Ileostomy - ukunakekela i-stoma yakho

Ubunokulimala noma isifo ohlelweni lwakho lokugaya ukudla futhi udinga ukuhlinzwa okubizwa nge-ileostomy. Ukuhlinzwa kushintsha indlela umzimba wakho ulahla ngayo imfucuza (indle, indle, noma indle).

Manje unembobo ebizwa nge-stoma esiswini sakho. Imfucuza izodlula estoma iye esikhwameni esiyiqoqayo. Uzodinga ukunakekela i-stoma yakho bese ukhipha isikhwama izikhathi eziningana ngosuku.

Izinto okufanele wazi nge-stoma yakho zifaka:

• I-stoma yakho ulwelwesi lwamathumbu akho.
• Izobomvana noma ibomvu, ibe manzi, futhi icwebezele kancane.
• Izitofu zivame ukuzungeza noma zibe okweqanda.
• I-stoma intekenteke kakhulu.
• Izitoma eziningi zinamathela kancane esikhunjeni, kepha ezinye ziyisicaba.
• Ungabona isikhwehlela esincane. I-stoma yakho ingopha kancane lapho uyihlanza.
• Isikhumba esizungeze i-stoma yakho kufanele somile.

Indle ephuma ku-stoma ingacasula isikhumba. Ngakho-ke kubalulekile ukunakekela ngokukhethekile i-stoma ukugwema ukulimala esikhunjeni.

Ngemuva kokuhlinzwa, i-stoma izobe ivuvukala. Izoncipha emasontweni ambalwa ezayo.

Isikhumba esizungeze i-stoma yakho kufanele sibukeke sengathi sasinjalo ngaphambi kokuhlinzwa. Indlela engcono yokuvikela isikhumba sakho yile:

• Usebenzisa isikhwama noma isikhwama esinokuvulwa kosayizi ofanele, ngakho-ke imfucuza ayivuzi
• Ukunakekela kahle isikhumba esizungeze i-stoma yakho

Imishini yeStoma ingaba izingcezu ezimbili noma izingcezu ezi-1. Isethi enezingcezu ezimbili iqukethe i-baseplate (noma isilondolozi) nesikhwama. I-baseplate yingxenye enamathela esikhunjeni futhi isivikele ekucasukeni indle. Ucezu lwesibili yisikhwama indle esingenalutho kuso. Isikhwama sinamathela esisekelweni, esifana nesembozo seTupperware. Kusethi yesiqeshana esingu-1, i-baseplate kanye nezinto ezisetshenziswayo konke kuyinto eyodwa. I-baseplate imvamisa idinga ukuguqulwa kanye noma kabili ngesonto.

Ukunakekela isikhumba sakho:

• Geza isikhumba sakho ngamanzi afudumele bese usomisa kahle ngaphambi kokunamathisela isikhwama.
• Gwema imikhiqizo yokunakekelwa kwesikhumba equkethe utshwala. Lokhu kungenza isikhumba sakho somile kakhulu.
• Ungayisebenzisi imikhiqizo equkethe uwoyela esikhunjeni esizungeze i-stoma yakho. Ukwenza kanjalo kungenza kube nzima ukunamathisela isikhwama esikhumbeni sakho.
• Sebenzisa okumbalwa, imikhiqizo ekhethekile yokunakekelwa kwesikhumba ukwenza izinkinga zesikhumba zingabi namathuba amancane.

Uma unezinwele esikhunjeni esizungeze i-stoma yakho, isikhwama sakho kungenzeka singanamatheli. Ukususa izinwele kungasiza.

• Buza umhlengikazi wakho we-ostomy mayelana nendlela engcono yokugunda indawo.
• Uma usebenzisa insingo yokuphepha nensipho noma ukhilimu wokushefa, qiniseka ukuthi ugeza isikhumba sakho kahle ngemuva kokugcoba indawo.
• Ungasebenzisa futhi ukusika isikelo, ukushefa ngogesi, noma ukwelashwa nge-laser ukususa izinwele.
• Ungasebenzisi umugqa oqondile.
• Qaphela ukuvikela i-stoma yakho uma ususa izinwele ezizungezile.

Bheka ngokucophelela i-stoma yakho nesikhumba esisizungezile njalo lapho ushintsha isikhwama sakho noma isithiyo. Uma isikhumba esizungeze i-stoma sakho sibomvu noma simanzi, isikhwama sakho kungenzeka singavalwa kahle ku-stoma yakho.

Kwesinye isikhathi ukunamathela, umgoqo wesikhumba, unamathisele, iteyipu, noma isikhwama kungalimaza isikhumba. Lokhu kungenzeka lapho uqala ukusebenzisa i-stoma, noma kungenzeka ngemuva kokuyisebenzisa izinyanga, noma ngisho neminyaka.

Uma lokhu kwenzeka:

• Buza umhlinzeki wakho wezempilo ngemithi yokwelapha isikhumba sakho.
• Shayela umhlinzeki wakho uma kungabi ngcono uma ulapha.

Uma i-stoma yakho ivuza, isikhumba sakho sizokuba buhlungu.

Qiniseka ukuthi welapha noma yikuphi ukubomvu kwesikhumba noma izinguquko zesikhumba khona lapho, lapho inkinga isincane. Ungavumeli indawo ebuhlungu ukuba ibe nkulu noma icasuke ngaphambi kokubuza udokotela wakho ngayo.

Uma i-stoma yakho iba yinde kunokujwayelekile (inamathela esikhunjeni ngaphezulu), zama icompress ebandayo, njengeqhwa eliboshwe ngethawula, ukuze lingene.

Akufanele neze unamathele noma yini ku-stoma yakho, ngaphandle kwalapho udokotela akutshela.

Shayela umhlinzeki wakho uma:

• I-stoma yakho ivuvukele futhi ingaphezu kwe-1/1 intshi (1 cm) enkulu kunokujwayelekile.
• I-stoma yakho iyangena, ngaphansi kwezinga lesikhumba.
• I-stoma yakho yopha kakhulu kunokujwayelekile.
• I-stoma yakho isiphenduke nsomi, yaba mnyama, noma imhlophe.
• I-stoma yakho iyavuza kaningi noma ikhipha uketshezi.
• I-stoma yakho ibonakala ingalingani njengakuqala.
• Kufanele ushintshe into yokusebenza kanye nsuku zonke noma ezimbili.
• Unokukhishwa okusuka ku-stoma okunuka kabi.
• Unezimpawu zokuthi uphelelwe amanzi emzimbeni (awekho amanzi anele emzimbeni wakho). Ezinye izimpawu umlomo owomile, ukuchama kaningi, futhi uzizwa unekhanda elincane noma ubuthakathaka.
• Unesifo sohudo esingapheli.

Shayela umhlinzeki wakho uma isikhumba sizungeze i-stoma yakho:

• Kudonsela emuva
• Ubomvu noma uluhlaza
• Inokuqubuka
• Yomile
• Kubuhlungu noma kushile
• Iyavuvukala noma iphumele ngaphandle
• Ukopha
• Ukulunywa
• Inamaqhubu abomvu amhlophe, mpunga, nsundu, noma amnyama kuso
• Inamaqhuqhuva azungeze insumpa yezinwele egcwele ubomvu
• Inezilonda ezinemiphetho engalingani

Fonela futhi uma:

• Yiba nemfucuza encane kunokujwayelekile esikhwameni sakho
• Yiba nomkhuhlane
• Thola noma yibuphi ubuhlungu
• Unemibuzo noma ukukhathazeka mayelana ne-stoma noma isikhumba sakho

Ileostomy ejwayelekile - ukunakekelwa kwe-stoma; I-Brooke ileostomy - ukunakekelwa kwe-stoma; Izwekazi ileostomy - ukunakekelwa kwe-stoma; Isikhwama sesisu - ukunakekelwa kwe-stoma; Ukuphela kwe-ileostomy - ukunakekelwa kwe-stoma; Ukunakekelwa kwe-Ostomy - stoma; Isifo seCrohn - ukunakekelwa kwe-stoma; Izifo ezivuthayo zamathumbu - ukunakekelwa kwe-stoma; I-enteritis yesifunda - ukunakekelwa kwe-stoma; IBD - ukunakekelwa kwe-stoma

I-Beck DE. Ukwakhiwa nokuphathwa kwe-Ostomy: ukwenza ngokwezifiso i-stoma yesiguli. Ku: Yeo CJ, ed.Ukuhlinzwa kukaShackelford kwe-Alimentary Tract. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 178.

ILyon CC. Ukunakekelwa kweStoma. Ku: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson I, abahleli. Ukwelashwa Kwezifo Zesikhumba: Amasu Wokwelashwa Okuphelele. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2018: isahluko 233.

URaza A, Araghizadeh F. Ileostomy, i-colostomy, amaphakethe, nama-anastomoses. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 117.

UTam KW, uLai JH, Chen HC, et al. Ukubuyekezwa okuhlelekile nokuhlaziywa kwemeta kwezilingo ezilawulwa ngokungahleliwe ngokuqhathanisa ukungenelela kokunakekelwa kwesikhumba okuphelele. Ukuphathwa Kwesilonda se-Ostomy. 2014; 60 (10): 26-33. I-PMID: 25299815 pubmed.ncbi.nlm.nih.gov/25299815/.

• Umdlavuza we-Colorectal
• Isifo seCrohn
• Ileostomy
• Ukulungiswa kwamathumbu emathunjini
• Ukuthengiswa kwamathumbu amakhulu
• Ukuthengiswa kabusha kwamathumbu amancane
• Ingqikithi yesisu se-colectomy
• Ingqikithi yesikhwama se-proctocolectomy ne-ileal-anal
• Ingqikithi ye-proctocolectomy nge-ileostomy
• I-ulcerative colitis

• Ukudla kweBland
• Isifo seCrohn - ukukhipha
• Ileostomy nengane yakho
• Ileostomy nokudla kwakho
• Ileostomy - ukushintsha isikhwama sakho
• Ileostomy - ukukhishwa
• Ileostomy - yini ongayibuza udokotela wakho
• Ukukhishwa kwamathumbu amakhulu - ukukhishwa
• Ukuphila ne-ileostomy yakho
• Ukukhishwa kwamathumbu amancane - ukukhishwa
• Ukukhishwa okuphelele kwe-colectomy noma i-proctocolectomy
• Izinhlobo ze-ileostomy
• I-ulcerative colitis - ukuphuma

• I-Ostomy