Stoma Care and Skin Health: Preventing and Treating Common Issues
Stoma Care and Skin Health: Preventing and Treating Common Issues
Blog Article
Peristomal skin irritation is one of the most common issues faced by individuals with stomas. This condition occurs when the skin around the stoma becomes red, sore, and inflamed. The primary causes include leakage of stoma output onto the skin, improper fitting of the stoma appliance, and frequent removal of the adhesive. Symptoms can range from mild redness to severe ulceration and pain.
Allergic reactions can occur due to the materials used in stoma appliances, such as adhesives, tapes, or barrier rings. These reactions can manifest as redness, itching, and blistering around the stoma site. Identifying the allergen and switching to hypoallergenic products can help manage this issue.
Fungal infections, particularly candidiasis, are common in the warm, moist environment around the stoma. These infections present as red, itchy rashes with satellite lesions. They can be exacerbated by prolonged moisture, antibiotic use, or compromised immune systems. Antifungal powders and maintaining a dry peristomal area are effective treatments.
Folliculitis is the inflammation of hair follicles around the stoma, often caused by shaving or friction from the stoma appliance. 대명상조 It appears as small, red, pus-filled bumps and can be painful. Proper shaving techniques, using electric razors, and ensuring a snug fit of the appliance can help prevent this condition.
Mechanical injury to the peristomal skin can result from improper handling of stoma appliances, frequent changes, or aggressive cleaning. This can lead to skin tears, abrasions, and ulcerations. Gentle handling, using appropriate adhesive removers, and ensuring a proper fit of the appliance can minimize the risk of mechanical injury.
Contact dermatitis is an inflammatory reaction caused by direct contact with irritants or allergens in stoma care products. It presents as red, itchy, and sometimes blistered skin. Identifying and eliminating the offending product, along with the use of barrier creams, can help manage contact dermatitis.
Hyperplasia, or the thickening of the skin around the stoma, can occur due to chronic irritation or pressure from the stoma appliance. This condition can make it difficult to achieve a good seal with the appliance, leading to further complications. Treatment involves addressing the underlying cause and possibly using topical steroids to reduce inflammation.
Pressure ulcers can develop if the stoma appliance exerts excessive pressure on the skin, particularly in individuals with limited mobility. These ulcers appear as painful, open sores and can become infected if not properly managed. Ensuring a well-fitted appliance and using pressure-relieving products can help prevent pressure ulcers.