So woate oprehyɛn bi a wɔde bag bi bata wo yafunu ho na ama wo nsu anaa wo nsu atumi atwa ho asɛm pɛn? Ebia w’adamfo bi ama wɔayɛ bi. Wɔfrɛ eyi ostomy wɔ aduruyɛ mu. Ɛwom sɛ ebia ɛbɛyɛ te sɛ nea ɛyɛ hu na ɛyɛ nwonwa kakra mfiase no de, nanso nokwarem no, ɛyɛ aduruyɛ mu adeyɛ a ɛho hia yiye a ebetumi agye nkwa na abue kwan ama woasan atra ase sɛnea ɛte daa. Ɛnnɛ, yɛbɛka eyi ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw na ɛyɛ tẽẽ so.
Dɛn ankasa ne ostomy oprehyɛn?
Sɛ yɛbɛka no tiawa a, ostomy yɛ oprehyɛn a ɛma wo yafunu (yafunu) bue foforo ma nsu anaa nsu fa honam ani. Saa adeyɛ yi boa ma woyi nwura fi wo nipadua mu bere a wuntumi mfa nsu anaa nsu nkɔ sɛnea ɛsɛ esiane aduruyɛ tebea bi nti no.
Oprehyɛn no akyi no, wubehu wo dwensɔtwaa no fã ketewaa bi a wɔayi afi tokuru a ɛwɔ wo yafunu mu no mu. Wɔfrɛ eyi sɛ stoma. Ɛyɛ pinkish-kɔla kɔla. Ɛte sɛ w’ano aduru. Nea eye sen biara ne sɛ enni ntini a ɛwɔ awiei, enti worente ɛyaw biara. Wo oprehyɛn ho ɔyaresafo bɛkyerɛ wo sɛnea wode kotoku titiriw bi boaboa nwura ano fi stoma yi mu.
Ostomy yɛ din a wɔtaa frɛ oprehyɛn yi, na colostomy yɛ oprehyɛn pɔtee bi.
Sɛnea wɔde Ostomy Bag bedi dwuma?
Saa ostomy bag yi (a wɔsan frɛ no kotoku anaa afiri) yi boaboa nsu anaa nsu a efi stoma no mu ba ano. Saa bag yi wɔ akwanside titiriw bi a ɛbata honam ani. Eyi bɔ wo honam ani ho ban fi nneɛma a wɔsɛe no ho. Ɛho hia yiye sɛ wode bag yi bɛbata ho yiye na wɔasiw nsu a ɛretu no ano. Sɛ ɛnte saa a, honam ani yare betumi aba.
Wo duruyɛfo anaa ɔyarehwɛfo a wɔatete no titiriw bɛkyerɛ wo sɛnea wode bag yi bedi dwuma. Eyinom wɔ ahorow atitiriw abien:
- Ade biako nhyehyɛe: Ɛha yi, bag no ne akwanside a ɛbata honam ani no nyinaa wɔ biako mu.
- Nneɛma abien nhyehyɛe: Ɛha yi, flange ne bag no ba soronko. Sɛ wɔde flange no bata honam ani pɛ a, wobetumi de bag no abata ho na wɔayi afi mu.
Sɛnea wɔma kotoku no mu da mpan
Ɛsɛ sɛ wɔma kotoku no mu da mpan bere a ayɛ ma bɛyɛ nkyem abiɛsa mu biako no. Ebia ɛho behia sɛ wɔyɛ eyi wɔ baabiara fi mprenu kosi bɛyɛ mpɛn asia da biara.
1. Tena tiafi so. Nea edi kan no, fa tissue krataa bi gu tiafi kuruwa no so. Eyi bɛma nsu no asɛe bere a nwura no ahwe ase no.
2. Ma ntade nkɔ akyirikyiri wɔ bag no ho.
3. Yi clip anaa plug a ɛwɔ bag no ase no.
4. Mia kotoku no ase na tow nwura no gu tiafi mu.
5. Fa ntini popa kotoku no ase ano yiye.
6. San fa clip no bata ho yiye.
7. Fa samina hohoro wo nsa yiye.
Sɛnea wobɛsesa bag no koraa
Eyi yɛ soronko wɔ kotoku no mu a wobɛda mpan ho. Mpɛn pii no, ɛsɛ sɛ wosesa bag no ne akwanside no nyinaa nnafua 3-4 biara, a ɛkyerɛ sɛ bɛyɛ mprenu dapɛn biara.
- Hohoro wo nsa yiye na boaboa biribiara a wuhia ano (bag foforo, nkankyee, ntama a ɛho tew).
- Ansa na wubeyi kotoku dedaw no, fa nwura a ɛwɔ mu no gu tiafi mu.
- Afei, yi kotoku no, fa gu plastic bag mu, na tow gu nwura kotoku mu.
- Afei fa nsu a ɛyɛ hyew ne samina a ɛnyɛ huam tew honam ani hwɛbea a atwa stoma no ho ahyia no ho. Mfa samina a wɔde nnuhuam anaa aduru a wɔde yɛ aduru di dwuma. Ebia eyinom remma akwanside foforo no ntumi nkɔ honam ani yiye.
- Hohoro wo were no yiye na fa ntama a ɛho tew anaa krataa mpopaho bɔ wo ho ban.
- Twitwa akwanside foforo no ma ɛne wo stoma kɛse te, fa hyɛ honam ani yiye, na fa kotoku foforo no bata ho.
Sɛ wowɔ ɔhaw bi wɔ eyi ho, sɛ akwanside no ntumi nkɔ so yiye, anaasɛ wo honam ani yaw anaa akuru biara a, frɛ wo duruyɛfo ntɛm ara.
Hena na ohia sɛ wɔyɛ ostomy?
Nnuruyɛfo kamfo kyerɛ sɛ wɔnyɛ ostomy oprehyɛn sɛ aduru a wɔde sa aduruyɛ mu tebea horow a emu yɛ den. Ɛtɔ mmere bi a eyinom betumi ayɛ bere tiaa mu de, na ɛtɔ mmere bi nso a ɛbɛtra hɔ daa.
Tebea horow a ebia ɛho behia sɛ wɔyɛ ostomy bere tiaa bi:
- Nyarewa a emu yɛ den a ɛba dwensɔtwaa mu.
- Yare a ɛma obi ho hyehye no .
- Apirakuru a emu yɛ den a ɛba dwensɔtwaa mu.
- Intestinal a ɛyɛ mmerɛw.
Tebea horow a ebia ɛho behia sɛ wɔyɛ ostomy daa:
- Ɔdwensɔtwaa a wontumi nni so (incontinence).
- Awo mu dɛmdi a ɛwɔ dwensɔtwaa anaa akisikuru mu.
- Kokoram a ɛwɔ akyi berɛmo, akyi berɛmo, anaa akisikuru mu.
- Bere a wɔyɛ oprehyɛn yi akyi berɛmo anaa akyi berɛmo no fã bi.
Ostomy oprehyɛn ahorow atitiriw
Ahorow atitiriw abien na ɛboa ma obi kɔ dwensɔtwaa mu na biako nso boa ma obi tow nsu.
| Oprehyɛn ko a wɔyɛ | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Ileostomy a wɔde yɛ adwuma | Ɛha yi, wɔde dwensɔtwaa ketewa (ileum) no fã a etwa to no fa yafunu no fasu no mu ba ma ɛyɛ stoma. Nsu no tom, na ɛfa dwensɔtwaa kɛse no ho. |
| Colostomy a wɔde yɛ ade | Sɛ woyi akyi berɛmo no fã bi a, wɔde fã a aka no bata yafunu no fasu ho ma ɛyɛ stoma. |
| Urostomy a wɔde yɛ adwuma | Ntini a ɛde nsu fi asaabo mu kɔ akisikuru no mu no bata stoma bi a wɔayɛ wɔ yafunu no mu ho. Wɔyɛ eyi bere a wɔayi akisikuru no. |
J-pouch oprehyɛn a wɔyɛ
Nneɛma afoforo wɔ hɔ a wobetumi apaw a ɛnyɛ ostomy a wɔde di dwuma wɔ amanne kwan so no. J-kotoku yɛ adeyɛ a ɛma kotoku bi ba nipadua no mu de boaboa nsu ano. Eyi hwehwɛ sɛ wɔde dwensɔtwaa ketewaa no awiei bata akyi berɛmo no ho. Eyi kyerɛ sɛ wunhia stoma a ɛtra hɔ daa na wubetumi de nsu afa akyi berɛmo no mu sɛnea wotaa yɛ no.
Nsɛnnennen a ebetumi aba ne bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
Sɛnea ɛte wɔ oprehyɛn biara ho no, asiane ne nsɛnnennen bi wɔ hɔ a ebetumi aba. Enti hwɛ hu sɛ wo ne wo duruyɛfo bɛbɔ eyinom ho nkɔmmɔ ansa na woayɛ oprehyɛn no. Ɔhaw ahorow a ebetumi aba no bi ne:
- Honam ani haw ahorow: honam ani kɔkɔɔ , ɛyaw , ne ɔyare mmoawa a ɛba honam ani a atwa stoma no ho ahyia no so.
- Blockage: Aduan mu nneɛma nketenkete a ɛkɔ dwensɔtwaa mu.
- Hernia: Mmerewa a ɛwɔ yafunu no fasu a atwa stoma no ho ahyia no mu.
- Aduan a enni nipadua no mu: Nsu, vitamin, ne mineral a nipadua no nnye no so tew.
- Narrowing of the stoma (Stricture): Ɛyɛ den sɛ wɔbɛfa nwura mu.
Sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi a, frɛ wo duruyɛfo ntɛm ara.
| Hwehwɛ aduruyɛ mu afotu ntɛm ara! | |
|---|---|
| 🔴 na ɛyɛ | Yafunu mu yaw a ɛtra hɔ nnɔnhwerew 2-3. |
| 🔴 na ɛyɛ | Akisikuru anaa ɔfe a ɛtaa ba. |
| 🔴 na ɛyɛ | Ɛnsɛ sɛ nwura biara boaboa ano wɔ kotoku no mu nnɔnhwerew 4-6. |
| 🔴 na ɛyɛ | Mogya a ɛtɔ dodo fi stoma no mu anaa honam ani akuru a atwa stoma no ho ahyia no mu. |
| 🔴 na ɛyɛ | Hua bɔne a efi stoma no mu ba (eyi betumi ayɛ ɔyare mmoawa ho sɛnkyerɛnne). |
Esiane sɛ atifi hɔ sɛnkyerɛnne ahorow no betumi ayɛ nea egye ntɛmpɛ nti, sɛ ɛho hia a, ntwentwɛn wo nan ase sɛ wobɛkɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo no.
Ɔkwan bɛn so na wobetumi de ostomy bag abɔ asetra a ɛfata?
Egye bere kakra ansa na woayɛ wo su sɛ wobɛyɛ nipadua no dwumadi ahorow wɔ ɔkwan soronko so. Nanso wubetumi de ostomy bag abɔ bra a ɛfata koraa . Ɛnsiw wo kwan sɛ wobɛkɔ adwuma, agumadi, asuguare, akwantu, aware, anaa mma.
Mfiase no, ebia wo ho yeraw wo wɔ wo nipadua ne sɛnea afoforo hu wo no ho. Ɛno yɛ ade a ɛfata. Esiane sɛ bag no ntumi nhu wɔ wo ntade so nti, nnipa dodow no ara nnim mpo sɛ wowɔ bi.
Ɔbarima ne ɔbea nna mu asetra
Ɛyɛ sɛnkyerɛnne pa sɛ woresusuw ho sɛ wobɛda wɔ oprehyɛn akyi bere a wo nipadua ne w’adwene ayɛ krado no. Wo ne wo hokafo nka eyi ho asɛm pefee .
- Ansa na wo ne obi bɛda no, yi kotoku no mu da mpan, tew ho yiye, na hwɛ sɛ nsɔano no nsɛee anaa.
- Wubetumi de ntade soronko anaa kotoku a wɔde kata so adi dwuma na ama bag no ayɛ nea wontumi nhu.
- Sɔ gyinabea ahorow a ɛmma nhyɛso nhyɛ bag no so hwɛ.
- Sɛ wo ne wo hokafo ka wo suro, w’adwenem naayɛ, ne wo dadwen ho asɛm a, ɛbɛboa nso ama mo abusuabɔ mu ayɛ den.
Sɛ worepere sɛ wubegyina nsakrae yi ano a, wo ne wo duruyɛfo, w’abusuafo, ne wo nnamfo nkasa. Ebetumi nso ayɛ ahoɔden fibea kɛse sɛ wobɛkɔ akɔka mmoa akuw a nnipa a wɔanya osuahu a ɛte saa ara hyiam ho.
Nkrasɛm a Wɔde Kɔ Fie
- Ostomy yɛ oprehyɛn a ɛho hia a ebetumi agye nkwa na aboa nkurɔfo ma wɔatra ase yiye wɔ ayaresa tebea horow a emu yɛ den mu. Ɛnyɛ biribi a ɛsɛ sɛ yesuro.
- Ɛho hia yiye sɛ wobɛma wo stoma ne were a atwa ho ahyia no ho tew na ayɛ nea ɛfata. Nya afotu a ɛfata fi wo duruyɛfo anaa ɔyarehwɛfo hɔ.
- Sɛ wode ostomy bag di dwuma a, wubetumi atra ase a ɛfata koraa na ɛyɛ nnam, a adwuma, agumadi, ne anigyede ahorow ka ho .
- Sɛ wuhu nsakrae bi a ɛyɛ soronko wɔ wo stoma anaa w’akwahosan mu, anaasɛ wowɔ biribi a ɛhaw wo a, wo ne wo duruyɛfo nkasa a ntwentwɛn wo nan ase.
Ostomy, stoma, colostomy, ileostomy, urostomy, ostomy bag, oprehyɛn
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