Ukwelashwa ukususa konke noma ingxenye yekoloni ukuphatha isifo sokugaya
Ukwelashwa kwe-Colostomy kungasetshenziswa ukuphatha izimo eziningi zokugaya, kuhlanganise nomdlavuza wekoloni, isifo sikaCrohn, ukuvimbela emathunjini, ukukhubazeka kokubeletha, nokuhlukumeza. Abantu abaningi bangesaba umqondo wokuhlinzwa, kodwa iqiniso liwukuthi livame ukuletha ikhwalithi enkulu yokuphila, yokwandisa impilo yomuntu, noma ngisho nokulondoloza impilo. Ukwelashwa kwe-Colostomy, ngokwemigomo elula, yilapho ingxenye yekoloni isusiwe (ebizwa ngokuthi i- colectomy ) futhi ukuvulwa kudalwa esiswini ukuze kuvumele isitophi sidlule emzimbeni futhi iqoqwe emshini osebenzayo ogqamile esiswini.
Sibutsetelo
I- ostomy iyinhlangano evuliwe ngokuhlinzekwa yilapha yangaphakathi kuya emzimbeni. I-Colostomy, kusukela "koloni" nelithi "ostomy," yilona ukuhlinzeka lapho kuvulwa khona ikoloni (noma umathumbu omkhulu) ngaphandle kwesisu.
Ngesikhathi sokuhlinzwa kwe-colostomy, udokotela ohlinzayo angasusa ingxenye yamakholoni, okuholela ekolonini ibe izingxenye ezimbili ezihlukene (cabanga ukuthi ngabe ingadi engadini ingabukeka kanjani uma ihlukaniswe isigamu). Omunye umkhawulo wekoloni udluliselwa emgodini omncane edongeni lomzimba. Lesi sigaba esincane samathumbu, okuthiwa i- stoma uma singaphandle komzimba, sivumela imfucuza ukuba ihambe emzimbeni ukusuka kolononi. Omunye ukuphela kwekhaloni, ehlanganiswe ne-rectum, kungenzeka isuswe noma ivaliwe nge-sutures futhi ishiye esiswini.
Emva kokuhlinzwa, udoti luqoqwe ngaphandle komzimba nge-ostomy appliance. Imishini ye-ostomy yanamuhla ivela ezinhlobonhlobo zobunjwa, ubukhulu, imibala, kanye nezinto ezihambisanayo ukuze zihambisane nendlela yokuphila yomuntu owenzayo.
Isikhumba nesibindi esiseduze (isikhumba sangaphandle) sidinga ukunakekelwa okhethekile okufundiswa iziguli emva kokuhlinzwa ngumhlengikazi we- enterostomal (ET) .
Isikhathi esingaphambene nesikhashana
I-colostomy ingaba yesikhashana noma ingunaphakade.
I-Colostomy yesikhashana
I-colostomy yesikhashana ingahle isetshenziswe lapho ingxenye yengxenye yamaphaloni (ngokuvamile engxenyeni ephansi) idinga ukuphulukisa, njengokungathi ngemuva kokuhlukunyezwa noma ukuhlinzwa.
Ngemuva kokuthi ikoloni iphilisiwe, i-colostomy ingaguqulwa, ibuyiselwe umsebenzi ojwayelekile.
Ekuguquleni kwe-colostomy, izingxenye zombili zekoloni zixhunyaniswa futhi indawo lapho isitezi sidalwe esiswini kuvaliwe. Amathumbu amakhulu aphinda aphinde aqhubeke emgodini oqhubekayo phakathi kwamathumbu amancane kanye ne-rectum. Ukunyakaza kwesisu kuyaqedwa nge-rectum.
Colostomy Engunaphakade
I-colostomy enomphela (ngezinye izikhathi ebizwa nangokuthi i-colostomy yokuphela) iyadingeka kwezinye izimo, kuhlanganise cishe amaphesenti angu-15 amacala omdlavuza wekoloni. Lolu hlobo lokuhlinza luvame ukusetshenziswa uma irectum idinga ukususwa ngenxa yezifo noma umdlavuza. Iningi lekholoni lingasuswa futhi ingxenye esele isetshenziselwa ukwakha i-stoma.
Izinhlobo Zokuhlinzwa
Kunezinhlobo eziningana ezihlukene zamabala:
Ukukhuphuka
Le colostomy inevula edalwe kusukela ekolon ekhuphuka futhi idalwe ngakwesokudla kwesisu. Ngenxa yokuthi i-stoma idalwe kusukela engxenyeni yokuqala yekoloni, isitoreji esidlula ngesimo se-stoma sinamandla kakhulu futhi iqukethe ama-enzymes okugaya okucasula isikhumba. Lolu hlobo lokuhlinzeka nge-colostomy lungavamile kakhulu.
I-Transverse
Lokhu kuhlinzeka kungabangela ukuvuleka okukodwa noma kokubili kwesisu esisemkhathini, esiphakathi, noma kwesokudla esidalwe kusuka kwikoloni ehamba phambili .
Uma kukhona ukuvuleka kokubili ku-stoma (ebizwa ngokuthi i-colo-barrel colostomy), enye isetshenziselwa ukudlula isitoli kanti enye isetshenziselwa ukudlula i-mucus. I-stool eqedwa nge-stoma iye yadlula kolononi ekhuphukayo, ngakho-ke ijwayele ukuba yi-liquid noma i-semi-form.
Kwehla noma sigmoid
Kulesi ukuhlinzwa, ukwehla noma ikhamoni ye-sigmoid isetshenziselwa ukwakha i-stoma, ngokuvamile kwesisu esiswini esincane. Lona uhlobo oluvame kakhulu lokuhlinzekwa kwe-colostomy futhi ngokuvamile lukhiqiza isitoli esakhiwe ngokusemthethweni ukuze sakhiwe kahle ngoba sidlulile ekoloni ekhuphukayo futhi eguqukayo.
Ukuhlinzwa
Ukuhlinzwa kwe-Colostomy kuyindlela enkulu futhi kuzodinga ukuhlala esibhedlela okungenani izinsuku eziningana namasonto ayisithupha noma ngaphezulu kokuthola ekhaya. Uzothola iziqondiso ezivela kudokotela wakho ohlinzayo ukuthi ungalungisa kanjani ezinsukwini eziholela ekuhlinzekeni kwakho.
Ukulungiselela i-Colostomy Surgery. Uma uthatha ezinye imithi, udokotela wakho ohlinzayo angase akucele ukuthi uxhumane nodokotela odokotela ukuze uthole imiyalelo ngokuqhubeka, ukuyeka, noma ukulungisa umthamo wezidakamizwa ngesikhathi sokuhlinzwa kwakho ne-convalescence.
Kubalulekile ukwenza udokotela ohlinzayo azi yonke imithi njengoba abanye bengavimbela inqubo yokuphulukisa (njenge- prednisone ) noma bahlanganyele nezinye izidakamizwa.
Ungase futhi udinga ukuba nokuhlolwa okuthile okuvamile ngaphambi kokuhlinzwa kwakho, njengokuthi i-x-ray yomzimba nesifuba. Kufanele futhi uhlangane nomhlengikazi we-ET ongakufundisa indlela yokunakekela i-ostomy yakho. Emhlanganweni wokuqala, ungase uxoxe ukuthi izitho zakho zizofakwa kuphi esiswini sakho, yiziphi izinhlobo ozodinga ngokushesha emva kokuhlinzwa, nokuthi ungcono kanjani ukuhambisana ne-ostomy yakho endleleni yakho yokuphila.
Ukwelashwa kwe-Colostomy kuzovame ukudinga isilwane sangasese sokuhlanza ikholoni. Ngosuku noma ezimbili ngaphambi kokuba uhlinzekwe, uzolandela imiyalelo yakho yokuhlinza ukuba ususe zonke izitembu ezivela emathunjini wakho, njengokungathi ulungiselela i-colonoscopy. Lokhu kungafezwa ngokuzila ukudla, ama-enemas, ama-laxatives, noma yiziphi ezinye ze-preps ze-bowel ezifana ne-GoLytely noma i-Phospho Soda, noma ukuhlanganiswa kwalokhu.
Ungabuye ubuzwe ukuthi uthathe ama-antibiotic noma iminye imithi yokuvimbela izifo ngaphambi, ngesikhathi, nangemva kokuhlinzwa.
Esibhedlela. Ngokuqondile ngaphambi kokuhlinzwa uzokwamukela i-IV ukuthola uketshezi nokuzibulala. Ukuhlinzwa ngokwayo kuzohlala amahora amaningana.
Uma uvusa, isikhwama se-colostomy sizoxhunyaniswa nesisu sakho ngesisu sakho esisha futhi ungase ube ne-tubes eyodwa noma ngaphezulu yamanzi.
Ngemva kwesikhathi esithile sokubuyiselwa, uzothunyelwa ekamelweni lakho lesibhedlela uma udokotela enquma ukuthi izimpawu zakho ezibalulekile (ukushaywa umoya, ukucindezeleka kwegazi, ukuphefumula) zizinzile.
Ezinsukwini ezimbalwa zokuqala emva kokuhlinzwa, uzoqhubeka ukuthola imithi yobuhlungu ngokusebenzisa IV yakho. Ngeke uthola ukudla kuze kube yilapho odokotela bezwa imisindo yemilenze esuka esiswini sakho okubonisa ukuthi amathumbu akho "avuka."
Abahlengikazi bakho bangakukhipha embhedeni futhi bemi noma behlezi esihlalweni izinsuku ezimbalwa emva kokuhlinzwa, kuye ngesimo sakho. Ukuma nokuhamba ngokushesha ngangokunokwenzeka kubaluleke kakhulu ohlelweni lokutakula, noma ngabe ngeke lukhululekile ekuqaleni.
Ngemuva kokuba udokotela ezwa imisindo yemilenze futhi i-stoma iqala ukusebenza, ungase unikezwe iziphuzo ezicacile zokudla, ezifana nomhluzi, i-gelatin, nejusi. Uma uketshezi olucacile lubekezelela kahle, udokotela wakho uzovumela abasebenzi ukuba bazi ukuthi ukudla kwakho kungathuthuka ekudleni okugcwele noma kokudla okuqinile.
Umhlengikazi wakho we-ET angakvakashela ngaphambi kokuba usuke esibhedlela ukuze akusize ufunde kabanzi ngokunakekelwa kwesisu sakho nokushintsha isikhwama sakho se-ostomy. Uzodinga futhi ukwazi ukuthi ungatholaphi imishini yakho ye-colostomy nanoma yimiphi imiyalo ekhethekile mayelana ne-ostomy yakho.
Ukubuyisela ekhaya
Ukuvuselelwa ekhaya ngokuvamile cishe amasonto ayisithupha, nakuba kungase kube isikhathi eside kuneziguli ezigula kakhulu ngaphambi kokuhlinzwa noma ezinezinkinga. Umsebenzi uzovinjelwa ekuqaleni, futhi ukuphakamisa, imisebenzi yasendlini, nokushayela akukhuthazwa.
Abasebenzi besibhedlela bayokukwazisa mayelana nokudla kwakho lapho uqala ekhaya, okungase kubekelwe kuphela ku- fiber ephansi . Ukuqokwa njalo nodokotela wakho ohlinzayo kuzosiza ukuqinisekisa ukuthi isisu sakho nendawo ezungeze stoma ziphulukisa kahle.
Uzofunda ukunakekela i-stoma yakho phakathi kwamasonto ambalwa okuqala wokuthola. Umhlengikazi wakho we-ET uzophendula noma yimiphi imibuzo futhi angakusiza ngezinguquko zakho zokuqala ezimbalwa.
Udokotela wakho uzokwazisa uma usulungele ukuqhubeka nemisebenzi yakho evamile emsebenzini, esikoleni noma ekhaya. Uma i-colostomy yakho izoguqulwa, udokotela wakho ohlinzayo uzokusiza ukuthi unqume ukuthi kungenzeka yini ngokusekelwe ekutheni ululame kanye nesimiso sakho siqu.
Imithombo:
I-McKesson Provider Technologies. "I-Colostomy ne-Ileostomy." Uhlelo lwezempilo lweYunivesithi yaseMichigan. 11 Novemba 2006.
I-National Institute of Diabetes kanye ne-Digestive and Kidney Diseases. "Ileostomy, Colostomy, ne-Ileoanal Reservoir Surgery." I-National Digestive Information Clearinghouse Aug 2014.
I-United Ostomy Association of America, Inc. "Imibuzo Ebuzwa Ngokuphindaphindiwe Ngokulandela Ukuhlinzwa Kwe-Ostomy." UOAA 2013.