Pomosch patient rehabilitation

We must remember that life with a stoma – is not a disease. But the operated people in the first year after surgery as a young child must learn to live with a stoma, adapt to it. And it’s not just a problem for ostomy care, but also psycho­adaptation logic.

In most cases, patients with a stoma WHO­rotate to a normal life and go to work that was performed prior to surgery. However, to engage in heavy lifting, digging or heavy manual labor is not recommended. If ahis work involves heavy physical LOAD­Kami, it may be necessary to change it.

A person with a stoma can travel with the following items necessary items for the care of one hundred­and my colostomy bags.

With careful planning, training and ReA­bilitatsii people with a stoma can be engaged in de­Lamy that I did before the operation.

The patient is not contraindicated: swimming in the water­emah, exercise – limiting, of course, the load on the abdominal muscles. Colostomy is not an obstacle to the sexual life of the patient, polo­Wai potency when it is not reduced. possible on­Rushen, wearing a purely psychogenic. There are many instances when young patients have a family and children. Man is not dollars­wives “to go into the disease”, avoid everything that makes life a varied and interesting.

Сare of the patient with a gastrostomy

When obstruction of the esophagus associated with not­resectable tumor is superimposed on the stomach fistula, gastrostomy, which is introduced through pipe­ke made patient nutrition. Much less, if you can not supply through the stomach, similar to the fistula-eyunostoma superimposed on the jejunum. In both cases, the hollow body (the­ludok, jejunum), hemmed on the front bryush­hydrochloric wall rubber tube is introduced, so that­It is attached to the anterior abdominal wall suture or adhesive tape strips a length of 15 – 16 cm Tube.­ka introduced near laparotomic wounds sewn up tight.

The patient is administered high calorie easily assimilated food semiliquid consistency. Often­she feeds – 4 – used once a day. after eachFeeding should be carried out in the toilet area of ​​the stoma.

Relatives should participate in the core­straightening of the patient through a gastrostomy, since this process requires a lot of patience and tact in connection

the fact that quite often patients suffer from lack of appetite, aversion to food. should teach­Tyva tastes of the patient, his preference for this or that dish. Throughout the procedure, feed­Nia food should be warm and look APME­titno not to deprive the patient of taste Feeling­Nij. For wet food and saliva secretion of digestive glands excitation patient before­Laga chew food and then depositing­Vat its mouth (spitting) to the funnel, from wheretogether with the liquid mixture is injected through the tube into the stomach food.

For feeding the patient should:

  • prepare: a glass of water, the capacity for pro­myvnyh water glass or plastic crows­Ku, sterile pack of napkins clamp polyethylene­new bag to dump waste fats­fetok, liquid and solid food consistency
  • remove the rubber tube napkin close­and a conductive input terminal, reset a garbage bag;
  • inserted into the end of the rubber tube a glass or plastic funnel;
  • pick up the funnel, slightly bent in a hundred­Ron patient;
  • give the patient a plate of food for chewing;
  • offer the patient shift (spit) chewed food from the mouth into the funnel;
  • pour chewed food warm liquid pi­schevoy mixture;
  • Rinse the funnel and a rubber tube after core­straightening warm tea, rose hips extract (to avoid putrefaction of food residues in the rubber tube);
  • remove the funnel;
  • imposed on the end of the rubber tube is sterile­hydrochloric napkin and pinch clip;
  • fix clamp loop length of bandage, wound up the patient’s neck;
  • give the patient a glass of water and put a number capacity for washing water;
  • help the patient to rinse the mouth of the food;
  • clean washing water tank;
  • give the patient chewing gum (for pre-­warnings related stomatitis formation in the oral cavity).

Note: remove the plastic trash bag. Wash and boil funnel dvuhpro­percentage soda solution for 15 minutes with a mo­ment boiling. Dry the funnel and put on the bedside table, covered with a cloth.

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