Kuyini Ileostomy?

-Delile

• Izizathu zokuba ne-ileostomy
• Ilungiselela ileostomy
• Inqubo
• Ukubuyiselwa kusuka ku-ileostomy
• Izingozi ze-ileostomy
• Umbono wesikhathi eside

Ileostomy

I-ileostomy ukuvulwa okwenziwe ngokuhlinzwa okuxhuma i-ileum yakho odongeni lwakho lwesisu. I-ileum ingaphansi elingezansi lamathumbu akho amancane. Ngokuvulwa kodonga lwesisu, noma i-stoma, amathumbu aphansi ahlanganiswa endaweni. Unganikwa isikhwama ozosigqoka ngaphandle. Lesi sikhwama sizoqoqa konke ukudla kwakho okugayiwe.

Le nqubo yenziwa uma i-rectum noma i-colon yakho ingakwazi ukusebenza kahle.

Uma i-ileostomy yakho ingeyesikhashana, umgudu wakho wamathumbu uzonamathiselwa ngaphakathi komzimba wakho lapho ukuphulukiswa kwenzeka.

Nge-ileostomy ehlala njalo, udokotela wakho ohlinzayo ususa noma adlule i-rectum, colon kanye ne-anus yakho. Kulokhu, uzoba nesikhwama esiqoqa unomphela imikhiqizo yakho kadoti. Kungaba ngaphakathi noma ngaphandle.

Izizathu zokuba ne-ileostomy

Uma unenkinga enkulu yamathumbu engalashwa ngemithi, ungahle udinge i-ileostomy. Esinye sezizathu ezivame kakhulu ze-ileostomy yisifo samathumbu esivuthayo (IBD). Izinhlobo ezimbili zezifo zamathumbu ezivuthayo yisifo sikaCrohn nesifo sezilonda emathunjini.

Isifo sikaCrohn singabandakanya noma iyiphi ingxenye yomgudu wokugaya ukudla, kusukela emlonyeni kuye endunu, kubangele ukuvuvukala kolwelwesi ngezilonda nangesibazi.

I-ulcerative colitis ibuye ibe nokuvuvukala, izilonda, kanye nesibazi kepha ibandakanya amathumbu amakhulu ne-rectum.

Abantu abane-IBD bavame ukuthola igazi ne-mucus esitokisini sabo, futhi babe nokulahlekelwa isisindo, ukungondleki kahle, nobuhlungu besisu.

Ezinye izinkinga ezingadinga i-ileostomy zifaka:

• umdlavuza we-rectal noma we-colon
• isimo esizuzwe njengefa esibizwa nge-familial polyposis, lapho ama-polyps akha khona kukholoni angaholela kumdlavuza
• ukukhubazeka kokuzalwa kwamathumbu
• ukulimala noma izingozi ezibandakanya amathumbu
• Isifo sikaHirschsprung

Ilungiselela ileostomy

Ukuthola i-ileostomy kuzoholela kuzinguquko eziningi empilweni yakho. Kodwa-ke, uzonikezwa ukuqeqeshwa okuzokwenza lolu shintsho lube lula. Ungakhuluma nodokotela wakho mayelana nokuthi le nqubo izokuthinta kanjani:

• impilo yocansi
• sebenza
• imisebenzi yomzimba
• ukukhulelwa esikhathini esizayo

Qiniseka ukuthi udokotela wakho uyazi ukuthi iziphi izithasiselo, imishanguzo, namakhambi owasebenzisayo. Izidakamizwa eziningi zithinta ukusebenza kwamathumbu ngokuwubambezela. Lokhu kusebenza kuma-counter-the-counter kanye nemithi kadokotela. Udokotela wakho angakutshela ukuthi uyeke ukuthatha imishanguzo ethile emasontweni amabili ngaphambi kokuhlinzwa kwakho. Tshela udokotela wakho ngezimo onazo, njenge:

• umkhuhlane
• umkhuhlane
• ukuphuma kwe-herpes
• umkhuhlane

Ukubhema ugwayi kwenza kube nzima ukuthi umzimba wakho welapheke ngemuva kokuhlinzwa. Uma ubhema, zama ukuyeka.

Phuza amanzi amaningi futhi ugcine ukudla okunempilo emasontweni aholela ekuhlinzweni kwakho.

Landela imiyalo kadokotela wakho ohlinzayo maqondana nokudla ezinsukwini ezandulela ukuhlinzwa. Ngesikhathi esithile esibekiwe, bangahle bakweluleke ukuthi ushintshele okokusula iziphuzo kuphela. Uzokwaziswa ukuthi ungadli noma yini, kufaka phakathi amanzi, cishe amahora ayi-12 ngaphambi kokuhlinzwa.

Udokotela wakho ohlinzayo angahle anikeze ama-laxatives noma ama-enemas ukukhipha amathumbu akho.

Inqubo

I-ileostomy yenziwa esibhedlela ngaphansi kwe-anesthesia ejwayelekile.

Ngemuva kokuthi ungazi lutho, udokotela wakho ohlinzayo uzosika i-midline yakho noma enze inqubo ye-laparoscopic esebenzisa ukusikeka okuncane nezinsimbi ezikhanyisiwe. Uzokwazi ngaphambi kokuhlinzwa ukuthi iyiphi indlela enconyelwa isimo sakho. Ngokuya ngesimo sakho, udokotela ohlinzayo wakho angadinga ukususa i-rectum ne-colon yakho.

Kunezinhlobo ezahlukahlukene zama-ileostomies anomphela.

Nge-ileostomy ejwayelekile, udokotela ohlinzayo wenza imbobo encane ezoba yisiza se-ileostomy yakho. Bazodonsa i-loop ye-ileum yakho ngokusika. Le ngxenye yamathumbu akho iphendukele ngaphandle, iveze ingaphakathi langaphakathi. Ithambile futhi ibomvana, ingaphakathi kwesihlathi. Ingxenye enamathelayo ibizwa ngokuthi i-stoma. Kungaphuma kuze kube ngamasentimitha ama-2.

Abantu abanalolu hlobo lwe-ileostomy, obizwa nangokuthi i-Brooke ileostomy, ngeke bakwazi ukulawula ukuthi udoti wabo wendle ungena nini esikhwameni sepulasitiki sangaphandle.

Olunye uhlobo lwe-ileostomy yizwekazi, noma i-Kock, ileostomy. Udokotela wakho ohlinzayo usebenzisa ingxenye yamathumbu akho amancane ukwakha isikhwama sangaphakathi esine-stoma sangaphandle esisebenza njenge-valve. Lokhu kuthungelwe odongeni lwakho lwesisu. Izikhathi ezimbalwa ngosuku ufaka ithubhu eliguquguqukayo nge-stoma nakusikhwama. Ukhipha imfucuza yakho ngale tube.

Izinzuzo ze-Kock ileostomy ukuthi asikho isikhwama sangaphandle futhi ungalawula lapho uthulula imfucuza yakho. Le nqubo yaziwa njengenqubo ye-K-poch. Imvamisa kuyindlela ekhethwayo ye-ileostomy ngoba iqeda isidingo sesikhwama sangaphandle.

Inqubo ehlukile, eyaziwa ngokuthi inqubo ye-J-pouch, ingenziwa uma ngabe usususwe lonke ikholoni ne-rectum yakho. Kule nqubo, udokotela udala isikhwama sangaphakathi kusuka ku-ileum bese exhunywe emseleni we-anal, okuvumela ukuthi ukhiphe imfucuza yakho ngomzila ojwayelekile ngaphandle kwesidingo se-stoma.

Ukubuyiselwa kusuka ku-ileostomy

Ngokujwayelekile uzodinga ukuhlala esibhedlela okungenani izinsuku ezintathu.Akuvamile ukuthi uhlale esibhedlela isonto noma ngaphezulu, ikakhulukazi uma i-ileostomy yakho yenziwe ngaphansi kwezimo eziphuthumayo.

Ukudla kwakho namanzi kuzonqunyelwa isikhashana. Ngosuku lokuhlinzwa kwakho, ungathola ama-ice chips kuphela. Iziphuzo ezicacile kungenzeka zivunyelwe ngosuku lwesibili. Kancane kancane, uzokwazi ukudla ukudla okuqinile njengoba izibilini zakho zijwayela izinguquko.

Ezinsukwini zokuqala ngemuva kokuhlinzwa, ungaba negesi emathunjini ngokweqile. Lokhu kuzokwehla njengoba amathumbu akho elapha. Abanye abantu bathole ukuthi ukugaya ukudla okuncane okune kuya kwemihlanu ngosuku kungcono kunokudla okukhudlwana kathathu. Udokotela wakho angase asikisele ukuthi ugweme ukudla okuthile isikhashana.

Ngesikhathi sokululama kwakho, noma ngabe unesikhwama sangaphakathi noma sangaphandle, uzoqala ukufunda ukuphatha isikhwama esizoqoqa imfucuza yakho. Uzofunda nokunakekela i-stoma yakho nesikhumba esizungezile. Ama-enzyme akhishwa kwi-ileostomy yakho angacasula isikhumba sakho. Uzodinga ukugcina indawo ye-stoma ihlanzekile futhi yomile.

Uma une-ileostomy, ungathola ukuthi udinga ukwenza ushintsho olukhulu endleleni yakho yokuphila. Abanye abantu bafuna usizo eqenjini lokuxhaswa kwe-ostomy. Ukuhlangana nabanye abantu abalungise izindlela zabo zokuphila ngemuva kwalokhu kuhlinzwa futhi bakwazi ukubuyela emisebenzini yabo ejwayelekile kunganciphisa noma yikuphi ukukhathazeka onakho.

Ungathola futhi abahlengikazi abaqeqeshwe ngokukhethekile ekuphathweni kwe-ileostomy. Bazoqinisekisa ukuthi unendlela yokuphila ephathekayo ne-ileostomy yakho.

Izingozi ze-ileostomy

Noma yikuphi ukuhlinzwa kuletha izingozi. Lokhu kufaka phakathi:

• ukutheleleka
• ihluli
• ukopha
• isifo senhliziyo
• unhlangothi
• ukuphefumula kanzima

Izingozi eziqonde ngqo kuma-ileostomies zifaka:

• ukulimala ezithweni ezizungezile
• ukopha ngaphakathi
• ukwehluleka ukuthola izakhamzimba ezanele ekudleni
• izifo zomgudu womchamo, isisu noma amaphaphu
• ukuvinjelwa kwamathumbu ngenxa yezicubu ezibomvu
• amanxeba avele avuleke noma athathe isikhathi eside ukuphola

Ungaba nenkinga nge-stoma yakho. Uma isikhumba esizungezile sicasukile noma simanzi, uzoba nzima ukuthola uphawu ngesikhwama sakho se-ostomy. Lokhu kungadala ukuvuza. Udokotela wakho angakunika isifutho noma i-powder yokwelapha ukuze welaphe lesi sikhumba esicasukile.

Abanye abantu babamba isikhwama sabo sangaphandle endaweni nebhande. Uma ulibhinca kakhulu ibhande, kungaholela kwizilonda zengcindezi.

Uzoba nezikhathi lapho kungabikho ukukhishwa okuza nge-stoma yakho. Kodwa-ke, uma lokhu kuqhubeka ngaphezu kwamahora amane kuya kwayisithupha futhi uzizwa unesicanucanu noma unamajaqamba, shayela udokotela wakho. Ungahle ube nokuvinjelwa kwamathumbu.

Abantu abake baba nama-ileostomies nabo bangathola ukungalingani kwe-electrolyte. Lokhu kwenzeka uma untula inani elifanele lezinto ezibalulekile egazini lakho, ikakhulukazi i-sodium ne-potassium. Le ngozi inyuka uma ulahlekelwa uketshezi oluningi ngokuhlanza, ukujuluka noma uhudo. Qiniseka ukuthi ugcwalisa amanzi alahlekile, i-potassium ne-sodium.

Umbono wesikhathi eside

Uma usufunde ukunakekela uhlelo lwakho olusha lokususa, uzokwazi ukubamba iqhaza emisebenzini yakho eminingi ejwayelekile. Abantu abane-ileostomies:

• ukubhukuda
• ukunyuka
• dlala imidlalo
• udle ezindaweni zokudlela
• ikamu
• ukuhamba
• sebenza emisebenzini eminingi

Ukuphakamisa okunzima kungaba yinkinga ngoba kungakhuphula i-ileostomy yakho. Khuluma nodokotela wakho uma umsebenzi wakho udinga ukuphakamisa okunzima.

Ukuba ne-ileostomy ngokuvamile akuphazamisi umsebenzi wezocansi noma amandla okuba nezingane. Kungadinga ukuthi ufundise abalingani bakho bezocansi, okungenzeka bangawazi ama-ileostomies. Kufanele uxoxe nge-ostomy yakho nomlingani wakho ngaphambi kokuthuthukela ekusondeleni.