Kua hiahiatia he colostomy ki a koe nā tētahi mate hauora, nā muri rānei i te pokanga? Mēnā ka tupu tēnā, me mau koe i tētahi putea e hono ana ki tētahi kōhao iti (stoma) i roto i tō puku. Tērā pea he āhua kore whakamarie te noho me tēnei putea i ngā wā katoa. Ina koa kei te haereere koe, kei te haere ki tētahi huihuinga pāpori, kei te mau rānei i tētahi kākahu e pai ana ki a koe, tera pea ka taumaha koe i te whakaaro ki tēnei. Heoi anō, ka miharo koe ki te mōhio kei reira tētahi huarahi hei kore e whakamahia tonutia tēnei putea. Koinei te mea e kiia nei e mātou ko te Colostomy Irrigation. Me kōrero tātou mō tēnei i tēnei rā.
Tuatahi, he aha te colostomy?
He ngāwari noa iho, he pokanga te colostomy e honoa ai te whekau nui, he wāhanga o tā tātou pūnaha nakunaku, ki tētahi kōhao motuhake (stoma) i hangaia i roto i te pakitara o te puku. I te nuinga o te wā, ka puta te paru i roto i te tinana mā te nono. Heoi, i muri i te pokanga colostomy, ka puta te paru mā te stoma i hangaia i roto i te puku. Kātahi ka tāpirihia he putea motuhake ki te stoma hei kohi i te paru.
Mō ētahi tāngata, he wā poto noa iho tēnei e hiahiatia ana. Arā, kia ora rā anō ētahi whara o te koroni, o te rectum rānei. Kātahi ka hono anō te taote pokanga i ngā wāhanga e rua o te whekau, ka kati i te stoma. Engari, ko ētahi tūroro, me tango he colostomy tuturu mō te wā katoa.
He mea nui: He rerekē te colostomy i te ileostomy. I roto i te ileostomy, ka honoa te stoma ki te whekau iti, ehara i te whekau nui.
Āe, he aha te Whakainu Colostomy?
Ko te whakamakuku colostomy he tikanga tango paru i te tinana, me te kore e mau tonu i te putea colostomy. He rite tonu ki te enema.
Ko tēnei ko te horoi i te koroni ki te wai mā roto i te stoma, te horoi atu, me te whakaputa i te paru kua kohia i te wā kotahi. Ka taea tēnei te mahi i ia rā, i ia rā rānei, i tētahi wā kua whakaritea, i runga i ō hiahia. Kia taunga koe ki tēnei, ka taea e koe te haere ki te wharepaku i ngā wā kua whakaritea hei horoi i ō puku. Whai muri i tēnā, ka taea e koe te haere me te kore he pēke mō te rā katoa, me te taupoki noa i tō stoma ki tētahi taupoki iti (Stoma Cap). He tino nui te herekoretanga ka riro i a koe mai i tēnei.
Ka taea e te katoa te whiwhi i te irrigation colostomy?
Kāo. Ehara tēnei i te mea mā te katoa. Ka whai hua anake te tikanga whakamakuku mēnā he mārō te tūtae e puta mai ana i te tinana. Nō reira, he pai anake tēnei tikanga mā te hunga whai momo colostomies. Mā tō tākuta e whakatau mēnā he tika tēnei māu.
Tirohia te ripanga i raro nei kia kite ai ko wai te tangata e tika ana mō tēnei.
| Momo Colostomy | Whakaahuatanga me te take mō te taurite |
|---|---|
| Te whakaheke i te Colostomy | I tēnei wā, ka honoa te stoma ki te wāhanga o te koroni e heke ana i te taha maui o te puku. Ina tae ki tēnei wāhanga, ka tīmata te matotoru o te tūtae. Nō reira, he māmā ake te whakamakuku. |
| Te Korostomy Sigmoid | Ka pā tēnei ki te wāhanga whakamutunga o te whekau nui. I tēnei wāhanga, he matotoru rawa te tūtae. Koinei te momo tino pai mō te tikanga whakamakuku. |
He aha ngā mea e hiahiatia ana mō te whakamakuku?
Me whai taputapu hauora motuhake tēnei tikanga. Ka taea e koe te tiki i ēnei mai i tō tākuta, mai i ngā wāhi rānei e tuku ana i ngā taputapu hauora.
- Pūnaha Whakamakuku: Kei roto i tēnei he ipu me he ngongo hei whakamakuku.
- Pūwero Whakainu: He putea roa e piri ana ki te stoma, hei tuku i te paru me te wai ki roto i te wharepaku.
- Wai: 500 ki te 1000 ml (1/2 ki te 1 rita) o te wai mahana (kua koromamaohia).
- Whitiki Whakarite: He whitiki hei pupuri i te ringaringa whakamakuku kia mau tonu.
- Hinu Whakahinuhinu Wai: He hinu whakahinuhinu e māmā ake ai te whakauru i te pito o te ngongo whakamakuku ki roto i te stoma.
- Ngā Āpiti Kati: He āpiti hei kati i te raro o te ringaringa.
Me pēhea te mahi i tēnei? Ngā mea hei mōhio
He mea tino nui: Mā tō tākuta, mā tētahi nēhi stoma rānei, e whakamārama mārama ki a koe te huarahi tika mō te whakamakuku i tō colostomy. Kaua rawa e mahi i tēnei i runga i ngā kōrero noa, i ngā whakapae rānei.He mea tino nui kia haumaru ai koe me whai tika i ā rātou tohutohu.
Anei ētahi mea hei mōhio māu mō tēnei tukanga whānui:
- Tērā pea ka roa pea tēnei mahi i te tīmatanga, engari ina taunga koe ki te mahi, ka poto ake te wā.
- Ko te whakainu i te wā kotahi i ia rā ka hua ake ngā hua pai rawa atu.
- Ki te maumahara pea koe ki te wā i puta ai te nekenekehanga o te puku i mua i tō pokanga colostomy, mā te mahi i tēnei i taua wā ka āwhina i tō tinana kia tere ake te urutau.
- Mā te mahi i tēnei i muri tata i te kai, i te inu rānei i tētahi inu wera, ka māmā ake te tukanga.
- Ki te pāngia koe e te mamae o te puku, e te whakapairuaki rānei i te wā e whakamakuku ana, tera pea nā te tere o te wai, nā te makariri rānei o te wai.
- I muri i te 6 ki te 8 wiki, ka taunga ō whekau ki tēnei pūnaha, ā, ka puta noa te paru i ngā wā kua whakaritea.
He tūponotanga, he raruraru rānei kei reira?
Pērā i ngā tikanga hauora katoa, tera pea ētahi mea iti ka puta.
Tērā pea ka pāngia koe e te mumura o te kiri, e te whero rānei i te taha o tō stoma. He mea noa te toto o tō stoma i ētahi wā. Heoi, ki te mumura tō kiri, ki te mākūkū, ki te puta rānei he wai, he tohu pea tēnei nō te mate. Ki te puta tēnei , me kōrero tonu atu ki tō tākuta.
Tērā pea ka pā mai te mate puku, te mate korere rānei. Nō reira, he mea nui kia kai i ngā kai momona i te muka, kia nui hoki te wai e inumia ana .
I ētahi wā, ka paku turuturu pea te wai i waenga i ngā whakamakuku. Ka iti haere tēnei i te roanga o te wā.
Ka taea e te noho me te colostomy te whakarerekē i ō whakaaro mōu ake me tō āhua tinana. Ki te pōuri koe, ki te manukanuka, ki te pouri rānei ina raru koe ki te whakahaere i tō hau, i tō haunga rānei, kaua e whakama ki te kōrero ki tō tākuta. Ka taea e ia te hoatu ki a koe te tohutohu me te tautoko e hiahiatia ana e koe.
| Ngā āhuatanga me whakamōhio tonu atu koe ki tō tākuta | |
|---|---|
| 🔴 | Mena ka huri ohorere te rahi, te āhua rānei o te stoma. |
| 🔴 | Mena he mate pāwera pumau, he tohu rānei o te mate pāwera (mumura, mākūkū, rere rite ki te pulu) kei runga i te kiri huri noa i te stoma. |
| 🔴 | Mena he nui te whakapairuaki me te ruaki. |
| 🔴 | Mena kua tino heke te nui o te hau, te tūtae rānei e puta mai ana i te stoma. |
| 🔴 | Mena he nui te mamae o tō puku, ā, ka roa mō ngā haora maha. |
| 🔴 | Mena he haunga rerekē, he toto nui, he wai rānei e puta mai ana i te stoma. |
Karere Tangohia ki te Kāinga
- He huarahi pai te whakamakuku colostomy ki te horoi i ō puku i ngā wā katoa, me te kore e hiahiatia he putea colostomy. Mā tēnei ka nui tō herekoretanga.
- Kāore tēnei tikanga e pai mō ngā momo colostomies katoa. Ko tō tākuta anake te mea hei whakatau mēnā he tika tēnei māu.
- Akohia te tikanga tika me ngā tohutohu mō te mahi whakamakuku mai i tō tākuta, i tētahi nēhi rānei kua whakangungua motuhaketia. Kaua rawa e whakamātau i a koe anō.
- He uaua pea te noho me te colostomy, engari kāore e tika kia aukati i a koe ki te noho i tō oranga. Mā te āwhina o tētahi pūnaha whakamakuku, o tētahi pēke rānei, ka taea e koe te mahi tonu i ngā mea e arohaina ana e koe, me te noho harikoa hoki.
- Ki te pāngia koe e tētahi mamae tinana, hinengaro rānei, kōrero noa ki tō tākuta mō tēnei mea.
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