Konke mayelana nokufakelwa kwamathumbu

-Delile

• Lapho kunesidingo
• Kwenziwa kanjani
• Ngabe ukululama kokufakelwa kanjani
• Izimbangela ezingaba khona

Ukufakelwa kwamathumbu wuhlobo lokuhlinzwa lapho udokotela efaka khona amathumbu amancane agulayo omuntu ngamathumbu aphilile avela kumnikeli. Ngokuvamile, lolu hlobo lokufakelwa luyadingeka lapho kunenkinga enkulu emathunjini, evimbela ukumuncwa okulungile kwezakhamzimba noma lapho ithumbu lingasakhombisi noma yiluphi uhlobo lokunyakaza, okubeka impilo yomuntu engcupheni.

Lokhu kufakelwa kuvame kakhulu ezinganeni, ngenxa yokukhubazeka kokuzalwa, kepha kungenziwa nakwabantu abadala ngenxa yesifo sikaCrohn noma umdlavuza, ngokwesibonelo, ukuphikiswa kuphela ngemuva kweminyaka yobudala engama-60, ngenxa yengozi enkulu yokuhlinzwa.

Lapho kunesidingo

Ukufakelwa kwamathumbu emathunjini kwenziwa lapho kunenkinga evimbela ukusebenza kahle kwamathumbu amancane ngakho-ke, izakhamzimba azifunxwa kahle.

Ngokuvamile, kulezi zimo, kungenzeka ukuthi umuntu ondliwe ngokudla kwabazali, okubandakanya ukuhlinzeka ngezakhi zomzimba ezidingekayo ngokuphila ngomthambo. Kodwa-ke, lokhu kungahle kungabi yisixazululo sawo wonke umuntu, njengezinkinga ezifana nokuthi:

• Ukwehluleka kwesibindi okubangelwa ukondleka kwabazali;
• Ukutheleleka okuvamile kwe-catheter okusetshenziselwa ukondla kwabazali;
• Ukulimala kwemithambo yegazi okusetshenziselwa ukufaka ipayipi.

Kulezi zimo, okuwukuphela kwendlela yokugcina ukondleka okwanele ukuthi ube nokufakelwa kwamathumbu amancane okunempilo, ukuze ukwazi ukufaka esikhundleni somsebenzi walowo obegula.

Kwenziwa kanjani

Ukufakelwa kwamathumbu kungukuhlinzwa okuyinkimbinkimbi kakhulu okungathatha amahora ayisishiyagalombili kuya kwayishumi futhi kudinga ukwenziwa esibhedlela esine-anesthesia ejwayelekile. Ngesikhathi sokuhlinzwa, udokotela ususa amathumbu athintekile abese ebeka amathumbu enempilo endaweni.

Ekugcineni, imithambo yegazi ixhunywe emathunjini amasha, bese kuthi amathumbu axhunywe esiswini. Ukuqedela ukuhlinzwa, ingxenye yamathumbu amancane okufanele ixhunywe emathunjini amakhulu ixhunywe ngqo esikhunjeni sesisu ukudala i-ileostomy, okuyothi ngayo indle iphume iye esikhwameni esinamathele esikhunjeni, ukuze kulula ukuthi odokotela bahlole inqubekela phambili yokufakelwa, bebheka izici zesitulo.

Ngabe ukululama kokufakelwa kanjani

Ukubuyiselwa emuva kokufakelwa kabusha kwamathumbu kuvame ukuqalwa e-ICU, ukuvumela ukuhlolwa okuqhubekayo kokuthi amathumbu amasha aphulukiswa kanjani nokuthi ngabe kukhona ingozi yokwenqatshwa. Ngalesi sikhathi, kujwayelekile ukuthi iqembu lezokwelapha lenze izivivinyo ezahlukahlukene, njengokuhlolwa kwegazi nama-endoscopy, ukuqinisekisa ukuthi ukwelashwa kwenzeka ngendlela efanele.

Uma kukhona ukwenqatshwa kwesitho esisha, udokotela angahle anikeze umthamo ophakeme wama-immunosuppressants, okuyizidakamizwa ezinciphisa ukusebenza kwamasosha omzimba ukuvimbela isitho ukuba singabhujiswa. Kodwa-ke, uma welapha ngokujwayelekile, udokotela uzocela ukudluliselwa ewadini ejwayelekile, lapho amaphilisi ezinhlungu nemithi yokuvikela ukuzivikela kuzoqhubeka nokunikezwa emthanjeni kuze kuphele ukuphulukiswa.

Imvamisa, ngemuva kwamasonto angaba yisithupha ngemuva kokuhlinzwa, kungenzeka ukuthi ubuyele ekhaya, kepha amasonto ambalwa kuyadingeka ukuthi uye esibhedlela njalo ukuze uhlolwe futhi uqhubeke nokuhlola ukusebenza kwethumbu elisha. Ekhaya, kuzodingeka ukuthi uhlale uthatha imishanguzo yokuvikela umzimba impilo yakho yonke.

Izimbangela ezingaba khona

Ezinye izimbangela ezingadala ukungasebenzi kahle kwamathumbu futhi, ngenxa yalokho, ukusebenza kokufakelwa kwamathumbu kufaka:

• Isifo samathumbu esifushane;
• Umdlavuza wamathumbu;
• Isifo sikaCrohn;
• Isifo sikaGardner;
• Ukukhubazeka okukhulu kokuzalwa;
• Ischemia yamathumbu.

Kodwa-ke, akubona bonke abantu abanalezi zimbangela abangahlinzwa futhi, ngakho-ke, kuyadingeka ukwenza ukuhlolwa ngaphambi kokuhlinzwa lapho udokotela eyalela ukuhlolwa okuningi okufana ne-X-ray, i-CT scan noma ukuhlolwa kwegazi. Okunye kokuphikisana kufaka phakathi umdlavuza osabalalele kwezinye izingxenye zomzimba, ezinye izifo ezibucayi zempilo, kanye nobudala obudlula iminyaka engama-60, ngokwesibonelo.