Ukugcina izimo ezicacile zeColostomy
Ukulandela ukuhlinzwa kwamathumba ngenxa yomdlavuza we-colon, ungaba ne- colostomy engunaphakade noma yesikhashana. Amabhokisi wempahla kanye nemiyalelo yokunakekela ehambisana ne-colostomy yakho entsha angeke ivuselele ukuzethemba, kodwa ukushintsha isikhwama sakho akuyona into enzima njengoba kungabonakala. Uma usuchwepheshe, ukushintsha ukusebenza kwakho kungathatha imizuzu engu-15 noma ngaphansi.
Ukuvame Ukwenziwa Kanjani Ama-Colostomy Bags?
Kudingeka kaningi kangakanani ukushintsha umshini wakho we-colostomy kuncike ezintweni ezimbalwa ezihlukene:
- Indawo ye-ostomy yakho
- Ukuvama kwakho kokuhamba kwamathumbu kanye nokuvumelana
- I-oiliness yesikhumba sakho
- Izinga lomsebenzi wakho
- Amazinga okushisa angaphandle nangaphandle
- Uhlobo lwensimbi ye-colostomy oyisebenzisayo - ucezu olulodwa noma izingcezu ezimbili
Indawo ye-colostomy yakho - ehamba phambili, ekhuphuka, ehla noma e-sigmoid colon - inquma ukuvumelana kokuhamba kwakho kwezinyosi kanye nemvamisa okumele uguqule isikhwama sakho se-colostomy. Ama-colostomies ahambayo futhi aphakama ngokuvamile anezitshalo ezikhululekile ezingasikhathaza kakhulu esikhumbeni sakho futhi zidinga izinguquko eziningi zesikhwama sezinkukhu (noma okungenani ukuchelela nokuhlanza isikhwama). I-colostomies ejwayelekile kakhulu, yehla kanye ne-sigmoid colostomies, ivame ukukhiqiza ukunyakaza okujwayelekile okwakhiwa okwesikhashana, okujwayelekile futhi akufanele kudinga ukunakekelwa njalo.
Uma isikhumba sakho sinomanzi, se-oily, noma sishisa ngaphandle, isikhwama sombala we-colostomy asikwazi ukunamathela futhi sidinga izinguquko eziningi zesevisi zokuvimbela ukuvuza.
Ngokufanayo, uma usebenza kakhulu noma uvivinya umzimba, kungadingeka ushintshe isikhwama sakho sezinhlamvu zomzimba nsuku zonke kuye ngokuthi uzikhukhumeza kangakanani.
Landela imiyalelo nemihlahlandlela eyinikezwe udokotela wakho noma u-ET umhlengikazi - kodwa ngokuvamile, kuzodingeka ushintshe umshini wakho we-colostomy okungenani njalo ezinsukwini ezimbili kuya kwezintathu.
Uma unesici esisodwa (isikhwama esinamathele ku-unit), ungase udinge ukuwuguqula kaningi, ngokususelwa kumathumbu akho kaningi kangakanani. Ungavumeli ukuthi isikhwama sakho se-colostomy sithole okungaphezu kwe-1/3 egcwele imfucuza, njengoba isisindo singabeka ukucindezeleka ngokweqile esikhwameni sakho nasesikhumbeni sakho esizungezile, futhi uphawu olusebenzayo lwakho lungabangela ukuvuza okukhipha isiphuzo nesitoreji .
Ukuqoqa Izimpahla Zakho
Ngaphambi kokuba ushintshe umshini wakho we-colostomy okokuqala qiniseka ukuthi unayo yonke impahla oyodinga ukuyisebenzisa:
- Isobho, amanzi namathawula
- Umshini we-Colostomy (ucezu olulodwa noma ezimbili ucezu unit) ngesikrini (uma kungasuswa)
- Isikhambancane esincane seyunithi yezincezu ezimbili - ukunciphisa isikhwama somgoqo wesikhumba esilinganisweni se- stoma yakho
- Ukunamathela kwesikhumba noma ukulungiselela
- I-stoma unamathela kanye ne-powder
- Isikhwama sokuthenga ipulasitiki esilahlekile
Hlela izinto zakho endaweni yokugezela. Iningi labantu likhetha ukusebenzisa isitoreji esincane - kunalokho indlu yangasese - ukuhlala, ukuze ukhulule isikhwama sakho sangasese endlini yangasese ngaphambi kokuyishintsha. Ungashintsha umshini wakho wokusebenza ngenkathi umile, kodwa kungase kube ngcono ukukwenza ngenkathi uhlezi.
Susa uhlelo lokusebenza oludala
Uma unesikhwama esikhwamayo esikhwameni, vula isiqeshana bese uvula okuqukethwe endlini yangasese ngaphambi kokukhipha isikhwama sakho bese ubeka isiqeshana eceleni, ungasilahli .
Ungawususi isikhumba sakho esikhunjeni sakho njenge-band aid. Lokhu kungabangela ukucindezeleka okungadingekile esikhumbeni nasesiswini , okungabangela ukuphuma kwegazi nokucasuka. Esikhundleni salokho, cindezela phansi isivinini sesikhumba (okuphephile) ngesandla esisodwa ngenkathi udonsa isikhumba sakho kancane. Uma unezinwele ezingaphezu kwe-stoma kulungile ukuqoqa ngokucophelela izinwele ngezikhali noma i-razor. Lokhu kuzonciphisa ukukhathazeka kwakho ngenkathi ushintsha uhlelo lwakho lokusebenza futhi uvumele uphawu olungcono oluzungeza i-stoma yakho. Hlukanisa umshini omdala esikhwameni sokuthenga epulasitiki olahlwayo bese ubopha phezulu ngenhla ukuze unciphise iphunga.
Ukugeza Isikhumba neStoma
Kungcono ukushiya isisu sakho evulekile emoyeni bese ugeza noma ukugeza.
Uma ukhetha, geza izandla zakho ngesepha namanzi bese ugeza isikhumba esizungeze i-stoma yakho ngendwangu yokugeza kanye nesepha elingenalutho. I-pat noma i-air iyomisa isikhumba esizungeze i-stoma ngaphambi kokuqhubeka.
Qaphela ukubukeka kwesimo sakho se-stoma. Ngokushesha ngemva kokuhlinzwa, i-stoma ingahle ivuke kancane nombala obomvu obomvu. Kodwa-ke, emavikini alandelayo, kufanele abe buthambile, obomvu noma obomvu nokumanzi. Akufanele kube nokuphuma ngokweqile (i-drop noma ezimbili kulungile) futhi akufanele kube khona iphunga elimnandi, ubomvu noma ukuvuvukala okuzungeze i-stoma.
Ukusebenzisa i-Wafer Skin Barrier
Uma unesisindo esisodwa, ukuvulwa kwe-stoma kuyoba yinto engavamile kuwe futhi isikhwama sinamathele esikhungweni somzimba. Uma une-system piece, uzodinga ukusika ukuvula phakathi kwendawo yokugcina ukuze uvumelane nesimo sakho. Sika ukuvula okuphazamisekile ukufanisa i-stoma yakho ngaphambi kokuyifaka esikhumbeni sakho. Ukuvula kufanele kufane nesimo sakho; uma ukuvulwa kukhulu kakhulu, ukuqubuzana kwamathumbu kuzocasula isikhumba futhi uma ukuvulwa kuncane kakhulu, i-stoma yakho ingaba yilala. Uma isikhumba esizungezile sinomanzi, sebenzisa isikhumba sula (prep), i-stoma powder encane, bese uphinda usula isikhumba phezu kwe-powder. Faka isicelo se-stoma unamathela emgodini osesiswini bese ulisebenzisa esikhumbeni sakho. Bamba isikhwama endaweni eyodwa ngomzuzu noma amabili ukudala uphawu oluhle. Uma une unit piece piece uzodinga snap isikhwama endaweni endaweni flange efihliwe. Qinisekisa ukuthi isiqeshana sisendaweni ukufaka uphawu esikhwameni (uma unesimiso sokuvula amanzi) futhi usuqedile.
Okumele Ubike KuDokotela Wakho
Ngemuva kwamasonto ambalwa, uzokwazi ukuthi umkhiqizo wakho ojwayelekile we-colostomy uphinde uqale ukusetshenziselwa ukubukeka kwe-stoma yakho. Uma ubona okuthile okujwayelekile kungcono ukubikela udokotela wakho noma umhlengikazi we-ET kufaka phakathi:
- Ukudonswa kwamanzi noma okuphefumulayo okuzungeze i-stoma
- Ukusuka okubomvu okukhanyayo (hhayi nje i-drop noma smear) ngaphandle kwe-stoma
- Unomkhuhlane
- I-stoma yakho inephunga elimnandi uma isisetshenziswa susiwe
- Uhlanza noma u-nauseous
- Unesifo, ukuvuvukala, noma ukubhoboza esiswini sakho, ikakhulukazi eduze nesitezi
- I-stoma ayikhiqizi igesi noma isitoreji amahora amane noma ngaphezulu
Imithombo:
I-American Cancer Society. (nd). I-Colostomy: Umhlahlandlela. Ukushintsha uhlelo lwe-Pouching. Kufinyelelwe ku-intanethi ngoJuni 19, 2013.
I-Medline Plus. (nd). Ukushintsha I-Ostomy Pouch Yakho. Kufinyelelwe ku-intanethi ngo-Juni 17, 2013.
I-American Cancer Society. (nd). I-Colostomy: Umhlahlandlela. Amacebo awusizo. Kufinyelelwe ku-intanethi ngoJuni 21, 2013.