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Это необходимо для удаления кала из организма, когда нормальный прямой путь прохождения кала через прямую кишку и анус затруднён или невозможен [2](https://prezident-med.ru/uslugi/proktologiya/kolostoma). \n\nКолостомия может быть **временной** (устанавливается на определённый срок) или **постоянной** (создаётся, когда восстановление нормального функционирования кишечника невозможно) [1](https://semeynaya.ru/operations/kolostomiya/)[3](https://proctocentr.ru/hirurgiya/kolostoma)[10](https://www.euroonco.ru/terms-from-a-z/stoma).\n\n\n\n## Показания\nНекоторые показания к колостомии: \n* **Онкологические заболевания** — при раке прямой кишки или опухолях других отделов толстой кишки колостомия выполняется как этап радикального лечения или с паллиативной целью при неоперабельных случаях рака [6](https://mc21.ru/articles/kolostoma/). \n* **Непроходимость кишечника** — в некоторых ситуациях, когда жизнеспособность тканей кишки оставляет сомнения, проводят удаление участка органа для восстановления проходимости желудочно-кишечного тракта [6](https://mc21.ru/articles/kolostoma/). \n* **Тяжёлые воспалительные заболевания кишечника** — при осложнённых формах язвенного колита или болезни Крона, когда медикаментозная терапия не даёт эффекта [6](https://mc21.ru/articles/kolostoma/). \n* **Травматические повреждения кишечника** — огнестрельные или ножевые ранения, последствия ДТП могут потребовать формирования временной колостомы [6](https://mc21.ru/articles/kolostoma/). \n* **Врождённые аномалии развития** — болезнь Гиршпрунга или атрезия кишечника у детей [6](https://mc21.ru/articles/kolostoma/).\n\n## Виды\nПо форме колостомы подразделяются на [8](https://celitel05.ru/services/kolostomiya/): \n* **Одноствольные** — формируется одно отверстие, куда чаще всего выводится конец нисходящего отдела ободочной кишки [8](https://celitel05.ru/services/kolostomiya/). \n* **Двуствольные (раздельные или петлевые)** — создаётся две стомы, при этом в одну выводится конец толстой кишки, в другую — конец тонкой кишки [8](https://celitel05.ru/services/kolostomiya/). \n\nПо местоположению колостомы могут быть, например: \n* **Асцендостома** — создаётся на восходящей части толстой кишки, отверстие располагается на правой стороне живота [2](https://prezident-med.ru/uslugi/proktologiya/kolostoma). \n* **Трансверзостома** — создаётся на трансверзальной части толстой кишки, которая проходит горизонтально через живот, отверстие может находиться в центральной части живота [2](https://prezident-med.ru/uslugi/proktologiya/kolostoma).\n\n## Подготовка\nПеред колостомией пациент проходит предоперационное обследование [8](https://celitel05.ru/services/kolostomiya/). Некоторые исследования: \n* анализы крови (клинический, биохимический, коагулограмма) [8](https://celitel05.ru/services/kolostomiya/); \n* общий анализ мочи [8](https://celitel05.ru/services/kolostomiya/); \n* электрокардиография [8](https://celitel05.ru/services/kolostomiya/); \n* рентгенография [8](https://celitel05.ru/services/kolostomiya/); \n* диагностика толстого кишечника (колоноскопия, ирригоскопия, ректороманоскопия) [8](https://celitel05.ru/services/kolostomiya/); \n* УЗИ брюшной полости [8](https://celitel05.ru/services/kolostomiya/). \n\nЗа 3–5 дней до операции необходимо соблюдать диету и отказаться от продуктов, которые долго перевариваются и вызывают повышенное газообразование в кишечнике [8](https://celitel05.ru/services/kolostomiya/). Накануне хирургического вмешательства следует очистить кишечник путём постановки очистительной клизмы или приёма осмотических слабительных средств [8](https://celitel05.ru/services/kolostomiya/).\n\n## Реабилитация\nПосле колостомии требуется восстановительный период — стома может кровоточить, отекать, быть болезненной [16](https://oncology.eurodoctor.ru/Oncologyhospital/colostomy/). Некоторые рекомендации: \n* **Придерживаться диеты**, рекомендованной врачом, чтобы избежать проблем со стулом (запоров, диареи и чрезмерного газообразования) [5](https://www.euroonco.ru/glossary-a-z/kolostomiya)[16](https://oncology.eurodoctor.ru/Oncologyhospital/colostomy/). \n* **Обучиться уходу за стомой** и правильной замене калоприёмника [1](https://semeynaya.ru/operations/kolostomiya/)[16](https://oncology.eurodoctor.ru/Oncologyhospital/colostomy/). \n* **Регулярно посещать врача** для контроля состояния здоровья и проведения необходимых анализов 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