Yini eyenzelwe nokuthi ungasinakekela kanjani isikhwama se-colostomy

-Delile

• Lapho kukhonjiswa i-colostomy
• Ungasinakekela kanjani isikhwama se-colostomy
• Kufanele siguqulwe nini isikhwama?
• Ingabe kuphephile ukusebenzisa isikhwama nsuku zonke?
• Ungasinakekela kanjani isikhumba esizungeze i-colostomy
• Ukudla kufanele kube kanjani

IColostomy wuhlobo lwe-ostomy oluqukethe ukuxhuma kwamathumbu amakhulu ngqo odongeni lwesisu, okuvumela indle ukuba ibalekele esikhwameni, lapho ithumbu lingaxhunywa endunu. Lokhu kuvame ukwenzeka ngemuva kokuhlinzwa ukwelapha izinkinga zamathumbu, njengomdlavuza noma i-diverticulitis, isibonelo.

Yize ama-colostomies amaningi esesikhashana, njengoba ejwayele ukusetshenziselwa kuphela ukuphulukisa amathumbu ngemuva kokuhlinzwa, amanye angagcinwa impilo yonke, ikakhulukazi uma kunesidingo sokukhipha ingxenye enkulu kakhulu yamathumbu, engavumeli ukubuya ukuxhuma endunu.

Ngemuva kokuhlinzwa kwe-colostomy, kujwayelekile ukuthi indawo esikhunjeni lapho bekunamathumbu khona, eyaziwa ngokuthi i-stoma, iba bomvu kakhulu futhi ivuvuke, njengoba ithumbu lilimele, noma kunjalo, lezi zimpawu zizoncipha esontweni lokuqala ngemithi yokwelashwa kwenziwa unesi.

Lapho kukhonjiswa i-colostomy

I-Colostomy ikhonjiswa ngudokotela lapho kutholakala ushintsho emathunjini amakhulu ukuze indle ingakhishwa kahle ngendunu. Ngakho-ke, i-colostomy ikhonjiswa ngemuva kokuhlinzwa komdlavuza wamathumbu, i-diverticulitis noma isifo sikaCrohn.

Ngokuya ngengxenye yamathumbu amakhulu athintekile, ukwenyuka, ukuwela noma ukwehla kwe-colostomy kungenziwa, futhi futhi kungaba okwesikhashana noma okucacile, lapho ingxenye ethintekile yamathumbu isuswa unomphela.

Njengoba i-colostomy yenziwa emathunjini amakhulu, indle ekhishwa imvamisa ithambile noma iqinile futhi ayinayo i-asidi njengoba kwenzeka ku-ileostomy, lapho kwenziwa khona ukuxhumana phakathi kwamathumbu amancane nodonga lwesisu. Funda kabanzi nge-ileostomy.

Ungasinakekela kanjani isikhwama se-colostomy

Ukushintsha isikhwama se-colostomy kunconywa:

1. Susa isikhwama, isuka kancane ukuze ingalimazi isikhumba. Icebo elihle ukubeka amanzi amancane afudumele endaweni ukuyisiza icwebe kalula;
2. Hlanza i-stoma nesikhumba esizungezile ngendwangu ethambile ehlanzekile efakwe emanzini afudumele. Akudingekile ukusebenzisa insipho, kepha uma uthanda, ungasebenzisa insipho engathathi hlangothi, okumele isuswe kahle ngamanzi ahlanzekile ngaphambi kokufaka isikhwama esisha;
3. Sula isikhumba kahle eduze kwe-colostomy ukuvumela isikhwama esisha sinamathele esikhunjeni. Akunconywa ukusebenzisa noma yimuphi ukhilimu noma umkhiqizo esikhunjeni ngaphandle kokuncoma kukadokotela;
4. Sika imbobo encane esikhwameni esisha, usayizi ofanayo nowe-colostomy;
5. Namathisela isikhwama esisha buyela endaweni efanele.

Okuqukethwe isikhwama esingcolile kufanele kufakwe ethoyilethi bese isikhwama kufanele siphonswe kudoti, ngoba akumele siphinde sisetshenziswe ngenxa yengozi yokuthola izifo. Kodwa-ke, uma isikhwama siphinda sisebenze, imiyalo yomkhiqizi kufanele ilandelwe ukugeza kahle nokuqinisekisa ukuthi kubulawa amagciwane.

Kunezinhlobo ezithile zezikhwama ze-colostomy ezinezicucu ezi-2 futhi ezenza ukuthi kususwe indle, ngoba ucezu oluphethe isikhwama esikhumbeni luhlala lunamathiselwe, kuyilapho isikhwama kuphela sisuswa futhi sifakwa. Noma kunjalo, ucezu olunamathele esikhunjeni kufanele lushintshwe okungenani njalo ezinsukwini ezimbili noma ezintathu.

Kufanele siguqulwe nini isikhwama?

Inani lezikhathi lapho isikhwama kufanele sithathelwe indawo liyahluka ngokuya ngokusebenza kwamathumbu, kepha okulungile ukuthi ukushintshaniswa kwenziwa noma nini lapho isikhwama sigcwele ngo-2/3.

Ingabe kuphephile ukusebenzisa isikhwama nsuku zonke?

Isikhwama se-colostomy singasetshenziswa ngaphandle kwenkinga kuyo yonke imisebenzi yansuku zonke, ngisho nokugeza, ukubhukuda echibini noma ukungena olwandle, njengoba amanzi engaluthinti uhlelo. Kodwa-ke, kunconywa kuphela ukufaka esikhundleni sesikhwama ngaphambi kokungena emanzini ngezizathu zenhlanzeko.

Abanye abantu bangazizwa bengakhululekile ukusebenzisa isikhwama ngaso sonke isikhathi, ngakho-ke kunezinto ezincane, ezifana namabhodlela, ezingabekwa kwi-colostomy futhi ezivimbela indle ukuthi ingasuki isikhathi esithile. Kodwa-ke, kuyadingeka ukwazi kahle ukuhamba kwamathumbu ngokwawo ukugwema ukuqongelela ngokweqile kwendle emathunjini.

Ungasinakekela kanjani isikhumba esizungeze i-colostomy

Indlela engcono yokugwema ukucasuka kwesikhumba ezungeze i-colostomy ukusika ukuvulwa kwesikhwama kusayizi ofanele, ngoba lokhu kuvimbela indle ekuthintaneni ngqo nesikhumba.

Kodwa-ke, ezinye izinyathelo okufanele zithathwe ukugeza isikhumba kahle ngemuva kokukhipha isikhwama nokuhlola, ngosizo lwesibuko, uma kukhona udoti phansi kwe-colostomy.

Uma isikhumba sicasulwa kakhulu ngokuhamba kwesikhathi, kunconywa ukuthi uthintane nodokotela wesikhumba noma ukhulume nodokotela ophethe ukusebenzisa ukhilimu othize ongavimbeli isikhumba ekunamatheleni esikhwameni.

Ukudla kufanele kube kanjani

Umuntu ngamunye usabela ngendlela ehlukile ekudleni, futhi kuyadingeka ukuthi wazi ukudla okudala ukuphazamiseka njengokuqunjelwa, iphunga elinamandla kanye namagesi. Ngalokhu, kufanele uzame ukudla okusha ngamanani amancane, ubheke imiphumela abayidalayo ku-colostomy.

Ngokuvamile, kungenzeka ukuthi ube nokudla okujwayelekile, kepha umuntu kufanele azi ngokudla okuthile okungavumela ukubukeka kwezinkinga zamathumbu, njenge:

Ukudla okufanele kudliwe ukusiza ukunciphisa iphunga lendle yilezi: isanqante, i-chayote, isipinashi, isitashi sommbila, i-yoghurt engenalutho, i-curd ephelele ngaphandle kwe-whey, iparsley egxilile noma itiye lesilimo esidliwayo esinamagatsha anamanzi, ikhasi le-apula, i-mint kanye ne-peel tea neqabunga le-guava.

Ngaphezu kwalokho, kubalulekile ukukhumbula ukuthi ukweqa ukudla nokungadli isikhathi eside akuvimbeli ukukhiqizwa kwamagesi, futhi kuyadingeka ukuthi udle njalo ukuze uthuthukise ukusebenza kwe-colostomy.