Kukhona ezinye izinto eziphambili kunye nokungafani omele wazi
"Luhlobo luni lotyando owake lwayo kwicala lakho lasekhohlo?" "Ukuba awunayo ikolon kwakhona, uyayifaka njani?" Abantu abanezifo zesibindi sokuvuvukala (IBD) kunye nabaye baphelelwa ukuvavanywa banokuva lo mbuzo, okanye okufanayo, kubasebenzi bezempilo okanye kwabanye. Kulabo abangabalulekanga kwiimeko zesisu, ukungafani phakathi kweentlobo zokuhlinzwa okwenziweyo kwi-IBD kunokungqineka.
Kubalulekile ukuba sikwazi ukuchaza ukungafani kwezi zonyango kubantu abangaqhelekanga, kuba kungekhona wonke umntu oqonda ukuba yintoni i-ostomy, okanye i-j-poch, kunye neemeko zibalulekileyo.
Beka ngokugqithiseleyo: i- ileostomy (okanye nayiphi na i-ostomy) ithetha ukuba kukho isikhwama esigqoke ngaphandle komzimba ukuqokelela inkunkuma. Nge- j-poch , isigxina ibanjwe esikhwameni esenziwe ngaphakathi (esadalwa esitratini esincinci ), kwaye sichitha "ngokuqhelekileyo," nge- anus .
Ndiyifumene? Hayi? Masihlahlele ezinye iinkcukacha ngokuchasene phakathi kwezi ntlobo ezimbini zokuhlinzwa.
Ostomy Surgery
Utyando lwe-Ostomy lunokwenziwa ngezizathu ezahlukeneyo, kubandakanywa njengonyango lwe-ulcerative colitis okanye isifo se-Crohn (ezimbini zeendlela eziphambili ze-IBD).
Colostomy Surgery. Kwi- colostomy ukuhlinzwa , inxalenye yekoloni isuswe, kwaye i- stoma iyadalwa. I-stoma yilapho inxalenye yamathumbu idityaniswa ngodonga lwesisu ukuze kuvule ukuvulwa apho isitofu ishiya umzimba.
Ingxenye encinci yamathumbu empeleni ingaphandle komzimba. I-stoma ayinaso nasiphi na isiphetho sesigulane, ngoko ayive ibuhlungu. Isixhobo se-ostomy sigqityiwe kwi-stoma ukuze sibambe isitulo, kwaye isixhobo sisetyenziselwa indlu yangasese ngezikhathi ezithile, xa kufuneka. Isiphumo (okokuthi isitofu esivela kwi-stoma ebizwa ngokuba) sinokuthi sincinci ngakumbi kunentshukumo yebilini ngekholoni ehambelanayo.
I-Ileostomy Surgery. Ngophenyo lwe-ileostomy, intliziyo enkulu yamathumbu (i-colon) isuswe, kwaye i-stoma yenziwa kusuka emathunjini amancinci. Njengokuba kunye ne-colostomy, isebenzi yangaphandle igugu phezu kwe-stoma ukuze iqoke isitulo njengoko ishiya umzimba. I-stool ikhutshwe endlwini yangasese xa kuyimfuneko. Isiphumo ngokuqhelekileyo sinamanzi amaninzi kunokwakheka kwi-colostomy.
Abantu abaye bafumana utyando lwe-ostomy baphila ubomi obupheleleyo. Oku kuyinyani ngokukhethekileyo kuba utyando lwe-ostomy lwandisoloko lwenziwe ukunyanga imeko enzima, enokubangela ukukhubazeka (njenge-IBD). Izixhobo zombini ze-Ostomy zixakeke kakhulu, kwaye izixhobo ezahlukeneyo ziyafumaneka ukunceda ngemingeni yokuhlala nesifo.
J-Pouch Surgery
Ugqirha lwe-j-poch (ngaphezulu ebizwa ngokuba yi-ileal pouch-anal anastomosis, okanye i-IPAA) iqala ngokufana neleyo eyenziwe nge-ileostomy: isisu esikhulu sisuswe. Nangona kunjalo, kukho inxalenye eyongezelelweyo kulo msebenzi wokuhlinzwa, apho inxalenye yokugqibela yesisu esincinci (esibizwa ngokuthi i-leum terminal) isetyenziselwa ukudala "isikhwama". I-pocket isoloko ifana ne "J," kodwa ezinye iimoko zisetyenziswe, kuquka "S" kunye "W." Le ngxowa ingaphakathi ngaphakathi komzimba, ngoko ekugqityiweni kokuhlinzwa, akukho stoma efunekayo.
Ukuhlinzwa ngokuqhelekileyo kwenziwa rhoqo kumanyathelo, kwaye abaninzi abantu banalo i-ileostomy yexeshana phakathi kwexesha phakathi kokuhlinzwa. Ukulibaziseka phakathi koovulindlela kunika isikhwama sangaphakathi esenziwe kwixesha elincinci lomathumbu ukuphilisa. Xa ugqirha kunye nesigulane sele silungile, i-ileostomy iyatshintshwa, i-stoma isuswe, kunye nekhoksi entsha inamathele kwi-anus (okanye i- rectum , ukuba ishiywe endaweni). Olu hlobo lugqirha lusetyenziswa kuphela kwizigulane ze-IBD ezine-ulcerative colitis, kodwa kukho ezinye izinto .
Kutheni ukuhlukana kubalulekile
Nangona ezi ziimpawu ezinzulu malunga nokuhlinzwa kwe-ostomy kunye ne-IPAA, kubalulekile ukukhumbula ukuba akusiyo yonke into yokuhlinzwa kwebilini ye-IBD iya kufumana ngokubanzi kwenye yalezi zigaba ezintle.
Nangona kunjalo, ukwazi ukwahlukana okukhulu kunokunceda xa wenza izigqibo malunga nokuhlinzwa, kwaye unokukwazisa xa uchazela abahlobo, intsapho, okanye ootitshala bezempilo abangayazi ukuhlinzwa ngokugqithiseleyo.
Ngaba uye wakha wachaza u-ostomy okanye u-j-pouch ukuhlinzwa kwabanye? Uncede njani uncedo lwakho lwezempilo okanye umhlobo wakho ukuba aqonde? Ndixelele ngokundwendwela kwi-Facebook, Twitter, okanye i-Google +.
Umthombo:
INational Digestive Diseases Information Clearinghouse. "I-Ostomy Surgery of the Bowel." Isizwe seSizwe soSifo sikashukela kunye neGestive and Kidney Diseases (NIDDK). Julayi 2014. 23 Meyi 2015.
Kliniki yaseCleveland. "Ileal Pouches." Kliniki yaseCleveland. 2015. 23 Meyi 2015.