As June approaches, so does Hernia Awareness Month, a time dedicated to shedding light on the various types of hernias and their impact on individuals’ lives. For ostomates this month holds special significance, as it provides an opportunity to raise awareness about parastomal hernias, a common concern among those living with an ostomy. Parastomal hernias can significantly affect the quality of life of ostomates, yet they often go unrecognized or untreated.
Understanding Parastomal Hernias:
A parastomal hernia occurs when tissue, such as the intestine, protrudes through the abdominal wall around the stoma, resulting in a bulge or lump near the ostomy site. This type of hernia is particularly prevalent among ostomates due to the surgical creation of an opening (stoma) in the abdominal wall to divert waste from the body. The weakened abdominal muscles around the stoma site increase the risk of herniation over time.
If left untreated, parastomal hernias can lead to complications such as strangulation, where the protruding tissue becomes trapped and blood flow is restricted, necessitating emergency medical attention.
Management and Prevention:
While parastomal hernias can be challenging to manage, especially once they develop, there are strategies individuals can adopt to mitigate their risk and alleviate symptoms:
- Supportive Ostomy Products: Specialized ostomy belts or support garments can help provide additional support to the abdominal muscles, reducing the risk of herniation.
- Proper Stoma Care: Maintaining good stoma hygiene and ensuring the proper fit of ostomy appliances can help minimize irritation and discomfort around the stoma site.
- Lifestyle Modifications: Avoiding heavy lifting, maintaining a healthy weight, and incorporating gentle exercises to strengthen the abdominal muscles can help prevent hernias.
- Surgical Intervention: In cases where conservative measures are ineffective or complications arise, surgical repair of the hernia may be necessary.
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