Kua rongo koe i tētahi pokanga e tāpirihia ana he pēke ki tō puku hei tuku i tō tūtae , i tō mimi rānei kia puta? Tērā pea kua mahia tētahi o ō hoa. E kiia ana tēnei he ostomy i roto i ngā kupu hauora. Ahakoa he āhua whakamataku, he āhua rerekē hoki i te tīmatanga, he tikanga hauora tino nui tēnei ka taea te whakaora i ngā oranga me te whakarite i te ara mōu kia ora anō i te ao noa. I tēnei rā, ka kōrerohia tēnei i roto i tētahi huarahi māmā, mārama hoki.
He aha tonu te pokanga ostomy?
He whakarāpopototanga noa iho, he pokanga te ostomy e hanga ana i tētahi pūaha hou i roto i tō puku (puku) hei tuku i te paru, i te mimi rānei kia puta mā roto i te kiri. Ka āwhina tēnei tikanga ki te tango i ngā paru i roto i tō tinana ina kore e taea e koe te tuku paru, te mimi rānei i te āhua noa nā tētahi mate hauora.
I muri i te pokanga, ka kite koe i tētahi wāhanga iti o tō whekau kua tangohia mai i te kōhao i roto i tō puku. Ko te stoma tēnei. He māwhero-whero tōna tae. He rite ki te arai o tō waha. Ko te mea pai rawa atu, kāore he pito io, nō reira kāore koe e rongo i te mamae. Mā tō taote pokanga koe e ako ki te whakamahi i tētahi putea motuhake hei kohi paru mai i tēnei stoma.
He ingoa noa te ostomy mō tēnei momo pokanga, ā, he momo motuhake te colostomy .
Me pēhea te whakamahi i te putea Ostomy?
Ka kohia e tēnei putea ostomy (e kiia ana hoki he pēke, he taputapu rānei) ngā paru, ngā mimi rānei e puta mai ana i te stoma. He ārai motuhake tō tēnei putea e piri ana ki te kiri. Mā tēnei ka tiakina tō kiri mai i ngā para. He mea tino nui kia tika te whakapiri i tēnei putea, kia kore ai hoki e turuturu. Ki te kore, ka pā mai pea ngā mate kiri .
Mā tō tākuta, mā tētahi nēhi rānei koe e ārahi ki te whakamahi i tēnei putea. E rua ngā momo matua o ēnei:
- Pūnaha kotahi-wahi: I konei, ko te putea me te ārai e piri ana ki te kiri kei roto i te kotahi.
- Pūnaha e rua ngā wāhanga: I konei, ka wehea te flange me te putea. Kia piri te flange ki te kiri, ka taea te tāpiri me te tango i te putea.
Me pēhea te whakakore i te putea
Me whakawātea te putea ina kī ana i te hautoru. Me mahi pea tēnei i waenga i ngā wā e rua ki te ono rānei i te rā.
1. Noho ki runga i te wharepaku. Tuatahi, whakatakotoria he pepa tauera ki runga i te peihana wharepaku. Mā tēnei ka ārai i te wai kei turuturu ina taka te para.
2. Puritia ngā kākahu kia matara atu i te putea.
3. Tangohia te topenga, te mono rānei i te raro o te putea.
4. Kōpeketia te raro o te putea ka maka te para ki roto i te wharepaku.
5. Horoia rawatia te taha raro o te putea ki te tauera.
6. Whakapirihia anō te topenga kia tika.
7. Horoia ō ringaringa kia tino mārie ki te hopi.
Me pēhea te huri katoa i te putea
He rerekē tēnei i te whakawātea i te putea. I te nuinga o te wā, me whakakapi te putea me te ārai i ia 3-4 rā, arā, kia rua ngā wā i te wiki.
- Horoia pai ō ringaringa, ka kohia ngā mea katoa e hiahiatia ana (he putea hou, he kutikuti, he kakahu ma).
- I mua i te tango i te putea tawhito, ringihia te para ki roto i te wharepaku.
- Kātahi ka tangohia te putea, ka maka ki roto i te putea kirihou, ka maka ki roto i te ipu para.
- Horoia te kiri huri noa i te stoma ki te wai māhana me te hopi kore kakara. Kaua e whakamahi i ngā hopi he hinu kakara, he kirīmi rānei. Tērā pea ka ārai i te ārai hou kei piri tika ki te kiri.
- Horoia rawatia te kiri ka whakamaroke ki te kakahu ma, ki te tauera pepa rānei.
- Tapahia te ārai hou kia rite te rahi ki tō stoma, kia piri ki te kiri, kātahi ka tāpirihia te putea hou.
Mena he raruraru āu ki tēnei, ki te kore te ārai e piri tika, ki te mamae kiri, ki ngā mate kiri rānei, waea atu ki tō tākuta tonu.
Ko wai e hiahia ana ki te ostomy?
E taunaki ana ngā tākuta i ngā pokanga ostomy hei rongoā mō ngā momo mate hauora kino. I ētahi wā ka noho rangitahi ēnei, ā, i ētahi wā ka noho pumau.
Ngā āhuatanga e hiahiatia ai he ostomy rangitahi:
- Ngā mate puku kino.
- Te mate puku mumura .
- Ngā whara kino ki ngā whekau.
- Te aukati i te puku.
Ngā āhuatanga e hiahiatia ai he ostomy tuturu:
- Te nekehanga puku kore e taea te whakahaere (incontinence).
- Ngā hapa whānau o ngā whekau, o te pūkahukahu rānei.
- Ngā mate pukupuku o te koroni, te tō, te pūkahukahu rānei.
- Ina tangohia tetahi wāhanga o te pūkahukahu, o te nono rānei mā te pokanga.
Ngā momo matua o ngā pokanga ostomy
E rua ngā momo matua e āwhina ana i te nekehanga o te puku, me tētahi e āwhina ana i te mimi.
| Momo pokanga | He whakamārama māmā |
|---|---|
| Ileostomy | I konei, ka whakaputaina te wāhanga whakamutunga o te whekau iti (ileum) mā te pakitara puku hei hanga i te stoma. Ka puta te tūtae, ka karo i te whekau nui. |
| Te mahi toto i roto i te korokoro | Ina tangohia tetahi wāhanga o te koroni, ka piri te toenga ki te pakitara o te puku hei hanga i te stoma. |
| Te Urostomy | Ka honoa ngā ngongo e kawe ana i te mimi mai i ngā whatukuhu ki te pūkahukahu ki te stoma i hangaia i roto i te puku. Ka mahia tēnei ina tangohia te pūkahukahu. |
Pokanga putea-J
Haunga te ostomy tuku iho, tera atu anō ētahi atu kōwhiringa. Ko te putea-J he tikanga e hanga ana i tētahi putea ki roto i te tinana hei kohi paru. Ko te hononga tēnei o te pito o te whekau iti ki te nono. Ko te tikanga, kāore koe e hiahia ki tētahi stoma tūturu, ā, ka taea e koe te tuku paru mā te nono pērā i te tikanga.
Ngā raruraru pea, ā, āhea me toro atu ki te tākuta?
Pērā i ngā pokanga katoa, tera pea ētahi mōrearea me ngā raruraru ka pā mai. Nō reira, me kōrero koe ki tō tākuta i mua i te pokanga. Ko ētahi o ngā raruraru ka pā mai:
- Ngā raruraru kiri: te whero , te mākūkū , me te pangia o te kiri huri noa i te stoma.
- Ārai: Te mau o ngā matūriki kai ki roto i ngā whekau.
- Hernia: He ngoikore i te pakitara o te puku e karapoti ana i te stoma.
- Ngā ngoikoretanga o te kai: Te hekenga o te mimiti o te wai, ngā huaora, me ngā kohuke e te tinana.
- Te whaiti o te stoma (Stricture): Te uaua ki te tuku i te paru.
Mena kei a koe ēnei tohu e whai ake nei, waea atu ki tō tākuta tonu atu.
| Rapua he tohutohu hauora tonu! | |
|---|---|
| 🔴 | Te mamae o te puku e mau ana mō te 2-3 hāora. |
| 🔴 | Te whakapairuaki, te ruaki pinepine rānei. |
| 🔴 | Kaua e kohikohia he para ki roto i te putea mō ngā hāora 4-6. |
| 🔴 | Te toto nui rawa mai i te stoma, i ngā whara kiri rānei e karapoti ana i te stoma. |
| 🔴 | He haunga kino e puta mai ana i te stoma (he tohu pea tēnei nō te mate urutā). |
I te mea he āhuatanga ohorere pea ēnei tohu o runga ake nei, kaua e mangere ki te haere ki te Tari Ohorere (ETU) o te hōhipera tata rawa atu mēnā e tika ana.
Me pēhea te noho i te oranga noa me te pēke ostomy?
He roa te wā e hiahiatia ana hei taunga ki te mahi i ngā mahi a te tinana i roto i ngā huarahi rerekē. Engari ka taea e koe te noho i tētahi oranga noa me te pēke ostomy. Kāore e aukati i a koe ki te haere ki te mahi, ki te tākaro hākinakina, ki te kaukau, ki te haereere, ki te marena, ki te whānau tamariki rānei.
I te tīmatanga, tera pea ka āwangawanga koe mō tō tinana me te tirohanga a ētahi atu ki a koe. He mea noa tēnā. Nā te mea kāore te putea e kitea i runga i ō kākahu, kāore te nuinga o te iwi e mōhio kei a koe.
Te oranga moepuku
He tohu pai tēnei kei te whakaaro koe ki te moe tāne i muri i te pokanga, ina rite tō tinana me tō hinengaro. Kōrerohia tēnei ki tō hoa rangatira .
- I mua i te moe tāne, ringihia te wai i roto i te putea, horoia rawatia, ā, tirohia mēnā kei te mau tonu te hiri.
- Ka taea e koe te whakamahi i ngā kākahu motuhake, i ngā uhi pēke rānei kia kore ai e kitea te pēke.
- Whakamātauria ngā tūranga e kore e pēhi i te putea.
- Mā te kōrero mō ō wehi, ō ruarua, me ō āwangawanga ki tō hoa ka āwhina anō hoki ki te whakapakari i tō kōrua whanaungatanga.
Mena kei te raru koe ki te aro atu ki tēnei huringa, kōrero ki tō tākuta, ki tō whānau, me ō hoa. He puna kaha nui hoki te whakauru atu ki ngā rōpū tautoko e huihui ai te hunga kua pāngia e ngā wheako ōrite.
Karere Tangohia ki te Kāinga
- He tikanga pokanga nui te Ostomy, ka taea te whakaora i ngā oranga me te āwhina i te tangata kia pai ake te oranga ahakoa ngā āhuatanga hauora kino. Ehara i te mea hei wehi.
- He mea tino nui te tiaki tika i te stoma me te kiri e karapoti ana. Rapua he tohutohu tika mai i tō tākuta, i tō nēhi rānei.
- Mā te pēke ostomy, ka taea e koe te noho i tētahi oranga noa, hihiko hoki, tae atu ki te mahi, ngā hākinakina, me ngā mahi whakangahau .
- Ki te kite koe i ētahi huringa rerekē o tō stoma, o tō hauora rānei, ki te mea rānei he āwangawanga āu, me kōrero ki tō tākuta me te kore e whakaroa.
Ostomy, stoma, colostomy, ileostomy, urostomy, putea ostomy, pokanga











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