Mukamva za 'catheter', mwina mumaganiza za chubu chomwe chimayikidwa mu urethra, sichoncho? Anthu ambiri amadziwa ndipo adawonapo mtundu umenewo wa catheter. Koma kodi mumadziwa kuti pali njira ina yochotsera mkodzo m'chikhodzodzo? Izi zikutanthauza kuti, kudula pang'ono kumapangidwa m'mimba ndipo chubu chimayikidwa mwachindunji mu chikhodzodzo kudzera mmenemo. Ndicho chimene timachitcha "catheter ya suprapubic". Mwina simunamve zambiri za izi. Choncho tiyeni tikambirane za chilichonse mwachidule lero.
Kodi catheter ya suprapubic kwenikweni ndi chiyani?
Mwachidule, iyi ndi chubu chosinthika chopangidwa ndi rabara kapena pulasitiki chomwe chimagwiritsidwa ntchito kutulutsa mkodzo kuchokera mu chikhodzodzo chanu pamene simungathe kukodza nokha. Koma m'malo molowetsedwa kudzera mu urethra ngati catheter wamba, iyi imalowetsedwa kudzera mu kudula pang'ono komwe kumapangidwa pakhungu la m'mimba mwanu.
Njira iyi ndi yotetezeka kwambiri nthawi zambiri. Ndipo chiopsezo cha mavuto ndi chochepa. Makamaka kwa iwo omwe amafunika kugwiritsa ntchito catheter kwa nthawi yayitali , ndi yosavuta komanso yopweteka kwambiri kuposa catheter wamba. Komanso, ndi njira yabwino kwambiri kwa iwo omwe amavutika kuyika catheter wamba chifukwa cha vuto linalake kapena kuvulala kwa mkodzo.
N’chifukwa chiyani munthu angafunikire catheter ngati imeneyi?
Chifukwa chachikulu ndichakuti chikhodzodzo sichingathe kutulutsa madzi onse chifukwa cha matenda enaake kapena vuto linalake. Ngati mkodzo usungidwa mu chikhodzodzo, ukhoza kuyambitsa kupweteka kwambiri, matenda, komanso kuwonongeka kwa impso. Munthu amene ali ndi matenda otsatirawa angafunike catheter:
| Mkhalidwe kapena chifukwa | Kufotokozera kosavuta |
|---|---|
| Kusadziletsa kwa Mkodzo | Kutuluka kwa mkodzo mosayembekezereka, monga kutsokomola kapena kuseka. |
| Kutuluka kwa Chiwalo cha Pelvic | Kuchepa kwa ziwalo monga chiberekero ndi chikhodzodzo mwa akazi. |
| Mavuto a Prostate | Khansa ya prostate kapena kukula kwa prostate gland (Benign Prostatic Hyperplasia). |
| Kuvulala kwa Msana | Kulephera kuyendetsa mkodzo chifukwa cha kuvulala kwa msana chifukwa cha ngozi. |
| Matenda a mitsempha | Matenda monga Multiple Sclerosis (MS) ndi matenda a Parkinson. |
| Kuchepa kwa mkodzo | Chubu chomwe mkodzo umadutsamo chimachepa pazifukwa zina. |
| Opaleshoni | Pambuyo pa opaleshoni ya prostate ndi maliseche. |
Kodi njira yoyika catheter iyi imachitika bwanji?
Izi nthawi zambiri zimachitika ndi dokotala kuchipatala kapena ku chipatala.
1. Kukonzekera: Choyamba, dokotala adzajambula X-ray kapena ultrasound kuti aone komwe chikhodzodzo chanu chili komanso ngati pali ziwalo zina zozungulira chikhodzodzocho, monga matumbo. Izi zimachitika kuti aike catheter bwino.
2. Kuyeretsa ndi mankhwala oletsa ululu: Kenako, malo am'mimba omwe adzadulidwe amatsukidwa bwino ndi mankhwala opha tizilombo toyambitsa matenda. Kenako, mankhwala oletsa ululu amabayidwa m'malo mwake kuti asachite ululu. Kuti musamve ululu wambiri. Nthawi zina, kutengera momwe wodwalayo alili, mankhwala oletsa ululu angagwiritsidwe ntchito.
3. Kuyika catheter: Malo akakhala opanda mphamvu, dokotala amadula khungu pang'ono ndikuyika catheter mosamala mu chikhodzodzo. Ikangoyikidwa, mkodzo umayamba kuyenda kudzera mu chubu ndikusonkhanitsa m'thumba losonkhanitsira lomwe limalumikizidwa nalo.
4. Malo: Katundu wosokera pang'ono amayikidwa kuti katheta ikhale pamalo ake popanda kugwa. Komanso, pali kabaluni kakang'ono kumapeto kwa katheta komwe kali mkati mwa chikhodzodzo. Mukadzaza ndi madzi oyera ndikuupaka, kathetayo imalowa m'chikhodzodzo ndikuletsa kutuluka.
Ntchito yonseyi imatenga mphindi zosakwana 20. Ngati mukufuna kuigwiritsa ntchito kwa nthawi yayitali, dokotala kapena namwino adzakuwonetsani kapena wachibale wanu momwe mungasinthire ndikuisunga yoyera.
Kodi mumasamalira bwanji catheter ndi malo ozungulira catheter kunyumba?
Ichi ndiye chinthu chofunika kwambiri. Kusunga malo ozungulira catheter kukhala aukhondo kungathandize kwambiri kupewa matenda.
Kusamalira malo oikira catheter
- Choyamba, nthawi zonse muzisamba m'manja mwanu bwino ndi sopo musanagwiritse ntchito catheter.
- Chotsani bandeji pamalo olumikizira catheter tsiku lililonse ndipo yang'anani ngati pali zizindikiro za matenda.
- Ululu
- Kutupa
- Kufiira kwa khungu kapena kusintha kwa mtundu
- Kutuluka kwa mafinya
- Ngati muli ndi zizindikiro izi, imbani dokotala nthawi yomweyo .
- Kamodzi patsiku, tsukani khungu mozungulira katheta pogwiritsa ntchito sopo ndi madzi. Kenako pukutani ndi thaulo loyera.
Momwe mungasinthire thumba la catheter
1. Sambani m'manja mwanu bwino ndi sopo.
2. Tsanulirani mkodzo womwe uli mu thumba lakale la mkodzo m'chimbudzi.
3. Gwirani chubu cha catheter pang'ono ndi zala zanu ndikuchotsa thumba lakale la mkodzo.
4. Tsukani kumapeto kwa chubu cha catheter (Drainage Port) ndi madzi a sopo kapena chopukutira mankhwala opha tizilombo toyambitsa matenda.
5. Tsukani mbali yolumikizira ya thumba latsopano la mkodzo mwanjira yomweyo ndikulumikiza ku chubu cha catheter.
6. Yang'anani ngati chubucho chapindika kapena chakhala paliponse.
7. Sambani m'manja mwanu bwino.
Ngati mwakhala mukugwiritsa ntchito catheter kwa nthawi yoposa sabata imodzi, kapena ngati thumba la mkodzo lili ndi fungo loipa, ndi bwino kulitsuka. Litsukeni ndi sopo ndi madzi, kenako litsukeni bwino ndi madzi oyera.
Kodi ubwino ndi zotsatirapo zake ndi ziti?
Monga momwe zimakhalira ndi njira iliyonse yachipatala, pali ubwino komanso zoopsa zake.
| Ubwino | Zoopsa ndi zotsatirapo zake (Zoopsa/Zovuta) |
|---|---|
| Mwa kuchotsa madzi m'chikhodzodzo nthawi zonse, matenda aakulu monga kupweteka, matenda, ndi kuwonongeka kwa impso zimapewedwa. | Catheter ikutuluka kapena chubu chikumangika. |
| Ndi yabwino kwambiri kuposa catheter wamba, makamaka pakapita nthawi. | Kupezeka kwa matenda opatsirana m'njira ya mkodzo (UTIs). |
| Popeza mkodzo ndi waufulu, palibe choletsa kugonana. | Kumva kupweteka kapena kufinya kwa chikhodzodzo (kupindika kwa chikhodzodzo). |
| Zingateteze kuvulala ndi kupweteka m'njira ya mkodzo. | Kutuluka kwa mkodzo kuchokera kuzungulira katheta. |
| N'zosavuta kusamalira, ngakhale kwa iwo omwe amagwiritsa ntchito njinga ya olumala. | Kutuluka magazi kapena miyala ya chikhodzodzo. |
Nthawi yoti mukaonane ndi dokotala nthawi yomweyo
Ngati muli ndi zizindikiro zotsatirazi, musachedwe ndipo imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala chapafupi.
- Kukhala ndi kutentha kwa madigiri oposa 38 Celsius (100.5 Fahrenheit).
- Ngati mkodzo ukutuluka kwambiri mozungulira catheter.
- Ngati mukumva kupweteka kwambiri kapena kudzaza m'mimba.
- Ngati muwona magazi kapena magazi oundana mu mkodzo (hematuria).
- Ngati kuchuluka kwa mkodzo womwe wasonkhanitsidwa m'chikhodzodzo ndi kochepa kwambiri kapena ngati mkodzo sunasonkhanitsidwe konse.
- Ngati pazifukwa zilizonse catheter imatuluka kwathunthu.
Uthenga Wopita Nawo Kunyumba
- Catheter ya suprapubic ndi chubu chomwe chimayikidwa mwachindunji mu chikhodzodzo kuchokera pansi pa mimba ndikugwiritsidwa ntchito kutulutsa mkodzo. Izi zitha kukhala zosavuta kwa ogwiritsa ntchito kwa nthawi yayitali.
- Kuti mupewe matenda, ndikofunikira kusunga malo oikamo catheter ndi manja anu aukhondo nthawi zonse.
- Samalani zizindikiro monga malungo, kupweteka kwambiri, magazi mu mkodzo, kapena kutuluka kwa catheter. Ngati izi zitachitika, funsani upangiri wa dokotala nthawi yomweyo.
- Ndi zachilendo kuti njirayi ikhale yosasangalatsa komanso yachilendo. Koma mukaphunzira momwe mungaisamalire bwino, mutha kuchita zinthu zanu zachizolowezi.
- Musamaope kulankhula momasuka ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo.
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