1. Under normal circumstances, for most friends with a stoma, it is recommended to replace the stoma bag every 2-3 days.
2. According to the range of viscose dissolution in the central hole of the stoma skin barrier, if the dissolution range reaches 1/2-2/3 of the entire chassis area, the ostomy bag needs to be replaced. Otherwise, there may be leakage of excrement due to the reduced sticking area of the skin barrier.
3. Referring to the usual wearing time of the ostomy bag, if the skin around the stoma is intact after removing the skin barrier, you can try to extend the use time for another day next time. If the skin around the stoma is found to have dermatitis, ulceration (broken), bleeding, granulation or hyperplasia after opening, the number of days of use of the stoma bag should be shortened and professional help should be sought.
4. If the ostomy bag leaks, it needs to be replaced immediately.
5.If leakage occurs repeatedly, there may be some stoma-related complications or improper selection of stoma bag products, please seek help from a stoma therapist.
One piece ostomy bag
In most cases, the one-piece ostomy bag is recommended to be replaced every 1 to 3 days. However, attention should be paid when these two situations occur: (1) When the stool is loose, the skin around the stoma is wrinkled, or the skin sweats a lot in summer, it is generally necessary to replace an ostomy bag a day (2) When the stool is formed, If the skin around the stoma is smooth, or the skin sweats less in winter, the one-piece pouch can be used for 2 to 3 days, and the longest is no more than 5 days.
Two piece ostomy bag
In most cases, two-piece stoma trays are replaced every 3-5 days. When replacing the two-piece ostomy bag, the skin barrier does not need to be removed repeatedly, only the bag body needs to be replaced. (1) When you have loose stools, skin folds around the stoma, or sweat a lot in summer, replace it every 2 or 3 days (2) When the stool is formed, the skin around the stoma is smooth, or the skin sweats in winter In less cases, replace it every 3 or 5 days, and the longest time should not exceed 7 days.
Precautions
1. In short, the replacement time of the ostomy bag needs to be selected according to the own situation, and the replacement frequency of the ostomy bag is suitable for oneself.
2. If the chassis appears to dissolve and turn white, it is necessary to replace the ostomy bag. When there is a dissolution of about 1 cm outward from the edge of the stoma on the stoma chassis.
3. Once the ostomy bag leaks, it needs to be replaced immediately. Do not use adhesive tape to stick around the chassis in order to prolong the use time of the stoma bag, as this will cause greater damage to the skin around the stoma.
4. If you have time, you can observe whether the replaced one-piece ostomy bag or two-piece ostomy chassis is dissolved and the skin color changes around the stoma, so as to adjust the time for the next replacement of the ostomy bag, for example: after sticking the ostomy bag On the third day, when the ostomy bag was replaced, it was found that 1 cm of the chassis had been dissolved, so the next time the stoma chassis should be replaced on the second day. And so on...