboniswa

I-Colostomy iboniswa ngugqirha xa utshintsho kumathumbu amakhulu luchongiwe ukuze ilindle lingasuswa ngokuchanekileyo ngumngxuma. Ke, i-colostomy iboniswa emva kotyando lomhlaza wamathumbu, i-diverticulitis okanye isifo sikaCrohn.

Kuxhomekeke kwinxalenye yamathumbu amakhulu achaphazelekayo, ukunyuka, ukuhla okanye ukwehla kwecostostomy kunokwenziwa, kwaye inokuba yeyethutyana okanye ichaze, apho icandelo elichaphazelekayo lamathumbu lisuswe ngokusisigxina.

Njengoko i-colostomy yenziwa emathunjini amakhulu, ilindle elikhutshiweyo lihlala lithambile okanye liqinile kwaye alinayo i-asidi njengoko kwenzekayo kwi-ileostomy, apho unxibelelwano phakathi kwamathumbu amancinci kunye nodonga lwesisu lwenziwa. Funda ngakumbi malunga neileostomy.

Uyinyamekela njani ibhegi yecostostomy

Ukutshintsha ingxowa ye-colostomy kucetyiswa:

1. Susa ibhegi, ususe kancinci ukuze ungonzakalisi ulusu. Ingcebiso elungileyo kukubeka amanzi afudumeleyo kuloo ndawo ukuyinceda ukuba icwecwe ngokulula;
2. Coca i-stoma kunye nolusu olungqongileyo ngelaphu elicocekileyo elicocekileyo elifakwe emanzini ashushu. Akukho mfuneko yokusebenzisa isepha, kodwa ukuba ukhetha, ungasebenzisa isepha engathathi hlangothi, ekufuneka isuswe kakuhle ngamanzi acocekileyo ngaphambi kokubeka ibhegi entsha;
3. Yomise ulusu kakuhle ujikeleze icolostomy ukuvumela ibhegi entsha ukuba inamathele kulusu. Akukhuthazwa ukuba usebenzise nayiphi na ikrimu okanye imveliso kulusu ngaphandle kwengcebiso kagqirha;
4. Sika umngxunya omncinci kwingxowa entsha, ubungakanani obufanayo necolostomy;
5. Cola ibhegi entsha buyela kwindawo echanekileyo.

Iziqulatho zebhegi emdaka kufuneka zibekwe kwindlu yangasese emva koko ibhegi leyo kufuneka iphoswe emgqomeni, nanjengoko ingafuneki ukuba iphinde isetyenziswe kwakhona ngenxa yomngcipheko wokuba nosulelo. Nangona kunjalo, ukuba ibhegi inokuphinda isebenze kwakhona, imiyalelo yomenzi mayilandelwe xa ihlanjwa ngokufanelekileyo kwaye iqinisekise ukuba inentsholongwane.

Kukho ezinye iintlobo zeengxowa ze-colostomy ezineziqwenga ezi-2 kwaye eziququzelela ukususwa kwelindle, kuba isiqwenga esiphethe ibhegi kulusu sihlala sinamathiselwe, ngelixa ingxowa kuphela isusiwe yatshintshwa. Nangona kunjalo, isiqwenga esincamathele eluswini kufuneka sibuyiswe okungenani rhoqo kwiintsuku ezi-2 okanye ezi-3.

Kufuneka itshintshwe nini ingxowa?

Inani lamaxesha isingxobo kufuneka sithathelwe indawo siyahluka ngokuhambelana nokusebenza kwamathumbu, kodwa eyona nto ilungileyo kukuba utshintshiselwano lwenziwa nanini na xa ingxowa i-2/3 igcwele.

Ngaba kukhuselekile ukusebenzisa ibhegi yonke imihla?

Ingxowa yecolostomy inokusetyenziswa ngaphandle kwengxaki kuyo yonke imisebenzi yemihla ngemihla, nokuba kukuhlamba, ukuqubha echibini okanye ukungena elwandle, njengoko amanzi engayichaphazeli inkqubo. Nangona kunjalo, kucetyiswa kuphela ukubuyisela ibhegi ngaphambi kokungena emanzini ngezizathu zempilo.

Abanye abantu banokuziva bengakhululekanga ukusebenzisa ibhegi ngalo lonke ixesha, ke kukho izinto ezincinci, ezifanayo neziciko, ezinokuthi zibekwe kwi-colostomy kwaye zithintele isitulo ukuba sishiye ixesha elithile. Nangona kunjalo, kubalulekile ukwazi kakuhle indlela yokuhamba kwamathumbu ngokwawo ukunqanda ukuqokelelwa kwelindle okugqithisileyo emathunjini.

Ungayinyamekela njani ulusu olujikeleze icolostomy

Eyona ndlela yokuphepha ukucaphuka kolusu ejikeleze icolostomy kukusika ukuvulwa kwengxowa kubungakanani obufanelekileyo, kuba oku kuthintela ilindle ukuba lingadibani ngqo nolusu.

Nangona kunjalo, ezinye izilumkiso ekufuneka zithathiwe kukuhlamba ulusu kakuhle emva kokususa ibhegi nokujonga, ngoncedo lwesipili, ukuba kukho inkunkuma emazantsi e-colostomy.

Ukuba ulusu luyacaphuka kakhulu ekuhambeni kwexesha, kuyacetyiswa ukuba uqhagamshelane nogqirha wesikhumba okanye uthethe nogqirha ophetheyo ukuze usebenzise isithintelo esithile esingathinteli ulusu ekubambeni ingxowa.

Ukutya kufanele ukuba njani

Umntu ngamnye uphendula ngendlela eyahlukileyo kukutya, kwaye kubalulekile ukuba wazi ukutya okudala ukuphazamiseka njengokuqhinwa, ivumba elomeleleyo kunye neegesi. Ukulungiselela le nto, kuya kufuneka uzame ukutya okutsha ngesixa esincinci, ujonge iimpembelelo ezizibangela kwicolostomy.

Ngokubanzi, kunokwenzeka ukuba ube nokutya okuqhelekileyo, kodwa umntu kufuneka abenolwazi malunga nokutya okuthile okunokubonisa ukubonakala kweengxaki zamathumbu, ezinje:

Ukutya ekufuneka kutyiwe ukunceda ukunganciphisi ivumba lelindle zezi: iminqathe, ichayote, ispinatshi, ingqolowa, i-yogurt ecolekileyo, i-curd epheleleyo ngaphandle kwe-whey, i-parsley egalelwe okanye iti yeseleri, i-apile, i-mint kunye ne-peel tea kunye negqabi legqaza.

Ukongeza, kubalulekile ukukhumbula ukuba ukutsiba ukutya kunye nokungatyi ixesha elide akukuthinteli ukuveliswa kweegesi, kwaye kufuneka utye rhoqo ukuphucula ukusebenza kwe-colostomy.