Ileostomy - ukushintsha isikhwama sakho
Ubunokulimala noma isifo ohlelweni lwakho lokugaya ukudla futhi udinga ukuhlinzwa okubizwa nge-ileostomy. Ukuhlinzwa kushintshe 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 bese ukhipha isikhwama kaningi ngosuku.
Shintsha isikhwama sakho njalo ezinsukwini ezinhlanu kuya kweziyisishiyagalombili. Uma unokulunywa noma ukuvuza, kushintshe ngokushesha.
Uma unesistimu yesikhwama esenziwe ngezingcezu ezi-2 (isikhwama kanye nesilucu) ungasebenzisa izikhwama ezi-2 ezihlukene phakathi nesonto. Geza uphinde ugeze isikhwama esingasetshenziswanga, bese usomisa kahle.
Khetha isikhathi sosuku lapho kunokuncane okukhipha isitokisi kusuka ku-stoma yakho. Ekuseni kakhulu ngaphambi kokudla noma ukuphuza noma yini (noma okungenani ihora elilodwa ngemuva kokudla) kungcono kakhulu.
Ungadinga ukushintsha isikhwama sakho kaningi uma:
- Ubulokhu ujuluka ngaphezu kwesimo sezulu esishisayo noma uvivinya umzimba.
- Unesikhumba esinamafutha.
- Okukhipha indle yakho kunamanzi amaningi kunokujwayelekile.
Geza izandla zakho kahle futhi ube nayo yonke imishini elungile. Gqoka amagilavu ahlanzekile wezokwelapha.
Susa ngobumnene isikhwama. Phusha isikhumba kude nophawu. UNGAYISUSI i-ostomy esikhunjeni sakho.
Geza i-stoma nesikhumba sakho ngokucophelela ngamanzi anensipho.
- Sebenzisa insipho emnene, njenge-Ivory, Safeguard, noma iDial.
- UNGAYisebenzisi insipho enamakha noma i-lotion engezwe kuyo.
- Bheka ngokucophelela i-stoma yakho nesikhumba esizungezile nganoma yiziphi izinguquko. Vumela i-stoma yakho ukuthi yome ngokuphelele ngaphambi kokuxhuma isikhwama esisha.
Landelela ukwakheka kwe-stoma yakho ngemuva kwesikhwama esisha kanye nesithintelo noma isibambiso (amafers are part of a 2-piece pouch system).
- Sebenzisa umhlahlandlela we-stoma osayizi nobukhulu obuhlukile, uma unayo.
- Noma, dweba ukuma kwe-stoma yakho ephepheni. Ungahle uthande ukusika umdwebo wakho bese uwubamba uye kusitoma sakho ukuze uqiniseke ukuthi usayizi nokuma okulungile. Imiphetho yokuvula kufanele ibe seduze ne-stoma, kepha akufanele ithinte istoma uqobo.
Landzelela lesi sakhiwo ngemuva kwesikhwama sakho esisha noma esilucwecweni. Bese usika isicucu esimweni.
Sebenzisa i-powder barrier powder noma unamathisele i-stoma, uma umhlinzeki wakho wezokunakekelwa kwempilo ekuncomile lokhu.
- Uma i-stoma iphansi noma ingaphansi kwezinga lesikhumba sakho, noma uma isikhumba esizungeze i-stoma yakho singalingani, ukusebenzisa unamathisela kuzosiza ukusiqinisa kangcono.
- Isikhumba esizungeze i-stoma yakho kufanele somile futhi sibushelelezi. Akufanele kube nemibimbi esikhunjeni esizungeze i-stoma.
Susa ukusekelwa esikhwameni. Qiniseka ukuthi ukuvulwa kwesikhwama esisha kugxile phezu kwe-stoma bese kucindezelwa ngokuqinile esikhunjeni sakho.
- Bamba isandla sakho phezu kwesikhwama nesithiyo cishe imizuzwana engama-30 ngemuva kokukubeka. Lokhu kuzosiza ukuyivala kangcono.
- Buza umhlinzeki wakho mayelana nokusebenzisa itheyiphu nxazonke zesikhwama noma isilondolozi ukusiza ukuwaqinisa kangcono.
Songa isikhwama bese usivikela.
Shayela umhlinzeki wakho uma:
- I-stoma yakho iyavuvukala futhi ingaphezu kwesentimitha esingu-intshi (1 sentimitha) 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.
- I-stoma yakho ibonakala ingalingani njengakuqala.
- Kufanele ushintshe into esetshenziswayo nsuku zonke noma ezimbili.
- Unokuqubuka kwesikhumba, noma isikhumba esizungeze i-stoma yakho siluhlaza.
- Unokukhishwa okusuka ku-stoma okunuka kabi.
- Isikhumba sakho esizungeze i-stoma sakho siyaphuma.
- Unanoma yiluphi uhlobo lwesifo esikhunjeni esizungeze i-stoma yakho.
- 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.
I-ileostomy ejwayelekile - ushintsho lwesikhwama; I-Brooke ileostomy - ushintsho lwesikhwama; Izwekazi ileostomy - ukushintsha; Isikhwama sesisu siyashintsha; Ukuphela kwe-ileostomy - ushintsho lwesikhwama; I-Ostomy - ushintsho lwesikhwama; Izifo ezivuthayo zamathumbu - ileostomy nokushintsha kwesikhwama sakho; Isifo seCrohn - ileostomy nokushintsha kwesikhwama sakho; I-ulcerative colitis - ileostomy nokushintsha kwesikhwama sakho
I-American Cancer Society. Ukunakekela i-ileostomy. www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/ostomies/ileostomy/management.html. Kubuyekezwe uJuni 12, 2017. Kufinyelelwe ngoJanuwari 17, 2019.
I-Araghizadeh F. Ileostomy, i-colostomy, nezikhwama ku: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 117.
Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Ikholoni ne-rectum. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 51.
- 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
- Ileostomy nengane yakho
- Ileostomy nokudla kwakho
- Ileostomy - ukunakekela i-stoma yakho
- 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-Ostomy