What To Expect After Your Stoma Surgery

Straight after your stoma operation

我的气孔会是什么样子?

在手术后的最初几周,不要被造口的大小吓到。你的腹部和你的造口都将相当肿胀,你的造口也可能渗血在最初的几天。在做了造口手术之后,这些都很正常,没什么好担心的。你也会在你的造口外面缝合,这些缝线可能是可溶解的,或者你可能需要在手术后几周由造口护士拆除。在接下来的2-3个月里,你的气孔会缩小很多。

Straight after surgery you will most likely have a large, clear bag over your stoma. This is so that your surgeon and your specialist nurses can monitor the size, shape and output from the stoma.

Managing any pain

Hopefully you had the chance to discuss your postoperative pain relief options with your surgeon or anaesthetist during your pre-op assessment. Most people will be offered a PCA (patient-controlled analgesia), which will have a pump with a button attached that allows you to deliver intravenous pain relief. These buttons are pre-set so that it is impossible for you to overdose should you keep pressing the button. It is a very effective form of postoperative pain relief. You may also be offered an epidural to the spine as an alternative or your pain may be managed with oral pain relief. Making sure that you are comfortable will be a priority to your hospital team.


During your hospital stay

我要住院多久?

这取决于你做的是什么类型的造口手术,但只要没有任何额外的并发症,它很可能会在3到10天之间变化。在你的造口开始工作并且他们对它满意之前,你不能离开医院。

Learning to change your pouch

Around your second or third day, yourstoma nurseor CNS (Colorectal Nurse Specialist) will train you how to clean your stoma andchange your pouch. They will show you a variety of different pouch types and explain which is best suited for you.

They will also take you through any additional products you may need such as adhesive remover sprays, barrier sprays, strips and pastes. You may not need all of these products. Everyone will have their own individual routine. It is a good idea to write down any questions you may have about your stoma so you can ask your stoma nurse during your training.

Eating and drinking

Straight after stoma surgery you will only be able to have fluids as your bowel will have most likely gone to sleep following the operation. You may have a tube that goes down your nose and into your stomach to prevent vomiting. Once your bowel starts to ‘wake up’ you will be able to progress onto soft foods and foods that are easily digestible. You should be back to a fairly normal diet after a few days.

You may hear that there are foods that you cannot eat with an ostomy including foods with a tough outer skin such as sweetcorn, popcorn, peppers, jacket potato skins etc. These foods can be tougher to digest and are more prone to causing blockages but these foods are all trial and error.

就像每个人一样,食物的选择是因人而异的,你不一定会对“造口不良清单”上的任何食物有任何问题。最好每样都尝试一点,看看你的反应如何。

Getting up and about

It is important to get as mobile as possible, as soon as possible after your ostomy surgery. It will help to aid your recovery by getting your lungs working fully again, prevent chest infections and get your bowel working quicker. You will be encouraged to at least sit out in your chair either the same day or the day after your surgery and start walking soon after. You may feel tired and a bit wobbly on your legs to begin with but regular walking will soon increase your strength.

When will my stoma start working?

It can take a few days for your stoma to start producing any output. Your bowel will have gone into a shock like state following surgery. You can aid this process by being mobile and eating small regular amounts of food.

你很可能会经历绞痛/胀气的疼痛——在造口开始工作之前,你就开始有疼痛的腹胀。这可能会很不舒服,但会过去的。缓解疼痛是可以的,一些人发现薄荷茶可以帮助这些疼痛。一旦你的气孔开始工作,输出可能会有点不稳定。你可能会出现稀便或便秘。这都是完全正常的,你的肠道应该会在接下来的几周内恢复正常。

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Back at home

How will I feel?

You may feel quite tired and weak following your bowel surgery and your abdomen may still feel quite tender. It is important that you rest following your surgery. You do not need to remain in bed though and it is also important to remain mobile to aid your recovery. Just take it slow and don’t expect to be able to go straight back into your normal routine. It takes around 8 weeks to feel fully recovered from stoma surgery.

You may also feel quite emotional and maybe a little bit overwhelmed. Having stoma surgery is a big change physically and emotionally.

According toresearch, around one quarter of stoma patients experience clinically significant psychological symptoms post-operatively. It is perfectly natural to feel like this after surgery and it can be helpful to talk to others in your situation.The Bladder and Bowel Community Support Groupis a closed facebook group, which can help you connect with people in a similar situation, and offers an opportunity to get peer support with any questions you may have.

Getting out and about

有规律的短时间散步可以帮助你增强力量,给你再次出门走动的信心。一旦你觉得你可以安全地进行紧急停车,你就可以恢复驾驶,一个粗略的指南大约是6-8周。最好是与你的结直肠团队和你的保险公司检查他们的建议。如果你感觉足够好,你也应该可以在这个时候回去工作。如果你的工作涉及搬运重物或体力劳动,你可能会被建议等待更长时间。

No heavy lifting

It is important that for the first 8 weeks after surgery that you do not lift anything more than the equivalent of a kettle full of water. This is in order to prevent a hernia from forming behind the stoma or behind the incision and causing future issues.

Bathing

It is perfectly fine for you to have a bath or shower with your stoma bag on or off. Showering is recommended whilst your stoma and any other abdominal wounds are healing as the water is cleaner. You need to be careful not to use any bath products, lotions, shower gels that leave a residue on your skin as this could prevent your ostomy wafer from sticking to your skin. If you’re going to bathe or shower with your stoma bag on, pop a sticker over the filter to prevent it from getting clogged (these will normally be provided in the box alongside your stoma bags).

Stoma Bag changes

回到家后,你应该有信心自己换包。在接下来的几周里,定期测量你的气孔的大小是很重要的,因为它会随着愈合而缩小。有一个良好的密封性周围的气孔将防止你的包泄漏,并防止任何疼痛补丁形成在你的皮肤上。你可以使用你的袋子里提供的指南来测量你的气孔。

THE INFORMATION ON THIS PAGE IS A GUIDE ONLY. IT IS IMPORTANT THAT YOU SPEAK TO YOUR GP OR A QUALIFIED HEALTH PROFESSIONAL ABOUT YOUR CONDITION.

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