Colostomy and care
Colostomy - The common name for colonic fistula. Its presence has a certain effect on the behavior and psychology of the people.
In psychological terms, we must be absolutely certain, that in the presence of colostomy can actively work, participate in public life, be useful at home, in family. Sure, colostomy requires some concerns, care. For most people, both before surgery, and after the chair is once more in the morning and night. Such a regime should be maintained in the presence of a colostomy. Must, that between breakfast and going to work was 1-1,5 hours of time for personal toilet.
It is very important to choose the right diet. When part of the selection of Kala colostomy during the day selected diet, delaying bowel movements (cottage cheese, pureed porridge, rice, soups and broths, pickled, strong tea, coffee, cocoa). Useful in such cases, and such products are used, meat, fish, vermicelli, White crackers - they are well absorbed and almost no waste.
However, it should not be allowed and the other state, when the chair is delayed for a few days. Foods, promoting bowel, include black bread, raw fruits and vegetables, vegetable oil, milk, kefir, sugar, honey.
Prohibitions or restrictions of any product for a person with no colostomy. He can have all the, but considering the action of the product on bowel function. Therefore, in the postoperative period at home it is necessary to study the effect of different foods on the bowels.
For some people, there is an excessive formation of gases and their discharge of noisy through the colostomy. This phenomenon often happens with gastritis, cars, and, Consequently, we must first treat these diseases. Noisy carminative happens with inflammation of the colon derived, when it is swelling, that also require treatment.
Gas formation depends on the type of food intake. Contribute to the emergence of gases milk, cabbage, potatoes, peas, beans, black bread. By eliminating those or other products can be to reduce the gassing.
With the failure of these events it is advisable to consult a doctor on the admission of bacterial preparations (kolybaktryn, ʙifidumʙakterin), intestinal antiseptics (meksaza, enteroseptol), enzyme preparations (Festal, panzinorm) and etc.
If using diet and diet choices to adjust colostomy operation fails, it is advisable to carry out daily washing of the intestine, that is, to put an enema through the colostomy. The effectiveness of such a method is very high. If, after the enema intestines well drained, then later during the day is no discharge from the colostomy will not.
Washing should be done every day at the same time, better in the morning, right after breakfast. Spending through the colostomy lavage, as in the conventional enema, must comply with very great care, so as not to damage the intestine.
For washing use warm water, mug hung at a height of 50-70 centimeters from the level of colostomy. The patient may be sitting or lying down, better in the bathroom. After the introduction of water and removal of the tube colostomy she immediately begins to function and to provide water, and then cal. Emptying the bowel is possible in the bath or in the substituted pelvis.
After the chair should wash circle colostomy, dried and put ileostomy or belt. In general, people with a colostomy advisable to take daily showers. The water should be warm, but not hot, colostomy is necessary to wash a circle with a wad of cotton wool gauze.
Throughout the day, you need to wear ileostomy or belt. Ileostomy sold in pharmacies, They come in different models, made up of belts and rubber or plastic bag to collect feces.
Ileostomy should be selected by the configuration of the abdomen, Location colostomy. In some models, the bags are not attached to the stomach through the belt, while using a material adhering to the skin of a small size. The disadvantage is their ability to irritate the skin.
If the work is adjusted using bowel diet, diet or washing and during the day of the colostomy are no selections, it is sufficient to wear a belt with a cotton-gauze pads.
The belt can make the most of her figure from a dense fabric width up to 20 centimeters. Fastens it has on the healthy side buttons or hooks.
To prepare the pads take the bandage, He put on a thin layer of cotton wool and cover with a bandage. Are then cut squares of 7×7 - 10X10 cm. Besides homemade belt, You can use the Women's rubber belt for stockings, high elastic pants.
Thus, the presence of a colostomy in no way should not limit the active participation of people in work, in care at home, in the family.