Colostomate

Colostomate refers to an individual who has undergone a colostomy, a surgical procedure that creates an opening (stoma) from the large intestine (colon) to the surface of the abdomen. This opening allows for the diversion of fecal matter out of the body when the lower part of the colon or the rectum is not functioning properly due to various medical conditions. Colostomates often require this procedure due to conditions such as colorectal cancer, inflammatory bowel disease (including Crohn's disease and ulcerative colitis), diverticulitis, or trauma to the lower digestive tract. The creation of a stoma marks a significant change in the life of a colostomate, necessitating adjustments in daily living and self-care practices.

Overview

A colostomy can be temporary or permanent, depending on the underlying reason for the surgery. The procedure is aimed at preserving the patient's health and quality of life by bypassing a diseased or damaged part of the colon. For colostomates, managing their stoma and the appliance that collects feces (colostomy bag) is a critical part of daily life. Education on stoma care and support from healthcare professionals, such as stoma care nurses, is essential for helping individuals adapt to their new circumstances.

Types of Colostomy

There are several types of colostomy, classified based on their location in the colon and the specific surgical technique used:

• Ascending colostomy – involves the ascending part of the colon, producing liquid feces.
• Transverse colostomy – made in the transverse colon, resulting in semi-formed feces.
• Descending colostomy – involves the descending part of the colon, with more solid feces.
• Sigmoid colostomy – the most common type, made in the sigmoid colon, producing solid feces.

Living with a Colostomy

Adjusting to life as a colostomate involves learning how to care for the stoma, manage the colostomy bag, and recognize potential complications. Lifestyle changes, including diet modifications, are often necessary to manage odor and gas and to ensure the proper functioning of the colostomy. Emotional and psychological support is also crucial, as individuals may experience feelings of embarrassment, anxiety, or depression following surgery.

Complications

Potential complications for colostomates include skin irritation around the stoma, stoma blockage, and hernias. Regular follow-up care with healthcare providers is important for managing these issues and maintaining overall health.

Support and Resources

Numerous organizations and support groups offer resources, education, and community for colostomates. These resources aim to empower individuals with knowledge and support, helping them lead full and active lives post-surgery.