Konke malunga nokufakelwa kwamathumbu

Umxholo

• Xa kunyanzelekile
• Kwenziwa njani
• Kunjani kwakhona ukufakelwa
• Izizathu ezinokubangela

Ukufakelwa kwesisu luhlobo lotyando apho ugqirha athatha indawo yamathumbu amancinci agulayo omntu kunye namathumbu aphilileyo avela kulowo unikelayo. Ngokubanzi, olu hlobo lofakelo luyimfuneko xa kukho ingxaki enkulu emathunjini, ethintela ukufunxeka ngokuchanekileyo kwezakhamzimba okanye xa ithumbu lingasabonisi naluphi na uhlobo lokuhamba, lubeka ubomi bomntu emngciphekweni.

Oku kufakelwa kuxhaphake kakhulu ebantwaneni, ngenxa yokukhubazeka kokuzalwa, kodwa kunokwenziwa nakwabadala ngenxa yesifo sikaCrohn okanye umhlaza, umzekelo, ngokuchaseneyo kuphela emva kweminyaka engama-60, ngenxa yomngcipheko omkhulu wotyando.

Xa kunyanzelekile

Ukufakelwa kwamathumbu emathunjini kwenziwa xa kukho ingxaki ethintela ukusebenza kakuhle kwamathumbu amancinci kwaye, ke, izondlo azifunxwa kakuhle.

Ngokubanzi, kwezi meko, kunokwenzeka ukuba umntu ondliwe ngokutya kwabazali, okubandakanya ukubonelela ngezondlo eziyimfuneko ebomini ngomthambo. Nangona kunjalo, oku akunakuba sisisombululo kuye wonke umntu, njengeengxaki ezinje:

• Ukusilela kwesibindi okubangelwa sisondlo sabazali;
• Ukosuleleka rhoqo kwe-catheter esetyenziselwa isondlo se-parenteral;
• Ukulimala kwemithambo kusetyenziselwa ukufaka i-catheter.

Kule meko, ekuphela kwendlela yokugcina ukutya okwaneleyo kukufakwa amathumbu amancinci esempilweni, ukuze ubuyisele umsebenzi walowo ugulayo.

Kwenziwa njani

Ukufakelwa kwamathumbu emathunjini yinto enzima kakhulu engathatha iiyure eziyi-8 ukuya kwezi-10 kwaye kufuneka yenziwe esibhedlele nge-anesthesia jikelele. Ngexesha lotyando, ugqirha ususa ithumbu elichaphazelekayo aze abeke amathumbu asempilweni endaweni.

Okokugqibela, imithambo yegazi idityaniswe namathumbu amatsha, emva koko amathumbu aqhagamshelwe esiswini. Ukugqiba utyando, inxenye yamathumbu amancinci ekufuneka exhunywe emathunjini amakhulu inxibelelene ngqo nolusu lwesisu ukwenza ileostomy, ekuthi ngayo ilindle liphume lingene kwingxowa exinge eluswini, ukuze Oogqirha kulula ukuvavanya inkqubela phambili yokufakelwa, kujongwa kwiimpawu zesitulo.

Kunjani kwakhona ukufakelwa

Ukubuyiselwa kwimeko yesiqhelo emva kokufakwa kwamathumbu emathunjini kuhlala kuqalwa kwi-ICU, ukuvumela uvavanyo oluqhubekayo lokuba amathumbu amatsha aphilisa njani kwaye nokuba kukho umngcipheko wokwaliwa. Ngeli xesha, kuqhelekile kwiqela lezonyango ukuba lenze iimvavanyo ezahlukeneyo, ezinje ngegazi kunye nee-endoscopy, ukuqinisekisa ukuba unyango lwenzeka ngokufanelekileyo.

Ukuba kukho ukwaliwa kwelungu elitsha, ugqirha unokumisela idosi ephezulu ye-immunosuppressants, iziyobisi ezinciphisa umsebenzi wamajoni omzimba ukukhusela ilungu ukuba lingatshatyalaliswa. Nangona kunjalo, ukuba uphilisa ngokwesiqhelo, ugqirha uyakucela ukutshintshelwa kwiwadi eqhelekileyo, apho iipilisi zentlungu kunye neziyobisi ezikhuselayo ziya kuqhubeka zinikezelwa emthanjeni de kube kuphele ukugqitywa.

Ngokwesiqhelo, emva kweeveki ezi-6 emva kotyando, kunokwenzeka ukuba ubuyele ekhaya, kodwa kwiiveki ezimbalwa kufuneka uye esibhedlele rhoqo kuvavanyo kwaye uqhubeke nokuvavanya ukusebenza kwethumbu elitsha. Ekhaya, kuyakufuneka uhlale uhlala uthatha iziyobisi ezikhuselayo ukuya kubomi bakho bonke.

Izizathu ezinokubangela

Ezinye zezinto ezinokubangela ukungasebenzi kakuhle kwamathumbu kwaye, ngenxa yoko, ukusebenza kokufakwa kwamathumbu kubandakanya:

• Isifo esifutshane esifutshane;
• Umhlaza wamathumbu;
• Isifo sikaCrohn;
• Isifo sikaGardner;
• Iziphene ezinzulu zokuzalwa;
• Ischemia yamathumbu.

Nangona kunjalo, ayingabo bonke abantu abanezi zizathu abanokuthi benze utyando kwaye, ke, kuyimfuneko ukwenza uvavanyo phambi kotyando apho ugqirha ayalela iimvavanyo ezininzi ezinje nge-X-reyi, i-CT scan okanye uvavanyo lwegazi. Ezinye zezinto ezichaseneyo zibandakanya umhlaza osele usasazeke kwamanye amalungu omzimba, ezinye izifo ezinzulu zempilo, kunye nobudala obungaphezulu kwama-60, umzekelo.