There is no standard time for how often to change the ostomy bag. Generally speaking, the bag body can be used for 3 to 5 days, and the service life of the ostomy bag is also related to the chassis of the ostomy bag. The chassis is sticky and does not leak. Use more time. For ostomy bags produced by Longterm Medical, the one-piece type is generally recommended for 2-3 days, and the two-piece chassis is recommended for 5-7 days. This article will introduce the frequency of ostomy bag replacement and nursing advice, please come and see it with me!
When should I change my ostomy bag?
Longterm Medical recommends that you schedule routine colostomy bag emptying before breakfast or at night before bed when your body is less busy with digestion. Plan to regularly change the colostomy bag every 3-5 days. Date the tape on the pouch or mark your calendar to remind you when the pouch was last changed. If you feel itchy or burning skin around the stoma, replace the stoma bag immediately. These sensations could be signs of a leak.
What factors affect the frequency of ostomy bag replacement?
The replacement time of the ostomy bag is determined according to each person's situation. If you have just had an ostomy, it is recommended that you change it every day, whether it is a one-piece or two-piece, because, after the operation, you need to observe the condition of the stoma and check the condition of the skin around the stoma, so it is recommended to be sure Do not exceed 2 days. Once a problem is found, it can be dealt with in time.
1. Influence of stoma shape:
① The ideal height of the stoma is 1-2cm. Generally, the stoma is higher than 1cm and it is not easy to leak. Therefore, for such a high stoma, the one-piece ostomy bag can be used for 3 days, and the two-piece ostomy bag can be used for 7 days. Of course, some people use it longer. When the height of the stoma is about 0.5cm, the position is low, and there is a possibility of leakage due to changes in body position and other reasons. It is recommended to use a one-piece ostomy bag for 1-2 days, and a two-piece ostomy bag for no more than 3 days. Because once there is leakage, a small amount will be absorbed by the chassis colloid, but when the amount is large, the skin under the chassis will be stimulated, resulting in fecal dermatitis, and the chassis will also fall off because it cannot stick.
②The stoma is low and flat or even sunken, partly due to the physical reasons of the operation itself. The height of the stoma is the same as the skin surface, so it will be easier to leak, the surrounding skin will have more serious dermatitis, and the stoma bag will not be able to stick. It is generally recommended to use a convex ostomy bag, and a belt can prevent leakage to a certain extent, and it is recommended to use a leak-proof paste. If the stoma still leaks, at this time, it may be necessary to change several bags a day, pay attention to a timely replacement, and the stoma powder skin protectant should be used together to prevent and reduce dermatitis to a certain extent.