I kekahi manawa, ma muli o nā maʻi like ʻole a ma hope o ke ʻoki ʻana, ʻaʻole hiki iā mākou ke mimi iā mākou iho. A laila, hoʻohana nā kauka i kahi ʻano hana e wehe ai i ka mimi . ʻIke ka hapa nui o ka poʻe e pili ana i ka catheter i hoʻokomo pinepine ʻia ma o ka urethra. Akā ua ʻike anei ʻoe hiki ke hana ʻia kahi ʻoki liʻiliʻi ma ka ʻōpū haʻahaʻa a hiki ke hoʻokomo pololei ʻia kahi paipu i loko o ka ʻōpū mimi? ʻO ia ka mea a mākou e kapa nei he Suprapubic Catheter .
He aha ka Suprapubic Catheter (SPC)?
I ka ʻōlelo maʻalahi, he ʻōmole lahilahi a palupalu paha ka Suprapubic Catheter (SPC). Hoʻohana nā kauka iā ia e hoʻokahe i ka mimi mai kou ʻōpū mimi ke hiki ʻole iā ʻoe ke mimi iā ʻoe iho. Manaʻo ka poʻe he nui hiki ke hana ʻia kēia ma ke kau ʻana i kahi ʻōmole i luna o kou urethra . Akā me kēia kaʻina hana SPC, hana kāu kauka i kahi ʻoki liʻiliʻi ma kou ʻōpū haʻahaʻa a hoʻokomo pololei i ka ʻōmole i loko o kou ʻōpū mimi.
Ma keʻano laulā, palekana loa ka SPC, me ka haʻahaʻa o ka pilikia o nā pilikia . Makemake ka poʻe he nui iā ia no ka mea ʻoi aku ka maʻalahi o ka hoʻokomo ʻana ma mua o kahi catheter kuʻuna. Eia kekahi, i kekahi manawa he koho maikaʻi ka SPC inā ʻaʻole hiki ke hoʻokomo ʻia kahi catheter me ka hoʻohana ʻana i nā ʻano hana ʻē aʻe ma muli o ka hōʻeha ʻana o ke ala mimi.
No ke aha e makemake ai kekahi e kau i kahi paipu e like me kēia?
Hiki iā ʻoe ke hoʻohana i kēia ʻōmole e hoʻokahe i ka mimi i kēlā me kēia manawa ʻaʻole hiki iā ʻoe ke mimi iā ʻoe iho. Aia ma lalo iho kekahi o nā kūlana olakino e hiki ai ke hana i kēia.
| Kūlana a kumu paha | He wehewehe maʻalahi |
|---|---|
| Ka hoʻōki ʻana o ka mimi | Ka mimi ʻana i ka wā ʻaʻole ʻoe makemake. |
| Nā pilikia prostate | ʻO ka hyperplasia prostatic benign a i ʻole ke kanesa prostate. |
| ʻEha o ke kaula iwi kuamoʻo | ʻO ka hana ʻino o ka ʻōpū mimi ma muli o nā ʻeha o ke kaula kuamoʻo. |
| ʻoki kino | Ma hope o ke ʻoki ʻana ma ka prostate a i ʻole nā wahi genital. |
| Nā maʻi o ka ʻōnaehana nerve | ʻO nā kūlana e like me ka Multiple Sclerosis (MS) a me ka maʻi ʻo Parkinson. |
| ʻO ke koʻikoʻi o ka urethral | Ka pale ʻana o ke ala mimi ma muli o nā maʻi a i ʻole nā ulia i hala. |
Pehea e hoʻokomo ai i kēia ʻōmole? E ʻeha anei?
ʻAʻole nui kēia kaʻina hana e like me kou manaʻo. ʻO ka mea mua, e nānā ke kauka (X-ray a i ʻole ultrasound) i kou ʻōpū mimi a me ka ʻāina e puni ana e ʻimi i kahi palekana loa e hoʻokomo ai i ka ʻōmole. I kekahi manawa, hiki i nā ʻāpana o ko mākou ʻōpū liʻiliʻi ke hele kokoke i ka ʻōpū mimi.
A laila, e hoʻomaʻemaʻe pono ʻia ka ʻili ma ka ʻōpū haʻahaʻa kahi e hoʻokomo ʻia ai ka ʻōmole me kahi hopena antiseptic . A laila, e hoʻomānoanoa ʻia ka wahi (anesthesia kūloko) i ʻole ʻoe e ʻeha. I kekahi manawa hiki ke hāʻawi ʻia iā ʻoe ka anesthesia laulā.
Ma hope o ka mae ʻana o ka ʻāpana, hana ke kauka i kahi ʻoki liʻiliʻi loa ma ka ʻili a hoʻokomo i ka paipu SPC i loko o ka ʻōpū mimi. Ke hoʻokomo koke ʻia ka paipu, hoʻomaka ka mimi e kahe mai loko mai a hōʻiliʻili i loko o ka ʻeke i hoʻopili ʻia iā ia. I mea e pale ai i ka puka ʻana o ka paipu, ua hoʻopiha ʻia kahi ʻāpana liʻiliʻi e like me ka pōpō ma ka ʻaoʻao o loko me ka wai maʻemaʻe. Eia kekahi, ua kau ʻia kahi humuhumu liʻiliʻi i loko o ka ʻili e hoʻopaʻa i ka paipu. ʻO ka hope, ua kau ʻia kahi kāʻei ma luna o ka ʻeha e pale aku i ka maʻi.
ʻAʻole ma mua o 20 mau minuke ka lōʻihi o ke kaʻina hana holoʻokoʻa. Inā pono ʻoe e hoʻohana i kēia ʻōmole no ka manawa lōʻihi, e hōʻike kāu kauka a kahu maʻi paha iā ʻoe a i ʻole kekahi lālā o ka ʻohana pehea e hoʻololi palekana ai.
Pehea e mālama ai i kēia catheter suprapubic ma ka home?
ʻO ka mea nui i ke komo ʻana i kēia ʻōmole, ʻo ia ka mālama ʻana i ka maʻemaʻe o ka wahi a puni .
Ke hoʻomaʻemaʻe ʻana i ka ʻeha a me kona wahi a puni
E holoi pono i kou mau lima me ke kopa a me ka wai ma mua o ka lawelawe ʻana i ka ʻōmole a i ʻole ka hoʻololi ʻana i ka ʻeke. E kōkua kēia i ka pale ʻana i ka laha ʻana o nā germs. Ma ka liʻiliʻi hoʻokahi manawa i ka lā, e hoʻomaʻemaʻe mālie i ka wahi a puni ka ʻōmole me ke kopa a me ka wai a kāwele maloʻo me kahi kāwele maʻemaʻe.
Eia kekahi, e wehe i ke kāʻei a nānā i kēlā me kēia lā no nā hōʻailona o ka maʻi.
| Nā hōʻailona e nānā ai inā loaʻa ka maʻi | |
|---|---|
| ʻEha | ʻEha kūikawā ma a puni kahi i hoʻokomo ʻia ai. |
| Ka pehu a me ka ʻulaʻula | ʻO ka pehu ʻana o ka ʻili a i ʻole ka hoʻololi ʻana o ke kala (ʻulaʻula). |
| ʻŌpū | Ke kahe nei ka wai melemele a ʻōmaʻomaʻo paha mai ka ʻeha. |
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e kāhea koke aku i kāu kauka.
Pehea e hoʻololi ai i ka ʻeke catheter
He mea maʻalahi loa ka hoʻololi ʻana i ka ʻeke. E hahai i kēia mau ʻanuʻu:
1. ʻO ka mea mua, e holoi pono i kou mau lima me ke kopa.
2. E ninini i ka mimi i loko o ka ʻeke i hoʻohana ʻia i loko o ka lua.
3. I mea e pale ai i ka mimi mai ka puka ʻana mai loko mai o ka ʻōmole, e ʻūmi i ka ʻōmole me kou mau manamana lima. A laila e wehe i ka ʻeke kahiko.
4. E holoi i ka hopena o ka ʻōmole (puka) me ka wai kopa a i ʻole kahi ʻūlū antiseptic.
5. E hoʻomaʻemaʻe i ka ʻaoʻao hoʻohui o ka ʻeke hou ma ke ʻano like a hoʻohui iā ia i ka paipu.
6. E nānā inā ua wili ʻia ka paipu a ua paʻa paha ma kekahi wahi.
7. ʻO ka mea hope loa, e holoi hou i kou mau lima me ke kopa.
Pehea ka lōʻihi e mālama ai au i kēia ʻōmole?
Aia nō ia i kou kūlana. Pono paha ʻoe e hoʻomau a hiki i kou olakino ʻana. Akā inā pono ʻoe e hoʻohana ia mea no ka manawa lōʻihi, pono ʻoe e hoʻololi i ka ʻōmole ma ka liʻiliʻi i kēlā me kēia 4 pule .
Eia kekahi, i mea e pale ai i ke kūkulu ʻia ʻana o nā ʻōpū koko i loko o ka ʻōmole, pono ʻoe e holoi i ka ʻōmole me ka wai sterile ma ka liʻiliʻi hoʻokahi manawa i ka lā. E hāʻawi kāu kauka iā ʻoe i ka ʻike hou aku e pili ana i kēia.
He aha nā pōmaikaʻi a me nā pōʻino o kahi catheter suprapubic?
E like me nā mea lapaʻau āpau, loaʻa i kēia mea nā pono a me nā pilikia.
| Nā Pōmaikaʻi | Nā Pōʻino / Nā Pōʻino |
|---|---|
| Ma ka hoʻokaʻawale mau ʻana i ka ʻōpū mimi, hiki iā ʻoe ke pale i ka ʻeha nui, nā maʻi ʻaʻai mimi (UTI), a me ka hōʻino ʻana o nā puʻupaʻa. | Ke hemo nei ka paipu. |
| ʻOi aku ka ʻoluʻolu a me ka pono ma mua o ka catheter maʻamau. | Ka liki ʻana o ka mimi ma muli o ke ālai ʻana o ka ʻōmole. |
| ʻO ka hiki ke moe kolohe i ke komo ʻana i kēia ʻōmole. | Ka loaʻa ʻana o nā maʻi ʻōpū mimi (UTI). |
| ʻEha ma muli o ka ʻūmiʻi ʻana o nā ʻiʻo o ka ʻōpū mimi (blaster spasm). | |
| Ke kahe ʻana o ka mimi a puni ka ʻōmole, ke kahe ʻana o ke koko, a me ke kūkulu ʻia ʻana o nā pōhaku ʻōpū. |
Āhea wau e ʻike koke ai i ke kauka?
Inā he mau nīnau a pilikia paha kāu me kēia ʻōmole, e kamaʻilio koke me kāu kauka. E ʻimi koke i ke kōkua lapaʻau, ʻoiai inā loaʻa iā ʻoe kēia mau hōʻailona:
| Nā kūlana e pono ai ka nānā koke ʻana | |
|---|---|
| kuni | Inā ʻoi aku ka mahana o ke kino ma mua o 100.5°F (38°C). |
| Ka liki ʻana o ka mimi | Inā puka mai ka mimi mai ka ʻōpū a puni. |
| ʻEha ʻōpū | Inā ʻoe e manaʻo i ka ʻeha nui i loko o kou ʻōpū a i ʻole ka manaʻo o ka piha. |
| Koko i loko o ka mimi | Inā he mau ʻūpā koko a i ʻike ʻia paha ke koko i loko o ka mimi (hematuria). |
| Ka hoʻōki ʻana o ka manaʻo | Inā he kakaikahi loa ka mimi e komo mai ana i loko o ka ʻeke a inā paha ua pau loa ia. |
| Ke wehe nei i ka paipu | Inā puka mai ka catheter suprapubic ma kāna iho. |
He aha ka ʻokoʻa ma waena o kahi Foley Catheter a me kahi Suprapubic Catheter?
I ka ʻōlelo maʻalahi, hoʻokomo ʻia kahi catheter Foley maʻamau ma kou urethra. Eia nō naʻe, hoʻokomo ʻia kahi catheter Suprapubic ma o kahi ʻoki ma kou ʻōpū haʻahaʻa a pololei i loko o kou ʻōpū mimi.
Leka Lawe-Home
- He paipu ka catheter suprapubic i hoʻokomo pololei ʻia i loko o ka ʻōpū mimi mai ka ʻōpū lalo a hoʻohana ʻia e hoʻokahe i ka mimi.
- He maʻalahi a ʻoluʻolu hoʻi kēia e hoʻohana no ka manawa lōʻihi ma mua o ke ʻano maʻamau.
- He mea nui e mālama i ka wahi o ka paipu a me nā wahi a puni e pale ai i ka maʻi.
- E hahai pono i nā kuhikuhi a kāu kauka. E makaʻala i ke ʻano o ka hoʻololi a me ka hoʻomaʻemaʻe ʻana i ka ʻōmole.
- Inā ʻike ʻoe i kekahi mau hōʻailona o ka maʻi, ka ʻeha nui, a i ʻole kahi poloka a i ʻole ka liki ʻana o ka paipu, e ʻike koke i ke kauka.
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