I-Cystostomy iyisisombululo esinombhobho ongasondelanga wokucoca umchamo kwi-vestile. Ukwahlukana phakathi kwe-cystostomy kunye ne-catheter kukuba i-catheter ye-urinary ifakwe kwisigxina se-bladder ngokusebenzisa isalathisi somzila, kunye ne-cystostomy ngokusebenzisa udonga lwesisu.
I-Cystostoma isetyenziselwa ukukhenkceza umkhuhlane kwi-vestile ibe ngumlambo wamanzi emagxeni xa kungenakwenzeka ukuhamba ngokuzimeleyo, kwaye ukusetyenziswa kwecatheter ye-urreti ngesizathu esithile akunakwenziwa.
Izibonakaliso eziphambili zokufakwa kwe-cystostomy kubasetyhini zi:
- Ukungakwazi ukusetyenziswa kwecatheter yesiqhelo okanye ubude be-drainage ezayo;
- isifo sogcino sokugcina urination;
- ukuxhatshazwa ngenxa yokulimala komzimba , umzekelo, emva kokuhamba;
- ukungenelela okusebenzayo okuchaphazela isalathiso sokumisa.
Ukufakwa kunye nokunakekelwa kwe-cystostomy
I-cystostom ifakwa kwi-bladder nge-trocar access. I-Cystostomy yenziwa nge-bladder epheleleyo, phantsi kwe-anesthesia, ngokuchithwa okuncinci kwindonga yangasemva yomzimba ngaphezu kwe-symphysis kubasetyhini.
I-cystostomy eqinisekisiwe idinga ukunakekelwa: ukutshintshwa okungenani kanye ngenyanga kunye nokuhlamba rhoqo kwesikhumba nge-cystostomy. Izihlandlo ezi-2 ngeveki kwisigxina se-bladder kuyimfuneko ukufaka isisombululo se-antiseptic ngokusebenzisa i-cystostomy ukuya kummandla "wamanzi acocekileyo".
Ukuqinisekisa ukuba i-bladder ayilibale ukusebenzisana ne-cystostomy, isigulane kufuneka senze iseshoni yoqeqesho: siphuze iitayiti ze-diuretic kwaye uzame ukubhala ngokwemvelo.
Iingxaki ze-cystostomy
Iingxaki ezinokwenzeka ngexesha lokufakwa kunye nokusetyenziswa kwe-cystostomy zi:
- ukungahambi kakuhle kwimiba;
- ukuphuma kwi-incision xa isitya sonakalisiwe;
- ukuxhaswa kwesilonda;
- umonakalo emathumbu;
- ukuvuvukala kwesibindi .
I-Cystostoma ibangela ukukhathazeka okungathandekiyo kwaye isebenza njengesizathu sokudandatheka, kodwa inceda ukugcina ubomi kunye nempilo yowesifazane xa kungekho nto ikhethayo.