I-Colostomy

IColostomy inqubo yokuhlinza eletha ukuphela komunye wamathumbu amakhulu ngembobo (stoma) eyenziwe odongeni lwesisu. Izindle ezihamba ngokudlula kwamathumbu zingena ngesitimela ziye esikhwameni esifakwe esiswini.

Inqubo ivame ukwenziwa ngemuva kwalokhu:

• Ukuthengiswa kwamathumbu futhi
• Ukulimala kwamathumbu

I-colostomy ingaba yesikhashana noma ehlala njalo.

IColostomy yenziwa ngenkathi ungaphansi kwe-anesthesia ejwayelekile (ilele futhi ayinazinhlungu). Kungenziwa ngokusikwa okukhulu esiswini noma ngekhamera encane nokusikeka okuncane (i-laparoscopy).

Uhlobo lwendlela esetshenzisiwe luncike ekutheni iyiphi enye inqubo edinga ukwenziwa. Ukusikwa kokuhlinzwa kuvame ukwenziwa maphakathi nesisu. Ukuthengiswa kabusha kwamathumbu noma ukulungiswa kwenziwa lapho kudingeka.

Okwe-colostomy, umkhawulo owodwa wekoloni enempilo ukhishwa ngembobo eyenziwe odongeni lwesisu, imvamisa ohlangothini lwesobunxele. Amaphethelo wamathumbu athungwa esikhunjeni sokuvulwa. Lokhu kuvulwa kubizwa nge-stoma. Isikhwama esibizwa nge-stoma appliance sibekwa ezungeze imbobo ukuvumela indle ukuba idonse.

I-colostomy yakho ingaba yesikhashana. Uma uhlinzwa engxenyeni yamathumbu akho amakhulu, i-colostomy ivumela enye ingxenye yamathumbu akho ukuba iphumule ngenkathi ululama. Lapho umzimba wakho usuthole ngokuphelele ekuhlinzweni kokuqala, uzoba nokunye ukuhlinzwa ukuze unamathisele ekugcineni kwemathumbu amakhulu. Lokhu kuvame ukwenziwa ngemuva kwamasonto ayi-12.

Izizathu ezenziwe nge-colostomy zifaka:

• Ukutheleleka kwesisu, njenge-perforated diverticulitis noma ithumba.
• Ukulimala kukholoni noma i-rectum (isibonelo, inxeba lokudutshulwa).
• Ukuvaleka okuncane noma okuphelele kwamathumbu amakhulu (ukuvinjelwa kwamathumbu).
• Umdlavuza we-Rectal noma we-colon.
• Amanxeba noma ama-fistula ku-perineum. Indawo ephakathi kwe-anus kanye ne-vulva (abesifazane) noma i-anus ne-scrotum (amadoda).

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile zifaka:

• Ukusabela emithini, izinkinga zokuphefumula
• Ukopha, amahlule egazi, ukutheleleka

Izingozi ze-colostomy zifaka:

• Ukopha ngaphakathi kwesisu sakho
• Ukulimala kwezitho eziseduze
• Ukuthuthukiswa kwe-hernia endaweni yokusika kokuhlinzwa
• Amathumbu aphuma nge-stoma ngaphezu kwalokho okufanele (ukuqhuma kwe-colostomy)
• Ukunciphisa noma ukuvimba ukuvulwa kwe-colostomy (stoma)
• Izicubu ezibomvu ezakha esiswini futhi zibangele ukuvimba kwamathumbu
• Ukucasuka kwesikhumba
• Kuvuleka isilonda

Uzohlala esibhedlela izinsuku ezintathu kuya kwezi-7. Kungadingeka ukuthi uhlale isikhathi eside uma i-colostomy yakho yenziwe njengenqubo ephuthumayo.

Uzovunyelwa ukuthi ubuyele kancane ekudleni kwakho okujwayelekile:

• Ngosuku olufanayo nokuhlinzwa kwakho, ungakwazi ukumunca ama-ice chips ukunciphisa ukoma kwakho.
• Ngosuku olulandelayo, cishe uzovunyelwa ukuphuza iziphuzo ezicacile.
• Uketshezi olujiyile bese ukudla okuthambile kuzongezwa njengoba amathumbu akho eqala ukusebenza futhi. Kungenzeka ukuthi udla ngokujwayelekile ezinsukwini ezimbili ngemuva kokuhlinzwa.

I-colostomy idonsa indle (indle) kusuka kukholoni iye esikhwameni se-colostomy. Indle yeColostomy ivame ukuthamba futhi ibe namanzi amaningi kunesihlalo esidluliswa ngokujwayelekile. Ukuthungwa kwendle kuncike ekutheni iyiphi ingxenye yamathumbu esetshenziselwe ukwakha i-colostomy.

Ngaphambi kokuba uphume esibhedlela, umhlengikazi we-ostomy uzokufundisa ngokudla nokuthi uyinakekela kanjani i-colostomy yakho.

Ukuvulwa kwamathumbu - ukwakheka kwe-stoma; Ukuhlinzwa kwamathumbu - ukudala i-colostomy; I-Colectomy - i-colostomy; Umdlavuza wekoloni - i-colostomy; Umdlavuza wesibeletho - i-colostomy; I-Diverticulitis - i-colostomy

• Ukukhishwa kwamathumbu amakhulu - ukukhishwa

• IColostomy - Uchungechunge

Ama-Albers BJ, uLamon DJ. Ukulungiswa kwamakholoni / ukudala i-colostomy. Ku: Baggish MS, Karram MM, ama-eds. I-Atlas of Pelvic Anatomy and Gynecologic Surgery. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2016: isahluko 99.

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: Isisekelo Sebhayoloji Sokuzijwayeza Kwamanje Kokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 51.

URuss AJ, uDelaney CP. I-Rectal prolapse. Ku: Fazio the Late VW, Church JM, Delaney CP, Kiran RP, eds. Ukwelashwa Kwamanje ku-Colon and Surgery Surgery. 3rd ed. IPhiladelphia, PA: Elsevier; I-2017: isahluko 22