Yintoni i-Ileostomy?

Umxholo

• Izizathu zokuba neileostomy
• Ukulungiselela ileostomy
• Inkqubo
• Ukufumana kwakhona kwi-ileostomy
• Umngcipheko we-ileostomy
• Umbono wexesha elide

Ileostomy

I-ileostomy luvulo olwenziwe ngotyando oludibanisa i-ileum yakho eludongeni lwesisu. Iileum sisiphelo esezantsi samathumbu akho amancinci. Ngokuvulwa kodonga lwesisu, okanye i-stoma, amathumbu asezantsi athungwa endaweni. Unokunikwa ipokotho oya kuyinxiba ngaphandle. Le ngxowa iya kuqokelela konke ukutya okutyisiweyo.

Le nkqubo yenziwa ukuba i-rectum okanye ikholoni yakho ayinakusebenza ngokufanelekileyo.

Ukuba i-ileostomy yakho yeyokwexeshana, amathumbu akho emathunjini aya kudityaniswa ngaphakathi emzimbeni wakho wakube uphilile.

Nge-ileostomy esisigxina, ugqirha wakho osusayo uyasusa okanye agqithe kwi-rectum, colon kunye ne-anus. Kule meko, uya kuba nengxowa eqokelela ngokusisigxina iimveliso zakho zenkunkuma. Inokuba yeyangaphakathi okanye yangaphandle.

Izizathu zokuba neileostomy

Ukuba unengxaki enkulu yamathumbu engenakuphathwa ngamayeza, unokufuna i-ileostomy. Esinye sezizathu eziqhelekileyo ze-ileostomy sisifo samathumbu esivuthayo (IBD). Ezi zimbini iintlobo zesifo sokukrala kwesifo yiCrohn's disease kunye ne-ulcerative colitis.

Isifo sikaCrohn sinokubandakanya nayiphi na indawo yendlela yokwetyisa, ukusuka emlonyeni ukuya kwi-anus, kubangele ukuvuvukala kwebala ngezilonda kunye nokuqunjelwa.

I-ulcerative colitis ikwanokukrala, izilonda, kunye nokuqhekeka kodwa ibandakanya amathumbu amakhulu kunye ne-rectum.

Abantu abane-IBD bahlala befumana igazi kunye ne-mucus kwisitulo sabo, kunye namava okulahleka kwesisindo, ukutya okunesondlo kunye neentlungu zesisu.

Ezinye iingxaki ezinokufuna ileostomy zibandakanya:

• umhlaza womqala okanye wekolon
• imeko ezuzwe njengelifa ebizwa ngokuba yipolyposis yosapho, apho iipolyps zenza ikholoni ezinokubangela umhlaza
• iziphene zokuzalwa kwamathumbu
• ukwenzakala okanye iingozi ezibandakanya amathumbu
• Isifo sikaHirschsprung

Ukulungiselela ileostomy

Ukufumana ileostomy kuya kukhokelela kutshintsho oluninzi ebomini bakho. Nangona kunjalo, uya kunikwa uqeqesho oluya kwenza ukuba olu tshintsho lube lula. Ungathetha nogqirha wakho malunga nendlela le nkqubo inokuchaphazela ngayo:

• ubomi besondo
• sebenza
• imisebenzi yomzimba
• ukukhulelwa kwangomso

Qinisekisa ukuba ugqirha wakho uyazi ukuba zeziphi izongezo, amayeza, kunye namayeza owathathayo. Amachiza amaninzi achaphazela umsebenzi wamathumbu ngokuwucothisa. Oku kusebenza kwii-counter-counter kunye neyeza zonyango. Ugqirha wakho angakuxelela ukuba uyeke ukuthatha amayeza athile kwiiveki ezimbini ngaphambi kotyando. Tshela ugqirha wakho malunga neemeko onazo, ezinje:

• umkhuhlane
• ebandayo
• ukuqhawuka kwe-herpes
• umkhuhlane

Ukutshaya imidiza kwenza kube nzima ukuba umzimba wakho uphile emva kotyando. Ukuba uyatshaya, zama ukuyeka.

Sela amanzi amaninzi kwaye ugcine ukutya okunempilo kwiiveki ezikhokelela kutyando lwakho.

Landela imiyalelo yoogqirha wakho malunga nokutya kwiintsuku ngaphambi kokuhlinzwa. Ngexesha elithile elimiselweyo, banokukucebisa ukuba utshintshele kulwelo olucocekileyo kuphela. Uya kucetyiswa ukuba ungasebenzisi nantoni na, kubandakanya amanzi, malunga neeyure ezili-12 ngaphambi kotyando.

Ugqirha wakho unokuyalela i-laxatives okanye i-enemas yokukhupha amathumbu akho.

Inkqubo

Iileostomy yenziwa esibhedlele phantsi kweanesthesia ngokubanzi.

Emva kokuba ungazi, ugqirha wakho uya kwenza ukunciphisa umgca wakho ophakathi okanye enze inkqubo ye-laparoscopic usebenzisa ukusika okuncinci kunye nezixhobo ezikhanyisiweyo. Uya kwazi ngaphambi kotyando ukuba yeyiphi indlela ekucetyiswa ngayo imeko yakho. Ngokuxhomekeke kwimeko yakho, ugqirha wakho ugqirha unokufuna ukususa i-rectum kunye nekholoni.

Kukho iintlobo ezahlukeneyo zeileostomies ezisisigxina.

Kwi-ileostomy esemgangathweni, ugqirha wotyando wenza incision encinci eya kuba yindawo ye-ileostomy yakho. Baza kutsala iluphu yeleyile yakho ngokuqanjwa. Eli candelo lamathumbu akho liphendukele ngaphakathi, libonisa umphezulu wangaphakathi. Ithambile kwaye ipinki, njengaphakathi esidleleni. Inxalenye ebambekayo ibizwa ngokuba yi-stoma. Inokuphuma iye kwii-intshi ezimbini.

Abantu abanolu hlobo lwe-ileostomy, ekwabizwa ngokuba yi-Brooke ileostomy, abayi kuba nolawulo xa inkunkuma yabo ingena kungena kwiplastiki yangaphandle.

Olunye uhlobo lwe-ileostomy lilizwekazi, okanye iKock, ileostomy. Ugqirha wakho osebenzisa inxenye yamathumbu akho amancinci ukwenza ingxowa yangaphakathi ene-stoma yangaphandle esebenza njengevalvu. Ezi zithunyelwe eludongeni lwesisu sakho. Amaxesha ambalwa ngemini ufaka ityhubhu eguqukayo nge-stoma nakwingxowa. Ulahla inkunkuma yakho ngale tyhubhu.

Izibonelelo zeKock ileostomy kukuba akukho sikhwama sangaphandle kwaye unokulawula xa ukhupha inkunkuma yakho. Le nkqubo yaziwa ngokuba yinkqubo ye-K-poch. Ihlala iyindlela ekhethiweyo ye-ileostomy kuba ishenxisa imfuneko yesingxobo sangaphandle.

Inkqubo eyahlukileyo, eyaziwa ngokuba yinkqubo ye-J-poch, inokwenziwa ukuba unayo yonke ikholoni kunye ne-rectum isuswe. Kule nkqubo, ugqirha wenza isingxobo sangaphakathi kwi-ileum ethi ke idityaniswe nomsele wangasemva, ikuvumela ukuba ukhuphe inkunkuma yakho ngendlela yesiqhelo ngaphandle kwesidingo se-stoma.

Ukufumana kwakhona kwi-ileostomy

Ngokwesiqhelo uya kuhlala esibhedlele okungenani iintsuku ezintathu.Akuqhelekanga ukuhlala esibhedlele ngeveki okanye nangaphezulu, ngakumbi ukuba i-ileostomy yakho yenziwe phantsi kweemeko ezingxamisekileyo.

Ukutya kwakho kunye nokutya kwakho kuya kuncitshiswa okwexeshana. Ngomhla woqhaqho lwakho, unokufumana kuphela ii-ice chips. Ulwelo olucacileyo luya kuvunyelwa ngosuku lwesibini. Kancinci, uya kuba nakho ukutya ukutya okuqinileyo njengoko izibilini zakho zilungelelanisa notshintsho.

Kwiintsuku zokuqala emva kotyando, unokuba negesi emathunjini egqithisileyo. Oku kuya kuncipha njengoko amathumbu akho ephilisa. Abanye abantu bafumanise ukuba ukwetyisa izidlo ezine ukuya kwezintlanu ngemini kubhetele kunokutya ezintathu ezinkulu. Ugqirha wakho unokucebisa ukuba uphephe ukutya okuthile okwethutyana.

Ngexesha lokuchacha kwakho, nokuba unesingxobo sangaphakathi okanye sangaphandle, uya kuqala ukufunda indlela yokulawula isingxobo esiya kuqokelela inkunkuma yakho. Uya kufunda nokukhathalela i-stoma yakho kunye nolusu olujikelezileyo. I-Enzymes ekukhutsheni kwi-ileostomy yakho inokucaphukisa ulusu lwakho. Uya kudinga ukugcina indawo ye-stoma icocekile kwaye yomile.

Ukuba une-ileostomy, unokufumanisa ukuba kuya kufuneka wenze uhlengahlengiso olukhulu kwindlela ophila ngayo. Abanye abantu bafuna uncedo kwiqela lenkxaso ye-ostomy. Ukudibana nabanye abantu abaye bahlengahlengisa indlela yabo yokuphila emva kolu tyando kwaye bakwazi ukubuyela kwimisebenzi yabo yesiqhelo kunokunciphisa nakuphi na ukuxhalaba onako.

Unokufumana abongikazi abaqeqeshwe ngokukodwa kulawulo lwe-ileostomy. Baza kuqinisekisa ukuba unendlela yokuphila elawulekayo kunye neileostomy yakho.

Umngcipheko we-ileostomy

Naluphi na utyando luzisa umngcipheko. Oku kubandakanya:

• usulelo
• ihlwili legazi
• ukopha
• ukuhlaselwa yintliziyo
• ukubetha
• ubunzima bokuphefumla

Iingozi ezichazwe ngqo kwiileostomies zibandakanya:

• umonakalo kumalungu angqongileyo
• ukopha ngaphakathi
• ukungakwazi ukufunxa izondlo ezaneleyo ekutyeni
• usulelo lomchamo, isisu, okanye usulelo lwemiphunga
• ukuvaleka kwamathumbu ngenxa yezihlunu ezibomvu
• amanxeba aqhekezayo okanye athabatha ixesha elide ukuphola

Unokuba nengxaki ne-stoma yakho. Ukuba ulusu olujikelezileyo luyacaphuka okanye lumanzi, uya kuba nzima ukufumana itywina kunye nengxowa yakho ye-ostomy. Oku kunokubangela ukuvuza. Ugqirha wakho unokumisela isitshizi esinyangiweyo okanye umgubo wokuphilisa olu lusu lucaphukisayo.

Abanye abantu babamba isingxobo sabo sangaphandle kunye nebhanti. Ukuba unxibe ibhanti ngokuqinileyo, inokukhokelela kwizilonda zoxinzelelo.

Uya kuba namaxesha apho kungabikho kuphuma kuza nge-stoma yakho. Nangona kunjalo, ukuba oku kuyaqhubeka ngaphezulu kweeyure ezine ukuya kwezintandathu kwaye uziva unesiyezi okanye uneekram, fowunela ugqirha wakho. Unokuba nokuvalwa kwamathumbu emathunjini.

Abantu abane-ileostomies banokufumana ukungalingani kwe-electrolyte. Oku kwenzeka xa uswele inani elifanelekileyo lezinto ezibalulekileyo egazini lakho, ngakumbi isodiyam ne potassium. Lo mngcipheko uyanda ukuba ulahlekelwa lulwelo oluninzi ngokugabha, ukubila, okanye urhudo. Qiniseka ukuba uzalisa kwakhona amanzi, i-potassium, kunye nesodium.

Umbono wexesha elide

Nje ukuba ufunde ukukhathalela inkqubo yakho entsha yokuphelisa, uya kuba nakho ukuthatha inxaxheba kuninzi lwemisebenzi yakho yesiqhelo. Abantu abaneileostomies:

• qubha
• ukunyuka
• Dlala umdlalo
• yitya kwiivenkile zokutyela
• inkampu
• uhambo
• sebenza kuninzi lwemisebenzi

Ukuphakamisa okunzima kunokuba yingxaki kuba kunokwenza mandundu i-ileostomy yakho. Thetha nogqirha wakho ukuba umsebenzi wakho ufuna ukuphakamisa okunzima.

Ukuba ne-ileostomy akusoloko kuphazamisa ukusebenza ngokwesondo okanye ukubanakho ukuba nabantwana. Isenokufuna ukuba ufundise amaqabane akho owabelana nawo ngesondo, abanokuthi bangaqhelani neileostomies. Kuya kufuneka uxoxe nge-ostomy yakho kunye neqabane lakho ngaphambi kokuba uqhubele kufutshane.