Ina kī atu tō tākuta me whakamahi koe i te 'stoma', he pēke i roto i tō puku, i muri i te pokanga, tera pea ka tino mataku koe, ka manukanuka hoki. "Me pēhea taku putanga atu ināianei?", "Ka mārama rānei ētahi atu ki tēnei?", "Kāore rānei au e taea te noho pērā i mua?" He maha ngā pātai ka puta ake ki tō hinengaro. He mea noa iho. Engari ehara i te mea whakamataku pērā i tō whakaaro. I tēnei rā, me kōrero noa tātou mō te aha te stoma, me pēhea te tiaki i a ia, me pēhea hoki te noho noa me ia.
He aha te stoma i roto i ngā kupu māmā?
Whakaarohia te ara noa e puta ai ngā paru (tūtae) i roto i te tinana, arā, te nono, kāore e taea te uru atu nā tētahi mate hauora, nā tētahi aituā rānei. Kātahi ka rapua e tātou tētahi atu huarahi hei tango i ngā paru mai i te tinana.
Ki te kī māmā noa, he kōhao iti te stoma ka hangaia e te taote pokanga ki te pakitara o tō puku (puku).
Ko te ingoa o tēnei pokanga he colostomy . I roto i tēnei tikanga, ka tangohia he wāhanga hauora o tō koroni ka honoa ki tētahi kōhao i roto i tō puku. Kātahi, hei utu mō te puta atu i roto i te nono, ka puta mai ngā para, ngā tūtae rānei, mā roto i tēnei kōhao stoma. Ka whakatakotoria e mātou he putea motuhake (pēke) ki runga i tēnei kōhao hei kohi i ngā para.
He aha te take e hiahiatia ai he stoma e te tangata?
He maha ngā take e taea ai te tango i te colostomy me te stoma i roto i te tinana o te tangata. Ka mahia tēnei hei whakaora i te ora o te tūroro, hei whakapai ake rānei i te kounga o tōna oranga.
Anei ētahi o ngā take matua:
- Te aukati, te pakaru rānei o te whekau: Mēnā ka aukatia, ka pakaru rānei te whekau mō tētahi take, kāore he ara e puta ai ngā para.
- Matepukupuku: Mena me tango tetahi wāhanga o te koroni, o te pūkahukahu rānei nā te matepukupuku.
- Te mate a Crohn, te mate puku rānei: He mate mumura kino ēnei o ngā whekau. I ētahi wā, me tango ngā wāhanga kua pakaru o ngā whekau.
- Ngā hapa whānautanga: Tērā pea ka whānau mai ētahi pēpi me ētahi raruraru puku.
- Ngā whara kino ki te koroni: Mena kua pakaru te koroni, pēnei i te aituā.
- Diverticulitis: He āhua tēnei e puta ai ngā putea iti i roto i te pakitara o te koroni, ka pangia, ka mumura.
He mea nui, ehara i te mea he pumau katoa ngā stoma. I ētahi wā ka hangaia e ngā tākuta he stoma rangitahi hei hoatu i te wā ki te wāhanga kua pakaru o te puku kia ora.Ka whakatakotoria he stoma. Kia mau tonu mō ētahi wiki, marama rānei, ā, kia ora te whekau, ka tangohia i tētahi atu pokanga, ā, ka honoa anō ki te whekau. Heoi, ki te tangohia he wāhanga nui o te whekau, me pupuri tonu pea te stoma.
Me pēhea te tiaki tika i te stoma me te putea?
I muri i te pokanga, ka noho koe ki te hōhipera mō ētahi rā. I mua i tō hokinga ki te kāinga, ka whakaaturia e te tākuta, e te nēhi rānei ki a koe me pēhea te whakawhiti i te putea me te pupuri i te kiri huri noa i te stoma kia ma. Ahakoa he ahua rerekē pea i te tīmatanga, i muri i tētahi wā, ka noho tēnei hei wāhanga o tō mahinga o ia rā.
| Ngā Hipanga | Me aha? |
|---|---|
| 1. Kua tae ki te wā hei whakawhiti i te putea. | Whakawhitihia te putea ina kī te kotahi hautoru (1/3). Kaua e tatari kia kī rawa. Mā tēnei ka nui ake te tūponotanga ka wetekina te putea nā te taumaha, ā, ka pā te paru ki tō kiri. |
| 2. Te whakakore i te putea tawhito | I a koe e pēhi ana i te kiri ki te ringa kotahi, tangohia mārire te wāhanga piri o te putea ki te ringa kē. Kaua e kukume rawa, nā te mea ka kino pea te kiri. |
| 3. Te tango para | Ringihia te para i roto i te putea ki roto i te wharepaku ka maka atu. Mena he putea ka taea te whakamahi anō, horoia rawatia. |
| 4. Te horoi kiri | Horoia mārire te kiri huri noa i te stoma ki te kakahu ma, ki te tauera rānei kua whakamakukuhia ki te wai. Ki te whakamahi koe i te hopi, whakamahia he hopi ngawari, kāore he kakara. Kātahi ka tukua kia maroke rawa. |
| 5. Te tāpiri i te putea hou | Tapahia te pūaha o te putea hou kia tika te uru ki te stoma. Mēnā he nui rawa te pūaha, ka uru pea ngā para ki roto i te kiri, ā, ka whakapataritari i te kiri. Kātahi ka whakau kia mau ki te kiri. |
Ngā raruraru pea me ā rātou otinga
Ka pā mai pea ētahi raruraru iti i te noho tahi me te stoma. Mā te mōhio ki ēnei raruraru ka āwhina i a koe ki te whakatau i aua raruraru me te kore e manukanuka.
- Te whero o te kiri, te riri rānei: He raruraru noa tēnei. Tērā pea ka puta mai i ngā poke e pā ana ki te kiri. Ko te otinga pai ko te pupuri i te kiri kia ma, kia maroke hoki. Pātai atu ki tō tākuta mō ngā kirimi motuhake (kirimi ārai) hei tiaki i te kiri.
- Ngā panonitanga o te tae me te rahi o te stoma: I ngā rā tōmua i muri i te pokanga, ka whero pouri te stoma, ka pupuhi hoki. I roto i te wā, ka iti haere te pupuhi, ka iti haere te rahi. Ka noho māwhero, ka whero rānei te tae. He mea noa tēnei. I te panonitanga o te rahi, kia mahara ki te kuti i te whakatuwheratanga o te putea kia rite ki taua rahi.
- Hau: He mea noa te hau i roto i ō whekau, ā, ka kī tonu te putea i te hau i ētahi wā. Whakaititia ngā kai e puta ai te hau, pērā i te kāpeti, te kūmara, te pīni, me te rēneti. Kei reira anō hoki ngā putea he pūhau iti hei tuku i te hau ki waho.
- : ( ). (dehydration) . , , . , (electrolytes) .
- Te toto mai i te stoma: He mea noa te puta mai o ētahi pata toto i te stoma ina horoia. Heoi, ki te kore te toto e mutu, ki te kite rānei koe i te toto i roto i te putea , me kōrero tonu atu ki tō tākuta.
- Te hekenga o te puku: He āhuatanga onge tēnei. Koinei te wā e pana ana tetahi wāhanga o te whekau ki waho mā roto i te stoma. Ki te kite koe i tētahi mea pēnei, kaua e mataku, engari me toro atu ki tō tākuta. Me mahi pea he pokanga iti hei whakatika.
Āhea te wā tika kia kite tonu i te tākuta
Mena kei a koe tētahi o ngā tohu e whai ake nei, kaua e warewarehia, me toro atu ki tō tākuta tonu.
| Ngā tohu whakatūpato hei tirotiro māu | |
|---|---|
| 🔴 | Mena he whero te kiri huri noa i te stoma, he mamae, he mumura, he turuturu wai rānei. |
| 🔴 | Mena he kirika tōu neke atu i te 101 nekehanga Fahrenheit (38.3 Celsius). |
| 🔴 | Mena ka pāngia koe e te whakapairuaki, te ruaki, te mamae nui o te puku, te mate kōroke nui, te mate korere rānei. |
| 🔴 | Mena kei te pāngia koe e ngā tohu o te matewai: hei tauira, te ngoikore rawa, te wiri o ngā uaua, me te iti haere o te auau me te nui o te mimi. |
| 🔴 | Mena kei te haere tonu te toto mai i te stoma, ki te kite rānei koe i te toto i roto i te putea. |
He oranga noa me te stoma... he mea tino taea rānei?
Koinei te pātai nui rawa atu kei roto i te hinengaro o te katoa. Ko te whakautu, "Āe, e tino taea ana!"
He iti rawa, he papatahi hoki ngā pēke stoma o ēnei rā. Nō reira, kāore tetahi e kite kei raro i ngā kākahu. Waihoki, he mea hanga ēnei pēke kia kore ai e puta te haunga. Nō reira, kāore koe e manukanuka ki te hongi.
Kaua e whakaaro ki tō stoma me tō pēke hei kawenga, engari hei taputapu e rua hei āwhina i a koe, hei tuku i a koe ki te herekore. Ka āwhina i a koe ki te haere noa ki waho, ki te mahi i ngā mea e pai ana ki a koe, me te whakawhanaunga me te kore e haere pinepine ki te wharepaku.
Ka taea e koe te haere ki te mahi, te whakakorikori tinana, te kaukau, te kauhoe, me te noho i te oranga noa. Ki te whakama koe, ki te kore rānei e pai ki tēnei i te tuatahi, kōrero ki tō tākuta mō tēnei. Kei ētahi hōhipera he nēhi kua whakangungua motuhake (ngā kaiwhakaora wheua) mō tēnei. He rōpū tautoko anō hoki kei reira te hunga kua pāngia e ngā wheako rite. Mā te whakauru atu ki tētahi wāhi pēnei ka taea e koe te whakapakari hinengaro.
Karere Tangohia ki te Kāinga
- He mea hauora te stoma hei whakaora, hei whakamāmā ake rānei i tō oranga, ehara i te mea hei whakama.
- Ko te pupuri i te stoma me te kiri e karapoti ana i a ia kia ma, kia maroke te huarahi pai hei ārai i ngā raruraru maha.
- Ka taea e koe te noho i tētahi oranga noa, oraora hoki me te stoma.
- Mena he ruarua, he āwangawanga rānei āu mō tētahi raruraru iti, kaua e wehi ki te kōrero ki tō tākuta.
- Ka nui te āwhina i a koe i tēnei haerenga mā te kaha hinengaro e riro mai ana i tō whānau, i ō hoa, ā, ki te tika, i ngā rōpū tautoko.
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