Ostomy cov neeg mob: yog dab tsi? Nta tu ntawm ostomy cov neeg mob. Yuav ua li cas yog ib qho ostomy cov neeg mob?

Raws li kev kho mob statistics, ntau tshaj ib tug teb ntawm txhiab tus neeg nyob rau hauv Russia, uas yog "ostomy cov neeg mob 'qeb. Leej twg yog nws? Cov no yog cov neeg mob uas, tom qab kev phais nyob rau sab xub ntiag phab ntsa ntawm lub plab mog rau hauv lub ureter los yog plob tsis so tswj raug tshem tawm. Tsim raws li ib tug tshwm sim ntawm kev ua hauj lwm zoo li qhib thiab yog hu ua "stoma". Lo lus no muaj Greek cov hauv paus hniav. Nws txhais lus suab zoo li "lub qhov ncauj" los yog "qhov."

Qhov yuav tsum tau rau kev phais

Purpose stoma uas xa tuaj nrog nyob rau hauv cov hlau lead zis los yog quav. Qhov yuav tsum tau rau qhov no qhib tshwm sim thaum lub zais zis los yog hnyuv yog tsis muaj peev xwm los ua hauj lwm ntawm nws tus kheej. Coj mus rau ib tug lub xeev txawv yog vim li cas. Qhov no yuav ua tau ib tug me nyuam yug raws los yog raug mob, los yog hloov khoom nruab nrog tus kab mob.

Ntawm cov hoob kawm, tej yam teeb meem ntawm lub neej kev ostomy cov neeg mob. Yuav ua li cas yog nws - lub hav zoov nyob rau hauv lub qhaj ntawv ntawm reflex-system, uas tau raug cai nyob rau hauv cov neeg mob no? Nws yog lub cev tsis los tswj cov txheej txheem ntawm muab nchuav lub zais zis los yog plob tsis so tswj. Qhov no qhov teeb meem no yuav ua rau nws nyuaj heev rau kev sib txuas lus nrog cov neeg thiab kom muaj ib tug active txoj kev ua neej.

hom ostomy

Qhov tso tawm nyob rau hauv pem hauv ntej phab ntsa los ntawm lub plab mog, tej zaum yuav yog mus li lawm los yog ib ntus. Nyob rau hauv rooj plaub thawj ostomy cov neeg mob nws yog tsis yooj yim sua mus nqa tawm lub lag luam nyob rau hauv lub neej yav tom ntej, uas yuav tshem tawm lawv tus mob. Lub obturator apparatus zais zis los sis txoj hnyuv xws cov neeg mob muaj irreversible kev puas tsuaj. Muaj kuj yog tsis muaj tau ntawm thaum ntxov rov qab thiab plab hnyuv permeability.

Stoma kom tshem tawm cov quav yog feem ntau hu ua preternatural qhov quav. Nyob rau hauv cov ntaub ntawv no, muaj cov nram qab no kev faib ntawm cov qhov:
- colostomy (thaum tso zis nyuv);
- ileostomy (tshem tawm ntawm lub me me hnyuv);
- ib-barreled (lub derivation ntawm qia hnyuv);
- dvuhstvolny (thaum lub plab phab ntsa muaj ob qhov muab tau los yeej hnyuv).

Txhais tau hais tias kev kho mob stoma

Feem ntawm plob tsis so tswj los yog ureter mus rau lub plab cheeb tsam tej yam ntawm tus neeg mob lub neej. Yog hais tias tus kws kho mob txiav txim siab mus nrog cov lag luam, cov kev xaiv ntawm tus neeg mob yog tsis muaj. Laus mob rau ostomy cov neeg mob yuav tsum tau tsis nyuab, tab sis heev demanding ua hauj lwm. Ua ntej ntawm tag nrho cov, lawv txhawj txog cov kev kho mob ntawm lub artificially tsim qhib. Thiab qhov no muaj yog tshwj xeeb cov nyiaj, cov kev xaiv uas yuav nyob ntawm seb qhov chaw nyob thiab hom ostomy. Account yuav tsum tau coj kom loj hlob ntawm cov quav thiab tus neeg mob kev xav.
Rau hnub tim, lub chaw tsim tshuaj paus muaj ob hom ntawm txhais tau tias los ntawm uas zoo mob rau ostomy cov neeg mob yuav nqa tawm. Nws yuav ua rau cov nplaum-raws li ib thiab ob-tivthaiv colostomy hnab thiab uropriemniki.

Yuav ua li cas yog cov cuab yeej? Ib-tivthaiv uro thiab colostomy hnab - nws yog hnab yas nrog nplaum puag. Lawv yuav raug kaw (tsis drained) thiab qhib (drained). Qhov thib ob hom yog tsiag ntawv los ntawm xub ntiag ntawm txhais tau tias kev sib txuas lus nrog rau cov ib puag ncig.

Raws li rau lub ob-tivthaiv receivers, lawv muaj ob qhov chaw. Ib tug ntawm lawv yog ib tug nplaum phaj, thiab lub thib ob - lub hnab.

Muaj ntau yam nta ntawm kev saib xyuas rau ostomy cov neeg mob nyob rau hauv cov ntaub ntawv ntawm kos zoo li tus paug qhov. Cov neeg mob yuav tsum tau ib tug tshwj xeeb nplaum phaj Convex hom. Lawv peculiarity muaj nyob rau hauv equipping cov txhav flange. Tseem muaj tshwj xeeb "pob ntseg". Xws li yog siv rau cov fastening txoj siv tawv, uas yuav tsum tau hnav rau check fixation phaj.
Ostomy colostomy neeg mob yuav siv tau ob qho tib si ib thiab ob-tivthaiv receivers. Txawm li cas los, nws yuav tsum tau borne nyob rau hauv lub siab hais tias qhov no yog tsuas tau thaum lub rooj zaum yog tag nrho txhais, thiab plob tsis so tswj zog tshwm sim 2-3 lub sij hawm thaum lub sij hawm ib hnub.

Yog hais tias koj siv gated Colostomy hnab, lub hnab lawv yuav tsum tau hloov mus rau peb lub sij hawm ib hnub twg, thiab phaj - ib zaug los yog ob zaug ib lub lim tiam.

Nyob rau hauv cov kev tshwm sim hais tias tus neeg mob muaj ib tug ib txwm mus raws plab, nws yog tsim nyog mus kis tau cov txhais tau tias mus qhib nws. Cov tib receivers yuav tsum tau rau cov neeg cov neeg mob uas muab tau los ileostomy. Cov nyiaj no yuav hloov tsawg zaus dua kaw, tsis muaj ntau tshaj li ib zaug thaum lub sij hawm ib hnub. Yog hais tias lub hnab yog tsis to qhov twg, ces drained receivers yuav nyob twj ywm rau ntawm daim tawv nqaij mus rau peb hnub yog tias lawv tas mus li khiav tawm.

Npaj rau kev kho mob

Rehabilitation ntawm ostomy cov neeg mob yuav tsum tau muab qhov chaw nyob rau hauv thaum uas tig mus nrog lawv txoj kev kawm. Thaum lub sij hawm lub sij hawm no, cov neeg mob tau raug qhia cov kev cai ntawm kev kho mob rau lub stoma. Nyob rau hauv lub neej yav tom ntej, nws yuav cia ib tug neeg tsis muaj kev nyob rau hauv lub qhov teeb meem ntawm tus kheej kev tu cev artificially tsim keeb.

Tus uas saib xyuas qhov kev kho mob ntawm xws li ib tug neeg mob yuav tsum tau ua ib tug me me hnav khaub ncaws rooj. Qhov no yog ib qho tseem ceeb pob, uas yog siv los ntawm tag nrho cov ostomy cov neeg mob. Yuav ua li cas yog nws? Qhov no xws li:
- txiab (dua li nkhaus nrog blunt xaus);
- daim iav;
- tes xab npum;
- ib lub hnab yas rau pov tseg ntawm receivers;
- gauze, ntaub nplaum, cov mos mos daim ntaub;
- uro thiab colostomy hnab;
- ib tug mos mos phuam.

Yog hais tias thaum lub sij hawm ntawm txoj kev tus neeg mob yog dag, nws yog tsim nyog hauv qab nws waterproof ntaub. Self receiver yog hloov nyob rau hauv lub ntsug txoj hauj lwm. Rau qhov yooj yim ntawm cov txheej txheem nyob rau hauv cov ntaub ntawv no yuav tsum tau ib daim iav.

Hloov uro thiab ileostomy yuav tsum tau nqa tawm ua ntej noj tshais los yog thaum hmo ntuj ua ntej yuav mus pw. Tom qab cov pluas noj yog tsis pom zoo rau txoj kev ua no.

Ostomy Care

Cia li zoo li lwm yam, qhov no tu txoj kev yuav tsum tau ua ntej ntxuav tes. Qhov no yog yuav tsum tau rau kev siv ntawm xab npum. Stoma raws li tsim nyog pre-ntxuav. Txawm li cas los, nws tsis yog tsim nyog los siv tshuaj ntxuav tes rau lub hom phiaj no. Ib tug tib dej sov. Cov tawv nqaij nyob ib ncig ntawm lub qhov yuav tsuas kho nrog ib tug tshwj xeeb tsev ntxhua khaub ncaws. Txawm li cas los, nws yog tsim nyog nco ntsoov tias txwv kua tu stoma, raws li ib feem ntawm cov uas muaj haus dej haus cawv, antiseptic kev daws teeb meem, raws li zoo raws li lub ether. Tag nrho cov cuab yeej, raws li zoo raws li cov tshuaj ntxuav tes yuav qhuav ntawm daim tawv nqaij thiab tshem tawm cov nws los ntawm lub ntuj kev tiv thaiv teeb meem. Qhov no yuav tsub kev pheej hmoo ntawm cov neeg kho tshuab kev puas tsuaj ntawm cov kho thaj chaw, raws li zoo raws li qhov tshwm sim ntawm allergic rau hauv lub cev ntawm pathogenic cov kab mob.

Tom qab qhov kawg ntawm ntxuav ntawm daim tawv nqaij yuav tsum qhuav. Rau lub hom phiaj no yog ib tug gauze daim ntaub los yog muag phuam. Nyob rau hauv lub qhaj ntawv ntawm qhov kev tso tawm ntawm quav, daim tawv nqaij, nws yog ntshaw kom qhuav lawm nyob rau hauv cov huab cua.
Nyob rau lub plab saum tawv taub hau yuav tsum tam sim no ib ncig ntawm lub stoma. Nws yuav tsum tau muab tshem tawm nrog txiab. Siv ib rab chais los yog depilatory cream yog txwv tsis pub. Cov nyiaj no yuav ua rau voos ntawm cov tawv nqaij.

Txhim kho caloric thiab urinals

Thaum siv ib tug-tivthaiv hnab yuav tsum tam sim ntawd muab lub nplaum phaj. Nws yog preheated nyob rau hauv lub ob txhais tes, thiab tshem tawm cov kev tiv thaiv txheej yog glued rau nrhiav ntawm lub stoma chaw ntawm lub hauv qab upwards.
Ob peb sib txawv ob-tivthaiv receivers yog txuas. Nyob rau colostomy Document phaj, thiab ces nws yuav muab tso rau hauv lub hnab flange. Nws yog fixation qhia ib tug nias. Ntxiv mus, lub hnab yog rotated ntawm ib tug yooj yim txoj hauj lwm rau tus neeg mob, thiab nws muab kaw qhov fastening lub nplhaib. Tom qab clamping latch ntiv tes yuav tsum muaj lwm me ntsis nias.

Tshem caloric thiab urinals

Nyob rau hauv cov ntaub ntawv ntawm ob-feem nyiaj yuav tsum tau tshem tawm cov lub hnab, nyob rau lub phaj. Rau qhov no, tom qab lub latch ntiv tes siab qhib thiab lub fastening nplhaib rub tab receiver thiab me ntsis. Phaj nrog qhov yuav tsum tau ua raws li nyob rau hauv kom tsis txhob tau nws los ntawm nti.

Ib-tivthaiv receivers raug muab tshem tawm ua ke nrog lub phaj. Ua li no, siv sij hawm lub hnab nrog ib tug txhais tes, thiab lwm yam yuav tuav ntawm daim tawv nqaij. Unstick xws li ib tug receiver yuav tsum ceev faj thiab tsis txhob jerks.

Kev tu tawv nqaij ib ncig ntawm lub stoma

Uas cheeb tsam, uas puag ncig lub qhib kom tshem tawm cov zis los yog quav, hu rau ib tug tshwm sai sai. Saib xyuas nws tus mob yuav tsum tus neeg mob thiab tus kws khomob tshwjxeeb.

Cov tawv nqaij nyob rau hauv lub cheeb tsam ntawm cov lus qhib yuav tsum huv si, qhuav thiab lawm. Nyob rau hauv thiaj li yuav khaws cia nws noj qab haus huv, tej yam kev cai yuav tsum ua raws ostomy cov neeg mob. Yuav ua li cas yog nws rau lub tswv yim pom zoo? Nyob rau hauv lawv daim ntawv teev:
- Xaiv cov qhov tseeb hom caloric los yog urinal;
- cov kev muab nchuav thiab hloov lub hnab;
- xa tau ntawm kev sib cuag nrog cov zis los yog quav nyob rau hauv lub phaj;
- tam sim ntawd kev sib tham nrog ib tug kws nyob rau hauv cov ntaub ntawv ntawm reddening ntawm daim tawv nqaij los yog qhov tshwm sim ntawm bubbles rau lawv, thiab ulcers;
- siv tshwj xeeb cov gels thiab cream rau qhov kev kho mob ntawm lub cheeb tsam ib ncig ntawm lub stoma;
- mas noj mov thiab kua;
- qhov xyuas ceev ceev abutment phaj.

Troubleshooting teeb meem nrog cov hnyuv

Nyob rau tsis kho gassing nyob rau hauv ostomy cov neeg mob raws li xav tau. Flatulence ua zog intra-plab siab yog muab tshem tawm tom qab thov enzymatic cov tshuaj xws li "Festal", "Panzinorm" thiab al. Cov kev kho mob ua rau yus normalization ntawm plab hnyuv microflora.

Yog hais tias koj muaj kev cem quav yuav tsum tau sound lub tswb ostomy cov neeg mob. Yuav ua li cas yog nws lub npe hu rau sawv daws. Txawm li cas los, cov neeg mob nrog ib tug stoma tshwj xeeb tshaj yog nyob rau hauv yuav tsum tau ntawm tshem tawm ntawm no phenomenon, uas provokes, cov lwm yam, thiab tsis tau ntawm me me quav feem. Nws yog pom zoo kom ua rau kom dej kom tsawg rau ob litres ib hnub twg. Kev hloov yog tsim nyog thiab khoom noj khoom haus ostomy cov neeg mob. Cov ntawv qhia zaub mov yuav tsum tau kom muaj xws li cov nyiaj pab ntau tshaj xov tooj ntawm cov khoom noj nplua nuj nyob rau hauv fiber. Nyob rau hauv no tseem ceeb thiab high lub cev ua si ntawm tus neeg mob. Curing yuav cem quav thiab ntawm enemas nyob rau hauv lub cheeb tsam ntawm lub stoma, raws li zoo raws li qhov ncauj cov tshuaj ntaus cev.

Puas siab puas ntsws kev pab txhawb nqa

Ib txhia neeg muaj ib tug zoo aversion rau nws stoma. Lawv yog tog twg los demonstrably tsis them sai sai rau nws, los yog coj aggressively nyob rau mention ntawm uas twb muaj lawm teeb meem. Tej cov neeg, nws yog ntshaw kom nrhiav kev pab los ntawm ib tug psychologist los yog psychotherapist. Nws tseem ceeb heev los mus piav qhia rau tus neeg mob txog lub tseem ceeb heev uas yuav tsum muaj imposing nws stoma thiab undesirability squeamish cwj pwm mus rau nws.

Qhov teeb meem rau cov poj niam

Ostomy cov neeg mob feem ntau hais txog kev tau txais cov cev xeeb tub thiab muaj ib tug me nyuam. Obstacles tsis muaj nyob. Qhov loj tshaj plaws yog tias thaum lub sij hawm lub lag luam twb tsis cuam tshuam los ntawm lub zes qe menyuam thiab lub tsev menyuam.

tseem ceeb

Thaum txiav txim siab los muaj ib tug me nyuam, ostomy cov neeg mob yuav tsum sab laj nrog koj tus kws phais neeg nws. Qhov no tseem ceeb kauj ruam nyob rau hauv lub neej muaj peev xwm tsuas yog ua tom qab kev pom zoo los ntawm ib tug tshwj xeeb. Cov tag nrho lub sij hawm uas cev xeeb tub nyob rau hauv cov neeg mob no yuav siv sij hawm qhov chaw tsis muaj teeb meem. Yam xyuam xim thiab nyob rau hauv vim lub sij hawm dhau thiab tau me nyuam. Tsuas yog lawv, raws li ib tug txoj cai, nqa tawm los ntawm Caesarean seem.

Yuav tshwj xeeb ris tsho hauv qab

Ntawm cov hoob kawm, ostomy neeg mob muaj lawv tus kheej peculiarities. Nyob rau hauv no kev twb kev txuas nws yog tsim nyog los hnav ris tsho sab hauv. Nws yog sewn nrog ib tug nrog lub hnab tshos mus rau hauv uas lub caloric los yog urinal. Qhov no yuav qhia ntxiv cog qoob loo rau tus neeg mob. Phaj rau nws daim tawv nqaij yuav nyob twj ywm kaw thiab yuav tsis thim rov qab nyob rau hauv lub ceeb thawj ntawm lub sau hnab.

Lingerie rau ostomy cov neeg mob yuav pab tau koj txuag noj qab haus huv, nyob ib ncig ntawm cov lus qhib nyob rau hauv lub plab mog. Qhov tseeb yog tias lub hnab, muab tso rau hauv ib lub hnab tshos, yuav tsis tshiav ntawm daim tawv nqaij, vim nws twb mus yuav tsis tuaj kiag li los ntawm cov kev sib cuag. Tus Neeg hnav xws khaub ncaws, ntsiag to, tsis muaj tej yam tsis xis yuav tau mus hloov khaub ncaws nyob rau hauv lub locker chav tsev thiab nyob rau hauv lub hnav khaub ncaws chav tsev. Lub xub ntiag ntawm lub hnab yuav tsis paub tias tsis muaj ib tug, vim tus luj ntawm lub receiver yuav tau siab faib raws tag nrho lub plab. Raws li rau outerwear, rau cov kev txwv ntawm ostomy cov neeg mob nyob rau hauv nws tsis muaj kev xaiv. Lawv yuav hnav tib yam uas lawv tau muaj ua ntej lub lag luam. Qhov loj tshaj plaws uas wardrobe khoom tsis heev ceev-haum.