Ingabe ngezinye izikhathi uzizwa unzima kancane uma uchama , noma sengathi isinyi sakho asikakhishwa ngokuphelele? Ezinye izimo zezokwelapha kanye nokuhlinzwa kungabangela izinkinga ezinjalo. Ngakho-ke, ezimweni ezinjalo, enye indlela esetshenziswa ukukhipha ngokuphelele umchamo esinyeni ibizwa ngokuthi 'i-catheterization'. Ukuzwa leli gama kungase kuzwakale kuyesabisa kancane. Kodwa empeleni kuyinto engenziwa ngokuphepha nangokulula ngeseluleko sodokotela kanye nomkhuba ofanele.
Kuyini 'i-Self-Catheterization'?
Kalula nje, lena inqubo lapho uzikhipha khona isinyi sakho. Amanye amagama alokhu yi-'Clean Intermittent Catheterization' ( CIC ) noma i-'Intermittent self-catheterization ' (ISC).
Nakhu okwenzekayo: Ipayipi elincane neliguquguqukayo, elibizwa ngokuthi i-catheter , lifakwa ngokucophelela nge -urethra yakho liye esinyeni sakho. Wonke umchamo osesinyeni sakho ube usuphuma ngepayipi uye endlini yangasese noma esitsheni sokuqoqa. Uma isinye sakho sesingenalutho ngokuphelele, ususa ipayipi njalo. Lokhu kwenziwa izikhathi eziningana ngosuku, ngokuvamile njalo emahoreni amane kuya kwayisithupha .
Ungakhathazeki, udokotela wakho noma umhlengikazi uzokukhombisa ukuthi ungakwenza kanjani lokhu ngendlela efanele. Kunezinhlobo ezahlukene zama-catheter, futhi udokotela wakho uzokhetha eyodwa ekufanele. Uzodinga nezinto ezifana nokugcoba kanye nama-towelettes e-antiseptic ukuze wenze inqubo ibe lula. Ukuze uvimbele ukutheleleka, kubalulekile ukugcina izandla zakho zihlanzekile ngaso sonke isikhathi.
Kungani udinga ukwenza into efana nale?
Ezinye izimo zempilo zingavimbela isinye ukuthi singaphumi ngokuphelele. Uma umchamo ushiywa esinyeni, kungaholela ezinkingeni eziningana. Isibonelo, ukutheleleka komgudu womchamo (UTIs), ukulimala kwesinye, kanye nokulimala kwezinso ekugcineni.
Ithebula elingezansi libonisa ezinye izimo lapho le ndlela ingadingeka khona.
| Isimo noma imbangela | Incazelo elula |
|---|---|
| I-prostate ekhulisiwe noma ukuvuvukala (i-prostatitis) | Kulesi simo, esivame kakhulu kwabesilisa, i-urethra iyavaleka, okuvimbela ukugeleza komchamo. |
| Izifo zesimiso sezinzwa | Izimo ezifana ne-multiple sclerosis (MS), isifo sikaParkinson, i-spina bifida, kanye ne-cerebral palsy zingathinta imizwa elawula ukusebenza kwesinyi (i-Neurogenic bladder). |
| Ukulimala komgogodla | Uma umgogodla wonakele ngenxa yengozi, ukulawula umchamo kungase kulahleke. |
| Izinkinga ezivela ekuhlinzweni kwesinyi noma kwezinye izihlinzeko | Ngemva kokuhlinzwa, kungaba nzima ukuchama, okwesikhashana noma unomphela. |
| Ukugcinwa komchamo noma ukungalawuleki komchamo | Lesi yisisombululo salezi zimo ezivela ngenxa yezizathu ezahlukahlukene. |
Into ebaluleke kakhulu yisinye .Ukuhamba kwamathumbu njalo. Lokhu kuzovikela izinso zakho futhi kukusize ugweme izifo ezibuhlungu.
Ukulungiselela kanjani lokhu futhi ukwenze kahle?
Ukwenza lokhu kungase kuzwakale kungavamile uze ukujwayele, kodwa kulula kakhulu uma ulandela izinyathelo ngendlela efanele.
Isinyathelo 1: Ukuhlanzeka kuza kuqala!
- Ukugeza izandla : Okokuqala, geza izandla zakho kahle ngensipho.
- Ukuhlanza: Okulandelayo, hlanza kahle indawo ezungeze izitho zakho zangasese ngensipho namanzi noma ngethishu ecwiliswe esixazululweni sokubulala amagciwane esinikezwe udokotela wakho. Lokhu kuzonciphisa kakhulu ingozi yokutheleleka.
Isinyathelo 2: Ukulungiselela i-catheter
- Khipha i-catheter ephaketheni layo. Kudingeka igcinwe ihlanzekile kakhulu, ngakho-ke ngemva kokugeza izandla zakho, ungathinti lutho ngaphandle kwe-catheter.
- Faka i-lubricant esekelwe emanzini, njenge-`KY Jelly®`, ekugcineni kwe-catheter ezofakwa ku-urethra futhi ibe ngamasentimitha amabili ubude. Amanye ama-catheter afika egcotshwe kusengaphambili ngale lubricant.
Isinyathelo 3: Ukufaka i-catheter
1. Thola indawo ekhululekile. Ungahlala endlini yangasese, ume, noma uncike kancane phezu kwendlu yangasese. Abesifazane bangase bakuthole kuwusizo ukusebenzisa isibuko esincane ukuthola imbobo ye-urethra kusenesikhathi.
2. Manje faka ingxenye egcotshwe kahle ye-catheter e-urethra kancane kodwa ngokuqinile. Bamba enye ingxenye eduze kwendlu yangasese noma esitsheni ukuze uqoqe umchamo.
3. Uma usufikile esinyeni, faka i-catheter kancane kuze kube yilapho umchamo uqala ukuphuma epayipini.
4. Uma umchamo usuqalile ukuphuma, wufake enye isentimitha noma amabili.
5. Gcina i-catheter endaweni yayo kuze kube yilapho isinyi singasasebenzi nhlobo. Ungacindezela isisu sakho esingezansi noma ugobe kancane ukuze usize ekukhipheni noma yimuphi umchamo osele.
6. Uma ukugeleza komchamo sekuphelile, donsa ngokucophelela futhi ngobumnene i-catheter phansi bese uyikhipha.
7. Ekugcineni, geza izandla zakho kahle ngensipho futhi.
Lawa ma-catheter asetshenziswa kanye kuphela , ngakho-ke walahle emgqonyeni kadoti uma usuqedile ukuwasebenzisa.
Uma udinga ukukhuluma nodokotela
Nakuba le nqubo iphephile ngokuvamile, ngezinye izikhathi kungavela izinkinga. Uma unezinye zezimpawu ezingezansi, shayela udokotela wakho ngokushesha.
| Uma i-catheter kunzima ukuyifaka | Uma kuzwakala kunzima kakhulu kunokujwayelekile noma uma ungakwazi ukukufaka nhlobo. |
| Uma unegazi emchameni wakho (i-hematuria) | Uma umchamo ubonakala upinki, ubomvu, noma unombala onsundu omnyama. |
| Uma uzwa ubuhlungu lapho uchama (i-dysuria) | Uma uzizwa ushisa noma ubuhlungu lapho uchama ngaphandle kwe-catheter. |
| Izimpawu zokutheleleka komgudu womchamo (UTI) | Umkhuhlane, ukubanda, ubuhlungu besisu esingezansi, kanye nokungakwazi ukuzibamba komchamo. |
| Izinkinga zesikhumba | Uma kukhona ukucasuka kwesikhumba, ubuhlungu, noma ukubomvu lapho kufakwa khona i-catheter. |
Lokhu kungase kuzwakale kukucindezela kancane ekuqaleni. Kodwa khumbula, lokhu kuyinto ebaluleke kakhulu okufanele uyenze ngempilo yakho. Abanye abantu kungase kudingeke bakwenze lokhu isikhashana nje. Abanye kungase kudingeke bakwenze impilo yabo yonke. Kuya ngesimo sakho. Ngakho-ke uma unemibuzo noma ukukhathazeka, khuluma nodokotela wakho ngokukhululekile.
Umlayezo Wokuya Nawe Ekhaya
- Ukuzihlanza nge-catheter kuyindlela ephephile nephumelelayo yokukhipha konke okubilisa esinyeni sakho. Lokhu kusiza kakhulu ekuvikeleni izinso zakho.
- Ukuze uvimbele ukutheleleka, ukuhlanzeka kuyinto yokuqala . Hlanza izandla zakho kahle njalo ngaphambi nangemva kokufaka i-catheter.
- Lokhu kungase kubonakale kunzima kancane ekuqaleni, kodwa uma usujwayele, kuba inqubo elula kakhulu. Yiba nesineke futhi uzijwayeze.
- Uma kukhona ubuhlungu, ukopha, noma izimpawu zokutheleleka, ungachithi isikhathi bese ushayela udokotela wakho ucingo.
- Le nqubo ngeke yehlise izinga lempilo yakho. Eqinisweni, izokwenza impilo yakho ibe lula ngoba ngeke kudingeke ukhathazeke ngezinkinga zomchamo.
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