It’s a highly personal decision to determine which ostomy pouching method or product is ideal for you. It’s recommended to consult an ostomy doctor or somebody with knowledge in this field before testing out your first pouching system. After treatment, there must be someone in the hospital with supplies and directions.
While looking for the pouching solution which will perform great for you, there are several factors to consider. The size of the stoma, abdominal stiffness, and form, stoma placement, scars and folds surrounding the stoma, as well as your body size, must all be taken into account. A decent pouching system should include the following features:
- Remain safe and protected with a leak-proof cover that will last up to three days.
- Be resistive to odors.
- The skin around the stoma should be protected.
- Underneath your clothes, you’ll be almost undetectable.
- It should be simple to put on and take off.
- Enable yourself to wash or bathe with the bag on if desired.
Pouches are available in a variety of designs and sizes, and an ostomy doctor can assist you in selecting the right one for your needs and activities. They all feature a collecting bag to gather stool drainage from the stoma and an adhesive barrier to secure the surrounding skin (called a flange, skin barrier, or wafer). There are two sorts of systems to choose from:
- One-piece pouches combine the bag and the skin barrier into a single item. When you release the bag, the barrier takes off with it.
- In Two-piece system, the skin barrier separates from a bag. The barrier remains in place after the bag is removed.
You might become allowed to choose a stoma cap rather than using a bag if your colostomy releases feces at predictable times. Put a piece of plastic wrap over the stoma and wrap this with rolled-up gauze or paper that has been dabbed with a tiny quantity of liquid lubricant. Medical tape, underpants, or even stretchy clothing can be used to keep it in position for better stoma care.
Types of Colostomies
A colostomy can be partial or lifelong, and it can be performed in any section of the colon. Colostomies are classified according to where they are placed on the colon.
On the right side of the abdomen, the ascending colostomy is inserted. Just a little part of the colon remains functional. This indicates that the output is fluid and has a high concentration of digestive enzymes. The skin should be secured from the outflow by wearing a drainable bag at all times. Because an ileostomy is typically a preferable option if the output is fluid, this form of colostomy is uncommon.
The descending colostomy is found in the descending colon and is situated on the low left side of the abdomen. Almost all of the time, the output is consistent and predictable.
The most frequent form of colostomy is a sigmoid colostomy. It’s created in the sigmoid colon, merely just a few inches below a descending colostomy. As the colon is more active, it may produce solid stool on a more frequent basis.
Among the most prevalent kinds is a transverse colostomy. The loop transverse colostomy and the double-barrel transverse colostomy are the two forms of transverse colostomies. The transverse colostomy is located in the upper abdomen, whether in the center or to the right.
The stool can exit the system before it enters the descending colon with this form of colostomy. The following are some of the colon issues that might cause a transverse colostomy:
- Diverticulitis: This is diverticula inflammation (little sacs along the colon). In extreme situations, it can lead to an abscess, scarring with stricture (abnormal narrowing), or colon rupture and illness.
- Inflammatory bowel disease.
- Defects in the womb.
Loop Transverse Colostomy
Although the loop colostomy seems to be one big stoma, it contains two holes. One aperture dispenses feces, while the other simply discharges mucus. To defend itself from the contents of the intestine, the colon produces tiny quantities of mucus. This mucus is typically not seen because it passes with the bowel motions. During the colostomy, the remainder of the colon continues to produce mucus, which will exit through the stoma or the rectum and anus. This is very common and to be anticipated.
Double-Barrel Transverse Colostomy:
The doctor splits the intestine entirely while performing a double-barrel colostomy. As a distinct stoma, each hole is brought to the surface. The skin may or may not divide the two stomas. Here, likewise, one hole dispenses feces while the other discharges only mucus (this smaller stoma is called a mucous fistula). The inactive portion of the bowel is often stitched shut and left within the stomach. There is just one stoma after that. The mucus from the bowel’s resting section is expelled through the anus.