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 Wysłany: Śro 15:18, 09 Mar 2011 Temat postu: asics tiger shoes Emphasis on rehabilitation treat |
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Emphasis on rehabilitation treatment of colostomy
On colostomy rehabilitation should pay attention to several questions: 1 Preoperative education is a colostomy, although life-saving measures, but on both a physical and mental trauma, and more difficult to accept the patient before surgery, which requires health care who repeated and meticulous ideological education. China now has full-time stoma therapist (enterostomaltherapist, ET), and stoma nurses to do more work,[link widoczny dla zalogowanych], so that patients recognize that stoma surgery is at the exit of feces from the anus to move the abdomen, on the digestive function was not significant impact, as long as the Society of stoma care,[link widoczny dla zalogowanych], stoma proper use of equipment, remain optimistic that there will be inconvenience to reduce to the minimum. 2 preoperative localization of intestinal stoma is to facilitate the positioning of the self-care, ostomy supplies easy to use, easy to live a normal life and prevent complications. Some clinical medical staff pay little attention to preoperative localization, but surgery to remove a colon or ileal loop, in the abdominal wall as a stoma, as far from the rectus abdominis at the stoma, stoma lack of rectus abdominis protection, intraoperative next after hernia complicated by colostomy, the stoma clinic saw more than a colostomy hernia next position is too high, too low or too foreign. Optimal stoma location: stoma in the rectus abdominis (Fig. 1), where a flat abdomen around the stoma, skin health, no creases,[link widoczny dla zalogowanych], no skin scar, no depression, no bony protrusions, ostomy supplies for no leakage. Ileostomy 5 4 Figure l colostomy stoma position is expected to show Figure 1. Umbilical 2. Connection in the l / 3 Department 3. Connect the lower 2 / a at 4. Anterior superior iliac spine 5. 3 Move the colostomy stoma care and the choice of methods currently used treatment methods colostomy There are two kinds: (1) natural defecation law: its advantages: The simple, those who adapt to various types of stoma, without too much diet , the drawback: the uncontrolled manure need colostomy bags, heavy odor, skin lesions and large. (2) stoma lavage: the advantage of regular bowel movements, skin lesions light, smell less, and sometimes do not make pockets,[link widoczny dla zalogowanych], more economical. Disadvantages: requires stoma to master certain technical and sanitary conditions, time-consuming, and sometimes there is discomfort or other damage. In the conditional colostomy stoma irrigation can try, because the timing of colostomy irrigation rules intestinal peristalsis can be trained to achieve the same with the ordinary rules for the purpose of training intestine. Compared with the natural defecation, irrigation can significantly reduce the number of bowel movements and eliminate or reduce the smell of artificial anus to reduce the volume of intestinal gas and reduce skin irritation around the stoma incidence of psychological burden was significantly reduced. According to observation, continuous irrigation is about 10 times, has been able to artificially control the bowel habits, usually every morning or evening time lavage 1 (each 500, - ~ 1000mL), up to 1 ~ 2d is no waste. Successful sigmoid colostomy irrigation has the following advantages: ① 24 ~ 48h after irrigation is no fecal leakage; ② after lavage with colostomy bags do not need a day just use a small piece of gauze or cotton ball can be small; ③ After lavage can significantly reduce the number of bowel movements and eliminate or reduce the smell of artificial anus to reduce the volume of intestinal gas and reduce skin irritation around the stoma incidence; ④ easy to travel, entertainment or social activities; significantly improve the quality of life. Lavage's Experience: As a 79 year-old man said: she was suffering from cancer in 1989, radical surgery, began 3 years, artificial anus toss for the care of artificial anus and distress, almost 12 years after the Institute of colostomy irrigation, simplify colostomy care, increase confidence in life and travel (to travel abroad had to bring irrigation devices for nearly a year.) Most of those who experience stoma: lavage only takes 30 ~ 40min, lavage is simple, easy to learn, lavage, no pain and discomfort. They strongly recommend that: if the stoma who need freedom, confidence,[link widoczny dla zalogowanych], safety, comfort, colostomy irrigation should be used. The only disadvantage of colostomy irrigation, is about an hour or so time-consuming, which treat time as Kim who is a problem.
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