Ileostomy - ke hoʻololi nei i kāu ʻeke
Ua ʻeha a maʻi paha ʻoe i kāu ʻōnaehana digestive a pono i kahi hana i kapa ʻia he ileostomy. Ua loli 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 ka stoma a hakahaka i ka ʻeke i nā manawa he nui i ka lā.
Hoʻololi i kāu ʻeke i kēlā me kēia 5 a 8 mau lā. Inā loaʻa iā ʻoe ka ʻūlū a i ʻole ke kulu, hoʻololi koke.
Inā loaʻa iā ʻoe kahi ʻōnaehana ʻeke i hana ʻia i nā ʻāpana 2 (kahi ʻeke a me kahi wafer) hiki iā ʻoe ke hoʻohana i nā ʻeke ʻelua ʻelua i loko o ka pule. E holoi a holoi i ka ʻeke ʻaʻole e hoʻohana ʻia, a e maloʻo maikaʻi.
Koho i kahi manawa o ka lā ke ʻoi iki ka puka o ka pahu mai kāu stoma. I ke kakahiaka nui ma mua o kou ʻai ʻana a inu paha i kekahi mea (a i ʻole 1 hola ma hope o ka pāʻina ʻana) ʻoi aku ka maikaʻi.
Pono paha ʻoe e hoʻololi pinepine i kāu ʻeke inā:
- Ua sweating ʻoe ma mua o ka maʻa mau mai ka wā wela a i ʻole ka hoʻoikaika kino.
- He ʻili ʻaila kou.
- ʻOi aku ka wai o kāu pahuhoho ma mua o ka maʻamau.
E holoi maikaʻi i kou mau lima a hoʻomākaukau i nā pono āpau. E kau i nā mīkina lima lapaʻau maʻemaʻe.
Wehe mālie i ka ʻeke. E hoʻokuke i ka ʻili mai ka sila. Mai huki i ka ostomy mai kou ʻili.
E holoi holoi i kou stoma a me ka ʻili a puni me ka wai soapy.
- E hoʻohana i ke kopa maʻalahi, e like me Ivory, Safeguard, a i ʻole Dial.
- Mai hoʻohana i kahi kopa i loaʻa ka mea ʻala a i ʻole ka hamo i hoʻohui ʻia.
- E nānā pono i kāu stoma a me ka ʻili a puni ona no nā loli. E ʻae i kāu stoma e maloʻo loa ma mua o ka hoʻopili ʻana i ka ʻeke hou.
E haki i ke kinona o kāu stoma ma ke kua o ka ʻeke hou a me ka ālai a i ʻole ka wafer (ʻo nā wafers he ʻāpana o kahi ʻōnaehana ʻeke 2 ʻāpana).
- E hoʻohana i kahi alakaʻi stoma me nā nui a me nā ʻano like ʻole, inā he hoʻokahi kāu.
- A i ʻole, kaha kiʻi i ke kinona o kāu stoma ma kahi ʻāpana o ka pepa. E ʻoki paha ʻoe i kāu kaha kiʻi a paʻa iā ia i kāu stoma e ʻike pono ʻo ia ka nui a me ke ʻano kūpono. ʻO nā kihi o ka wehe e kokoke i ka stoma, akā ʻaʻole pono e hoʻopā i ka stoma ponoʻī.
E haki i kēia kinona ma hope o kāu ʻeke hou a wī paha. A laila ʻoki i ka wafer i ke kinona.
E hoʻohana i ka pauka pale ʻili a kāpili paha a puni ka stoma, inā i ʻōlelo ʻia e kāu mea mālama ola.
- Inā aia ka stoma ma lalo a ma lalo paha o ka pae o kou ʻili, a inā ʻole kaulike ʻole ka ʻili a puni kāu stoma, e kōkua ka hoʻopili ʻana iā ia me ka maikaʻi.
- ʻO ka ʻili a puni kāu stoma e maloʻo a ʻoluʻolu. ʻAʻole pono e loaʻa nā wrinkle i ka ʻili a puni ka stoma.
Wehe i ke kākoʻo mai ka ʻeke. E hōʻoia i ka hāmama ʻana o ka ʻeke hou ma luna o ka stoma a kaomi ikaika ʻia i kou ʻili.
- E hoʻopaʻa i kou lima ma luna o ka ʻeke a me ka pale no ma kahi o 30 kekona ma hope o kāu kau ʻana iā ia. E kōkua kēia i ka sila maikaʻi ʻana.
- E noi i kāu mea hāʻawi e pili ana i ka hoʻohana ʻana i ka leki a puni nā ʻaoʻao o ka ʻeke a wafer paha e kōkua ai e sila maikaʻi iā lākou.
E pelu i ka ʻeke a paʻa iā ia.
Kāhea i kāu mea hāʻawi inā:
- Pahu ka stoma a ʻoi aku ma mua o ka hapalua iniha (1 kenimika) 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.
- ʻAʻole kūpono kāu stoma e like me ia ma mua.
- Pono ʻoe e hoʻololi i ka mīkini i kēlā me kēia lā i ʻelua paha.
- Loaʻa iā ʻoe ka ʻehu, a he maka ka ʻili a puni kāu stoma.
- He hoʻokuʻu kāu mai ka stoma ʻaʻala maikaʻi ʻole.
- Ke kipaku nei kou ʻili a puni kāu stoma.
- He ʻeha kou ma ka ʻili a puni kāu stoma.
- 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.
Ileostomy maʻamau - hoʻololi i ka ʻeke; ʻO Brooke ileostomy - hoʻololi i ka ʻeke; ʻO ka ileostomy Continent - hoʻololi; Ke hoʻololi nei ka ʻeke ʻōpū; Hoʻopau i ka ileostomy - hoʻololi i ka ʻeke; Ostomy - hoʻololi i ka ʻeke; Hoʻopilikia i ka maʻi ʻōpū - ileostomy a me kāu ʻeke; ʻO ka maʻi Crohn - ileostomy a me kāu ʻeke e loli; Ulcerative colitis - ileostomy a me kāu ʻeke e loli
ʻAhahui Kanaka ʻAmelika. Ke mālama nei i kahi ileostomy. www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/ostomies/ileostomy/management.html. Hoʻohou i Iune 12, 2017. Loaʻa iā Ianuali 17, 2019.
Araghizadeh F. Ileostomy, colostomy, a me nā ʻeke i: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 117.
Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Kolona a me ka pololei. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 51.
- 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
- ʻO Ileostomy a me kāu keiki
- Ileostomy a me kāu papaʻai
- Ileostomy - mālama i kāu stoma
- 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
- Ostomy