Ileostomy - kutarisira stoma yako

Iwe waive nekukuvara kana chirwere mudumbu rako rekugaya uye waida oparesheni inonzi ileostomy. Kuvhiya kunochinja nzira iyo muviri wako unobvisa nayo tsvina (tsvina, tsvina, kana tsvina).

Iye zvino wave nekuvhura kunonzi stoma mudumbu rako. Tsvina inopfuura nepakati peoma ichiisa muhomwe inoitora. Iwe unozofanirwa kutarisira yako stoma uye kudurura homwe kanoverengeka pazuva.

Zvinhu zvekuziva nezve yako stoma zvinosanganisira:

• Stoma yako ndiwo mutsara wemukati mako.
• Ichave yepingi kana yakatsvuka, yakanyorova, uye inopenya zvishoma.
• Stomas anowanzo kuve akakomberedza kana oval.
• Iyo stoma haina kusimba.
• Mazhinji stomas anonamira kunze zvishoma pamusoro peganda, asi mamwe akati sandara.
• Unogona kuona kamasi. Stoma yako inogona kubuda ropa zvishoma kana iwe uchinatsa.
• Ganda rakakomberedza stoma rako rinofanira kunge rakaoma.

Tsvina inobuda mu stoma inogona kutsamwisa ganda. Saka zvakakosha kuti utarise zvakanyanya iyo stoma kudzivirira kukuvara paganda.

Mushure mekuvhiyiwa, stoma ichazvimba. Ichadzikira pamasvondo anoverengeka anotevera.

Ganda rakakomberedza stoma rako rinofanira kutaridzika sezvarakaita usati wavhiyiwa. Nzira yakanakisa yekuchengetedza ganda rako ndeiyi:

• Uchishandisa bhegi kana homwe ine chaiyo saizi kuvhura, saka marara haabude
• Kuchengeta zvakanaka ganda rakatenderedza stoma yako

Stoma midziyo ingangoita maviri-chidimbu kana 1-chidimbu seti. Iyo 2-chidimbu seti ine baseplate (kana wafer) uye homwe. Baseplate ndicho chikamu chinonamira paganda nekuchichengetedza kubva pakushatirwa kubva mutsvina. Chikamu chechipiri chihomwe chinosvina chisina chinhu mukati. Homwe inosungira kune baseplate, yakafanana neiyo Tupperware kavha. Mune 1-chidimbu seti, iyo baseplate uye mudziyo chinhu chimwe chete chidimbu. Iyo baseplate inowanzo inoda kuchinjwa kamwe chete kana kaviri pasvondo.

Kuchengeta ganda rako:

• Shamba ganda rako nemvura inodziya uye rimire zvakanaka usati waisa homwe.
• Dzivisa zvigadzirwa zvekuchengetedza ganda zvine doro. Izvi zvinogona kuita kuti ganda rako riome zvakare.
• Usashandise zvigadzirwa zvine mafuta paganda rakakomberedza stoma yako. Kuita izvi kunogona kuita kuti zviome kubatanidza homwe paganda rako.
• Shandisa mashoma, akakosha ekuchengetedza ganda zvigadzirwa kuti zviite matambudziko eganda kushoma.

Kana iwe uine vhudzi paganda rakakomberedza stoma yako, homwe yako inogona kusanamatira. Kubvisa bvudzi kunogona kubatsira.

• Bvunza mukoti wako weostomy nezve nzira yakanak yekuveura nzvimbo yacho.
• Kana iwe ukashandisa reza yekuchengetedza nesipo kana kuveura ndebvu, ita shuwa yekusuka ganda rako mushe mushure mekuveura nzvimbo yacho.
• Iwe unogona zvakare kushandisa kucheka chigero, shaver yemagetsi, kana kuve neraser kurapwa kubvisa bvudzi.
• Usashandise yakatwasuka yakatwasuka.
• Ive nekuchengera kuchengetedza yako stoma kana iwe ukabvisa vhudzi rakatenderedza.

Nekuchenjera tarisa kune yako stoma uye ganda rakatenderedza nguva dzese paunoshandura homwe yako kana chipingamupinyi. Kana ganda rakatenderedza stoma rakatsvuka kana kunyorova, homwe yako inogona kunge isina kusimbiswa zvakanaka pane yako stoma.

Dzimwe nguva kunamatira, ganda rinodzivirira, kunama, tepi, kana homwe zvinogona kukuvadza ganda. Izvi zvinogona kuitika kana iwe uchitanga kushandisa stoma, kana zvinogona kuitika mushure mekunge uchinge uchishandisa icho kwemwedzi, kana kunyangwe makore.

Kana izvi zvikaitika:

• Kumbira mupi wako wezvehutano nezve mushonga wekurapa ganda rako.
• Fonera mupiki wako kana zviripo hazvisi nani kana iwe uchirapa.

Kana yako stoma iri kubuda, ganda rako rinorwadza.

Ive neshuwa yekurapa chero kutsvuka kweganda kana shanduko yeganda ipapo, kana dambudziko richiri diki. Usatendere nzvimbo inorwadza kuti iwedzere kana kutsamwiswa usati wabvunza chiremba wako nezvazvo.

Kana yako stoma ikareba kupfuura zvakajairwa (inonamira kubva paganda zvakanyanya), edza inotonhora compress, kunge chando chakaputirwa netauro, kuti ipinde mukati.

Iwe haufanire kumbonamira chero chinhu mu stoma yako, kunze kwekunge chiremba wako akakuudza iwe.

Fonera mupiki wako kana:

• Stoma yako yakazvimba uye inopfuura 1/2 inch (1 cm) yakakura kudarika zvakajairwa.
• Stoma yako iri kudhonza mukati, pazasi peganda.
• Stoma yako iri kubuda ropa kupfuura zvakajairwa.
• Stoma yako yashanduka yepepuru, nhema, kana chena.
• Stoma yako irikudonha kazhinji kana kudhiraina mvura.
• Stoma yako inoita seisina kukwana sezvayakamboita kare.
• Unofanirwa kushandura mudziyo kamwe chete pazuva kana maviri.
• Une zvinoyerera kubva kune stoma zvinonhuwirira zvakashata.
• Iwe une chero zviratidzo zvekushaiwa mvura (hakuna kukwana mvura mumuviri wako). Zvimwe zviratidzo mukanwa wakaoma, kuita weti zvishoma, uye kunzwa kunzwa musoro kana kushaya simba.
• Une manyoka asingaendi.

Fonera waunopa kana ganda rakatenderedza stoma yako:

• Inodhonzera kumashure
• Tsvuku kana mbishi
• Ane mapundu
• Yakaoma
• Zvinorwadza kana kupisa
• Inozvimba kana kusundira kunze
• Kubuda ropa
• Itches
• Ine chena, grey, shava, kana rima tsvuku mapundu pairi
• Ane mapundu akatenderedza follicle yebvudzi iyo izere ne pus
• Ane maronda ane mitsara isina kuenzana

Zvakare fona kana iwe:

• Iva nemarara mashoma pane zvakajairika muhomwe yako
• Iva nefivhiri
• Sangana chero kurwadziwa
• Iva nemimwe mibvunzo kana kunetseka nezve stoma yako kana ganda

Standard ileostomy - kuchengetedza stoma; Brooke ileostomy - stoma kuchengetedza; Kondinendi ileostomy - stoma kuchengetedza; Hombodo hombodo - stoma kuchengetedza; End ileostomy - stoma kuchengetedza; Ostomy - stoma kuchengetedza; Chirwere cheCrohn - stoma kuchengetedza; Chirwere chinoputira ura - stoma kuchengetedza; Regional enteritis - kuchengetedza stoma; IBD - stoma kuchengetedza

Beck DE. Kuvaka Ostomy uye manejimendi: kugadzirisa iyo stoma yemurwere. Mune: Yeo CJ, ed.Kuvhiya kwaShackelford kweAlimentary Tract. 8th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 178.

Lyon CC. Kuchengetwa kweStoma. Mune: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson I, eds. Kurapa kweGanda Rezvirwere: Dzakakwana Therapeutic Strategies. 5 ed. Philadelphia, PA: Elsevier; 2018: chits. 233.

Raza A, Araghizadeh F. Ileostomy, colostomy, pouches, uye anastomoses. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chits. 117.

Tam KW, Lai JH, Chen HC, et al. Kuongorora kwakarongeka uye meta-ongororo yemiedzo yakasarudzika inodzorwa kuenzanisa kupindirana kwekuchengetedzwa kweganda. Ostomy Ronda Rarama. 2014; 60 (10): 26-33. PMID: 25299815 pubmed.ncbi.nlm.nih.gov/25299815/.

• Kenza yakajeka
• Chirwere cheCrohn
• Ileostomy
• Kugadziriswa kwematumbo kugadzirisa
• Yakakura ura resection
• Diki ura resection
• Yese mudumbu colectomy
• Yakazara proctocolectomy uye ileal-anal homwe
• Yakazara proctocolectomy neileostomy
• Ulcerative colitis

• Bland kudya
• Chirwere cheCrohn - kubuda
• Ileostomy nemwana wako
• Ileostomy uye kudya kwako
• Ileostomy - kuchinja homwe yako
• Ileostomy - kubuda
• Ileostomy - chii chekubvunza chiremba wako
• Yakakura ura resection - kubuda
• Kugara neileostomy yako
• Diki ura resection - kubuda
• Yese colectomy kana proctocolectomy - kubuda
• Mhando dze ileostomy
• Ulcerative colitis - kubuda

• Ostomy