A hole in the intestine resulting from surgery to remove the intestine or part of the bladder is called a stoma. This hole, of course, creates great inconvenience. To assist patients, it is necessary:
- teach them how to treat stoma and change the colostomy bag;
- provide moral support;
- to prevent complications.
Varieties of kalopriemnik
The choice of medical products for stoma care depends on factors such as the type of hole, the shape of the stool, the location and type of dermis near the stoma. At the choice of consumers, there are two types of kalopriemniki with stoma:
- One component. They are a bag made of plastic on an adhesive basis.
- Two-component. The kit includes bags and an adhesive plate. The container is attached to the plate using flanges.
Both types of medical devices can be closed, i.e. without draining or open. Closed products are equipped with a filter, due to which odors are neutralized and gases do not accumulate. In open colostrains there is a clamp and a hole through which the contents are discharged. There are varieties of kalopriemnik especially for patients with a retracted hole. They are equipped with increased rigidity flanges, and the belt is attached to special "ears".
Medical products for stoma care differ in the composition of the adhesive base. Thus, taking into account the individual characteristics of the patient and the presence of concomitant pathologies, it is possible to choose the ideal colostomy bag for the stoma, the price of which will depend on the type of model chosen. It varies from 100 to 800 rubles.
Recommendations for using the receiver
A hole in the sigmoid or ascending colon is called a colostomy. Fecal matter departs in the anus, created artificially as a result of surgical intervention. The work of the digestive tract while functioning in normal mode. In the presence of a colostomy, the following medical products are recommended:
- open - with an unformed chair;
- one-component closed change from 2 to 3 times during the day;
- two-component closed: the plate is changed no more than twice a week, bags - up to three times a day.
An ileostomy is a hole that is formed from the end of a healthy ileum to expel intestinal contents. It is located in the lower right abdomen. Patients with an ileostomy should use coloprids:
- open one-component, which change up to three times during the day;
- open two-component. Adhesive plates are changed no more than twice every 14 days, bags as needed.
How to choose a colostomy bag for stoma?
The quality of life depends on the right product, therefore, with a constant stoma, it is better to use two-component kalopriemniki. Benefits:
- the possibility of using open or closed bags with the least irritation of the dermis;
- the plate can be on the skin for up to five days, which very significantly reduces the load on it;
- easy process of emptying the product (you just need to open the bag, wipe the drainage end and re-attach it to the plate);
- if a medical device is used with a closed bag, it should be replaced;
- when emptying two-component kalopriemnik there is no need to take an uncomfortable position, as when carrying out the same manipulation with a one-component device.
Kalopriemnik
single-component is a bag having an adhesive base. Like two-component, these products are open and closed.
Ostomy Care
Proper and daily care will save the patient from irritation of the dermis and unpleasant odor. The contents of the intestines are best collected in special medical devices. In order to determine which stoma kolopriemnik to use: reusable or disposable, you should know the period of release of contents from the intestine. This process occurs in large quantities after a meal. A correctly selected product protects clothes from bowel movements, neutralizes odors, has an anatomical shape, and does not interfere with movement and tilting of the body. How often to change the kalopriemnik depends on its type.
For example, a one-component product is changed when the contents of the bag are half full or in case of inconvenience to the patient. Frequent, unreasonable replacement of the stoma colostomy receiver leads to damage and irritation of the dermis. The adhesive plate of a two-component product can be left for up to 4 days. Change the product in the bathroom or sanitary room.
Highlights
In order to maintain healthy skin, certain conditions must be met:
- use kolopriemniki specially selected for a particular patient;
- clearly comply with the appointments and recommendations of the attending doctor;
- strictly adhere to the instructions for handling medical devices;
- empty the stool and urine collection tanks in a timely manner;
- use preventive measures;
- observe the diet selected by the doctor;
- if necessary, consult with medical personnel on all issues that arise.
The patient should know that the following problems with the stoma are possible, it can:
- blacken;
- bleed;
- secrete mucus;
- open (the rectum can go outside);
- to close;
- increase as a result of illness, overstrain, or changes in body weight.
It is important to remember that daily and thorough care of the stoma and colostomy is necessary.
Materials for replacing the receiver
To carry out this manipulation, you will need a container or box with the following materials:
- clean product;
- a stencil (his patient receives upon discharge from the hospital), which checks to see if the size of the stoma has changed;
- deodorant, creams, pastes and other means that the patient uses;
- scissors;
- sponge;
- soap;
- a set of adhesives;
- paper napkins or towels;
- a bag for the used kalopriemnik;
- special scissors in which one end is sharp and the other rounded;
- The mirror is small.
Instructions for replacing a medical device
- Prepare a changer for a shift.
- Increase the central hole of the plate with scissors so that the stoma fits into it.
- Carefully, without stretching the skin, remove the used product.
- Put the bag holder in a bag prepared for this purpose.
- Use gauze or paper towels to clean the dermis near the stoma;
- Using a napkin, rinse skin and hole with blotting movements with warm water.
- Dry your skin with dry wipes.
- Apply a protective cream or gel.
- After completely absorbing the cream texture, stick the new product according to the instructions attached to it.
Conclusion
Proper care helps ostomy patients to live comfortably, despite the fact that they use colostomy for stoma.
Reviews that leave
consumers suggest how to cope with the difficulties that arise when using a medical device. Here are some of them:
- Before sticking a new product, the skin should be treated with alcohol wipes or alcohol to degrease. Next, apply a protective cream, and then glue the plate with the kalopriemnikom.
- Instead of a protective cream, it is better to use zinc ointment.
- Be sure to follow the diet.
- The kolopriemnik for an ostomy is selected individually, there are no general tips.
Life goes on, and the care and love of loved ones will help to cope with all the fears and difficulties that arise in such patients.