Ua haʻi aku anei ke kauka iā ʻoe e hana i kahi colostomy (Loop Colostomy)? Mai hopohopo, e kamaʻilio mākou e pili ana i ia mea.

Ke haʻi aku kāu kauka iā ʻoe e pili ana i kahi colostomy, hiki iā ʻoe ke manaʻo i ka makaʻu a me ka hopohopo nui. Nui paha kāu mau nīnau i loko o kou manaʻo, e like me "Pono anei au e noho me kahi ʻeke ma koʻu ʻōpū?", "He mau loa anei kēia?", "He aha ka manaʻo o nā poʻe ʻē aʻe?" He mea maʻamau kēlā manaʻo. Akā, mai makaʻu. ʻO ka hapa nui o ka manawa, he mea manawa pōkole kēia. He hopena manawa pōkole wale nō ia a hiki i ka ho'ōla ʻana o kekahi pilikia i loko o kou kino. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o ka loop colostomy, no ke aha i hana ʻia ai, a pehea kou ola ma hope o ia mea.

He aha ka Loop Colostomy?

I ka ʻōlelo maʻalahi, he hana ʻoki kino ka colostomy kahi e ʻoki ʻia ai kou kolona, ​​ka ʻāpana o kou ʻōpū nui e lawe ana i ka ʻōpala, a hoʻopili ʻia kona piko i kahi puka hou i loko o ka ʻili o kou ʻōpū. Ua kapa ʻia kēia puka he stoma . Ma kahi o ka puka ʻana i waho ma o ka anus e like me ka mea maʻamau, hōʻiliʻili ʻia ka ʻōpala i loko o kahi ʻeke kūikawā i hoʻopili ʻia i kou ʻōpū ma o kēia stoma.

I kēia manawa, e nānā kākou i ke ʻano o ka loop colostomy. ʻO kēia ke ʻano colostomy maʻamau, a pinepine no ka manawa pōkole . Ma kēia kaʻina hana, lawe ke kauka lapaʻau i kahi loop (kahi ʻāpana e like me ke apo) o ka ʻōpū mai loko mai o kahi puka i hana ʻia ma ka ʻōpū a ʻokiʻoki iā ia i ka hapalua ma mua o ka pau ʻana. ʻOi aku ka maʻalahi o ka hoʻohuli ʻana ma hope. ʻO ia ke kumu e koho ai nā kauka i kēia ʻano hana ke pono ʻoe e hāʻawi i kou ʻōpū i kahi manawa iki e ho'ōla ai. Pono paha ʻoe e noho ma kēia ʻano no kekahi mau pule, kekahi mau mahina, a i ʻole kekahi mau makahiki. Aia ia i kou kūlana.

I nā hihia hea e pono ai kēia ʻoki kino?

ʻElua kumu nui: ka hoʻohuli ʻana i ka ʻōpala a me ka decompression.

1. Hoʻohuli ʻana i nā ʻōpala

E noʻonoʻo e pono ana kahi ʻāpana o kou ʻōpū e ho'ōla ma hope o kahi ʻeha, maʻi, a i ʻole ke ʻoki ʻana. E like me kāu hana nui ʻana i ke alanui a me ka hoʻohuli ʻana i ke kaʻa i kekahi alanui ʻē aʻe e hōʻemi i ke kaʻa, ʻaʻole mākou e hoʻouna aku i ka ʻōpala mai kahi e pono ai ke ho'ōla, akā e hoʻokuʻu ana iā ia e puka mai ma o ka puka hou i loko o kou ʻōpū. Pale kēia i ka ʻōpala mai ke komo ʻana i loko o ka wahi i ʻeha, e ho'ōla ana a hoʻoulu i ka maʻi, a hāʻawi i kēlā wahi i kahi hoʻomaha.

2. Hoʻopau ʻana i ke kaomi

E noʻonoʻo ʻoe aia kahi mea paʻa a mea ʻē paha ma kekahi wahi o kou ʻōpū. A laila, ʻaʻole hiki i ka ʻōpala ke iho i lalo. Hana kēia ʻoki kino i kahi puka ma luna o ka mea paʻa a hiki i ka ʻōpala ke puka i waho. I kēia manawa, hiki i nā kauka ke mālama i ka mea paʻa. Ma hope o ka ho'ōla ʻana o kēlā ʻāpana, hiki ke hoʻopili hou ʻia ka ʻōpū.

He aha nā kūlana e kōkua ai kahi Loop Colostomy?

Eia kekahi mau kūlana kahi e pono ai kēia ʻoki kino:

• ʻO ka diverticulitis
• ʻO ka maʻi ulcerative colitis
• ka maʻi o Crohn
• Ka pale ʻana o ka ʻōpū nui
• Ma hope o kahi colectomy hapa
• Nā ʻeha koʻikoʻi a i ʻole nā ​​maʻi ma ka rectum a i ʻole ka wahi a puni

He aha ka ʻokoʻa ma waena o ka Loop Colostomy a me ka End Colostomy?

ʻO kēia nā ʻano nui ʻelua o ke ʻoki colostomy. He mea nui iā ʻoe e hoʻomaopopo i ka ʻokoʻa ma waena o nā mea ʻelua.

He aha ka mea e hana ʻia ma mua a ma hope o ke ʻoki kino?

Ma mua o ke ʻoki kino

Ma mua o ke ʻoki kino, e loaʻa iā ʻoe ka manawa kūpono e hālāwai ai me ke kauka. Ma laila, e hoʻomaopopo piha ʻia ʻoe e pili ana i ke ʻoki kino, kona mau pilikia, a me nā loli o ke ʻano e pono ai ma hope o ke ʻoki kino. E noi ʻia ʻoe e hōʻole i ka ʻai ʻana a i ʻole ka inu ʻana no kahi o 6 mau hola o ka lā ma mua o ke ʻoki kino. Hiki ke hāʻawi ʻia iā ʻoe kahi enema a lāʻau lapaʻau paha e hoʻomaʻemaʻe i kou ʻōpū. Ke hōʻea ʻoe i ka haukapila, e hoʻokomo ʻia ʻoe ma lalo o ka anesthesia a e hoʻomaka ke ʻoki kino.

I ka wā o ke ʻoki kino

Ma muli o kou kūlana, hiki ke hana ʻia kēia ʻoki laparoscopically (ma o nā ʻoki liʻiliʻi me kahi kāmela) a i ʻole he hana wehe . ʻOi aku ka maʻalahi o ke ʻoki laparoscopic iā ʻoe a hiki ke kōkua iā ʻoe e hoʻōla wikiwiki. Wehe ke kauka ʻoki i ka loop o ka ʻōpū, hana i kahi stoma, a hoʻopili iā ia i ka ʻili a humuhumu iā ia.

Ma hope o ke ʻoki kino

Pono ʻoe e noho ma ka haukapila no kekahi mau lā ma hope o ke ʻoki ʻana.

• ʻAi: ʻO ka mua, e hāʻawi i ka meaʻai wai, a laila e hoʻolauna mālie i ka meaʻai maʻamau.
• Ka mālama ʻana i kou stoma: ʻO kēia ka ʻāpana koʻikoʻi loa. Na ke kahu maʻi i aʻo kūikawā ʻia i ka mālama ʻana i kou stoma (Wound Ostomy Continence Nurse - WOCN) e aʻo iā ʻoe i nā mea āpau mai ke ʻano o ka hoʻomaʻemaʻe ʻana i kou stoma a hiki i ke ʻano o ka hoʻololi ʻana i kāu ʻeke.
• ʻEha: Hāʻawi ʻia nā lāʻau hoʻopau ʻeha.
• Noho: He mau lā paha e puka mai ai ka ʻōpala mai ka stoma. Mai hopohopo no ia mea.

Aia kekahi mau pilikia a me nā pilikia o kēia ʻoki kino?

E like me nā ʻoki kino āpau, aia kekahi mau pilikia, akā hana nā kauka i ka mea maikaʻi loa e hoʻokele iā lākou.

Āhea e hiki ai iaʻu ke hoʻohuli i kaʻu colostomy?

ʻO kēia ka manaʻolana nui loa no nā poʻe he nui. Aia ka pane i kēia ma kou olakino. Pono ʻoe e ho'ōla loa ʻia mai ke ʻoki kino a me ke kūlana kumu i alakaʻi ai i ke ʻoki kino. Hiki i kekahi poʻe ke hana i kēia ʻoki kino hoʻohuli i loko o kekahi mau pule a i ʻole mau mahina. No kekahi poʻe, hiki ke hala i kekahi mau makahiki. E nānā mau kāu kauka iā ʻoe a hoʻonohonoho i ke ʻoki kino ke manaʻo lākou ua mākaukau ʻoe.

Āhea wau e haʻi aku ai i ke kauka e pili ana i koʻu colostomy?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e hoʻomaopopo koke i kāu kauka a kahu maʻi stoma paha.

• Ka paʻa mau ʻana o ka paʻa ʻana a i ʻole ka maʻi pākī .
• Ka luaʻi mau ʻana a i ʻole ka luaʻi ʻana .
• Koko i loko o ka ʻōpala.
• Inā ʻike ʻoe i kahi loli o ka nui maʻamau a i ʻole ke kala o ka stoma.
• Inā he ʻala ʻino a ʻano ʻē e puka mai ana mai ka stoma.
• Inā manaʻo ʻia ua paʻa ka stoma.