Nthawi zina, chifukwa cha matenda osiyanasiyana kapena titachita opaleshoni, sitingathe kukodza tokha. Kenako, madokotala amagwiritsa ntchito njira yochotsera mkodzo . Anthu ambiri amadziwa za catheter yomwe nthawi zambiri imayikidwa kudzera mu urethra. Koma kodi mukudziwa kuti kudula pang'ono kungapangidwe m'mimba ndipo chubu chingalowetsedwe mwachindunji mu chikhodzodzo? Ndicho chomwe timachitcha Suprapubic Catheter .
Kodi Suprapubic Catheter (SPC) ndi chiyani?
Mwachidule, Suprapubic Catheter (SPC) ndi chubu chopyapyala komanso chosinthasintha cha rabara kapena pulasitiki . Madokotala amagwiritsa ntchito kutulutsira mkodzo m'chikhodzodzo chanu pamene simungathe kukodza nokha. Anthu ambiri amaganiza kuti izi zitha kuchitika pongolowetsa chubu m'mkodzo wanu . Koma ndi njira iyi ya SPC, dokotala wanu amadula pang'ono m'mimba mwanu ndikuyika chubucho mwachindunji m'chikhodzodzo chanu.
SPC nthawi zambiri imakhala yotetezeka kwambiri, ndipo imakhala ndi chiopsezo chochepa cha mavuto . Anthu ambiri amaikonda chifukwa ndi yosavuta kuiyika kuposa catheter yachikhalidwe. Komanso, nthawi zina SPC ndi njira yabwino ngati catheter singayikidwe pogwiritsa ntchito njira zina chifukwa cha kuvulala kwa mkodzo.
N’chifukwa chiyani munthu angafune kuyika chitoliro chotere?
Mutha kugwiritsa ntchito chubu ichi kutulutsa mkodzo nthawi iliyonse yomwe simungathe kukodza nokha. Nazi zina mwa matenda omwe angayambitse izi.
| Mkhalidwe kapena chifukwa | Kufotokozera kosavuta |
|---|---|
| Kulephera kudziletsa mkodzo | Kukodza pamene simukufuna. |
| Mavuto a prostate | Khansa ya prostate kapena khansa ya prostate yopanda vuto. |
| Kuvulala kwa msana | Kulephera kwa chikhodzodzo chifukwa cha kuvulala kwa msana. |
| Opaleshoni | Pambuyo pa opaleshoni ya prostate kapena malo oberekera. |
| Matenda a mitsempha | Matenda monga Multiple Sclerosis (MS) ndi matenda a Parkinson. |
| Kuchepa kwa mkodzo | Kutsekeka kwa njira ya mkodzo chifukwa cha matenda kapena ngozi zomwe zinachitika kale. |
Kodi ndingayike bwanji chubu ichi? Kodi chingandipweteke?
Njirayi si yayikulu monga momwe mungaganizire. Choyamba, dokotala adzajambula (X-ray kapena ultrasound) chikhodzodzo chanu ndi malo ozungulira kuti apeze malo otetezeka oikira chubucho. Nthawi zina, mbali zina za matumbo athu ang'onoang'ono zimatha kudutsa pafupi ndi chikhodzodzo.
Kenako, khungu la m'mimba pansi pomwe chubucho chidzalowetsedwa lidzatsukidwa bwino ndi mankhwala opha tizilombo toyambitsa matenda . Kenako, malowo adzachotsedwa mano (local anesthetic) kuti musamve kupweteka kulikonse. Nthawi zina mungapatsidwe mankhwala oletsa ululu.
Pambuyo poti malowo achita dzanzi, dokotalayo amadula khungu pang'ono kwambiri ndikulowetsa chubu cha SPC mu chikhodzodzo. Chubucho chikangolowetsedwa, mkodzo umayamba kutuluka ndipo umasonkhana m'thumba lomwe lili mkati mwake. Pofuna kupewa kuti chubucho chisatuluke, gawo laling'ono longa baluni kumapeto kwa mkati limadzazidwa ndi madzi oyera. Kuphatikiza apo, soketi yaying'ono imayikidwa pakhungu kuti chubucho chikhale cholimba. Pomaliza, bandeji imayikidwa pa bala kuti iteteze ku matenda.
Ntchito yonseyi imatenga mphindi zosakwana 20. Ngati mukufuna kugwiritsa ntchito chubu ichi kwa nthawi yayitali, dokotala wanu kapena namwino adzakuwonetsani kapena wachibale wanu momwe mungasinthire bwino.
Kodi mungasamalire bwanji catheter iyi ya suprapubic kunyumba?
Chofunika kwambiri mukavala chubu ichi ndi kusunga malo ozungulira chivundikirocho kukhala oyera .
Kuyeretsa bala ndi malo ozungulira
Sambani m'manja mwanu bwino ndi sopo ndi madzi musanagwiritse ntchito chubu kapena kusintha thumba. Izi zithandiza kupewa kufalikira kwa majeremusi. Kamodzi patsiku, yeretsani pang'onopang'ono malo ozungulira chubu ndi sopo ndi madzi ndikupukuta ndi thaulo loyera.
Komanso, chotsani bandejiyo ndipo muiyang'ane tsiku lililonse ngati pali zizindikiro za matenda.
| Zizindikiro zoti muziyang'ana ngati mwadwala | |
|---|---|
| Ululu | Ululu wosazolowereka pamalo obayira ndi ozungulira. |
| Kutupa ndi kufiira | Kutupa kapena kusintha kwa mtundu wa khungu (kufiira). |
| Mafinya | Mafinya achikasu kapena obiriwira (mafinya) akutuluka pabala. |
Ngati muwona zizindikiro zilizonsezi, imbani dokotala nthawi yomweyo.
Momwe mungasinthire thumba la catheter
Kusintha thumba n'kosavuta kwambiri. Tsatirani izi:
1. Choyamba, sambani m'manja mwanu bwino ndi sopo.
2. Tsanulirani mkodzo womwe uli mu thumba lomwe mwagwiritsa ntchito m'chimbudzi.
3. Letsani mkodzo kutuluka mu chubu pokanikiza chubucho ndi zala zanu. Kenako chotsani thumba lakale.
4. Pukutani kumapeto kwa chubu (chophimba) ndi madzi a sopo kapena chopukutira mankhwala opha tizilombo toyambitsa matenda.
5. Tsukani mbali yolumikizira ya thumba latsopano mwanjira yomweyo ndikulumikiza ku chubu.
6. Yang'anani ngati chubucho chapindika kapena chakhala paliponse.
7. Pomaliza, sambitsaninso manja anu bwino ndi sopo.
Kodi ndiyenera kusunga chubu ichi kwa nthawi yayitali bwanji?
Zimadalira vuto lanu. Mungafunike kuligwiritsa ntchito mpaka mutachira. Koma ngati mukuyenera kuligwiritsa ntchito kwa nthawi yayitali, muyenera kusintha chubucho osachepera milungu inayi iliyonse .
Komanso, kuti magazi asaundane mkati mwa chubu, muyenera kutsuka chubucho ndi madzi oyera osachepera kamodzi patsiku. Dokotala wanu adzakupatsani zambiri zokhudza izi.
Kodi ubwino ndi kuipa kwa catheter ya suprapubic ndi kotani?
Monga chipangizo china chilichonse chachipatala, ichi chili ndi ubwino ndi zoopsa zake.
| Ubwino | Zoyipa / Zoopsa |
|---|---|
| Mukasunga chikhodzodzo chopanda kanthu nthawi zonse, mungapewe kupweteka kwambiri, matenda a mkodzo (UTIs), komanso kuwonongeka kwa impso. | Chitoliro chikutuluka. |
| Zabwino komanso zosavuta kuposa catheter wamba. | Kutuluka kwa mkodzo chifukwa cha kutsekeka kwa chubu. |
| Kutha kugonana mutavala chubu ichi. | Kupezeka kwa matenda opatsirana m'njira ya mkodzo (UTIs). |
| Ululu chifukwa cha kupindika kwa minofu ya chikhodzodzo (kupindika kwa chikhodzodzo). | |
| Kutuluka kwa mkodzo mozungulira chubu, kutuluka magazi, ndi kupanga miyala ya chikhodzodzo. |
Kodi ndiyenera kupita kwa dokotala nthawi yomweyo liti?
Ngati muli ndi mafunso kapena mavuto ndi chubu ichi, lankhulani ndi dokotala wanu nthawi yomweyo. Funsani upangiri wa dokotala nthawi yomweyo, makamaka ngati muli ndi zizindikiro izi:
| Zochitika zomwe zimafuna chisamaliro chachangu | |
|---|---|
| Malungo | Ngati kutentha kwa thupi kuli kokwera kuposa 38°C (100.5°F). |
| Kutuluka kwa mkodzo | Ngati mkodzo ukutuluka mozungulira chubu. |
| Kupweteka m'mimba | Ngati mukumva kupweteka kwambiri m'mimba mwanu kapena kumva kukhuta. |
| Magazi mu mkodzo | Ngati magazi akuwoneka m'mkodzo (hematuria). |
| Kusadziletsa | Ngati mkodzo sunalowe m'thumba kapena ngati wasiya kwathunthu. |
| Kuchotsa chitoliro | Ngati catheter ya suprapubic ituluka yokha. |
Kodi pali kusiyana kotani pakati pa Catheter ya Foley ndi Catheter ya Suprapubic?
Mwachidule, catheter ya Foley yachizolowezi imayikidwa m'kati mwa mkodzo wanu. Komabe, catheter ya Suprapubic imayikidwa kudzera m'mabala omwe ali m'mimba mwanu ndikulowa mwachindunji m'chikhodzodzo chanu.
Uthenga Wopita Nawo Kunyumba
- Catheter ya suprapubic ndi chubu chomwe chimayikidwa mwachindunji mu chikhodzodzo kuchokera pansi pa mimba ndikugwiritsidwa ntchito kutulutsa mkodzo.
- Izi n'zosavuta komanso zosavuta kugwiritsa ntchito kwa nthawi yayitali kuposa njira yanthawi zonse.
- Ndikofunikira kusunga malo olumikizirana ndi chubu ndi malo ozungulira kuti mupewe matenda.
- Tsatirani malangizo a dokotala wanu molondola. Dziwani momwe mungasinthire ndikuyeretsa chubu.
- Ngati mukuona zizindikiro zilizonse za matenda, kupweteka kwambiri, kapena kutsekeka kapena kutuluka kwa chubu, pitani kwa dokotala mwamsanga.
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