Enterostomy solves the patient's pain, but it also causes annoyance and pain to the patient due to many complications and care issues. Ostomy care is a work that involves both technology and skills, and only by mastering stoma care skills can you adapt to the life of enterostomy faster. Therefore, the following questions must be known to our new ostomy friends!
No, lukewarm water is fine!Warm water is easy to access and easy to use, making it more suitable for home care.
The cutting of the pouch chassis is the first step of stoma care, and many stoma friends mistakenly think that the opening of the stoma chassis is rather large than small, and often cut the stoma of the chassis much larger than the stoma in order to save trouble, which will easily lead to leakage, and the exposed ** will continue to be irritated and impregnated by feces, and finally redness, damage and even ulcers.
Before cutting, we measure the size of the root of the stoma, and the incision of the pouch undercarriage is recommended to be about 1 2mm larger than the measured stoma. If the operation is not skillful, resulting in a slightly larger chassis, then we can reduce the occurrence of leakage to a certain extent by wearing the leak-proof ring of Simeen and tightly fitting around the stoma to fill the gap between the stoma** and the chassis. If the stoma skin barrier is cut incorrectly and cannot be remedied, it is recommended to re-cut the pouch with a new one.
In the early postoperative period, special attention should be paid to the observation of the enterostomy and the nature and color of the excretion, and a transparent ostomy bag should be used to facilitate direct observation of the ileostomy through the pouch**The choice of posterior ostomy pouch can be made according to the patient's preference.
The opening of the pouch is used to drain stool, and it needs to be closed after each discharge to avoid leakage of feces and odors in the pouch. There are many ways to seal it, such as using poop bag clips, poop bag sealing stickers, rubber bands, etc. The most commonly used is the poop bag clip, which is easy to operate and can be cleaned repeatedly before use, and can still be used even if the poop bag clip is disconnected.
If you wear a one-piece closed bag, you may need to replace multiple ostomy bags within 1 day, which will increase the patient's economic cost and easily damage the ** around the ileostomy. Therefore, ileostomy patients should not wear one-piece or two-piece closed bags.
Discharge from the hospital is not the same as complete **, and re-examination is required after ileostomy. The time of follow-up varies from person to person, generally starting 1 month after surgery, and returning to the hospital every 1 month for 3 consecutive months in the first yearFollow-up examinations are repeated every 3 monthsRepeat every 3-6 months for 2-3 yearsFollow-up visits every 6 months to 1 year;Don't hesitate to see a doctor if you have any problems or new symptoms. A set of ostomy bags should be brought with you at the follow-up appointment, so that the doctor or ostomy doctor can use it after examination.