I ētahi wā, nā ngā mate maha, i muri rānei i te pokanga, kāore pea e taea e tātou te mimi ko tātou anake. Kātahi ka whakamahia e ngā tākuta tētahi tikanga hei tango i te mimi . Ko te nuinga o te tangata e mōhio ana ki te catheter e whakaurua ana mā te urethra. Engari i mōhio koe ka taea te hanga i tētahi tapahi iti ki te puku o raro , ā, ka taea te whakauru tika i tētahi ngongo ki roto i te pūkahukahu? Koinei te mea e kiia nei e mātou he Suprapubic Catheter .
He aha te Suprapubic Catheter (SPC)?
He māmā noa iho, he rapa, he kirihou rānei te Suprapubic Catheter (SPC). Ka whakamahia e ngā tākuta hei tango i te mimi mai i tō pūkahukahu ina kore e taea e koe te mimi ko koe anake. He tokomaha e whakaaro ana ka taea tēnei mā te tuku i tētahi ngongo ki roto i tō urethra . Engari me tēnei tikanga SPC, ka tapahia e tō tākuta he kōhao iti ki tō puku o raro , ka whakauru tika i te ngongo ki roto i tō pūkahukahu.
He tino haumaru te SPC i te nuinga o te wā, ā, he iti te mōrearea o ngā raruraru . He tokomaha te hunga e pai ake ana ki tēnei nā te mea he māmā ake te whakauru atu i te catheter tuku iho. Waihoki, i ētahi wā he kōwhiringa pai te SPC mēnā kāore e taea te whakauru i tētahi catheter mā te whakamahi i ētahi atu tikanga nā te whara o te ara mimi.
He aha te take e hiahia ai tetahi ki te whakatakoto i tētahi paipa pēnei?
Ka taea e koe te whakamahi i tēnei ngongo hei tango i te mimi ina kore e taea e koe te mimi ko koe anake. Kei raro nei ētahi o ngā mate hauora ka puta ai tēnei.
| Āhua, take rānei | He whakamārama māmā |
|---|---|
| Te kore e taea te pupuri i te mimi | Te mimi ina kore koe e hiahia. |
| Ngā raruraru o te repeure | Te mate pukupuku prostate pai, te mate pukupuku prostate rānei. |
| Te whara o te taurakira | Te ngoikore o te pūkahukahu nā te whara o te taurakira. |
| Pokanga | I muri i te pokanga i te repeure, i ngā wāhi taihemahema rānei. |
| Ngā mate o te pūnaha io | Ngā āhuatanga pēnei i te Multiple Sclerosis (MS) me te mate a Parkinson. |
| Te whakawhāititanga o te urethra | Te aukati i te ara mimi nā ngā mate urutā, ngā aituā rānei o mua. |
Me pēhea te whakauru i tēnei ngongo? Ka mamae?
Kāore tēnei tikanga i te rahi pērā i tō whakaaro. Tuatahi, ka tirotirohia e te tākuta tō pūkahukahu me te rohe e karapoti ana kia kitea ai te wāhi haumaru hei whakauru i te ngongo. I ētahi wā, ka taea e ētahi wāhanga o tō tātou whekau iti te haere tata ki te pūkahukahu.
Kātahi ka horoia rawatia te kiri o te puku o raro e whakaurua ai te ngongo ki te wai patu paturopi . Muri iho, ka whakangāwarihia te wāhi (whakamamae ā-rohe) kia kore ai koe e mamae. I ētahi wā ka hoatu pea he whakamamae whānui ki a koe.
Kia kore e pā te kiri i te wāhi, ka tapahia e te tākuta he wahi iti rawa ki te kiri, ka whakaurua te ngongo SPC ki roto i te pūkahukahu. Ina whakaurua te ngongo, ka tīmata te rere o te mimi i roto, ka kohia ki roto i te putea e piri ana ki a ia. Hei ārai i te putanga mai o te ngongo, ka pupuhihia he wāhanga iti rite ki te poihau i te pito o roto ki te wai ma. Hei tāpiri, ka whakatakotoria he tuitui iti ki roto i te kiri hei whakau i te ngongo. Hei whakamutunga, ka pania he takai ki runga i te patunga hei tiaki i te mate.
E rua tekau meneti te roa o te tukanga katoa. Mēnā me whakamahi roa koe i tēnei ngongo, mā tō tākuta, mā tō nēhi rānei koe, mā tētahi mema rānei o te whānau e whakaatu ki a koe, ki tētahi mema rānei o te whānau, me pēhea te whakawhiti haumaru.
Me pēhea te tiaki i tēnei catheter suprapubic i te kāinga?
Ko te mea tino nui i te wā e mau ana i tēnei ngongo ko te pupuri i te wāhi e karapoti ana kia ma .
Te horoi i te patunga me ōna taiao
Horoia ō ringaringa ki te hopi me te wai i mua i te pā atu ki te ngongo, i te whakawhiti rānei i te putea. Mā tēnei ka āwhina i te ārai i te horapa o ngā iroriki. Kia kotahi te iti rawa i te rā, horoia mārire te wāhi huri noa i te ngongo ki te hopi me te wai, ka whakamaroke ki te tauera ma.
Tangohia hoki te takai ka tirohia i ia rā mō ngā tohu o te mate.
| Ngā tohu hei tirotiro mēnā ka pāngia koe e te mate | |
|---|---|
| Mamae | Te mamae rerekē i te wāhi i werohia ai, me te taha hoki. |
| Te pupuhi me te whero | Te pupuhi, te whero rānei o te kiri. |
| Puku | He wai kōwhai, he wai kakariki rānei e maringi ana i te patunga. |
Ki te kite koe i tētahi o ēnei tohu, waea atu ki tō tākuta tonu atu.
Me pēhea te whakawhiti i te putea catheter
He tino māmā te whakawhiti i te putea. Whāia ēnei mahi:
1. Tuatahi, horoia ō ringaringa ki te hopi.
2. Ringihia te mimi i roto i te putea kua whakamahia ki roto i te wharepaku.
3. Āraia te putanga mai o te mimi i roto i te ngongo mā te pēhi i te ngongo ki ō maihao. Kātahi ka tangohia te putea tawhito.
4. Horoia te pito o te ngongo (puku) ki te wai hopi, ki te tauera paturopi rānei.
5. Horoia te pito hono o te putea hou i te ara kotahi, ka hono atu ki te ngongo.
6. Tirohia mēnā kua piko te ngongo, kua mau rānei ki tētahi wāhi.
7. Hei whakamutunga, horoia anō ō ringaringa ki te hopi kia tino pai.
Kia pēhea te roa me pupuri e au tēnei ngongo?
Kei tō āhua. Me mau tonu pea kia ora rā anō koe. Engari ki te roa te wā e whakamahia ana, me whakawhiti te ngongo i te iti rawa i ia 4 wiki .
Hei ārai hoki i te hanganga o ngā toto totoka i roto i te ngongo, me horoi te ngongo ki te wai parakore i te iti rawa kotahi i te rā. Mā tō tākuta koe e hoatu ētahi atu kōrero mō tēnei.
He aha ngā painga me ngā ngoikoretanga o te whakamahi i te catheter suprapubic?
Pērā i tētahi atu taputapu hauora, he painga, he mōrearea hoki tō tēnei.
| Ngā Painga | Ngā Huakore / Ngā Tūponotanga |
|---|---|
| Mā te pupuri i te pūkahukahu kia takoto kau i ngā wā katoa, ka taea e koe te ārai i te mamae nui, ngā mate urutā mimi (UTI), me te kino o te whatukuhu. | Kei te wetekina te paipa. |
| He pai ake, he watea ake i te catheter noa. | Te turuturu o te mimi nā te aukati o te ngongo. |
| Te āheinga ki te moe tāne i a koe e mau ana i tēnei ngongo. | Te putanga mai o ngā mate urutā mimi (UTI). |
| Te mamae nā te kōpeketanga o te uaua o te tōngāmimi (te pupuhi o te tōngāmimi). | |
| Te turuturu o te mimi huri noa i te ngongo, te toto, me te hanganga o ngā kōhatu o te tōngāmimi. |
Āhea ahau me toro atu ki te tākuta tonu?
Mena he pātai, he raruraru rānei āu mō tēnei ngongo, kōrero tonu ki tō tākuta. Rapua he tohutohu hauora tonu, inā koa mēnā kei a koe ēnei tohu e whai ake nei:
| Ngā āhuatanga e hiahia ana kia arohia tonutia | |
|---|---|
| Kirika | Mena he teitei ake te pāmahana o te tinana i te 100.5°F (38°C). |
| Te turuturu o te mimi | Ki te puta mai te mimi i te taha o te ngongo. |
| Mamae puku | Mena ka pāngia koe e te mamae nui i roto i tō puku, e te kare rānei e kī ana. |
| Te toto i roto i te mimi | Mena he toto totoka, he toto rānei e kitea ana i roto i te mimi (hematuria). |
| Te kore e taea te pupuri i te mana o te puku | Mena he iti noa te mimi e tomo mai ana ki roto i te putea, kua mutu katoa rānei. |
| Te tango i te paipa | Mena ka puta ko ia anake te catheter suprapubic. |
He aha te rerekētanga i waenga i te Foley Catheter me te Suprapubic Catheter?
He māmā noa iho, ka whakauruhia he catheter Foley noa i roto i tō urethra. Heoi, ka whakauruhia he catheter Suprapubic mā roto i tētahi tapahi i tō puku o raro, ā, tika tonu ki roto i tō pūkahukahu.
Karere Tangohia ki te Kāinga
- He ngongo te catheter suprapubic e whakaurua tika ana ki roto i te pūkahukahu mai i te puku o raro, ā, ka whakamahia hei tango i te mimi.
- He māmā ake, he whakamarie ake hoki tēnei ki te whakamahi mō te wā roa i te tikanga noa.
- He mea nui kia noho ma te wāhi o te ngongo me te rohe e karapoti ana hei ārai i te mate.
- Kia tino whai i ngā tohutohu a tō tākuta. Kia mōhio ki te whakawhiti me te horoi i te ngongo.
- Ki te pā mai ētahi tohu o te mate pāwera, te mamae nui, te aukati, te turuturu rānei o te ngongo, me toro atu ki te tākuta i taua wā tonu.
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