46759 Coloplast 2-Piece Alterna Convex No. 4, flange 50mm, cutout 15-33mm
Alterna Convex plate (46759, 46769) of a two-component colostomy bag. The plate consists of a two-layer adhesive of a spiral structure, provides reliable adhesion and protection of the skin. this type of plate is recommended for stoma that does not protrude above the skin level - the so-called flat or retracted stoma. The convex plate (concave) allows you to press the skin around the stoma and push the stoma outward, thus preventing leakage of intestinal secretions under the plate.
Two-component colostomy bags are an ostomy system consisting of separate parts: a plate and an ostomy bag. The bag is attached to the plate with a flange. The diameter of the flange on the plate must match the diameter of the flange on the bag.
Plates of two-component colostomy bags are:
- for the stoma, protruding above the level of the skin (Alterna plate, Alterna Long Sen);
- for flat / involved stomas (Convex plate, Convex Light Extra).
For those who use two-piece colostomy bags (plate + bag):
How to glue the plate?
- You need to determine the size of the stoma. Place the stencil on the plate and apply the contours of the protective coating of the adhesive layer.
- Next, you need to cut a hole in the plate in accordance with the applied contour. while the size of the cut hole should be 1-2 mm larger than the size of the stoma.
- Before gluing the plate, rub it between the palms or under the arm and remove the protective coating.
- In order to stick the plate, you need to match the lower edge of the cut hole with the lower border of the stoma. it is necessary to glue the plate from the bottom up, smoothing it on all sides and pressing it tightly against the skin.
- The plate should be glued with the protrusion upwards, so it should be removed from top to bottom, holding on to the protrusion.
How to put the bag on the plate?
- The fastening ring of the bag must be open. It is necessary to put the bag on the flange ring of the plate from the bottom up. It is necessary to check that the bag is securely installed on the plate and return the bag to a comfortable position.
- After that, it is necessary to close the fixing ring and squeeze the latch until it clicks. A click indicates that the bag is securely attached to the plate. In order to check the fixation of the bag on the plate, you need to pull the bag from side to side.
How to remove the bag from the plate?
To remove the bag, you need to open the fastening ring and press the latch, carefully pull the bag up and away from the eyelet.
yourself while holding the plate with one hand.
Drainage (emptying) of open bags. Open bags should be emptied regularly. The bag must not be overfilled. The bag can be removed from the plate and emptied. To do this, you need to direct the bag into the toilet, open the drainage hole and empty the bag.
The drainage end of the bag should be thoroughly wiped. after emptying the bag, close the drainage hole. Closed bags should be replaced every time the bag is filled to 1/3 full with feces. The plate can remain on the skin for several days. The period of use of the plates depends on the type of plate, the type of stoma, the characteristics of the skin around the stoma, and other reasons. If the plate fits snugly against the skin and ensures complete tightness, then it should not be changed when draining or changing bags. You need to clean the plate from feces with a soft cloth and warm water. Then carefully wipe the plate dry. You can take a shower with colostomy bags. Do not wash the plate in the shower for a long time. After a shower, you need to wipe the plate / colostomy bag with a soft towel.
Removing plates.
If there are signs of skin irritation around the stoma, the plate must be removed.
