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结肠造口护理

Colostomy Care

作者信息

Maria Agastya, Lieske Bettina

机构信息

King George's Medical University

National University Hospital Singapore

Abstract

A stoma is the exteriorization of a loop of bowel from the anterior abdominal wall, done during a surgical procedure. It is done for diversion or decompression of the remaining bowel. A colostomy is a type of stoma in which the colon (ascending/transverse/descending/sigmoid) is exteriorized. This may be done to treat disease or to relieve an obstruction or to prevent the remaining bowel from contamination by fecal matter. It may be temporary or permanent, depending on the indication for which it was performed. Most stomas are incontinent, which means that there is no voluntary control over the passage of flatus and feces from the stoma. This makes colostomy care a mandatory procedure after colostomy creation. Colostomy care, as the name suggests, is an all-encompassing term referring to colostomy management, from its creation to peristomal skin management, to colostomy appliance application and mental health management while dealing with a colostomy. The purpose of colostomy care is for skin protection and care for patient acceptance and to prevent stoma related complications.

摘要

造口是一段肠管经腹壁前方引出体外,在外科手术过程中完成。其目的是使剩余肠管改道或减压。结肠造口是造口的一种类型,其中结肠(升结肠/横结肠/降结肠/乙状结肠)被引出体外。这样做可能是为了治疗疾病、缓解梗阻或防止剩余肠管被粪便污染。根据实施的指征,它可能是临时性的或永久性的。大多数造口是失禁的,这意味着无法自主控制气体和粪便从造口排出。这使得结肠造口护理成为结肠造口术后的一项必需操作。结肠造口护理,顾名思义,是一个涵盖从造口创建到造口周围皮肤管理、造口器具应用以及应对结肠造口时的心理健康管理等整个结肠造口管理过程的术语。结肠造口护理的目的是保护皮肤、帮助患者接受以及预防与造口相关的并发症。

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