Stomia, czyli chirurgiczne wyprowadzenie światła narządu jamistego przez powłoki skórne, to zabieg, który w znacznym stopniu wpływa na codzienne funkcjonowanie pacjenta. Tuż po operacji stomik może mieć wiele wątpliwości. Czego nie wolno osobie ze stomią? O czym należy pamiętać?
Czy worek stomijny można zamoczyć?
Tak. Worki stomijne mogą ulec zamoczeniu i nie spowoduje to usterek w ich działaniu. Można je pozostawić do samoczynnego wyschnięcia bez konieczności wymiany na nowy zaraz po zmoczeniu.
Czy worek stomijny trzeba zdjąć przed wejściem pod prysznic?
Nie. To, czy stomik zachowa, czy zdejmie płytkę i worek stomijny na czas prysznica lub kąpieli, zależy wyłącznie od jego preferencji. Mydło nie uszkodzi stomii.
Czy osoba ze stomią może pływać w basenie?
Tak. Stomia nie jest otwartą raną, w związku z czym nie stwarza medycznych ani higienicznych przeciwwskazań do pływania.
Jeżeli worek stomijny jest założony w prawidłowy sposób, nie powinno dojść do obluzowania ani wycieku pod wpływem wody. Przed rozpoczęciem pływania warto jednak wymienić worek stomijny na nowy. Dla zwiększenia komfortu i bezpieczeństwa warto także rozważyć zastosowanie wodoodpornych taśm do przyklejenia worka oraz zabezpieczenie go za pomocą odpowiedniego pasa ochronnego. Na rynku są również dostępne akcesoria do zaopatrzenia stomii zaprojektowane specjalnie dla pływaków.
Czy po wyłonieniu stomii można uprawiać sport?
Eksperci podkreślają, że zabieg wyłonienia stomii nie powinien znacząco ograniczyć aktywności pacjenta. Dotyczy to również sportu. Stomicy mogą biegać, jeździć na rowerze i uprawiać inne dziedziny sportu w taki sam sposób jak osoby, które nie przeszły takiego zabiegu. Nie zaleca się jedynie sportów kontaktowych takich jak karate czy judo, ponieważ w trakcie ćwiczeń może dojść do uszkodzenia sprzętu stomijnego lub samej stomii.
Ograniczenia dotyczą w większości przypadków tylko bezpośredniego okresu pooperacyjnego. Zaleca się, by przez ok. 6 miesięcy po zabiegu wyłonienia stomii nie obciążać nadmiernie mięśni brzucha i nie uprawiać intensywnych sportów siłowych. W tym okresie warto wybierać lżejszą aktywność rekreacyjną, która pozwoli na stopniowe odbudowanie kondycji i wytrzymałości organizmu.
Czy są rzeczy, których stomik nie może jeść?
Wyłonienie stomii nie jest wskazaniem do stosowania specjalistycznej, rygorystycznej diety. Zaleca się stosowanie urozmaiconej, zróżnicowanej diety, która będzie bogata w witaminy, składniki mineralne i błonnik. Stomicy powinni unikać potraw i produktów, które mogą nasilać perystaltykę jelit (np. grube kasze, pieczywo razowe) lub powodować gazy (np. warzywa strączkowe). Niewskazane są także napoje gazowane i alkoholowe oraz słodycze. Eksperci podkreślają jednak, że każdy stomik powinien indywidualnie dostosować dietę do preferencji i potrzeb swojego organizmu.
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Stomia w żaden sposób nie wyklucza z życia publicznego. Poznajcie prawdziwe historie ludzi, którzy żyją ze stomią, uprawiają sport, podróżują i cieszą się każdym dniem: http://www.stomia.pl/pl/po-zabiegu/historie-pacjentow/wielkie-powroty
Dzień dobry, dziękuję za artykuł. Mam pytanie, czy są jakieś sposoby na ograniczenie przykrych zapachów? Wspomina o tym dietetyk tutaj (to znaczy o ograniczeniu niektórych produktów) https://www.stomia.pl/pl/a/prawidlowa-dieta-dla-osob-ze-stomia Niestety, bardzo lubię ryby, kuchnię indyjską i ogólnie wszystko to, co może mi zapewnić dużo wolnej przestrzeni w transporcie publicznym. 🙁
Witam wydaje mi się że niestety odnośnie ryby chyba nie ma specjalnej receptury też się zmagam z tym niekoniecznie problemem w moim przypadku ponieważ jem ryby 2 razy max w tygodniu bądź tylko raz 🙂
Witam, dosyć trudne pytanie , starsza osoba która przeszła nowotwór odbytu ma stomię i mieszka sama , jak przychodzę z zakupami itp , zabieram śmieci , a wśród nich to co spuszczone jest z worka stomijnego , zsyp jest na dole , do windy z tym nie wejdę ,ponieważ po prostu strasznie śmierdzi , zdarzyło się że worek ze śmieciami pękł , to powinno być od razu spuszczane do toalaety , jak starsza osoba ma to zrobić praktycznie ?
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