Kusintha thumba lanu la ostomy

Thumba lanu la ostomy ndi thumba la pulasitiki lolemera kwambiri lomwe mumavala kunja kwa thupi lanu kuti mutenge chopondapo chanu. Kugwiritsa ntchito thumba la ostomy ndiyo njira yabwino kwambiri yothanirana ndi matumbo mutatha opaleshoni ina pamatumbo kapena m'matumbo ang'onoang'ono.

Muyenera kuphunzira momwe mungasinthire thumba lanu la ostomy. Tsatirani malangizo aliwonse omwe namwino amakupatsani posintha thumba lanu. Gwiritsani ntchito zomwe zili pansipa ngati chikumbutso cha zoyenera kuchita.

Malo anu amatha kukhala amadzimadzi kapena olimba, kutengera mtundu wa opareshoni yomwe mudakhala nayo. Mungafunike ostomy yanu kwakanthawi kochepa. Kapenanso, mungafunike pamoyo wanu wonse.

Chikwama cha ostomy chimamangirira kumimba kwanu, kutali ndi lamba wanu. Idzabisika pansi pa zovala zanu. Stoma ndikutseguka pakhungu lanu pomwe thumba limamangirira.

Nthawi zambiri mumatha kuchita ntchito zanu zachizolowezi, koma muyenera kusintha zakudya zanu pang'ono ndikuyang'ana zowawa pakhungu. Matumbawa alibe fungo, ndipo salola kuti mpweya kapena chopondapo zizituluka zikavala bwino.

Namwino wanu akuphunzitsani momwe mungasamalire thumba lanu la ostomy komanso momwe mungasinthire. Muyenera kutaya chilichonse ikakwana 1/3 yodzaza, ndikusintha pafupifupi masiku awiri kapena anayi alionse, kapena pafupipafupi momwe namwino wanu akukuwuzani. Mukazolowera, kusintha thumba lanu kumakhala kosavuta.

Sonkhanitsani zinthu zanu musanayambe. Mufunika:

• Thumba latsopano (1-chidutswa, kapena makina awiri omwe ali ndi chotchinga)
• Chojambula thumba
• Lumo
• Chovala choyera kapena chopukutira pepala
• Stoma ufa
• Phala la Stoma kapena chidindo cha mphete
• Kupukuta khungu
• Khadi loyezera ndi cholembera

Masitolo ambiri azachipatala azipereka kunyumba kwanu. Namwino wanu akuyambitsani ndi zomwe mukufuna. Pambuyo pake, mudzayitanitsa katundu wanu.

Bafa ndi malo abwino osinthira thumba lanu. Tulutsani thumba lanu lomwe mwakhala mukugwiritsa ntchito kuchimbudzi poyamba, ngati likufunika kutulutsidwa.

Sonkhanitsani zinthu zanu. Ngati muli ndi thumba laling'ono, onetsetsani kuti muli ndi chidindo chapadera chomwe chimamatira pakhungu lanu mozungulira stoma.

Tsatirani izi kuti mupewe matenda:

• Sambani m'manja ndi sopo. Onetsetsani kuti mwasamba pakati pa zala zanu komanso pansi pa zikhadabo zanu. Youma ndi chopukutira choyera kapena matawulo apepala.
• Ngati muli ndi thumba la zidutswa ziwiri, kanikizani pang'onopang'ono pakhungu lanu mozungulira stoma ndi dzanja limodzi, ndikuchotsa chidindocho ndi dzanja lanu. (Ngati kuli kovuta kuchotsa chisindikizo, mutha kugwiritsa ntchito mapadi apadera. Funsani namwino wanu za izi.)

• Sungani chojambulacho. Ikani thumba lakale la ostomy m'thumba ndikuyika thumba mu zinyalala.
• Sambani khungu pozungulira stoma wanu ndi sopo wofunda ndi madzi ndi nsalu yoyera yotsuka kapena matawulo apepala. Youma ndi chopukutira choyera.

Onani ndikusindikiza khungu lanu:

• Yang'anani khungu lanu. Kutuluka magazi pang'ono ndikwabwinobwino. Khungu lanu liyenera kukhala lofiira kapena lofiira. Itanani dokotala wanu ngati ndi wofiirira, wakuda, kapena wabuluu.
• Pukutani mozungulira stoma ndikufufuta khungu lapadera. Ngati khungu lanu limanyowa pang'ono, perekani ena mwa stoma powder mbali yonyowa kapena yotseguka.
• Lembani mopepuka mwapadera pamwamba pa ufa ndi khungu lanu kachiwiri.
• Lolani malo owuma mpweya kwa mphindi imodzi kapena ziwiri.

Yesani stoma yanu:

• Gwiritsani ntchito khadi yanu yoyezera kuti mupeze kukula kwa bwalo lofanana ndi stoma yanu. Osakhudza khadiyo pakhungu lanu.
• Ngati muli ndi zidutswa ziwiri, tsatirani kukula kwa bwalolo kumbuyo kwa chidindo cha mphetezo ndikudula kukula uku. Onetsetsani kuti m'mbali mwake ndi osalala.

Onetsetsani thumba:

• Onetsetsani thumba lanu ku chisindikizo cha mphete ngati muli ndi mawonekedwe a ostomy awiri.
• Chotsani pepala pamphete.
• Msuzi wa squirt kuzungulira bowo pachisindikizo, kapena ikani mphete yapadera ya stoma kuzungulira kotsegulira.
• Ikani chisindikizo mofanana mozungulira stoma. Gwirani m'malo mwa mphindi zochepa. Yesani kukhala ndi nsalu yofunda yotentha pachisindikizo kuti muthandizire kumamatira pakhungu lanu.
• Ngati mukuzifuna, ikani mipira ya thonje kapena mapaketi apadera a gel mu thumba lanu kuti isatuluke.
• Onjezani kopanira thumba kapena gwiritsani Velcro kutseka thumba.
• Sambani manja anu kachiwiri ndi sopo wofunda ndi madzi.

Imbani wothandizira zaumoyo wanu ngati:

• Stoma yanu imanunkha, pamatuluka mafinya, kapena ikutuluka magazi kwambiri.
• Stoma yanu ikusintha mwanjira ina. Ndi mtundu wina, ukutalika, kapena ukukoka khungu lako.
• Khungu lozungulira stoma lanu likutuluka.
• Muli magazi mu mpando wanu.
• Muli ndi malungo a 100.4 ° F (38 ° C) kapena kupitilira apo, kapena mumakhala ozizira.
• Mukumva kudwala m'mimba, kapena mukusanza.
• Malo anu amakhala omasuka kuposa masiku onse.
• Muli ndi zowawa zambiri m'mimba mwanu, kapena ndinu otupa (otupa kapena otupa).
• Simunakhale ndi mpweya kapena chopondapo kwa maola 4.
• Muli ndi kuwonjezeka kwakukulu pamipando yomwe mumasonkhanitsa m'thumba lanu.

Ostomy - kusintha kwa thumba; Colostomy - kusintha kwa thumba

American College of Surgeons, Gawo la webusayiti ya Maphunziro. Maluso a ostomy: kuchotsa ndi kusintha thumba. www.facs.org/~/media/files/education/patient%20ed/empty%20pouch.ashx. Idasinthidwa 2015. Idapezeka pa Marichi 15, 2021.

Raza A, Araghizadeh F. Ileostomies, colostomies, zikwama, ndi anastomoses. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 11th ed. Philadelphia, PA: Elsevier; 2021: chaputala 117.

Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold M. Bowel kuchotsa. Mu: Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold M, olemba. Luso la Unamwino Wachipatala: Zofunikira ku Luso Lapamwamba. 9th ed. New York, NY: Pearson; 2016: chap 23.

• Khansa yoyipa
• Kukonzekera kwa m'mimba
• Kubwezeretsa matumbo akulu
• Zilonda zam'mimba

• Zakudya zamadzi zonse
• Kutsekula m'mimba kapena matumbo - kutulutsa
• Kutulutsa matumbo akulu - kutulutsa

• Ostomy