Topic Explanation:
The discussion centers around issues with the Covotec 2-piece Natura Moldable system for ileostomy management, specifically skin irritation and leaks. The original poster has been experiencing itching, soreness, and leaks despite using antifungal and ostomy powders. They are seeking advice on whether others have faced similar issues with this system and potential solutions.

Advice and Insights:

1. Consider trying different brands or systems, such as Hollister or Coloplast, as different products work for different people. Contact suppliers for samples to find the best fit.

2. Use a sealing washer or barrier ring under the wafer to help prevent leaks and protect the skin. Hollister Adapt Rings are recommended by several users.

3. Ensure the template for the appliance fits closely around the stoma to prevent exposure of the skin to output, which can cause irritation.

4. For skin irritation, a routine involving cortisone cream, Canesten cream, and Brava barrier cream can be helpful. However, avoid overusing cortisone as it can thin the skin.

5. For itching, Benadryl and ice packs can provide relief. Anusol can help with swelling.

6. If experiencing leaks, remeasure the stoma as its size may change over time. Consider using a convex wafer if the stoma does not protrude sufficiently.

7. For fungal infections, consult a dermatologist for potential treatments like ketoconazole cream or Diflucan pills.

8. Use adhesive removers to minimize skin damage during appliance changes.

9. Work with an ostomy nurse to develop a personalized care routine and access different product samples.

10. Change the appliance more frequently if it gets wet or sweaty to prevent skin issues.

11. Consider using closed-end bags if dealing with thick output to avoid the need for rinsing.

12. Be aware of potential allergies to materials like aloe or latex in ostomy products.