Ileostomy

I-ileostomy isetshenziselwa ukuhambisa imfucuza ngaphandle komzimba. Lokhu kuhlinzwa kwenziwa lapho ikholoni noma i-rectum ingasebenzi kahle.

Igama "ileostomy" livela emagameni "ileum" nelithi "stoma." I-ileum yakho ingxenye ephansi kakhulu yamathumbu akho amancane. "I-Stoma" isho "ukuvula." Ukwenza i-ileostomy, udokotela ohlinzayo uvula udonga lwesisu sakho futhi alethe ukuphela kwe-ileum ngokuvula. I-ileum ibese ifakwa esikhunjeni.

Ngaphambi kokuhlinzwa ukuze wakhe i-ileostomy, ungahlinzwa ukuze ukhiphe lonke ikholoni kanye nengxenyeni yakho, noma ingxenye nje yamathumbu akho amancane.

Lokhu kuhlinzwa kufaka:

• Ukuthengiswa kabusha kwamathumbu amancane
• Ingqikithi yesisu se-colectomy
• Ingqikithi ye-proctocolectomy

I-ileostomy ingasetshenziswa isikhathi esifushane noma eside.

Lapho i-ileostomy yakho ingeyesikhashana, imvamisa kusho ukuthi wonke amathumbu akho amakhulu asusiwe. Noma kunjalo, usenayo okungenani ingxenye yengxenyeni yakho. Uma uhlinzwa ingxenye yamathumbu akho amakhulu, umhlinzeki wakho wokunakekelwa kwezempilo angafuna ukuthi okusele kwamathumbu akho kuphumule isikhashana. Uzosebenzisa i-ileostomy ngenkathi ululama kulokhu kuhlinzwa. Lapho ungasayidingi, uzohlinzwa futhi. Lokhu kuhlinza kuzokwenziwa ukuze kufakwe emaphethelweni amathumbu amancane. Ngeke usadinga i-ileostomy ngemuva kwalokhu.

Uzodinga ukuyisebenzisa isikhathi eside uma wonke amathumbu akho amakhulu kanye ne-rectum esusiwe.

Ukwenza i-ileostomy, udokotela ohlinzayo wenza ukusika okuncane odongeni lwesisu sakho. Ingxenye yamathumbu akho amancane akude nesisu sakho iyakhuliswa futhi isetshenziselwe ukuvula imbobo. Lokhu kubizwa nge-stoma. Uma ubheka i-stoma yakho, empeleni ubheka ulwelwesi lwamathumbu akho. Kubukeka njengokungaphakathi kwesihlathi sakho.

Ngezinye izikhathi, i-ileostomy yenziwa njengesinyathelo sokuqala ekwakheni indawo yokugcina i-ileal anal (ebizwa ngokuthi i-J-poch).

Ileostomy yenziwa lapho izinkinga ngamathumbu akho amakhulu zingelashwa kuphela ngokuhlinzwa.

Kunezinkinga eziningi ezingaholela kusidingo salokhu kuhlinzwa. Eminye yile:

• Isifo samathumbu esivuthayo (i-ulcerative colitis noma isifo seCrohn). Lesi yisizathu esivame kakhulu salokhu kuhlinzwa.
• Umdlavuza wekoloni noma we-rectal
• I-polyposis ejwayelekile
• Ukukhubazeka kokuzalwa okubandakanya amathumbu akho
• Ingozi elimaza amathumbu akho noma okunye okuphuthumayo kwamathumbu

Khuluma nomhlinzeki wakho ngalezi zingcuphe nezinkinga ezingaba khona.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukusabela emithini
• Izinkinga zokuphefumula
• Ukopha, amahlule egazi
• Ukutheleleka

Izingozi zalokhu kuhlinzwa yilezi:

• Ukopha ngaphakathi kwesisu sakho
• Ukulimala kwezitho eziseduze
• Ukwehla kwamanzi emzimbeni (ukungabi naluketshezi olwanele emzimbeni wakho) uma kunamanzi amaningi avela ku-ileostomy yakho
• Kunzima ukumunca izakhamzimba ezidingekayo ekudleni
• Ukutheleleka, kufaka phakathi amaphaphu, umgudu wokuchama, noma isisu
• Ukuphulukiswa kabi kwesilonda ku-perineum yakho (uma i-rectum yakho isusiwe)
• Izicubu ezibomvu esiswini sakho ezibangela ukuvaleka kwamathumbu amancane
• Kuvuleka isilonda

Hlala utshela umhlinzeki wakho ukuthi yimiphi imithi oyisebenzisayo, ngisho nemithi, izithasiselo, noma amakhambi owathengile ngaphandle kwencwadi kadokotela.

Ngaphambi kokuhlinzwa kwakho, khuluma nomhlinzeki wakho ngalezi zinto ezilandelayo:

• Ukusondelana nobulili
• Ukukhulelwa
• Ezemidlalo
• Sebenza

Phakathi namasonto ama-2 ngaphambi kokuhlinzwa kwakho:

• Emasontweni amabili ngaphambi kokuhlinzwa, ungacelwa ukuthi uyeke ukuthatha izidakamizwa ezenza kube nzima ngegazi lakho ukuminyana. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), uNaprosyn (Aleve, Naproxen), nezinye.
• Buza umhlinzeki wakho ukuthi yiziphi izidakamizwa okufanele usaziphuza ngosuku lokuhlinzwa kwakho.
• Uma ubhema, zama ukuyeka. Cela usizo kumhlinzeki wakho.
• Ngaso sonke isikhathi vumela umhlinzeki wakho azi nganoma yikuphi ukubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma okunye ukugula ongaba nakho ngaphambi kokuhlinzwa kwakho.

Ngosuku olungaphambi kokuhlinzwa kwakho:

• Ungacelwa ukuthi uphuze kuphela iziphuzo ezicacile ezifana nomhluzi, ujusi ocacile, namanzi ngemuva kwesikhathi esithile.
• Umhlinzeki wakho uzokutshela ukuthi uyeke nini ukudla nokuphuza.
• Umhlinzeki wakho angakucela ukuthi usebenzise ama-enemas noma ama-laxatives ukusula amathumbu akho.

Ngosuku lokuhlinzwa kwakho:

• Thatha izidakamizwa otshelwe ukuthi uziphuze ngophuzo oluncane lwamanzi.
• Uzotshelwa ukuthi ufika nini esibhedlela.

Uzohlala esibhedlela izinsuku ezintathu kuya kwezi-7. Kungadingeka ukuthi uhlale isikhathi eside uma i-ileostomy yakho ingukuhlinzwa okuphuthumayo.

Ungakwazi ukumunca ama-ice chips ngosuku olufanayo nokuhlinzwa kwakho ukunciphisa ukoma kwakho. Ngosuku olulandelayo, cishe uzovunyelwa ukuphuza iziphuzo ezicacile. Uzongeza kancane uketshezi olujiyile bese udla ukudla okuthambile ekudleni kwakho njengoba amathumbu akho eqala ukusebenza futhi. Kungenzeka ukuthi usadla futhi ezinsukwini ezimbili ngemuva kokuhlinzwa kwakho.

Iningi labantu abane-ileostomy bayakwazi ukwenza iningi lemisebenzi ababekwenza ngaphambi kokuhlinzwa kwabo. Lokhu kufaka phakathi ezemidlalo, ezokuvakasha, izingadi, izintaba, neminye imisebenzi yangaphandle, nezinhlobo eziningi zomsebenzi.

Uma unesifo esingelapheki, njengesifo seCrohn noma i-ulcerative colitis, ungadinga ukwelashwa okuqhubekayo.

I-Enterostomy

• Ukudla kweBland
• Isifo seCrohn - ukukhipha
• Ileostomy nengane yakho
• Ileostomy nokudla kwakho
• Ileostomy - ukunakekela i-stoma yakho
• Ileostomy - ukushintsha isikhwama sakho
• Ileostomy - ukukhishwa
• Ileostomy - yini ongayibuza udokotela wakho
• Ukuphila ne-ileostomy yakho
• Ukudla okuphansi kwe-fiber
• Ukukhishwa okuphelele kwe-colectomy noma i-proctocolectomy
• Izinhlobo ze-ileostomy
• I-ulcerative colitis - ukuphuma

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Ikholoni ne-rectum. Ku: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 51.

URaza A, Araghizadeh F. Ileostomies, ama-colostomies, izikhwama, nama-anastomoses. 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.

UReddy VB, uLongo WE. Ileostomy. Ku: Yeo CJ, ed. Ukuhlinzwa kukaShackelford kwe-Alimentary Tract. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 84.