1. Clean the skin around the stoma

Cleaning the skin around the stoma is the most basic and important link. Proper cleaning methods not only prevent infection but also reduce skin irritation and discomfort. First, use mild detergents when cleaning and avoid products containing alcohol or fragrances to avoid skin irritation. It is recommended to choose a special cleansing solution with a pH close to the skin, such as commercially available cleaning agents. When cleaning, gently wipe from the inside out to avoid rubbing back and forth to avoid damaging your skin.

The choice of cleaning supplies is equally important. In addition to special cleaning solutions, they can also be cleaned using saline or warm water. It is not recommended to use soap or regular body washes as they can destroy the skin's natural barrier. Additionally, dry your skin thoroughly after cleansing to avoid leaving behind moisture that can cause eczema or infections. If your skin becomes red, swollen, or broken, stop using your current cleaning product immediately and consult a healthcare professional.

Controlling water temperature and force is also a detail that cannot be ignored during the cleaning process. Keep the water temperature around 37°C, too high or too low can cause skin irritation. Cleanse with gentle force, especially if you have recently completed surgery and have sensitive skin. It is recommended to use disposable cotton balls or gauze and avoid reusing towels to reduce bacterial growth.

2. Cleaning the stoma bag

There are two types of stoma bag cleaning: reusable and disposable. Reusable pouches should be cleaned regularly to maintain hygiene. When cleaning, first remove the stoma bag, rinse the remaining excrement with warm water, and gently brush the inner and outer surfaces with a special detergent. After cleaning, soak in diluted vinegar water (ratio 1: 3) for 10 minutes to remove odors and disinfect. Finally, dry the ostomy bag and store it in a well-ventilated area away from direct sunlight.

Disposable pouches must be handled correctly. After use, flush the excrement down the toilet, roll up the stoma bag and seal it in a special garbage bag. According to data from the Hong Kong Environmental Protection Bureau, medical waste should be disposed of separately from general waste, so it is recommended to dispose of used ostomy bags in medical waste recycling bins. If you don't have this facility at home, you can contact the Community Medical Service Center for assistance.造口護理

3. Disinfect stoma care tools

Sterilizing stoma care tools is an important step in preventing infection. Disinfectant supplies can be 75% alcohol, diluted bleach (ratio 1:100) or special disinfectant sprays. Before disinfecting, remove dirt from the tool and wipe it or soak it in a disinfectant. For example, metal tools such as scissors and tweezers can be wiped with an alcohol cotton pad, while plastic products are suitable for soaking in bleach.

The disinfection procedure must be strictly followed: first rinse the tool with clean water, then treat it with an antiseptic, and finally rinse with sterile water and dry. Gloves should be worn during the process to avoid direct contact with disinfectants. Additionally, sterilized tools should be stored in clean containers and inspected regularly for rust or damage.

4. Clean home environment

For stoma care, cleanliness at home is equally important. The bathroom is an important area for cleaning, and it is recommended to wipe the toilet, sink and floor with diluted bleach every day. The Hong Kong Health Bureau pointed out that a humid environment is prone to bacterial growth, so bathrooms should be ventilated and floor mats and towels should be changed regularly.

Particular attention should also be paid to garbage disposal. Use stoma care products should be sealed and discarded to avoid mixing with food waste. If someone in the house has an infection, you should clean up the trash every day and use a double-layer garbage bag to reduce the risk of infection.

5. How to determine if the skin around the stoma is infected?

Signs of infection include redness, swelling, pain, bleeding, and odor. If the above symptoms appear on the skin, you should immediately seek medical attention. The Hong Kong Hospital Authority recommends that stoma patients check their skin condition daily and record any abnormal changes. Mild redness can be cleaned with saline and a special skin care balm can be applied first. If symptoms persist for more than 48 hours, professional medical intervention is required.

6. Precautions for infection prevention

Infection prevention starts with the smallest details of everyday life. First, replace the pouch regularly and avoid using expired products. Then, keep your hands clean and wash your hands before and after treatment. In addition, spicy and sugary foods should be avoided from the diet to reduce skin irritation caused by excrement. Finally, regular follow-up visits will be performed to ensure adequate stoma care.

According to statistics from the Hong Kong Ostomy Association, proper ostomy care can reduce the risk of infection by 80%. Therefore, patients and their families should have a good understanding of nursing knowledge and seek professional help if necessary.

Posted by: ucenico at 09:47 AM | No Comments | Add Comment
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