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.