Ukushintsha isikhwama sakho se-ostomy

Isikhwama sakho se-ostomy yisikhwama sepulasitiki esisindayo osigqoka ngaphandle komzimba wakho ukuqoqa isitulo sakho. Ukusebenzisa isikhwama se-ostomy kuyindlela engcono kakhulu yokubamba ukunyakaza kwamathumbu ngemuva kwezinhlobo ezithile zokuhlinzwa kukholoni noma emathunjini amancane.

Uzodinga ukufunda ukuthi ungasiguqula kanjani isikhwama sakho se-ostomy. Landela noma imiphi imiyalelo ethile umhlengikazi akunikeza yona lapho ushintsha isikhwama. Sebenzisa imininingwane engezansi njengesikhumbuzo sokwenza.

Indle yakho ingaba uketshezi noma iqine, kuya ngohlobo lokuhlinzwa onalo. Ungadinga i-ostomy yakho isikhashana nje. Noma, ungayidinga impilo yakho yonke.

Isikhwama se-ostomy sinamathela esiswini sakho, kude nolayini wakho webhande. Izofihlwa ngaphansi kwezembatho zakho. I-stoma ukuvuleka esikhunjeni sakho lapho kunamathisela khona isikhwama.

Imvamisa ungenza imisebenzi yakho ejwayelekile, kepha kuzofanela ushintshe indlela odla ngayo kancane bese ubheka ukukhathazeka kwesikhumba. Izikhwama azinaphunga, futhi azivumeli igesi noma indle ukuthi iphume lapho igqoke kahle.

Umhlengikazi wakho uzokufundisa ukuthi ungasinakekela kanjani isikhwama sakho se-ostomy nokuthi ungasishintsha kanjani. Uzodinga ukuwuthulula lapho cishe u-1/3 ugcwele, bese uwushintsha njalo ezinsukwini ezi-2 kuye kwezi-4, noma njalo lapho umhlengikazi wakho ekutshela. Ngemuva kokuzijwayeza okuthile, ukushintsha isikhwama sakho kuzoba lula.

Qoqa izimpahla zakho ngaphambi kokuqala. Uzodinga:

• Isikhwama esisha (uhlelo oluyisicucu esingu-1, noma uhlelo olunezicucu ezimbili olunesilucu)
• Isiqeshana sesikhwama
• Isikelo
• Ithawula elihlanzekile noma amathawula wephepha
• I-Stoma powder
• Ukunamathisela kweStoma noma uphawu lwendandatho
• Isikhumba sisula
• Ikhadi lokulinganisa nepeni

Izitolo eziningi zezokwelapha zizoletha ngqo ekhaya lakho. Umhlengikazi wakho uzokuqalisa ngezinto ozodinga. Ngemuva kwalokho, uzo-oda izinto zakho.

Indlu yangasese iyindawo enhle yokushintsha isikhwama sakho. Thela isikhwama sakho osisebenzisile endlini encane kuqala, uma sidinga ukukhishwa.

Hlanganisa izimpahla zakho. Uma unesikhwama sezingcezu ezimbili, qiniseka ukuthi unophawu lwendandatho olukhethekile olunamathela esikhunjeni sakho nxazonke ze-stoma.

Landela lezi zinyathelo ukuvimbela ukutheleleka:

• Geza izandla zakho ngensipho namanzi. Qiniseka ukuthi ugeza phakathi kweminwe yakho nangaphansi kwezinzipho zakho. Yoma ngethawula elihlanzekile noma amathawula wephepha.
• Uma unesikhwama sezingcezu ezimbili, cindezela ngobumnene esikhunjeni esizungeze i-stoma sakho ngesandla esingu-1, bese ususa uphawu ngesinye isandla. (Uma kunzima ukususa uphawu, ungasebenzisa amaphedi akhethekile. Buza umhlengikazi wakho ngalokhu.)

• Gcina isiqeshana. Faka isikhwama esidala se-ostomy esikhwameni bese ufaka isikhwama kudoti.
• Hlanza isikhumba esizungeze i-stoma sakho ngensipho efudumele namanzi nangendwangu ehlanzekile yokugeza noma amathawula wephepha. Yomile ngethawula elihlanzekile.

Hlola bese uvale isikhumba sakho:

• Hlola isikhumba sakho. Ukopha okuncane kuyinto ejwayelekile. Isikhumba sakho kufanele sibe pinki noma sibomvu. Shayela udokotela wakho uma onsomi, omnyama, noma oluhlaza okwesibhakabhaka.
• Sula uzungeze i-stoma ngokusula isikhumba esikhethekile. Uma isikhumba sakho simanzi kancane, fafaza i-stoma powder engxenyeni emanzi noma evulekile.
• Khipha kancane ukusula okukhethekile ngaphezulu kwempuphu nesikhumba sakho futhi.
• Vumela indawo yome umoya imizuzu engu-1 kuya kwemibili.

Linganisa i-stoma yakho:

• Sebenzisa ikhadi lakho lokulinganisa ukuthola usayizi wombuthano ofana nosayizi we-stoma yakho. Ungalithinti ikhadi esikhunjeni sakho.
• Uma unohlelo olunezingcezu ezimbili, landelela usayizi wombuthano ngemuva kophawu lwendandatho bese usika lolu sayizi. Qiniseka ukuthi imiphetho esikiwe ibushelelezi.

Namathisela isikhwama:

• Namathisela isikhwama kuphawu lwendandatho uma unohlelo lwe-2-piece ostomy system.
• Cwecwa iphepha ku-ring ring.
• I-squirt stoma unamathisele imbobo esivalweni, noma faka indandatho ekhethekile ye-stoma ezungeze imbobo.
• Beka uphawu ngokulinganayo nxazonke ze-stoma. Yibambe endaweni ethile imizuzu embalwa. Zama ukubamba indwangu yokugeza efudumele phezu kophawu ukuze uyisize inamathele esikhunjeni sakho.
• Uma uwadinga, faka amabhola kakotini noma amaphakethe akhethekile wejel esikhwameni sakho ukuze kungavuzi.
• Namathisela isiqeshana sesikhwama noma usebenzise iVelcro ukuvala isikhwama.
• Geza izandla zakho futhi ngensipho efudumele namanzi.

Shayela umhlinzeki wakho wezempilo uma:

• I-stoma yakho inuka kabi, kukhona ubovu obukhipha kuyo, noma yopha kakhulu.
• I-stoma yakho iyashintsha ngandlela thile. Umbala ohlukile, uya ngokuya uba mude, noma udonsela esikhunjeni sakho.
• Isikhumba esizungeze i-stoma yakho sikhukhumala.
• Kukhona igazi esitokisini sakho.
• Unemfiva engu-100.4 ° F (38 ° C) noma ngaphezulu, noma unemikhuhlane.
• Uzizwa ugula esiswini, noma uyahlanza.
• Izitulo zakho zikhululekile kunokujwayelekile.
• Unobuhlungu obuningi esiswini sakho, noma uvuvukile (ukhukhumele noma uvuvukele).
• Awukaze ube nophethiloli noma isitulo amahora amane.
• Unokwenyuka okukhulu kwenani lesitokisi lokuqoqa esikhwameni sakho.

I-Ostomy - ushintsho lwesikhwama; IColostomy - ushintsho lwesikhwama

I-American College of Surgeons, i-Division of Education iwebhusayithi. Amakhono we-Ostomy: ukukhipha nokushintsha isikhwama. www.facs.org/~/media/files/education/patient%20ed/empty%20pouch.ashx. Kubuyekezwe u-2015. Kufinyelelwe ngoMashi 15, 2021.

URaza A, Araghizadeh F. Ileostomies, ama-colostomies, izikhwama, nama-anastomoses. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 117.

USmith SF, uDuell DJ, uMartin BC, uGonzalez L, u-Aebersold M. Bowel ukuqeda. Ku: Smith SF, uDuell DJ, Martin BC, Gonzalez L, Aebersold M, abahleli. Amakhono Wabahlengikazi Abasemtholampilo: Okuyisisekelo Kumakhono Athuthukile. Umhlaka 9. ENew York, NY: Pearson; 2016: isahluko 23.

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• I-Ostomy