How to care for ileal bladder replacement

summary

Ileal bladder replacement is a kind of operation used in urology for intestinal tract and omentum. Patients need to have a detailed examination before deciding whether they can perform ileal bladder replacement. Let's talk about the nursing of ileal bladder replacement.

How to care for ileal bladder replacement

First: Observation of the disease, early observation of stoma, normal stoma is generally red, moist, shiny. After touching, there will be a small amount of bleeding. If there is a large amount of bleeding or it turns purple black, when it loses luster, we must be highly alert to the ischemic necrosis of the stoma, and we need to inform the doctor in time.

The second is to replace the ostomy bag, prepare the replacement items, pull the ostomy bag to the direction of the ostomy when changing, use the other hand to press the skin when tearing, the action should be gentle, avoid too fast, too heavy and damage to the skin, scrub with sterile saline cotton ball, clean the ileum secretion in time, and wipe the skin dry with soft cotton cloth after thoroughly cleaning the skin.

Third: skin irritation dermatitis around the stoma. It is often because the patient has not fully mastered the technique of sticking the pouch, which leads to leakage of urine in the pouch, long-term immersion of urine, irritation of skin and inflammation. The patient should be instructed to stick and cut the pouch correctly, change the dressing on the lesion, and apply zinc oxide ointment or skin protective film and powder externally.

matters needing attention

For patients with ileal bladder replacement surgery, postoperative nursing is very important, because ileal bladder replacement surgery may bring many complications, which need timely detection and treatment.