1.[Excessive excrement in the ostomy bag]
Reason: The ostomy chassis is pasted on the skin, and the ability to withstand the paste is limited. For example, the ostomy bag is too full of excreta, which is not discharged in time, resulting in leakage of the ostomy chassis due to the influence of gravity. In addition, if the stoma exhaust is too much, the gas in the stoma bag is full, which will also lead to leakage.
Treatment: If the fecal water sample is relatively thin, the patient should be instructed to clean up when the ostomy bag is 1/3 full Discharge; If the excreta is solid, it should be discharged after each discharge; For patients with excessive exhaust, it is recommended to use an ostomy bag with a carbon sheet; Instruct the patient to reduce the intake of gas prone food.
2. [Ostomy bag used for a long time without replacement]
Reason: Due to the high price of the ostomy bag, many ostomy personnel in order to save costs, the use of the ostomy bag for a long time, the ostomy chassis paste capacity reached saturation, still continue to use, resulting in leakage.
Treatment: Inform the patient that there is a limit to the absorption function of the stoma chassis. If the adhesive is too long and even the leakage continues to be used, it will not only leak out the odor of feces or urine, which will affect the people around, but also the leakage will dirty the patient's clothing and even cause complications of the peripheral skin, such as dermatitis and hyperplasia. It is recommended that the stoma chassis of the patient be replaced every 3-5 days, and try not to exceed 7 days, especially for the ileostomy and urostomy, if leakage occurs, it should be replaced at any time
3. [The selected ostomy bag is not suitable] Reason: Two-piece flat chassis or one-piece non-convex ostomy bag is used for those with concave ostomy skin, which makes the adhesive surface of the ostomy chassis easy to tilt up and unable to fully contact with the skin, resulting in leakage. Treatment: There are depressions around the stoma. It is recommended to use a two-piece convex chassis or a one-piece convex stoma. Using a convex chassis with a belt will get a better effect. If necessary, use anti-leakage paste, anti-leakage strip and gasket in the depression area and then paste the stoma chassis.
4. [Body shape change]
Reasons: patients solved the pain of the disease after ostomy operation, at the same time, many patients recuperate at home after the operation, strengthen nutrition, and lack of exercise, because it is easy to make sudden weight gain, easy to cause abdominal distension, difficult to see the ostomy or ostomy shrinkage phenomenon, affecting the stability of the ostomy chassis paste; However, patients with tumors that cannot be resectable and only underwent ostomy surgery often lose weight gradually due to the development of tumors. With the progress of the disease, their weight may drop violently. The skin around the stoma is wrinkled and the stability of stoma chassis adhesion is affected.
Treatment: ① For patients with difficulty in seeing the stoma, it is recommended to use a mirror when replacing the stoma chassis or one-piece stoma bag. (2) It is recommended to use a convex chassis and wear a belt or abdominal belt for stoma retraction; There are wrinkles around the stoma. When attaching the stoma chassis, pull the skin of the wrinkled part tightly by hand before attaching the chassis. If necessary, attach leakproof strips or patches to the wrinkled part. Patients with excessive weight gain are advised to lose weight, and patients with excessive emaciation are encouraged to eat more high-protein and high-fat foods.
5. [Use expired or fake ostomy supplies]
Cause: Skin allergy, resulting in skin damage around the stoma, making the stoma chassis and skin can not fully fit, resulting in leakage.
Treatment: to regular manufacturers or hospitals to buy ostomy supplies, avoid the use of expired or inferior ostomy supplies.
6. [Using expired or fake ostomy supplies]
Cause: Skin allergy, resulting in skin damage around the stoma, making the stoma chassis and skin can not fully fit, resulting in leakage.
Treatment: to regular manufacturers or hospitals to buy ostomy supplies, avoid the use of expired or inferior ostomy supplies.
