‘Catheter’ tih i hriat hian zunthlum chhunga tube dah luh i ngaihtuah mai thei, a dik em? Mi tam zawk chuan chutiang catheter chi chu an hre tawh a, an hmu tawh bawk. Mahse, zun atanga zun lak chhuah dan dang a awm tih i hria em? Chu chu, a pum hnuai lamah incision te tak te siamin, chuta tang chuan tube pakhat chu bladder chhungah direct-in dah a ni tihna a ni. Chu chu "suprapubic catheter" kan tih chu a ni. Hemi chungchang hi i hre tam lo mai thei. Chuvangin vawiinah hian thumal awlsam takin engkim hi sawi ila.
Suprapubic catheter hi eng nge ni tak tak?
A awlsam zawngin sawi ila, hei hi rubber emaw plastic emaw atanga siam flexible tube a ni a, mahni chauha zun i chhuah theih loh hunah i bladder atanga zun chhuah nan hman thin a ni. Mahse, catheter pangngai ang maia urethra hmanga luh ai chuan i pum hnuai lam vunah incision te tak te siam hmanga dah a ni.
Hetiang hmanrua hi a tam zawkah chuan a him hle. Tin, harsatna a thlen theihna pawh a tlem hle bawk. A bik takin catheter rei tak hman ngai tan chuan , catheter pangngai aiin a awlsam zawk a, a na lo zawk bawk. Tin, zun kawng lama harsatna emaw, hliam emaw avanga regular catheter dah harsa tan pawh a tha ber.
Engvangin nge mi pakhatin hetiang catheter hi a mamawh ang?
A chhan ber chu damdawi lam dinhmun emaw, harsatna emaw eng emaw avanga bladder chu a hring vek thei lo vang a ni. Zun hi bladder-ah a awm reng chuan natna nasa tak a thlen thei a, natna hrik a thlen thei a, kal pawh a tichhe thei bawk. A hnuaia natna nei tan hian hetiang catheter hi a mamawh thei a ni:
| Condition emaw a chhan emaw | A sawifiahna awlsam tak |
|---|---|
| Zun chhuahna (Urinary Incontinence) a awm | Duh loh vanga zun chhuah, khuh emaw, nuih emaw lai ang chi. |
| Pelvic Organ a tlakchhiat avangin | Hmeichhiaah chuan uterus leh bladder ang chi organs prolapse. |
| Prostate lama harsatna awm thei | Prostate cancer emaw, prostate gland lian zawk emaw (Benign Prostatic Hyperplasia) a awm thei. |
| Spinal Cord Hliam a awm | Accident avanga spinal injury avanga urinary control hloh. |
| Nervous system natna te | Natna hrang hrang, Multiple Sclerosis (MS) leh Parkinson natna te. |
| Urethral tihkhawtlai (Urethral stricture) a awm | Zun kalna tube chu eng emaw chhan vangin a zim a. |
| Inzai | Prostate leh genital surgery neih hnuah. |
Engtin nge he catheter hi dah luh dan hi a awm?
Hei hi damdawi in emaw, clinic-ah emaw doctor-in a ti tlangpui.
1. Inbuatsaihna: A hmasain doctor chuan X-ray emaw ultrasound scan emaw a la ang a, i bladder awmna hmun dik tak leh a chhehvela taksa peng dang, intestines ang chi a awm leh awm loh a en ang. Hei hi catheter him taka dah theih nan tih a ni.
2. Thianghlim leh anesthesia: A dawtah chuan a pum chhunga incision siamna tur hmun chu antiseptic hmangin uluk takin silfai a ni. Tichuan, chu hmunah chuan local anesthetic an inject a, a rilru a buai hle. Chuvang chuan hrehawmna i nei vak lovang. A then phei chuan damlo dinhmun a zirin general anesthesia hman theih a ni.
3. Catheter dah dan: A hmun a lo hrual hnuah doctor chuan vunah hian incision te tak te a siam a, uluk takin catheter chu bladder chhungah a thun lut thin. A dah luh veleh zun chu tube chhungah a luang tan a, a chhunga dah collection bag-ah a khawl khawm ta a ni.
4. Placement: Catheter chu a tlak loh nan a hmuna awm reng turin stitch te tak te dah a ni. Tin, catheter tawp lamah balloon te tak te, bladder chhunga awm a awm bawk. Tui thianghlim tlem i fill a, i inflate chuan catheter chu bladder chhungah a tang a, a chhuak thei lo.
A kalphung zawng zawng hi minute 20 aia rei lo a ni. Hun rei tak i hman a ngai a nih chuan i doctor emaw nurse emaw chuan nangmah emaw chhungte emaw chu a thlak danglam dan tur leh a vawn dan tur a kawhhmuh ang.
In lamah engtin nge catheter leh a chhehvel hi i enkawl?
Hei hi a pawimawh ber a ni. Catheter chhehvel hmun fai taka vawn hian natna hrik venna kawngah kawng thui tak a zawh thei a ni.
Catheter dahna hmun enkawl
- A hmasa berin, catheter i khawih hmain sahbawn hmangin i kut uluk takin sil hmasa phawt ang che .
- Catheter awmna hmun atang hian nitin bandage hi la chhuakin, natna hrik a awm leh awm loh enfiah thin ang che.
- Na
- Vung
- Vun sen emaw, rawng danglam emaw
- Pus atanga chhuak
- Heng symptoms te hi i neih chuan doctor ko nghal rawh .
- Ni khatah vawi khat tal sahbawn leh tui hmangin catheter chhehvel vun chu zawi zawiin silfai thin ang che. Tichuan towel fai tak hmangin pat dry rawh.
Catheter bag thlak dan tur
1. Sahbawn hmangin i kut te uluk takin silfai ang che.
2. Zun bawm hlui chhunga zun awm chu toilet-ah empty rawh.
3. Catheter tube chu i kut zungtang hmangin tlem vawn la, zun bag hlui chu la chhuak rawh.
4. Catheter tube (Drainage Port) tawp chu sahbawn tui emaw antiseptic wipe emaw hmangin silfai ang che.
5. Urine bag thar connecting end pawh chutiang bawk chuan silfai la, catheter tube ah connect rawh.
6. Tube chu khawi hmunah pawh a inzawm em tih enfiah rawh.
7. I kut chu uluk takin sil leh rawh.
Catheter hi kar khat aia rei i hman tawh a nih chuan, emaw, zun bag-ah rimchhia a awm a nih chuan silfai a tha. Sahbawn leh tuiin silfai la, chutah tui thianghlim hmangin uluk takin silfai ang che.
Hetiang method hian eng hlawkna leh side effect nge a neih?
Damdawi lam thil dang ang bawkin, a hlawkna bakah a hlauhawmna a awm bawk.
| Hlawkpuina | Risk leh side effects (Risks/Complications) a awm thei. |
|---|---|
| Bladder empty fo hian natna khirh tak tak, natna, natna hrik, leh kal chhiatna te chu a veng thei a ni. | Catheter lo chhuak emaw tube a tlakbuak emaw. |
| Catheter pangngai aiin a nuam zawk, a bik takin hun rei tak chhung atan. | Urinary tract infection (UTI) lo awm dan. |
| Urethra hi zalen a nih avangin mipat hmeichhiatna hmanna tur daltu a awm lo. | Bladder area-a natna emaw, tightness emaw hriat (bladder spasm). |
| Hliam leh zun kawnga natna te a veng thei a ni. | Catheter chhehvel atanga zun chhuak. |
| Enkawl a awl a, wheelchair hmangtute tan pawh a awlsam hle. | Thisen chhuak emaw, bladder stone emaw a awm. |
Doctor hmuh nghal hun tur
A hnuaia symptoms te hi i neih chuan tihkhawtlai suh la, doctor ko nghal la , damdawi in hnai ber Emergency Department (ETU) ah kal rawh.
- 38 Celsius (100.5 Fahrenheit) aia sang khawsik nei.
- Catheter chhehvelah zun a chhuak tam lutuk a nih chuan.
- I pum hnuai lam natna nasa tak emaw, a khat emaw i hriat chuan.
- Zun-ah thisen emaw thisen zam emaw i hmuh chuan (hematuria).
- Bladder-a zun lakkhawm zat a tlem lutuk emaw, zun lakkhawm loh tak tak emaw a nih chuan.
- Eng emaw chhan vanga catheter chu a chhuak vek a nih chuan.
Take-Home Thuchah a ni
- Suprapubic catheter chu tube a ni a, chu chu pum hnuai lam atanga bladder chhungah direct-a dah a ni a, zun chhuahna atana hman a ni. Hei hi hun rei tak hmangtute tan chuan a awlsam hle thei.
- Infection laka inven nan catheter dahna hmun leh i kut chu engtik lai pawha fai taka vawn reng a pawimawh.
- Vaukhânna chhinchhiahna, khawsik, natna nasa tak, zun chhunga thisen, emaw, catheter chhuak emaw te chu fimkhur rawh. Hetiang a nih chuan damdawi lam thurawn zawng nghal rawh.
- Hetiang procedure hi tlem a nuam lo leh mak deuh a awm hi thil pangngai a ni. Mahse, uluk taka enkawl dan i zir tawh chuan i thil tih dan pangngaiah i kal thei tawh ang.
- Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen zalen taka inbiakna neih chu hlau ngai suh.
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