Ukugcina iimeko ezifanelekileyo zeColostomy
Ukulandela utyando lomzimba lwe- colon umdlavuza, unokuba ne- colostomy esigxina okanye yesikhashana. Iibhokisi zeempahla kunye nemiyalelo yokunyamekela ehamba kunye ne-colostomy yakho entsha ayinakukhuthaza ukuzithemba, kodwa ukutshintsha isikhwama sakho akuyinto enzima njengoko kukhangeleka. Xa unesakhono, ukutshintsha umbane wakho unokuthatha kuphela imizuzu engama-15 okanye ngaphantsi.
Ngamaxesha amaninzi Ngaba iiColostomy Bags zifuna ukutshintshwa?
Kufuneka kaninzi kangakanani ukutshintsha i-colostomy yakho isebenze kwizinto ezimbalwa ezahlukeneyo:
- Indawo ostomy yakho
- Ukunyakaza kwentsholongwane yakho kunye nokuvumelana
- Ukucoceka kwesikhumba sakho
- Umgangatho wakho womsebenzi
- Ukushisa kwamaqondo angaphandle nakwamaphandle
- Uhlobo lwe-colostomy usetyenziso-enye into okanye ezimbini
Indawo yakho ye-colostomy - ehambayo, ekhuphukayo, ehlayo okanye e-sigmoid colon- inquma ukuhambelana kokuhamba kweembilini zakho kunye nexesha eliza kufuneka liguqule i-postomy yakho. I-colored and ascending colostomies zihlala zinezicathulo ezinokuthi zibacaphukise kakhulu kwesikhumba kwaye zifuna utshintsho oluthile lweengxowa (okanye ubuncinci kunye nokucoca kwesikhwama). Ii-colostomies eziqhelekileyo, zehla kunye ne-sigmoid colostomies, ngokuqhelekileyo zivelise ukunyakaza okusemgangathweni, ukuhamba rhoqo kwimizimba kwaye akufanele zifune ukunakekelwa rhoqo.
Ukuba isikhumba sakho sinomanzi, sinamafutha, okanye sitshisa ngaphandle, isikhwama sombala we-colostomy asikwazi ukunamathela kunye nokufuna ukuba utshintsho oluthe rhoqo olukhuselekileyo lukhusele ukuvuza.
Ngokufanayo, ukuba unomdla okanye usebenze, ungadinga ukutshintsha ibhogiysi yakho imihla ngemihla kuxhomekeke ekubeni ungazikhupha kangakanani.
Landela imiyalelo kunye nezikhokelo ezinikezwe ngugqirha wakho okanye unesi-ET- kodwa ngokuqhelekileyo, kuya kufuneka utshintshe umbane wakho we-colostomy ubuncinane zonke iintsuku ezimbini ukuya kwethathu.
Ukuba unesahlulo esinye (isikhwama esibandakanyekileyo kwinqwelo), ungadinga ukutshintsha rhoqo, ngokusekelwe kwimizimba yakho. Ungavumeli ukuba isikhwama sakho se-colostomy sithole ngaphezu kwe-1/3 epheleleyo yenkunkuma, njengoko ubunzima bunokubeka uxinzelelo oludlulileyo kwi-stoma yakho nangenxa yesikhumba esijikelezileyo, kwaye isitywina kwisixhobo sakho singakwazi ukudala ukuphazamiseka kokubangela ukuvuza kwephunga kunye nesigxina .
Ukuqokelela Izinto Zakho
Ngaphambi kokuba utshintshe i-colostomy yakho yexesha okokuqala qiniseka ukuba unayo yonke into oyifunayo uyakuyilungisa:
- Isepha, amanzi kunye namathuwa
- Isixhobo seColostomy (isiqwengatha esinye okanye isiqwenga sesibini) kunye neqhotyoshelweyo (ukuba ikhutshwe)
- Isisisi esincinci seyunithi yecandelo elincinane - ukucoca isikhephe sokukhupha isikhumba kwisayizi se stoma yakho
- Ukubambelela kwesikhumba okanye ukunqanda
- Stoma unobumba kunye ne powder
- Isikhwama sokuthenga iplastiki esilahlayo
Hlela izinto zakho kwiindawo zokuhlambela. Uninzi lwabantu lukhetha ukusebenzisa isitobhu esincinci - kunokuba indlu yangasese - ukuba uhlale kuyo, ukuze ukhulule isikhwama sakho sangasese kwindawo yangasese ngaphambi kokuba uyitshintshe. Uyakushintsha umbane wakho ngenkathi umile, kodwa kunokuzilungele ukwenza xa uhleli.
Susa i-Old Appliance
Ukuba unesikhwama esinokukhenkcela kunye neqhotyoshela, vula isiqhotyoshelweyo uze ucofe iziqulatho kwisindlu yangasese ngaphambi kokuba ususe isikhwama sakho uze usethe iqhosha elingaphandle, ungalilahli ngaphandle .
Musa ukukrazula isikhephe esikhumbeni sakho njenge-band aid. Oku kunokubangela uxinzelelo olungadingekile kwesikhumba kunye ne- stoma , engabangela ukuphuma kwegazi kunye nokucasula. Endaweni yoko, cima phantsi kwinqaba yesikhumba (qhafaza) ngesandla esinye ngelixa uthabatha ngobumnene isikhumba sakho kuso. Ukuba unezinwele ezingaphezulu kwe-stoma kulungile ukucoca ngokunyanisekileyo iinwele ngeesisi okanye i-razor. Oku kuya kunciphisa ukuphazamiseka kwakho ngelixa utshintsha umbane wakho kwaye uvumele uphawu olungcono kwi-stoma yakho. Ukukhupha umbane osemdala kwipokethi yokuthenga iplastiki elahlayo kwaye ubophe phezulu kwiqhina ukuze unciphise iphunga.
Ukuhlamba isikhumba kunye neStoma
Kukulungele ukuba ushiye i-stoma yakho evulekile emoyeni uze uhlambe okanye uhlambe.
Ukuba ukhetha, hlamba izandla zakho ngesepha kunye namanzi uze uhlambele ulusu olujikeleze i-stoma yakho kunye nesitya sokuhlamba kunye nesepha engapheliyo. I-Pat okanye umoya uyomisa isikhumba esijikeleze i-stoma ngaphambi kokuba uqhubeke.
Nika ingqalelo ukubonakala kwe stoma yakho. Ngokukhawuleza emva kokuhlinzwa, i-stoma ingaba yincinci kunye nombala obomvu obomvu. Nangona kunjalo, kwiiveki ezilandelayo, kufuneka zibe lula, zifini okanye zibomvu kwaye zimanzi. Akufuneki kube negazi eligqithisileyo (i-drop okanye ezimbini zilungile) kwaye akufuneki kubekho iphoso elimnandi, ubomvu okanye ukuvuvukala ezungeze i-stoma.
Ukusebenzisa isiKhuseli soKhuselo seNyama
Ukuba unesistim esisodwa, ukuvulwa kwe-stoma kuya kulungelelwa kuwe kwaye isikhwama sinamathele kwisikhintelo sesikhumba. Ukuba unesistim ezimbini, uzakufuna ukunqumla ukuvula phakathi kwendawo yokubambisa ukuze uvumelane ne stoma yakho. Sika ukuvula ngokugqithisileyo ukufanisa i-stoma yakho ngaphambi kokuba uyisebenzise esikhumbeni sakho. Ukuvula kufuneka kufane ne stoma yakho; ukuba uvulo lukhulu kakhulu, ukuqulethwa kwezibilini kuya kucaphukisa isikhumba kwaye ukuba ukuvula kukuncinci, i-stoma yakho ingatshatyalaliswa. Ukuba isikhumba esijikelezileyo sinomanzi, sebenzisa isikhumba sophula (prep), isikhumba esincinci se-stoma, ubuye uphinde usule isikhumba kwi-powder. Faka isicelo se-stoma unamathela emgodini kwisibilini uze uyisebenzise kwesikhumba sakho. Yibambe isikhephelo endaweni ethile ngomzuzu okanye ezimbini ukudala uphawu oluthile. Ukuba unayo icandelo leeyunithi ezimbini uza kuyidinga ukutshintsha isikhombisi kwindawo kwindawo yeflebhe yefayile. Qinisekisa ukuba isiqhotyoshelweyo sisendaweni ukuze unamathele isikhwama (ukuba unesistim se-drainage evulekile) kwaye uyenziwe.
Yintoni ekufuneka uyixele kuDokotela wakho
Emva kweeveki ezimbalwa, uya kukwazi ukuba imveliso yakho yesiqhelo ye-colostomy yintoni kwaye uqale ukusetyenziswa ukubonakala kwe-stoma yakho. Ukuba ubona into ngaphandle kwesiqhelo kukulungele ukuyixelela ugqirha wakho okanye unesi-ET kuquka:
- Umgquba okanye umkhuhlane ojikelezayo kwi-stoma
- Ukuphaphaza obomvu obomvu (kungekhona nje umgca okanye i-smear) ngaphandle kwe-stoma
- Unomkhuhlane
- I-stoma yakho inomdaka ococekileyo xa isisombululo sisuswa
- Uhlamba okanye utyumkile
- Unentlungu, ukuvuvukala, okanye ukubetha esiswini sakho, ngakumbi kwi-stoma
- I-stoma ayivelisi igesi okanye isitulo iiyure ezine okanye ngaphezulu
Imithombo:
American Cancer Society. (nd). IColostomy: Isikhokelo. Ukutshintsha Inkqubo yokuThambisa. Kufikeleleke kwi-intanethi ngoJuni 19, 2013.
Medline Plus. (nd). Ukutshintsha i-Ostomy Pouch yakho. Kufikeleleke kwi-intanethi ngoJuni 17, 2013.
American Cancer Society. (nd). IColostomy: Isikhokelo. Amacebiso anceda. Ufikeleleke kwi-intanethi ngoJuni 21, 2013.