Stoma and Stomata

Everything you need to know about stoma and stomata.

Archive for May, 2008

Changing a stoma pouch

May-18-2008 By admin

I have just found a little video with someone that is demonstrating how to change your stoma bag. It shows you how to change a one piece stoma bag and how to change a two piece stoma bag. It is nicely demonstrated, so if in need check this out. Click the “read the rest of this entry” below to see the changing a stoma pouch video demonstration ;)

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The name of the stoma comes from the intestine that forms the opening. Here are some different stoma:

  1. colostomy, an opening from the large bowel, to allow feces to bypass the anus.
  2. ileostomy, an opening from the small bowel, to allow feces to leave the body without passing through the large bowel
  3. urostomy,an artificial connection between the urinary tract (the kidneys, bladder and tubes that connect them) and the abdominal wall
  4. jejunostomy, an opening from the first part of the small bowel, also used for feeding
  5. gastrostomy, an opening from the skin directly into the stomach, to allow feeding

Stoma care is very important and there are a few problems that people having this condition may encounter. The most important problem of having a stoma is the psychological one. Some people just find it very hard to know they have a stoma and get shy or just sad because they feel different or ugly in some way. That is a stupid thing to even consider so do not act childish about this! There are specialists and special trained nurses that can take you throughout this entire process and you can find the best comfort in their professionalism. They do help a lot. A good idea is to surf the internet and find others who suffer from stoma and learn from them how to deal with your problem, and how to take care about your stoma.

Another problem when having stoma is the smell. This is the reason that you start changing you diet and start learning what is best to eat and what you should avoid. Fish and eggs and beer can cause excess wind and runny motions. Try to keep a healthy and rich diet every day because it is very important in your recovery.

If you must travel by plain be sure not to consume fizzy drinks before you get on the plane. Due to the change in pressure in the aircraft cabin, this can cause the stoma bag to simply come off. This would be just terrible so if you can, avoid by all means traveling by air.

Another common problem is taking care of the skin around the stoma. It can easily become sore and broken so ask the doctor about ways of taking care of that or just go to a local pharmacy and ask the pharmacist. He or she most certainly can give you a lotion which has skin care properties, and will help you feel more comfortable.

There are also a rage of different bags and hypoallergenic protective skin barriers and creams that can help you. Here are some medicine that are related to helping with the treatment, but take then jut as a „heard about” matter and don’t use these medication before asking a doctor about them.

I heard the following help:

1. Ispaghula husk – help in constipation

2. Magnesium hydroxide – also helps in constipation

3. Loperamide – helps in diarrhea

4. Kaolin and morphine - help in diarrhea

5. Codeine phosphate - increases the amount of water absorbed resulting in more solid feces

Many people live now a healthy worry-free life after recovering from this disease and you can too. You can fully recover from this!!! Just learn a few about your problem and be an optimistic and courageous spirit. I wish you success!

Usefull resources

May-13-2008 By admin


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First have in mind that a doctor and a nurse will guide you though this whole process and you are not alone in this so be confident and all will be all right in the end.

Ileostomy is a stoma constructed by bringing the small intestine( ileum) to the surface of the skin. This way, the waste is collected in a pouch on the abdomen. This kind of stoma is situated on the right side of the abdomen. When an injury occurs on the large intestine and the colon is removed an ileostomy is vitally necessary. Diseases which need surgical removal include „Crohn’s disease” , „Ulcerative colitis” , „Familial adenomatous polyposis” etc. Ileostomy sometimes is necessary in colorectal cancer treatment . A temporary ileostomy is necessary when a tumor blocks the colon. A loop of intestines are brought out through a stoma and the colon and rectum will be removed. This kind of stoma are often the first step in reconstruction of an ileo-anal pouch. This can last up to 11 weeks.

How one lives with an ileostomy

They need an ostomy pouch that collects all intestinal waste. This is a dreinable pouch that is leakproffed at the bottom and it can be used to get rid of the waste any time. It is clearly better that a permanent pouch that needs to be replaced when it gets full. This kind of stoma implies that the pouch will be emptied 4-5 time a day, everyday. So simply it can be used whenever they find themselves near a bathroom. Every 3-6 days the pouch will become deteriorated and needs to be changed and it is rather hard to notice when worn under the clothes, unless it gets too full.

To minimize your problems or a potential blockage one should chew the food very very good in order to help with the digestion process. Also some foods are not recommended like potatoes and some raw vegetables because they are harder to digest.

Alternatives

There is an alternative that needs no external pouch (because that can be for some very unpleasant) named ileo-anal pouch. An internal reservoir is connected to the anus made from the ileum after removing the colon and rectum. So there is no need for external „devices”.

Urostomy

The 4 most commonly reasons when one needs a urostomy:

  1. bladder cancer
  2. neurological dysfunction of the bladder (the bladder doesn’t work as it should)
  3. birth defects
  4. chronic inflammation of the bladder

The urostomy is another form of stoma. It is used for the urinary system. When there are problems with the bladder or the urethra and urinating can not be done by natural ways there is need of a urestomy. The process is rather similar to the Ileostomy. An artificial bladder is made of a bowl that can be emptied whenever it is necessary. This process is not that complicated as an ileostomy and it is simply a procedure to detour urine away from the problem and the organs which suffered surgical procedures and need time to heal. Sometimes the bladder is removed making the urine pass through the stoma to get outside of the body. The surgery that is done to extract and get rid of the sickened bladder is named CYSTECTOMY.

In medicine stoma is an artificial opening, created surgically which connects outside environment or medical equipment with a hollow organ or a part of the human body. This being said, with the help of nowadays surgery, any hollow organ can be operated to having a stoma if this means it will help with the treatment. There are many forms of stoma and I will now say a little or two ( as my research directed me to these )

The most common form of the stoma is the COLOSTOMY (and thanks to this I was able to get rid of my problem too ), but there are other forms like ILEOSTOMY and UROSTOMY and others. I’ll now give you some explanation and helpful information about COLOSTOMY. If you are interested in Ileostomy or Urostomy, I will talk about those in my future posts.

Colostomy

My abdomen got „stuck” as I defined it when the pain started and I had no clue on what my problem was. I wish some one had told me all this becasue man I needed an answer quickly in that horrible moments. I know how hard these moments are so be tough and all will be just fine. We all need faith.

What is it?

Colostomy is the surgical procedure that will leave you with an opening in your abdomen. This is needed so you can get read of the feces through that opening. This can be permanent if you have no other chance to heal or can be just temporary ( happily this was the case for me I hope for you too). Through this surgical intervention a part of your colon will be linked or connected to the anterior abdominal wall.

Reasons, Indications and placement:

The most common reason for having a Colostomy is that the colon just had to be removed because of a cancer in that region and feces can no longer get outside of you body though the anus. This will be bad, it means the stoma will be there for good. There is the case when the colon just suffered some intervention and needs a little time to heal and the stoma will be temporary, because it will be removed as soon as the colon heals and the feces can pass though there. After removal you’ll sadly get a scar but any ways you got to live and this must be good, right? Stoma can be placed on your abdomen and most frequently in the lower side. But the colostomy is planned ahead and you will not have to worry about that just ask your doctor.

Colostomy with irrigation:

Some people can choose the irrigation method.This implies that one must not wear a pouch, but must have a gauze cap over the stoma. This can be good because one can plan when to irrigate. A catheter will be put inside the stoma and will be flushed with water making the feces fluid and get out of the body. This procedure can be done a few time a day.

Colostomy without irrigation:

Modern colostomy prevent the difficulties to hide the pouch and the smell of the feces due to well-designed and odor-proof models. This allows patients to get back to their day to day activities. However the patients must wear an ostomy pouching system to collect the feces and other waste. The pouch must be emptied 3-4 times a day.

Alternatives:

As science evolves each day I know now you can opt for an internal colo-anal pouch. This means your rectum will be replaced by a ileo-anal pouch which will be constructed using a part of your lower intestine. This is an alternative to the other pouches and you will no longer need and external pouch.

Stoma and Stomata - what they mean

May-12-2008 By admin

I too was very scared when my doctor said „You, dear sir need a stoma surgery ” …. YES my heart started being like hell. And believe me I’m not that easy to scare. But soon I realized that this came from the fact that I just didn’t know what that meant, so I started my research on that.

I must tell you by now that stoma refers to a small hole or opening which got the name from the stomata in botany. If you are interested in the surgical or medical stoma please bare with me a little as i will talk about it in my next post. Now I’ll just try to offer to you as many details I’ve come to know about stomata, where the name came from and other aspects I found interesting in my research.

Stoma (or stomate, pl “stomata”) is a small opening that helps plants make their gas exchange. Plants breath in CO2( carbon dioxide) and breaths out O2 (oxigen ) and that’s why they are so important because they help to keep the air clean and us humans healthy. This gas exchange is needed for the process of photosynthesis. There is another role of these pores called stomata: through them the plant releases water in water vapors. This process is called transpiration.

Another interesting fact is that stomata can be found on both sides of the leaf. Dicotyledons plants have stomata on the lower epidermis and monocotyledons on the upper epidermis. More interesting is that on plants that have submerged leaves stoma is missing and on floating leaves stomata are present only on the upper side. Also there are plants that open their stomata only at night and plants that open stomata at day, excited by factors like carbon dioxide concentration, light and of course, humidity. I’ve read somewhere that scientists

even don’t know for sure how this mechanism surely and clearly works, they just found out what factors stomata reacts to.

Stomata is in fact a very reliable and “safe” working mechanism. It was discovered that stomata can react to pathogens and close itself without letting them in and getting the plants sick. Doctors and scientists, as they usually do, find very reliable working mechanisms in nature and duplicate them in the interest of curing diseases.

STOMA reacts to pathogens preventing them from sickening the plans, it being a very small hole which permits change of gases or different fluids safely. So they copied these small but “smart” nature schematics to make a stoma which then is used in curing some very unhappy patients LIKE I WAS.