Ileostomy - tu koj lub plab

Koj tau raug mob lossis kab mob hauv koj lub plab thiab xav tau kev ua haujlwm hu ua ileostomy. Txoj kev ua haujlwm hloov txoj kev uas koj lub cev tau txais cov khib nyiab (quav, quav, lossis quav).

Tam sim no koj muaj qhov qhib hu ua stoma hauv koj lub plab. Cov khib nyiab yuav hla ntawm lub stoma mus rau hauv ib lub hnab uas sau nws. Koj yuav tsum tau saib xyuas koj lub stoma thiab khoob lub hnab nyiaj ntau zaug hauv ib hnub.

Yam kom paub txog koj qhov stoma muaj xws li:

• Koj qhov stoma yog ib sab hauv txoj hnyuv.
• Nws yuav paj yeeb lossis xim liab, noo noo, thiab me ntsis ci.
• Lub plab yog feem ntau puag ncig lossis oval.
• Lub stoma yog qhov muag heev.
• Feem ntau stomas tawm me ntsis dhau ntawm daim tawv nqaij, tab sis qee qhov tiaj tus.
• Koj tuaj yeem pom qee qhov hnoos qeev. Koj qhov stoma yuav los ntshav me ntsis thaum koj tu nws.
• Daim tawv nqaij ncig koj lub cev yuav tsum qhuav.

Cov quav uas tawm ntawm cov stoma tuaj yeem ua zawv heev rau cov tawv nqaij. Yog li nws yog ib qho tseem ceeb uas yuav tsum tau saib xyuas tshwj xeeb ntawm stoma kom tsis txhob muaj kev puas tsuaj rau daim tawv nqaij.

Tom qab phais, lub stoma yuav o tuaj. Nws yuav ploj zuj zus mus ntau lub lis piam tom ntej.

Cov tawv nqaij ncig koj lub cev yuav tsum zoo li nws tau ua ua ntej kev phais mob. Txoj kev zoo tshaj plaws los tiv thaiv koj cov tawv nqaij yog los ntawm:

• Siv lub hnab lossis hnab nrog qhov tsim nyog qhib me me, yog li pov tseg tsis xau
• Kev saib xyuas kom zoo rau daim tawv nqaij ncig koj lub stoma

Cov khoom siv khov kho yog ob qho los yog 1-thooj teeb. 2-daim txheej muaj ib lub hauv paus (lossis wafer) thiab lub hnab. Lub hauv paus txheej txheem yog feem uas lo rau daim tawv nqaij thiab tiv thaiv nws kom tsis txhob ua pa los ntawm quav. Qhov thib ob daim ntawv yog lub hnab uas feces khoob rau hauv. Lub hnab ntim rau hauv paus ntawv, zoo ib yam li Tupperware npog. Hauv 1-thooj txheej, qhov luj taws thiab cov cuab yeej siv yog txhua thooj. Lub hauv paus ntawv feem ntau yuav tsum tau hloov pauv ib zaug lossis ob zaug hauv ib lub lim tiam.

Txhawm rau tu koj cov tawv nqaij:

• Ntxuav koj cov tawv nqaij nrog dej sov thiab ua kom qhuav nws zoo ua ntej koj txuas lub hnab.
• Zam cov khoom lag luam tu tawv nqaij uas muaj cawv. Cov no tuaj yeem ua rau koj cov tawv nqaij qhuav dhau.
• Tsis txhob siv cov khoom uas muaj roj ntawm daim tawv nqaij ncig koj lub cev stoma. Ua li ntawd tuaj yeem ua nws nyuaj rau xa lub hnab rau koj cov tawv nqaij.
• Siv tsawg dua, tshwj xeeb saib xyuas cov tawv nqaij ua kom cov teeb meem tawv nqaij tsawg dua.

Yog tias koj muaj plaub hau ntawm daim tawv nqaij ncig koj lub cev stoma, koj lub hnab yuav tsis lo. Tshem tawm cov plaub hau yuav pab tau.

• Nug koj tus kws kho mob ostomy txog txoj kev zoo tshaj plaws rau chais ib thaj chaw.
• Yog tias koj siv lub chais plaub ntug muaj kev nyab xeeb thiab xab npum lossis tshuaj ntxuav tes, nco ntsoov yaug koj cov tawv nqaij kom zoo tom qab koj chais thaj chaw.
• Koj tseem tuaj yeem siv cuab kev txiav txiab, txiav plaub hau hluav taws xob, lossis kho laser kom tshem tawm cov plaub hau.
• Tsis txhob siv ntug ncaj.
• Ua tib zoo tiv thaiv koj lub stoma yog tias koj tshem tawm cov plaub hau puag ncig nws.

Ua tib zoo saib koj lub stoma thiab tawv nqaij puag ncig nws txhua zaus koj hloov pauv koj lub hnab lossis teeb meem. Yog tias daim tawv nqaij nyob ib puag ncig koj stoma yog xim liab lossis ntub, koj lub hnab yuav tsis ntim zoo rau ntawm koj qhov stoma.

Qee zaum cov nplaum, tawv nqaij tawv, ntxig, kab xev lossis hnab tawv nqaij tuaj yeem ua kev puas tsuaj ntawm daim tawv nqaij. Qhov no tuaj yeem tshwm sim thaum koj pib siv stoma, lossis nws yuav tshwm sim tom qab koj tau siv nws rau lub hlis, lossis txawm xyoo.

Yog tias qhov no tshwm sim:

• Nug koj tus kws kho mob txog tshuaj kho koj cov tawv nqaij.
• Hu rau koj tus kws kho mob yog tias nws tseem tsis tau zoo thaum koj kho nws.

Yog tias koj qhov ncauj ua ntxais los, koj cov tawv nqaij yuav mob.

Nco ntsoov kho txhua yam tawv nqaij liab lossis daim tawv hloov tam sim ntawd, thaum qhov teeb meem tseem me. Tsis txhob cia thaj tsam mob loj dua lossis ntau dua kev npau taws ua ntej nug koj tus kws kho mob.

Yog tias koj qhov ncauj ua ntev ntev dua li ib txwm (txiav tawm ntawm daim tawv nqaij ntau dua), sim ua kom txias, xws li dej khov rau hauv phuam, kom nws nkag mus.

Koj yuav tsum tsis txhob lo ib yam dab tsi rau hauv koj qhov stoma, tshwj tsis yog koj tus kws kho mob hais kom.

Hu rau koj tus kws khomob yog:

• Koj qhov stoma tseem o thiab yog ntau tshaj li 1/2 nti (1 cm) loj dua li ib txwm.
• Koj qhov stoma yog rub hauv, qis dua qib tawv.
• Koj stoma tau los ntshav ntau dua li ib txwm.
• Koj qhov stoma tau hloov xim liab, xim dub, lossis dawb.
• Koj qhov stoma tau khiav tawm ntau zaus los yog kua dej.
• Koj qhov stoma tsis zoo li phim li nws tau ua dhau los.
• Koj yuav tsum tau hloov lub tshuab siv ib zaug txhua hnub lossis ob zaug.
• Koj muaj paug tawm ntawm qhov stoma uas tsw phem.
• Koj muaj cov cim ntawm lub cev qhuav dej (tsis muaj dej txaus hauv koj lub cev). Qee cov tsos mob yog lub qhov ncauj qhuav, tso zis tsawg dua, thiab mloog zoo li lub teeb lossis tsis muaj zog.
• Koj mob plab zom mov uas tsis ploj mus.

Hu rau koj tus kws kho mob yog daim tawv ncig koj lub plab:

• Rub rov qab
• Puas yog xim liab lossis nyoos
• Muaj pob
• Yog qhuav
• Mob lossis kub nyhiab
• O o los yog thawb tawm
• Ntsig
• Itches
• Muaj cov pob dawb, grey, xim av, lossis tsaus liab nyob rau nws
• Muaj cov pob nyob ib ncig ntawm cov plaub hau plaub hau uas muaj kua paug
• Muaj qhov ncauj tawm nrog lub npoo tsis ncaj

Hu rau yog tias koj:

• Muaj cov khib nyiab tsawg dua li ib txwm nyob hauv koj lub hnab
• Ua npaws
• Muaj kev mob
• Muaj lus nug lossis kev txhawj xeeb txog koj qhov quav lossis tawv nqaij

Txheem ileostomy - kev saib xyuas stoma; Brooke ileostomy - kev saib xyuas stoma; Continent ileostomy - kev saib xyuas stoma; Lub hnab hauv plab - kev saib xyuas stoma; Xaus ileostomy - kev saib xyuas stoma; Ostomy - kev saib xyuas stoma; Tus kab mob Crohn - kev saib xyuas stoma; Kev mob ntawm txoj hnyuv - kev saib xyuas stoma; Cov kab mob hauv cheeb tsam - kev saib xyuas stoma; IBD - kev saib xyuas stoma

Beck DE. Kev tsim kho Ostomy thiab kev tswj hwm: kev ua kom tus kheej stoma rau tus neeg mob. Hauv: Yeo CJ, ed.Shackelford's Kev Phais Ncig Ntawm Lub Ciam AlimentaryCov. 8 tus ed. Philadelphia, PA: Elsevier; 2019: chap 178.

Lyon CC. Rab zov. Hauv: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson Kuv, eds. Kev Kho Mob Ntawm Cov tawv nqaij: Cov Tshuaj Txhuam Kho Kom ZooCov. Thib 5 ed. Philadelphia, PA: Elsevier; 2018: tshooj 233.

Raza A, Araghizadeh F. Ileostomy, colostomy, hnab, thiab anastomoses. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob SiabCov. 11th ed. Philadelphia, PA: Elsevier; 2021: chap 117.

Tam KW, Lai JH, Chen HC, li al. Kev rov tshuaj xyuas thiab meta-kev tsom xam ntawm cov kev sim kho sib piv rau cov kev sib piv rau cov kev tiv thaiv cov tawv nqaij ua paug. Ostomy Qhov Hlwv TswjCov. Xyoo 2014; 60 (10): 26-33. PMID: 25299815 pubmed.ncbi.nlm.nih.gov/25299815/.

• Mob hnyuv plab
• Crohn kab mob
• Ileostomy
• Kho lub plab hnyuv
• Loj lub plab hnyuv
• Me quav
• Tag nrho cov mob plab hauv plab
• Tag nrho cov hnab looj proctocolectomy thiab lub hnab ileal-anal
• Tag nrho cov proctocolectomy nrog ileostomy
• Kev mob caj dab

• Bland kev noj haus
• Crohn kab mob - kev tso tawm
• Ileostomy thiab koj tus menyuam
• Ileostomy thiab koj li kev noj haus
• Ileostomy - hloov koj lub hnab
• Ileostomy - tawm mus
• Ileostomy - dab tsi yuav nug koj tus kws kho mob
• Loj lub plab hnyuv rov qab - tso tawm
• Nyob nrog koj ileostomy
• Kev tso quav me me - tawm
• Tag nrho colectomy lossis proctocolectomy - tshem tawm
• Hom ntawm ileostomy
• Ulcerative mob plab - paug

• Ostomy