Aw fɔ kia fɔ yu K-Pouch (Continent Ileostomy) fayn fayn wan?

If yu dɔn gɛt ɔpreshɔn we gɛt fɔ du wit K-pouch, yu kin fred smɔl ɛn nɔ shɔ fɔ dil wit am ɛvride. Dat na rili nɔmal tin. Bɔt if dɛn tɛl yu di rayt we, fɔ manej am nɔ kin at so. So tide, lɛ wi tɔk bɔt wetin na K-pouch ɛn aw fɔ kia fɔ am fayn fayn wan.

Fɔ tɔk am simpul wan, wetin na K-Pouch?

K-pouch, ɔ continent ileostomy , na ɔpreshɔn we de kɔnɛkt di las pat pan yu smɔl intestinal, di ileum , to di skin na yu bɛlɛ. Di dɔktɔ dɛn we de du ɔpreshɔn kin du dis fɔ mek wan rod fɔ mek dɔti pas we yu bɔdi nɔ ebul fɔ pul dɔti nɔmal wan.

Wetin mek K-pauch difrɛn frɔm ɔda kayn ileostomy na dat di dɔktɔ we de du ɔpreshɔn kin mek wan spɛshal valv . Dis valv de mek di dɔti nɔ lik fɔ insɛf. Bifo dat, we yu nid fɔ ɛmti di pɔch, yu kin put wan tiub we dɛn kɔl kateta fɔ ɛmti am.

Imajin, as wata ɛn it we dɛn dɔn digest de gɛda insay dis bag, di prɛshɔn we de insay de de go ɔp. If dɛn nɔ pul dis prɛshɔn, di bag kin te, pank, ɔ di valv kin slip ɛn dɔti kin lik kɔmɔt. Na dat mek i rili impɔtant fɔ dreyn am di rayt tɛm.

Aw ɔltɛm a nid fɔ ɛmti dis pɔch?

Di frɛkuɛns fɔ ɛmti dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin, bɔt sɔm jenɛral gaydlain dɛn de.

Wantɛm afta di ɔpreshɔn, yu dɔktɔ go put wan indwelling catheter , we na wan tiub we dɛn kin lɛf fɔ pul dɔti. dis tכb go nid fכ lεf in ples fכ lεk 3-4 wik fכ alaw di nyu paus we dεn kכriכt fכ machכ, we min se i go strכng. Afta dat, yu go ebul fɔ ɛmti di pɔch bɔku tɛm insay di de. As tɛm de go, di frɛkuɛns we dɛn kin ɛmti go dɔŋ smɔl smɔl.

Tɔk to yu dɔktɔ, dɔktɔ we de mɛn pipul dɛn, ɔ pɔsin we de mɛn ɛnterɔstomal (ET nɔs ) bɔt dis. I go mɔs bi se yu go dɔn mit dis nɔs bifo dɛn du yu ɔpreshɔn. Dɛn go mɛmba yu aw fɔ kia fɔ yu stoma ɛn yu paus.

Di korekt we fo drein wan K-Pouch

I bεst fכ drenaj kכnstant fכ di fכs 3-4 wik dεm fכ nyu bag. If di kateshɔn tiub aksidɛntli kɔmɔt insay dis tɛm, nɔ wɔri. Yu kin put am bak yusɛf bay we yu fala dɛn simpul tin ya:

• Rilaks yu bɛlɛ mɔsul dɛn smɔl.We yu bɛn wan ni, dat kin ɛp dis tɛm.
• Rilubrik di kateshɔn yuz wan lɔbrik we kin sɔlv insay wata. Nɔ yuz tin dɛn we gɛt petrolium jeli, lɛk Vaseline.
• Put di kateshɔn bak to di lɛvɛl we yu bin dɔn mak bifo tɛm. If i tan lɛk se dis nɔ izi, rilaks smɔl, chenj yu pozishɔn, ɛn tray bak.

Insay dis fɔs tɛm, yu fɔ wata di kateshɔn bɔku tɛm insay di de, yu fɔ yuz lɛk wan ɔns (30ml) rɛgyula tap wata, fɔ pul di dɔti.

If di stɔl nɔ kɔmɔt afta yu dɔn du dɛn tin ya, sɔntin lɛk it patikyula tin dɛn kin stɔp. Da tɛm de, pul di kateshɔn, was am fayn fayn wan wit tap wata, ɛn put am bak.

Afta 3-4 wiks

Afta di fכs 3-4 wik dεm, yu kin stכp fכ defekכt kכntinyu εn bigin fכ ɛmti yu bכdi bכku tεm insay di de. Dis chenj kin bi afta yu fɔs go to yu dɔktɔ afta yu dɔn du di ɔpreshɔn.

• Ɛmpti di bag ɛvri 2 awa insay di de, we yu de wek.
• Ɛmpti yu bag bifo yu go slip na nɛt ɛn we yu wek na mɔnin.
• Nɔ it ɔ drink ɛnitin 2 awa bifo yu go slip.
• Na nɛt, yu kin lɛf di kateshɔn na in ples fɔ kɔntinyu fɔ pul di dɔti. Ɔ yu kin sɛt alam fɔ wek ɛn ɛmti am.

Insay di nɛks sɔm wiks, yu kin smɔl smɔl fɔ mek di tɛm bitwin fɔ ɛmti di pɔch. Afta lɛk 3 mɔnt we dɛn dɔn du di ɔpreshɔn, bɔku tɛm dɛn nɔ kin gɛt spɛshal tin fɔ stɔp am. Yu go nid fɔ ɛmti di paus lɛk 4-6 tɛm insay di de, ɛn wata am lɛk tu tɛm insay di de. Bɔt mɛmba se, ɛmti di pɔch ɛnitɛm we yu fil se yu ful ɔ yu ful. I impɔtant fɔ du dis bifo yu du ɛksɛsayz ɛn bifo yu go slip.

Aw fɔ kia fɔ di kateshɔn ɛn di skin?

I impɔtant fɔ kip di skin we de rawnd di kateshɔn klin ɛn sef, ɛn fɔ mek shɔ se di kateshɔn nɔ blok ɛn fɔ mek di dɔti kɔmɔt fayn fayn wan.

Instrɔkshɔn dɛn we dɛn kin gi stɛp bay stɛp

1. Wash yu an : Fɔs, was yu an fayn fayn wan wit sop ɛn wam wata ɛn drɛy am wit klin tawɛl.

2. Irigate di kateshɔn: Rimov ɛn trowe di dresin oba di wund (stoma). Separet di kateshɔn frɔm di west kɔlekɛshɔn bag ɛn ɛmti di tin dɛn we de insay di kateshɔn insay di sink.

3. Tek wata: Tek lɛk wan ɔns (30ml) wata insay di bɔl sirinj. Fɔ mek i izi fɔ yu, mak di lɛvɛl na di sirinj wit pɔrmanent mak ɔ nel polish .

4. Injekt wata: Smɔl smɔl swɛt di wata frɔm di sirinj insay di kateshɔn.

5. Fɔ trowe di dɔti: We yu de swɛt di sirinj, swɛt di kateshɔn wit di ɔda an fɔ pul di sirinj. Dɔn fri di kateshɔn ɛn opin di dreyn fɔ mek di dɔti go insay di bɛsin. Nɔ ɛva pul di wata we de kɔmɔt na di kateshɔn bak insay di sirinj.

6. Obstruction Check: If i tan lɛk se di wata we dɛn put insay de gɛt prɔblɛm fɔ kɔmɔt, ɔ if di kateshɔn klos wit sɔntin lɛk mɔkus, was am bɔku bɔku tɛm te di dɔti flɔ fayn fayn wan. If di wata nɔ de go insay ɔ kɔmɔt, pul di kateshɔn, was am fayn fayn wan, ɛn put am bak.

7. Fɔ klin di skin: We di dɔti dɔn stɔp, kɔnɛkt di kateshɔn bak to di bag. Klin di wund (stoma) ɛn di skin we de rawnd am fayn fayn wan. Yuz sop we nɔ gɛt ɔyl ɛn wam wata. Rinse gud gud wan, pat dray, ɛn pat dray wit sɔft tawɛl.

8. Put di dresin: Put tu layers fɔ split goz dresin rawnd ɛn oba di wund, tay am wit tep if nid de.

9. Faynal klin:Rimov ɛnitin we nɔ nid, was di sink ɛn sirinj fayn fayn wan wit sop ɛn lɛ dɛn dray. Fɔ dɔn, was yu an dɛn fayn fayn wan bak.

Sɔm ɔda impɔtant advays dɛn

• Chek di kateshɔn ɔltɛm fɔ mek shɔ se dɛn de pul di dɔti fayn fayn wan. wata am tu tɛm insay di de, ɔ lɛk aw yu dɔktɔ ɔ nɔs tɛl yu.
• Chek yu stoma evride. I fɔ luk shayn, wet, ɛn rɛd. If yu notis ɛni chenj na di we aw i luk, tɛl yu dɔktɔ wantɛm wantɛm.
• If yu stɔl tik ɛn yu fil se yu nɔ de pas na di kateshɔn, yu go nid fɔ drink mɔ wata, frut jus , ɔ ɔda wata. Tray fɔ drink lɛk 10-12 glas wata wan de.

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