Ua haʻi ʻia anei ʻoe a i ʻole kekahi āu i ʻike ai e ke kauka e pili ana i ka colostomy? He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke lohe ʻoe e pili ana i ia mea. "He aha ke ʻano o ka loaʻa ʻana o kahi ʻeke?", "E hiki anei iaʻu ke hoʻi i koʻu ʻano kahiko?", a pēlā aku. Ke noʻonoʻo nei paha ʻoe. Akā, mai hopohopo. ʻAʻole ia he mea weliweli e like me kou manaʻo. I kēia lā, e kamaʻilio mākou e pili ana i ia mea ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka colostomy?
He hana ʻoki kino ka colostomy e hoʻololi ai i ke ʻano o ka hele ʻana o kou kino i ka ʻōpala. ʻO ka maʻamau, puka mai kā mākou ʻōpala ma o ka anus. Akā i ka wā e hōʻino ʻia ai kahi ʻāpana o ko mākou kolona ma muli o kekahi maʻi a ulia paha, pono paha e hoʻomaha i kēlā ʻāpana a wehe mau loa paha, a me kahi ala hou no ka puka ʻana mai o ka ʻōpala.
Ma kēia kaʻina hana, hana ke kauka lapaʻau i kahi puka liʻiliʻi, a i ʻole lua, ma kou paia ʻōpū i hōʻike ʻia i ka ʻili. Kāhea mākou i kēia he stoma . A laila, lawe ʻia kahi ʻāpana o kou ʻōpū nui (colon) a hoʻopili ʻia i kēia stoma.
No laila, ma hope o ke ʻoki ʻana, ʻaʻole pono ʻoe e hele i ka lua e like me ka mea maʻamau. Akā, e puka mai kou ʻōpala kino, ʻo ia hoʻi kou ʻōpala, mai ka stoma i hana ʻia i loko o kou ʻōpū a hōʻiliʻili i loko o kahi ʻeke kūikawā (ʻeke colostomy) i hoʻopili ʻia iā ia.
Loaʻa i kekahi poʻe kēia colostomy no kekahi manawa pōkole, no kekahi mau mahina wale nō. Akā, pono kekahi poʻe e noho me ia no ke koena o ko lākou ola. Aia kēia a pau i kou kūlana olakino. E wehewehe pono ana kāu kauka iā ʻoe i kēia.
Aia kekahi mau ʻano colostomy?
ʻAe, aia kekahi mau ʻano colostomies. Ua hoʻokaʻawale ʻia kēia mau mea e like me ka ʻāpana o ka ʻōpū nui (colon) i pili i ka paia ʻōpū. E nānā kākou i nā ʻano nui.
| ʻAno o ke kolostomy | Ka wehewehe a me ke ʻano o nā feces |
|---|---|
| ʻO ke kolostomi Sigmoid | ʻO kēia ke ʻano maʻamau. Ma kēia kaʻina hana, ua hoʻopili ʻia ka ʻāpana hope loa o ka ʻōpū nui (sigmoid colon) i ka ʻili ma ka ʻaoʻao hema o ka ʻōpū. Ma muli o ka hele ʻana o nā ʻōpala i kahi lōʻihi ma o ka ʻōpū a puka i waho, ʻoi aku ka mānoanoa o lākou. |
| Colostomy iho | Maanei, ʻo ka ʻāpana o ka ʻōpū nui ma ka ʻaoʻao hema, ma luna pono o ka ʻāpana 'S'-ʻano (ka descending colon), ua pili i ka ʻili. ʻO ka ʻōpala e puka mai ana ma ʻaneʻi he paʻa loa ia . |
| ʻO ke Colostomy Transverse | Ma kēia kaʻina hana, ua pili ka ʻaoʻao o luna o ka ʻōpū nui (transverse colon), e holo ana ma waena o ka ʻōpū, i ka ʻili. Hana pinepine ʻia kēia no kekahi manawa. Hana ʻia kēia e hoʻomaha i ka ʻāpana i hōʻino ʻia o ka ʻōpū i ka wā e ho'ōla ai. He wai iki a palupalu ka ʻōpala e puka mai ana ma ʻaneʻi no ka mea ua hele wale ka hapalua o ka ʻōpū. |
E hoʻoholo kāu kauka a me ke kauka ʻoki i ke ʻano o ka maʻi i kūpono loa iā ʻoe.
No ke aha e pono ai i kekahi ke hana i ka colostomy?
Nui nā kumu e hana ʻia ai ka colostomy. He manawa pōkole kekahi, a ʻo kekahi he mau loa.
Ke pono ka colostomy manawa pōkole:
- Diverticulitis: He maʻi a mumū paha o ka ʻōpū nui.
- IBD (Maʻi ʻōpū mumū): Nā kūlana e hoʻopilikia ai i nā ʻōpū, e like me ka maʻi o Crohn.
- Nā ʻeha i ka ʻōpū: Ka hōʻino ʻana i ka ʻōpū ma muli o kahi ulia.
- Ka ālai ʻana o ka ʻōpū: He ālai ʻana i ke ala o ka ʻōpala ma kekahi wahi o ka ʻōpū.
- Anal fistula: He ʻōmole ʻano ʻē ma waena o ka anus a me ka ʻili.
- ʻO kekahi mau ʻoki ʻōpū: Ma hope o ka wehe ʻana i kahi ʻāpana o ka ʻōpū, e hāʻawi i ka manawa i ka wahi e ho'ōla ai ma mua o ka hoʻopili ʻia ʻana o nā ʻāpana i koe.
Ke pono ka colostomy mau loa:
- ʻAʻole hiki ke kaohi i ka ʻōpala i hiki ʻole ke ho'ōla ʻia (Fecal Incontinence).
- Ka Maʻi ʻAʻai Colorectal Holomua.
- Ke wehe mau ʻia ka rectum a me ka anus ma ke ʻoki ʻana.
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
ʻOiai he hana ʻoki nui kēia, aia kekahi mau mea e pono ai ʻoe e hoʻomākaukau ma mua.
- Ke kamaʻilio ʻana me kāu kauka: Ma mua o kāu ʻoki kino, e kamaʻilio kāu kauka ʻoki kino iā ʻoe e pili ana i ke kaʻina hana, kona mau pilikia, a pehea e loli ai kou ola ma hope o ke ʻoki kino. Hiki paha iā lākou ke kūkākūkā i ka hoʻokele ʻeha.
- Nā hoʻāʻo:E hana lākou i nā mea e like me nā hoʻāʻo koko a me kahi EKG e ʻike ai inā kūpono ʻoe no ke ʻoki kino.
- Ke hoʻoholo nei i kahi e waiho ai i kou stoma: E aʻo pinepine kahi Wound Ostomy Continence Nurse (WOCN) iā ʻoe pehea e hoʻohana ai i kou stoma a me ka ʻeke. E kōkua pū lākou iā ʻoe e koho i kahi ʻoluʻolu loa no kou stoma, kahi e hoʻopilikia ʻole ai i kou mau lole a i ʻole nā hana o kēlā me kēia lā.
- I ka lā o ke ʻoki kino: Pono ʻoe e pale i ka ʻai ʻana no 6 mau hola ma mua o ke ʻoki kino. Pono hoʻi ʻoe e hoʻōki i ka inu ʻana i nā wai, e like me ka wai, no 2 mau hola ma mua o ke ʻoki kino. Hiki i kāu kauka ke ʻōlelo aku iā ʻoe e lawe i kahi hoʻomākaukau ʻōpū e kōkua i ka hoʻomaʻemaʻe ʻana i kou mau ʻōpū.
He aha ka mea e hana ʻia ma hope o ke ʻoki ʻana? A me nā pilikia hiki ke loaʻa
Ma hope o ke ʻoki ʻana, e noho ʻoe ma ka haukapila no 3 a 7 mau lā. I loko o kēia manawa, e hoʻomaka mālie ʻoe e ʻai maʻamau. E aʻo pū nā limahana kahu maʻi iā ʻoe i nā mea āpau e pono ai ʻoe e ʻike e pili ana i ka mālama ʻana i kou stoma a me ka hoʻololi ʻana i kāu ʻeke.
ʻO ke ʻoki ʻana o Colostomy he hana palekana ia, akā e like me nā ʻoki ʻana a pau, aia kekahi mau pilikia.
| Nā pilikia hiki ke loaʻa | Wehewehena |
|---|---|
| ʻO ka huhū ʻili | Hiki i ka ʻili a puni ka stoma ke lilo i ʻulaʻula a ʻeha hoʻi mai ka hoʻopā ʻana me ka ʻōpala. He pilikia maʻamau kēia. ʻO ka hoʻohana ʻana i kahi ʻeke kūpono e hiki ke kōkua nui i ka hoʻoponopono ʻana i kēia. |
| Ka pale ʻana o ka ʻōpū | ʻO ka ʻiʻo ʻeha i hana ʻia ma hope o ke ʻoki ʻana hiki ke paʻakikī i ka hele ʻana o ka ʻōpala. Hiki ke mālama pinepine ʻia kēia me nā lāʻau lapaʻau no ka paʻa ʻana o ka ʻōpū. |
| Nā loli i ka stoma | Hiki i ka stoma ke huki hou (retraction) a i ʻole e puka mamao loa mai ka ʻili (prolapse). Hiki i kēia ke paʻakikī ke hoʻokomo pono i ka ʻeke. |
| ʻO ka Hernia Parastomal | Lilo nā ʻiʻo a puni ka stoma i nāwaliwali, e hoʻoulu ai i kahi ʻāpana o ka ʻōpū e paʻi. Ua like kēia me kahi puʻupuʻu kokoke i ka stoma. |
I ka manawa hea e kāhea aku ai i kāu kauka
- Ka paʻa mau ʻana o ka paʻa ʻana a i ʻole ka maʻi pākī.
- Ka luaʻi a i ʻole ka luaʻi ʻana.
- Koko i loko o ka ʻōpala.
- Nā loli i ke kala a i ʻole ka nui o ka stoma.
- He ʻala ʻino e puka mai ana mai ka stoma a i ʻole ia e ālai ʻia ana.
- Kuni a ʻeha nui paha ka ʻōpū.
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, pono ʻoe e kāhea koke i kāu kauka . I kahi pilikia, e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
Pehea ke ola me kahi ʻeke?
ʻO kēia ka pilikia nui loa no nā kānaka he nui.
- Pehea e loli ai ka hele ʻana i ka lua: Ma hope o ke ʻoki ʻana, e puka mai ka ʻōpala mai ka stoma. Inā he anus kou, i kekahi manawa he liʻiliʻi paha ka mucus. He mea maʻamau kēia. E puka mai ka ʻōpala hou mai ka stoma. ʻO ka mea nui, ʻaʻole like me ka rectum, ʻaʻohe ʻiʻo o ka stoma e hiki ke hoʻōki i ka ʻōpala. No laila, ʻaʻole hiki iā ʻoe ke kāohi i ke hele ʻana o ka ʻōpala. Hana koke ia.
- Pono anei ʻoe e lawe i kahi ʻeke i nā manawa a pau?
He nui ka poʻe e ʻaʻahu mau ana i kahi ʻeke. He lahilahi loa nā ʻeke i kēia mau lā a ʻike ʻole ʻia ma luna o nā lole. No laila hiki iā ʻoe ke ʻaʻahu i kekahi lole āu e makemake ai. Hiki i kekahi poʻe me ka sigmoid colostomy ke wānana i ka wā e neʻe ai ko lākou ʻōpū. Hiki iā lākou ke hoʻohana wale i kahi ʻeke i kēlā mau manawa.
- Hiki ke hoʻohuli ʻia kahi colostomy manawa pōkole?
ʻAe. Inā he manawa pōkole kou colostomy, hiki iā ʻoe ke hana i kahi ʻoki ʻē aʻe e hoʻoponopono hou iā ia i kona ʻano mua ke hoʻomaikaʻi kou olakino. Na kāu kauka e hoʻoholo i ka wā e hana ai i kēia. Hiki ke hala i kekahi mau mahina a i ʻole hoʻokahi makahiki.
Leka Lawe-Home
- He hana hoʻōla ola ka colostomy, a he hana pono pinepine ia. Mai makaʻu pono ʻole i ia mea.
- Ma hope o ke ʻoki ʻana, hōʻiliʻili ʻia ka ʻōpala i loko o kahi ʻeke i hoʻopili ʻia i kahi puka (stoma) i hana ʻia ma ka ʻili o ka ʻōpū. ʻAʻole hiki ke kaohi ʻia kēia.
- He mea nui loa ka mālama ʻana i ka stoma a me ka ʻili a puni ia mea. E hāʻawi ʻia ʻoe i nā kuhikuhi kikoʻī e pili ana i kēia ma ka haukapila.
- Inā he mau nīnau a hopohopo paha kāu, e kamaʻilio ākea me kāu kauka a i ʻole nā limahana kahu maʻi e pili ana iā lākou. Mai hilahila.
- Hiki iā ʻoe ke ola i kahi ola maʻamau a piha me kahi colostomy. ʻAʻole ʻoe hoʻokahi, he nui nā poʻe ʻē aʻe e ola nei e like me kēia.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo