Sɔntɛnde, bikɔs ɔf difrɛn sik dɛn ɔ afta dɛn dɔn du di ɔpreshɔn, wi nɔ kin ebul fɔ pis fɔ wisɛf. Dɔn, dɔktɔ dɛn kin yuz wan we fɔ pul di urine . כl di pipul dεm nכmכ no bכt di kateshכn we dεn kin put tru di urethra. Bɔt yu no se dɛn kin kɔt smɔl pat na di bɛlɛ we de dɔŋ ɛn put tyub dairekt insay di blad? Na dat wi kin kɔl Suprapubic Catheter .
Wetin na Suprapubic Catheter (SPC)?
Fɔ tɔk am simpul wan, Suprapubic Catheter (SPC) na wan tin, fleksibul rɔba ɔ plastic tiub. Dɔktɔ dɛn kin yuz am fɔ pul urine na yu blad we yu nɔ ebul fɔ pis yu wan. Bɔku pipul dɛn tink se yu kin jɔs du dis bay we yu pas wan tiub ɔp yu urethra . Bɔt wit dis SPC prosidur, yu dɔktɔ kin mek smɔl say na yu bɛlɛ we de dɔŋ ɛn put di tiub dairekt insay yu blad.
SPC jεnarali rili sef, wit lכw risk f כ komplikεshכn . Bɔku pipul dɛn lɛk am bikɔs i izi fɔ put am pas tradishɔnal kateshɔn. Dɔn bak, sɔm tɛm dɛn de, SPC na gud opshɔn if dɛn nɔ ebul fɔ put kateshɔn insay yuz ɔda we dɛn bikɔs ɔf injuri na di urinary tract.
Wetin mek pɔsin go want fɔ put paip lɛk dis?
Yu kin yuz dis tiub fɔ pul yu urine ɛnitɛm we yu nɔ ebul fɔ pis yu wan. Dis dɔŋ ya na sɔm pan de mɛrɛsin wae kin kam wit dis.
| Kɔndishɔn ɔ kɔz | Wan simpul ɛksplen |
|---|---|
| Urinary incontinence | Urinating wen yu nɔ want. |
| Prɔstat prɔblɛm dɛn | Benign prostatic hyperplasia ɔ prɔstat kansa. |
| Spinal kɔd injuri | Blad nɔ de wok fayn bikɔs ɔf di spɛnal kɔd injuri. |
| Ɔpreshɔn | Afta dɛn dɔn du ɔpreshɔn pan di prɔstat ɔ di say dɛn we dɛn kin gɛt bɔdi. |
| Sik dɛm we de na di nervɔs sistɛm | Kɔndishɔn lɛk Multiple Sclerosis (MS) ɛn Pakinsin sik. |
| Strikchɔ we de na di yurethral | Di urinary tract blok bikɔs ɔf infɛkshɔn ɔ aksidɛnt dɛn we bin dɔn de bifo. |
Aw a go put dis tiub insay? Yu tink se i go mek i fil bad?
Dis prosidur nɔ big lɛk aw yu go tink. Fɔs, di dɔktɔ go tek skan (X-ray ɔ ɔltra saund) fɔ yu blad ɛn di say we de rawnd fɔ fɛn di say we sef fɔ put di tiub. Sɔntɛnde, sɔm pat dɛn na wi smɔl intestinal kin pas nia di blad.
afta dat, dεn go klin di skin na di lכw bכdi usay dεn go put di tכb fayn fayn wan wit antiseptik sכlushכn. Neks, di eria go numb (local anesthetic) so dat yu nɔ go fil ɛni pen. Sɔntɛnde, dɛn kin gi yu jenɛral anestezi.
afta di εria nכm, di dכkta de mek wan rili sכmכl insay di skin εn put di SPC tכb insay di blad. As soon as dεn put di tכb, di urine de bigin fכ fכlכ kכmכt insay di bכdi εn kכlekt insay di bag we dεn tay pan am. Fɔ mek di tiub nɔ kɔmɔt, dɛn kin put wan smɔl pat we tan lɛk balɔ na di insay ɛnd wit klin wata. Apat frɔm dat, dɛn kin put smɔl stich na di skin fɔ mek di tiub tayt. Fɔ dɔn, dɛn kin put bandej oba di wund fɔ mek i nɔ gɛt di sik.
Di wan ol tin we dɛn kin du nɔ kin tek 20 minit . If yu nid fɔ yuz dis tiub fɔ lɔng tɛm, yu dɔktɔ ɔ nɔs go sho yu ɔ yu fambul aw fɔ chenj am sef wan.
Aw fɔ kia fɔ dis suprapubic kateshɔn na os?
Di tin we impɔtant pas ɔl we yu wɛr dis tiub na fɔ kip di say we de rawnd am klin .
Fɔ klin di wund ɛn di tin dɛn we de rawnd am
Wash yu an fayn fayn wan wit sop ɛn wata bifo yu ol di tiub ɔ chenj di bag. Dis go ɛp fɔ mek di jem dɛn nɔ skata. Wan tɛm insay di de, klin di say we de rawnd di tiub jisnɔ wit sop ɛn wata ɛn pat dray wit klin tawɛl.
Dɔn bak, pul di bandej ɛn chɛk am ɛvride fɔ si if i gɛt sayn dɛn we de sho se yu gɛt di sik.
| Di sayn dɛm fɔ luk fɔ if yu gɛt di sik | |
|---|---|
| Pen | Pen we nɔ kɔmɔn na di say we dɛn put am ɛn rawnd di say we dɛn put am. |
| Swel ɛn rɛd | Skin de swel ɔ di kɔlɔ de chenj (rɛdnɛs). |
| Pus | Yɔlɔ ɔ grɛn wata (pus) we de kɔmɔt na di wund. |
If yu notis ɛni wan pan dɛn sayn ya, kɔl yu dɔktɔ wantɛm wantɛm.
Aw fɔ chenj di kateshɔn bag
Fɔ chenj di bag rili izi. Fɔ fala dɛn step ya:
1. Fɔs, was yu an fayn fayn wan wit sop.
2. Ɛmpti di urine we de insay di bag we yu dɔn yuz insay di tɔylɛt.
3. Fɔ stɔp di urine fɔ kɔmɔt na di tiub, pinch di tiub wit yu finga dɛn. Dɔn pul di ol bag.
4. Waip di ɛnd pan di tiub (pɔt) wit sop wata ɔ antisɛptik wayp.
5. Klin di kɔnɛktin ɛnd fɔ di nyu bag di sem we ɛn kɔnɛkt am to di tiub.
6. Chek fɔ si if di tiub twist ɔ stɔp ɛnisay.
7. Fɔ dɔn, was yu an fayn fayn wan wit sop bak.
Aw lɔng a fɔ kip dis tiub?
I dipen pan yu kɔndishɔn. Yu kin jɔs nid fɔ kip am te yu wɛl. Bɔt if yu fɔ yuz am fɔ lɔng tɛm, yu fɔ chenj di tiub at le ɛvri 4 wik .
Dɔn bak, fɔ mek blɔd nɔ klɔt insay di tiub, yu fɔ was di tiub wit wata we nɔ gɛt stɛriyl wan tɛm insay di de. Yu dɔktɔ go gi yu mɔ infɔmeshɔn bɔt dis.
Wetin na di bɛnifit ɛn bad tin dɛn we pɔsin kin gɛt we i de yuz suprapubic catheter?
Lɛk ɛni mɛrɛsin, dis wan gɛt bɛnifit ɛn prɔblɛm dɛn.
| Bɛnifit dɛn | Di bad tin dɛn we kin apin / Risk dɛn |
|---|---|
| If yu kip di blad ɛmti ɔltɛm, yu kin mek yu nɔ gɛt bad bad pen, yu nɔ gɛt urinary tract infection (UTI), ɛn yu kidni nɔ pwɛl. | Di paip de kam lus. |
| I izi fɔ yuz ɛn i izi fɔ yuz pas di kateshɔn we dɛn kin yuz ɔltɛm. | Yurin lik bikɔs di tiub de blok. |
| Fɔ ebul fɔ du mami ɛn dadi biznɛs we yu wɛr dis tiub. | Di we aw di urinary tract infection (UTI) kin apin. |
| Pen we de bi bikɔs ɔf di blad mɔsul dɛn we de kɔntrakt (blad spasm). | |
| di urine we de lik rawnd di tiub, blɔd de kɔmɔt, ɛn blad ston dɛn de fɔm. |
Ustɛm a fɔ go to dɔktɔ wantɛm wantɛm?
If yu gɛt ɛni kwɛstyɔn ɔ prɔblɛm wit dis tiub, tɔk to yu dɔktɔ we yu nɔ de te. Go to dɔktɔ wantɛm wantɛm, mɔ if yu gɛt dɛn sik ya:
| Situeshɔn dɛn we nid fɔ pe atɛnshɔn wantɛm wantɛm | |
|---|---|
| Fiva | If di bɔdi in tɛmpracha pas 100.5°F (38°C). |
| Yurin we de lik | If urine kכmכt frכm rawnd di tכb. |
| Bɛlɛ de pen | If yu fil shap pen na yu bɛlɛ ɔ yu fil se yu ful-ɔp. |
| Blɔd we de na di urine | If blɔd klot ɔ blɔd we pɔsin kin si de na di urine (hematuria). |
| Di we aw pɔsin nɔ ebul fɔ kɔntrol insɛf | If na smɔl urine de kam insay di bag ɔ if i dɔn stɔp ɔl. |
| Fɔ pul di paip | If di suprapubic kateshכn kכmכt insεf. |
Wetin na di difrɛns bitwin Foley Catheter ɛn Suprapubic Catheter?
Fɔ tɔk am simpul wan, dɛn kin put wan kɔmɔn Foley kateta along yu urethra. Bɔt dɛn kin put wan Suprapubic kateta tru wan kɔt we dɛn kɔt na yu bɛlɛ we de dɔŋ ɛn dairekt insay yu blad.
Mɛsej we dɛn kin kɛr go na os
- suprapubic catheter na tכb we dεn kin put dεrekt insay di blad frכm di lכw bכdi εn dεn kin yuz am fכ drεn urine.
- Dis kin izi ɛn fayn fɔ yuz fɔ lɔng tɛm pas di we aw dɛn kin yuz am.
- I impɔtant fɔ kip di say we di tyub de ɛn di say we de rawnd am klin fɔ mek yu nɔ gɛt di sik.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. Yu fɔ no aw fɔ chenj ɛn klin di tiub.
- If yu si ɛni sayn fɔ se yu gɛt di sik, yu de fil pen bad bad wan, ɔ yu de blok ɔ lik na di tiub, go to dɔktɔ we yu nɔ go te.
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