Ostomy odwala: ndichiyani? Features kusamalira odwala ostomy. ndi odwala ostomy chiyani?

Malinga ndi zomwe zachipatala, oposa khumi ndi zikwi za anthu okhala mu Russia, amene ali "gulu ostomy odwala. ndi ndani? Awa ndi odwala amene, pambuyo opaleshoni pa khoma zapambuyo wa pamimba pa ureter kapena matumbo kunachotsedwa. Anapanga chifukwa cha ntchito monga kutsegula ndipo amatchedwa "stoma". Liwu limeneli lili ndi mizu Greek. M'Baibuloli zikumveka ngati "kamwa" kapena "dzenje."

Kufunika kwa opaleshoni

Cholinga stoma unazunguliridwa mu mkodzo kutsogolera kapena ndowe. Kufunika kwa kutsegula izi zimachitika pamene chikhodzodzo kapena matumbo sangathe liziyenda paokha. Zimabweretsa boma zifukwa zosiyanasiyana. Zimenezi zingakhale kubadwa chilema kapena choipa, kapena matenda limba.

Kumene, ena mavuto a m'moyo odwala ostomy. Kodi izo - kuli pakalibe reflex-dongosolo, yomwe yakula odwala awa? Ndi kulephera kulamulira ndondomeko ya kuchotsa chikhodzodzo kapena matumbo. Zimenezi zimapangitsa izo zovuta kulankhula ndi anthu ndi kukhala ndi moyo yogwira.

mitundu ya ostomy

Dzenje anasonyeza pa khoma kutsogolo kwa pamimba, ikhoza kukhala okhazikika kapena zosakhalitsa. M'nthawi odwala mlandu ostomy n'zosatheka kugwira ntchito mtsogolomo yomwe kuthetsa mavuto awo. The obturator zida chikhodzodzo kapena intestine odwala amakhala kuwonongeka sizingasinthe. Palinso sizikanatheka kuchira oyambirira ndi matumbo permeability.

Stoma kuchotsa ndowe mChipangano preternatural chotulukira. Pankhaniyi, pali gulu zotsatirazi mabowo awa:
- yaikulu (pamene linanena bungwe m'matumbo);
- ileostomy (kuchotsa za m'mimba zing'onozing'ono);
- wosakwatiwa-barreled (a derivation ya tsinde intestine);
- dvuhstvolny (pamene khoma m'mimba pali maenje awiri anachokera makungwa intestine).

Zikutanthauza kuti chisamaliro stoma

Excretion wa matumbo kapena ureter m'dera m'mimba amapulumutsa moyo wodwalayo. Ngati dokotala wasankha Zitatero ndi opaleshoni, kusankha wodwalayo palibe. Unamwino kusamalira odwala ostomy zimafuna osati yovuta, koma wovuta kwambiri ntchito. Choyamba, nkhaniyi mankhwalawa kutsegula chongopeka analenga. Ndipo ichi pali ndalama zapadera, kusankha chimene kudzadalira malo ndi mtundu wa ostomy. Akaunti tisatongwa kumwedwa Mwauzimu wa ndowe ndi zokonda wodwalayo.
Pakali pano, Mlengi amapereka mitundu iwiri ya njira chisamaliro zothandiza odwala ostomy angathe kuchitidwa. Chifukwa amapangidwa pa matumba zomatira ofotokoza one- ndi ziwiri zikuluzikulu yaikulu ndi uropriemniki.

zida zimenezi? Chimodzi-chigawo uro ndi yaikulu matumba - ndi mapepala apulasitiki ndi zomatira m'munsi. Iwo akhoza kutseka (osati chatsanulidwa) ndi lotseguka (chatsanulidwa). Mtundu wachiwiri amakhala ndi kukhalapo kwa njira zolankhulirana ndi chilengedwe.

Koma amalandira olandira Awiri-chigawo chimodzi, ali ndi magawo awiri. Mmodzi wa iwo ndi zomatira mbale, ndipo chachiwiri - thumba.

Pali mbali zina za kusamalira odwala ostomy zinachitikira kukopedwa mphako kumaliseche dzenje. odwala ayenera kukhala wapadera zomatira mbale otukukira kunja mtundu. peculiarity awo tichipeza mu kutiyesa ndi flange okhwima. Palinso wapadera "makutu". makina onga ntchito akhomere lamba, zimene ziyenera amupatse fixation mbale cholimba.
Ostomy yaikulu wodwala kugwiritsidwa ntchito one- ndi ziwiri zikuluzikulu amalandira. Komabe, tiyenera adzanyamula kukumbukira kuti ichi ndi zotheka pamene mpando ndi kwathunthu mipando, ndi matumbo kayendedwe amapezeka 2-3 pa tsiku.

Ngati mumamwa gated yaikulu matumba, matumba ayenera kusinthidwa katatu pa tsiku, ndi mbale - kamodzi kapena kawiri pa mlungu.

Mu chochitika kuti wodwalayo ali ndi chizolowezi m'mimba, m'pofunika kuti tikhale ndi njira tsegula. Amalandira chomwecho zofunika odwala amene anachokera ileostomy. Ndalama zimenezi zikusintha kamodzikamodzi kuposa chatsekedwa, palibe kangapo pa tsiku. Ngati thumba si ikudontha kulikonse, ndiye chatsanulidwa amalandira tingakhale pa khungu kwa masiku atatu ngati achoke awo mpaka kalekale.

Kukonzekera chithandizo

Konzanso odwala ostomy ayenera kutenga malo limodzi ndi maphunziro awo. Nthawi imeneyi, odwala amaphunzitsidwa malamulo a kusamalira stoma lapansi. Mu m'tsogolo, adzalola munthu sangathe kulandira malinga ndi nkhani ya munthu ukhondo chongopeka analenga mipata.

Amene imayang'anira kusamalira chotero wodwalayo ayenera kupanga yaing'ono kuvala tebulo. Ichi ndi phukusi zofunika, amene ntchito ndi odwala onse ostomy. Ndi chiyani icho? Izi zinthu monga:
- lumo (makamaka n'njokhota ndi malekezero yosamveka);
- galasi;
- dzanja sopo;
- thumba pulasitiki chifukwa kutaya amalandira;
- gauze, nsalu, nsalu zofewa;
- uro ndi yaikulu matumba;
- chopukutira zofewa.

Ngati pa ndondomeko wodwala wagona, m'pofunika pansi madzi thewera. Self wolandila tisandulika pamalo choimirira. Pakuti mayiko ndondomeko Pankhaniyi adzafunika galasi.

Change uro ndi ileostomy ayenera umachitikira pamaso chakudya kapena usiku pamaso asanagone. Pambuyo chakudya ali osavomerezeka chifukwa njirayi.

Ostomy Care

Basi, njirayi ukhondo amafuna handwashing isanafike. Izi ndi kuvomerezedwa ntchito sopo. Stoma zoyenera chisanadze wosambitsa. Komabe, si koyenera kugwiritsira ntchito sopo kwa cholinga ichi. A umodzi ofunda madzi. Khungu padziko dzenje akhoza kungoyankha ankachitira ndi zotsukira wapadera. Komabe, tiyenera kukumbukira kuti yoletsedwa zakumwa kukonza stoma, monga gawo limene pali mowa, antiseptic zothetsera, komanso efa. Onse zipangizo izi, komanso sopo adzakhala ziume khungu ndi kuchotsa izo kwa chotchinga chachilengedwe zozitetezera. Izi kumaonjezera ngozi ya kuwonongeka makina a m'dera ankachitira, komanso Mwina malowedwe mu thupi la tizilombo toyambitsa matenda.

Pambuyo pa mapeto a kusamba khungu ayenera kukhala wouma. Chifukwa chaichi nsalu gauze kapena chopukutira zofewa. Popeza nthawi zonse amasulidwe ndowe, khungu, ndi zofunika kuti ziume mwachibadwa mu mlengalenga.
Mimba khungu akhoza kupezeka padziko stoma lapansi. Izo ziyenera kuchotsedwa ndi lumo. Gwiritsani ntchito lumo kapena creams depilatory ndikoletsedwa. Ndalama zimenezi adzachititsa mkwiyo wa khungu.

Khazikitsa caloric ndi mokodzera

Pamene ntchito limodzi chigawo matumba ayenera yomweyo mbale zomatira. Iwo preheated mu manja, ndi kuchotsa ❖ kuyanika zoteteza ndi glued pa kupeza m'dera stoma kuchokera pansi oposa.
Yosiyanasiyana amalandira olandira Awiri-chigawo amagwira. Pa yaikulu kuzilemba mbale, ndipo ndiye kuvala thumba flange. fixation wake zolondola amasonyeza pitani. Komanso, thumba ndi zimayenda pa udindo yabwino wodwalayo, ndipo atseka ndi yolusa mphete. Pambuyo clamping zala latch ayenera panali wina pitani pang'ono.

Kuchotsa caloric ndi mokodzera

Pa nkhani ya ndalama ziwiri zikuluzikulu ayenera kuchotsa thumba, yomwe ili pa mbale. Pakuti ichi, pambuyo latch chala kuthamanga kwakufunguka, ndipo yolusa mphete Chikoka tsamba wolandila ndi pang'ono kuchoka. Mbale ndi kufunika kutsatira pofuna kupewa izo kuchokera ukuchoka.

amalandira limodzi chigawo amachotsedwa pamodzi ndi mbale. Kuti tichite zimenezi, kutenga thumba ndi dzanja limodzi, ndi ena akugwira khungu. Unstick chotero wolandila kusamala komanso kupewa jerks.

chisamaliro chakhungu padziko stoma ndi

M'deralo, limene tikukhala kutsegula kuchotsa mkodzo kapena ndowe, akuitana kwa tcheru kukapitirira. Muziona chikhalidwe azim'ponya wodwalayo komanso katswiri.

Khungu m'dera la kutsegula ayenera kukhala aukhondo, ouma ndi wawo. Pofuna thanzi lake, malamulo ayenera kutsatira odwala ostomy. Kodi izo malangizo? Mu mndandanda awo:
- Kusankha mtundu olondola a caloric kapena urinal;
- Ndikudzikhuthula zonse ndi kusintha matumba;
- kuchotsa kuthekera kukhudzana ndi mkodzo kapena ndowe bwalolo;
- mwamsanga mogwirizana ndi katswiri mu nkhani ya reddening wa khungu kapena pakutchulidwa thovu pa iwo, ndi zilonda;
- kugwiritsa ntchito angakhale angelo wapadera ndi creams amasamalidwa ozungulira stoma ya;
- kutsatira chakudya ndi madzi;
- zonse kuwunika zikayamba abutment mbale.

mavuto Zovuta ndi kapepala kakuti m'mimba

Pa Popanda kuchitapo kanthu gassing odwala ostomy akamavutika. Flatulence kuchititsa kuthamanga kwapakati pa-m'mimba atachotsedwa kuthira mankhwala enzymatic monga "zoikidwa", "Panzinorm" neri Al. Mankhwalawa kumabweretsa normalization wa microflora matumbo.

Ngati mwakumana ndi kudzimbidwa ayenera kuomba odwala Alamu ostomy. Kodi izo kudziwika kwa aliyense. Komabe, odwala ndi stoma makamaka akufunikira Kupha zodabwitsazi, amene amakwiya, mwa zina, ndi imfa ya matumbo zigawo yaing'ono. Ndi bwino kuwonjezera kadyedwe madzimadzi malita awiri tsiku. Change m'pofunika ndi chakudya ostomy odwala. menyu afunika monga nambala pazipita zakudya zokhala CHIKWANGWANI. Mu zofunika ndi mkulu ntchito iyi thupi la wodwalayo. Akuchiritsa akhoza kudzimbidwa ndi kudzera enemas m'chigawo cha stoma, komanso ngati mankhwala ofewetsa tuvi m'kamwa.

thandizo Psychological

Odwala ena amakhalanso ndi kudana kwambiri ndi stoma wake. Mwina adzionetsera samapereka tcheru kwa izo, kapena zinthu azitengapo pa chikumbutso cha vuto alipo. anthu oterewa, zimakhala zofunika pofuna thandizo kwa wowerenga maganizo kapena yamaganizo. M'pofunikanso kufotokozera wodwala za yofunika kufunika chimamangidwa stoma wake ndi undesirability squeamish mtima kwa icho.

Vuto la akazi

Ostomy odwala ankakonda kuwafunsa kuti n'zotheka kutenga mimba ndi mwana. Zopinga kulibeko. Chinthu chachikulu ndi pa ntchito sanali anakhudzidwa ndi thumba losunga mazira ndi chiberekero.

Chofunikanso

Popeza anasankha kukhala ndi mwana, ostomy odwala ayenera kuonana ndi dokotala anu. Sitepe zofunika pa moyo zitha anapangidwa pambuyo kukondweretsa katswiri. Nyengo yonse ya mimba odwalawo chikuchitika popanda mavuto alionse. Bwinobwino ndi m'nthawi yake pochitika kubereka. Only iwo, monga ulamuliro, kuyendetsedwa ndi gawo la Kaisara.

Kugula zovala zamkati apadera

Kumene, ostomy odwala ndi peculiarities awo. Pa nkhani imeneyi m'pofunika kuvala kabudula wapadera. Iwo sewn ndi thumba mkati limene caloric kapena urinal. Ichi chimapereka chidaliro zina wodwala. Mbale pa khungu lake adzatsala losindikizidwa ndi sadzakhala abwerere tizivutika ndi matumba wodzazidwa.

Zovala zamkati odwala ostomy nawonso kupulumutsa thanzi, yomwe ili pafupi kutsegula m'mimba. mfundo ndi yakuti thumba, anaika mu thumba osachichita pakani pakhungu, chifukwa anali kukhala kwathunthu kutali oyandikana. Munthu wovala zovala zimenezi, mwakachetechete, popanda kusapeza aliyense adzatha kusintha zovala Kubwalo la mpira ndi mu chipinda kuvala. Pamaso pa thumba simutha kuzindikira palibe m'modzi, kuyambira kulemera kwa wolandila adzakhala kwathunthu anagawira pamodzi mimba lonse. Koma outerwear, chifukwa Pochita odwala ostomy mu palibe mankhwala ake. Iwo akhoza kuvala zinthu zomwezo zimene iwo anali patsogolo ntchito. Chinthu chachikulu kuti zovala zinthu sanali zolimba-koyenera.