Ukunakekelwa kwesikhumba nokungalawuleki

Umuntu ongakwazi ukuzibamba akakwazi ukuvimbela umchamo nendle ukuthi ingavuzi. Lokhu kungaholela ezinkingeni zesikhumba eduze kwezinqe, okhalweni, izitho zangasese, naphakathi kwesikhumba kanye ne-rectum (perineum).

Abantu abanezinkinga zokulawula umchamo noma amathumbu abo (abizwa ngokuthi incontinence) basengozini yezinkinga zesikhumba. Izindawo zesikhumba ezithinteke kakhulu zisondele ezinqeni, ezinqeni, ezithweni zangasese, naphakathi kwesikhumba kanye ne-rectum (perineum).

Umswakama owedlulele kulezi zindawo wenza izinkinga zesikhumba njengokubomvu, ukuxebuka, ukucasuka, kanye nokutheleleka ngemvubelo.

Ama-Bedsores (izilonda zengcindezi) nawo angavela uma umuntu:

• Ubengadli kahle (akondlekile)
• Uthole ukwelashwa ngemisebe endaweni
• Uchitha kakhulu noma usuku lonke esihlalweni sabakhubazekile, esihlalweni esijwayelekile, noma embhedeni ngaphandle kokushintsha isikhundla

UKUNAKEKELA ISIKHUMBA

Ukusebenzisa amanabukeni neminye imikhiqizo kungenza izinkinga zesikhumba zibe zimbi kakhulu. Yize ingagcina okombhede nokuhlanza izingubo, le mikhiqizo ivumela umchamo noma indle ukuthi ihlale ixhumana nesikhumba. Ngokuhamba kwesikhathi, isikhumba siyawohloka. Kufanele kunakekelwe ngokukhethekile ukugcina isikhumba sihlanzekile futhi somile. Lokhu kungenziwa ngo:

• Ukuhlanza nokumisa indawo ngokushesha ngemuva kokuchama noma ukunyakaza kwamathumbu.
• Ukuhlanza isikhumba ngensipho emnene, hlanjululwa namanzi bese ugeza kahle bese ubamba kancane umile.

Sebenzisa izihlanza zesikhumba ezingenayo insipho ezingabangeli ukoma noma ukucasuka. Landela imiyalelo yomkhiqizo. Eminye imikhiqizo ayidingi ukuhlanzwa.

Amafutha okuthambisa angasiza ukugcina isikhumba simanzi. Gwema imikhiqizo equkethe utshwala, engacasula isikhumba. Uma uthola ukwelashwa ngemisebe, buza umhlinzeki wakho wezokunakekelwa kwezempilo ukuthi KULUNGILE yini ukusebenzisa okhilimu noma ama-lotion.

Cabanga ukusebenzisa i-sealant yesikhumba noma isithiyo somswakama. Okhilimu noma amafutha okugcoba aqukethe i-zinc oxide, i-lanolin, noma i-petrolatum akha umgoqo wokuvikela esikhunjeni. Eminye imikhiqizo yokunakekelwa kwesikhumba, imvamisa iba ngesifutho noma ngethawula, yakha ifilimu ecacile, evikelayo esikhunjeni. Umhlinzeki angancoma izithiyo zokusiza ukuvikela isikhumba.

Noma ngabe le mikhiqizo iyasetshenziswa, isikhumba kusamele sihlanzwe njalo ngemuva kokudlula komchamo noma indle. Faka kabusha ukhilimu noma amafutha emva kokuhlanza nokumisa isikhumba.

Izinkinga ze-incontinence zingadala ukutheleleka kwemvubelo esikhunjeni. Lokhu ukuqubuka okunesibindi, okubomvu, okufana nezinduna. Isikhumba singazizwa siluhlaza. Imikhiqizo iyatholakala ukwelapha ukutheleleka kwemvubelo:

• Uma isikhumba sinomswakama isikhathi esiningi, sebenzisa impushana enomuthi wokubulala, njenge-nystatin noma i-miconazole. Ungasebenzisi i-baby powder.
• Isithiyo somswakama noma uphawu lwesikhumba lungasetshenziswa ngaphezu kwempuphu.
• Uma kuvela ukucasuka okukhulu kwesikhumba, bheka umhlinzeki wakho.
• Uma kwenzeka ukutheleleka kwebhaktheriya, ama-antibiotic asetshenziswe esikhumbeni noma athathwe ngomlomo angasiza.

INational Association for Continence (NAFC) inemininingwane yosizo ku-www.nafc.org.

UMA UBHEDLISEKILE NOMA USEBENZISA I-WHEELCHAIR

Bheka isikhumba ukuthola izilonda zengcindezi nsuku zonke. Bheka izindawo ezibomvu ezingaphenduki zibe mhlophe uma ucindezelwa. Futhi funa amabhamuza, izilonda, noma izilonda ezivulekile. Tshela umhlinzeki uma kukhona noma iyiphi ipayipi elinuka kabi.

Ukudla okunempilo, okunomsoco oqukethe amakhalori anele kanye namaprotheni kusiza ukugcina wena nesikhumba sakho niphilile.

Okwabantu okufanele bahlale embhedeni:

• Shintsha isikhundla sakho kaningi, okungenani njalo emahoreni ama-2
• Shintsha amashidi nezingubo ngokushesha ngemuva kokungcola
• Sebenzisa izinto ezingasiza ukunciphisa ingcindezi, njengemicamelo noma ukugoqa amagwebu

Okwabantu abahamba ngesihlalo esinamasondo:

• Qinisekisa ukuthi isihlalo sakho singena kahle
• Shift isisindo sakho njalo emizuzwini engu-15 kuya kwengu-20
• Sebenzisa izinto ezingasiza ukunciphisa ingcindezi, njengemicamelo noma ukugoqa amagwebu

Ukubhema kuthinta ukuphulukiswa kwesikhumba, ngakho-ke ukuyeka ukubhema kubalulekile.

Incontinence - ukunakekelwa kwesikhumba; Ukungahambi kahle - ukucindezela okubuhlungu; Ukungahambi kahle - isilonda somfutho; Ukungazibambi - umbhede ubuhlungu

• Ukuvimbela izilonda zengcindezi

I-Bliss DZ, i-Mathiason MA, i-Gurvich O, et al, Isigameko kanye nokuqagela kokungalawuleki okuhambisana nokulimala kwesikhumba kubahlali basemakhaya asebekhulile ngokuqala ukungazibambi. J Inxeba le-Ostomy Continence nurse. 2017; 44 (2): 165-171. I-PMID: 28267124 pubmed.ncbi.nlm.nih.gov/28267124/.

IBoyko TV, iLongaker MT, iYang GP. Ukubuyekezwa kokuphathwa kwamanje kwezilonda zengcindezi. Intuthuko ekunakekelweni Kwamanxeba (New Rochelle). 2018; 7 (2): 57-67. I-PMID: 29392094 pubmed.ncbi.nlm.nih.gov/29392094/.

Kwon R, Rendon JL, uJanis JE. Izilonda zengcindezi. Ku: Ingoma DH, i-PC yeNeligan, ama-eds. Ukuhlinzwa Kweplastiki: Umqulu 4: Ukweqisa okuphansi, iTrunk, neBurns. Umhla wesi-4.IPhiladelphia, PA: Elsevier; 2018: isahluko 16.

UPaige DG, uWakelin SH. Isifo sesikhumba. Ku: Kumar P, Clark M, ama-eds. I-Kumar and Clark's Clinical Medicine. Umhlaka 9. IPhiladelphia, PA: Elsevier Saunders; I-2017: isahluko 31.