Ukutshintsha ingxowa yakho ye-ostomy

Isingxobo sakho se-ostomy sisikhwama seplastiki esisebenza nzima onxiba ngaphandle komzimba wakho ukuqokelela isitulo sakho. Sebenzisa isingxobo se-ostomy yeyona ndlela ilungileyo yokuphatha intshukumo yamathumbu emva kweentlobo ezithile zotyando kwikholoni okanye emathunjini amancinci.

Kuya kufuneka ufunde ukuba ungayitshintsha njani ingxowa yakho ye-ostomy. Landela nayiphi na imiyalelo ekhethekileyo umongikazi akunika yona xa utshintsha isingxobo. Sebenzisa olu lwazi lungezantsi njengesikhumbuzo sokwenza.

Isitulo sakho sinokuba lulwelo okanye siqinile, kuxhomekeke kuhlobo lotyando onalo. Unokufuna i-ostomy yakho okwexeshana elifutshane. Okanye, unokuyidinga ubomi bakho bonke.

Isingxobo se-ostomy sibambelela esiswini sakho, kude nebhanti yakho. Iya kufihlwa phantsi kwempahla yakho. I-stoma kukuvulwa kwesikhumba sakho apho isingxobo sibambelela khona.

Ngokwesiqhelo unokwenza imisebenzi yakho yesiqhelo, kodwa kuya kufuneka utshintshe indlela otya ngayo kwaye ujonge ukukhathazeka kolusu. Izikhwama azinavumba, kwaye azivumeli irhasi okanye isitulo ukuba siphume xa sinxibe ngokuchanekileyo.

Umongikazi wakho uya kukufundisa ukuba uyikhathalele njani ingxowa yakho ye-ostomy kunye nendlela yokutshintsha. Kuya kufuneka uyikhuphe xa imalunga ne-1/3 igcwele, kwaye uyitshintshe malunga neentsuku ezi-2 ukuya kwezi-4, okanye rhoqo xa exelelwa ngumongikazi wakho. Emva kokwenza okuthile, ukutshintsha ingxowa yakho kuya kuba lula.

Qokelela izinto zakho ngaphambi kokuba uqale. Uya kudinga:

• Isingxobo esitsha (inkqubo yeengcezu ezi-1, okanye inkqubo yesiqwenga esine-efile)
• Ikliphu yekliphu
• Isikere
• Itawuli ecocekileyo okanye iitawuli zamaphepha
• Umgubo weStoma
• Unamathisele iStoma okanye itywina lesangqa
• Ukusula ulusu
• Ikhadi lokulinganisa kunye nepeni

Iivenkile ezininzi zoncedo lwezonyango ziya kuzisa ngqo ekhayeni lakho. Umongikazi wakho uya kukuqalisa ngezixhobo oza kuzifuna. Emva koko, uya ku-odola izinto zakho.

Igumbi lokuhlambela yindawo elungileyo yokutshintsha isingxobo sakho. Khuphela isingxobo sakho esisetyenzisiweyo kwindlu yangasese kuqala, ukuba ifuna ukukhutshwa.

Hlanganisa izinto zakho. Ukuba unengxowa emi-2, qiniseka ukuba unesitywina esikhethekileyo esincamathelayo kulusu lwakho olujikeleze istoma.

Landela la manyathelo ukuthintela usulelo:

• Hlamba izandla zakho ngesepha namanzi. Qiniseka ukuba uhlamba phakathi kweminwe yakho naphantsi kweenzipho zakho. Yoma ngetawuli ecocekileyo okanye iitawuli zamaphepha.
• Ukuba unengxowa emi-2, cofa ngobunono kulusu olujikeleze i-stoma yakho ngesandla se-1, kwaye ususe itywina ngesinye isandla. (Ukuba kunzima ukususa itywina, ungasebenzisa iiphedi ezizodwa. Buza umongikazi wakho malunga noku.)

• Gcina ikliphu. Beka isingxobo esidala se-ostomy engxoweni emva koko ubeke ibhegi enkunkumeni.
• Coca ulusu olujikeleze istoma sakho ngesepha efudumeleyo kunye namanzi kunye nelaphu elicocekileyo lokuhlamba okanye iitawuli zamaphepha. Yoma ngetawuli ecocekileyo.

Jonga kwaye uvale ulusu lwakho:

• Jonga ulusu lwakho. Ukopha kancinci kuqhelekile. Ulusu lwakho kufuneka lube lupinki okanye lubomvu. Biza ugqirha wakho ukuba ubomvu, umnyama, okanye uluhlaza okwesibhakabhaka.
• Sula ujikeleze istoma ngolusu olukhethekileyo. Ukuba ulusu lwakho lunamanzi kancinci, tshiza ezinye ze-stoma powder kwindawo emanzi okanye evulekileyo.
• Khanyisa kancinci ukosula okukhethekileyo ngaphezulu komgubo kunye nesikhumba sakho kwakhona.
• Vumela indawo eyomileyo umoya imizuzu emi-1 ukuya kwezi-2.

Linganisa i-stoma yakho:

• Sebenzisa ikhadi lakho lokulinganisa ukufumana ubungakanani besangqa obuhambelana nobukhulu besitokhwe sakho. Musa ukulibamba ikhadi kulusu lwakho.
• Ukuba unenkqubo yesiqwenga-2, landela ubungakanani besangqa ngasemva kwetywina kwaye usike obu bungakanani. Qinisekisa ukuba imiphetho esikiweyo igudile.

Qhoboshela isingxobo:

• Namathisela isingxobo kwitywina eliringiweyo ukuba unenkqubo yesiqwenga esi-2.
• Coca iphepha elitywinwe ngomsesane.
• I-squirt stoma cola ujikeleze umngxunya kwitywina, okanye ubeke umsesane okhethekileyo westoma ujikeleze ukuvulwa.
• Beka itywina ngokulinganayo ujikeleze istoma. Yibambe endaweni yayo okwemizuzu embalwa. Zama ukubamba indwangu yokufudumeza efudumeleyo ngaphezulu kwetywina ukunceda ukuba unamathele kulusu lwakho.
• Ukuba uyazidinga, beka iibhola zomqhaphu okanye iipakethe ezikhethekileyo zejel engxoweni yakho ukuze ingavuzi.
• Namathisela ikliphu yesingxobo okanye usebenzise iVelcro ukuvala isingxobo.
• Hlamba izandla zakho kwakhona ngesepha efudumeleyo kunye namanzi.

Fowunela umboneleli wakho wezempilo ukuba:

• Istoma sakho sinuka kakubi, kukho ubofu ekufunxeni kuso, okanye sopha kakhulu.
• Istoma sakho siyatshintsha ngandlela thile. Umbala owahlukileyo, uya usiba mde, okanye utsala ulusu lwakho.
• Ulusu olujikeleze i-stoma yakho luyaqhuma.
• Kukho igazi kwisitulo sakho.
• Unomkhuhlane we-100.4 ° F (38 ° C) okanye ngaphezulu, okanye unengqele.
• Uziva ugula esiswini, okanye uyagabha.
• Izitulo zakho zikhululekile kunesiqhelo.
• Unentlungu eninzi esiswini sakho, okanye udumbile (ukukhukhumala okanye ukudumba).
• Awunayo igesi okanye isitulo iiyure ezingama-4.
• Unokonyuka okukhulu kwesixa sokuqokelela isitulo kwisingxobo sakho.

Ostomy - ingxowa utshintsho; IColostomy - ingxowa yotshintsho

Ikholeji yaseMelika yoGqirha, iCandelo lezeMfundo kwiwebhusayithi. Izakhono ze-Ostomy: ukungabinanto kunye nokutshintsha isingxobo. www.facs.org/~/media/files/education/patient%20ed/empty%20pouch.ashx. Ukuhlaziywa ngo-2015. Kufumaneka ngo-Matshi 15, 2021.

URaza A, Araghizadeh F. Ileostomies, ii-colostomies, iipakethi kunye ne-anastomoses. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahl 117.

USmith SF, uDuell DJ, uMartin BC, uGonzalez L, uAebersold M. Bowel wokuphelisa. Ku: Smith SF, uDuell DJ, uMartin BC, uGonzalez L, uAebersold M, ii-eds. Izakhono zoLondolozo lwezeKlinikhi: ezisisiseko kwizakhono eziPhambili. Umhla we-9. ENew York, NY: Pearson; I-2016: isahluko 23.

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