Ileostomy - ukukhishwa

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

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

I-stoma yakho yenziwa ngomugqa wamathumbu akho. Izobomvana noma ibomvu, ibe manzi, futhi icwebezele kancane.

I-stool evela ku-ileostomy yakho iluketshezi oluncane noma olujiyile, noma kungaba ikhekhe. Ayiqinile njengesitulo esivela kukholoni yakho. Ukudla okudlayo, imishanguzo oyithathayo, nezinye izinto kungashintsha ukuthi isitimela sakho sizacile noma sijiyile kangakanani

Inani elithile legesi livamile.

Uzodinga ukukhipha isikhwama izikhathi ezinhlanu kuya kwezi-8 ngosuku.

Buza umhlinzeki wakho wezempilo ukuthi yini okufanele uyidle lapho ukhishwa esibhedlela. Ungacelwa ukuthi ulandele ukudla okunensalela ephansi.

Khuluma nomhlinzeki wakho uma unesifo sikashukela, isifo senhliziyo, noma esinye isimo, futhi udinga ukudla noma ukugwema ukudla okuthile.

Ungageza noma ugeze njengomoya, insipho, namanzi ngeke akulimaze i-stoma sakho futhi amanzi ngeke angene ku-stoma.KULUNGILE ukukwenza lokhu ngesikhwama sakho noma ungasivulanga.

Izidakamizwa nemithi:

• Imithi ewuketshezi ingasebenza kangcono kunaleyo eqinile. Thatha lokhu uma kutholakala.
• Ezinye izidakamizwa zinokumbozwa okukhethekile (enteric). Umzimba wakho ngeke uwamunce kahle. Buza umhlinzeki wakho noma usokhemisi ezinye izinhlobo zemithi.

Khuluma nomhlinzeki wakho uma uthatha amaphilisi wokulawula ukubeletha. Umzimba wakho ungahle ungazibambi ngokwanele ukukugcina ungakhulelwa.

Kungcono ukukhipha isikhwama sakho lapho cishe kugcwele ingxenye eyodwa kwezintathu kuye kwesigamu. Kulula kunangesikhathi sigcwele, futhi kuzoba nephunga elincane.

Ukukhipha isikhwama sakho (khumbula - indle ingaqhubeka iphuma ku-stoma njengoba wenza lokhu):

• Gqoka amagilavu ​​wezokwelapha ohlanzekile.
• Faka amaphepha ethoyilethi endlini yangasese ukuze uqhubeke ushaya phansi. Noma, ungahlanza njengoba ukhipha isikhwama ukugwema ukusaphazeka.
• Hlala kude emuva esihlalweni noma kolunye uhlangothi lwaso. Ungase futhi ume noma ugobe phezu kwendlu yangasese.
• Bamba phansi kwesikhwama up.
• Gingqa umsila wesikhwama sakho ngokucophelela ethoyilethi ukuze usithulule.
• Hlanza ingaphandle nengaphakathi lomsila wesikhwama ngephepha langasese.
• Vala isikhwama ngomsila.

Hlanza bese ugeza ngaphakathi nangaphandle kwesikhwama.

• Umhlengikazi wakho we-ostomy angakunika insipho ekhethekile ongayisebenzisa.
• Buza umhlengikazi wakho ngokufafaza uwoyela onganqandeki ngaphakathi kwesikhwama ukugcina indle inganamatheli kuyo.

Uzodinga futhi ukwazi nge:

• Ileostomy - ukushintsha isikhwama sakho
• Ileostomy - ukunakekela i-stoma yakho

Hlafuna ukudla kwakho kahle. Lokhu kuzosiza ukugcina ukudla okunefayibha ephezulu kungavimbeli i-stoma yakho.

Ezinye izimpawu zokuvaleka ukucindezela okungazelelwe esiswini sakho, i-stoma evuvukele, isicanucanu (ngokuhlanza noma ngaphandle kokuphalaza), kanye nokwanda okungazelelwe kokukhishwa kwamanzi kakhulu.

Ukuphuza itiye elishisayo nezinye iziphuzo kungahlanza noma yikuphi ukudla okuvimba i-stoma.

Kuzoba nezikhathi lapho kungaphumi lutho ku-ileostomy yakho isikhashana. Lokhu kujwayelekile.

Shayela umhlinzeki wakho khona manjalo uma isikhwama sakho se-ileostomy sihlala singenalutho isikhathi eside kunamahora ama-4 kuye kwayi-6. Amathumbu akho angahle avinjwe.

Musa nje ukuthatha i-laxative uma le nkinga yenzeka.

Okunye ukudla okungavimba i-stoma yakho uphayinaphu oluhlaza, amantongomane nembewu, isilimo esidliwayo esinamagatsha anamanzi, ama-popcorn, ummbila, izithelo ezomisiwe (ezinjengamagilebhisi omisiwe), amakhowe, ukunambitheka oku-chunky, ukhukhunathi neminye imifino yamaShayina.

Amathiphu okuthi uma kungekho stool evela ku-stoma yakho:

• Zama ukukhulula ukuvulwa kwesikhwama uma ucabanga ukuthi siqinile kakhulu.
• Shintsha isikhundla sakho. Zama ukubamba amadolo akho afike esifubeni sakho.
• Thatha okugeza okufudumele noma ishawa efudumele.

Okunye ukudla kuzokhulula izitulo zakho futhi kungakhuphula okukhiphayo ngemuva kokukudla. Uma ukholwa ukuthi ukudla okuthile kubangele ushintsho ezindlini zakho, ungakudli isikhashana, bese uzama futhi. Lokhu kudla kungenza izitulo zakho zikhululeke:

• Ubisi, ujusi wezithelo, nezithelo nemifino eluhlaza
• Prune ujusi, licorice, ukudla okukhulu, ukudla okubabayo, ubhiya, iwayini elibomvu, noshokoledi

Okunye ukudla kuzokwenza isihlalo sakho sibe mkhulu. Amanye alawa ma-appleauce, amazambane abhakiwe, irayisi, isinkwa, ibhotela lamantongomane, uphudingi nama-apula abhakiwe.

Phuza izingilazi eziyi-8 kuya kwezingu-10 zoketshezi ngosuku. Phuza kakhulu uma kushisa noma ubukade ukhuthele kakhulu.

Uma unesifo sohudo noma indle yakho ingamanzi noma ingamanzi amaningi:

• Phuza uketshezi oluthe xaxa ngama-electrolyte (i-sodium, i-potassium). Iziphuzo ezinjengeGatorade, PowerAde, noma i-Pedialyte ziqukethe ama-electrolyte. Ukuphuza isoda, ubisi, ujusi, noma itiye kuzokusiza uthole uketshezi olwanele.
• Zama ukudla ukudla okune-potassium ne-sodium nsuku zonke ukuze ugcine amazinga akho e-potassium ne-sodium engabi phansi kakhulu. Ezinye izibonelo zokudla okuqukethe i-potassium amabhanana. Okunye ukudla okunesodium ephezulu kungukudla okulula okunosawoti.
• Ama-Pretzels angasiza ukunciphisa ukulahleka kwamanzi esitokisini. Futhi bane-sodium eyengeziwe.
• Ungalindi ukuthola usizo. Uhudo lungaba yingozi. Shayela umhlinzeki wakho uma ungapheli.

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.
• 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.

Ileostomy ejwayelekile - ukukhishwa; I-Brooke ileostomy - ukukhishwa; Izwekazi leostomy - ukukhishwa; Isikhwama sesisu - ukukhishwa; Ukuphela kwe-ileostomy - ukukhishwa; I-Ostomy - ukukhishwa; Isifo sikaCrohn - ukukhishwa kwe-ileostomy; Isifo sokuvuvukala kwamathumbu - ukukhishwa kwe-ileostomy; Ukungena kwesifunda - ukukhishwa kwe-ileostomy; Ukukhishwa kwe-Ileitis - ileostomy; I-Granulomatous ileocolitis - ukukhishwa kwe-ileostomy; Ukukhishwa kwe-IBD - ileostomy; I-ulcerative colitis - ukukhishwa kwe-ileostomy

Iwebhusayithi yeAmerican Cancer Society. Umhlahlandlela we-Ileostomy. www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/ostomies/ileostomy.html. Kubuyekezwe u-Okthoba 16, 2019. Kufinyelelwe ngoNovemba 9, 2020.

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.

URaza A, Araghizadeh F. Ileostomy, colostomy, nezikhwama. 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.

• 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 - ukunakekela i-stoma yakho
• Ileostomy - ukushintsha isikhwama sakho
• Ileostomy - yini ongayibuza udokotela wakho
• Ukuphila ne-ileostomy yakho
• Ukudla okuphansi kwe-fiber
• Ukukhishwa kwamathumbu amancane - ukukhishwa
• Ukukhishwa okuphelele kwe-colectomy noma i-proctocolectomy
• Izinhlobo ze-ileostomy
• I-ulcerative colitis - ukuphuma

• I-Ostomy