Self care after colostomy

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Position: colostomy in general 2-3 days after opening, after the opening of the lateral recumbent position, can use plastic film will be sep

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Position: colostomy in general 2-3 days after opening, after the opening of the lateral recumbent position, can use plastic film will be separated from the abdominal wall incision and stoma, to prevent the outflow of thin fecal contamination of abdominal incisional wound infection, cause.

Stoma skin care: the proper use of ostomy, should keep the skin around the stoma clean, dry. First, use neutral soap to clean the skin around the stoma, and then coated with Zinc Oxide Ointment to prevent dermatitis and skin erosion. Pay attention to whether the skin around the stoma is red, swollen and cracked.

The replacement of nursing bag: when filled with 1/3 fecal ostomy bag inside, should be promptly replaced, in addition to the use of disposable ostomy bag, 3-4 bag can be prepared for change, change the ostomy bags available neutral detergent and rinse, dry, dry.

Diet care: pay attention to food hygiene, avoid eating unclean food, food should not be too hot, too cold, avoid spicy stimulation, so as not to cause diarrhea. Regular diet to avoid overeating. To tofu, fish, eggs, plus soup juice, maintain defecate unobstructed. Some foods, such as onions, garlic, dried beans, carbonated drinks and other increased flatulence, should avoid eating in social.

Activities: loose and comfortable clothes, cotton skin for the first choice, properly fixed bag, take part in activities to maintain physical and mental well-being.

Notice of discharge: after discharge, every 1-2 weeks to expand the stoma once, lasting 2-3 months. If found stoma stenosis, defecation difficulties should be timely to the hospital for examination and treatment.

Department of anus & intestine surgery, the Ninth Hospital of Ningbo, Peng Lianming

 

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