We yu yɛri bɔt ‘kateta’, yu go mɔs tink bɔt wan tiub we dɛn put insay di urethra, nɔto so? Bɔku pipul dɛn no ɛn dɔn si da kayn kateshɔn de. Bɔt yu no se ɔda we de fɔ pul urine na di blad? dat min se dεn kin sכm sכm sכm pat na di lכw bכdi εn dεn kin put wan tכb dairekt insay di blad tru am. Na dat wi kin kɔl "suprapubic catheter". Sɔntɛm yu nɔ go dɔn yɛri bɔku tin bɔt dis. So lɛ wi tɔk bɔt ɔltin insay simpul wɔd tide.
Wetin rili na suprapubic catheter?
Fɔ tɔk am simpul wan, dis na fleksibul tiub we dɛn mek wit rɔba ɔ plastic we dɛn kin yuz fɔ pul urine na yu blad we yu nɔ ebul fɔ pis yu wan. Bɔt instead fɔ put am tru di urethra lɛk rɛgyula kateta, dɛn kin put am tru wan smɔl say we dɛn kɔt na di skin na yu bɛlɛ we de dɔŋ.
Dis we fɔ du tin kin rili sef bɔku tɛm. Ɛn di risk fɔ gɛt prɔblɛm dɛn nɔ kin bɔku. Ɛspɛshali fɔ di wan dɛn we nid fɔ yuz kateshɔn fɔ lɔng tɛm , i izi ɛn i nɔ kin fil pen pas kateshɔn we dɛn kin yuz ɔltɛm. Dɔn bak, na di bɛst sɔlv fɔ di wan dɛn we gɛt prɔblɛm fɔ put rɛgyula kateshɔn bikɔs ɔf sɔm prɔblɛm ɔ injuri na di urinary tract.
Wetin mek pɔsin go nid kateshɔn lɛk dis?
Di men rizin na dat di blad nɔ kin ebul fɔ ɛmti ɔl bikɔs ɔf sɔm mɛdikal kɔndishɔn ɔ dizayd. If dɛn kip di urine na di blad, i kin mek pɔsin fil bad bad wan, infekshɔn, ɛn ivin pwɛl in kidni. Pɔsin we gɛt dɛn sik ya kin nid kateshɔn lɛk dis:
| Kɔndishɔn ɔ kɔz | Wan simpul ɛksplen |
|---|---|
| Urinary Inkontinɛns we pɔsin kin gɛt | di urine we yu nɔ want, lɛk we yu de kɔf ɔ laf. |
| Pɛlvik Ɔgan Prolaps | di כgan dεm lεk di uterus εn blad de prolaps na uman dεm. |
| Prɔstat Prɔblɛm dɛn | Prɔstat kansa ɔ we di prɔstat gland big (Benign Prostatic Hyperplasia). |
| Spinal Kɔd Injuri we pɔsin kin gɛt | Lɔs pan urinary kɔntrol bikɔs ɔf spɛshal injuri frɔm aksidɛnt. |
| Sik dɛm we de na di nervɔs sistɛm | Sik dɛm lɛk Multiple Sclerosis (MS) ɛn Pakinsin sik. |
| Strikchɔ we de na di yurethral | di tiub we di urine de pas de sכm fכ sכm rizin. |
| Ɔpreshɔn | Afta dɛn dɔn du ɔpreshɔn pan di prɔstat ɛn di bɔdi. |
Aw di prɔses fɔ put dis kateshɔn kin apin?
Bɔku tɛm, na dɔktɔ we de na ɔspitul ɔ klinik kin du dis.
1. Aw fɔ pripia: Fɔs, di dɔktɔ go tek ɛkstrem rayt ɔ ɔltra saund skan fɔ si ustɛm yu blad de ɛn if ɛni ɔda pat de rawnd am, lɛk di insay. Dɛn kin du dis fɔ mek dɛn put di kateshɔn sef wan.
2. Klin ɛn anestezi: Dɔn, dɛn kin klin di bɛlɛ usay dɛn go kɔt di bɔdi fayn fayn wan wit wan antiseptik. Dɔn, dɛn kin injɛkt wan lokal anestetik na di say fɔ mek i nɔ gɛt bɛtɛ trɛnk. So yu nɔ go fil bɔku pen. Sɔntɛnde, i kin dipen pan di sikman in kɔndishɔn, dɛn kin yuz jenɛral anestezi.
3. Fɔ put di kateshɔn: Afta di say dɔn swɛt, di dɔktɔ kin mek smɔl say na di skin ɛn tek tɛm put di kateshɔn insay di blad. As soon as dεn put am, di urine de bigin fכ fכlכ tru di tכb εn kכlekt insay wan kכlekshכn bag we dεn tay pan am.
4. Ples: Dɛn kin put smɔl stich fɔ mek di kateshɔn kɔntinyu fɔ de na in ples we i nɔ go kɔmɔt. Dɔn bak, wan smɔl balyɔn de na di ɛnd pan di kateshɔn we de insay di blad. We yu ful-ɔp am wit sɔm klin wata ɛn ful-ɔp am, di kateshɔn kin stɔp insay di blad ɛn i kin mek i nɔ kɔmɔt.
Di wan ol tin we dɛn kin du nɔ kin tek 20 minit. If yu nid fɔ yuz am fɔ lɔng tɛm, yu dɔktɔ ɔ nɔs go sho yu ɔ yu fambul aw fɔ chenj am ɛn kip am klin.
Aw yu kin kia fɔ di kateshɔn ɛn di say we de rawnd am na os?
Dis na di tin we impɔtant pas ɔl. If yu kip di say we de rawnd di kateshɔn klin, dat kin ɛp fɔ mek yu nɔ gɛt di sik.
Fɔ kia fɔ di say we dɛn put di kateshɔn
- Fɔs, was yu an dɛn fayn fayn wan wit sop ɔltɛm bifo yu tɔch di kateshɔn.
- Rimov di bandej na di say we di kateshɔn de ɛvride ɛn chɛk fɔ si if i gɛt sayn dɛn we de sho se yu gɛt di sik.
- Pen
- De swɛl
- Skin kin rɛd ɔ di kɔlɔ kin chenj
- Pus we de kɔmɔt na di bɔdi
- If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm .
- Wan tɛm insay di de, yu fɔ klin di skin we de rawnd di kateshɔn jisnɔ yuz sop ɛn wata. Dɔn pat am dray wit klin tawɛl.
Aw fɔ chenj wan kateshɔn bag
1. Wash yu an gud gud wan wit sop.
2. Ɛmpti di urine we de insay di ol urine bag insay di tɔylɛt.
3. Hol di kateshכn tyub sכmtεm wit yu finga dεm εn pul di ol urine bag.
4. Klin di ɛnd pan di kateshɔn tyub (Drainage Port) wit sop wata ɔ antiseptik wayp.
5. Klin di kכnekt εnd fכ di nyu urine bag di sem we εn kכnekt am to di kateshכn tyub.
6. Chek fɔ si if di tiub twist ɔ stɔp ɛnisay.
7. Wash yu an gud gud wan bak.
If yu dɔn de yuz di kateshɔn fɔ pas wan wik, ɔ if di urine bag gɛt bad bad smel, i go fayn fɔ was am. Wash am wit sop ɛn wata, dɔn was am fayn fayn wan wit klin wata.
Wetin na di bɛnifit ɛn sayd ɛfɛkt dɛm fɔ dis we?
Jɔs lɛk ɛni ɔda mɛrɛsin, bɛnifit dɛn de ɛn bad tin dɛn de bak.
| Bɛnifit dɛn | Risk ɛn sayd ɛfɛkt (Risks/Kɔmplikeshɔn) . |
|---|---|
| We yu ɛmti di blad ɔltɛm, yu nɔ go gɛt siriɔs tin dɛn lɛk pen, infɛkshɔn, ɛn di kidni we de pwɛl. | Kateta de kam lus ɔ tiub de stɔp. |
| Mɔ kɔmfyut pas rɛgyula kateshɔn, mɔ fɔ lɔng tɛm. | Di we aw di urinary tract infection (UTI) kin apin. |
| Bikɔs di urethra fri, natin nɔ de we de ambɔg pɔsin fɔ du mami ɛn dadi biznɛs. | Fɔ fil pen ɔ tayt na di blad eria (blad spasm). |
| I kin mek pɔsin nɔ gɛt injury ɛn pen na di urinary tract. | Yurin de lik frɔm rawnd di kateshɔn. |
| I izi fɔ kia fɔ, ivin fɔ di wan dɛn we de yuz wilchia. | Blɔd ɔ blad ston. |
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
If yu gɛt ɛni wan pan dɛn sik ya, nɔ delay ɛn kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu.
- Fɔ gɛt fiva we pas 38 Sɛlshiɔs (100.5 Fɛnayt).
- If di urine lik pasmak rawnd di kateshɔn.
- If yu fil bad bad pen ɔ ful-ɔp na yu bɛlɛ we de dɔŋ.
- If yu si blɔd ɔ blɔd klot na di urine (hematuria).
- If di urine we dεn kכlekt na di blad rili sכm כ nכ urine we dεn kכlekt atכl.
- If fɔ ɛni rizin di kateshɔn kɔmɔt ɔlsay.
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 rili izi fɔ di wan dɛn we de yuz am fɔ lɔng tɛm.
- Fɔ mek yu nɔ gɛt infɛkshɔn, i impɔtant fɔ kip di say we dɛn put di kateshɔn ɛn yu an dɛn klin ɔltɛm.
- Yu fɔ no bɔt sayn dɛn we de wɔn yu lɛk fiva, bad bad pen, blɔd na di urine, ɔ di kateshɔn we de kɔmɔt. If dis apin, go to dɔktɔ wantɛm wantɛm.
- Na nɔmal tin fɔ mek dis prɔsidyu fil smɔl nɔ kɔmfyut ɛn strenj. Bɔt we yu dɔn lan aw fɔ kia fɔ am fayn, yu go ebul fɔ du yu nɔmal tin dɛn.
- Nɔ ɛva fred fɔ tɔk to yu dɔktɔ opin wan bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.
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