Kusunga Zinthu Zokongola Kwambiri
Pambuyo popanga opaleshoni ya khansa ya colon, mukhoza kukhala ndi colostomy yosatha kapena yachangu. Bokosi la malangizo ndi zoperekera zomwe zikuphatikiza ndi colostomy yanu yatsopano sizingakhale ndi chidaliro, koma kusintha thumba lanu sikovuta monga momwe kungawonekere. Mukakhala odziwa bwino, kusintha kachipangizo chanu kungatenge mphindi khumi kapena ziwiri.
Kodi Kawirikawiri Zikwangwani za Colostomy Ziyenera Kusintha?
Nthawi zambiri muyenera kusintha chojambulira chanu chimadalira pa zinthu zingapo zosiyana:
- Malo anu ostomy
- Katundu wanu wamagulu nthawi zambiri komanso osasinthasintha
- Mafuta a khungu lanu
- Zomwe mukuchita
- Kutentha ndi kunja kwa kunja
- Mtundu wa chipangizo cha colostomy chomwe mumagwiritsa ntchito - chidutswa chimodzi kapena chidutswa chimodzi
Malo anu a colostomy - osuntha, okwera, otsika kapena othamanga - amatsimikizira kusinthasintha kwa kayendedwe ka matumbo ndi nthawi yomwe mumayenera kusintha chikwama chanu cha colostomy. Zojambula zamtundu ndi zamakono zimakhala ndi malo otsekemera omwe angakhale okwiyitsa kwambiri pakhungu lanu ndipo amafuna kusintha kambirimbiri pamatumba (kapena kuthirira ndi kuyeretsa thumba). Mbalame zamtundu wambiri, kutsika ndi zizindikiro zamakono, nthawi zambiri zimapanga maimidwe opangidwa mofanana, komanso nthawi zonse siziyenera kusamalidwa.
Ngati khungu lanu liri lonyowa, wothira mafuta, kapena kutentha panja, thumba la colostomy silingagwirizane komanso kumafuna kusintha kowonjezera kayendedwe kazitetezo kuti zisawonongeke.
Momwemonso, ngati mukuchita masewera olimbitsa thupi kapena kuchita masewera olimbitsa thupi, mungafunikire kusintha nsapato yanu yamtundu uliwonse tsiku ndi tsiku malingana ndi momwe mumapuma thukuta.
Tsatirani malangizo ndi ndondomeko zoperekedwa kwa inu ndi dokotala wanu kapena ET namwino - koma kawirikawiri, muyenera kusintha chojambulira chanu chakumapeto kwa masiku awiri kapena atatu.
Ngati muli ndi chidutswa chimodzi (chikwama chophatikizidwa ndi chovala), mungafunikire kusintha kawirikawiri, malinga ndi momwe matumbo anu amasunthira nthawi zambiri. Musalole kuti chikwama chanu cha colostomy chikhale choposa zoposa 1/3 zowonongeka, popeza kulemera kwake kukhoza kupanikizika kwambiri pa stoma ndi khungu lanu lozungulira, ndipo chisindikizo pamagetsi anu chikhoza kusokoneza chifukwa cha fungo ndi chotupa .
Kusonkhanitsa Zinthu Zanu
Musanayambe kugwiritsa ntchito chojambulira chanu choyamba, onetsetsani kuti muli ndi zonse zomwe mukufuna zofunika.
- Sopo, madzi ndi tilu
- Chombo cha Colostomy (chidutswa chimodzi kapena chidutswa chimodzi chidutswa) ndi chojambula (ngati chithake)
- Mikasi yaing'ono yamagulu awiri - kudula chophimba cha khungu pakhungu kukula kwake
- Wothandizira khungu kapena prep
- Stoma phala ndi ufa
- Thumba la pulasitiki losawonongeka
Ikani zinthu zanu mu bafa yanu. Anthu ambiri amasankha kugwiritsa ntchito kanyumba kakang'ono - m'malo mwa chimbudzi - kuti mukhalepo, kotero kuti mutha kutaya thumba lanu lakale mu chimbudzi musanayambe kusintha. Mukhoza kusintha mawonekedwe anu poyimirira, koma zingakhale zomasuka kutero mukakhala pansi.
Chotsani Chida Chakale
Ngati muli ndi thumba lokonzekera, chotsani chikwangwani ndikutsitsa zomwe zili mkati mwa chimbudzi musanachotse thumba lanu ndikuyikapo phokoso, musaitulutse .
Musamang'ambe chovalacho pa khungu lanu ngati chithandizo chamagulu. Izi zingayambitse kupanikizika kwa khungu ndi stoma , zomwe zingayambitse magazi ndi kukwiya. M'malo mwake, sungani zitsulo (khungu) ndi dzanja limodzi pamene mukuchotsa khungu lanu mosalekeza. Ngati muli ndi tsitsi lokwanira kuzungulira stoma ndi bwino kuti muzichepetsa tsitsi ndi lumo kapena lumo. Izi zidzakuthandizani kuchepetsa kusinthana kwanu ndikusintha chisindikizo chanu pozungulira stoma yanu. Chotsani chipangizo chakale mu thumba la pulasitiki yosungidwa ndi kumangiriza pamwamba mu mfundo kuti muchepetse fungo.
Kusamba Khungu ndi Stoma
Ndi bwino kuti mutuluke mumtambo ndikusamba kapena kusamba.
Ngati mukufuna, sambani manja anu ndi sopo ndi madzi ndikutsuka khungu lozungulira stoma yanu ndi sopo komanso sopo losatsimikizika. Pat kapena mpweya wouma khungu loyandikana ndi stoma musanayambe.
Samalani maonekedwe a stoma yanu. Pambuyo pa opaleshoniyo, stoma ikhoza kukhala yotentha pang'ono komanso yofiira kwambiri. Komabe, mu masabata otsatirawa, ayenera kukhala ofewa, pinki kapena ofiira ndi ofunda. Sitiyenera kukhala ndi magazi ochuluka (dontho kapena ziwiri ziri bwino) ndipo sipangakhale phokoso loipa, lofiira kapena kutupa komwe kuli pafupi ndi stoma.
Kugwiritsa Ntchito Njira Yachikopa ya Nsalu
Ngati muli ndi gawo limodzi, kutsegula kwa stoma kudzakhala kosavuta kwa inu ndipo thumba likuphatikizidwa kuchitchinga cha khungu. Ngati muli ndi kachigawo kakang'ono kawiri, muyenera kudula chitseko pakati pa chovalacho kuti chikugwirizana ndi stoma yanu. Dulani chotsegula chotsatira kuti mufanane ndi stoma yanu musanayike pakhungu lanu. Kutsegula kuyenera kufanana ndi stoma yanu; ngati kutsegulidwa kwakukulu kwambiri, zotupa zidzakwiyitsa khungu ndipo ngati kutsegulidwa kuli kochepa, stoma yanu ikhoza kuyaka. Ngati khungu lozungulira likhale lonyowa, gwiritsani ntchito khungu khungu (prep), ufa wambiri, kenako pewani khungu pa ufa. Gwiritsani ntchito phokoso la stoma ku dzenje lachakudya ndiye liyikeni khungu lanu. Gwirani chakudyacho kwa mphindi imodzi kapena ziwiri kuti mupange chisindikizo chabwino. Ngati muli ndi gawo limodzi la magawo awiri muyenera kudula chikwama pamalo pomwe pamtundu woyenda. Onetsetsani kuti chikwangwani chilipo kuti mutseke thumba (ngati muli ndi makonzedwe otseguka) ndipo mwatha.
Zimene Uyenera Kuwuza Dokotala Wanu
Pambuyo pa masabata angapo, mudzadziwa kuti colostomy yanu yachibadwa ndi yotani ndikuyamba kugwiritsa ntchito maonekedwe a stoma yanu. Ngati muwona chinthu china chosiyana ndibwino kuwuza dokotala wanu kapena ET namwino kuphatikizapo:
- Pus kapena purulent discharge pafupi ndi stoma
- Kutuluka magazi kofiira (osati dontho kapena smear) kunja kwa stoma
- Mukudwala malungo
- Stoma yanu imakhala ndi fungo lonunkhira pamene chipangizocho chikuchotsedwa
- Mukusanza kapena kusungunuka
- Mukumva kupweteka, kutupa, kapena kupewera m'mimba mwathu, makamaka kuzungulira stoma
- The stoma sikutulutsa mpweya kapena bedi kwa maola anai kapena kuposerapo
Zotsatira:
American Cancer Society. (nd). Colostomy: A Guide. Kusintha Njira Yopukusira. Inapezeka pa intaneti pa June 19, 2013.
Medline Plus. (nd). Kusintha Kudzala Kwa Ostomy. Inapezeka pa intaneti pa June 17, 2013.
American Cancer Society. (nd). Colostomy: A Guide. Malangizo othandiza. Inapezeka pa intaneti pa June 21, 2013.