Malia paha ua haʻi ʻia ʻoe a i ʻole kekahi āu i ʻike ai e ke kauka e pili ana i kahi ostomy. He mea maʻamau ke manaʻo iki i ka makaʻu, ka hopohopo, a me ka hilahila i ka wā e lohe ai ʻoe e pili ana i kahi ʻeke e kau ʻia ana ma ka ʻaoʻao o kou ʻōpū e hoʻokahe i kou ʻōpala a i ʻole ka mimi. Akā hiki i kēia ke hoʻōla i ke ola, a i ʻole hiki ke maʻalahi i kou ola. No laila e kamaʻilio kākou e pili ana i ia mea ma nā ʻōlelo maʻalahi, ʻeā?
He aha maoli ka ostomy?
I ka ʻōlelo maʻalahi, he hana ʻoki kino ka ostomy e hana ana i kahi ala ʻē aʻe no ka ʻōpala (ʻo ia hoʻi, ka ʻōpala a i ʻole ka mimi) e puka i waho o kou kino ke pau ka hana maʻamau o kāu hana maʻamau o ka hoʻopau ʻana i ka ʻōpala (ʻo ia hoʻi, ka ʻōpala a i ʻole ka mimi). Hiki ke hana ʻia kēia hana ʻoki kino inā ua hōʻino ʻia kekahi hapa o kāu ʻōnaehana digestive a urinary paha, a inā pono ʻoe e hāʻawi i kēlā ʻāpana i kekahi manawa e ho'ōla ai.
Ma kēia hana, hana ke kauka lapaʻau i kahi puka liʻiliʻi ma kou ʻōpū. Ua kapa ʻia kēia he 'stoma' . A laila, hoʻokaʻawale ʻia ka ʻāpana olakino o kāu ʻōnaehana digestive a i ʻole ka ʻōnaehana urinary e hana ana mai ka ʻāpana hana ʻole a hoʻopili ʻia i ka stoma i hana hou ʻia.
Ma hope o kēia ʻoki kino, e puka mai ana ka ʻōpala a i ʻole ka mimi mai kou stoma. E hōʻiliʻili ʻia kēia ʻōpala i loko o kahi ʻeke liʻiliʻi i hoʻopili ʻia i kou stoma. Kāhea mākou i kēia he ʻeke ostomy . ʻO ke ʻano o kona hana ʻia ʻana he manawa pōkole, i kekahi manawa mau loa.
- Ostomy Manawa Kuikawa: Hana ʻia kēia e hāʻawi i kou ʻōpū a i ʻole ke ala mimi i kahi manawa e ho'ōla ai ma hope o kahi maʻi a i ʻole ke ʻoki kino. Ke hoʻi hou kēlā mau ʻāpana i ka maʻamau, hiki ke wehe ʻia ma o kekahi ʻoki kino ʻē aʻe.
- ʻO ka Ostomy Mau Loa: Pono kahi ostomy mau loa inā ua hōʻino ʻia kekahi hapa o kāu ʻōnaehana digestive a urinary paha ma kahi o ka hoʻoponopono ʻana, a inā paha e wehe loa ʻia kēlā ʻāpana.
No ke aha e pono ai i kekahi ke hana i ka ostomy?
Aia kekahi mau kumu e makemake ai ʻoe e loaʻa kahi ostomy. ʻOi aku ka maʻamau o kēia ʻano ma mua o kou manaʻo. E nānā pono kākou i ka papa ma lalo.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| Ka maʻi ʻōpū | Ke pono nei i kahi ala ʻē aʻe e holo ai ka mimi ke wehe ʻia ka ʻōpū mimi. |
| Ka maʻi ʻaʻai colorectal | Ke hana nei i ala hou no ka hele ʻana o ka ʻōpala ke wehe ʻia ka ʻāpana o ka ʻōpū me ka maʻi ʻaʻai. |
| Ka hoʻomau ʻole o ka hiki ʻole ke hoʻomanawanui | E hoʻomaikaʻi i ka maikaʻi o ke ola ke hiki ʻole i nā lāʻau ʻē aʻe ke kaohi iā ia. |
| ʻO ka diverticulitis | I mea e ho'ōla ai ka ʻāpana i hōʻino ʻia o ka ʻōpū ma muli o ka maʻi a me ka mumū. |
| Nā maʻi IBD (Ulcerative Colitis, Crohn's Disease) | No ka hoʻopau ʻana i nā huahana ʻōpala i hōʻino ʻia e ka mumū mau loa i loko o nā ʻōpū. |
| Ka Pale ʻana o ka ʻōpū | Ke loaʻa kahi poloka ma kekahi wahi o ka ʻōpū, e hana ana i ke ala no ka ʻōpala e hele ai ma luna. |
He aha nā ʻano nui o nā ostomies?
ʻO ke ʻano o ka ostomy e pili ana i ka ʻāpana o kou kino e kāpae ʻia ana. ʻEkolu mau ʻano nui.
- Colostomy: Pili kēia i ka hoʻopili ʻana i kahi ʻāpana o kou ʻōpū nui (colon) i kahi stoma i hana ʻia i loko o kou ʻōpū. Puka mai ka ʻōpala ma o kēia.
- Ileostomy: Pili kēia i ka hoʻopili ʻana i ka hopena o kou ʻōpū liʻiliʻi (ileum) i kahi stoma. ʻAe kēia i ka hele ʻana o ka ʻōpala.
- Urostomy: Ma kēia, ua hoʻopili pololei ʻia kāu mau ureters, nā ʻōmole e lawe ana i ka mimi, i kahi stoma, e pale ana i ka ʻōpū mimi. Puka mai ka mimi ma o kēia.
He aha nā pōmaikaʻi a me nā pilikia kūpono o ke ʻoki kino?
Inā pono ʻoe e wehe i kahi ʻāpana o kāu ʻōnaehana digestive a urinary paha, a inā pono ʻoe e hoʻōki i ka hoʻohana ʻana, hiki i ka ostomy ke lilo i kaʻina hana e hoʻōla ai i ke ola. Hiki iā ia ke hoʻomaikaʻi nui i ke ʻano o ke ola no kekahi mea e ʻeha mau ana a i loko o ka lua ma muli o kekahi mau maʻi mau.
E like me nā ʻoki kino āpau, aia nā pilikia a me nā pilikia e hiki mai ana, akā hiki ke maʻalahi ka mālama ʻana inā ʻike ʻoe iā lākou ma mua.
Eia kekahi mau pilikia maʻamau e hiki ke hana:
- ʻIli ʻIli: Hiki i ka ʻili a puni ka stoma ke lilo i ʻulaʻula a huhū ma muli o ka ʻōpala a i ʻole ka mimi. He pilikia maʻamau kēia. Hiki ke pale ʻia kēia ma ka hoʻopaʻa pono ʻana i ka ʻeke a me ka hoʻomaʻemaʻe mau ʻana.
- Nā Kaulike ʻElektrolit: ʻO ko mākou ʻōpū nui kahi e komo ai ka wai a me nā meaʻai i loko o ke kino. Ma muli o ka hala ʻana o kēia ʻāpana i ka colostomy a i ʻole ileostomy, hiki i ke kino ke maloʻo a loaʻa paha nā kaulike ʻole electrolyte. E wehewehe kāu kauka pehea e pale aku ai i kēia.
- Ka ālai ʻana: I kekahi manawa hiki ke ālai ʻia nā ʻōpū no kekahi manawa ma muli o ka ʻiʻo ʻeha i hana ʻia i loko o nā ʻōpū ma hope o ke ʻoki ʻana a i ʻole ma muli o ka meaʻai i ʻeli ʻole ʻia.
- Parastomal Hernia: Inā nāwaliwali ka paia ʻōpū a puni ka stoma, hiki i nā ʻiʻo i loko o ka ʻōpū ke puka i waho, e hana ana i kahi hernia.
- Stoma Prolapsed: I kekahi manawa hiki i kahi ʻāpana o ka ʻōpū ke puka i waho ma o ka stoma. I ka hapa nui o ka manawa, hiki i ke kauka ke hoʻihoʻi i loko, akā i kekahi manawa, pono paha ke ʻoki kino.
Inā ʻike ʻoe i kekahi mea e like me kēia, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke makaʻu ʻole a kamaʻilio me kāu kauka.
Pehea ʻoe e mālama ai a hoʻololi i kāu ʻeke ostomy?
Hiki ke hala a hiki i 8 mau pule no ka ho'ōla piha ʻana o kou ʻeha ma hope o ke ʻoki ʻana. I loko o kēia manawa, e aʻo aku kahi Wound Ostomy Continence Nurse (WOCN) i aʻo kūikawā ʻia iā ʻoe pehea e hoʻololi a hoʻomaʻemaʻe i kāu ʻeke.
Pono ka hapa nui o ka poʻe e hoʻololi i kā lākou ʻeke i kēlā me kēia 3 a 7 mau lā. Makemake kekahi poʻe e hoʻololi iā ia i kēlā me kēia lā. E hoʻomanaʻo i kēia mau mea i ka wā e hoʻololi ai i kāu ʻeke.
- E holoi i kekahi mucus ma ka stoma.
- E hoʻomaʻemaʻe pono i ka ʻili a puni ka stoma me ka wai mehana a me ke kopa palupalu .
- E holoi pono me ka wai e wehe i ke koena o ke kopa.
- E hoʻomaloʻo pono i ka wahi.
ʻO ka mea nui loa, ʻo ia ke nānā i kou stoma i kēlā me kēia lā . Inā ʻike ʻia ua loli kona nui, kona ʻano, a i ʻole kona kala, a inā paha ua pehu a ʻeha paha, e kāhea koke aku i kāu kauka.
I ka manawa hea e pono ai ʻoe e kāhea koke aku i ke kauka?
He aha ke ʻano o nā hōʻailona i ʻike ʻia e ke kauka ma hope o ke ʻoki kino?Hiki ke paʻakikī ke ʻike i ka wā e kamaʻilio ai. Inā manaʻo ʻoe ua hewa kekahi mea, mai kānalua e ʻōlelo. E kāhea koke i kāu kauka, ʻoiai inā loaʻa iā ʻoe kēia mau hōʻailona.
- Inā he ʻala ʻino e puka mai ana mai ka stoma
- Inā e kahe nui ana ke koko o ka stoma
- Inā ʻoe e hōʻike ana i nā hōʻailona o ka maʻi e like me ke kuni, ka nausea, ka luaʻi
- Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū e mau ana ma mua o ʻekolu hola
- Inā he mumū, ʻulaʻula, a ʻili paha o ka ʻili
- Inā he mau ʻōpala wai kou no nā hola ʻeono a ʻoi
Kekahi mau nīnau i nīnau pinepine ʻia
Hiki ke hoʻohuli ʻia kēia ʻoki kino? (Hiki ke hoʻohuli ʻia?)
ʻAe, i kekahi manawa hiki nō. Aia kēia i kou olakino holoʻokoʻa a me ke ʻano o ka ho'ōla ʻana o ka ʻāpana i hōʻino ʻia o kou ʻōpū a i ʻole ka ʻōnaehana mimi. Inā hana hou kēlā mau ʻāpana, hiki iā ʻoe ke kamaʻilio me kāu kauka ʻoki e pili ana i ka hana ʻoki e hoʻohuli i ka ostomy.
Pehea ʻoe e hele ai i ka lua me kahi ʻeke ostomy?
ʻOiai ma hope o ka ostomy, pono nō ʻoe e hoʻohana i ka lua. Akā, ʻaʻole no ka neʻe ʻana o ka ʻōpū a me ka mimi. E noʻonoʻo he urostomy kou. A laila mimi ʻoe i loko o kahi ʻeke, akā hele ʻoe i ka lua e kiola. ʻO kekahi me ka colostomy a i ʻole ileostomy e kiola i loko o kahi ʻeke, akā hele i ka lua e mimi. Hoʻohana pū ʻoe i ka lua e hoʻokahe i kāu ʻeke ostomy.
Hiki ke ola maʻamau me kahi ostomy?
ʻAe loa. ʻAʻole pili ka loaʻa ʻana o kahi ostomy i kou ola. ʻAʻole hoʻi ia e pale iā ʻoe mai ke ola ʻana i kahi ola piha a hana. ʻO ke kūlana olakino i alakaʻi ai i ka pono no kahi ostomy e pili paha i kou ola, akā ʻaʻole ka ostomy ponoʻī. ʻO ka ʻoiaʻiʻo, i kekahi manawa hiki i kahi ostomy ke hoʻolōʻihi i kou ola.
Inā he manawa pōkole a mau loa paha, he loli nui ka loaʻa ʻana o kahi ostomy i kou ola. He mea nui e loaʻa ke kākoʻo i kou hoʻomaka ʻana i kēia huakaʻi. ʻO ke kamaʻilio ʻana me nā hui kākoʻo me nā poʻe i hala i kēia ʻike hiki ke lilo i kumu ikaika nui.
Leka Lawe-Home
- He hana hoʻololi ola ka ostomy, pinepine e hoʻōla ola a hoʻomaikaʻi nui paha i ka maikaʻi o ke ola.
- He mea nui ka mālama pono a maʻemaʻe o ka stoma a me ka ʻeke e pale ai i nā pilikia.
- E makaʻala i nā hōʻailona hōʻike. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e kāhea koke aku i kāu kauka.
- He hoʻololi ka noho ʻana me kahi ostomy, akā hiki iā ʻoe ke ola i kahi ola piha a hana. Mai makaʻu e ʻimi i ke kākoʻo naʻau.
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