Kukhona Okufanayo Okubalulekile Nokuhlukahluka Okufanele Ukwazi
"Uhlobo olunjani lokuhlinzwa olwenziwe ngakwesokunxele sakho?" "Uma ungasenayo ikolon , uyabeka kanjani?" Abantu abane- inflammatory disease disease (IBD) kanye nalabo abaye bahlinzwa, bangase bazwe lo mbuzo, noma okufanayo, kusukela ochwepheshe bezempilo noma abanye. Kulabo abangenalo ngokukhethekile ezimweni zamathunjini, umehluko phakathi kwezinye izinhlobo zohlinzekwa ezenziwe nge-IBD ingahle ivuleke.
Kubalulekile ukwazi ukuchaza umehluko kulezi zindlela zokuhlinza kulabo abangajwayelekile, ngoba akubona wonke umuntu oqonda ukuthi i-ostomy iyini, noma yikuphi i-j-poch, futhi umehluko kubalulekile.
Beka kalula: i- ileostomy (noma i-ostomy) itholakala ukuthi kukhona isikhwama esigqoke ngaphandle komzimba ukuqoqa imfucuza. Nge- j-isikhwama , isitokisini sigcinwe esikhwameni esenziwe ngaphakathi (esenziwe kusukela emathunjini amancane ), futhi sichitha "ngokuvamile," ngokusebenzisa i- anus .
Ngiyitholile? Cha? Masihlele kwezinye izinto ngokucacile umahluko phakathi kwalezi zinhlobo ezimbili zokuhlinzwa.
Ostomy Surgery
Ukwelashwa kwe-Ostomy kungenziwa ngezizathu ezihlukahlukene, kufaka phakathi ukwelashwa kwe-ulcerative colitis noma isifo se-Crohn (izinhlobo ezimbili eziyinhloko ze-IBD).
I-Colostomy Surgery. Ekuhlinzekeni kwe-colostomy , ingxenye yekoloni isusiwe, futhi i- stoma idalwe. I-stoma yilapho ingxenye yamathumbu idonswa ngodonga lwesisu ukuze kuvuleke ukuvulwa okuvela kuso isithombeni.
Ingxenye encane kuphela emathunjini empeleni ngaphandle komzimba. I-stoma ayinayo isiphetho sezinzwa, ngakho ayizizwa ibuhlungu. Umshini we-ostomy ugqoke phezu kwesitezi ukuze ubambe isitobhu, futhi umshini usebenza endlini yangasese ngezikhathi ezithile, uma kudingeka. Okukhiphayo (ukuthi isitokhi esivela ku-stoma ibizwa) singase sibe namandla kakhulu kunokunyakaza kwegciwane ngokusebenzisa ikholoni ehambelanayo.
I-Ileostomy Surgery. Ekuhlinzekeni kwe-ileostomy, wonke amathumbu amakhulu (i-colon) isusiwe, kanti i-stoma idalwe kusuka emathunjini amancane. Njengoba nje nge-colostomy, uhlelo lokusebenza lwangaphandle lugqoke phezu kwesitezi ukuqoqa isitophi njengoba lushiya umzimba. I-stool ihanjiswa endlini yangasese lapho kudingekile. Ukukhipha ngokuvamile kunamanzi amaningi kunomphumela ovela ku-colostomy.
Abantu abaye bahlinzwa ukuhlinzwa kwe-ostomy baphila impilo egcwele. Lokhu kuyiqiniso ikakhulukazi ngoba ukuhlinzeka nge-ostomy kwakuvame ukwenziwa ukuphatha isimo esinamandla, esiyingozi (njenge-IBD). Imishini ye-Ostomy manje isiyinkimbinkimbi kakhulu, futhi izesekeli ezihlukahlukene zitholakala ukusiza ngezinselelo zokuhlala nesitezi.
I-J-Pouch Surgery
Ukuhlinzwa kwe-j-poch (okubizwa nge-ileal pouch-anal anastomosis, noma i-IPAA) eqala ukufana nokukwenziwa kwe-ileostomy: isisu esikhulu sisuswe. Kodwa-ke, kukhona nengxenye eyengeziwe kulokhu kuhlinzeka, lapho ingxenye yokugcina yamathumbu amancane (okuthiwa i-leum esibulalayo) isetshenziselwa ukudala "isikhwama esincane". Isikhwama sivame ukubunjwa njenge "J," kodwa ezinye izinhlobo zenzelwe, kufaka phakathi "S" no "W." Lesi sikhwama singaphakathi ngaphakathi komzimba, ngakho-ke ekupheleni kokuhlinzwa, akukho stoma okudingekayo.
Bonke ukuhlinzeka ngokuvamile kwenziwa ngezinyathelo, futhi abantu abaningi banalo ileostomy yesikhashana okwesikhashana phakathi kokuhlinzwa. Lokhu ukubambezeleka phakathi kokuhlinza kunika isikhwama sangaphakathi esenziwe esikhathini esincane samathumbu ukuze siphulukise. Lapho udokotela ohlinzayo nesiguli esilungile, i-ileostomy iguqulwa, i-stoma isusiwe, futhi isikhwama esisha sinamathele ku-anus (noma i- rectum , uma ishiywe endaweni). Lokhu kuvulwa kuvame ukwenza kuphela iziguli ze-IBD ezine-ulcerative colitis, kodwa kukhona okunye okuhlukile .
Okwenza Ukuhlukaniswa Kubaluleke Kakhulu
Yize lezi ziyizimbangi eziningi mayelana nokuhlinzwa kwe-ostomy kanye ne-IPAA, kubalulekile ukukhumbula ukuthi akuzona zonke izinhlobo zokuhlinzwa kwezinyosi ze-IBD ezizofanelana ngokulinganayo kwenye yalezi zigaba ezihle.
Kodwa-ke, ukwazi umehluko omkhulu kungasiza uma wenza izinqumo mayelana nokuhlinza, futhi kungaba nokwazisa lapho uchazela abangane, umndeni, noma ochwepheshe bezempilo abangajwayele ukuhlinzeka ngezokwelapha.
Uke wadingeka ukuthi uchaze umuntu ostomy noma j-pouch ukuhlinzekwa komunye umuntu? Usize kanjani uchwepheshe wakho wezempilo noma umngane wakho ukuba aqonde? Ngitshele ngakho ngokuvakashela ku-Facebook, Twitter, noma ku-Google +.
Umthombo:
I-National Digestive Diseases Information Clearinghouse. "Ostomy Surgery of the Bowel." Isikhungo National of Diabetes kanye Digestive kanye Nezinso Izifo (NIDDK). Jul 2014. 23 Meyi 2015.
Umtholampilo waseCleveland. "Amapulangwe E-Ileal." Umtholampilo waseCleveland. 2015. 23 Meyi 2015.