Urostomy - mālama stoma a me ka ʻili

ʻO nā ʻeke urostomy kahi ʻeke kūikawā i hoʻohana ʻia e hōʻiliʻili i ka mimi ma hope o ke kaha ʻana o ka maʻi ʻaʻa.

Ma kahi o ka hele ʻana i kāu kīloi, e hele ka mimi ma waho o kou ʻōpū. ʻO ka ʻāpana e pili ma waho o kou ʻōpū i kapa ʻia ka stoma.

Ma hope o kahi urostomy, e hele kou mimi ma waena o kāu stoma i loko o kahi ʻeke kūikawā i kapa ʻia he ʻeke urostomy.

ʻO ka mālama ʻana i kāu stoma a me ka ʻili a puni he mea nui ia e pale ai i ka maʻi o kou ʻili a me nā puʻupaʻa.

Hana ʻia kāu stoma mai ka ʻāpana o kou ʻōpū liʻiliʻi i kapa ʻia ʻo ka ileum. Hoʻopili kāu ureter i ka hopena o kahi ʻāpana liʻiliʻi o kāu ileum. Lilo ka hopena i stoma a huki ʻia i loko o ka ʻili o kou ʻōpū.

He lahilahi loa kahi stoma. ʻO ka stoma olakino ʻulaʻula a ʻulaʻula. Pono e kau iki kāu stoma mai kou ʻili. He mea maʻamau ke ʻike i kahi mucus liʻiliʻi. ʻO nā kiko o ke koko a i ʻole ka liʻiliʻi o ke kahe ʻana mai kou stoma ka mea maʻamau.

ʻAʻole ʻoe e hoʻopili i kekahi mea i loko o kāu stoma, ke ʻole ʻōlelo ʻia e kāu mea mālama ola.

ʻAʻohe o nā aʻalolo o kāu stoma, no laila ʻaʻole ʻoe e hiki ke ʻike ke hoʻopā kekahi mea iā ia. ʻAʻole ʻoe e ʻike inā ʻoki ʻia a wili ʻia paha. Akā ʻoe e ʻike ai i kahi laina melemele a keʻokeʻo paha ma ka stoma inā ʻānai ʻia ia.

Ma hope o ke kaha ʻana, e like ka ʻili a puni o kāu stoma 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 urostomy a i ʻole ʻeke paha me ka wehe ʻana o ka nui kūpono, no laila ʻaʻole kahe ka mimi
• Mālama maikaʻi ʻana i ka ʻili a puni kāu stoma

E mālama iā ʻoe i kou ʻili ma kēia wahi:

• 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 ma ka ʻili a puni kāu stoma i loaʻa ka aila. Hiki i kēia mau mea ke paʻakikī i ka hoʻopili ʻana i ka ʻeke i kou ʻili.
• E hoʻohana i nā huahana mālama ʻili kūikawā. E hoʻemi ana kēia i nā pilikia me kou ʻili.

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

Hiki i ka ʻili a puni kāu stoma ke lilo i mea makaʻala i nā lako āu e hoʻohana ai, e like me ka pale o ka ʻili, lipine, mea hoʻopili, a i ʻole ka ʻeke iho. Hiki ke hana lohi i ka manawa a ʻaʻole hiki i nā pule, mau mahina, a i ʻole mau makahiki ma hope o ka hoʻohana ʻana i kahi huahana.

Inā he lauoho kou i kou ʻili a puni kāu stoma, ka hemo ʻana e kōkua paha i ka ʻeke e noho paʻa hou i kahi.

• E hoʻohana i ka ʻoki ʻana i ka ʻūmiʻi, kahi ʻumiumi uila, a i ʻole i ka mālama ʻana i ka laser e hemo ai ka lauoho.
• Mai hoʻohana i ka lihi pololei a i ʻole ka pahi kaua palekana
• E akahele i ka pale ʻana i kāu stoma inā hemo ʻoe i ka lauoho a puni ia.

Kāhea i kāu mea hāʻawi inā ʻike ʻoe i kekahi o kēia mau hoʻololi i kāu stoma a i ʻole ka ʻili a puni ia.

Inā kou stoma:

• He poni, hina, a ʻeleʻele
• He ʻaʻala maikaʻi ʻole
• Ua maloo
• Huki i ka ʻili
• Loaʻa ka nui o ka wehe no kāu ʻōpū e komo mai i loko ona
• Aia ma ka ʻili a i ʻole ka hohonu
• Pākuʻi aku i waho o ka ʻili a lilo i lōʻihi
• Liwai aku ka wehe ʻana o ka ʻili

Inā ka ʻili a puni kāu stoma:

• Huki i hope
• ʻUlaʻula
• Nā ʻeha
• Burns
• Nā Huʻa
• ʻO nā koko
• Ke kahe nei ka wai
• 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:

• Loaʻa ka liʻiliʻi o ka mimi ma mua o ka maʻamau
• Fiva
• ʻEha
• He mau nīnau a hopohopo paha e pili ana i kāu stoma a i ʻole ʻili

Mālama ʻo Ostomy - urostomy; Urinary diversion - urostomy stoma; Cystectomy - urostomy stoma; Alawai Ileal

Pūnaewele ʻAmelika Hui Pū ʻIa ʻAmelika. Alakaʻi Urostomy. www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/ostomies/urostomy.html. Hoʻohou ʻia ʻOkakopa 16, 2019. Loaʻa iā ʻAukake 25, 2020.

DeCastro GJ, McKiernan JM, Benson MC. ʻĀpana ʻĀinapuniʻole ʻĀiwi. I: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh Urology. 12th ed. Piladelapia, PA: Elsevier; 2021: chap 140.

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

• Kanesa maʻi ʻaʻai
• Nā Maʻi Loʻi
• Ostomy