Colostomy - chii? Colostomy: kuchengeta pashure pokuvhiyiwa

Colostomy - chii? Sei kuzvibata nayo, chii anogona uye chii hadzingagoni kworudzii hanya kunoda stoma? mibvunzo yose iyi inobvunzwa nevanhu vane pfupi kana wechigarire colostomy.

Tsanangudzo "colostomy"

Chii? Colostomy - iri artificially Rinobva chikamu huru ura kuna abdominal madziro pashure pakuvhiya rezasi ura.

Zvakafanira kuti excretion kuti tsvina idzodzo zviitiko apo zvakakodzera yokunzvenga mugaranhoko pashure kuvhiyiwa namamota, mupfungwa uye zvimwe zvirwere anogumbura pamusoro muura yaida kuvhiyiwa (chirwere Crohn vake, maronda colitis). Permanent colostomy rectal unoratidzwa Muzviitiko, kana kuzoita rezasi intestinal turakiti hazvibviri.

Munhu utano anogona kudzora bowel masangano rikurumidze. Izvi runowanikwa sphincter, basa iro akapa vakaumbwa dzepanguva uye zvinoenderana kubva tsinga nomunhu achibva chepfungwa cortex. Mushure colostomy chitsiko kubva 2-3 nguva pazuva iri muchimiro yakashongedzwa kana poluoformlennogo chetsoka bowel basa haisi kuvhiringidzwa.

mhando colostomy

Kune mhando dzakawanda colostomy:

• pfupi kana zvachose;
• chete-bharero kana maviri-dhiramu:
• kuparadzana kana loop.

A zvachose colostomy wakaisirwa upenyu, mikana kuparadzwa kwaro kushaya kusingarapiki kuchinja sphincters kana chinokosha akaipa degeneration yacho mugaranhoko. The pfupi colostomy pashure pechinguva akabvisa surgically nokuda rutapudzo pamwe colonic patency.

Single-bharero - nepakaburi akaratidza imwe mudende dumbu, mbiri - mbiri. Loop colostomy - mawindo maviri akarongwa parutivi, paradzanisa - pane imwe kure nomumwe.

Colostomy - chii? Chii zvokuzvivaraidza nazvo ndizvo zvikuru zvakakodzera mune imwe nyaya? mibvunzo yose iyi ichapindurwa chiremba kana mukoti, akapedza kudzidza kosi. Colostomy pashure bowel Kuvhiya sokunge pakazaruka kana muromo kuburikidza iyo anopinda muura abdominal pamusoro. Pakutanga iye kuzvimba uye yekudyidzana pamusoro pemvura ganda. Zvadaro edema kunodzikira zvishoma nezvishoma tinoshandurirwa mumuromo hwomukova duku kuburikidza iyo fecal vakasununguka kuuya pemvura Anterior abdominal rusvingo. Tsinga harinzwi colostomy haaiti, saka unofanira kunyatsongwarira kwete kukuvadza svota. Ndakabatsirwa kusunungurwa chena madzihwa - chinhu chakaipa chichiitwa, havafaniri kutya ichi.

kudiwa imwe colostomy

Vanhu vazhinji havazivi kuti munhu colostomy. Ndechipi mudziyo yakadaro, vanodzidza chete muchipatara. Uye nekuti kazhinji kutya kukumbira mubvunzo pamusoro kana unogona kurarama upenyu naye. Cares munhu uyo akadaro kuvhiyiwa kuri dzichitaurwa. Chakagadzirwa muura goho aifanira kuratidza mutsvina yadzo. Dzimwe nguva anoponesa uye kunowedzera upenyu hwemunhu.

Usatya kuti hapana chokumhanyira uye mukana kwomuzvarirwo bowel kufamba nenzira yakafanira nzvimbo uye panguva imwe nguva. With kurudyi hanya colostomy husingatsigirwi haachinji, kunogona kutungamirira hupenyu huzere, kwete mujeri kuti chirwere chake. Pari zvino pane vazhinji ileostomy, izvo zvakanaka vasiyana ganda, musapotse kunhuwa, regai rustle uye vari zvisingaoneki nevamwe, asi regai kutsamwisa ganda nokuchengetedza zvakakodzera.

Aine colostomy, vanhu vachinje, kunyanya mupfungwa nomumuviri ndege: anorasikirwa kufarira upenyu, unonzwa dzinotyorwa uye vakaderera. Mune zvimwe zviitiko, varwere vanogamuchira vakaremara tsaukirai pamusoro pachavo, kufunga kuzviuraya. Musafunganya pamusoro peizvi, nokuti atarisirwa colostomy nyore. Asati avhiyiwa, chiremba achaita kujekesa nzvimbo pamwe kubviswa muura kuti murwere akanga vakasununguka kumuona uye kutarisira kwake. Pashure pokuvhiyiwa, mukoti achakuudza uye zvaunofanira kuita kuti risingavhiringidzi colostomy, colostomy zvikwama zvinofanira kupfekwa pakarepo pashure pokuvhiyiwa, uye izvo pashure imwe nguva.

Chete pasi oma zvairatidza vaiita kuvhiyiwa nokubviswa chikamu ura kuna abdominal parusvingo, chiremba anofanira nechokwadi kuti colostomy yakaumbwa pasina matambudziko.

Operation kubvisa muromo uye paumbwe chaiwo permeability of ura - kunzwisisa muitiro hunogara matanho anoverengeka vanhu vane colostomy. Reconstructive Kuvhiya kwakaitwa navanachiremba pasina zvikuru chido nokuda mukuru ngozi yematambudziko, kunzwisisa kwaiita kuvhiyiwa uye kushaya kutenda mukupodzwa. Colostomy mugaranhoko kazhinji kuumbwa kenza maronda, traumas uye anorectal incontinence, nekuti kakawanda hazvina kugara.

Kutarisira colostomy

Care colostomy kunotanga pakarepo pashure kuvhiyiwa. Pakutanga, murwere anobatsira murapi kuchinja, anogeza nayo, uye ipapo iye anodzidzisa kuzviita pachako.

Colostomy zvitarisiswe kunyatsomuteerera uye kutarisira randinogara muzvikamu zviviri: makomba zvakananga processing ndokuchinja stoma muhomwe. Pakutanga, paumbwe imwe stoma runodiwa kubvisa pachituru, kuchafadza yakabikwa mvura yokushambidza kubuda mumuromo, kusuka ganda uye yakaoma gauze. Saka unofanira kushandisa mafuta paganda "Stomageziv" kana namatidza Lassara. Zvadaro kumativi mugomba kuisa jira zvakakangwa muna Vaseline zvokuti vakasiya muromo. Cover chena gauze, cover donje shinda uye isa bhandeji. Zviri chinodiwa kuchinja kupfeka ose 4 h. Mushure inotungamirwa uye achiporesa colostomy stoma anogona kushandiswa. Vaiona stoma akaumba panyaya pasina anogumbura nda, uye muromo asingachengeti protrude pamusoro pemvura ganda. Unogona namatidza colostomy muhomwe.

Vanhu akatunhidzwa colostomy, unofanira kushandura Colostomy mumasaga mangwanani kana vasati pamubhedha. Kushandura stoma mumasaga kunge nokungwarira pasina kudhonza ganda, kubvisa vakashandisa mudziyo uye, akaputirwa pabepa urirase. Bvisa vakasara mutsvina yadzo uye kusuka colostomy kudziya yakabikwa mvura. Unogona kushandisa mvura sipo ne akambozvishandisa kuuraya utachiona. Pashure paizvozvo, unofanira kwazvo kuomeswa ganda uye kushandisa namatidza kana mafuta. Netepimezha kuyera inodiwa kukura uye vanokudza stoma yokutanga iri ileostomy zvokuti kuti wakagamuchira chose uye akabata mugomba colostomy. Kana uri kushandisa namira colostomy mabhegi, zvinodikanwa nokubatanidza stoma hole buri stoma mabhegi, nepavaigona duku kubata kune ganda. Zvakakosha kuti tive nechokwadi kuti hapana usimbe. The retainer saizvozvo inofanira kuva namahwindo chinzvimbo.

mhando ileostomy

Pane chimwe-chikamu vaviri-chinoumba colostomy muhomwe. Ekupedzisira vane namira mundiro uye ostomy zvikwama izvo interconnected pedyo flange. Zvisinei, chinetso wavo kuti kungava kutsamwa ganda. Naizvozvo, kana kushandisa ndiro inogona kusiya kwemazuva 3-4, uye chete kushandura bhegi. Unstick ndiro pamberi uchida kana kusagadzikana kunoitika: kuvaviwa uye unopfuta kana rinorema pakusvibiswa. Nyore, bhegi rine Sefa chaiyo kuti anobvisa munhuwe nekusazvidzora mhepo. Mumwe-chikamu kunofanira kutsiviwa pashure maawa 6-8, chete bhegi, ndiro nechakatsinhiwa paaishandisa bicomponent chete - 2 pavhiki.

Rules akanamatira ileostomy

incontinence bhegi Mumwe ane muenzaniso chaiwo yokuyeresa pamusoro stoma yokutanga. Kana mutsetse uyu haamo, unogona kushandisa läpinäkyvä firimu, izvo zvinofanira kunzi pamuromo uye akacheka kumativi kumucheto pamupinyi, ipapo vaiguranye firimu rejeri, akaisa papepa, anoratidza kunogumira denderedzwa uye akatema buri. Mugore namira stoma mumasaga kutema ndiro buri 2-3 mm yakakura kupfuura kukura pamuromo. Zvakakodzera micheto yekapepa katsva aka rimire kufamba pashure zvishoma kwetembiricha nokubvisa unodzivirira firimu kubva pasi kusvikira kumusoro chihuri chave aivabatsira mberi kurega.

Kana Colostomy zvikwama iri nepokuongorora abudise bhegi, inofanira kudururwa mushure bhegi izere mumwe-rechitatu. Izvi zvinogona kuitwa pamusoro chimbuzi, svinudzai zvaimutambisira rejeri, ipapo sukurudza uye yakaoma fecal bhegi. Mushure kurapwa, usakanganwa kuvhara zvaimutambisira buri.

ganda kutarisirwa

The ganda iri pachena kuti zvachose colostomy bundu. Naizvozvo zvakafanira kunyatsotarisira wake kudzivirira kuzvimba uye zvinokuvadza. Nokuti kurapa ganda, kune marudzi anoverengeka zvinobudirira kugadzirira vane chikuru chinangwa - kudzivirira ganda kubva hasha zviito namira chawo ndiro stoma mabhegi uye mutsvina yadzo.

Nokuti Muitiro unobatanidza ndiro rinoshandiswa namatidza "Koloplast" pamwe shoma doro. Hazvina tsamwisa kunyange zvomoto uye akuvadza ganda uye zvinobatsira nani kutara stoma muhomwe.

ganda Clear pashure peeling stoma zvikwama vachange namatidza "Cleanser" iro rinoshandiswa kuti ganda rive noutano, uye zvishoma sousingabatsiri. It kwete chete rabvisa ganda kubva mutsvina yadzo, madzihwa uye mishonga-namira, asi hazvina yakaoma uye ine akambozvishandisa kuuraya utachiona zvivako.

Good mutengi inofambiswa vakagamuchira unodzivirira firimu "ganda chechipiri". Rinoshandiswa asati kugadzira stoma muhomwe. Kutanga runodzivirira, kudzivirira ganda kubva kutsamwa nehasha vezvenhau kwaizotevera kuzvimba uye hunomugonesa kufema.

Kudya zvinovaka muviri pavarwere vane colostomy

No Kunyanya kukamurwa mu negashiro zvigadzirwa siyana. Zvisinei, yeuka kuti zviri nani kudzivisa zvokudya kukonzera dilution kuti chetsoka uye kubatsira kuderedza intestinal motility: chingwa chena, congee, . Tea, but, vamwe michero uye miriwo, etc. Kuti kudzora kunhuwirira kubva colostomy haafaniri vanotoshapaidza hanyanisi, gariki, doro , akabika mazai. Food apere kakawanda uye zvikamu zviduku. Pashure pokuvhiyiwa, vanofanira zvishoma nezvishoma chokuwedzera zvokudya uye chinja chaiko kudya.