Xa usiva nge-'catheter', mhlawumbi ucinga ngetyhubhu efakwa kwi-urethra, akunjalo? Uninzi lwabantu luyazi kwaye lukhe lwayibona loo hlobo lwe-catheter. Kodwa ubusazi na ukuba kukho enye indlela yokususa umchamo kwisinyi? Oko kukuthi, kwenziwa umngxuma omncinci esiswini esisezantsi kwaye ityhubhu ifakwe ngqo kwisinyi ngayo. Yiyo loo nto siyibiza ngokuba yi-"suprapubic catheter". Usenokuba awuzange uve okuninzi ngale nto. Ngoko masithethe ngayo yonke into ngokulula namhlanje.
Yintoni kanye kanye i-catheter ye-suprapubic?
Ngamafutshane, le yityhubhu eguquguqukayo eyenziwe ngerabha okanye iplastiki esetyenziselwa ukukhupha umchamo kwisinyi sakho xa ungakwazi ukuchama wedwa. Nangona kunjalo, endaweni yokufakwa nge-urethra njenge-catheter eqhelekileyo, ifakwa ngesithuba esincinci esenziwe eluswini lwesisu sakho esisezantsi.
Le ndlela ikhuselekile kakhulu kwiimeko ezininzi. Kwaye umngcipheko weengxaki uphantsi. Ingakumbi kwabo bafuna ukusebenzisa i-catheter ixesha elide , ilula kakhulu kwaye ayibuhlungu kangako kune-catheter eqhelekileyo. Kwakhona, sisisombululo esifanelekileyo kwabo banengxaki yokufaka i-catheter eqhelekileyo ngenxa yengxaki ethile okanye ukwenzakala kwindlela yomchamo.
Kutheni umntu efuna i-catheter enje?
Eyona sizathu kukuba isinyi asinakukhutshelwa ngaphandle ngokupheleleyo ngenxa yemeko ethile yempilo okanye ukuphazamiseka. Ukuba umchamo ugcinwa kwisinyi, unokubangela iintlungu ezinzulu, usulelo, kwanomonakalo wezintso. Umntu onezi meko zilandelayo unokufuna i-catheter efana nale:
| Imeko okanye unobangela | Ingcaciso elula |
|---|---|
| Ukungakwazi ukuzibamba komchamo | Ukuvuza komchamo ngokungazi, njengaxa ukhohlela okanye uhleka. |
| Ukuncipha Kwesitho Se-Pelvic | Ukuncipha kwamalungu omzimba anjengesibeleko kunye nesinyi kubafazi. |
| Iingxaki zeProstate | Umhlaza weprostate okanye ukwanda kwe-prostate gland (Benign Prostatic Hyperplasia). |
| Ukulimala koMgogodla | Ukulahlekelwa lulawulo lomchamo ngenxa yokwenzakala komqolo ngenxa yengozi. |
| Izifo zenkqubo ye-nervous | Izifo ezifana neMultiple Sclerosis (MS) kunye nesifo sikaParkinson. |
| Ukuqina komchamo | Umbhobho odlula kuwo umchamo unciphile ngesizathu esithile. |
| Utyando | Emva kotyando lwe-prostate kunye nolwesini. |
Iqhubeka njani inkqubo yokufaka le catheter?
Oku kudla ngokwenziwa ngugqirha esibhedlele okanye ekliniki.
1. Ukulungiselela: Okokuqala, ugqirha uza kuthatha i-X-ray okanye i-ultrasound scan ukuze abone ukuba iphi kanye kanye i-bladder yakho kwaye ingaba kukho na amanye amalungu ajikelezileyo, njengamathumbu. Oku kwenzelwa ukufaka i-catheter ngokukhuselekileyo.
2. Ukucoca kunye ne-anesthesia: Okulandelayo, indawo yesisu apho kuza kwenziwa khona i-incision icocwe kakuhle nge-antiseptic. Emva koko, kufakwa i-anesthetic yendawo kuloo ndawo ukuze ingasebenzi kakuhle. Ngoko awuyi kuva iintlungu ezininzi. Kwezinye iimeko, kuxhomekeke kwimeko yesigulana, i-anesthesia eqhelekileyo inokusetyenziswa.
3. Ukufaka i-catheter: Emva kokuba indawo ingasebenzi kakuhle, ugqirha wenza utyando oluncinci eluswini aze afake i-catheter ngononophelo kwisinyi. Nje ukuba ifakwe, umchamo uqala ukuhamba ngetyhubhu uze uqokeleleke kwingxowa yokuqokelela enamathele kuyo.
4. Indawo: Kuthungwa umthungo omncinci ukuze i-catheter ihlale endaweni yayo ingawi. Kwakhona, kukho ibhaluni encinci ekupheleni kwe-catheter engaphakathi kwesinyi. Xa uyizalisa ngamanzi acocekileyo uze uyivuthele, i-catheter iyanamathela ngaphakathi kwisinyi ize iyithintele ukuba ingaphumi.
Yonke le nkqubo ithatha ngaphantsi kwemizuzu engama-20. Ukuba ufuna ukuyisebenzisa ixesha elide, ugqirha wakho okanye umongikazi uza kukubonisa okanye ilungu losapho indlela yokuyitshintsha nokuyigcina icocekile.
Uyinyamekela njani i-catheter kunye nendawo eyijikelezileyo ekhaya?
Le yeyona nto ibalulekileyo. Ukugcina indawo ejikeleze i-catheter icocekile kunokunceda kakhulu ekuthinteleni usulelo.
Ukunyamekela indawo yokufaka i-catheter
- Okokuqala, hlamba izandla zakho kakuhle ngesepha ngaphambi kokuba uchukumise i-catheter.
- Susa ibhandeji kwindawo ye-catheter yonke imihla uze ujonge iimpawu zosulelo.
- Intlungu
- Ukudumba
- Ubomvu besikhumba okanye ukutshintsha kombala
- Ukukhupha ubofu
- Ukuba unayo nayiphi na kwezi mpawu, fowunela ugqirha wakho ngokukhawuleza .
- Ubuncinane kanye ngemini, coca ulusu olujikeleze i-catheter ngesepha namanzi kancinci . Emva koko ulusu lusule ngetawuli ecocekileyo.
Indlela yokutshintsha ibhegi ye-catheter
1. Hlamba izandla zakho kakuhle ngesepha.
2. Thulula umchamo kwingxowa yomchamo endala uye kwindlu yangasese.
3. Bamba ityhubhu ye-catheter kancinci ngeminwe yakho uze ususe ingxowa yomchamo endala.
4. Coca isiphelo setyhubhu ye-catheter (iDrainage Port) ngamanzi anesepha okanye i-antiseptic wipe.
5. Coca isiphelo esidibanisa ingxowa yomchamo entsha ngendlela efanayo uze usidibanise netyhubhu ye-catheter.
6. Jonga ukuba ityhubhu ijijekile okanye inamathele naphi na.
7. Hlamba izandla zakho kakuhle kwakhona.
Ukuba ubusebenzisa i-catheter ixesha elingaphezu kweveki, okanye ukuba ingxowa yomchamo inevumba elibi, kungcono ukuyihlamba. Yihlambe ngesepha namanzi, uze uyihlambe kakuhle ngamanzi acocekileyo.
Zithini iingenelo kunye neziphumo ebezingalindelekanga zale ndlela?
Njengakweyiphi na inkqubo yezonyango, kukho iingenelo kunye neengozi.
| Iinzuzo | Iingozi kunye nemiphumo emibi (Iingozi/Iingxaki) |
|---|---|
| Ngokukhupha isinyi rhoqo, iimeko ezinzima ezifana neentlungu, usulelo, kunye nomonakalo wezintso ziyathintelwa. | I-catheter iyakhululeka okanye ityhubhu ibambeke. |
| Ikhululekile ngakumbi kune-catheter eqhelekileyo, ingakumbi ekuhambeni kwexesha. | Ukuvela kwezifo zomchamo (UTIs). |
| Ekubeni i-urethra ikhululekile, akukho mqobo kwisondo. | Ukuva intlungu okanye ukuxinana kwindawo yesinyi (ukuqaqamba kwesinyi). |
| Ingathintela ukwenzakala kunye neentlungu kwindlela yokuchama. | Ukuvuza komchamo ojikeleze i-catheter. |
| Kulula ukuyinyamekela, kwanabo basebenzisa isitulo esinamavili. | Ukopha okanye amatye esinyini. |
Ixesha lokubona ugqirha ngoko nangoko
Ukuba unezinye zeempawu ezilandelayo, musa ukulibazisa kwaye utsalele umnxeba ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane.
- Ukuba nomkhuhlane ongaphezulu kwama-38 Celsius (100.5 Fahrenheit).
- Ukuba kukho ukuvuza okugqithisileyo komchamo ojikeleze i-catheter.
- Ukuba uziva iintlungu eziqatha okanye ukugcwala esiswini esisezantsi.
- Ukuba ubona igazi okanye amahlwili egazi kumchamo (i-hematuria).
- Ukuba ubungakanani bomchamo obuqokelelweyo esinyini buncinci kakhulu okanye akukho mchamo uqokelelweyo kwaphela.
- Ukuba nangasiphi na isizathu i-catheter iphuma ngokupheleleyo.
Umyalezo Wokuya Ekhaya
- I-suprapubic catheter yityhubhu efakwa ngqo kwisinyi ukusuka kwisisu esisezantsi kwaye isetyenziselwa ukukhupha umchamo. Oku kunokuba lula kakhulu kubasebenzisi bexesha elide.
- Ukuthintela usulelo, kubalulekile ukugcina indawo yokufaka i-catheter kunye nezandla zakho zicocekile ngamaxesha onke.
- Qaphela iimpawu ezilumkisayo ezinje ngomkhuhlane, iintlungu eziqatha, igazi kumchamo, okanye i-catheter ephumayo. Ukuba oku kuyenzeka, funa ingcebiso kagqirha ngokukhawuleza.
- Kuqhelekile ukuba le nkqubo ivakale ingakhululekanga kwaye ingaqhelekanga. Kodwa wakuba ufunde indlela yokuyinyamekela ngokufanelekileyo, ungenza imisebenzi yakho yesiqhelo.
- Ungaze woyike ukuthetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo.
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