Ina rongo koe i te 'catheter', tera pea ka whakaaro koe ki tētahi ngongo e whakaurua ana ki roto i te urethra, tika? He maha ngā tāngata e mōhio ana, ā, kua kite kē i taua momo catheter. Engari i mōhio koe he huarahi kē atu hei tango i te mimi mai i te pūkahukahu? Arā, ka tapahia he iti ki te puku o raro, ā, ka whakaurua tika he ngongo ki roto i te pūkahukahu mā roto. Koinei te mea e kiia nei e tātou he "suprapubic catheter". Kāore pea koe i rongo nui mō tēnei. Nō reira, me kōrero tātou mō ngā mea katoa i roto i ngā kupu māmā i tēnei rā.
He aha tonu te tikanga o te catheter suprapubic?
He ngāwari noa iho, he ngongo ngāwari tēnei i hangaia ki te rapa, ki te kirihou rānei, e whakamahia ana hei tango i te mimi mai i tō pūkahukahu ina kore e taea e koe te mimi ko koe anake. Heoi, kaua e whakaurua mā roto i te urethra pērā i te catheter noa, engari ka whakaurua mā roto i tētahi tapahi iti i hangaia ki te kiri o tō puku o raro.
He tino haumaru tēnei tikanga i te nuinga o te wā. Ā, he iti te mōrearea o ngā raruraru. Ina koa mō te hunga e hiahia ana ki te whakamahi i te catheter mō te wā roa , he māmā ake, he iti ake hoki te mamae i te catheter noa. Waihoki, koinei te otinga pai mō te hunga e uaua ana ki te whakauru i te catheter noa nā te mate, te whara rānei i roto i te ara mimi.
He aha i hiahiatia ai e te tangata tētahi catheter pēnei?
Ko te take matua, kāore e taea te whakawātea katoa i te pūkahukahu nā tētahi mate hauora, mate rānei. Mēnā ka mau tonu te mimi i roto i te pūkahukahu, ka pāngia pea te whatukuhu e te mamae nui, te mate pāwera, tae atu ki te kino o te whatukuhu. Tērā pea ka hiahiatia he catheter pēnei i te tangata e whai ake nei ngā mate:
| Āhua, take rānei | He whakamārama māmā |
|---|---|
| Te kore e taea te pupuri i te mimi | Te turuturu ā-kore o te mimi, pērā i te wā e maremare ana, e kata ana rānei. |
| Te hekenga o te whekau pelvis | Te torengitanga o ngā whekau pēnei i te kōpū me te pūhā i roto i ngā wāhine. |
| Ngā raruraru o te repeure | Te mate pukupuku o te repe tātea, te whakanui rānei i te repe tātea (Benign Prostatic Hyperplasia). |
| Te Whara o te Taura Tuaiwi | Te ngaronga o te mana whakahaere mimi nā te whara o te tuaiwi i puta mai i tētahi aituā. |
| Ngā mate o te pūnaha io | Ngā mate pēnei i te Multiple Sclerosis (MS) me te mate a Parkinson. |
| Te whakawhāititanga o te urethra | Kua whaiti te ngongo e haere ai te mimi mō tētahi take. |
| Pokanga | I muri i ngā pokanga mō te prostate me te ure. |
Me pēhea te tukanga o te whakauru i tēnei catheter?
Ko te tikanga ka mahia tēnei e te tākuta i te hōhipera, i te whare rongoā rānei.
1. Te Whakarite: Tuatahi, ka tangohia e te tākuta he matawai X-ray, he matawai ultrasound rānei hei tirotiro i te wāhi tika o tō pūkahukahu, me te kite mēnā he whekau kē atu kei te taha, pērā i ngā whekau. Ka mahia tēnei hei whakauru haumaru i te catheter.
2. Te horoi me te rongoā whakamoe: Muri iho, ka horoia pai te puku e tapahia ana ki te rongoā patu huakita. Kātahi ka werohia he rongoā whakamoe ā-rohe ki roto i te puku hei whakangāwari i te mamae. Nō reira, kāore koe e tino mamae. I ētahi wā, i runga i te āhua o te tūroro, ka whakamahia pea te rongoā whakamoe whānui.
3. Te whakauru i te katitere: Kia kore e mā te kiri, ka tapahia e te tākuta he wahi iti ki te kiri, ā, ka ata whakaurua te katitere ki roto i te pūkahukahu. Ina whakaurua, ka tīmata te rere o te mimi mā roto i te ngongo, ka kohia ki roto i tētahi putea kohikohi e piri ana ki reira.
4. Te Whakanoho: Ka whakatakotoria he tuitui iti hei pupuri i te catheter ki tōna tūranga me te kore e taka ki waho. Waihoki, he poihau iti kei te pito o te catheter kei roto i te pūkahukahu. Ina whakakīia ki te wai ma, ka pupuhihia, ka mau te catheter ki roto i te pūkahukahu, ā, ka kore e puta ki waho.
E rua tekau meneti te roa o te tukanga katoa. Mēnā me whakamahi mō te wā roa, mā te tākuta, mā te 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 me te pupuri i te ma.
Me pēhea te tiaki i te catheter me te wāhi e karapoti ana i te kāinga?
Koinei te mea tino nui. Mā te pupuri i te wāhi e karapoti ana i te catheter kia ma, ka āwhina nui tēnei ki te ārai i te mate.
Te tiaki i te wāhi whakauru catheter
- Tuatahi, horoia rawatia ō ringaringa ki te hopi i mua i te pā atu ki te catheter.
- Tangohia te takai i te wāhi i whakauruhia ai te katitere i ia rā, ka tirotiro mēnā he tohu mate.
- Mamae
- Pupuhi
- Te whero o te kiri, te rerekētanga rānei o te tae
- Putanga o te waikura
- Ki te pā mai tētahi o ēnei tohu ki a koe, waea atu ki tō tākuta tonu atu .
- Horoia mārire te kiri huri noa i te katitere mā te whakamahi i te hopi me te wai, kia kotahi te iti rawa i te rā. Kātahi ka whakamaroke ki te tauera ma.
Me pēhea te whakawhiti i te putea catheter
1. Horoia ō ringaringa kia tino mārie ki te hopi.
2. Ringihia te mimi i roto i te putea mimi tawhito ki roto i te wharepaku.
3. Puritia te ngongo catheter ki ō maihao, kātahi ka tangohia te putea mimi tawhito.
4. Horoia te pito o te ngongo catheter (Drainage Port) ki te wai hopi, ki te tauera paturopi rānei.
5. Horoia te pito hono o te pēke mimi hou i te ara kotahi, ka hono atu ki te ngongo catheter.
6. Tirohia mēnā kua piko te ngongo, kua mau rānei ki tētahi wāhi.
7. Horoia anō ō ringaringa kia tino horoia.
Mena kua neke atu i te wiki e whakamahia ana e koe te katitere, he haunga kino rānei te putea mimi, he mea pai kia horoia. Horoia ki te hopi me te wai, kātahi ka horoia rawatia ki te wai ma.
He aha ngā painga me ngā pānga taha o tēnei tikanga?
Pērā i ngā tikanga hauora katoa, he painga, he mōrearea anō hoki.
| Ngā Painga | Ngā tūponotanga me ngā pānga taha (Ngā Tūponotanga/Ngā raruraru) |
|---|---|
| Mā te whakawātea i te pūkahukahu i ia wā, i ia wā, ka āraihia ngā mate kino pēnei i te mamae, te mate urutā, me te kino o te whatukuhu. | E wetekina ana te katitere, e mau ana rānei te ngongo. |
| He pai ake i te whakamahi i te catheter noa, inā koa mō te wā roa. | Te putanga mai o ngā mate urutā mimi (UTI). |
| Nā te mea he kore utu te urethra, kāore he arai ki te moe tāne. | Te mamae, te piri rānei i te wāhi tōngāmimi (te pupuhi o te tōngāmimi). |
| Ka taea e ia te ārai i ngā whara me te mamae o te ara mimi. | Te turuturu o te mimi mai i te taha o te katitere. |
| He ngāwari te tiaki, ahakoa mō te hunga e whakamahi ana i te tūru wīra. | Ngā kōhatu toto, ngā kōhatu pūkahukahu rānei. |
Āhea te wā tika kia kite tonu i te tākuta
Mena kei a koe tētahi o ngā tohu e whai ake nei, kaua e whakaroa, waea atu ki tō tākuta tonu atu , haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
- He kirika neke atu i te 38 Celsius (100.5 Fahrenheit).
- Mena he nui rawa te turuturu o te mimi huri noa i te katitere.
- Mena ka pāngia koe e te mamae nui, e te kī rānei i te puku o raro.
- Ki te kite koe i te toto, i ngā pūnga toto rānei i roto i te mimi (hematuria).
- Mena he iti rawa te nui o te mimi e kohia ana i roto i te pūkahukahu, kāore rānei he mimi e kohia ana.
- Mena he take e puta katoa mai ai te catheter.
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, hei tango i te mimi. He tino watea tēnei mō ngā kaiwhakamahi roa.
- Hei ārai i ngā mate urutā, he mea nui kia noho ma tonu te wāhi i werohia ai te katitere me ō ringaringa.
- Kia tūpato ki ngā tohu whakatūpato pēnei i te kirika, te mamae nui, te toto i roto i te mimi, te putanga mai rānei o te catheter. Mēnā ka puta tēnei, rapua tonutia he tohutohu hauora.
- He mea noa te ahua o te kore whakamarie me te rerekē o tēnei tikanga. Engari ina ako koe ki te tiaki tika, ka taea e koe te mahi i ō mahi o ia rā.
- Kaua e wehi ki te kōrero tuwhera ki tō tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe.
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