Iziguli Ostomy: kuyini? Izici anakekele iziguli ostomy. Kuyini iziguli ostomy?

Ngokwezibalo yezokwelapha, angaphezu kweshumi nambili ezinkulungwane zabantu abahlala eRussia, obani "isigaba iziguli ostomy '. Ungubani wena? Lezi ziguli, ngemuva kokuhlinzwa ebodeni anterior esiswini i ureter noma wamathumbu isuswe. Kwakheka ngenxa imisebenzi efana ukuvulwa futhi ubizwa ngokuthi "stoma". Leli gama linezincazelo izimpande ngesiGreki. Inguqulo yakhe kuzwakala "umlomo" noma "umgodi."

Isidingo ukuhlinzwa

Injongo stoma ebiyelwe umchamo phambili noma indle. Isidingo salokhu ukuvulwa kwenzeka uma esinyeni noma amathumbu abakwazi ukusebenza ngokuzimela. Kuholele izizathu isimo ezahlukene. Lokhu kungaba ozalwe noma ukulimala, noma isifo isitho.

Yiqiniso, nobunzima ezithile zokuphila isipiliyoni ostomy iziguli. Kuyini - ukuba khona ngenxa yokuntuleka kwezinhlelo ezibanzi reflex-system, okuyinto okubonakale kulezi ziguli? Kuyinto ukungakwazi ukulawula inqubo lokuchitha esinyeni noma wamathumbu. Lesi simo kwenza kube nzima kakhulu ukuxhumana nabantu ukuba balondoloze yokuphila asebenzayo.

izinhlobo ostomy

Hole ukuboniswa udonga phambi esiswini, kungaba unomphela noma okwesikhashana. Esigabeni esikahle iziguli kuqala icala ostomy akunakwenzeka afeze ukuhlinzwa esikhathini esizayo, okwakuyoholela ukuqeda isimo sabo. Esinyeni obturator izinto ezisetshenziswayo noma amathumbu iziguli okunjalo kokulimala. Akukho godu kungenzeka yokutakula ekuseni futhi permeability emathunjini.

Stoma ukususa indle uvame ukubizwa ngokuthi ingquza preternatural. Kulokhu, kukhona ngezigaba elandelayo lezi izimbobo:
- ipayipi lokukhipha indle (lapho okukhiphayo ikholoni);
- ileostomy (ukususwa emathunjini amancane);
- single-barreled (i-bheke of stem emathunjini);
- dvuhstvolny (lapho udonga besisu kukhona izimbobo ezimbili etholakala iziqu emathunjini).

Okukushoyo ukunakekelwa stoma

Excretion of wamathumbu noma ureter endaweni besisu kulondoloza ukuphila kwesiguli. Uma udokotela enquma ukuqhubeka nomsebenzi, kukhethwa nesineke engekho. ukunakekelwa Nursing for iziguli ostomy kudinga imisebenzi hhayi eziyinkimbinkimbi, kodwa efunwa kakhulu. Okokuqala, zikuthinta ekwelapheni kuvulwa eyayenziwe wadala. Futhi lokhu kukhona isikhwama esikhethekile ekukhethweni zazo kuzoncika indawo kanye nohlobo ostomy. I-akhawunti kufanele nawo azokhishwa Ukukhula of indle kanye izintandokazi lesiguli.
Kuze kube manje, nomkhiqizi inikeza izinhlobo ezimbili oshumayela ukunakekelwa eliphumelelayo iziguli ostomy kungaba kwenziwe. It ikhiqizwa phezu ingcina ezisekelwe ipayipi lokukhipha indle esalisekela futhi ezimbili ingxenye izikhwama futhi uropriemniki.

Yimaphi lawo mathuluzi? Omunye-ingxenye izikhwama uro kanye ipayipi lokukhipha indle - kungcono izikhwama zepulasitiki base ingcina. Abakwazi ivalwe (hhayi likhanyelwe) futhi evulekile (likhanyelwe). Uhlobo lwesibili libhekene khona izindlela zokuxhumana nge imvelo.

Kepha bona abamukelayo ezimbili ingxenye, banayo izingxenye ezimbili. Omunye wabo siwungcwecwe ingcina, kanti eyesibili - isikhwama.

Zikhona izici ezithile ekunakekeleni iziguli ostomy esimweni ungenisa okwenyanga osenyameni imbobo. Iziguli kumelwe ibe ekhethekile ipuleti ingcina convex hlobo. engavamile kwawo kuhlanganisa ukuhlobisa flange eqinile. Kukhona futhi "izindlebe" ekhethekile. Amadivayisi anjalo asetshenziselwa nokubopha ibhande, okumele ezigqokwayo onensika nenkanuko edlulele ipuleti.
Ostomy ipayipi lokukhipha indle nesineke ingasetshenziswa kokubili abamukelayo esalisekela kanye ezimbili-ngxenye. Nokho, kufanele sikhumbule ukuthi lokhu kwenzeka kuphela uma situlo enazo, futhi wamathumbu ukunyakaza kwenzeka izikhathi 2-3 emini.

Uma usebenzisa elibiyelwe ipayipi lokukhipha indle izikhwama, izikhwama badinga ishintshwe kuze kube kathathu ngosuku, futhi ipuleti - kanye noma kabili ngesonto.

Esimweni lapho isiguli enokuthambekela uhudo, kubalulekile ukuba uthole izindlela ukuze uyivule. Bona abamukelayo efanayo ezidingekayo yalezo ziguli etholakala ileostomy. Lezi zimali ziyashintsha kancane njalo kuka avaliwe, akukho ngaphezu kwesikhathi esisodwa emini. Uma isikhwama akuyona avuzayo kuphi, abamukelayo ke likhanyelwe ingaqhubeka esikhumbeni izinsuku ezintathu uma abantu baphume labo nini nanini.

Amalungiselelo ukunakekelwa

Ukuvuselelwa leziguli ostomy okufanele kwenzeke ngayo ehambisana nokuqeqeshwa kwabo. Phakathi nale nkathi, iziguli wafundisa imithetho ekunakekeleni stoma. Esikhathini esizayo, it kuzokuvumela umuntu angenakho ukuzwa kuncike udaba yokuhlanzeka ukuvuleka eyayenziwe wadala.

Lowo yengamela ukukhiqizwa kokudla okungokomoya nokunakekela yesiguli enjalo kuzodingeka ukuthi wenze itafula elincane sigqoka. Lena iphakethe ezibalulekile, okuyinto esetshenziswa zonke iziguli ostomy. Kuyini lokhu? Lokhu izinto ezifana:
- sikelo (mhlawumbe engonxantathu nge semikhawulweni blunt);
- esibukweni;
- isandla insipho;
- upulasitiki mayelana nokulahla abamukelayo;
- gauze, amabhandishi, indwangu ethambile;
- uro kanye ipayipi lokukhipha indle izikhwama;
- ithawula esithambile.

Uma phakathi naleyo nqubo isiguli ungephansi kwemandla, kubalulekile ngaphansi kwayo inabukeni amanzi. Self umamukeli baguqulelwa e ime mpo. Ukuze kube lula inqubo kulokhu kuzodingeka esibukweni.

Guqula uro kanye ileostomy kumele kwenziwe ngaphambi kokudla kwasekuseni noma ebusuku ngaphambi sokulala. Ngemva kokudla akunconyelwe le nqubo.

Ostomy Ukunakekela

njenganoma yimuphi nje omunye, le nqubo yokuhlanzeka kudinga handwashing ngaphambi. Lokhu kuphoqelekile ukusetshenziswa insipho. Stoma esidingekile zangaphambi ukugeza. Nokho, asikho isidingo ukusebenzisa insipho le njongo. A amanzi olulodwa efudumele. Isikhumba emhlabeni umgodi kungenziwa nje ziphathwe wezindlu ekhethekile. Nokho, kuwufanele ukukhumbula ukuthi uketshezi uvinjelwe wokuhlanza stoma, njengengxenye okuyinto kukhona notshwala, izixazululo isinqandakuvunda, kanye ether. Konke lokhu amathuluzi, kanye insipho eyosula isikhumba futhi kususe zemvelo isithiyo zokuzivikela. Lokhu kwandisa ingozi umonakalo mechanical endaweni iphathwa, kanye ematfuba Ukungena emzimbeni namagciwane abangela izifo.

Ngemva kokuphela egeza isikhumba kumele kube yomile. Ngenxa yale njongo ngendwangu gauze noma ithawula esithambile. In the ukungabikho ukukhululwa njalo indle, isikhumba, kuyatuseka ukuba yome ngokwemvelo emoyeni.
On esiswini sezinwele Ingase ithanyelwe emhlabeni stoma. Kumele asuswe nge sikelo. Sebenzisa insingo noma okhilimu depilatory akuvunyelwe. Lezi mali zizokhishwa ngalesi siyingi kubangele ubuhlungu kwesikhumba.

Ukufaka caloric futhi urinals

Uma usebenzisa eyodwa ingxenye izikhwama kufanele ngokushesha thatha ipuleti ingcina. It is osuke usushisa kakade ezandleni, futhi asuse enamathela ovikelayo is ethe njo ku nokuthola indawo stoma kusuka phansi phezulu.
Eziningana ezahlukene ezimbili ingxenye abamukelayo inamathelisiwe. On ipayipi lokukhipha indle anamatheliswe ipuleti, bese-ke lufakwa flange isikhwama. nenkanuko edlulele yakhe elungile kubonisa ngokuchofoza. Ngaphezu kwalokho, isikhwama ijikeleziswa ngesikhathi isikhundla esilungele isiguli, futhi avale indandatho lokubopha. Ngemva clamping iminwe isiqhebezo lapho kufanele lalingesinye ngokuchofoza okuncane.

Ukususa caloric futhi urinals

Endabeni ezimbili ingxenye izimali uzodinga ukususa isikhwama, esisogwini ipuleti. Ngenxa yalesi, ngemva isiqhebezo umunwe ingcindezi ukuvulwa kanye yasibamba indandatho silingo ithebhu umamukeli bese kancane kude. Ungcwecwe ngengxube isidingo abanamathela ukuze ugweme ke kusukela uyaxebuka.

Omunye-ingxenye abamukelayo ziyasuswa kanye plate. Ukuze wenze lokhu, thatha isikhwama ngesandla esisodwa, kanye nezinye zibambe isikhumba. Uyenze isebenze enjalo odlala kufanele baqaphe futhi ugweme jerks.

ukunakekelwa Skin emhlabeni stoma

Kuleyo ndawo, oluzungeze ukuvulwa ukususa umchamo noma indle, kudinga ukunakwa okuqhubekayo. Gada isimo sakhe kufanele isiguli futhi onguchwepheshe.

Isikhumba endaweni ukuvulwa kumelwe ahlanzeke, omile futhi siwusho njengoba unjalo. Ukuze alondoloze impilo yakhe, imithetho ethile kufanele ihambisane iziguli ostomy. Kuyini for izincomo? Ohlwini zabo:
- Ukukhethwa uhlobo efanele caloric noma urinal;
- the bethulula njalo futhi izikhwama ekushintsheni;
- ekuqedeni kungenzeka ukuxhumana umchamo noma indle phezu plate;
- kokubonisana ngokushesha nge onguchwepheshe uma reddening kwesikhumba noma okuvela Bubbles at kubo, kanye nezilonda;
- usebenzisa gel ekhethekile kanye okhilimu for ukunakekelwa ezizungeze stoma;
- ukunamathela ukudla futhi uketshezi;
- nokuqapha njalo yobunzima ipuleti abutment.

Ukuxazulula izinkinga nge ipheshana yesisu

On gassing ingelashwa ezigulini ostomy njengoba kudingeka. Ukubhodla okubangela waqinisa naphakathi-besisu isuswe ngemva kokufaka nemithi enzymatic ezifana "zemikhosi" "Panzinorm" et al. Ukwelapha kuholela ukuzinza of microflora emathunjini.

Uma uhlangabezana ukuqunjelwa kufanele futhi izwakale iziguli alamu ostomy. Kuyini yibo bonke abantu. Nokho, iziguli ezinemishini ethile stoma ikakhulukazi abadinga nokuqedwa lesi simanga, okuyinto kuphakamisa, phakathi kwezinye izinto, kanye nokulahlekelwa izingxenye ezincane wamathumbu. Kunconywa ukwandisa baphuza uketshezi amalitha amabili ngosuku. Guqula kuyadingeka nokudla iziguli ostomy. Imenyu uzodinga ukufaka inombolo enkulu ukudla okune-fibre. Kulo msebenzi obalulekile kanye okusezingeni eliphezulu zomzimba zogulayo. Ukuphulukiswa kungaba ukuqunjelwa kanye nge enemas e esifundeni stoma, kanye laxatives ngomlomo.

ukwesekwa ngokwengqondo

Ezinye iziguli uhlangabezana enyanya kakhulu stoma yakhe. Ziyakwazi noma kusobala ukuthi bamshaya indiva kukho, noma aziphathe ngobudlova ngesikhathi kukhulunywa inkinga ekhona. Abantu abanjalo, kuyatuseka ukuba zifune usizo wezengqondo noma zengqondo. Kubalulekile futhi ukuba achazele isiguli mayelana ezibalulekile isidingo ephoqelela stoma yakhe futhi undesirability sengqondo squeamish ngayo.

Inkinga kwabesifazane

iziguli Ostomy babuzwe mayelana nokwenzeka ukuthola ukhulelwe futhi une ingane. Izithiyo abekho. Into esemqoka ukuthi ngesikhathi ukusebenza hhayi ezathinteka amaqanda bese isibeletho.

esibalulekile

Njengoba wenza isinqumo ukuba nomntwana, iziguli ostomy kufanele uthintane udokotela ke. Lesi sinyathelo esibalulekile empilweni singenziwa kuphela emva ukuvunyelwa onguchwepheshe. Lonke isikhathi sokukhulelwa kulezi iziguli senzeka ngaphandle nanoma yiziphi izinkinga. Ngokuphepha futhi ngesikhathi esifanele ukudlula nokubeletha. Kuphela, njengoba umthetho, eyenziwa Ukubeletha.

Ukuthengwa zangaphansi ezikhethekile

Yiqiniso, iziguli ostomy babe izici zabo siqu. Kule ndaba kubalulekile ukuba agqoke izinto zangaphansi ekhethekile. Ithungwe nge ephaketheni yangaphakathi kulo caloric noma urinal. Lokhu kunikeza ithemba ezengeziwe esigulini. Plate esikhunjeni uzohlala evaliwe futhi ngeke ashona ngaphansi isisindo izikhwama ezigcwele.

Lingerie for iziguli ostomy uyophinde ugcine impilo, etholakala emhlabeni ukuvulwa esiswini. Iqiniso wukuthi isikhwama, ibekwe endaweni ephaketheni, ngeke ukukuthinta isikhumba, ngoba kwadingeka ukuba ingabi khona ngokuphelele kusukela contact. Umuntu owembethe izembatho ocabanga ezinjalo, buthule, ngaphandle ukungakhululeki uzokwazi ukushintsha izingubo egumbini eydijithali egumbini sigqoka. Ukuba khona isikhwama ngeke uphawule akekho, ngoba isisindo umamukeli izokwabiwa ngokugcwele kuwo wonke esiswini. Kepha outerwear, ukulinganiselwa iziguli ostomy akukho ukukhetha. Abakwazi ukugqoka izinto ezifanayo ukuthi babenethuba ukusebenza. Into esemqoka ukuthi ikhabethe izinto kwakungafanele Friend-kufaneleka kakhulu.