I kī atu te tākuta kia whai colostomy koe (Loop Colostomy) ? Kaua e manukanuka, mā tāua e kōrero.

Ina kōrero mai tō tākuta mō te colostomy, tera pea ka nui te wehi me te manukanuka kei a koe. Tērā pea he maha ngā pātai kei roto i tō hinengaro, pērā i te "Me noho tonu ahau me te pēke i roto i tōku puku?", "He pumau tonu tēnei?", "He aha ngā whakaaro o ētahi atu?" He mea noa iho tēnā kare ā-roto. Engari kaua e wehi. I te nuinga o te wā, he mea rangitahi tēnei. He otinga rangitahi noa iho kia ora rā anō tetahi raruraru o tō tinana. I tēnei rā, ka kōrero tātou mō te tikanga o te loop colostomy, te take i mahia ai, me te āhua o tō oranga i muri i tēnā.

He aha te Loop Colostomy?

He whakarāpopototanga noa iho, he pokanga te colostomy e tapahia ai tō koroni, te wāhanga o tō whekau nui e kawe ana i te paru, ā, ka honoa te tihi ki tētahi kōhao hou i roto i te kiri o tō puku. Ka kiia tēnei kōhao he stoma . Engari i te puta atu i roto i te nono pērā i te tikanga, ka kohia te paru ki roto i tētahi putea motuhake e piri ana ki tō puku mā roto i tēnei stoma.

Nā, me titiro tātou ki te tikanga o te "loop colostomy". Koinei te momo colostomy tino noa, ā, he wā poto noa iho . I roto i tēnei tikanga, ka tangohia e te taote pokanga he "loop" (he wāhanga porowhita) o te whekau mai i tētahi kōhao i hangaia i roto i te puku, ka tapahia kia rua, kaua e tapahia katoatia. Mā tēnei ka māmā ake te huri i muri mai. Koia te take e whiriwhiri ai ngā tākuta i tēnei tikanga ina hiahia koe ki te hoatu i tētahi wā ki ō whekau kia ora. Me noho pea koe i tēnei ara mō ētahi wiki, mō ētahi marama, mō ētahi tau rānei. Kei tō āhua te tikanga.

I roto i ēhea āhuatanga e hiahiatia ai tēnei pokanga?

E rua ngā take matua: te huri i te para me te whakaiti i te pēhanga.

1. Te hurihanga o ngā para

Whakaarohia me whakaora tetahi wāhanga o tō whekau i muri i te whara, te mate, te pokanga rānei. Pērā i te wā e mahi ana koe i ngā mahi nui i runga i te rori me te huri i ngā waka ki tētahi atu rori hei whakaiti i te pūngao o ngā waka, kāore mātou e tuku ana i te tūtae kia haere atu i te wāhi e tika ana kia ora ai, engari ka tukuna kia puta mai i roto i te kōhao hou i roto i tō puku. Mā tēnei ka ārai i te tūtae kia kore e uru ki te wāhi whara, e ora ana, e puta ai te mate, ā, ka wātea ai taua wāhi.

2. Te Whakaiti i te Korepa

Whakaarohia he mea ārai, he mea aukati rānei kei roto i tō whekau. Kātahi ka kore e taea e te tūtae te heke ki raro. Mā tēnei pokanga ka hangaia he āputa ki runga i te mea ārai, ā, ka taea te puta mai o te tūtae. I taua wā tonu, ka taea e ngā tākuta te rongoā i te mea ārai. Kia ora taua wāhanga, ka taea te hono anō i te whekau.

Ka mahia tēnei pokanga hei hoatu i te okiokinga me te tiaki e hiahiatia ana e tō puku kia ora ai. He maimoatanga nui tēnei, he whakaora ora hoki.

He aha ngā āhuatanga ka āwhinahia e te Loop Colostomy?

Anei ētahi āhuatanga e hiahiatia ai tēnei pokanga:

• Te diverticulitis
• Te mate puku
• Te mate a Crohn
• Te aukati i te whekau nui
• I muri i te tangohanga wāhanga
• Ngā whara kino, ngā mate pāwera rānei i te pūkahukahu, i te rohe rānei e karapoti ana

He aha te rerekētanga i waenga i te Loop Colostomy me te End Colostomy?

Koinei ngā momo matua e rua o te pokanga colostomy. He mea nui kia mārama koe ki te rerekētanga i waenganui i ngā momo e rua.

He aha ngā mea ka tupu i mua atu, ā, i muri mai i te pokanga?

I mua i te pokanga

I mua i te pokanga, ka whai wāhi koe ki te tūtaki ki te tākuta. I reira, ka tino whakamōhiotia koe mō te pokanga, ōna mōrearea, me ngā huringa āhua noho e hiahiatia ana i muri i te pokanga. Ka tonoa koe kia kaua e kai, e inu rānei mō te 6 hāora i te rā i mua i te pokanga. Tērā pea ka hoatu he enema, he rongoā rānei ki a koe hei horoi i ō whekau. Kia tae koe ki te hōhipera, ka tukuna koe ki raro i te rongoā whakamoe, ā, ka tīmata te pokanga.

I te wā o te pokanga

I runga i tō āhua, ka taea te mahi i tēnei pokanga mā te laparoscopy (mā roto i ngā tapahi iti me te kāmera) me te mahi tuwhera rānei. He māmā ake te pokanga laparoscopy māu, ā, ka taea e ia te āwhina i a koe kia tere ake te ora. Ka tangohia e te taote pokanga te koropiko o te puku, ka hangaia he stoma, ka tāpirihia ki te kiri ka tuitui.

I muri i te pokanga

Me noho koe ki te hōhipera mō ētahi rā i muri i te pokanga.

• Kai: Tuatahi, hoatu he kai wai, kātahi ka tāpirihia mārire te kai noa.
• Te tiaki i tō stoma: Koinei te wāhanga tino nui. Mā te nēhi kua whakangungua motuhake ki te tiaki i tō stoma (Wound Ostomy Continence Nurse - WOCN) koe e ako i ngā mea katoa mai i te horoi i tō stoma ki te whakawhiti i tō pēke.
• Mamae: Ka hoatu ngā rongoā mamae.
• Tūtae: Tērā pea ka roa pea ētahi rā ka puta mai te tūtae i te stoma. Kaua e manukanuka.

He aha ngā mōrearea me ngā raruraru o tēnei pokanga?

Pērā i ngā mahi pokanga katoa, he maha ngā tūponotanga kei reira, engari ka whakapau kaha ngā tākuta ki te whakahaere i aua tūponotanga.

Āhea ka taea e au te whakakore i taku colostomy?

Koinei te tumanako nui rawa atu mō te tini o te tangata. Ko te whakautu ki tēnei kei tō hauora. Me tino ora koe i te pokanga me te mate taketake i arahi ai ki te pokanga. Ka taea e ētahi tāngata te mahi i tēnei pokanga whakahuri i roto i ētahi wiki, i ētahi marama rānei. Mō ētahi atu, ka roa pea ētahi tau. Ka tirohia koe e tō tākuta i ia wā, ā, ka whakaritea te pokanga ina kite rātou kua rite koe.

Āhea ahau me kōrero ki te tākuta mō taku colostomy?

Mena kei a koe tētahi o ngā tohu e whai ake nei, me whakamōhio tonu atu ki tō tākuta, ki tō nēhi stoma rānei.

• Te mate pāwera tonu, te korere rānei .
• Whakapairuaki, ruaki rānei e mau tonu ana.
• Toto i roto i te tūtae.
• Mena ka kite koe i tētahi panonitanga o te rahi noa, o te tae rānei o te stoma.
• Mena he haunga kino, rerekē e puta mai ana i te stoma.
• Mena kei te ahua kua purua te stoma.