Stoma Care

Stoma Care

在这部分你可以找到一些有用的信息和建议来照顾你的造口,包括皮肤护理,旅行,冲洗,手术和不同类型的造口。

With160,000 people in the UK living with a stoma, you’re not alone. Many ostomates find a toilet card useful to aid clear and efficient communication when you need to use a toilet urgently – apply for yourFREE Just Can’t Wait Card.

Our Bladder & BowelHome Delivery Servicecan also offer you expert advice from a trained nurse about stoma care and help you find the right products to manage your condition. For more information on ostomies and stoma care products call our Home Delivery Team on0800 031 5406.

Below you can read about our recommendations on ‘stoma care’, including stoma assessment and stoma cleaning:

什么是气孔?

A stoma is an opening on the abdomen, where a small portion of your intestine will have been brought to the surface of your belly and sewn in place. This type of operation normally happens if you’ve had an injury or disease in the bowel and allows your body to expel faeces in a different way. A bag is then worn over the stoma to collect any waste.

There are three more common types of stoma

Colostomy– where a portion of your large bowel (colon) is used to create a stoma.

Ileostomy– where a portion of the ileum (small bowel) is used to create a stoma

Urostomy-取出回肠的一部分,与输尿管连接,绕过膀胱,使尿液改道。这也被称为回肠导管。

Caring for your stoma

Whilst you are in hospital, your stoma nurse will show you the correct way to care for your stoma, change your bag and order new supplies. Once you are out of hospital you will be able to order your stoma supplies through the Bladder and Bowel Community Home Delivery Service.

一般来说,如果你有一个结肠造口你将改变你的封闭袋一天一到两次,如果你有一个回肠造口或泌尿造口,你将需要清空你的袋子一天几次,每3到5天改变你的袋子,取决于磨损。

Stoma appearance straight after surgery

After surgery your stoma will be swollen and will likely have stitches around it. Over the next eight weeks or so, your stoma will reduce and settle into its new size. Occasionally, you may find that your stitches pull and can be uncomfortable. If this happens, inform your stoma nurse so that can assess them. If you find that your stoma remains swollen or shows signs of infection, then contact your stoma nurse or colorectal surgeon straight away.

Normal Stoma Appearance

通过定期检查你的气孔,你会知道它通常是什么样子的,这意味着你可以尽早发现问题。健康的气孔会呈粉红色或红色,湿润并略带光泽。

随着时间的推移,你的气孔会改变形状或大小。这可能意味着你的袋子不再合适,你的皮肤可能会暴露在气孔袋的内容物。为了避免这个问题的发生,你应该每隔几个月检查一下你的气孔的大小。A cardboard measuring guide is normally included with your stoma bags and can be used to check the size of your stoma.If you need help, speak to your stoma nurse and then can show you how to do this and, if necessary, offer some advice on products that fit better.

Cleaning and changing your stoma bag

When changing your stoma bag, it is a good idea to assess your stoma and the surrounding peristomal skin to check it’s in good shape. Things to check are

  • Is the hole of my baseplate the right size for me? If faeces come into contact with the skin it can cause soreness and irritation of the skin.
  • Is there any redness, irritation, cuts or broken skin. If you do have any of these things then your stoma nurse can recommend products to help with this.
  • Does my stoma look healthy? Does anything look unusual or different to you. If there is anything unusual then contact your stoma nurse for advice.

How to clean a stoma site

When cleaning a stoma site, it is important to use recommended products. The easiest way to clean your stoma site is to gently wash itwith warm water using the dry wipes provided and then pat dry thoroughly using a clean dry wipe. Avoid using paper towels as these can get stuck to the stoma, always use dry cotton wipes.It’s important to remember not to rub the stoma as this may cause it to become damaged.

The following articles may be helpful towards your stoma care journey:

Travelling With A Stoma

Having a stoma shouldn’t limit your ability to travel in the UK or abroad. It may just take a little more forward planning. The Colostomy Association have developed a useful guide on travelling with a stoma. Here are our top tips. Make…

Stoma Irrigation

灌洗是一种肠道管理系统的结肠造口,你'洗'肠鼓励肠道运动。随着时间的推移,你的肠道会养成这个习惯,你不应该在两次冲洗之间产生废物。…

Diet And Exercise With A Stoma

If you have a stoma it may help to adjust your diet and exercise routine. Learn about stoma diet, and how being an ‘active ostomate’ can help you.

Stoma Skincare

Looking after your peristomal skin (the ring of your skin that sits under your bag) is a vital part of your stoma care routine. It is important to avoid faeces or urine from coming into contact with your skin otherwise this can cause sore…

Stoma Care Products

There are many different stoma care products for you to choose from. Your stoma nurse will probably help you choose one in the beginning. You may like to try some different pouches to see which type you find the most comfortable and most…

What To Expect After Your Stoma Surgery

Straight after your stoma operation What will my stoma look like? Don’t be alarmed by the size of your stoma for the first few weeks after surgery. Your abdomen and your stoma will both be quite swollen and your stoma may also ooze…

What To Expect Before Your Stoma Surgery

Your Preoperative Assessment Depending on your hospital you will probably be offered a pre-op assessment a few days/ weeks prior to your stoma surgery. This assessment will involve a meeting with your surgeon to discuss any last minute…

Stoma Surgery

什么是气孔?气孔是腹部的一个开口,可以连接到你的消化系统或泌尿系统,让废物(尿液或粪便)转移出你的身体。It looks like a small, pinkish, circular piece of…

Ileostomy Surgery

What is an Ileostomy? An Ileostomy is created when your bowel is redirected out of your abdomen. An Ileostomy normally involves removing the colon and in some cases the rectum. The Ileium (last part of the small intestine) is brought to…

Colostomy Surgery

What is a Colostomy? A colostomy is created when your colon is cut and brought to the outside through the abdominal wall to create an artificial opening. Your faeces is then collected in a bag called a colostomy bag that is attached to…