Kua kōrerotia koe, tētahi atu rānei e mōhio ana koe, e te tākuta mō te colostomy? He mea noa te mataku me te manukanuka ina rongo koe i tēnei. "He aha te tikanga o te whai pēke?", "Ka taea rānei e au te hoki ki tōku āhua o mua?", me ētahi atu. Tērā pea kei te whakaaro koe. Engari kaua e manukanuka. Ehara i te mea whakamataku pērā i tō whakaaro. I tēnei rā, ka kōrerohia e tātou i roto i tētahi huarahi tino māmā ka taea e koe te mārama.
He aha te tikanga o te colostomy?
He pokanga te colostomy e whakarerekē ana i te huarahi e tukuna ai te paru e tō tinana. I te nuinga o te wā, ka puta mai te paru mā te nono. Engari ki te pakaru tetahi wāhanga o te koroni nā tetahi mate, nā tetahi aituā rānei, me whakangāwari pea taua wāhanga, me tango atu rānei mō ake tonu atu, me te hanga ara hou mō te paru kia puta mai ai.
I tēnei tikanga, ka hangaia e te taote pokanga he kōhao iti, he kōhao rānei, ki roto i te pakitara o tō puku ka kitea ki te kiri. Ka kiia tēnei he stoma . Kātahi ka tangohia he wāhanga o tō whekau nui (koroni) ka honoa ki tēnei stoma.
Nō reira, i muri i te pokanga, kāore koe e hiahia ki te haere ki te wharepaku pērā i ngā wā katoa. Engari, ka puta mai ngā paru o tō tinana, arā, ko tō tūtae, i te stoma i hangaia i roto i tō puku, ka kohia ki roto i tētahi putea motuhake (pēke colostomy) e piri ana ki reira.
Ko ētahi tāngata ka whiwhi i tēnei colostomy mō tētahi wā poto, mō ētahi marama noa iho. Engari ko ētahi tāngata me noho me tēnei mō te toenga o ō rātou oranga. Kei tō āhua hauora tēnei katoa. Mā tō tākuta tēnei e whakamārama taipitopito atu ki a koe.
He momo colostomy anō kei reira?
Ae, he maha ngā momo colostomies. Ka whakarōpūhia ēnei i runga i te wāhanga o te whekau nui (koroni) e hono ana ki te pakitara puku. Me titiro tātou ki ngā momo matua.
| Momo colostomy | Whakaahuatanga me te āhua o ngā paru |
|---|---|
| Te Korostomy Sigmoid | Koinei te momo tino noa. I roto i tēnei tikanga, ka piri te wāhanga whakamutunga o te whekau nui, āhua 'S' (te koroni sigmoid) ki te kiri i te taha maui o te puku. Nā te mea he roa te haere o ngā tūtae i roto i te whekau, ā, ka puta mai, he matotoru ake i te nuinga o te wā . |
| Te whakaheke i te Colostomy | I konei, ko te wāhanga o te whekau nui i te taha maui, i runga ake i te wāhanga āhua 'S' (te koroni e heke ana), e hono ana ki te kiri. Ko te paru e puta mai ana i konei he totoka te nuinga . |
| Te Colostomy Whakawhiti | I tēnei tikanga, ka honoa te wāhanga o runga o te whekau nui (te koroni whakawhiti), e rere ana i roto i te puku, ki te kiri. He maha ngā wā ka mahia tēnei mō te wā poto. Ka mahia tēnei hei whakangā i te wāhanga kua pakaru o te whekau i a ia e ora ana. He paku wai, he ngohengohe hoki te paru e puta mai ana i konei nā te mea ko te haurua noa iho o te whekau kua haere. |
Mā tō tākuta me tō taote pokanga e whakatau ko tēhea momo te mea pai māu.
He aha i hiahiatia ai te colostomy i tētahi?
He maha ngā take e taea ai te mahi i te colostomy. Ko ētahi he rangitahi, ko ētahi he pumau.
Ina hiahiatia he colostomy rangitahi:
- Diverticulitis: He mate, he mumura rānei o te whekau nui.
- IBD (Mate Puku Mumura): Ngā āhuatanga e pā ana ki ngā whekau, pērā i te mate a Crohn.
- Ngā whara ki te whekau: Te pakaru o te whekau nā te aituā.
- Ārai puku: He ārai i te haere o te tūtae i tētahi wāhi o te puku.
- Fistula anal: He ngongo rerekē i waenganui i te nono me te kiri.
- Ētahi pokanga whekau: Whai muri i te tango i tētahi wāhanga o te whekau, hei hoatu i te wā ki te wāhi kia ora ai i mua i te hononga o ngā wāhanga e toe ana.
Ina hiahiatia he colostomy tuturu:
- Te kore e taea te whakahaere i te tūtae e kore e taea te whakaora (Te kore e taea te pupuri i te tūtae).
- Te Matepukupuku Rekereke Matatau.
- Ina tangohia tūturutia te pūkahukahu me te nono mā te pokanga.
Me pēhea te whakarite i mua i te pokanga?
I te mea he pokanga nui tēnei, he iti noa ngā mea me whakarite e koe i mua.
- Te kōrero ki tō tākuta: I mua i tō pokanga, ka kōrero tō tākuta ki a koe mō te tikanga, ōna mōrearea, me te āhua o te huringa o tō oranga i muri i te pokanga. Tērā pea ka kōrero anō rātou mō te whakahaere mamae.
- Ngā Whakamātautau:Ka mahia e rātou ngā mea pēnei i ngā whakamātautau toto me te EKG hei tirotiro mēnā he tika koe mō te pokanga.
- Te whakatau i te wāhi hei whakanoho i tō stoma: Mā te Wound Ostomy Continence Nurse (WOCN) koe e ako ki te whakamahi i tō stoma me tō pēke. Mā rātou anō koe e āwhina ki te whiriwhiri i te wāhi tino pai mō tō stoma, arā, tētahi e kore e whakararuraru i ō kākahu, i ō mahi rānei o ia rā.
- I te rā o te pokanga: Me karo koe i te kai mō ngā hāora e 6 i mua i te pokanga. Me mutu hoki te inu wai, pērā i te wai, mō ngā hāora e 2 i mua i te pokanga. Tērā pea ka tūtohu tō tākuta kia tangohia e koe he rongoā whakareri puku hei āwhina i te horoi i ō whekau.
He aha ngā mea ka tupu i muri i te pokanga? Me ngā raruraru pea
I muri i te pokanga, ka noho koe ki te hōhipera mō te 3 ki te 7 rā. I tēnei wā, ka tīmata mārire koe ki te kai i te kai noa. Mā te hunga nēhi koe e ako ki ngā mea katoa e hiahia ana koe ki te mōhio mō te tiaki i tō stoma me te whakawhiti i tō pēke.
He tikanga haumaru te pokanga colostomy, engari pērā i ngā pokanga katoa, he tūponotanga kei reira.
| Ngā raruraru pea | Whakaahuatanga |
|---|---|
| Te riri o te kiri | Ka whero pea te kiri huri noa i te stoma, ka mamae hoki i te pā atu ki te tūtae. He raruraru noa tēnei. Mā te whakamahi i tētahi putea e tika ana te taunga ka taea te whakatau i tēnei. |
| Te aukati i te puku | Ka uaua pea te haere o te tūtae i te kiko whara e puta mai ana i muri i te pokanga. He maha ngā wā ka taea te rongoā i tēnei mā te rongoā mate pāwera. |
| Ngā huringa o te stoma | Ka taea e te stoma te hoki whakamuri (retract) te puta rānei ki tawhiti rawa atu i te kiri (prolapse). Ka uaua pea te whakauru tika i te putea. |
| Hernia Parastomal | Ka ngoikore ngā uaua huri noa i te stoma, ka pana tetahi wāhanga o te whekau ki roto. He rite tēnei ki tētahi puku e tata ana ki te stoma. |
Āhea te waea atu ki tō tākuta
- Te mate pāwera tonu, te korere rānei.
- Whakapairuaki, ruaki rānei.
- Toto i roto i te tūtae.
- Ngā panonitanga o te tae, te rahi rānei o te stoma.
- He haunga kino e puta mai ana i te stoma, e āraihia ana rānei.
- Te kirika, te mamae nui rānei o te puku.
Mena kei a koe tētahi o ēnei tohu, me waea atu koe ki tō tākuta tonu atu . Mēnā he āhuatanga ohorere, haere ki te Tari Ohorere (ETU) o te hōhipera tata.
Kei te pēhea te oranga me te putea?
Koinei te raruraru nui rawa atu mō te tini o te tangata.
- Te rerekētanga o te haere ki te wharepaku: Whai muri i te pokanga, ka puta mai te tūtae i te stoma. Mena kei a koe tonu te nono, tera pea he iti noa te hūpē i ētahi wā. He mea noa tēnei. Ka puta mai te tūtae hou i te stoma. Ko te mea nui, he rerekē ki te rectum, kāore he uaua o te stoma hei aukati i te tūtae. Nō reira, kāore e taea e koe te whakahaere i te haerenga o te tūtae. Ka puta aunoa.
- Me mau tonu koe i te putea?
He maha ngā tāngata e mau ana i te pēke i ngā wā katoa. He tino angiangi ngā pēke i ēnei rā, kāore e kitea i runga i ngā kākahu. Nō reira, ka taea e koe te mau i tētahi kākahu e hiahia ana koe. Ka taea e ētahi tāngata whai sigmoid colostomy te tohu i te wā e puta ai te puku. Tērā pea ka whakamahia noa e rātou he pēke i aua wā.
- Ka taea te whakakore i te colostomy rangitahi?
Āe. Mena he wā poto noa iho tō colostomy, ka taea e koe te mahi i tētahi atu pokanga hei whakahoki i a ia ki tōna āhua taketake ina pai ake tō hauora. Mā tō tākuta e whakatau āhea tēnei mahi. Tērā pea ka roa ētahi marama, kotahi tau rānei.
Karere Tangohia ki te Kāinga
- He mahi whakaora ora te colostomy, he mahi e tika ana i ētahi wā. Kaua e mataku noa i tēnei.
- I muri i te pokanga, ka kohia ngā tūtae ki roto i tētahi putea e piri ana ki tētahi kōhao (stoma) i hangaia ki te kiri o te puku. Kāore e taea te whakahaere i tēnei.
- He mea tino nui kia noho ma te stoma me te kiri e karapoti ana. Ka hoatu he tohutohu taipitopito ki a koe mō tēnei i te hōhipera.
- Mena he pātai, he āwangawanga rānei āu, kōrerotia mā te mahorahora ki tō tākuta, ki ngā nēhi rānei. Kaua e whakama.
- Ka taea e koe te noho i tētahi oranga noa, kī tonu i te mea he colostomy koe. Ehara i te mea ko koe anake, he tokomaha atu anō kei te noho pēnei.
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