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Stoma Knowledge
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- 02
- 2022/07
How to choose an ostomy bag
Choosing an ostomy bag is a big headache for many stoma friends who have just finished surgery. Which one is right for them? One-piece ostomy bag, two-piece ostomy bag, and various accessories; there are many types and brands of ostomy bags, but not all ostomy bags are suitable for every ostomy person, and most patients lack the correct ostomy bag. Knowledge of choosing an ostomy bag. So how to choose? Generally speaking, the Choice of ostomy bag is mainly related to the type of stoma, size of the stoma, personal care needs, and requirements for quality of life. Postoperative stoma type Clinically, enterostomy can be divided into colostomy, ileostomy, and temporary stoma. Colostomy: usually located in the lower-left abdomen, is a permanent stoma for the descending or sigmoid colon. It protrudes from the abdominal wall about 3-5cm in diameter. Ileostomy: Generally located in the lower right abdomen, the opening of the end of the ileum on the abdominal wall. It protrudes from the abdominal wall and has a diameter of approx. Approx. Temporary stoma: It is located in the transverse colon segment, that is, the upper abdomen. It is double-lumen or looped, so it has a more prominent appearance. The proximal opening drains loose stools, while the distal opening drains only a small amount of intestinal mucus. The temporary stoma acts as a shunt and pressure and can be returned to the lower part of the intestinal tract after the disease has healed. An ostomy bag is a product that collects excreta centrally at a surgical opening. But no matter what type of stoma you have, you’ll need to wear an ostomy bag after the procedure to collect waste and protect the skin around the stoma. Since the ileostomy discharge comes from the small intestine, it is rich in digestive enzymes and irritates the skin. Therefore, the ostomy bag used needs to be close to the stoma and protect the skin. How to choose a suitable chassis, first observe the size of your stoma shape: For patients with a new colostomy (6 to 8 weeks after surgery is a period of edema of the stoma, and the colostomy will gradually shrink over time) or patients whose colostomy is not round, pay attention to the size of the tailoring chassis. 2-3cm more significant than the actual size. If you have depressions around your enterostomy, a one- or two-piece convex ostomy bag product is more suitable for you. If your stoma opening is protruding from the surface of the skin around the stoma, and the skin around the stoma is not wrinkled, you can choose a flat bottom stoma product. You can choose an ostomy bag according to your usual life care needs : One-piece ostomy bag: The chassis is relatively soft and suitable for use during the recovery period after an ostomy because the one-piece ostomy pouch chassis and pack are integrated and can be worn or removed at the same time with simple operation steps. The one-piece ostomy bag should...View > -
- 02
- 2022/07
What Is A Stoma?
A stoma is an opening on the abdomen that can be connected to either your digestive or urinary system to allow waste (urine or faeces) to be diverted out of your body. It looks like a small, pinkish, circular piece of flesh that is sewn to your body. It may lie fairly flat to your body or protrude out. Over the top of your stoma you will wear a pouch, which can either be closed or have an opening at the bottom. Your stoma has no nerve endings so you should feel no pain from it. with the most common conditions resulting in stoma surgery being colorectal cancer, bladder cancer, ulcerative colitis, Crohn’s disease and accidental injury. Why Would Someone Need A Stoma? There are many reasons why you may need a stoma. Common reasons include bowel cancer, bladder cancer, inflammatory bowel disease (Crohn’s Disease or Ulcerative Colitis), diverticulitis or an obstruction to the bladder or bowel. A stoma can be temporary or permanent depending on the cause.View > -
- 02
- 2022/07
Introduction to postoperative nursing of urostomy
The position of urostomy is generally located in the right lower abdomen, which is a permanent stoma. There are many similarities between the nursing before and after urology and enterostomy, which can be carried out according to the method of enterostomy nursing, but urology still has some particularity, and several aspects should be paid attention to in nursing. Postoperative evaluation 1、 Observation of urine In the first 2 ~ 3 days after operation, the urine will be light red and then turn to normal light yellow. Because stoma is a segment of ileum with mesentery, this segment of intestine has the normal function of intestine and can secrete mucus. White flocs were found in postoperative urine bags, often mucus secreted by intestinal tubes. Mucus will be more and sticky after operation, and will gradually decrease after the ureteral stent is pulled out. Pay attention to whether the urine flows out smoothly from the two ureteral stents. If there is blood clot obstruction, report it in time; Observe and record the excretion of urine. If there is little or no urine, report to the doctor in time. 2、 Observation of drainage fluid After the operation, the abdominal drainage tube shall be retained, the pipeline shall be fixed and the drainage tube shall be kept unobstructed. Pay attention to the color of the drainage fluid. The color may be light red and the amount may gradually decrease. If the color of the drainage fluid is the same as that of the urine, seek the help of a professional doctor in time to judge whether it is intestinal anastomotic leakage. 3、 Pocket making options The selection principle of urinary bag is that the urinary bag can store urine and must have an anti reflux device. At the same time, the lower end of the urinary bag is equipped with a piston valve to facilitate the sealing of the urinary bag and the discharge of urine. In the early stage of operation, two-piece pocket should be selected to facilitate the cleaning of mucus discharged from stoma; When the mucus is reduced, one-piece or two-piece bags can be selected. 4、 Nursing precautions The best time to replace the bag is after getting up in the morning, so the urine volume is less and easy to replace. Clean the area around the stoma and directly use clean water or cool it! Do not use disinfectant or iodophor and other organic solutions to clean the stoma and surrounding skin, so as not to stimulate the stoma and cause dry skin. When replacing the bag body, a dry cotton ball can be placed on the stoma to absorb urine to prevent wetting the surrounding skin Urostomy will have mucus secretion, especially in the early stage after operation. It should be cleaned frequently to avoid blocking the discharge of urine. 5、 Other frequently asked questions 1. Prevent urine odor It is recommended to avoid eating food that is easy to produce odor. Such as asparagus, fish and spices will...View > -
- 15
- 2022/04
Take You To Know Urostomy
What is a urostomy? Severe irreversible disease occurs in a certain organ of the urinary tract, and it is difficult to restore urination from the urethra by urethroplasty. The urinary tract can be directly or indirectly opened to the abdominal wall, and the urine can be excreted through the abdominal wall as a permanent urinary stoma or urine. Diversion. What is the reason for urostomy? Bladder tumors require total cystectomy Rectal cancer invades the prostate and bladder and requires total pelvic evacuation Damage caused by other radiation: vesicovaginal fistula, vesicorectal fistula Neurological dysfunction leads to bladder palsy Congenital malformations Features of urostomy It is generally located in the lower right abdomen, the color is bright red or pink or beef red, the surface is smooth and round, shiny, the height is slightly higher than the abdomen 1-2cm, the shape is generally round, but there are also oval or irregular shapes. Why does the urostomy keep getting smaller after surgery? Early postoperative urostomy often appears edema, showing swelling and tightness, which may be related to intestinal mucosal congestion caused by surgical traction. As the edema gradually subsides, the urostomy becomes smaller, and the edema usually disappears completely within 6-8 weeks after surgery. Therefore, don’t worry too much. Urostomy edema generally does not need to be treated, but care should be taken to avoid affecting blood circulation due to pressure on the urostomy. Will the color of urine change after urostomy? Will do. After the operation, the urine will immediately flow out from the urostomy through the ureter. Due to the trauma during the operation, the urine will often appear light red within 2-3 days after the operation, and then gradually return to light yellow. Because urostomy surgery only diverts the flow of urine without changing the nature of urine. Does the suture around the urostomy need to be removed and when can it be removed? Staples, non-absorbable sutures, or exposed absorbable sutures need to be removed. The general removal time is about 7-10 days after the operation. It is recommended to fully evaluate the stoma before removing the stitches. If skin and mucous membrane separation occurs, it is recommended to appropriately extend the stitching time; however, a proper extension does not mean that the stitches will not be removed. If the stitches are not removed for a long time, the non-absorbable sutures will cause foreign bodies to stimulate the urinary Stoma mucosa leads to too long granulation tissue. When can the drainage tube be removed after surgery? In the early postoperative period, a drainage tube is usually left on the urostomy. Two of the small drainage tubes are called ureteral stent tubes; they are placed in the left and right ureters to draw urine out of the body and prevent anastomoses of the ureter and ileum catheter. Stenosis leads to complications such as poor urine drainage and hydronephrosis. Since the urostomy has no anti-reflux function and the stent tube directly communicates with the kidney, the ureteral stent tube should not be...View > -
- 15
- 2022/04
Sleeping With An Ostomy
Learning how to sleep again after ostomy surgery may sound odd. After all, we’ve been sleeping since the day we were born. But when you have a stoma, your old sleep positions may need a little adjustment. Here are some tips: 1.Put pillows around you to prevent you from rolling over on your pouch. 2.Wear a shirt to bed that’s a couple of sizes too small; it will help keep your pouch snug against your body while you sleep. 3.Try sleeping on your back. It may take a little getting used to, but after a while it can become second nature. 4.Be conscious of your pouch’s condition. Be ready to empty or change your pouch at night, if necessary.View > -
- 15
- 2022/04
What’s The Difference Between A Colostomy And An Ileostomy?
A colostomy and an ileostomy are totally different and require different treatment. For instance, with a colostomy, you can have fully formed stools. With an ileostomy, you have liquid stools, meaning you have to empty the bag all throughout the day. There’s another big difference – an ileostomy is on the right side, while a colostomy is on the left. Oh, and one more important thing: They’re to do with two different organs. The lack of information and conversation around ileostomies – and the confusion that so often happens between colostomies and ileostomies – means that many young people who are undergoing surgery can feel scared and alone, struggling to find the information that applies to them. Learning the difference between a colostomy and an ileostomy is a little thing that has a big impact. It makes those with stoma bags feel respected and understood, and ensures there’s no confusion around treatment.View > -
- 15
- 2022/04
The Benefits Of Having Ostomy Support Belts
It can be used to support the ostomy pouch or as an alternative to adhesives for ostomy patients, especially those with sensitive skin This support belt can help maintain an adequate seal when using a convex skin barrier It is great at keeping your ostomy pouch steady, preventing it from detaching from your stoma or being snagged It reduces any chances of parastomal and incisional hernias by preventing the formation of the hernia defect The ostomy bag support belts are very discreet, thus allowing you to continue with life as you know it, without interfering with your ostomy bag It can also preserve parastomal and incisional hernias from recurring after surgery repair, by delivering extra wound supportThe confidence you get while wearing it is top-notch This support belt can protect your colostomy bag by holding it securely up against your body The best usually moves effortlessly with the contours of your body Great at releasing tension from the stoma by holding the pouch or ostomy bag The comfort it provides whilst at rest is unmatched, as it minimizes output movement inside the ostomy pouch Can help diminish peristomal skin rash by preventing the ostomy pouch from draggingView > -
- 15
- 2022/04
What Are Cut-To-Fit Barriers (Wafers)?
Designed with varying sizes printed directly on them so you can cut your own opening to fit your individual stoma size and shape. These printed lines function as a guide. You are not limited to a pre-cut circle, you can make an oval, circle, any kind of shape you need to fit your specific stoma. This is a great option for those who are in between sizes or have an irregular stoma shape. The easiest way to handle the cut to fit style of ostomy wafers is cut the wafers for the day or week ahead of time. Don’t wait till you need them, cut several at the same time so you won’t have to fumble with cutting while away from home. Be aware that many airports won’t allow you to carry-on even small scissors, so make sure you check them and have your wafers cut before you board the plane.View > -
- 15
- 2022/04
Teach You How To Choose A Ostomy Pouch
Many ostomy friends who have just completed the operation will always fall into the “difficult choice” after being discharged from the hospital: ostomy bags are often divided into many types according to different functions and uses, one-piece, two-piece, open, closed… There are all kinds of accessories, which is dazzling to see, so how to choose? Generally speaking, the choice of ostomy bag is closely related to the type, shape, personal care needs and quality of life requirements of the postoperative stoma. The following editor will give you a good overview of various important principles, and teach you how to choose the most suitable ostomy bag: 1、Type and shape of postoperative stoma. Clinically, enterostomy can be divided into colostomy and ileostomy. A colostomy is a surgical operation to create a colonic opening in the abdomen. Its purpose is to prevent feces from passing through a damaged or diseased intestine. An ileostomy is to create an ileum opening in the abdomen so that feces cannot pass through. The colon is directly discharged, at which time the colon will be removed or stopped. Regardless of the type of stoma, you need to wear an ostomy bag after the operation to facilitate collection of excrement and protect the skin around the stoma. Because the stoma does not have a sphincter, it is generally unable to control bowel movements; and the ileostomy discharge comes from the small intestine and contains digestive enzymes for digestion, which is very irritating to the skin. Therefore, the ostomy bag used needs to have the function of sticking to the stoma and protecting the skin. When you choose an ostomy pouch, you first need to pay attention to the shape of the stoma: if your stoma opening is protruding from the surface of the skin around the stoma, and the skin around the stoma is free of wrinkles, folds, or depressions, you can choose a flat chassis Stoma products. If you have obvious bulges, hernias or prolapsed abdomen near the stoma, you can choose a one-piece ostomy bag. The one-piece ostomy bag is an integrated design, and the chassis and the ostomy bag do not need to be connected by a connecting ring, so it feels more flexible and low-key to use. If your stoma opening deviates from the center of the intestinal stoma, or is flush with or lower than the surface of the skin around the stoma, or the skin around the stoma is sunken, it may be that convex chassis stoma products are more suitable for you. 2、You can choose an ostomy bag according to your daily life care needs: If you want to change the ostomy bag more easily or are always worried that the ostomy bag is too obvious under the clothes, a one-piece ostomy bag may be the best choice. This is because one The one-piece ostomy chassis and the bag are integrated and can be worn or removed at the same time. The operation steps are simple and the material is...View > -
- 15
- 2022/04
How To Care After Colostomy Surgery?
Choice of ostomy bag According to the characteristics of different types of colostomy, choose different ostomy bags [1] Ascending colostomy and transverse colostomy: One-piece or two-piece open pockets, one-piece open pockets are the best choice. [2] Descending colostomy and sigmoid colostomy: One-piece open pocket or closed pocket, two-piece open pocket or closed pocket can be used; if there is more airflow, it is recommended to choose an ostomy bag with a filter carbon sheet; if it is a colon You can choose a mini bag for lavage. Assessment of the stoma [1] Observe the blood supply at the stoma within 2 to 3 days after the operation. The mucous membrane of the stoma is rosy and shiny, which means that the blood supply is good. Dark red is also normal. If there is pain, edema, or blackening, it means that the blood supply of the intestinal tube of the stoma is obstructed and needs immediate treatment! [2] Observe whether the surrounding skin has redness and erosion [3] Observe whether the stoma is narrow, whether it is difficult to defecate, and the shape, color, regularity and quantity of stool. [4] Observe whether there is oozing, bleeding or hematoma around the stoma. A colostomy diet guide The diet should be light in the short term after the operation, mainly easy to digest and high in nutrition, and gradually transition to a normal diet. Although there are no restrictions on the types of food, it is necessary to develop good eating habits, not overeating and eating irregularly. You should eat more fresh vegetables and fruits and drink plenty of water to keep your stool smooth. 01 Eat less odorous foods The emission of unpleasant odors may be the biggest headache for colostomy patients. Usually eat less food that is difficult to digest and prone to malodorous gas, such as corn, onions, eggs, fish, eggs, garlic sprouts, cabbage and broccoli, spice seasonings, etc., drink more fat-free milk or yogurt, and use high chlorophyll content The green leafy vegetables help control the odor of manure. 02 Eat less gas-producing foods Excessive gas production leads to bulging of the ostomy bag, which is also one of the concerns of colostomy patients. Therefore, it is necessary to avoid eating foods, fruits, and beverages that increase gas in the intestinal tract [1] High starch foods: radishes, potatoes, sweet potatoes, taro, pumpkin, chestnuts, etc. [2] Fruits and vegetables: onions, cabbage, mustard greens, cucumbers, green peppers, leeks, peas, radishes, apples, watermelons, cantaloupe, cauliflower, cabbage, shallots, pickles, etc. [3]Soy products, chocolate, carbonated drinks, beer, etc. [4] Certain behaviors such as chewing gum, smoking, and talking while eating can also increase gas in the intestines. Therefore, it is advisable to chew slowly and speak less when eating to prevent swallowing air. Common problems with colostomy 01 odor Odor is the most concerned issue for colostomy patients. If there is no leakage from the ostomy bag, the smell usually...View >