Urostomy - stoma nokunakekelwa kwesikhumba

Izikhwama ze-Urostomy yizikhwama ezikhethekile ezisetshenziselwa ukuqoqa umchamo ngemuva kokuhlinzwa kwesinye.

Esikhundleni sokuya esinyeni sakho, umchamo uzophuma ngaphandle kwesisu sakho. Ingxenye enamathela ngaphandle kwesisu sakho ibizwa nge-stoma.

Ngemuva kwe-urostomy, umchamo wakho uzongena estoma sakho ungene esikhwameni esikhethekile esibizwa ngokuthi isikhwama se-urostomy.

Ukunakekela i-stoma yakho nesikhumba esisizungezile kubaluleke kakhulu ukuvimbela ukutheleleka kwesikhumba nezinso zakho.

I-stoma yakho yenziwa ngengxenye yamathumbu akho amancane abizwa nge-ileum. Ama-ureters akho anamathele ekugcineni kwengcezu encane ye-ileum yakho. Omunye umkhawulo uba yi-stoma futhi udonswe esikhunjeni sesisu sakho.

I-stoma intekenteke kakhulu. I-stoma enempilo ibomvu ngokubomvu futhi inomswakama. I-stoma yakho kufanele iphume kancane esikhunjeni sakho. Kujwayelekile ukubona amafinyila amancane. Amachashaza egazi noma inani elincane lokopha ku-stoma yakho kuyinto ejwayelekile.

Akufanele neze unamathele noma yini ku-stoma yakho, ngaphandle kwalapho umhlinzeki wakho wezokunakekelwa kwempilo ekutshela.

I-stoma yakho ayinakho ukuphela kwezinzwa, ngakho-ke ngeke ukwazi ukuzwa lapho okuthile kukuthinta. Ngeke futhi uzizwe uma isikiwe noma isuliwe. Kepha uzobona umugqa ophuzi noma omhlophe ku-stoma uma usuliwe.

Ngemuva kokuhlinzwa, isikhumba esiseduze ne-stoma yakho kufanele sibonakale njengaso ngaphambi kokuhlinzwa. Indlela engcono yokuvikela isikhumba sakho yile:

• Usebenzisa isikhwama se-urostomy noma isikhwama esinokuvulwa kosayizi ofanele, ngakho-ke umchamo awuvuzi
• Ukunakekela kahle isikhumba esizungeze i-stoma yakho

Ukukunakekela isikhumba kule ndawo:

• 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 esikhumbeni esiseduze ne-stoma yakho equkethe uwoyela. Lokhu kungenza kube nzima ukunamathisela isikhwama esikhumbeni sakho.
• Sebenzisa imikhiqizo ekhethekile yokunakekelwa kwesikhumba. Lokhu kuzokwenza izinkinga ngesikhumba sakho zingabi namathuba amancane.

Qiniseka ukuthi welapha noma yikuphi ukubomvu kwesikhumba noma izinguquko zesikhumba khona lapho, lapho inkinga incane. Ungavumeli indawo enenkinga ukuthi ibe nkulu noma icasuke ngaphambi kokubuza umhlinzeki wakho ngayo.

Isikhumba esiseduze ne-stoma yakho singazwela kokuphakelayo okusebenzisayo, njengesithiyo sesikhumba, ithephu, isinamathelisi, noma isikhwama uqobo. Lokhu kungenzeka kancane ngokuhamba kwesikhathi futhi kungenzeki amasonto, izinyanga, noma ngisho neminyaka ngemuva kokusebenzisa umkhiqizo.

Uma unezinwele esikhunjeni sakho ezungeze i-stoma yakho, ukuzisusa kungasiza isikhwama ukuthi sihlale ngokuphepha endaweni.

• Sebenzisa isikele, ukusika ugesi, noma ukwelashwa nge-laser ukususa izinwele.
• Ungasebenzisi umphetho oqondile noma insingo yokuphepha.
• Qaphela ukuvikela i-stoma yakho uma ukhipha izinwele kuyo.

Shayela umhlinzeki wakho uma ubona noma yiziphi zalezi zinguquko ku-stoma yakho noma esikhunjeni esizungezile.

Uma i-stoma yakho:

• Inombala onsomi, ompunga, noma omnyama
• Inephunga elibi
• Yomile
• Idonsela kude nesikhumba
• Ukuvulwa kukhulu ngokwanele ukuthi amathumbu akho akwazi ukungena kukho
• Isezingeni lesikhumba noma ijule
• Isunduza kude nesikhumba bese iba yinde
• Ukuvulwa kwesikhumba kuya ngokuncipha

Uma isikhumba sizungeze i-stoma yakho:

• Kudonsela emuva
• Ubomvu
• Kubuhlungu
• Kushe
• Kuqubuka
• Ukopha
• Iyakhipha uketshezi
• Ukulunywa
• Inamaqhubu abomvu amhlophe, mpunga, nsundu, noma amnyama kuso
• Inamaqhuqhuva azungeze insumpa yezinwele egcwele ubomvu
• Inezilonda ezinemiphetho engalingani

Fonela futhi uma:

• Yiba nomkhiqizo omncane womchamo kunokujwayelekile
• Imfiva
• Ubuhlungu
• Unemibuzo noma ukukhathazeka mayelana ne-stoma noma isikhumba sakho

Ukunakekelwa kwe-ostomy - urostomy; Ukuphambukisa kwe-Urinary - urostomy stoma; I-cystectomy - i-urostomy stoma; Umsele we-Ileal

Iwebhusayithi yeAmerican Cancer Society. Umhlahlandlela we-Urostomy. www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/ostomies/urostomy.html. Kubuyekezwe u-Okthoba 16, 2019. Kufinyelelwe ngo-Agasti 25, 2020.

UDeCastro GJ, McKiernan JM, uBenson MC. Ukuphambukisa izwekazi ezinqamulelayo. Ku: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 140.

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

• Umdlavuza Wesinye
• Izifo Zesinye
• I-Ostomy