He aha ka Ileostomy?

Anter

• Nā kumu no ka loaʻa ʻana o kahi ileostomy
• Ke hoʻomākaukau nei no ka ileostomy
• Ke Kaʻina Hana
• Loaʻa mai ka ileostomy
• Nā pilikia o ka ileostomy
• Nānā wā lōʻihi

Ileostomy

ʻO kahi ileostomy kahi wehe i hana ʻia e hoʻohui i kāu ileum i kāu paia ʻōpū. ʻO ka ileum ka hopena haʻahaʻa o kou ʻōpū liʻiliʻi. Ma o ka wehe ʻana o ka paia o ka ʻōpū, a i ʻole stoma, humuhumu ʻia ka ʻōpū o lalo i kahi. Hāʻawi ʻia ʻoe i kahi ʻeke āu e komo ai i waho. E hōʻiliʻili kēia ʻeke i nā meaʻai āpau i hoʻoiho ʻia.

Hana ʻia kēia kaʻina hana inā ʻaʻole hiki i kāu poloka a kolona paha ke hana pono.

Inā kūleʻa kou ileostomy, e hoʻopili hou ʻia kāu ʻōpū o loko o kou kino i ka manawa e ola ai ka hoʻōla.

No kahi ileostomy paʻa mau, hoʻohemo a kāpae paha kāu mea hana lāʻau i kāu pololei, kolona, ​​a me anus. I kēia hihia, loaʻa iā ʻoe kahi ʻeke e hōʻiliʻili mau i kāu huahana neoneo. Kūloko a kūwaho paha ia.

Nā kumu no ka loaʻa ʻana o kahi ileostomy

Inā loaʻa iā ʻoe kahi pilikia ʻōpū nui ʻaʻole hiki ke mālama ʻia me nā lāʻau, pono paha ʻoe i kahi ileostomy. ʻO kekahi o nā kumu maʻamau no ka ileostomy ka maʻi ʻōpū o ka maʻi (IBD). ʻO nā ʻano ʻelua o ka maʻi ʻōpū o ka maʻi ʻo Crohn a me ka ulcerative colitis.

Hiki i ka maʻi o Crohn ke hoʻopili i kekahi ʻāpana o ka digestive tract, mai ka waha a i ka anus, e hoʻoulu ana i ka uhi me nā ʻeha a me nā ʻili.

Loaʻa i ka ulcerative colitis ka mumū, nā ʻeha, a me nā ʻehaʻeha akā pili i ka ʻōpū nui a me ka pololei.

ʻO ka poʻe me IBD e ʻike pinepine i ke koko a me ka mucus i kā lākou pahu, a ʻike i ka pohō o ke kaupaona, nā meaʻai maikaʻi ʻole, a me ka ʻeha o ka ʻōpū.

ʻO nā pilikia ʻē aʻe e koi paha i kahi ileostomy e komo pū me:

• ʻōpū o ka maʻi ʻaʻai
• kahi kūlana hoʻoilina i kapa ʻia he polyposis ʻohana, kahi e hana ai nā polyps i loko o ke kolona e hiki ai i ka maʻi ʻaʻai
• kīnā hānau ʻōpū
• nā hōʻeha a i ʻole nā ​​ulia pōpilikia e pili ana i nā ʻōpū
• ʻO ka maʻi ʻo Hirschsprung

Ke hoʻomākaukau nei no ka ileostomy

ʻO ka loaʻa ʻana o kahi ileostomy e hopena i nā loli he nui i kou ola. Eia nō naʻe, e hāʻawi ʻia ʻoe i ka hoʻomaʻamaʻa e maʻalahi ai kēia hoʻololi. Hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i ka hopena o kēia kaʻina hana i kāu:

• ola moekolohe
• hana
• nā hana kino
• nā hāpai keiki e hiki mai ana

E ʻike pono i kāu kauka ka mea kōkua, nā lāʻau, a me nā mea kanu āu e lawe nei. Hoʻopili nā lāʻau he nui i ka hana o ka ʻōpū ma ka hoʻolōʻihi ʻana. Pili kēia i ka over-the-counter a me nā lāʻau lapaʻau. E haʻi paha kāu kauka iā ʻoe e haʻalele i ka lawe ʻana i kekahi lāʻau i ʻelua mau pule ma mua o kou ʻoki ʻana. E haʻi i kāu kauka e pili ana i nā kūlana i loaʻa iā ʻoe, e like me:

• ka maʻi palū
• he anu
• kahi hoʻomaha herpes
• he kuni

ʻO ka puhi paka ʻana ka mea paʻakikī i kou kino e hoʻōla ma hope o ke kahakaha ʻana. Inā he puhipaka ʻoe, hoʻāʻo e haʻalele.

Inu nui i ka wai a mālama i ka papaʻai olakino i nā pule e hiki aku ai i kāu ʻoki.

E hāhai i nā ʻōlelo aʻoaʻo a kāu kauka e pili ana i ka papaʻai i nā lā ma mua o ke ʻoki ʻana. I kekahi mau manawa i koho ʻia, ʻōlelo paha lākou iā ʻoe e hoʻololi e hoʻomaʻemaʻe i nā wai wale nō. E aʻo ʻia ʻoe ʻaʻole e hoʻopau i kekahi mea, me ka wai, ma kahi o 12 mau hola ma mua o ke kaha ʻana.

Hiki paha i kāu kauka ke kuhikuhi i nā laxatives a i ʻole nā ​​enemas e hoʻokahe i kou ʻōpū.

Ke Kaʻina Hana

Hana ʻia kahi ileostomy ma kahi haukapila ma lalo o ka anesthesia ākea.

Ma hope o kou makaʻala ʻole, e hōʻoki paha kāu kauka lapaʻau i kāu midline a hana i kahi hana laparoscopic e hoʻohana ana i nā ʻoki liʻiliʻi a me nā mea kani uila. E ʻike ʻoe ma mua o ke ʻoki ʻana i ke ʻano hana i koi ʻia no kāu kūlana. Kaukaʻi ʻia i kou ʻano, pono i kāu kaukipō e wehe i kāu kikoʻī a me kou kolone.

Aia kekahi mau ʻano like ʻole o nā ileostomies mau.

No kahi ileostomy maʻamau, hana ka mea lapaʻau i kahi incision liʻiliʻi e lilo i pūnaewele o kāu ileostomy. E huki lākou i kahi loop o kāu ileum ma o ka ʻokiʻoki. Huli ʻia kēia ʻāpana o kou ʻōpū i loko, e hōʻike ana i ka ʻaoʻao o loko. He palupalu a poni ia, e like me ka loko o ka papalina. Kapa ʻia ka ʻāpana e kū i waho i stoma. Kūleʻa paha ia i 2 ʻīniha.

ʻO ka poʻe me kēia ʻano ileostomy, i kapa ʻia ʻo Brooke ileostomy, ʻaʻole e kaohi ke kahe ana kā lākou ʻōpala fecal i loko o ka ʻeke ea kūwaho.

ʻO kekahi ʻano o ka ileostomy ka ʻāina, a i ʻole Kock, ileostomy. Hoʻohana kāu lāʻau lapaʻau i kahi ʻāpana o kou ʻōpū liʻiliʻi e hana i kahi ʻeke kūloko me kahi stoma kūwaho e lawelawe ai ma ke ʻano he kiwikā. Kuʻi ʻia kēia mau mea i kou paia ʻōpū. I kekahi mau manawa i kēlā me kēia lā hoʻokomo ʻoe i kahi paipu maʻalahi ma o ka stoma a i loko o ka ʻeke. Kipaku aku ʻoe i kāu ʻōpala ma o kēia paipu.

ʻO nā mea maikaʻi o ka Kock ileostomy ka ʻaʻohe ʻeke kūwaho a hiki iā ʻoe ke kaohi ke hoʻopau ʻoe i kāu ʻōpala. ʻIke ʻia kēia kaʻina hana ma ke ʻano he kaʻina K-pouch. ʻO ka manawa pinepine ke ʻano makemake o ka ileostomy no ka mea hoʻopau ia i ka pono o kahi ʻeke kūwaho.

Hiki ke hana ʻia kahi hana ʻokoʻa, i ʻike ʻia ma ke ʻano he kaʻina J-pouch inā ua hemo i kāu kolone a me kāu kiko kiko. I kēia kaʻina hana, hana ke kauka i kahi ʻeke kūloko mai ka ileum e pili ana i ka canal anal, e ʻae iā ʻoe e kipaku i kāu ʻōpala ma ke ala maʻamau me ka ʻole o ke stoma.

Loaʻa mai ka ileostomy

Pono ʻoe e noho ma ka haukapila no ʻekolu mau lā.ʻAʻole ia he mea mau ke noho i ka haukapila no hoʻokahi pule a ʻoi aku paha ka lōʻihi, keu hoʻi inā ua hana ʻia kāu ileostomy ma lalo o nā hanana pilikia.

E kaupalena ʻia kāu lawe ʻana i ka meaʻai a me ka wai no kekahi manawa. I ka lā o kou ʻoki kino, loaʻa wale nō nā ʻāpana hau. E ʻae ʻia paha nā wai holoi i ka lā ʻelua. Lohi, hiki iā ʻoe ke ʻai i nā meaʻai paʻa hou aʻe i ka hoʻololi ʻana o kou ʻōpū i nā loli.

I nā lā mua ma hope o ke kaha ʻana, loaʻa paha iā ʻoe ke kinoea ʻōpū nui. E hoʻēmi kēia i ka hoʻōla ʻana o kou ʻōpū. Ua ʻike kekahi poʻe i ka ʻai ʻana i ʻehā a ʻelima mau meaʻai liʻiliʻi i kēlā me kēia lā ʻoi aku ka maikaʻi ma mua o ʻekolu mau papa nui. E ʻōlelo paha kāu kauka e hōʻalo ʻoe i kekahi mau meaʻai no kekahi manawa.

I ka wā o kou ola hou ʻana, inā he ʻeke kūloko a i waho paha, e hoʻomaka ʻoe e aʻo pehea e hoʻokele ai i ka ʻeke e hōʻiliʻili ai i kāu ʻōpala. E aʻo nō hoʻi ʻoe e mālama i kāu stoma a me ka ʻili a puni ia. Hiki i nā enzim i ka hoʻokuʻu ʻana mai kāu ileostomy ke hoʻonāukiuki i kou ʻili. Pono ʻoe e mālama i ka wahi stoma maʻemaʻe a maloʻo.

Inā loaʻa iā ʻoe kahi ileostomy, ʻike paha ʻoe e pono ʻoe e hoʻoponopono nui i kou nohona. ʻImi kekahi poʻe i ke kōkua mai kahi hui kākoʻo ostomy. ʻO ka hui ʻana i nā poʻe ʻē aʻe i hoʻoponopono i ko lākou nohona ma hope o kēia ʻoki a ua hiki ke hoʻi i kā lākou mau hana maʻamau hiki ke hoʻomāmā i nā hopohopo āu i loaʻa.

Hiki iā ʻoe ke ʻike i nā kahu maʻi i hoʻomaʻamaʻa kūikawā ʻia i ka mālama ʻana i ka ileostomy. E hōʻoia lākou iā ʻoe i kahi nohona mālama me kāu ileostomy.

Nā pilikia o ka ileostomy

Lawe i nā kahakaha ʻana i nā pilikia Pākuʻi ʻia kēia mau mea:

• maʻi maʻi
• ʻōpū koko
• kahe ana ke koko
• maʻi hohola
• hahau
• paʻakikī i ka hanu ʻana

ʻO nā pōʻino i kikoʻī i nā ileostomies me:

• poino i nā meaola a puni
• hoʻokahe kūloko
• hiki ʻole ke omo i ka nui o ka momona mai ka meaʻai
• urinary tract, ʻōpū, a me nā maʻi puʻuwai
• kahi paʻa o ka ʻōpū ma muli o ka mākala maka
• ʻeha e haki a lōʻihi paha e hoʻōla

Hiki paha iā ʻoe ke pilikia me kāu stoma. Inā hoʻonāukiuki a ʻūlū paha ka ʻili a puni, paʻakikī ʻoe i ka loaʻa ʻana o kahi sila me kāu ʻeke ostomy. Hiki i kēia ke hopena i kahi leakage. Hiki i kāu kauka ke kauoha i kahi lāʻau topical lāʻau a lāʻau paha e hoʻōla i kēia ʻili huhū.

Hoʻopaʻa kekahi poʻe i kā lākou ʻeke kūwaho me kahi kāʻei. Inā paʻa paʻa ʻoe i ke kāʻei, hiki iā ia ke alakaʻi i nā ulcer pressure.

He mau manawa kāu e puka ʻole ai kahi hoʻokuʻu ma o kāu stoma. Eia nō naʻe, inā hoʻomau kēia mau mea ma mua o ʻehā a ʻeono mau hola a manaʻo ʻoe nausea a i ʻole nā ​​cramp, e kāhea i kāu kauka. Loaʻa paha iā ʻoe kahi paʻa o ka ʻōpū.

Hiki paha i ka poʻe i loaʻa nā ileostomies ke loaʻa pū kekahi i nā kaulike electrolyte. Hana ʻia kēia ke nele ʻoe i ka nui kūpono o nā mea nui i loko o kou koko, ʻo ka sodium a me ka potassium. Hoʻonui kēia makaʻi inā lilo ʻoe i nā wai he nui ma o ka luaʻi ʻana, ka hou, a me ka palahī. E hoʻopiha hou i ka wai i nalowale, potassium, a me ka sodium.

Nānā wā lōʻihi

Ke aʻo ʻoe e mālama i kāu ʻōnaehana hoʻopau hou, hiki iā ʻoe ke komo i ka hapa nui o kāu mau hana maʻamau. ʻO ka poʻe me nā ileostomies:

• ʻauʻau
• hike
• paani haʻuki
• ʻai i loko o nā hale ʻaina
• kahua hoʻomoana
• huakaʻi
• hana i ka hapa nui o nā ʻoihana

Hiki i kahi hāpai kaumaha ke lilo i pilikia no ka mea hiki ke hoʻonāukiuki i kāu ileostomy. E kamaʻilio me kāu kauka inā koi kāu hana i ka hāpai hāpai kaumaha.

ʻAʻole pilikia ka loaʻa ʻana o kahi ileostomy i ka hana moekolohe a i ʻole ka hiki ke hānau keiki. Koi paha ʻoe iā ʻoe e aʻo i kāu mau moe kolohe, ka mea kamaʻāina ʻole paha me nā ileostomies. Pono ʻoe e kūkākūkā i kāu ostomy me kāu hoa ma mua o ka holomua ʻana i ka pilina.