Ngamanye amaxesha, ngenxa yezifo ezahlukeneyo okanye emva kotyando, sisenokungakwazi ukuchama sodwa. Emva koko, oogqirha basebenzisa indlela yokukhupha umchamo . Uninzi lwabantu bayazi kuphela nge -catheter edla ngokufakwa nge-urethra. Kodwa ubusazi na ukuba kungenziwa umngxuma omncinci esiswini kwaye ityhubhu inokufakwa ngqo kwisinyi? Yiloo nto siyibiza ngokuba yi-Suprapubic Catheter .
Yintoni iSuprapubic Catheter (SPC)?
Ngamafutshane, i-Suprapubic Catheter (SPC) yityhubhu yerabha okanye yeplastiki ebhityileyo, eguquguqukayo. Oogqirha bayisebenzisela ukukhupha umchamo kwisinyi sakho xa ungakwazi ukuchama wedwa. Abantu abaninzi bacinga ukuba oku kungenziwa kuphela ngokudlulisa ityhubhu kwi -urethra yakho . Kodwa ngale nkqubo ye-SPC, ugqirha wakho wenza umngxuma omncinci esiswini sakho esisezantsi aze afake ityhubhu ngqo kwisinyi sakho.
I-SPC ikhuselekile kakhulu ngokubanzi, inengozi encinci yeengxaki . Abantu abaninzi bayayithanda kuba kulula ukuyifaka kune-catheter yesiqhelo. Kwakhona, ngamanye amaxesha i-SPC iyindlela elungileyo ukuba i-catheter ayinakufakwa kusetyenziswa ezinye iindlela ngenxa yokwenzakala kwendlela yomchamo.
Kutheni umntu angafuna ukubeka umbhobho onje?
Ungasebenzisa le tube ukukhupha umchamo nanini na xa ungakwazi ukuchama wedwa. Nazi ezinye zeemeko zempilo ezinokubangela oku.
| Imeko okanye unobangela | Ingcaciso elula |
|---|---|
| Ukungakwazi ukuzibamba komchamo | Ukuchama xa ungafuni. |
| Iingxaki zeprostate | Umhlaza we-prostate ongengowemvelo okanye umhlaza we-prostate. |
| Ukulimala komqolo | Ukungasebenzi kakuhle kwesinyi ngenxa yokwenzakala komqolo. |
| Utyando | Emva kotyando kwi-prostate okanye kwiindawo zesini. |
| Izifo zenkqubo ye-nervous | Iimeko ezifana neMultiple Sclerosis (MS) kunye nesifo sikaParkinson. |
| Ukuqina komchamo | Ukuvaleka kwendlela yomchamo ngenxa yosulelo okanye iingozi zangaphambili. |
Ndiyifaka njani le tube? Ngaba iya kuba buhlungu?
Le nkqubo ayinkulu njengoko unokucinga. Okokuqala, ugqirha uza kuthatha iskeni (ii-X-ray okanye i-ultrasound) yesinyi sakho kunye nendawo engqongileyo ukuze afumane indawo ekhuselekileyo yokufaka ityhubhu. Ngamanye amaxesha, iindawo zamathumbu ethu amancinci zinokudlula kufutshane nesinyi.
Emva koko, ulusu olusezantsi kwesisu apho kuza kufakwa khona ityhubhu luza kucocwa kakuhle ngesisombululo sokubulala iintsholongwane . Emva koko, indawo iya kuba ne-numbness (local anesthetic) ukuze ungabi nantlungu. Ngamanye amaxesha unganikwa i-general anesthesia.
Emva kokuba indawo ingasebenzi kakuhle, ugqirha wenza umngxuma omncinci kakhulu eluswini aze afake ityhubhu ye-SPC kwisinyi. Kwangoko nje emva kokuba ityhubhu ifakiwe, umchamo uqala ukuphuma kuyo uze uqokeleleke kwingxowa enamathele kuyo. Ukuthintela ukuba ityhubhu ingaphumi, inxalenye encinci efana nebhaluni ekupheleni kwayo ngaphakathi ifunxwa ngamanzi acocekileyo. Ukongeza, kufakwa umthungo omncinci eluswini ukuze kuqiniswe ityhubhu. Ekugqibeleni, kufakwa ibhandishi phezu kwenxeba ukukhusela usulelo.
Yonke le nkqubo ithatha ngaphantsi kwemizuzu engama-20 . Ukuba ufuna ukusebenzisa le tube ixesha elide, ugqirha wakho okanye umongikazi uza kukubonisa okanye ilungu losapho lwakho indlela yokuyitshintsha ngokukhuselekileyo.
Ungayinyamekela njani le catheter ye-suprapubic ekhaya?
Eyona nto ibalulekileyo xa unxiba le tube kukugcina indawo eyijikelezileyo icocekile .
Ukucoca inxeba kunye neendawo ezikufutshane nalo
Hlamba izandla zakho kakuhle ngesepha namanzi ngaphambi kokuba uphathe ityhubhu okanye utshintshe ibhegi. Oku kuya kunceda ukuthintela ukusasazeka kweentsholongwane. Ubuncinane kanye ngemini, hlamba ngobunono indawo ejikeleze ityhubhu ngesepha namanzi uze uyomise ngetawuli ecocekileyo.
Kwakhona, susa ibhandeji uze uyijonge yonke imihla ukuba kukho iimpawu zosulelo.
| Iimpawu ekufuneka uzijonge xa usulelo | |
|---|---|
| Intlungu | Intlungu engaqhelekanga kwindawo yokufaka ulusu nangaphandle kwayo. |
| Ukudumba kunye nokubomvu | Ukudumba okanye ukutshintsha kombala wolusu (ukuba bomvu). |
| Ubomvu | Ulwelo olumthubi okanye oluluhlaza (ububomvu) oluphuma enxebeni. |
Ukuba ubona naziphi na kwezi mpawu, fowunela ugqirha wakho ngokukhawuleza.
Indlela yokutshintsha ibhegi ye-catheter
Ukutshintsha ibhegi kulula kakhulu. Landela la manyathelo:
1. Okokuqala, hlamba izandla zakho kakuhle ngesepha.
2. Thulula umchamo kwibhegi esetyenzisiweyo uye kwindlu yangasese.
3. Ukuze umchamo ungaphumi kwityhubhu, cinezela ityhubhu ngeminwe yakho. Emva koko susa ingxowa endala.
4. Sula isiphelo setyhubhu (i-port) ngamanzi anesepha okanye i-antiseptic wipe.
5. Coca isiphelo esidibanisa ibhegi entsha ngendlela efanayo uze usidibanise netyhubhu.
6. Jonga ukuba ityhubhu ijijekile okanye inamathele naphi na.
7. Okokugqibela, hlamba izandla zakho kakuhle ngesepha kwakhona.
Ndifanele ndigcine le tube ixesha elingakanani?
Kuxhomekeke kwimeko yakho. Kusenokufuneka uyigcine ivuliwe ude uphile. Kodwa ukuba kufuneka uyisebenzise ixesha elide, kufuneka uyitshintshe ityhubhu ubuncinci rhoqo kwiiveki ezi-4 .
Kwakhona, ukuze uthintele ukuba igazi lingaqhekeki ngaphakathi kwityhubhu, kufuneka uhlambe ityhubhu ngamanzi angenazintsholongwane ubuncinane kanye ngemini. Ugqirha wakho uza kukunika ulwazi oluthe kratya malunga noku.
Ziziphi iingenelo kunye neengxaki ze-catheter ye-suprapubic?
Njengaso nasiphi na isixhobo sezonyango, esi sineenzuzo kunye neengozi.
| Iinzuzo | Iingxaki / iingozi |
|---|---|
| Ngokugcina isinyi singenanto rhoqo, unokuthintela iintlungu eziqatha, usulelo lomchamo (UTIs), kunye nomonakalo wezintso. | Umbhobho uyakhululeka. |
| Ikhululekile kwaye ilula kune-catheter eqhelekileyo. | Ukuvuza komchamo ngenxa yokuvaleka kombhobho. |
| Ukukwazi ukulala nomntu ngelixa unxibe le tube. | Ukuvela kwezifo zomchamo (UTIs). |
| Intlungu ebangelwa kukuxinana kwemisipha yesinyi (ukuxinana kwesinyi). | |
| Ukuvuza komchamo ojikeleze umbhobho, ukopha, kunye nokwakheka kwamatye esinyini. |
Ndifanele ndimbone nini ugqirha ngoko nangoko?
Ukuba unemibuzo okanye iingxaki ngale tube, thetha nogqirha wakho ngaphandle kokulibazisa. Funa ingcebiso yezonyango ngokukhawuleza, ingakumbi ukuba unezi mpawu zilandelayo:
| Iimeko ezifuna ingqalelo ekhawulezileyo | |
|---|---|
| Ifiva | Ukuba ubushushu bomzimba bungaphezulu kwe-100.5°F (38°C). |
| Ukuvuza komchamo | Ukuba umchamo uphuma ecaleni kombhobho. |
| Intlungu yesisu | Ukuba uziva intlungu ebukhali esiswini sakho okanye uzive ugcwele. |
| Igazi kumchamo | Ukuba kukho amahlwili egazi okanye igazi elibonakalayo kumchamo (i-hematuria). |
| Ukungakwazi ukuzibamba | Ukuba umchamo mncinane kakhulu ongena ebhegini okanye ukuba uyeke ngokupheleleyo. |
| Ukususa umbhobho | Ukuba i-catheter ye-suprapubic iphuma yodwa. |
Yintoni umahluko phakathi kweFoley Catheter kunye neSuprapubic Catheter?
Ngamafutshane, i-catheter yesiqhelo yeFoley ifakwa ecaleni kwe-urethra yakho. Nangona kunjalo, i-catheter yeSuprapubic ifakwa ngokusikeka esiswini sakho esisezantsi kwaye ngqo kwisinyi sakho.
Umyalezo Wokuya Ekhaya
- I-catheter ye-suprapubic yityhubhu efakwa ngqo kwisinyi ukusuka kwisisu esisezantsi kwaye isetyenziselwa ukukhupha umchamo.
- Oku kulula kwaye kukhululekile ukukusebenzisa ixesha elide kunendlela eqhelekileyo.
- Kubalulekile ukugcina indawo yombhobho kunye nendawo ejikelezileyo icocekile ukuthintela usulelo.
- Landela imiyalelo kagqirha wakho ngokuchanekileyo. Qaphela indlela yokutshintsha nokucoca ityhubhu.
- Ukuba ufumana naziphi na iimpawu zosulelo, iintlungu eziqatha, okanye ukuvaleka okanye ukuvuza kombhobho, bona ugqirha ngokukhawuleza.
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