I ētahi wā, i te kaumātuatanga, i muri rānei i tētahi mate hauora, i tētahi pokanga rānei, he maha ngā tāne ka pāngia e te turuturu iti o te mimi, kāore rātou i te mōhio. He arai nui tēnei ki te haere ki te hapori me te mahi i tā rātou mahi. I roto i ngā kupu hauora, ka kiia tēnei he koretake o te mimi. Nō reira, i tēnei rā ka kōrero tātou mō tētahi taputapu tino māmā, ngāwari hoki e āwhina ana i roto i tēnei āhuatanga. Ko te catheter ure tēnā.
He aha te tikanga o te ure tākihi?
E ai ki te ingoa he ure tāne. He rite tonu tōna āhua ki te ure tāne. Engari kāore e whakamahia mō te moepuku, engari hei kohi mimi. Ka mau ki runga i tō ure, pērā i te ure tāne. Ka kohia he mimi ki roto i tētahi pēke kohi mimi ka taea e koe te mau ki tō waewae.
Ko te momo kātene e mōhiotia ana e te nuinga o te tangata ko te ngongo e haere ana mai i te ure tae noa ki te pūkahukahu mimi. Ka kiia e mātou he kātene Foley . Engari nā te mea ka whakauruhia ki roto i te tinana, he ahua kore whakamarie, ā, he nui ake te tūponotanga o te mate.
Engari he taputapu o waho te kātene ure tākihi. Arā, kāore he mea e tukuna ana ki roto i te tinana. Nō reira, he māmā ake te whakamahi, he iti ake te mamae, ā, he iti ake te mōrearea.
He maha atu anō ngā ingoa e whakamahia ana mō tēnei. Tērā pea ka tapaina e tō tākuta tētahi o ēnei:
- Te kātene mimi o waho
- Tātari tāne o waho
- Te kātene o te pūwero ure
- Texas catheter® (ahakoa koinei te ingoa o tētahi waitohu, he maha ngā tāngata e whakamahi whānui ana i tēnei ingoa)
I roto i ēhea āhuatanga ka whakamahia ai tēnei?
Ko te tikanga, ka whakamahia te ure katitere mō ngā tāne e kore e taea te mimi. Ka tūtohuhia hoki e ngā tākuta tēnei mō ētahi atu āhuatanga.
- Nā te pokanga tata nei: Whai muri i ētahi pokanga, he uaua ki te ara ake i te moenga me te haere ki te wharepaku. Ka taea te whakamahi i tēnei mō te wā poto i roto i ēnei āhuatanga.
- Mena kāore e tika ana te whakamahi i tētahi catheter Foley e noho ana i roto i te tinana: Kei ētahi tāngata he mate pēnei i te māuiui o te uaua o te pūkahukahu, ngā kōhatu pūkahukahu, ngā mate mimi rānei (UTI). I roto i ēnei āhuatanga, ehara i te mea pai te whakamahi i tētahi catheter e noho ana i roto i te tinana. He kōwhiringa pai tēnei catheter o waho.
- Te kore e taea te pupuri i te mimi: He mea whai hua anō hoki tēnei i roto i ngā āhuatanga pēnei i te Pūngāwerewere Kaha Rawa (OAB), e uaua ai te whakahaere i te tukunga ohorere o te mimi.
Me pēhea taku whiriwhiri i te mea tika māku?
He iti noa ngā mea hei whakaaroaro māu i te wā e whiriwhiri ana koe i te kātene ure e tika ana māu. He pai ake te kōrero ki tō tākuta mō tēnei.
| He mea nui | Whakaahuatanga |
|---|---|
| Rauemi | E rua ngā momo matua o ēnei: ko ngā mea i hangaia ki te rapa me ngā mea i hangaia ki te silicone. He mate pāwera ki te rapa ētahi tāngata. Ki te pērā, kaua rawa e whakamahi i te momo rapa. He pai te silicone mō te kiri, ā, he pai ake te manawa. |
| Rahi | He rerekē ngā rahi o ēnei. He mea nui kia whiriwhiria te rahi tika. Hei mahi i tēnei, inehia te porowhita o tō ure i tōna wāhi whānui rawa. Kōwhiria te rahi e rite ana ki taua inenga. Ki te iti rawa, ka piri pea, ka kino hoki te kiri. Ki te nui rawa, ka turuturu pea te mimi. |
| Te piri | Kei roto i ētahi momo he mea piri-ā-roto. Ka taea te whakapiri tika. Ko ētahi kāore he mea piri (kāore e piri). Me whakamahi koe i tētahi kāpia kiri motuhake, i tētahi rīpene motuhake rānei hei whakapiri atu ki te kiri. |
Āe, me pēhea te tāpiri i tēnei?
Ahakoa he ahua rerekē tēnei i te tīmatanga, he tino māmā noa iho mēnā ka mahihia e koe i ia taahiraa.
1. Te horoi i te tuatahi: I mua i te mahi i tēnei, horoia pai ō ringaringa me te rohe huri noa i ō ira tangata ki te hopi, ka whakamaroke pai ki te tauera ngohengohe.
2. Te tango huruhuru: Kāore e hiahiatia kia heua rawatia te huruhuru i te pūtake o te ure. Heoi, he pai ake te kutikuti pakupaku ki te kutikuti kia kore ai e mau te huruhuru ki te wāhi e piri ana te catheter. Mā tēnei ka āwhina i te piri tika o te kapia ki te kiri.
3. Te whakarite i te catheter: Tangohia te catheter i roto i te putea.
4.Kiri matamata: Ki te mea he kiri matamata tōu, me kumea katoa ki muri.
5. Whakaurunga: Puritia te ure ki te ringa kotahi, ka hurihia ki raro i te roanga o te ure, pērā i te whakamahi i te ure ki te ringa o tētahi. Ko te mea nui: waiho he āputa iti, tata ki te hawhe inihi i waenganui i te pito o te ure me te pito o te catheter. Mā tēnei ka taea te rere noa o te mimi.
6. Tirohia mēnā he piri: Kia tino piri ki te kiri, engari kaua e tino piri. Ki te tino piri, ka ārai pea i te rere o te toto. Me pēhi hoki te whitiki kia tino piri tika ki te kiri.
7. Te tāpiri i te pēke mimi: Honoa te pito o te katitere ki te pēke kohi mimi. He here te nuinga o te wā mō tēnei pēke ki te huha, ki raro rānei i te turi.
8. Te ma i te mutunga: Kia oti ēnei mahi katoa, horoia anō ō ringaringa ki te hopi me te wai.
Kia pēhea te roa ka taea te whakamahi i tētahi?
Kotahi anake i te rā! Kaua e whakamahia te kātene ure kotahi mō ngā rā maha. Me tāpiri he mea hou i ia rā. Me whakawātea hoki te putea mimi ina kī. Ki te whakamahi anō koe i te putea mimi, me horoi pai, me horoi, me whakamaroke.
He aha ngā painga me ngā ngoikoretanga?
Pērā i ngā taputapu hauora katoa, he painga, he ngoikoretanga hoki ō ngā katitere ure.
| Ngā Painga | Ngā Huakore me ngā Mōrearea |
|---|---|
| ✅ Ngāwari ki te whakamahi: Kia mōhio koe ki te tākuta, ki te nēhi rānei, ka taea e koe te whakamahi. | ❌ Te turuturu: Ka turuturu pea te mimi mēnā kāore i te whakamahia te nui tika, mēnā rānei kāore i te piri tika. |
| ✅ He iti ake ngā mate urutā: He iti ake te mōrearea o te whakawhanake i ngā mate urutā mimi (UTI) me te whakamahi i ngā katitere noho (Foley). | ❌ Ngā raruraru kiri: Tērā pea ka whero, ka mākūkū hoki te kapia o ētahi tāngata. Mēnā ka whakamahia te nui hē, ka kino pea te kiri, ā, i ngā wā tino kino, ka mate pea te kiri (necrosis). |
| ✅ He iti ake te mamae me te kore whakamarie: Nā te mea ka mauhia ki waho o te tinana, kāore i te rite te mamae ki te catheter intrathecal. | ❌ Ngā mate urutā o te ara mimi (UTI): Ahakoa he iti te mōrearea, ka pā mai pea ngā mate urutā o te ara mimi mena kāore e tiakina te akuaku. |
Āhea koe me toro atu ki te tākuta?
Me kōrero tuatahi koe ki tō tākuta mō tō kore e taea te pupuri i te mimi. Māna e whakatau te otinga pai mōu. Tērā pea he ure tākihi.
Mena kei te whakamahi koe i tētahi catheter ure, ā, kei te pāngia koe e tētahi o ngā tohu i raro nei, me toro atu ki te tākuta tonu.
- Te toto i roto i te mimi (hematuria)
- Te mamae, te wera rānei i te wā e mimi ana (dysuria)
- Kirika
- Te mimi i ngā wā maha atu i te wā noa
- Mena he whero te kiri i werohia ai te catheter, he mamae, he āhua ponana rānei.
He momo katitere waho pēnei mō ngā wāhine?
Āe. He momo katitere o waho kua hangaia kia uru ki ngā tinana o ngā wāhine. Engari he rerekē ēnei i ngā katitere ure tāne. Kei roto i tētahi momo he kākahu o roto motuhake e hipoki ana i te tara. Tērā tētahi atu momo e whakanohoia ana ki runga i te tara, ā, e whakamahi ana i te korehau pai hei ngongo i te mimi ki roto i te pēke. Engari he uaua ēnei ki te whakamahi i a koe e hikoi ana. I te nuinga o te wā ka whakamahia noa i te wā e noho ana, e takoto ana rānei i te moenga.
Heoi, kaua e whakama, kaua hoki e pouri mō te kore e taea te whakahaere i tō mimi. He mate hauora noa tēnei e pāngia ana e te tini tāngata. Tērā pea ka ahua rerekē te whakamahi i te catheter ure i te tīmatanga. Tērā pea ka whakaaro koe, "Āe, me pēhea taku putanga atu me te pēke e iri ana i tōku waewae?" He mea noa katoa tēnei. Kaua e mangere ki te kōrero ki tō tākuta mō ō pātai, ō āwangawanga rānei. Kātahi ia ka āwhina i a koe ki te whiriwhiri i te otinga me te momo catheter e tika ana māu.
Karere Tangohia ki te Kāinga
- He kōwhiringa kore-whakaeke, he whakamarie, he iti hoki te mōrearea o te ure katitere mō ngā tāne e uaua ana ki te whakahaere i ō rātou mimi, kāore e pokanoa.
- He mea nui kia whiriwhiria te rahi me te rauemi e tino pai ana ki a koe kia kore ai e raru te kiri me te turuturu o te mimi.
- He mea tino nui te horoi. Horoia ō ringaringa me tō ira tangata i mua i te whakauru i tētahi katitere hou. Whakakapia te katitere i ia rā.
- Ki te kite koe i te whero o te kiri, te mamae, te mākūkū, te kati rānei, te toto rānei i roto i tō mimi, kati te whakamahi i te catheter ka toro atu ki tō tākuta tonu atu.
- Kaua rawa e whakatau ki te whakamahi i aua taputapu ko koe anake. Tuatahi, kōrerohia tō raruraru mimi ki te tākuta, ka whakatau ko tēhea te tikanga maimoatanga pai rawa atu māu.
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