If a person does not have an anus, what kind of dilemma will they face?
According to the latest cancer data released by the World Health Organization, in 2020, the number of confirmed colorectal cancer patients worldwide reached 1.93 million, of which about 550,000 were colorectal cancer patients in mainland China.
And these patients, in order to save their lives, had to be forced to lose their anus and became what everyone calls "ostomy people".
While saving his life, he also faced the inconvenience of life
Due to serious diseases in the colorectum, bladder and other parts, such as tumors, patients in the treatment not only have to remove the lesion site, the original anus sutured, but also need to pull out a piece of intestinal tube after flipping over, and then suture it in the abdominal wall, this is the so-called "stoma".
Patients need to live with fecal bags on their backs all the time and follow the path of "ostomy man".
According to statistics, China's "ostomy people" have exceeded 1 million, and every year more than 100,000 people join the ranks of "ostomy people", some of whom belong to young people in their 20s.
Once you become a "stoma person", not only will your life be affected, but also your work and social interaction will be affected a lot, and even cause survival difficulties.
Like what:
1. Life
"Ostomy people" in life will be excluded by others because they carry fecal bags and emit odors, and they will be treated differently by others for a long time, which will seriously hit the patient's soul.
Not only that, if the patient does not take good care of the stoma, there may be inflammation and pain of the stoma, and the stoma pocket may be damaged and feces may flow out.
2. Work
"Ostomy people" can not control the defecation on their own, if improper care may also cause stoma damage, fecal outflow, wound suppuration and other conditions, so it will also have a certain impact on the patient's life.
Many patients have to leave their jobs as a result, and only a very small number of patients can standardize nursing and stick to their jobs.
3. Socialize
Many "ostomy people" have social phobia, because patients are afraid that their odor will be smelled by others, and they are also worried about the embarrassment caused by the exposure of excrement in the process of socializing.
At the same time, long-term social inconvenience has also made more and more patients choose to refuse to socialize, resulting in obvious inferiority complex, anxiety and worry about daily life, and even develop depression.
The high price of the stoma pocket also hinders the patient's way forward
It is reported that the price of a single pouch is more than 100 yuan, and it needs to be replaced every three days, so the cost of a month needs more than a thousand yuan, and this fixed expenditure is also a pressure for patients.
In addition, stoma care products such as stoma skin care powder cannot be included in the scope of medical insurance reimbursement, which adds a lot of economic pressure to stoma patients and families.
An early examination can avoid the appearance of "ostomy man"
In fact, most ostomy people basically have a history of colorectal cancer, especially sigmoid colon cancer and rectal cancer, once suffering from intermediate and advanced cancer, even if they can save their lives, but the patient has to finally undergo removal, the cost is also very high.
According to statistics, at present, nearly 400,000 new colorectal cancer patients are added to the mainland every year, only 10-15% of which are early-stage cancers that can be completely cured, and most patients are already in the middle and advanced stages once they are found.
And can be found early in the bowel cancer, these stoma people tragedy could have been avoided, this kind of examination, is the colon microscopy.
If the screening population is targeted at the age of 40-74, about 120 million people in mainland China need to be screened for bowel cancer every year, especially colonoscopy, but in fact only 15% of people are tested.
It should be known that most of the occurrence of bowel cancer evolves from intestinal polyps, and it takes about 5-15 years from intestinal polyps to bowel cancer, and most of the formation of colorectal cancer is after the age of 55.
And before the age of 40, a colonoscopy can be well observed, whether it is a benign intestinal polyp, or early bowel cancer, these are good treatment, can be removed in time to prevent continued changes.
Even for stage II and III bowel cancer, it currently has a good prognosis through comprehensive treatment, and its 5-year survival rate can reach more than 60-80%.
If the early detection is missed and the cancer cells metastasize remotely, even at the current level of medical treatment, the 5-year survival rate is only less than 20%, and the burden of drugs and medical costs is greatly increased.
Today, the number of mainland ostomy patients has exceeded 1 million, and more and more people are beginning to realize this group.
Although with the continuous development of medicine, the treatment effect of colorectal cancer and the level of stoma appliances have also increased, which has greatly reduced the living burden of stoma people.
But we still hope that this group can continue to shrink and that everyone in the colonoscopy program will be able to pay attention to it.
bibliography:
[1] Li Guoji,Chen Jinjian,Li Chunmei,Li Guoling,He Yanying. The Impact of Whole-Person Care Model on The Quality of Life of Enterostomy Patients[J].Contemporary Nurses (Late 2017),2017(01):54-56.
[2] Zhong Cuina, Chen Ling, Yang Guilan, Lu Min, Liang Xingyan. Analysis of self-care ability before and after permanent colostomy human fraternity[J].Modern Hospital,2012,12(09):61-63.