Èse amekoko aɖe si me wotsɔ akplo aɖe bla ɖe wò ƒodo ŋu be wò aɖuɖɔ alo aɖuɖɔ nate ŋu atsi kpɔa? Ðewohĩ xɔ̃wò aɖe na wowɔ ɖeka. Woyɔa esia be ostomy le atikewɔwɔ me. Togbɔ be adze nu dziŋɔ kple nusi wɔ nuku vie le gɔmedzedzea me hã la, le nyateƒe me la, enye atikewɔwɔ ƒe mɔnu vevi aɖe ŋutɔ si ate ŋu aɖe amewo ƒe agbe eye wòaʋu mɔ na wò be nàganɔ agbe si sɔ ake. Egbea, míaƒo nu tso esia ŋu le mɔ bɔbɔe si le tẽ nu.
Nuka tututue nye ostomy dɔwɔwɔ?
Kpuie ko la, ostomy nye amekoko si naa ʋu yeye aɖe ʋuna ɖe wò ƒodo (ƒodo) me be aɖuɖɔ alo aɖuɖɔ nato ŋutigbalẽa me. Dɔwɔwɔ sia kpena ɖe ŋuwò nèɖea gbeɖuɖɔ ɖa le wò ŋutilã me ne mète ŋu toa aɖuɖɔ alo aɖuɖɔ me le mɔ si sɔ nu o le atikewɔwɔ ƒe nɔnɔme aɖe ta.
Le amekokoa megbe la, àkpɔ wò dɔgbo ƒe akpa sue aɖe si woɖe le do si le wò ƒodo me la me. Woyɔa esia be stoma. Eƒe amadede nye pink-dzẽ. Ele abe wò nu ƒe nutsyɔnu ene. Akpa nyuitɔ kekeakee nye be lãmekawo ƒe nuwuwu mele eŋu o, eyata màse veve aɖeke o. Wò amekola afia alesi nàzã kotoku tɔxɛ aɖe atsɔ aƒo gbeɖuɖɔ nu ƒu tso stoma sia me la wò.
Ostomy nye ŋkɔ si bɔ na amekoko sia ƒomevi, eye colostomy nye amekoko ƒomevi aɖe koŋ.
Aleke woazã Ostomy Akplo?
Ostomy kotoku sia (si woyɔna hã be kotoku alo mɔ̃) ƒoa aɖuɖɔ alo aɖuɖɔ si dona tso stoma la me nu ƒu. Mɔxenu tɔxɛ aɖe le akplo sia ŋu si léna ɖe ŋutigbalẽa ŋu. Esia kpɔa wò ŋutigbalẽ ta tso gbeɖuɖɔwo me. Ele vevie ŋutɔ be woatsɔ akplo sia akpe ɖe eŋu nyuie eye woaxe mɔ ɖe tsi si le dodom nu. Ne menye nenema o la, ŋutigbalẽ me dɔlékuiwo ate ŋu adzɔ.
Wò ɖɔkta alo dɔnɔdzikpɔla si wona hehee etɔxɛe afia alesi nàzã akplo siae wò. Esiawo le ƒomevi vevi eve me:
- Nu ɖeka ƒe ɖoɖo: Le afisia la, akploa kple mɔxenu si léna ɖe ŋutigbalẽa ŋu la siaa le ɖeka me.
- Nu eve ƒe ɖoɖo: Le afisia la, flange kple akploa va ɖe vovo. Ne wonya lé flange la ɖe ŋutigbalẽa ŋu ko la, woate ŋu atsɔ akploa ablae ahaɖee ɖa.
Alesi woakɔ akploa me
Ele be woakɔ akploa me ne eyɔ abe akpa etɔ̃lia ene. Ðewohĩ ahiã be woawɔ esia le afisiafi tso zi eve va ɖo abe zi ade ene gbesiagbe.
1. Nɔ anyi ɖe nugododeƒea. Gbã la, da tissue paper kakɛ aɖe ɖe nugododeƒea. Esia ana tsia nagatsi ne gbeɖuɖɔawo ge o.
2. Na awuwo nanɔ adzɔge tso akploa gbɔ.
3. Ðe klitsa alo plug si le akploa gɔme la ɖa.
4. Mia akploa gɔme eye nàtsɔ gbeɖuɖɔawo aƒu gbe ɖe nugododeƒea.
5. Tsɔ lãkusi tutu akploa ƒe go si le ete la nyuie.
6. Gbugbɔ de clip la ŋu nyuie.
7. Klɔ asi nyuie kple adzalẽ.
Alesi woatrɔ akploa keŋkeŋ
Esia to vovo na kotokua me tsi ƒuƒlu. Zi geɖe la, ele be nàɖɔli akploa kple mɔxenu la siaa ŋkeke 3-4 ɖesiaɖe, si fia be anɔ abe zi eve le kwasiɖa me ene.
- Klɔ asi nyuie eye nàƒo nusianu si nèhiã la nu ƒu (akplo yeye, lãgbalẽŋudɔwɔnu, avɔ dzadzɛ).
- Hafi nàɖe akplo xoxoa ɖa la, kɔ gbeɖuɖɔ siwo le eme la ɖe nugododeƒea.
- Emegbe, ɖe akploa ɖa, tsɔe de aŋekotoku me, eye nàtsɔe aƒu gbe ɖe gbeɖuɖɔgoa me.
- Azɔ tsɔ tsi dzodzoe kple adzalẽ si me ʋeʋẽ lilili mele o klɔ ŋutigbalẽ si ƒo xlã stoma la. Mègazã adzalẽ siwo me ami ʋeʋĩ alo kremewo le o. Esiawo ate ŋu ana mɔxenu yeyea nagalé ɖe ŋutigbalẽa ŋu nyuie o.
- Klɔ ŋutigbalẽa nyuie eye nàtsɔ avɔ dzadzɛ alo pepa ƒe afɔkpa atutu eŋu wòaƒu.
- Lã mɔxenu yeyea wòasɔ ɖe wò dɔgbo ƒe lolome nu, nàtsɔe aɖo ŋutigbalẽa ŋu nyuie, eye nàtsɔ akplo yeyea ablae.
Ne kuxi aɖewo le esia ŋu, ne mɔxenu la meléna nyuie o, alo ne ŋutigbalẽ le veve sem alo abi aɖe le ŋuwò la, yɔ wò ɖɔkta enumake.
Amekae hiã be woawɔ ostomy?
Ðɔktawo kafui be woawɔ ostomy amekoko be wòanye atikewɔwɔ na atikewɔwɔ me nɔnɔme sesẽ vovovowo. Esiawo ate ŋu anɔ anyi ɣeyiɣi kpui aɖe ɣeaɖewoɣi, eye ɣeaɖewoɣi woate ŋu anɔ anyi ɖaa.
Nɔnɔme siwo me wòahiã be woawɔ ostomy hena ɣeyiɣi aɖe:
- Dɔgbo me dɔlékui sesẽwo.
- Dɔgbo ƒe dɔléle si me dɔdzẽ le .
- Nuveviwɔame sesẽwo le dɔgboa ŋu.
- Dɔgbo ƒe mɔxexe.
Nɔnɔme siwo me wòahiã be woawɔ ostomy tegbee le:
- Aɖuɖɔtoe si dzi womate ŋu aɖu o (aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie).
- Vidzidzi ƒe dɔgbo alo tsinyegoe ƒe gbɔdzɔgbɔdzɔ.
- Dɔgbo, dɔgbo, alo tsinyegoe me kansa.
- Ne wowɔ dɔ na aɖuɖɔtoe alo aɖuɖɔtoe ƒe akpa aɖe.
Ostomy amekoko ƒomevi veviwo
Wole ƒomevi vevi eve siwo kpena ɖe ame ŋu le aɖuɖɔtoe me eye ɖeka kpena ɖe ame ŋu le aɖuɖɔtoe me.
| Amekoko ƒomevi | Numeɖeɖe bɔbɔe |
|---|---|
| Ileostomy ƒe dɔwɔwɔ | Le afisia la, woɖea dɔgbo sue (ileum) ƒe akpa mamlɛa toa ƒodo ƒe gli me doa goe tsɔ wɔa stoma. Aɖuɖɔa tsia dzodzodzoe, eye wòtoa dɔgbo gã la ŋu. |
| Colostomy ƒe dɔwɔwɔ | Ne woɖe dɔgboa ƒe akpa aɖe ɖa la, wotsɔa akpa susɔea léna ɖe ƒodoa ƒe gli ŋu wòzua stoma. |
| Urostomy ƒe dɔwɔwɔ | Mɔ̃ siwo tsɔa aɖuɖɔ tso ayiku me yia tsinyegoe me la do ƒome kple stoma si wowɔ le ƒodoa me. Wowɔa esia ne woɖe tsinyegoea ɖa. |
J-kotoku ƒe amekoko
Tiatia bubuwo li tsɔ kpe ɖe ostomy si wozãna tsã ŋu. J-kotoku nye dɔwɔwɔ si naa kotoku aɖe nɔa ŋutilãa me tsɔ ƒoa aɖuɖɔ nu ƒu. Esia bia be woatsɔ dɔgbo suea ƒe nuwuwu aƒo ƒu kple aɖuɖɔtoea. Esia fia be mèhiã stoma si anɔ anyi ɖaa o eye àte ŋu ato aɖuɖɔtoe me abe alesi nèwɔnɛ ɖaa ene.
Kuxi siwo ate ŋu ado mo ɖa kple ɣekaɣie wòle be woakpɔ ɖɔkta?
Abe alesi wòle le amekoko ɖesiaɖe gome ene la, afɔku kple kuxi siwo ate ŋu ado mo ɖa hã li. Eyata kpɔ egbɔ be yedzro nusiawo me kple wò ɖɔkta hafi woawɔ dɔa na ye. Kuxi siwo ate ŋu ado mo ɖa dometɔ aɖewoe nye:
- Ŋutilã ƒe kuxiwo: ŋutigbalẽ si ƒo xlã stoma la ƒe biã , ʋuʋudedi , kple dɔlékuiwo xɔxɔ .
- Blockage: Nuɖuɖu ƒe akpa suesuesuewo ƒe gege ɖe dɔgboa me.
- Hernia: Gbɔdzɔgbɔdzɔ le ƒodo ƒe gli si ƒo xlã stoma la ŋu.
- Nunyiame ƒe anyimanɔmanɔ: Tsi, vitamin, kple mineral siwo ŋutilãa mexɔna o dzi ɖena kpɔtɔna.
- Narrowing of the stoma (Stricture): Gbeɖuɖɔwo tsɔtsɔ yi teƒe bubu sesẽ.
Ne dzesi siwo gbɔna le ŋuwò la, yɔ wò ɖɔkta enumake.
| Di atikewɔlawo ƒe aɖaŋuɖoɖo enumake! | |
|---|---|
| 🔴 | Ƒodo me vevesese si nɔa anyi gaƒoƒo 2-3. |
| 🔴 | Aɖuɖɔtoe alo ʋuʋudedi enuenu. |
| 🔴 | Mele be gbeɖuɖɔ aɖeke naƒo ƒu ɖe akploa me gaƒoƒo 4-6 o. |
| 🔴 | Ʋu si le dodom fũ tso stoma alo ŋutigbalẽ ƒe abi siwo ƒo xlã stoma la me. |
| 🔴 | Ʋeʋẽ gbegblẽ aɖe si tso stoma me (esia ate ŋu anye dɔlékui ƒe dzesi). |
Esi wònye be dzesi siwo le etame ate ŋu anye nudzɔdzɔ kpata ta la, mègahe ɖe megbe le kɔdzi Kpata Dɔwɔƒe (ETU) si te ɖe ŋuwò yiyi me ne ehiã o.
Aleke woawɔ anɔ agbe si sɔ kple ostomy akplo?
Exɔa ɣeyiɣi aɖe hafi wòzua numame na ame be wòawɔ ŋutilã ƒe dɔwɔwɔ le mɔ bubu nu. Gake àte ŋu anɔ agbe si sɔ keŋkeŋ kple ostomy akplo. Mexea mɔ na wò be màgayi dɔme, awɔ kamedefefe, aƒu tsi, azɔ mɔ, aɖe srɔ̃, alo adzi vi o.
Gbã la, àte ŋu atsi dzimaɖi ɖe wò ŋutilã kple alesi ame bubuwo kpɔa wòe ŋu. Ema sɔ. Esi wònye be kotokua medzena le wò awuwo dzi o ta la, ame akpa gãtɔ menya gɔ̃ hã be ele asiwò o.
Gbɔdɔdɔ ƒe agbenɔnɔ
Enye dzesi nyui aɖe be èle gbɔdɔdɔ ŋu bum le amekoko vɔ megbe ne wò ŋutilã kple susu le klalo. Ƒo nu tso esia ŋu gaglãa kple wò zɔhɛ .
- Hafi nàdɔ kple amea la, kɔ akploa me, kɔ eŋu nyuie, eye nàkpɔe ɖa be nutrenua me gblẽ o hã.
- Àte ŋu azã awu tɔxɛwo alo kotokuwo ƒe nutsyɔnu atsɔ ana akploa nagadze o.
- Te nɔnɔme siwo metsɔa nyaƒoɖeamenu ɖe akploa dzi o la kpɔ.
- Nuƒoƒo tso wò vɔvɔ̃wo, ɖikekewo, kple nusiwo ŋu nètsi dzi ɖo ŋu na wò zɔhɛ hã akpe ɖe ŋuwò nàdo ŋusẽ wò ƒomedodoa.
Ne èle agbagba dzem be yeanɔ te ɖe tɔtrɔ sia nu la, ƒo nu kple wò ɖɔkta, ƒometɔwo, kple xɔlɔ̃wo. Ate ŋu anye ŋusẽtsoƒe gã aɖe hã be nàge ɖe kpekpeɖeŋunaha siwo me ame siwo to nuteƒekpɔkpɔ mawo tɔgbe me va kpena le.
Gbedasi si Wotsɔ Yi Aƒeme
- Ostomy nye amekoko vevi aɖe si ate ŋu axɔ amewo ɖe agbe eye wòakpe ɖe amewo ŋu woanɔ agbe nyuie wu le atikewɔwɔ ƒe nɔnɔme sesẽwo me. Menye nusi wòle be woavɔ̃ na o.
- Ele vevie ŋutɔ be nàna wò stoma kple ŋutigbalẽ si ƒo xlãe nanɔ dzadzɛ eye wòanɔ dzadzɛ. Xɔ aɖaŋuɖoɖo nyuitɔ tso wò ɖɔkta alo dɔnɔdzikpɔla gbɔ.
- Ne èzã ostomy akplo la, àte ŋu anɔ agbe si sɔ bliboe eye nèdoa vevie nu, si me dɔwɔwɔ, kamedefefewo, kple modzakaɖeɖewo hã le .
- Ne ède dzesi tɔtrɔ aɖewo siwo mebɔ o le wò dɔgbo alo lãmesẽ me, alo ne nane tsi dzi na wò la, ƒo nu kple wò ɖɔkta heheɖemegbe manɔmee.
Ostomy, stoma, colostomy, ileostomy, urostomy, ostomy kotoku, amekoko
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