Ileostomy - te tiaki i to stoma

I whara koe, i tetahi mate ranei i roto i to punaha digestive me te hiahia kia kiia he ileostomy. Ma te mahi e rereke te ahua o to tinana ki te whakakahore i te paru (taahi, taikaha, parae ranei).

Inaianei he tuwhera kau to ingoa ko te stoma kei roto i to kopu. Ka haere te otaota i te stoma ki roto i te peeke e kohikohi ana. Me tiaki e koe to stoma ka waiho i te putea i etahi wa i te ra.

Ko nga mea e mohio ana mo to tohu tohu:

• Ko to stoma te arai o to kopu.
• Ka mawhero, ka whero ranei, ka maaku, ka iti ano hoki.
• I te nuinga o te wa he porohita he porohita ranei nga stomas.
• He tino ngawari te stoma.
• Ko te nuinga o nga stomas ka piri paku ki runga i te kiri, engari he papatahi etahi.
• Ka kite pea koe i tetahi paku. Ka maringi te toto o to stoma ka horoi ana koe.
• Ko te kiri i te taha o to stoma kia maroke.

Ko nga paru e puta mai ana i te stoma ka tino riri ki te kiri. No reira he mea nui kia tupato te tiaki i te stoma kia kore ai e kino te kiri.

Whai muri i te pokanga, ka pupuhi te stoma. Ka heke haere i roto i nga wiki e tu mai nei.

Ko te kiri i te taha o to stoma kia rite ki te ahua i mua o te pokanga. Ko te huarahi pai ki te tiaki i to kiri ko:

• Ma te whakamahi i te peke me te putea ranei me te tuwhera tika o te rahi, no reira kaore te turuturu e turuturu
• Te tiaki pai i te kiri huri noa i to stoma

Ko nga taputapu stoma he waahanga 2-waahanga ranei mo te waahanga 1-waahanga. Ko te huinga e 2-waahanga he papanga (he angiangi ranei) me te putea. Ko te paparahi tetahi waahanga e piri ana ki te kiri ka tiakina mai i te riri mai i te paru. Ko te waahanga tuarua ko te peeke ka ururuatia. Ka piri te peeke ki te papa baseplate, he rite ki te taupoki Tupperware. I roto i te huinga 1-waahanga, ko te papaapu me te taputapu kotahi katoa te waahanga. Te tikanga me whakarereke te taapara i te wa kotahi, e rua ranei i te wiki.

Hei tiaki i to kiri:

• Horoihia to kiri ki te wai mahana ka maroke kia pai i mua i te whakapiri o te peke.
• A ape i nga hua tiaki kiri kei roto te waipiro. Ma enei ka maroke rawa to kiri.
• Kaua e whakamahia nga hua kei roto te hinu i te kiri huri noa i to stoma. Ma te mahi ka uaua ki te whakapiri i te peeke ki to kiri.
• Whakamahia kia iti ake, nga hua tiaki kiri motuhake kia iti ake ai te raru o te kiri.

Mena he makawe o to kiri kei te taha o to stoma, kaore pea to putea e piri. Ko te tango i nga makawe ka pai ake pea.

• Patai ki to tapuhi ostomy mo te huarahi pai rawa mo te heu i to rohe.
• Mena ka whakamahi koe i te heu haumaru, i te hopi, i te kirikiri heu ranei, kia mahara ki te horoi i to kiri i muri o te heunga o te rohe.
• Ka taea hoki e koe te whakamahi i te kutikuti i te kutikuti, heua hiko, he maimoatanga laser ranei hei tango i nga makawe.
• Kaua e whakamahia he tapa tika.
• Kia tupato ki te tiaki i to stoma mena ka tangohia e koe nga makawe o te taha.

Me ata titiro ki to stoma me te kiri i tona taha i nga wa katoa ka huri koe i to peeke, aukati ranei. Mena he whero, he maku ranei te kiri o te taha o to stoma, kaore pea e pai te kati o to peke ki to stoma.

I etahi wa ko te piripiri, arai kiri, whakapiri, riipene, peeke ranei ka pakaru i te kiri. Ka tupu pea tenei i te wa ka timata te whakamahi i te stoma, ka tupu ranei i muri i to whakamahi mo nga marama, mo nga tau ranei.

Mena ka tupu tenei:

• Pataihia to kaiwhakarato hauora mo te rongoa hei whakaora i to kiri.
• Karangahia to kaiwhakarato mena kaore e pai ake i te wa e atawhai ana koe.

Mena kei te turuturu to stoma, ka mamae to kiri.

Kia mahara ki te whakaora i tetahi whero whero, i te kiri ranei ka huri i tenei wa, i te wa e raru tonu ana te raru. Kaua e tukua te rohe mamae kia nui ake kia riri ranei i mua i te paatai ​​ki to taakuta mo taua mea.

Mena he roa ake to stoma i te waa noa (ka mau atu i te kiri ka nui atu), whakamatautauhia he kohinga makariri, pera i te huka takai ki te tauera, kia uru ki roto.

Kaua rawa koe e piri ki tetahi mea ki to stoma, ki te kore ta te taakuta e kii ki a koe.

Karangahia to kaiwhakarato mena:

• Kua pupuhi to stoma ka nui atu i te 1/2 inihi (1 cm) te rahi ake i te waa noa.
• Kei te kukume mai to stoma, i raro i te taumata kiri.
• Ko to stoma he whakaheke toto i te waa noa.
• Ko to tohu tohu he mea papura, pango, ma ranei.
• Kei te turuturu to stoma i nga wa katoa kua maringi ranei te wai.
• Te ahua nei kaore i pai kee atu to tohu tohu i tera wa.
• Me huri e koe te taputapu kotahi i nga ra e rua ranei.
• He rere to i te stoma e kakara ana.
• He tohu ke koe kua marewai (kaore i te rahi te wai i roto i to tinana). Ko etahi tohu he maroke te mangai, he iti noa te mimi, ka marama te kiri, ka ngoikore ranei.
• He mate koretake koe kaore e haere atu.

Karangahia to kaiwhakarato mena kei te kiri kei te taha o to stoma:

• Kumea ki muri
• He whero he mata ranei
• He ponana
• Kua maroke
• Nga whara ka wera ranei
• Ka pupuhi ka pana ranei ki waho
• Nga toto
• Ngaatiwha
• He ma, he hina, he parauri, he whero pouri ranei ona puku
• He pupuhi i te taha o te huruhuru makawe kapi ana i te pana
• He pangia ona pito e kore e taurite

Karangahia hoki ki te:

• Kia iti ake te ururua i to putea
• Kia pangia e te kirika
• Te wheako i nga mamae
• He patai, he awangawanga ranei mo to stoma, to kiri ranei

Ileostomy paerewa - tiaki stoma; Brooke ileostomy - tiaki stoma; Ileostomy Continent - tiaki stoma; Peke puku - tiaki stoma; Te mutunga o te ileostomy - te tiaki stoma; Ostomy - tiaki stoma; Te mate Crohn - te tiaki stoma; Te mate puku mumura - te tiaki stoma; Enteritis rohe - tiaki stoma; IBD - tiaki stoma

Beck DE. Te hanga ostomy me te whakahaere: te whakawhaiaro i te tohu mo te tuuroro. I roto i: Yeo CJ, ed.Shackelford's Surgery of the Alimentary Tract. 8th ed. Philadelphia, PA: Elsevier; 2019: chap 178.

Lyon CC. Te tiaki taatai. I roto i: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson I, eds. Maimoatanga mo te Mate Kiri: Rautaki Hauora Hauora. 5th ed. Philadelphia, PA: Elsevier; 2018: chap 233.

Raza A, Araghizadeh F. Ileostomy, colostomy, pukoro, me nga anastomoses. I roto i: Feldman M, Friedman LS, Brandt LJ, eds. Ko te Maama Gastrointestinal me te ate o Sleisenger me Fordtran. 11th ed. Philadelphia, PA: Elsevier; 2021: chap 117.

Tam KW, Lai JH, Chen HC, et al. He arotake nahanaha me te taatai-wetewete i nga whakamatautau kua matapōkeretia e whakatairite ana i nga wawaotanga mo te atawhai kiri o te kiri. Ostomy Wound Whakahaere. 2014; 60 (10): 26-33. PMID: 25299815 pubmed.ncbi.nlm.nih.gov/25299815/.

• Te mate pukupuku a Tae
• Mate Crohn
• Ileostomy
• Te whakatika aukati i te puku
• Rahinga puku nui
• Huringa iti o te puku
• Colectomy puku katoa
• Katoa te proctocolectomy me te putea ileal-anal
• Katoa te proctocolectomy me te ileostomy
• Colitis koretake

• Te kai Bland
• Te mate Crohn - te tuku
• Ileostomy me to tamaiti
• Ileostomy me to kai
• Ileostomy - te huri i to putea
• Ileostomy - tuku
• Ileostomy - he aha te paatai ​​ki to taakuta
• Te koha nui o te puku - he tuku
• Te noho me to ileostomy
• Te kohi iti o te puku - ka tukuna
• Katoa te colectomy, te proctocolectomy ranei - te tuku
• Nga momo ileostomy
• Colitis ulcerative - te tuku

• Ostomy