Ugqirha ukususa konke okanye inxalenye yekoloni ukunyanga isifo sokugaya
Utyando lweColostomy lungasetyenziselwa ukunyanga iimeko ezininzi zokugaya, kuquka umhlaza wekolon, isifo sikaCrohn, isithintelo samathumbu, isisiphako sokuzalwa kunye ne- diverticulitis . Abantu abaninzi banokwesaba i-colostomy, kodwa inyaniso kukuba inokuthi ivelise umgangatho obalulekileyo wobomi, ukwandisa ubomi bomntu, okanye ugcine ubomi. Utyando lweColostomy, ngokwemiqathango elula, yinto apho inxalenye yekoloni isuswe (ebizwa ngokuba yi- colectomy ) kwaye ivulo lenziwa kwisisu ukuze kuvumele isitulo sidlule emzimbeni kwaye iqokelelwe kwisixhobo esinxibe kwisisu.
Sibanzi
I- ostomy yindlela evulelwe ngophengiweyo evela kwilungu langaphakathi ukuya emzimbeni. I-Colostomy, ukusuka kwi "colon" kunye ne "ostomy," yindlela yokuhlinzwa apho kuvulwa khona i-colon (okanye umathumbu omkhulu) ngaphandle kwesisu.
Ngexesha lotyando lwe-colostomy, udokotela ogqirha angasusa isigaba sekholoni, esenza ukuba ikholoni ibe ngamacandelo amabini ahlukeneyo (cinga ukuba ingaba yintoni umyezo wegadi ukhangeleka ukuba wawunqunywe kwisiqingatha). Isiphelo esinye sekholoni sidluliselwa emhadeni omncinane kwindonga yesisu. Eli candelo elincinci lomathumbu, elibizwa ngokuba yi- stoma xa lingaphandle komzimba, livumela inkunkuma ukuba iphume emzimbeni ukusuka kwikolon. Omnye umgca wekholoni, oqhotyoshelwe kwi-rectum, unokususwa okanye uvalwe nge-sutures kwaye ushiye kwisisu.
Emva kokuhlinzwa, inkunkuma iqokelelwa ngaphandle komzimba kunye ne-ostomy appliance. Izixhobo ze-ostomy zanamhlanje zivela kwiindidi ezahlukahlukeneyo, ubukhulu, imibala kunye nezinto eziphathekayo ezihambelanayo nendlela yokuphila.
I-stoma kunye nesikhumba esiphatheleneyo (isikhumba sangasese) siya kufuna ukunakekelwa okhethekileyo okufundiswa kwizigulane emva kokuhlinzwa ngonyango wolwazi lwe-enterostomal (ET) .
Ixeshana kunye noPhakade
I-colostomy ingaba yesikhashana okanye isigxina.
Colostomy yexeshana
I-colostomy yesikhashana ingasetyenziswa xa inxalenye yekholoni (ngokuqhelekileyo icandelo elingaphantsi) lifuna ukuphulukisa, njengokwentlungu okanye ukuhlinzwa.
Emva kokuba i-colon iphilisiwe, i-colostomy inokuguqulwa, ibuyisele umsebenzi wezilwanyana ngokuqhelekileyo.
Kwi-colostomy reversal, iziphelo zombini zekholoni ziyaxhaswa kunye nommandla apho isakhiwo senziwa khona kwisisu esiswini. Amathumbu amakhulu ayenziwe, kwakhona, kwi-tube eqhubekayo phakathi kwamathumbu amancinci kunye ne-rectum. Ukunyakaza kwamathumbu kupheliswa ngoxinzelelo.
Colostomy engunaphakade
I-colostomy esisigxina (ngamanye amaxesha ebizwa ngokuba yi-colostomy ekupheleni) iyimfuneko kwiimeko ezithile, kubandakanya malunga neepesenti ezili-15 zamatyala omhlaza wekoloni. Olu hlobo lotyando luyasetyenziswa xa i-rectum idinga ukususwa ngenxa yesifo okanye umhlaza. Uninzi lwekholoni lungasuswa kwaye isahlulo esisele sisetyenziswe ukudala i-stoma.
Iintlobo zoBucholo
Kukho iintlobo ezahlukahlukeneyo zee-colostomies:
Ukunyuka
Le colostomy inevulo elidalwe ukusuka kwikolon ekhuphukayo kwaye idalwe kwicala lasekunene lesisu. Ngenxa yokuba i-stoma idalwe ukusuka kwicandelo lokuqala lekholoni, isitulo esidlulayo kwi-stoma sinamanzi kwaye iqukethe i-enzyme yokugaya ekhubaza isikhumba. Olu hlobo lotyando lwe-colostomy luncinane.
Ukutshintsha
Olu hlobo lotyando lunokubangela ukuba omnye okanye ezimbini zivuleke kwisigxathu esiphakamileyo, esiphakathi okanye ngakwesokudla ezidalwe ukusuka kwikholoni ehambayo .
Ukuba kukho izivulo ezimbini kwi-stoma (ebizwa ngokuba yi-colored barrel colostomy), enye isetyenziselwa ukudlula i-stool kwaye enye isetyenziselwa ukudlula i-mucus. Isitulo esichithwa kwi-stoma siye sidlula kwi-colon ekhuphukayo, ngoko iyancipha ukuba ibe yilezi okanye i-semi-form.
Ukuhla okanye isigmoid
Kulo msebenzi, i-colon yehla okanye ye- sigmoid isetyenziselwa ukwakha i-stoma, ngokuqhelekileyo kwisisu esisesezantsi. Olu luhlobo oluqhelekileyo lotyando lwe-colostomy kwaye ngokubanzi luvelisa i-stool eyakhelwe ngokusemgangathweni ukuze yenziwe kakuhle ngenxa yokuba idlulile kwi-colon ekhuphukayo.
Ukuhlinzwa
Utyando lweColostomy luyintsebenzo enkulu kwaye luya kufuna ukuhlala esibhedlele ubuncinane iintsuku kunye neeveki ezintandathu okanye ngaphezulu kokubuyisela ekhaya. Uya kufumana imilayezo evela kumgqirha wakho onogqirha malunga nendlela onokuzilungiselela ngayo iintsuku ezikhokelela ekutyunjeni kwakho.
Ukulungiselela uCrostomy Surgery. Ukuba uthatha amanye amayeza, ugqirha wakho unokucela ukuba uqhagamshelane nodokotela oyalela imiyalelo malunga nokuqhubeka, ukuyeka, okanye ukulungelelanisa umthamo wezonyango ngexesha lokuhlinzwa kunye ne-convalescence.
Kubalulekile ukwenza ugqirha awazi onke amayeza njengokuba abanye bangavimba inkqubo yokuphilisa (njenge- prednisone ) okanye udibane namanye amachiza.
Kwakhona unokufuna ukuba neemviwo ezithile eziqhelekileyo phambi kokuhlinzwa kwakho, njenge-x-ray yomzimba kunye nesifuba. Kufuneka udibane kunye nomhlengikazi we-ET onokukufundisa indlela yokunyamekela i-ostomy yakho. Kwintlanganiso yokuqala, unokuxoxa malunga nesimo sakho se stoma esiya kufakwa kwisisu sakho, luhlobo luni lwezinto oza kulufumana emva koko emva kokuhlinzwa, kwaye ungayifumana njani indlela yokuphila ngokufanelekileyo.
Utyando lweColostomy luya kufuna ukuba i- prep prep uhlambulule i-colon. Ngomhla okanye ezimbini phambi kokuhlinzwa, uya kulandela imiyalelo yakho yokuhlinza ukuba ususe zonke i-stool ezivela kwisibilini sakho, njengokungathi ulungiselela i-colonoscopy. Oku kungenziwa ngokuzila ukutya, i-enemas, i-laxatives, nayiphi na i-preps bowel efana ne-GoLytely okanye i-Phospho Soda, okanye ukudibana kwezi zinto.
Unokucelwa ukuba uthathe ama-antibiotiki okanye amanye amayeza okukhusela ukusuleleka ngaphambi kokuba, ngexesha, nangemva kokuhlinzwa.
Esibhedlele. Ngaphambi kokuhlinzwa, uza kufumana i-IV ukufumana izixhobo zamanzi kunye ne-anesthetic. Utyando ngokwawo luya kuhlala ixesha elide.
Xa uvusa, isikhwama se-colostomy siya kuqhotyoshelwa esiswini sakho kwisitoma sakho esitsha kwaye unokuba neelabhu okanye enye yamanzi.
Emva kwexesha elithile ekuphumeni, uya kutshintshwa kwisigumbi sakho esibhedlele xa ugqirha ugqiba ukuba iimpawu zakho ezibalulekileyo (ukuqhuma, ukuxinzelela kwegazi, ukuphefumula) zizinzile.
Kwiintsuku ezimbalwa zokuqala emva kokuhlinzwa, uya kuqhubeka ufumana iyeza zentlungu nge-IV yakho. Awuyi kufumana ukutya kuze kube yilapho oogqirha beva izandi zobomi ezivela esiswini sakho ezibonisa amathumbu akho "avuka."
Abahlengikazi bakho banokukhwelisa ebhedeni kwaye bemi okanye behleli esihlalweni iintsuku ezimbalwa emva kokuhlinzwa, kuxhomekeke kwimeko yakho. Ukuma nokuhamba ngokukhawuleza kunokwenzeka kubaluleke kakhulu kwinkqubo yokubuyisela, nangona kungayi kuba nzima ekuqaleni.
Emva kokuba ugqirha eva izandi zobomi kwaye i-stoma iqalisa ukusebenza, unokunikezwa i-liquids ecacileyo ukuba uyidle, njengomhluzi, i-gelatin kunye nejusi. Ukuba i-fluids ecacileyo iyaxhomekeka kakuhle, ugqirha wakho uya kubavumela ukuba abasebenzi bazi ukuba ukutya kwakho kunokuqhubela phambili kwi-liquids epheleleyo okanye ukutya okuqinileyo.
Umnesi wakho no-ET unokukuvakashela ngaphambi kokuba ushiye esibhedlele ukukunceda ufunde kabanzi malunga nokunyamekela i-stoma yakho kwaye utshintshe isikhwama sakho se-ostomy. Uya kufuna kwakhona ukuba ungayifumana nini i-colostomy yakho kunye nayo nayiphi na imiyalelo ekhethekileyo malunga ne-ostomy yakho.
Ukufumana kwakhona ekhaya
Ukubuyiselwa ekhaya ngokuqhelekileyo malunga neiveki ezintandathu, nangona kungase kube ixesha elide kwizigulane ezigula kakhulu ngaphambi kokuhlinzwa okanye ezineengxaki. Umsebenzi uza kugcinwa ekuqaleni, kwaye ukuphakamisa, umsebenzi wendlu, kunye nokuqhuba ukuqhuba akukhuthazwa.
Abasebenzi besibhedlele baya kukucebisa malunga nokutya kwakho xa uqala ukufika ekhaya, oko kungase kube lula kwi- fiber ephantsi . Ukutyunjwa rhoqo kunye nodokotela wakho ogqirha kuya kunceda ukuqinisekisa ukuba isisu sakho kunye nommandla ojikelezayo kwi-stoma uyaphilisa kakuhle.
Uya kufunda ukunyamekela i-stoma yakho ngeeveki zokuqala zokuphucula. Umnesi wakho kunye no-Nesi uzakuphendula nayiphi na imibuzo kwaye unokukunceda ngeenguqu zakho ezimbalwa zokuqala.
Ugqirha wakho uya kukuxelela xa usulungele ukuqhuba imisebenzi yakho rhoqo emsebenzini, esikolweni okanye ekhaya. Ukuba i-colostomy yakho iya kuguqulwa, ugqirha wakho uya kukunceda ukuba wenze isigqibo xa kunokwenzeka ukuba kusekelwe ekuphumeni kwakho kunye neshedyuli yakho.
Imithombo:
McKesson Provider Technologies. "I-Colostomy ne-Ileostomy." Inkqubo yeMpilo yeYunivesithi yaseMichigan. 11 uNgove 2006.
Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. "Ileostomy, Colostomy, kunye ne-Ileoanal Reservoir Surgery." I-National Digestive Diseases Information Clearinghouse ngo-2014.
I-United Ostomy Association of America, Inc. "Imibuzo Ebuzwa Ngokuphindaphindiweyo Emva Kokugqithwa Kwe-Ostomy." UOAA 2013.