Abantu abaningi bacabanga ukuthi i-ostomy isho indoda engakwazi ukulala naye
Omunye wabantu abaningi abathinta abantu abanezifo zesifo sofuba (i-IBD) okungenzeka babe nokuhlinzwa kwesisu, ikakhulukazi ukuhlinzwa kwe-colostomy ne-ileostomy, ukuthi kuyoba nomthelela kanjani endaweni yesisu. Abesifazane bavame ukukhathazeka ngokukwazi ukukhulelwa nokubeletha, futhi kunanoma yikuphi ukulimala okungase kube nakho ezithombeni zabo zokuzala. Amadoda avame ukukhathazeka ngokusemandleni okuba namandla (ikhono lokugcina i-erection) kanye nekhono lokubeletha izingane.
Ukuhlinzwa kwamathumbu kwe-IBD nezinye izimo kuye kwaqhubeka kakhulu eminyakeni. Inengozi enkulu yokuthuthukisa izinkinga zobulili ngemuva kokuhlinzeka nge-colostomy kulamadoda asebenze ukuhlinza umdlavuza we-rectal. Amadoda ane-ostomy ukuhlinzwa ukuphatha i-IBD inengozi ephansi kakhulu yezinkinga. Lona yindawo engacwaningwa kahle, yize ithazamisa isidingo esisisekelo somuntu esithinta kakhulu izinga lempilo. Izindaba ezinhle ukuthi ngisho noma ukuhlukunyezwa ngokocansi kwenzeka, kunezindlela zokwelapha ezitholakalayo. Ngisho noma isihloko singaba namahloni, ukukhuluma ngakho nabasebenzi bezempilo kungabangela ukuthola usizo nokuxazulula inkinga, kungakhathaliseki ukuthi kuyinkinga yesithombe somzimba ejwayelekile kubantu abane-IBD noma e-erectile ukungasebenzi.
Okwenza Ukuhlinza Ostomy Kungenziwa
I-Colostomy ne ileostomy yizinhlobo ezimbili ze-ostomy ukuhlinzwa okwenziwe ukuphatha isifo sikaCrohn. Ukwelashwa kwe-Ostomy kusetshenziselwa ukuphatha ezinye izinhlobo zesifo sokugaya, kuhlanganise nomdlavuza wekolon kanye ne-diverticulitis.
Ukuze uhlinzekwe yi-ulcerative colitis, ukuhlinzwa kuphela kwe-ileostomy kwenziwa njengokwelapha.
Izindaba ezinhle ukuthi ukuhlinzeka nge-ostomy akubangeli ngaso sonke isikhathi ukungabi namandla emadodeni. Izitho zangasese aziphathwe ngokuqondile yizi zindlela zokuhlinzwa ezisebenzisela ukwelapha isifo sokugaya. Noma kunjalo, ukungabi namandla kuyingozi kulolu hlobo lokuhlinzwa kwesisu, ikakhulukazi ekuhlinzekeni okubanzi okwenziwe ukwelapha umdlavuza.
Ukuntula amandla amandla kuvame kakhulu emva kokuhlinzwa kwe- colostomy kunokuba kwenziwe ukuhlinzwa kwe-ileostomy.
Lapho Ukungapheleli Kungenzeka
Ngeshwa, kukhona ucwaningo oluthile ngemiphumela yocansi ye-ostomy ukuhlinzwa ngeziguli ezine-IBD. Kodwa-ke, umbiko owodwa oshicilelwe ubonisa ukuthi izinga lokuntuleka kwemali liphansi - okungenzeka liphakathi kuka-2% no-4%.
Amanye amadoda angase abe nokuphelelwa amandla okwesikhashana ngemuva kokuhlinzwa okwe-ostomy. Kwezinye izimo, izizathu zalokhu zingase zingabonakali ekuqaleni, futhi ukuthola ukuxilongwa okufanele kungasiza ukuthuthukisa umphumela. Ukungabi namandla nakho kungabangela ukukhathazeka okuhlukahlukene okubandakanya isimo somzimba ompofu kanye nobunzima obukhulu ekubuyiseleni ekuhlinzekeni. Ukuxubungula kusuka ekuhlinzekeni kungathatha isikhathi esithile, futhi noma yikuphi ukucindezeleka kungase kubambezele ukubuyisela futhi ukubuyela ezingeni lokuqala lomsebenzi wocansi.
Kunezinhlobo eziningana zokwelapha ezitholakalayo ezingenamsoco nokungapheli kwesikhashana, kuhlanganise nemithi, izimila ze-penile, kanye nokweluleka. Ukwelashwa okusetshenzisiwe kuzoxhomeka ekutheni umuntu ongenakho amandla.
Indlela Yokukhuluma Nodokotela Wakho
Umsebenzi wobulili ngokuqinisekile uyinselele ukuqala ukuxoxa nomuntu. Odokotela bangase bangazibuza ngezinkinga zocansi ngemuva kokuhlinzwa kwe-ostomy, beshiya isiguli ukuba sikhule.
Isu elilodwa ukuloba imibuzo ephepheni noma ukuthumela nge-imeyili noma umbhalo ukuze baphendule. Ukuba nomlingani ukuvakashelwa odokotela kuyinto evamile futhi kuyasiza kakhulu uma kuziwa ekukhunjweni kolwazi emva kwalokho, kepha uma lokho kungabangela ukujabha okukhulu, ukuvakashelwa ngedwa nodokotela kungase kusebenze kangcono. Ukucela ukudluliselwa kudokotela osebenza ngokukhethekile ekusebenzeni okungenayo erectile noma izinkinga zocansi kungasiza, njengoba laba odokotela bebhekana nale ndaba usuku lonke, futhi kungase kube lula ukukhuluma nabo.
Kungaba ingxoxo enzima, kodwa ngokushesha inkinga ikhutshwe, ngokushesha ingakhululwa futhi izinga lokuphila, kuhlanganise nokuthokozisa ngokobulili, lungathuthukiswa.
Imithombo:
UChristensen B. "Izifo Zezifo Ezivuthayo nokukhubazeka Ngokocansi." I-Gastroenterol Hepatol (NY). 2014 Jan; 10 (1): 53-55.
Hollister. "Uthando Nocansi." Hollister Global. 2013.
I-National Digestive Diseases Information Clearinghouse. " Amaqiniso Namaqiniso Ngezifo Zokugaya ." Izikhungo zezempilo zikazwelonke. Apr 2000.
J. Wittenauer "Ukunakekela Ostomy Patient." Isikhungo Sikazwelonke Semfundo Eqhubekayo. 2007. [PDF]