Ostomy and Stoma. About the diseases of the intestines or bladder and Stoma surgery.

Stoma is Greek and means opening or mouth. Ostomy is the medical term for an artificial body opening. On the occurrence of disorder in the intestines and the bladder, it may be necessary to carry out a stoma operation. At surgery brought an artificial opening to the body's surface, called a stoma. There are various reasons why it may be necessary to have a stoma, such as chronic bowel disease, cancer, and abnormalities. Today there are thousands of people with a stoma (Source: Coloplast). There are different types of stoma. For example, a Colostomy, an opening for the large intestine. - Ileostomy, an opening for the small intestine. - Urostomy, the urinary diversion. The stoma may be permanent, for life, or temporary.

Gastrointestinal diseases

The intestines is a tubular body, which connects the lower gastrointestinal foot of the anus. It extends from the duodenum to the rectum. Duodenum passes into the small intestine length, which in turn is discharged into the shorter and the coarser the colon. The last section is called intestinal rectum. Through both the small intestine and large intestine is pressed intestinal contents in the direction of the rectum by means of the so-called peristaltic waves. These movements are rhythmic contractions of the muscles of intestine, which occurs automatically when the intestine is expanded by food. While the intestinal contents pass the small intestine of 3-5 h, is transported through the colon up to 24 hours. There may be a variety of diseases and conditions, irritation of the colon and rectum, which may be transient, or more chronic character. Incontinence of feces, is the inability to control passage of air or stool from the rectum. The degree of incontinence may vary from the lighter difficult to keep in the air to the lack of control of the bowel shaped. When disease of the intestines or bladder, it may occasionally be necessary to perform a colostomy operation. In general you should be examined if we get the following symptoms: abdominal pain, constipation, bloating, diarrhea, blood in stools, irregular bowel movements and involuntary defecation and pain or itching at the anus.

Living with an ostomy.

Before an ostomy surgery, many believe that they can no longer live a normal life. Many find it hard to get used to the idea of wearing a bag on the stomach. After surgery, however, one discovers that it is possible to live a life almost as before. In practical terms, the bag is not very many problems. Usually it is psychological, you have the most difficulty. It may be hard for some to get used to the idea of wearing feces outside the abdomen. Smell it? Can it be seen? What if someone else discovers it? But of course we should talk about it to those you live close together. For many, it will be helpful to talk with others, and usually goes the easiest if you can talk openly about the stoma.

Children and ostomy

When a child should have brought a stoma, it is vital that we as parents react positive and optimistic towards the child. It should know that there is always someone standing behind and supports. That you as a parent loves his child, no matter what and always there as an anchor in life. If parents have concerns and problems with the stoma, it is wise to seek help, support and guidance, either from other parents who have tried it all before or with caregivers in the Hospital or Ostomy Clinic. A child's life are not compromised by a stoma. Just as parents must learn to accept it as part of the child. Reassurance, calmness and regularity are factors that play a much more important role in a child's upbringing than to have a stoma, which, ceteris paribus, a lower handicap.

Ostomy bags and care of stoma

Modern ostomy bags, placed on the skin around the stoma makes the fewest in the long run have problems with their stoma. Ileostomies has a greater tendency to cause raising problems due to a more stable production of soft stool. Newly operated patients are trained in the care of the stoma in the days after surgery, but many need ongoing advice and guidance from an ostomy skin care nurse. It may be physical discomfort or problems of a psychological nature. The daily care sought kept as simple as possible, and you do not need to separate procedure from normal daily hygiene such as showering. By washing and drying of the stoma and skin use lukewarm water and napkins 10x10cm. Shower without stoma bandage is the best skin care, the ostomy can give themselves.

About colostomy (large intestine)

A colostomy, opening to the colon, could be temporary or permanent. The most common reason to have brought a colostomy is cancer of the colon. It can also be caused by bulges (diverticula) on gut inflammation or congenital malformations mm. When ostomy surgery removes the diseased section of colon, and in several cases it is also necessary to remove the rectum and sphincter. The stoma is formed by a piece of intestine is brought out through the skin and sutured in place. Right after surgery, the stoma was closed, but gradually becomes smaller. The stoma is red. It has about the same color as the mucosa of the oral cavity. Stoma height is usually 1-1 ½ cm. The stoma is numb, because there are no nerves in the intestinal mucosa. Temporary colostomies constructed almost entirely by some emergency surgery on the colon, usually in connection with a severe inflammation of the pouches on the colon (diverticulitis) or emergency surgery for cancer of the colon. A permanent colostomy brought frequently in surgery for cancer of the lower rectum.

About Ileostomy (small intestine)

An ileostomy, opening to the small intestine may be temporary or permanent. The most common reasons to have brought a permanemt ileostomy are the diseases ulcerative colitis and Morbus Crohn. Familial polyposis may also be the reason for the construction of a permanent ileostomy. The ostomy surgery, it is often necessary to remove the entire colon and rectum. The stoma is formed by a piece of small intestine is brought out through the skin and sutured in place. Right after surgery, the stoma was closed, but gradually becomes smaller. The two most common types of stoma is an ileostomy and a colostomy.

About Ureterostomy (urinary bladder)

A urostomy (urinary diversion) is also called Bricker bladder after the American surgeon Bricker, who found the method around 1950. Cancer of the bladder is today the most common reason to have brought a urostomy. Radiation Injuries and birth defects can also be an opportunity to get out a urea-derivative operation. Today there are several surgical methods and techniques. At surgery removed the bladder. The ureters sewing it to a piece of the small intestine, which is inserted as a "coupler". The stoma is formed by a portion of the small intestine piece led out through the skin and sewing it. Small intestine The tube will thus serve as a export path of urine. The urine then collected in a bag, which is stuck to the skin around the place where the small intestine is carried out. The pouch has a valve at the bottom, and when it is full, empty the urine through the valve into the toilet. The bag is removed and replaced with a new a few times a week, which you certainly can do yourself. One can live a completely normal life with a urostomy and do virtually everything you have done. Right after surgery, the stoma was closed, but gradually becomes smaller.


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