Ileostomy - mālama i kāu stoma

Ua ʻeha a maʻi paha ʻoe i kāu ʻōnaehana digestive a pono i kahi hana i kapa ʻia he ileostomy. Hoʻololi ka hana i ke ʻano o ka hemo ʻana o kou kino i ka ʻōpala (ka noho, ka feces, a me ka poop).

I kēia manawa he wehe kāu i kapa ʻia he stoma i loko o kou ʻōpū. E hele ka ʻōpala i ke stoma i loko o kahi ʻeke e ʻohiʻohi ai. Pono ʻoe e mālama i kāu stoma a hakahaka i ka ʻeke i nā manawa he nui i ka lā.

ʻO nā mea e ʻike ai e pili ana i kāu stoma:

• ʻO kou stoma ka pale o kou ʻōpū.
• E poni a ʻulaʻula paha, pulu, a ʻōlinolino iki hoʻi.
• Pōʻai a poepoe pinepine paha nā Stomas.
• He lahilahi loa kahi stoma.
• Pili ka hapa nui o nā stomas ma luna o ka ʻili, akā pālahalaha kekahi.
• ʻIke paha ʻoe i kahi mucus liʻiliʻi. Hiki ke kahe iki kou stoma ke hoʻomaʻemaʻe ʻoe.
• E maloʻo kaʻili a puni kāu stoma.

Hiki ke hoʻonāukiuki i ka ʻili nā feces e puka i waho o ka stoma. No laila he mea nui e mālama kūikawā i ka stoma e hōʻalo ai i ka hōʻino ʻana o ka ʻili.

Ma hope o ke kaha ʻana, pehu ka stoma. E emi ana ia i loko o kekahi mau pule e hiki mai ana.

ʻO ka ʻili a puni kāu stoma e like me ia ma mua o ke ʻoki ʻana. ʻO ke ala maikaʻi e pale ai i kou ʻili e:

• Ke hoʻohana nei i kahi ʻeke a ʻeke paha me ka hāmama o ka nui e wehe ai, no laila ʻaʻole kahe ka ʻōpala
• Mālama maikaʻi ʻana i ka ʻili a puni kāu stoma

ʻO nā mīkini Stoma he ʻāpana 2 a ʻāpana 1 paha. Aia kahi ʻāpana 2 ʻāpana i kahi baseplate (a i ʻole wafer) a me ka ʻeke. ʻO kahi baseplate kahi ʻāpana e pili i ka ʻili a pale iā ia mai ka huhū mai nā feces. ʻO ka ʻāpana ʻelua ka ʻeke e hakahaka ai i loko. Hoʻopili ka ʻeke i ka baseplate, like me ka uhi Tupperware. I kahi ʻāpana 1 ʻāpana, ʻo ka baseplate a me nā mīkini nā mea āpau āpau. Pono e hoʻololi i ka baseplate hoʻokahi wale nō a ʻelua paha manawa o ka pule.

E mālama i kou ʻili:

• E holoi i kou ʻili me ka wai mehana a maloʻo maikaʻi ma mua o ka hoʻopili ʻana i ka ʻeke.
• Hōʻalo i nā huahana mālama ʻili i loaʻa ka ʻalekohola. Hiki i kēia mau mea ke hoʻomaloʻo i kou ʻili.
• Mai hoʻohana i nā huahana i loaʻa ka aila ma ka ʻili a puni kāu stoma. Hiki i ka hana ʻana ke paʻakikī ke hoʻopili i ka ʻeke i kou ʻili.
• E hoʻohana i nā huahana mālama ʻili liʻiliʻi, e hōʻemi ai i nā pilikia o ka ʻili.

Inā he lauoho kou i ka ʻili a puni kāu stoma, ʻaʻole pili paha kāu ʻeke. Hiki ke kōkua i ka hemo ʻana i ka lauoho.

• E noi i kāu kahu ostomy e pili ana i ke ala ʻoi loa e kahi i kahi.
• Inā ʻoe e hoʻohana i kahi pahi kaua palekana a me ke kopa a me ka kirima ʻumiʻumi, e holoi pono i kou ʻili ma hope o kou kahi kahi ʻana i kahi.
• Hiki nō iā ʻoe ke hoʻohana i ka ʻoki ʻana i ka ʻumiʻumi, ka ʻumiumi uila, a i ʻole ka mālama ʻana i ka laser e hemo ai ka lauoho.
• Mai hoʻohana i ka lihi pololei.
• E mālama pono i ka pale ʻana i kāu stoma inā hemo ʻoe i ka lauoho a puni.

E nānā pono i kāu stoma a me ka ʻili a puni ia i kēlā me kēia manawa ke hoʻololi ʻoe i kāu ʻeke a pale paha. Inā ʻulaʻula a pulu paha ka ʻili a puni kāu stoma, ʻaʻole paha e hoʻopaʻa maikaʻi ʻia kāu ʻeke i kāu stoma.

I kekahi manawa ka lina, pale ʻili, kāpili, lipine, a i ʻole ʻeke paha e hoʻopōʻino i ka ʻili. Kūpono paha kēia i kou hoʻomaka mua ʻana e hoʻohana i ka stoma, a i ʻole hiki ke hana ʻia ma hope o kāu hoʻohana ʻana iā ia no nā mahina, a i ʻole mau makahiki.

Inā kū kēia:

• E noi i kāu mea mālama ola e pili ana i ka lāʻau e mālama i kou ʻili.
• Kāhea i kāu mea hāʻawi inā ʻaʻole maikaʻi ia ke mālama ʻoe iā ia.

Inā kulu kou stoma, e ʻeha kou ʻili.

E mālama pono i ka ʻulaʻula a i ʻole ka hoʻololi o ka ʻili i ka manawa koke, ke liʻiliʻi ka pilikia. Mai ʻae i ka ʻeha e lilo i nui a i ʻole nā ​​ukiuki ma mua o ka nīnau ʻana i kāu kauka e pili ana.

Inā ʻoi aku ka lōʻihi o kāu stoma ma mua o ka maʻamau (pili i ka ʻili hou aʻe), e hoʻāʻo i kahi kaomi anu, e like me ka hau i ʻūlū ʻia i ke kāwele, e komo ai i loko.

ʻAʻole ʻoe e hoʻopili i kekahi mea i kāu stoma, ke ʻole ke kauka e haʻi aku iā ʻoe.

Kāhea i kāu mea hāʻawi inā:

• Pehu kou stoma a ʻoi aku ma mua o 1/2 iniha (1 cm) ʻoi aku ka nui ma mua o ka maʻamau.
• Ke huki nei kāu stoma, ma lalo o ka ʻili.
• Ke kahe nei kou stoma ma mua o ka maʻamau.
• Ua poni, ʻeleʻele, keʻokeʻo paha kāu stoma.
• Ke kulu pinepine nei kāu stoma a i ʻole ka hoʻokahe ʻana i ka wai.
• ʻAʻole kūpono kāu stoma e like me ia ma mua.
• Pono ʻoe e hoʻololi i ka mīkini i hoʻokahi manawa i kēlā me kēia lā a ʻelua paha.
• He hoʻokuʻu kāu mai ka stoma ʻaʻala maikaʻi ʻole.
• He mau hōʻailona kou no ka make wai (ʻaʻole lawa ka wai i kou kino). ʻO kekahi mau ʻōuli he maloʻo ka waha, mimiki pinepine ʻole, a ʻālohilohi a nāwaliwali paha.
• Loaʻa ʻoe i ka maʻi palahē ʻole e hele aku ana.

Kāhea i kāu mea hāʻawi inā ʻo ka ʻili a puni kāu stoma:

• Huki i hope
• ʻUlaʻula a maka paha
• He ʻōpala kona
• Ua maloo
• ʻEha a puhi paha
• Pehu a kipaku paha i waho
• ʻO nā koko
• Pākuʻi
• He keʻokeʻo, hina, ʻeleʻele, a ʻulaʻula ʻulaʻula paha i kau ʻia
• Loaʻa i nā puʻupuʻu a puni ka lauoho lauoho i piha i ka pā
• Loaʻa i nā ʻeha me nā kihi kaulike

Kāhea pū inā ʻoe:

• E hoʻemi i ka ʻōpala ma mua o ka maʻamau i kāu ʻeke
• Loaʻa ke kuni
• ʻIke i kekahi ʻeha
• He mau nīnau a hopohopo paha e pili ana i kāu stoma a i ʻole ʻili

Ileostomy maʻamau - mālama stoma; ʻO Brooke ileostomy - mālama stoma; Continost ileostomy - mālama stoma; Peke ʻōpū - mālama stoma; Hoʻopau ileostomy - mālama stoma; Ostomy - mālama stoma; Maʻi Crohn - mālama stoma; Maʻi maʻi ʻōpū - mālama stoma; Enteritis āpana - mālama stoma; IBD - mālama stoma

ʻO Beck DE. Kūkulu a me ka hoʻokele ʻana o Ostomy: hoʻopilikino i ka stoma no ka mea maʻi. I: Yeo CJ, hoʻoponopono.ʻO Shackelford's Surgery o ke Alimentary Tract. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 178.

Lyon CC. Mālama Stoma. I: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson I, eds. Ka mālama ʻana i ka maʻi ʻili: nā ʻōnaehana Therapyutic Comprehensive. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 233.

Raza A, Araghizadeh F. Ileostomy, colostomy, nā ʻeke, a me nā anastomoses. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 117.

Tam KW, Lai JH, Chen HC, et al. ʻO kahi loiloi ʻōnaehana a me nā meta-analysis o nā hoʻokolohua hoʻokolohua kaulike ʻole ʻia e hoʻohālikelike ana i nā hana no ka mālama ʻili peristomal. ʻO Manstomy Wound Manage. 2014; 60 (10): 26-33. PMID: 25299815 pubmed.ncbi.nlm.nih.gov/25299815/.

• Maʻi ʻaʻai kala
• Maʻi Crohn
• Ileostomy
• Hoʻoponopono i ka pale o ka ʻōpū
• ʻO ka ʻōpū nui o ka ʻōpū
• Hoʻokiʻi ʻōpū liʻiliʻi
• Huina nui o ka ʻōpū colectomy
• Ka nui o ka proctocolectomy a me ka ʻeke ileal-anal
• ʻO ka nui o ka proctocolectomy me ka ileostomy
• Ulcerative colitis

• Papaʻai Bland
• Maʻi Crohn - hoʻokuʻu
• ʻO Ileostomy a me kāu keiki
• Ileostomy a me kāu papaʻai
• Ileostomy - ke hoʻololi nei i kāu ʻeke
• Ileostomy - hoʻokuʻu
• Ileostomy - he aha e nīnau aku ai i kāu kauka
• ʻO ka ʻōpū nui o ka ʻōpū - hoʻokuʻu
• Noho me kāu ileostomy
• Hoʻokiʻi liʻiliʻi o ka ʻōpū - hoʻokuʻu
• Huina colectomy a i ʻole proctocolectomy - hoʻokuʻu
• Nā ʻano o ka ileostomy
• Ulcerative colitis - hoʻokuʻu

• Ostomy