Ileostomy - hoʻokuʻu

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 nā ʻōpala (feces).

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.

Hana ʻia kāu stoma mai ka pale o kou ʻōpū. E poni a ʻulaʻula paha, pulu, a ʻōlinolino iki hoʻi.

ʻO ke kapuahi e hele mai ana mai kāu ileostomy lahilahi a mānoanoa paha o ka wai, a i ʻole he pasty paha ia. ʻAʻole paʻa ia e like me ka stool mai kāu kolone. ʻO nā meaʻai āu e ʻai ai, nā lāʻau lapaʻau āu e lawe ai, a me nā mea ʻē aʻe e hiki ke hoʻololi i ka lahilahi a i ʻole ka lahilahi o kāu pahu.

ʻO kekahi nui o ke kinoea maʻamau.

Pono ʻoe e ninini i ka ʻeke 5 a 8 mau manawa i ka lā.

E noi i kāu mea mālama ola i kāu mea e ʻai ai ke hoʻokuʻu ʻia ʻoe mai ka haukapila. E noi paha ʻoe e hāhai i kahi papaʻai haʻahaʻa haʻahaʻa.

E kamaʻilio me kāu mea hāʻawi inā loaʻa ʻoe i ka maʻi diabetes, maʻi puʻuwai, a i ʻole nā ​​ʻano ʻano ʻē aʻe, a pono ʻoe e ʻai a pale paha i kekahi mau meaʻai.

E ʻauʻau paha ʻoe a i ʻole ʻauʻau e like me ka ea, ke kopa, a ʻaʻole ʻeha ka wai i kāu stoma a hele ʻole ka wai i loko o ka stoma.He maikaʻi ke hana i kēia me ka ʻole o kāu ʻeke.

Nā lāʻau a me nā lāʻau:

• ʻOi aku ka maikaʻi o nā lāʻau lapaʻau ma mua o nā mea paʻa. Lawe i kēia mau mea ke loaʻa lākou.
• Loaʻa i kekahi mau lāʻau i kahi uhi kūikawā (enteric). ʻAʻole hiki i kou kino ke komo i kēia mau luawai. E noi i kāu mea lawelawe a mea kauka lāʻau paha no nā ʻano lāʻau ʻē aʻe.

E kamaʻilio me kāu mea hāʻawi inā lawe ʻoe i nā lāʻau hoʻomalu hānau. ʻAʻole paha e hoʻopili maikaʻi kou kino iā lākou e pale ai iā ʻoe mai ka hāpai ʻana.

ʻOi aku ka maikaʻi o ka waiho ʻana i kāu ʻeke inā ma kahi o ka hapakolu a hoʻokahi hapalua o ka piha. ʻOi aku ka maʻalahi ma mua o ka piha, a ma laila e emi ana ka pilau.

E hoʻonele i kāu ʻeke (hoʻomanaʻo - hele mau paha ka pahu mai ka stoma ke hana ʻoe i kēia):

• E ʻaʻahu i nā mīkina lima lapaʻau maʻemaʻe.
• E hoʻokomo i kahi pepa holoi i ka lua ke hoʻomau i ka pīpī ʻana i lalo. A i ʻole, hiki iā ʻoe ke holoi i ka wā e ninini ai i ka ʻeke e hōʻalo ai i ka pīpī ʻana.
• Noho hope loa ma ka noho a ma kekahi ʻaoʻao o ia. Hiki iā ʻoe ke kū a kūlou ma luna o ka lua.
• Paʻa i ka lalo o ka ʻeke i luna.
• E ʻōwili pono i ka huelo o kāu ʻeke ma luna o ka lua ke waiho ia.
• E hoʻomaʻemaʻe i waho a ma loko o ka huelo o ka ʻeke a me ka pepa lua.
• Pani i ka ʻeke ma ka huelo.

E hoʻomaʻemaʻe a holoi i ka loko a ma waho o ka ʻeke.

• Hāʻawi paha kāu kahu hānai iā ʻoe i kahi kopa kūikawā e hoʻohana ai.
• E noi i kāu kahu e pili ana i ka pīpī ʻana i ka aila nonstick i loko o ka ʻeke e mālama i ka pahu mai ka pili ʻana iā ia.

Pono ʻoe e ʻike e pili ana i:

• Ileostomy - ke hoʻololi nei i kāu ʻeke
• Ileostomy - mālama i kāu stoma

E nau pono i kāu mau meaʻai. E kōkua kēia i ka mālama ʻana i nā meaʻai kiʻekiʻe o ke fiber mai ka pale ʻana i kāu stoma.

ʻO kekahi o nā hōʻailona o ka paʻa ʻana ke hāhā koke nei i kou ʻōpū, kahi stoma pehu, nausea (me ka luaʻi ʻole a me ka luaʻi ʻole), a me ka hoʻonui nui ʻana o ka hopena wai loa.

ʻO ka inu ʻana i ke tī wela a me nā wai ʻē aʻe paha e holoi i nā meaʻai e ālai ana i ka stoma.

Aia kekahi mau manawa ke puka ʻole kahi mea mai kāu ileostomy no kekahi manawa iki. He maʻamau kēia.

Kāhea koke aku i kāu mea nāna e hāʻawi inā noho kaʻawale kāu ʻeke ileostomy ma mua o 4 a 6 mau hola. E ālai ʻia paha kou ʻōpū.

Mai lawe wale i ka laxative inā kū kēia pilikia.

ʻO kekahi mau meaʻai e hiki ke ālai i kāu stoma ka pineapa maka maka, nā nati a me nā ʻanoʻano, nā keleka, nā popcorn, nā kulina, nā hua maloʻo (e like me nā hua puaʻa), nā ʻalalā, nā chunky relishes, niu, a me kekahi mau mea kanu Kina.

Nā ʻōlelo aʻoaʻo no ka mea ʻaʻohe pahu e hele mai ana mai kāu stoma:

• E hoʻāʻo e wehe i ka wehe o ka ʻeke inā manaʻo ʻoe ua paʻa loa ia.
• Hoʻololi i kou kūlana. E hoʻāʻo e paʻa i kou mau kuli a i kou umauma.
• E ʻauʻau mehana a i ʻole ʻauʻau mahana.

E hoʻokuʻu kekahi o nā meaʻai i kāu mau noho a hiki ke hoʻonui i ka hopena ma hope o kāu ʻai ʻana iā lākou. Inā manaʻo ʻoe ua hoʻololi kekahi o kāu meaʻai i kāu pahu, mai ʻai ʻoe no kekahi manawa, a laila hoʻāʻo hou. Hiki i kēia mau mea ʻai ke hoʻōloi i kou mau noho noho:

• Ka waiū, ka wai huaʻai, a me nā hua maka a me nā mea kanu
• ʻO ka wai Prune, ka laikini, nā meaʻai nui, nā meaʻai nīoi, ka pia, ka waina ʻulaʻula, a me ka kokoleka

E hoʻonui ana kekahi o nā meaʻai i kāu pahu. ʻO kekahi o kēia he ʻōpala, nāʻuala i hoʻomoʻa ʻia, ka laiki, ka palaoa, ka wai pīnī, ka pīpaka, a me nā ʻōpala i hoʻomoʻa ʻia.

Inu 8 a 10 mau aniani o ka wai i ka lā. Inu hou ke wela a i ʻole ke hana nui.

Inā loaʻa ʻoe i ka maʻi pākī a ʻoi paha nā pahu wai a ʻoi aku paha o ka wai.

• Inu wai keu me nā electrolytes (sodium, potassium). ʻO nā mea inu e like me Gatorade, PowerAde, a i ʻole Pedialyte he mau electrolytes. ʻO ka inu ʻana i ka soda, ka waiū, ka wai, a me ke kī e kōkua iā ʻoe e lawa i nā wai.
• E hoʻāʻo e ʻai i nā meaʻai i loaʻa ka potassium a me ka sodium i kēlā me kēia lā e mālama i kāu pae potassium a me ka sodium mai ka haʻahaʻa loa. ʻO kekahi mau laʻana o nā meaʻai i loko o ka potassium ka maiʻa. ʻO kekahi mau mea ʻai sodium kiʻekiʻe ke paʻakai paʻakai.
• Hiki i nā Pretzels ke kōkua i ka hoʻēmi ʻana i ka nalo ʻana o ka wai i ka pahu. Loaʻa iā lākou ka sodium ʻē aʻe.
• Mai kali a loaʻa ke kōkua. Hiki ke weliweli i ka pehu. Kāhea i kāu mea hāʻawi inā ʻaʻole hele.

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.
• 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 - hoʻokuʻu; ʻO Brooke ileostomy - hoʻokuʻu; ʻO ka ileostomy Continent - hoʻokuʻu; Peke ʻōpū - hoʻokuʻu; Hoʻopau i ka ileostomy - hoʻokuʻu; Ostomy - hoʻokuʻu; Maʻi o Crohn - hoʻokuʻu ileostomy; Maʻi maʻi ʻōpala - hoʻokuʻu ileostomy; Enteritis āpana - hoʻokuʻu ileostomy; Ileitis - hoʻokuʻu i ka ileostomy; ʻO ka ileocolitis Granulomatous - ka hoʻokuʻu ileostomy; IBD - hoʻokuʻu ileostomy; ʻO ka ulcerative colitis - ka hoʻokuʻu ileostomy

Pūnaewele ʻAmelika Hui Pū ʻIa ʻAmelika. Alakaʻi Ileostomy. www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/ostomies/ileostomy.html. Hoʻohou ʻia ʻOkakopa 16, 2019. Loaʻa iā Nowemapa 9, 2020.

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.

Raza A, 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. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 117.

• 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 - mālama i kāu stoma
• Ileostomy - ke hoʻololi nei i kāu ʻeke
• Ileostomy - he aha e nīnau aku ai i kāu kauka
• Noho me kāu ileostomy
• ʻAiʻai haʻahaʻa
• Hoʻokiʻi liʻiliʻi o ka ʻōpū - hoʻokuʻu
• Huina colectomy a i ʻole proctocolectomy - hoʻokuʻu
• Nā ʻano o ka ileostomy
• Ulcerative colitis - hoʻokuʻu

• Ostomy