Me pēhea te tiaki tika i tō K-Pouch (Continent Ileostomy)?

Mena kua pokangahia koe mō te K-pouch, tera pea ka āwangawanga koe, ka ruarua hoki mō te mahi i ia rā. He mea noa iho tēnā. Engari ki te mōhio koe ki te tikanga, ehara i te mea uaua te whakahaere. Nō reira, i tēnei rā, me kōrero tātou mō te tikanga o te K-pouch me pēhea te tiaki tika i a ia.

He aha te K-Pouch?

Ko te K-pouch, te continent ileostomy rānei, he tikanga pokanga e hono ana i te wāhanga whakamutunga o tō whekau iti, te ileum , ki te kiri o tō puku. Ka mahi ngā taote pokanga i tēnei hei waihanga i tētahi ara mō ngā para hei puta atu ina kore e taea e tō tinana te whakakore i ngā para i te tikanga noa.

Ko te mea e rerekē ai te K-pouch i ētahi atu momo ileostomy ko te hanga a te taote pokanga i tētahi takirere motuhake. Mā tēnei takirere ka ārai i te turuturu o te para. Engari, ina hiahia koe ki te whakawātea i te putea, ka taea e koe te whakauru i tētahi ngongo e kiia nei ko te catheter hei whakawātea.

Whakaarohia, i te kohikohinga o ngā wai me ngā kai kua nakunaku ki roto i tēnei putea, ka piki ake te pēhanga i roto. Ki te kore tēnei pēhanga e tukuna, ka pakaru pea te putea, ka poka, ka paheke rānei te takirere, ā, ka turuturu te para. Koia te mea nui kia ringihia i te wā tika.

Kia pēhea te auau o te wā me whakawātea e au tēnei pēke?

Ka rerekē te auau o te whakawātea i tēnei i ia tangata, i ia tangata, engari he aratohu whānui anō kei reira.

I muri tonu i te pokanga, ka whakanohoia e tō tākuta he catheter e noho ana i roto i te tinana , he ngongo ka waihotia ki te wāhi tika hei tango i ngā para. Me waiho tēnei ngongo ki te wāhi tika mō te 3-4 wiki pea kia pakari ai te pēke hou, arā, ka kaha ake. Whai muri i tēnā, ka taea e koe te whakawātea i te pēke i ētahi wā i te rā. I roto i te wā, ka heke haere te auau o te whakawātea.

Kōrero ki tō tākuta, ki tō taote pokanga, ki tētahi kaiwhakaora enterostomal (nēhi ET ) rānei mō tēnei mea. Tērā pea kua tūtaki koe ki tēnei nēhi i mua i tō pokanga. Mā rātou koe e whakamahara ki te tiaki i tō stoma me tō pēke.

Te huarahi tika ki te tango i te K-Pouch

He pai te whakaheke toto tonu mō ngā wiki tuatahi e 3-4 o tētahi putea hou. Mēnā ka motu te ngongo catheter i tēnei wā, kaua e manukanuka. Ka taea e koe te whakauru anō mā te whai i ēnei mahi ngāwari:

• Whakangāwarihia ngā uaua o tō puku.Mā te piko i tētahi turi ka āwhina pea i tēnei wā.
• Whakahinuhinuhia anō te katitere mā te whakamahi i tētahi hinu whakahinuhinu wairewa-wai. Kaua e whakamahi i ngā hua kei roto he hinu tiēre, pērā i te Vaseline.
• Whakauruhia anō te catheter ki te taumata kua tohua i mua. Ki te mea he uaua tēnei, whakangāwarihia te tinana, hurihia te tūnga, ka ngana anō.

I tēnei wā tuatahi, me whakamakuku koe i te katitere i ētahi wā i te rā mā te whakamahi i te tata ki te 30ml o te wai puna noa hei tango i ngā para.

Ki te kore e puta te tūtae i muri i ēnei mahi, tera pea ka piri tetahi mea pēnei i te matūriki kai. I taua wā, tangohia te catheter, horoia rawatia ki te wai paipa, ka whakauru anō.

I muri i ngā wiki 3-4

I muri i ngā wiki tuatahi e 3-4, ka taea e koe te whakamutu i te tūtae tonu, ka tīmata te whakawātea i ō puku i ngā wā maha i te rā. Ko te tikanga ka mahia tēnei whakarerekētanga i muri i tō haerenga tuatahi ki tō tākuta i muri i te pokanga.

• Ringihia te wai i roto i te putea i ia rua hāora i te awatea, i a koe e ara ana.
• Ringihia te wai i roto i tō putea i mua i te haerenga ki te moe i te pō, me tō ara ake i te ata.
• Kaua e kai, e inu rānei i tetahi mea i roto i ngā haora e rua i mua i te wā moe.
• I te pō, ka taea e koe te waiho i te katitere ki tōna tūranga hei tango tonu i te paru. Ka taea rānei e koe te whakatakoto i tētahi whakaoho hei ara ake me te tango i te paru.

I roto i ngā wiki e whai ake nei, ka taea e koe te whakanui haere i te wā i waenga i te whakawātea i te pēke. I muri i te 3 marama o te pokanga, kāore he here motuhake. Me whakawātea e koe te pēke i te 4-6 wā i te rā, ā, me whakamakuku i te wai i te rua wā i te rā. Engari kia mahara, whakawāteatia te pēke i ngā wā katoa e kī ana koe, e kī ana rānei. He mea nui kia mahia tēnei i mua i te whakakori tinana, i mua hoki i te moe.

Me pēhea te tiaki i te kiri me te catheter?

He mea nui kia noho ma, kia haumaru hoki te kiri huri noa i te katitere, me te whakarite hoki kia kaua e āraia te katitere, kia tika hoki te ringihia o ngā para.

Ngā tohutohu taahiraa-i-te-taahiraa

1. Te horoi ringa : Tuatahi, horoia ō ringaringa ki te hopi me te wai mahana, ka whakamaroke ki te tauera ma.

2. Whakamakukuhia te catheter: Tangohia, ka maka atu te takai ki runga i te patunga (stoma). Wehea te catheter mai i te putea kohi para, ka ringihia ngā mea o roto i te catheter ki roto i te totohu.

3. Tangohia he wai: Tangohia kia tata ki te kotahi hekere (30ml) o te wai ki roto i te pūwero. Hei whakamahi i te pūwero, tohua te taumata o te pūwero ki te tohu tuturu, ki te peita whao rānei.

4. Te werohanga wai: Pēhia mārire te wai mai i te ngira ki roto i te katitere.

5. Te maka atu i ngā para: I a koe e pēhi ana i te ngira, pēhia te katitere ki te ringa kē hei tango i te ngira. Kātahi ka tukuna te katitere ka whakatuwhera i te waikeri hei tango i ngā para ki roto i te peihana. Kaua rawa e hoki te wai mai i te katitere ki roto i te ngira.

6. Tirotiro Ārai: Ki te mea he uaua te wai kua whakaurua ki te puta, ki te mea rānei kua purua te katita i te mea pērā i te hūpē, horoia kia rere pai te paru. Ki te kore te wai e tomo, e puta rānei, tangohia te katita, horoia kia pai, ka whakauru anō.

7. Te horoi kiri: Kia mutu te rere o te paru, honoa anō te catheter ki te putea. Horoia pai te patunga (stoma) me te kiri e karapoti ana. Whakamahia he hopi kore-hinu me te wai mahana. Horoia pai, whakamarokehia, ka whakamaroke ki te tauera ngohengohe.

8. Tāpirihia te takai: Whakatakotoria kia rua ngā paparanga o te takai miro kua wehea huri noa i te patunga, me te here ki te rīpene mēnā e tika ana.

9. Te horoinga whakamutunga:Tangohia ngā mea kāore e hiahiatia, horoia rawatia te totohu me te ngira ki te hopi, ka waiho kia maroke. Hei whakamutunga, horoia anō ō ringaringa kia tino horoia.

Ētahi atu tohutohu nui

• Tirohia te katitere i ia wā, kia tika ai te tango i ngā para. Whakamakukuhia kia rua ngā wā i te rā, kia rite rānei ki ngā tohutohu a tō tākuta, nēhi rānei.
• Tirohia tō stoma i ia rā. Me kanapa, me makuku, me whero hoki. Ki te kite koe i ētahi panonitanga ki tōna āhua, me kōrero tonu atu ki tō tākuta.
• Mena he matotoru ō tūtae, ā, he puhoi te putanga mā roto i te katitere, me nui ake pea te wai, te wai hua , me ētahi atu wai rānei. Whakamātauria te inu i te 10-12 karāhe wai i te rā.

K-Pouch, Continent Ileostomy, tiaki ileostomy, stoma, catheter, pokanga, whekau, tiaki ostomy Sinhala, tiaki K-Pouch