สาระความรู้ CoP แผลและออสโตมี (Wound and Ostomy)
Enteroatmospheric Fistula in the large fungating wound and Enterocutaneous Fistula

Arittiporn Chuntra,
Nongluk Sansom
Siriraj Hospital, Mahidol University, Thailand

A fistula is an abnormal epithelialized connection between two bodies with intestinal tract and skin. The effluent from intestinal tract is contain proteolytic digestive enzymes (Hoedema,R.E.,& Suryadevara S.,2010) as a fungating wound is often produce excessive exudate. The effect of continuous moisture from effluent and exudate are skin damage. A suitable care with these situation are skin prevention. The problem of Enteratmospheric Fistula (EAF), Enterocutaneous Fistula (ECF) and fungating wound are malodor, bleeding, risk for skin irritation from excessive effluent and exudate which difficult to control including patient discomfort. The principles of wound care are vital importance.

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