Ileostomy: yintoni, yintoni kunye nokhathalelo

Umxholo

• Yenzelwe ntoni
• Unonophelo emva kwe-ileostomy

Ileostomy luhlobo lwenkqubo apho unxibelelwano lwenziwa khona phakathi kwamathumbu amancinci kunye nodonga lwesisu ukwenzela ukuvumela ilindle kunye neegesi ukuba zisuswe xa zingenakudlula emathunjini amakhulu ngenxa yesifo, zijoliswe kwingxowa efanelekileyo umzimba.

Le nkqubo ihlala iqhutywa emva kotyando kwinkqubo yokwetyisa, ngakumbi kwimeko yomhlaza emathunjini, isifo sokukrala kwezilonda kunye nesifo sikaCrohn, umzekelo, kwaye inokuba yeyethutyana okanye isigxina, ibalulekile, kuzo zombini ezi meko, ukuba umntu une ukhathalelo oluyimfuneko ukuthintela usulelo lolusu kunye nokucaphuka.

Yenzelwe ntoni

I-ileostomy isebenza ukuhambisa kwakhona ukuhamba kwamathumbu amancinci xa ithumbu elikhulu litshintshile, kubonisiwe ikakhulu emva kotyando ukunyanga umhlaza emathunjini okanye kwi-rectum, ulcerative colitis, isifo sikaCrohn, diverticulitis okanye ukubola esiswini. Yiyo loo nto ilindle kunye neegesi zijolise kwingxowa yokuqokelela ehambelana nomzimba kwaye efuna ukutshintshwa rhoqo.

Emathunjini kukho ukufunxwa kwamanzi kunye nokusebenza kwamagciwane okuyinxalenye ye-microbiota yamathumbu, ishiya ilindle ngokutya okungaphezulu kunye nokuqina okuqinileyo. Ke, kwimeko ye-ileostomy, njengoko kungekho ndlela idlula emathunjini amakhulu, ilindle linamanzi kakhulu kwaye line asidi, enokubangela ulusu oluninzi.

Ileostomy luhlobo lwe-ostomy, oluhambelana nenkqubo yotyando ejolise ekunxibelelaniseni ilungu kwindawo engaphandle kwaye, kule meko, amathumbu amancinci eludongeni lwesisu. Njengomphumo wale nkqubo, i-stoma iyakhiwa, ehambelana nendawo yesikhumba apho uxhulumaniso lwenziwe khona, olunokusisigxina, xa kuqinisekisiwe ukuba akukho nokwenzeka yokugcina umsebenzi oqhelekileyo wamathumbu, okanye okwethutyana, apho lihlala lide ithumbu libuye.

Unonophelo emva kwe-ileostomy

Unonophelo oluphambili emva kokuba ileostomy inxulumene nesingxobo kunye ne-stoma, ukuthintela ukudumba kunye nosulelo kwindawo. Ke, kubalulekile ukuba ibhegi ye-ileostomy itshintshwe rhoqo, ngakumbi xa ifikelela kwi-1/3 yomthamo wayo omkhulu, ukunqanda ukuvuza, kwaye imixholo kufuneka iphoswe kwindlu yangasese kwaye ibhegi ilahlwe ukuthintela usulelo. Nangona kunjalo, ezinye iibhegi ziyaphinda zisetyenziswe, ke kubalulekile ukuba umntu alandele imiyalelo yokubulala iintsholongwane.

Ukuthintela ukucaphuka okukhulu kulusu ngenxa yobumuncu bezitulo, kubalulekile ukuba ukuvulwa kwesingxobo kubungakanani be-stoma, ukuthintela izitulo ezikhutshiweyo ukuba zingadibani nolusu. Ukongeza, nokuba akukho kunxibelelana phakathi komxholo okhutshwe engxoweni kunye nesikhumba, emva kokususa ibhegi kubalulekile ukucoca ummandla kunye ne-stoma kakuhle, ngokwemiyalelo yomongikazi, yome ulusu kakuhle kwaye ubeke enye ibhegi ivuliwe.

Ingabonakaliswa ngugqirha ukuba asebenzise isitshizi okanye ioyile yokhuselo, ethintela ulusu olucaphukisayo olubangelwa ngumxholo okhutshwe kwi-ileostomy. Kukwabalulekile ukuba umntu asele amanzi amaninzi emini, kuba kukho umngcipheko omkhulu wokuphelelwa ngamanzi emzimbeni, kuba ilindle lilulwelo kakhulu kwaye akukho kubuyiselwa kwamanzi ngumzimba ngenxa yokuba ilindle dlula emathunjini amakhulu.

Bona ezinye iinkcukacha kukhathalelo emva kwe-ileostomy.