Urostomy - stoma me te tiaki kiri

Ko nga putea Urostomy he peeke motuhake ka whakamahia hei kohi mimi i muri o te pokanga kiri.

Kaore i te haere ki to putea, ka puta te mimi ki waho o to kopu. Ko te waahanga e piri ana ki waho o to kopu e kiia ana ko te stoma.

Whai muri i te urostomy, ka uru to mimi ki to stoma ki roto i tetahi peeke motuhake e kiia ana ko te peera urostomy.

Ko te tiaki i to stoma me to kiri i tona taha he mea nui kia kore e pangia e to kiri me nga whatukuhu.

Ko to stoma he mea hanga mai i te waahanga o to kopu iti e kiia nei ko te ileum. Ko o ureter ka piri ki te pito o te waahanga iti o to ileum. Ko tetahi pito ka waiho hei stoma ka kumea ma te kiri o to kopu.

He tino ngawari te stoma. Ko te tohu hauora he mawhero-whero me te hou. Ko to stoma kia piri atu i roto i to kiri. He tikanga noa te kite i te paku huka. Ko nga toto o te toto, te iti ranei o te whakaheke toto mai i to stoma he mea noa.

Kaua rawa koe e piri ki tetahi mea ki roto i to stoma, ki te kore e kii atu to kaiwhakarato hauora.

Kaore he mutunga io o to stoma, no reira kaore koe e rongo ka pa ana tetahi mea ki a ia. Kaore hoki koe e rongo mena ka tapahia ana kua werohia ranei. Engari ka kite koe i tetahi raina kowhai, ma ranei i runga i te stoma mena ka wero.

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

• Ma te whakamahi i te peke urostomy, i te peeke ranei, me te tuwhera o te rahi tika, kia kore ai e turuturu te mimi
• Te tiaki pai i te kiri huri noa i to stoma

Hei manaaki i to kiri i tenei takiwa:

• 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 i te kiri huri noa i to stoma e whai hinu ana. Ma tenei ka uaua ki te hono atu i te peeke ki to kiri.
• Whakamahia nga hua tiaki kiri motuhake. Ma tenei ka kore pea e raru to kiri.

Kia mahara ki te whakaora i tetahi whero whero, i te kiri ranei i tenei wa ka iti ake, i te mea he iti noa te raru. Kaua e tukua te rohe raru kia nui ake, kia riri ranei i mua i to paatai ​​atu ki to kaiwhakarato.

Ko te kiri i te taha o to stoma ka ngawari ki nga taonga e whakamahia ana e koe, penei i te aarai kiri, te riipene, te piripiri, te peera ranei. Ka tere haere tenei puta noa i te waa, kaore hoki e hia wiki, marama, tae atu ki etahi tau i muri i te whakamahinga o te hua.

Mena he makawe o to kiri kei te taha o to stoma, ma te tango ka awhina pea te peera ki te noho humarie.

• Whakamahia te kutikuti i te kutikuti, he miihini hiko, he maimoatanga raima ranei hei tango i nga makawe.
• Kaua e whakamahia he hika tika he heu haumaru ranei.
• Kia tupato ki te tiaki i to stoma mena ka tangohia e koe nga makawe o te taha.

Karangahia to kaiwhakarato mena ka kite koe i enei rereketanga o te stoma o to kiri ranei i te taha.

Mena to tohu:

• He papura, hina, mangu ranei
• He kakara kino tona
• Kua maroke
• Kumea atu i te kiri
• Ka nui te whakatuwhera kia uru mai o whekau ki roto
• Kei i te taumata kiri hohonu ranei
• Ka pana atu i waho o te kiri ka roa
• Ka iti ake te tuwhera o te kiri

Mena te kiri i te taha o to stoma:

• Kumea ki muri
• He whero
• Nga Manaakitanga
• Weranga
• Nga pupuhi
• Nga toto
• Kei te whakaheke i te wai
• 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 putanga mimi i te waa noa
• Fever
• Te mamae
• He patai, he awangawanga ranei mo to stoma, to kiri ranei

Tiakitanga Ostomy - urostomy; Whakawhitinga Urinary - stoma urostomy; Cystectomy - uroma urutauma; Arataki Ileal

Paetukutuku American Cancer Society. Aratohu Urostomy. www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/ostomies/urostomy.html. Whakahoutia Oketopa 16, 2019. Kua uru atu ki Akuhata 25, 2020.

DeCastro GJ, McKiernan JM, Benson MC. Whenua aitanga whenua mimi. I roto i: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh Urology. 12th ed. Philadelphia, PA: Elsevier; 2021: chap 140.

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

• Mate Matepukupuku
• Nga Mate Hau
• Ostomy