Continuous Bladder Irrigation - Nea ɛsɛ sɛ wuhu fa ho

So ɛsɛ sɛ wɔyɛ wo anaa obi a wunim no oprehyɛn wɔ wo nsu mu te sɛ prostate oprehyɛn pɛn? Oprehyɛn a ɛte saa akyi no, ebia woate sɛ nnuruyɛfo ka sɛ wɔkɔ so gugu akisikuru no so nsu. Ebetumi ayɛ hu kakra sɛ wobɛte saa. Ɛyɛ ade a ɛfata sɛ wubesusuw sɛ, "Dɛn ne nsu a wɔde gugu nnɔbae yi so? Dɛn nti na wɔreyɛ?" Enti ɛnnɛ, momma yensua ne nyinaa tiawa koraa, te sɛ nea yɛne yɛn adamfo bi rekasa.

Sɛ yɛbɛka no tiawa a, dɛn ne Continuous Bladder Irrigation (CBI)?

Ɛyɛ mmerɛw yiye. Fa w’akisikuru no sɛ akwaa ketewaa bi a ɛte sɛ balloon. Ɛyɛ saa akisikuru yi mu na yɛyi nwura no fi nsuo a yɛnom ne aduane a yɛdi no mu na yɛkora so sɛ nsuo. Continuous Bladder Irrigation (CBI) yɛ adeyɛ a wɔde nsu a ɛnyɛ ɔyare mmoawa gu akisikuru no mu bere nyinaa, titiriw wɔ oprehyɛn akyi, de tew ho, na afei wɔde nsu hohoro nsu no fi mu.

Eyi te sɛ nea worehohoro toa a atɛkyɛ nsu ayɛ mu ma, a wokɔ so hwie nsu pa gu ɔfã biako na wode atɛkyɛ nsu no fi ɔfã foforo. Wɔyɛ saa adeyɛ yi wɔ ayaresabea nna pii.

Dɛn nti na ɛsɛ sɛ wohohoro wo akisikuru saa kwan yi so?

Ade titiriw nti a wɔyɛ eyi ne oprehyɛn a wɔyɛ wɔ nsu a wɔde fa nsu mu no. Titiriw wɔ akisikuru oprehyɛn anaa prostate oprehyɛn akyi (sɛ nhwɛso no, transurethral resection of the prostate - TURP ), mogya a ɛtɔ ne ntini nketenkete a woyi fi hɔ bere a wɔreyɛ oprehyɛn no betumi aboaboa ano wɔ akisikuru no mu.

Susuw nea ɛbɛba sɛ efĩ siw wo sink no mu nsu a ɛkɔ wo sink mu no ho hwɛ? Ná nsu no renkɔ yiye, ɛnte saa? Saa na ɛte. Saa mogya a ɛtwetwe ne ntini asinasin yi betumi asiw nsu a ɛkɔ nsu mu no kwan, na amma nsu no antumi antotɔ. Sɛ wɔyɛ oprehyɛn wie a, wɔtaa fa catheter mu yi nsu fi mu. Enti, hokwan wɔ hɔ sɛ mogya a ɛtɔ gu nipadua no mu yi betumi akɔhyɛ catheter no mu.

Ɛno nti na, sɛ wɔde CBI kwan no di dwuma a, wɔkɔ so hohoro akisikuru no mu de yi mogya a ɛtɔ ne nneɛma a wɔmpɛ yi fi mu no. Eyi ma wotumi kɔ so tra nsu a ɛsen sɛnea ɛsɛ no mu.

Nea enti titiriw yi akyi no, nneɛma afoforo pii nti na nnuruyɛfo de saa kwan yi di dwuma.

Ɔkwan bɛn so na saa ayaresa yi yɛ adwuma? Momma yɛnhwɛ mu anammɔn biara.

Sɛ wunim saa adeyɛ yi ho asɛm a, ɛbɛboa ma wo suro so atew.

Dɛn na ɛba ansa na wɔasa yare?

Sɛ wobɛyɛ CBI ayaresa yi a, ɛsɛ sɛ wudi kan de catheter tube soronko bi (catheter a ɛkɔ akwan abiɛsa) hyɛ mu. Sɛ wɔyɛ oprehyɛn wie a, wɔbɛma wɔde saa afiri yi ahyɛ mu dedaw.

Eyi nte sɛ nsu a wɔde fa nsu mu daa. Wɔ eyi akyi no, hyɛn gyinabea abiɛsa na ɛyɛ adwuma ahorow.

Dɛn na ɛba bere a wɔreyɛ ayaresa no?

Mpɛn pii no, ɔyarehwɛfo anaa oduruyɛfo a ɔhwɛ ntini mu yare na ɔyɛ saa ayaresa yi.

Wubehu nkotoku abien a nkyene a ɛnyɛ ɔyare mmoawa ahyɛ mu ma a ɛsensɛn gyinabea ketewaa bi a ɛwɔ wo mpa nkyɛn so. Wɔde catheter no ano biako bata saa nkyene nkotoku yi biako ho. Wɔde ano foforo no bata kotoku bi a ɛboaboa nsu a efi mu ba no ano ho.

Wɔ saa adeyɛ yi nyinaa mu no, nnuruyɛfo no bɛhwɛ nneɛma yi yiye:

• Nsu kɔla: Mfiase no, nsu no betumi ayɛ kɔkɔɔ paa na ebia mogya atɔ mu. Bere kɔ so no, ɛsɛ sɛ ɛdan pink na awiei koraa no, emu da hɔ.
• Ahoɔhare a nsu a wɔde gugu nnɔbae so no tu: Ɛgyina mogya dodow a ɛsen so no, ahoɔhare a nsu a wɔde gugu nnɔbae so no kɔ akisikuru no mu no kɔ soro anaasɛ ɛso tew.
• Nsu a ɛba: Eyi na ɛkyerɛ nsu ne nsu dodow a efi mu ba.
• Nsu kotoku a wobɛma ada mpan: Bere biara a ɛbɛhyɛ nsu kotoku no mu ma.
• Nkyene kotoku a wɔsesa: Sɛ nkyene kotoku biako sa a, biako nso na ɛka bom.

Ebia wobɛte nka sɛ wo ho nyɛ wo dɛ kakra wɔ catheter no ho saa bere yi. Ebia wobɛte nka sɛ wo akisikuru ayɛ ma, anaasɛ wobɛte nka sɛ ɛsɛ sɛ wototo wo ho mpɛn pii. Mmɔ mmɔden da sɛ wobɛtwe catheter tube no afi mu saa bere yi. Sɛ wote ɛyaw biara anaasɛ wuhu sɛ nsu biara retu afi afiri no mu a, ma ɔyarehwɛfo no nhu ntɛm ara.

Dɛn na ɛba wɔ ayaresa akyi?

Sɛ wo nsu mu da hɔ anaasɛ ɛyɛ pink kakra da koro anaa nnanu pɛ a, wo duruyɛfo no besi gyinae sɛ obegyae CBI ayaresa no. Afei obeyi nkyene kotoku ne nsu kotoku no, na ɔde ahwɛyiye ayi catheter tube no afi mu.

Ade a ɛho hia sen biara ne sɛ wubehia bere na woanya ahoɔden afi CBI ayaresa no mu, na ɛnyɛ oprehyɛn a woyɛɛ wo mfiase no. Enti, ɛsɛ sɛ wudi wo duruyɛfo akwankyerɛ akyi yiye.

So asiane bi wɔ eyi mu? (Asiane ne Nsɛnnennen) .

Mpɛn pii no, CBI yɛ ɔkwan a ahobammɔ wom yiye . Nanso, sɛnea ɛte wɔ aduruyɛ mu adeyɛ biara ho no, nsɛnnennen bi wɔ hɔ a ɛntaa nsi a ebetumi aba.

• Catheter a esiw: Biribi te sɛ mogya a ɛretu betumi asiw catheter no kwan. Sɛ eyi ba a, ɔyarehwɛfo anaa oduruyɛfo bi bɛhohoro mu anaasɛ ɔde catheter foforo bɛhyɛ mu.
• Urinary tract infection (UTI): Ɛmfa ho sɛnea wo ho tew no, ɛtɔ mmere bi a, hokwan ketewaa bi wɔ hɔ sɛ mmoawa betumi akɔ mu na ɛde ɔyare no aba.
• Paraphimosis: Tebea a ɛma wɔtwe ɔbarima a ontwaa twetia no anim were no san n’akyi na wontumi ntwe nkɔ n’anim bio. Eyi yɛ tebea a ɛntaa nsi koraa.
• Bladder perforation: Eyi yɛ adeyɛ a ɛntaa nsi koraa. Akisikuru no fasu betumi asɛe bere a wɔde catheter rehyɛ mu anaasɛ bere a wɔresa no yare no.

Kae sɛ hokwan a ɛwɔ hɔ sɛ saa nneɛma yi besi no sua koraa. Aduruyɛ adwumayɛfo no hwɛ eyi so bere nyinaa.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wufi ayaresabea kɔ fie wie a, ɛho hia yiye sɛ wobɛhwɛ yiye wɔ sɛnkyerɛnne ahorow bi ho. Sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara a, frɛ wo duruyɛfo ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo no Emergency Department (ETU).