Ke manaʻo nei ʻoe i kekahi manawa he paʻakikī iki ke mimi ʻoe, a i ʻole me he mea lā ʻaʻole i hoʻokahe loa ʻia kou ʻōpū mimi? Hiki i kekahi mau kūlana olakino a me nā ʻoki kino ke hana i ia mau pilikia. No laila, i ia mau hihia, ʻo kekahi ʻano hana i hoʻohana ʻia e hoʻokahe loa i ka mimi i loko o ka ʻōpū mimi ua kapa ʻia ʻo 'catheterization'. ʻO ka lohe ʻana i kēia inoa he mea weliweli iki paha. Akā, he mea ia e hiki ke hana palekana a maʻalahi me ka ʻōlelo aʻo a nā kauka a me ka hana kūpono.
He aha ke ʻano o ka 'Self-Catheterization'?
I ka ʻōlelo maʻalahi, he hana kēia e hoʻokahe ai ʻoe i kou ʻōpū mimi. ʻO nā inoa ʻē aʻe no kēia ʻo 'Clean Intermittent Catheterization' ( CIC ) a i ʻole 'Intermittent self-catheterization ' (ISC).
Eia ka mea e hana ʻia: Hoʻokomo pono ʻia kahi paipu lahilahi a palupalu, i kapa ʻia he catheter , ma o kou urethra i loko o kou ʻōpū mimi. A laila kahe nā mimi a pau i loko o kou ʻōpū mimi ma o ka paipu i loko o ka lua a i ʻole kahi pahu hōʻiliʻili. Ke hakahaka loa kāu ʻōpū mimi, wehe pinepine ʻoe i ka paipu. Hana ʻia kēia i nā manawa he nui i ka lā, ʻo ka maʻamau i kēlā me kēia ʻehā a ʻeono hola .
Mai hopohopo, e hōʻike kāu kauka a kahu maʻi paha iā ʻoe pehea e hana pono ai i kēia. Aia nā ʻano a me nā nui like ʻole o nā catheters, a na kāu kauka e koho i ka mea kūpono iā ʻoe. Pono nō hoʻi ʻoe i nā mea e like me nā lubricants a me nā towelettes antiseptic e maʻalahi ai ke kaʻina hana. I mea e pale ai i ka maʻi, he mea nui e mālama i kou mau lima i ka maʻemaʻe i nā manawa a pau.
No ke aha ʻoe e pono ai e hana i kahi mea e like me kēia?
Hiki i kekahi mau kūlana olakino ke pale i ka hoʻokahe piha ʻana o ka ʻōpū mimi. Inā waiho ʻia ka mimi i loko o ka ʻōpū mimi, hiki iā ia ke alakaʻi i nā pilikia he nui. No ka laʻana, nā maʻi ʻaʻai mimi (UTI), ka hōʻino ʻana o ka ʻōpū mimi, a me ka hōʻino ʻana o nā puʻupaʻa.
Hōʻike ka papa ma lalo nei i kekahi mau kūlana kahi e pono ai kēia ʻano hana.
| Kūlana a kumu paha | He wehewehe maʻalahi |
|---|---|
| Ka nui o ka prostate a i ʻole ka mumū (prostatitis) | I kēia kūlana, he mea maʻamau ia i nā kāne, pani ʻia ka urethra, e ālai ana i ke kahe o ka mimi. |
| Nā maʻi o ka ʻōnaehana nerve | Hiki i nā kūlana e like me ka sclerosis maha (MS), ka maʻi Parkinson, ka spina bifida, a me ka cerebral palsy ke hoʻopilikia i nā aʻalolo e kaohi ana i ka hana o ka ʻōpū mimi (Neurogenic bladder). |
| Nā ʻeha o ke kaula kuamoʻo | Ke hōʻino ʻia ke kaula kuamoʻo ma muli o kahi ulia, nalowale paha ke kaohi ʻana i ka mimi. |
| Nā pilikia mai ke ʻoki ʻana i ka ʻōpū mimi a i ʻole nā ʻoki ʻē aʻe | Ma hope o ke ʻoki ʻana, he mea paʻakikī paha ke mimi, no ka manawa pōkole a mau loa paha. |
| Ka paʻa ʻana o ka mimi a i ʻole ka incontinence urinary | He hopena kēia i kēia mau kūlana e kū mai ana ma muli o nā kumu like ʻole. |
ʻO ka mea nui loa, ʻo ia ka ʻōpū mimi .ʻO ka neʻe mau ʻana o ka ʻōpū. E pale kēia i kou mau puʻupaʻa a kōkua iā ʻoe e pale i nā maʻi ʻeha.
Pehea ʻoe e hoʻomākaukau ai no kēia a hana pololei?
He mea ʻē paha ka hana ʻana i kēia a hiki i kou maʻa ʻana, akā he mea maʻalahi loa ia inā ʻoe e hahai pololei i nā ʻanuʻu.
KaʻAnuʻu Hana 1: ʻO ka maʻemaʻe ka mea mua!
- Holoi lima : ʻO ka mea mua, holoi pono i kou mau lima me ke kopa.
- Hoʻomaʻemaʻe: ʻO ka mea aʻe, e hoʻomaʻemaʻe pono i ka wahi a puni kou mau ʻōpū me ke kopa a me ka wai a i ʻole kahi ʻiʻo i hoʻoluʻu ʻia i loko o kahi wai antiseptic i hāʻawi ʻia e kāu kauka. E hōʻemi nui kēia i ka pilikia o ka maʻi.
KaʻAnuʻu Hana 2: Ke hoʻomākaukau ʻana i ka catheter
- E wehe i ka catheter mai loko mai o kāna pūʻolo. Pono e mālama ʻia i ka maʻemaʻe loa, no laila ma hope o ka holoi ʻana i kou mau lima, mai hoʻopā aku i kekahi mea ʻē aʻe ma mua o ka catheter.
- E hoʻopili i kahi lubricant wai, e like me `KY Jelly®`, i ka hopena o ke catheter e hoʻokomo ʻia i loko o ka urethra a ma kahi o ʻelua ʻīniha ka lōʻihi. Loaʻa mua kekahi mau catheters me kēia lubricant.
KaʻAnuʻu Hana 3: Ke hoʻokomo nei i ka catheter
1. E hoʻonoho i kahi kūlana ʻoluʻolu. Hiki iā ʻoe ke noho ma ka lua, kū, a hilinaʻi iki paha ma luna o ka lua. Hiki i nā wāhine ke ʻike he mea kōkua ka hoʻohana ʻana i kahi aniani liʻiliʻi e ʻike ai i ka puka urethral i ka wā mua.
2. I kēia manawa, e hoʻokomo mālie akā paʻa i ka hopena o ke catheter i lubricated ʻia i loko o ka urethra. E paʻa i kekahi hopena i ka lua a i ʻole kahi pahu e hōʻiliʻili ai i ka mimi.
3. Ke hiki ʻoe i ka ʻōpū mimi, e paʻi mālie i ke catheter a hiki i ka wā e puka mai ai ka mimi mai loko mai o ka ʻōmole.
4. Ke hoʻomaka ka mimi e puka i waho, e hoʻokomo i hoʻokahi ʻīniha a ʻelua paha.
5. E hoʻopaʻa i ke catheter ma kahi a hiki i ka wā e hakahaka loa ai ka ʻōpū mimi. Hiki iā ʻoe ke ʻomi i kou ʻōpū lalo a kūlou iki paha i mua e kōkua i ka hoʻokuʻu ʻana i kekahi mimi i koe.
6. Ke pau ke kahe ʻana o ka mimi, e huki mālie i ke catheter i lalo a i waho me ke akahele.
7. ʻO ka mea hope loa, e holoi hou i kou mau lima me ke kopa.
Hoʻokahi wale nō hoʻohana ʻana o kēia mau catheters, no laila e hoʻolei iā lākou i loko o ka ʻōpala ke pau kou hoʻohana ʻana.
I ka wā e pono ai ʻoe e kamaʻilio me ke kauka
ʻOiai he palekana kēia kaʻina hana ma ke ʻano laulā, i kekahi manawa hiki ke kū mai nā pilikia. Inā loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei, e kāhea koke i kāu kauka.
| Inā paʻakikī ke hoʻokomo i ka catheter | Inā manaʻo ʻia he ʻoi aku ka paʻakikī ma mua o ka maʻamau a inā ʻaʻole hiki iā ʻoe ke hoʻokomo iki. |
| Inā he koko i loko o kou mimi (hematuria) | Inā he ʻulaʻula, ʻulaʻula, a ʻeleʻele paha ke ʻano o ka mimi. |
| Inā loaʻa iā ʻoe ka ʻeha i ka wā e mimi ai (dysuria) | Inā ʻoe e ʻeha a wela paha i ka wā e mimi ai me ka ʻole o kahi catheter. |
| Nā hōʻailona o ka maʻi ʻaʻai mimi (UTI) | Kuni, anuanu, ʻeha o ka ʻōpū lalo, a me ka hiki ʻole ke hoʻōki i ka mimi. |
| Nā pilikia ʻili | Inā he ʻeha, ʻeha, a ʻulaʻula paha ka ʻili ma kahi i hoʻokomo ʻia ai ke catheter. |
Hiki paha ke manaʻo he mea kaumaha iki kēia i ka wā mua. Akā e hoʻomanaʻo, he mea nui loa kēia e hana ai no kou olakino. Pono paha kekahi poʻe e hana i kēia no ka manawa pōkole wale nō. Pono paha kekahi e hana ia mea no ke koena o ko lākou ola. Aia ia i kou kūlana. No laila, inā he mau nīnau a hopohopo paha kāu, e kamaʻilio ākea me kāu kauka.
Leka Lawe-Home
- ʻO ke kāpili ʻana iā ʻoe iho he ala palekana a maikaʻi hoʻi e hoʻokahe loa i kou ʻōpū mimi. Kōkua kēia i ka pale ʻana i kou mau puʻupaʻa.
- I mea e pale aku ai i nā maʻi, ʻo ka maʻemaʻe ka helu ʻekahi . E holoi mau i kou mau lima ma mua a ma hope o ke kau ʻana i ka catheter.
- Me he mea lā he mea paʻakikī iki kēia i ka wā mua, akā i ka wā e maʻa ai ʻoe, lilo ia i hana maʻalahi loa. E hoʻomanawanui a hoʻomaʻamaʻa.
- Inā he ʻeha, ke kahe ʻana o ke koko, a i ʻole nā hōʻailona o ka maʻi, mai hoʻonele i ka manawa a kāhea aku i kāu kauka.
- ʻAʻole e hōʻemi kēia kaʻina hana i kou ola maikaʻi. ʻOiaʻiʻo, e maʻalahi kou ola no ka mea ʻaʻole ʻoe e hopohopo hou e pili ana i nā pilikia mimi.
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