Nā ʻeke urostomy a me nā lako

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 i loko o ka ʻeke urostomy. Kāhea ʻia ke ʻoki e hana ai i kēia he urostomy.
• Hoʻohana ʻia kahi ʻāpana o ka ʻōpū e hana i kahawai no ka mimi e hemo. E pili ia ma waho o kou ʻōpū a kapa ʻia ʻo stoma.

Hoʻopili ka ʻeke urostomy i ka ʻili a puni kāu stoma. E hōʻiliʻili ia i ka mimi e kahe mai kāu urostomy. Kāhea ʻia ka ʻeke he ʻeke a mea mīkini paha.

E kōkua ka ʻeke:

• Kāohi i nā kahe o ka mimi
• E mālama i ka ʻili a puni kāu stoma olakino
• Loaʻa ka pilau

ʻO ka hapanui o nā ʻeke urostomy e hele mai ma ke ʻano he ʻūlū ʻāpana ʻāpana a i ʻole ʻelua ʻāpana ʻeke ʻeke.Hana ʻia nā ʻōnaehana ʻeke ʻokoʻa i mau lōʻihi like ʻole o ka manawa. Kaukaʻi ʻia i ke ʻano o ka ʻeke āu e hoʻohana ai, pono paha e hoʻololi i kēlā me kēia lā, i kēlā me kēia 3 lā, a i hoʻokahi manawa i ka pule.

Hana ʻia kahi ʻōnaehana 1 ʻāpana o kahi ʻeke i loaʻa kahi pelu a palapū paha ma luna. He puka kēia kāʻei lū e kau ma luna o ka stoma.

Loaʻa i kahi ʻōnaehana ʻeke 2 ʻāpana kahi pale o ka ʻili i kapa ʻia ʻo flange. Hoʻopili ka lapalapa ma luna o ka stoma a pili i ka ʻili a puni. A laila hoʻokomo ka ʻeke i ka lapalapa.

Loaʻa i nā ʻano ʻeke ʻelua i ka piula a kiwaha paha e ninini i ka mimi. E mālama kahi kīwī a i ʻole kekahi hāmeʻa i ka piula ke pani ʻole ʻia ka mimi.

Hele mai nā ʻano ʻelua o nā ʻōnaehana ʻeke me kekahi o kēia:

• Hoʻopiʻi i nā lua i ka nui o nā nui e kūpono i nā stomas nui like ʻole
• ʻO kahi lua hoʻomaka e hiki keʻoki ʻia e kūpono i ka stoma

Ma hope pono o ke kahakaha ʻana e pehu ai kāu stoma. Ma muli o kēia, pono ʻoe a i kāu mea lawelawe olakino e ana i kāu stoma no 8 mau pule ma hope o kou ʻoki ʻana. Ke emi nei ka pehu, pono ʻoe i nā puka ʻeke liʻiliʻi no kāu stoma. ʻAʻole pono kēia mau puka ma mua o 1 / 8th o kahi ʻīniha (3 mm) ākea ma mua o kāu stoma. Inā nui ka wehe ʻana, ʻoi aku paha ka liʻī ʻana o ka mimi a hoʻonāukiuki paha i ka ʻili.

Ma hope o ka manawa, makemake ʻoe e hoʻololi i ka nui a i ʻole ke ʻano o ka ʻeke āu e hoʻohana ai. Hiki i ka loaʻa ʻana o ke kaupaona a i ʻole lilo ke hoʻololi i ka mea e pono pono ai ka ʻeke. Pono paha nā keiki e hoʻohana ana i kahi ʻeke urostomy i kahi ʻano ʻokoʻa ke ulu lākou.

ʻIke kekahi poʻe hāʻawi ke kāʻei i ke kākoʻo keu a hoʻoliʻiliʻi hou iā lākou. Inā komo ʻoe i ke kāʻei, e nānā ʻaʻole paʻa loa. Hiki iā ʻoe ke kiʻi i nā manamana ʻelua ma waena o ke kāʻei a me kou pūhaka. ʻO ke kāʻei paʻa loa e hiki ai ke hōʻino i kāu stoma.

E kākau kāu mea hāʻawi i kahi palapala no kāu lako.

• Hiki iā ʻoe ke kauoha i kāu lako mai kahi kikowaena ostomy supply, kahi hale kūʻai lāʻau lapaʻau a mea hoʻolako lako olakino, a i ʻole ma o ke kauoha leka.
• Kāhea aku i kāu ʻoihana ʻinikua e ʻike inā e uku lākou no ka ʻāpana a i ʻole kāu mau lako āpau.

E hoʻāʻo e mālama pū i kāu lako i hoʻokahi wahi a mālama iā lākou i kahi maloʻo a i ka mehana o ka lumi.

E akahele e pili ana i ka waihona ʻana ma luna o nā lako he nui loa. Loaʻa i nā pou a me nā hāmeʻa ʻē aʻe kahi lā palena palena a ʻaʻole pono e hoʻohana ʻia ma hope o kēia lā.

Kāhea i kāu mea hāʻawi inā paʻakikī ʻoe i ka lawe ʻana i kāu ʻeke i kūpono a i ʻole ʻike ʻoe i nā loli i kou ʻili a i ʻole stoma.

Cystectomy - urostomy; ʻEke Urostomy; Mea hana ostomy; Ostomy mimi; Urinary diion - nā lako urostomy; Cystectomy - nā lako urostomy; 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 11, 2020.

ʻO Erwin-Toth P, Hocevar BJ. ʻO Stoma a me nā manaʻo ʻeha: ka hoʻokele hānai. I: Fazio VW, Church JM, Delaney CP, Kiran RP, eds. ʻO ka Therapy i kēia manawa ma Kolona a me nā ʻoki pono ʻana. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2017: chap 91.