Sɛ wɔayɛ wo oprehyɛn a wɔde K-kotoku ahyɛ mu a, ebia wo ho yeraw wo kakra na wunsi pi sɛ wubedi ho dwuma da biara da. Ɛno yɛ ade a ɛfata koraa. Nanso sɛ wɔbɔ wo amanneɛ yiye a, ɛnyɛ den saa sɛ wubedi ho dwuma. Enti ɛnnɛ, momma yɛnka nea K-pouch yɛ ne sɛnea wɔbɛhwɛ so yiye ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne K-Pouch?
K-pouch, anaa continent ileostomy , yɛ oprehyɛn a ɛma wo dwensɔtwaa ketewaa no fã a etwa to, ileum , bata wo yafunu no honam ani. Nnuruyɛfo a wɔyɛ oprehyɛn yɛ eyi de yɛ ɔkwan bi a nwura betumi atotɔ bere a wo nipadua ntumi nyi nwura mfi hɔ sɛnea ɛsɛ no.
Nea ɛma K-kotoku yɛ soronko wɔ ileostomy ahorow afoforo ho ne sɛ oduruyɛfo a ɔyɛ oprehyɛn no yɛ valve soronko bi . Saa valve yi mma nwura ntumi nkɔ n’ankasa mu. Mmom no, sɛ ɛho hia sɛ wopopa kotoku no mu a, wubetumi de afiri bi a wɔfrɛ no catheter ahyɛ mu de ayi mu.
Fa no sɛ, bere a nsu ne nnuan a wɔayam no boaboa ano wɔ kotoku yi mu no, nhyɛso a ɛwɔ mu no kɔ soro. Sɛ wɔamma saa nhyɛso yi ankɔ a, kotoku no betumi atetew, atow, anaasɛ valve no betumi ahwe ase na nwura betumi atu afi mu. Ɛno nti na ɛho hia paa sɛ wobɛma nsuo akɔ mu wɔ bere ano no.
Mpɛn ahe na ɛsɛ sɛ mepopa kotoku yi mu?
Mpɛn dodow a wɔma eyi da mpan no betumi ayɛ soronko wɔ onipa biara ho, nanso akwankyerɛ ahorow bi wɔ hɔ a wɔde ma wɔ ɔkwan a ɛkɔ akyiri so.
Oprehyɛn no akyi pɛɛ no, wo duruyɛfo no de indwelling catheter , afiri bi a wogyaw wɔ nea ɛwɔ hɔ ma nwura fi mu bɛhyɛ mu. Ɛho behia sɛ wogyaw saa tube yi wɔ nea ɛwɔ hɔ bɛyɛ adapɛn 3-4 na ama kotoku a wɔayɛ no foforo no anyin, a ɛkyerɛ sɛ ɛbɛyɛ den. Ɛno akyi no, wubetumi akɔ kotoku no mu mpɛn pii da biara. Bere kɔ so no, mpɛn dodow a wɔde nneɛma gu mu no so bɛtew nkakrankakra.
Wo ne wo duruyɛfo, oduruyɛfo a ɔyɛ oprehyɛn, anaa enterostomal therapist (ET nurse ) nkasa mfa eyi ho. Ɛda adi sɛ wubehyia ɔyarehwɛfo yi ansa na wɔreyɛ wo oprehyɛn. Wɔbɛkae wo sɛnea wobɛhwɛ wo stoma ne wo kotoku no.
Ɔkwan pa a wɔfa so yi nsu fi K-Pouch mu
Nsuo a wobɛma akɔ so daa no ye ma adapɛn 3-4 a ɛdi kan wɔ kotokuo foforɔ mu. Sɛ catheter tube no fi hɔ wɔ akwanhyia mu wɔ saa bere yi mu a, mma ɛnhaw wo. W’ankasa wubetumi asan de ahyɛ mu denam anammɔn a ɛnyɛ den yi a wubedi akyi so:
- Ma wo yafunu mu ntini ahorow no dwo kakra.Kotodwe biako a wobɛkotow betumi aboa saa bere yi.
- Fa srade a ɛtumi nwura nsuo mu san sra catheter no . Mfa nneɛma a petroleum jelly wom te sɛ Vaseline nni dwuma.
- San fa catheter no hyɛ baabi a woadi kan ahyɛ no agyirae no. Sɛ ɛte sɛ nea eyi yɛ den a, gye w’ahome kakra, sesa wo gyinabea, na bɔ mmɔden bio.
Wɔ saa bere a edi kan yi mu no, ɛsɛ sɛ wode tap nsu a wɔde di dwuma daa bɛyɛ ounce biako (30ml) gugu catheter no so mpɛn pii da biara de hohoro nwura.
Sɛ wote nka da sɛ kotoku no agyae nsu a ɛretu a, yɛ nneɛma anan yi ntɛm ara: gugu catheter no so, fa nsateaa abien pia catheter no mu hwɛ sɛ nsu anaa mframa kɔ soro ne fam anaa, hwɛ sɛ nsu san ba soro anaa, na wosow catheter no kɔ mu na fi mu bɛyɛ nsateakwaa biako.
Sɛ nsu no amfi adi bere a woayɛ saa nneɛma yi awie a, ebia biribi te sɛ aduan mu nneɛma nketenkete bɛkyere. Saa bere no, yi catheter no, fa tap nsu hohoro mu yiye, na san fa hyɛ mu.
Adapɛn 3-4 akyi
Adapɛn 3-4 a edi kan no akyi no, wubetumi agyae nsu a wobɛtow akɔ so no na woafi ase ayi wo dwensɔtwaa mu ada mpan mpɛn pii da biara. Mpɛn pii no, wɔyɛ nsakrae yi bere a woakɔ wo duruyɛfo nkyɛn nea edi kan wɔ oprehyɛn no akyi akyi.
- Fa bag no gu mu nnɔnhwerew 2 biara awiabere, bere a woada no.
- Fa wo bag mu ansa na woada anadwo ne bere a woasɔre anɔpa no.
- Kwati sɛ wubedi anaa wobɛnom biribiara nnɔnhwerew 2 ansa na woada.
- Anadwo no, wubetumi agyaw catheter no wɔ nea ɛwɔ hɔ no mu na ama woakɔ so ayi nwura afi mu. Anaasɛ wubetumi de alarm ahyɛ mu ma asɔre na woaprapra mu.
Wɔ adapɛn kakraa a edi hɔ no mu no, wubetumi de nkakrankakra ama bere a ɛda kotoku no mu a wobɛda mpan ntam no ayɛ kɛse. Wɔ bɛyɛ asram 3 oprehyɛn akyi no, mpɛn pii no anohyeto titiriw biara nni hɔ. Ɛho behia sɛ wopopa kotoku no mu bɛyɛ mpɛn 4-6 da biara, na gugugu so nsu bɛyɛ mprenu da biara. Nanso kae sɛ, bere biara a wobɛte nka sɛ ayɛ kotoku no mu ma anaasɛ woayɛ ma no. Ɛho hia sɛ woyɛ eyi ansa na woateɛteɛ w’apɔw mu ne ansa na woada.
Ɔkwan bɛn so na wɔhwɛ catheter ne honam ani?
Ɛho hia sɛ wɔma honam ani hwɛbea a atwa catheter no ho ahyia no ho tew na ahobammɔ wom, na wohwɛ nso sɛ wɔasiw catheter no ano na nwura no akɔ yiye.
| Nneɛma a ehia ma eyi | |
|---|---|
| Nneɛma a wɔhwehwɛ | Nkyerɛmu |
| Ntama a wɔde horo nneɛma | Napkin ketewaa anaa krataa mpopaho |
| Samina | Samina a ɛnyɛ srade |
| Ntama a Wɔhyɛ | Biribi te sɛ gauze a wɔde kata kuru no so |
| Nnwinnade a wɔde gugu nnɔbae so | Tap nsu, bulb syringe, ne basin |
Akwankyerɛ a wɔde ma anammɔn biara
1. Nsa hohoro : Nea edi kan no, fa samina ne nsu a ɛyɛ hyew hohoro wo nsa yiye na fa mpopaho a ɛho tew ma ɛyow.
2. Fa nsuo gu catheter no so: Yi na tow aduru a wɔde kyekyere kuru no so (stoma). Tew catheter no fi kotoku a wɔboaboa nwura ano no mu na fa catheter no mu nneɛma gu sink no mu.
3. Fa nsuo: Fa nsuo bɛyɛ ounce (30ml) kɔ bulb syringe no mu. Sɛnea ɛbɛyɛ a ɛbɛyɛ mmerɛw no, fa agyiraehyɛde a ɛtra hɔ daa anaa nnadewa a wɔde yɛ nnadewa hyɛ level no agyirae wɔ syringe no so .
4. Nsu a wode bɛhyɛ mu: Pia nsu a efi syringe no mu no nkakrankakra kɔ catheter no mu.
5. Nwura a wobɛtow agu: Bere a worepiapia syringe no, fa wo nsa foforo no pia catheter no na yi syringe no. Afei gyae catheter no na bue nsu a ɛkɔ nsu no mu no na ama nwura no akɔ ahina no mu. Mfa nsu a efi catheter no mu no nsan nkɔ syringe no mu da.
6. Akwanside Nhwehwɛmu: Sɛ ɛte sɛ nea ɛyɛ den sɛ nsu a wɔde ahyɛ mu no bepue, anaasɛ biribi te sɛ nsu a ɛyɛ nwini asiw catheter no mu a, hohoro no mpɛn pii kosi sɛ nwura no bɛsen yiye. Sɛ nsu no nkɔ mu anaasɛ mfi mu a, yi catheter no, hohoro mu yiye, na san fa hyɛ mu.
7. Wora a wɔde tew ho: Sɛ nwura no gyae a, san fa catheter no bata kotoku no ho. Hohoro kuru (stoma) ne were a atwa ho ahyia no ho yiye. Fa samina a srade nnim ne nsu a ɛyɛ hyew di dwuma. Hohoro mu yiye, pat dry, na fa mpopaho a ɛyɛ mmerɛw pat dry.
8. Fa aduru a wɔde kyekyere kuru no gu so: Fa gauze aduru a apaapae abien twa kuru no ho hyia ne so, na sɛ ɛho hia a, fa teyp kyekyere.
9. Ahotew a etwa to:Yi nneɛma biara a ɛho nhia, fa samina hohoro sink ne syringe no yiye na ma ɛnyow. Awiei koraa no, hohoro wo nsa yiye bio.
Afotu afoforo bi a ɛho hia
- Hwɛ catheter no mu daa hwɛ sɛ wɔretu nwura no yiye. Fa nsu gugu so mprenu da biara, anaa sɛnea wo duruyɛfo anaa ɔyarehwɛfo kyerɛ no.
- Hwɛ wo stoma no mu da biara da. Ɛsɛ sɛ ɛyɛ te sɛ nea ɛhyerɛn, ɛyɛ nwini, na ɛyɛ kɔkɔɔ. Sɛ wuhu nsakrae bi wɔ ne hwɛbea mu a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Sɛ wo nsu mu yɛ den na wote nka sɛ ɛyɛ brɛoo sɛ ɛbɛfa catheter no mu a, ebia ebehia sɛ wonom nsu pii, nnuaba mu nsu , anaa nsu afoforo. Bɔ mmɔden sɛ wobɛnom nsu bɛyɛ nkuruwa 10-12 da biara.
Mfa nnuru a wɔde kum akisikuru da . Wobetumi ama obi anya akisikuru na nsu atɔ nipadua no mu. Sɛ wowɔ biribi a ɛhaw wo a, kɔ wo duruyɛfo nkyɛn.
Nkrasɛm a Wɔde Kɔ Fie
- Fa wo K-pouch no gu mu daa sɛnea wo duruyɛfo kyerɛ no. Ɛho hia sɛ woyi mu bere biara a wobɛte nka sɛ woayɛ ma no.
- Ma honam ani hwɛbea a atwa catheter no ho ahyia no ho ntew na ɛnyɛ nwunu bere nyinaa. Fa samina a srade nnim nkutoo di dwuma.
- Hwɛ sɛnea wo stoma no te da biara da. Sɛ wuhu nsakrae bi wɔ kɔla, ne kɛse, anaa ne nsusuwii mu a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Nom nsu ne nsu pii da biara da na amma nsu a ɛbɛtɔ wo mu na ama nsu a ɛyɛ den no so atew.
- Mfa nnuru a wɔde kum akisikuru nni dwuma da a wunni aduruyɛfo afotu.
- Sɛ wowɔ ɔhaw biara, wo ho nyɛ wo dɛ, anaa w’adwene mu yɛ wo naa a, kɔ wo duruyɛfo anaa ɔyarehwɛfo titiriw (ET ɔyarehwɛfo) nkyɛn ntɛm ara.
K-Pouch, Asasepɔn so Ileostomy, ileostomy hwɛ, stoma, catheter, oprehyɛn, dwensɔtwaa, ostomy hwɛ Sinhala, K-Pouch hwɛ
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