Ngezinye izikhathi, ngemva kokuhlinzwa noma ngenxa yokugula, ungase ube nobunzima bokuchama kahle. Ngisho noma isinyi sakho sigcwele, ungase ungakwazi ukuchama kahle. Yilapho udokotela wakho engase anqume ukufaka i-catheter ye-Foley. Kuvamile ukuzizwa wesaba kancane futhi ungakhululekile uma ubona lokhu kufakwa emzimbeni wakho. Kodwa uma usukwazi kahle ukuthi kuyini, kusebenza kanjani, nokuthi ungaphila kanjani nakho ngendlela evamile, ukwesaba kwakho kuzophela. Ngakho-ke, ake sixoxe ngakho konke ngamazwi alula namuhla.
Kalula nje, iyini i-Foley Catheter?
I-catheter ye-Foley iyithuluzi elilula eliqoqa umchamo (obizwa nangokuthi umchamo ) kusuka kwesinyeni sakho uwuyise esikhwameni esingaphandle komzimba wakho uma ungakwazi ukuchama wedwa. Ibizwa nangokuthi "i-catheter yomchamo ehlala ngaphakathi".
Yenziwe ngepayipi lerabha noma lepulasitiki eligobeka kalula, elincane. Leli payipi lifakwa e-urethra yakho kanye nasesinyeni sakho. Ngaphakathi kwaleli payipi kunezindlela ezimbili ezihlukene.
1. Indlela yokuqala: Yilapho umchamo oqoqeka esinyeni ugeleza khona ngepayipi ungene esikhwameni sangaphandle.
2. Indlela yesibili: Lokhu kuxhunywe ebhaluni elincane ekugcineni kwepayipi elingaphakathi kwesinye. Udokotela noma umhlengikazi ufutha ibhaluni ngokudlulisa inani elincane lamanzi ahlanzekile ngale ndlela. I-catheter ibe isibanjwa iqine endaweni yayo ngaphakathi kwesinye, ngaphandle kokunyakaza noma ukuphuma.
Uma uphapheme, le catheter ivame ukunamathiselwa esikhwameni esincane esingaboshelwa emlenzeni wakho. Uma ulele ebusuku, ungasebenzisa isikhwama esikhulu kancane. Singalengiswa ehukwini eceleni kombhede wakho noma sibekwe endaweni eyisicaba phansi.
Lezi ziphephile kakhulu futhi ziza ngobukhulu obuhlukahlukene ukuze zivumelane nanoma ubani wanoma yimuphi ubudala nosayizi womzimba.
Kungani sidinga i-catheter ye-Foley?
Isizathu esiyinhloko sokuthi odokotela basebenzise le catheter ukuthi awukwazi ukuchama wedwa. Kungaba nezizathu ezahlukahlukene zalokhu.
- Ukungakwazi ukuzibamba komchamo: Uma ulahlekelwa umchamo ngaphandle kokulawula.
- Ukugcinwa Komchamo: Uma umchamo ungakwazi ukukhishwa ngokuphelele, noma ngabe isinyi sigcwele.
- Ukwanda Kwendlala Yesitho Sangasese: Indlala yesitho sangasese sowesilisa ekhuphukile , ikakhulukazi kwabesilisa asebekhulile, ingabangela ukuvaleka komchamo.
- Ukuhlinzwa: Ngemva kokuhlinzwa endaweni ye-prostate noma endaweni yesitho sangasese sowesifazane.
- Ukubulala izinzwa komgogodla (i-Epidural):Ngezinye izikhathi, lokhu kubulala izinzwa, njengasesikhathini sokubeletha, kungabangela ukulahlekelwa okwesikhashana kokulawula isinyi.
- Ukusha kwemithambo yomchamo: Ukuncipha kwemithambo yomchamo ngenxa yokutheleleka noma ukulimala.
Ngaphezu kwalezi zizathu eziyinhloko, i-catheter ye-Foley isetshenziswa kwezinye izimo eziningana.
- Gcina isinye sakho singenalutho ngesikhathi sokuhlinzwa.
- Linganisa ngokunembile inani lomchamo womuntu othola ukwelashwa esibhedlela.
- Lawula ukopha okubangelwa ingozi noma ukuhlinzwa.
- Nikeza imithi ethile ngqo esinyeni.
Ngingayifaka kanjani le nto emzimbeni wami? Ingabe ibuhlungu?
Empeleni lokhu kuyinto udokotela noma umhlengikazi oqeqeshiwe angayenza. Okokuqala, indawo yakho yangasese izohlanzwa kahle ngesibulali-magciwane ukuvimbela ukutheleleka. Ngemuva kwalokho, kuzofakwa ijeli eqeda izinhlungu kanye namafutha endaweni ukuze kuncishiswe noma yikuphi ukungakhululeki nobuhlungu ongase uzizwe.
Ngemva kwesikhashana, lapho indawo ingasasebenzi kahle, i-catheter idluliselwa ngokucophelela nge-urethra iye kwesinye. Lapho nje i-catheter ingena esinyeni, uzozwa umchamo ugeleza ngethubhu ungene esikhwameni. Ngemuva kwalokho, njengoba ngishilo ekuqaleni, ibhaluni ekugcineni kwethubhu ligcwala amanzi ahlanzekile bese livalelwa ngaphakathi.
Okokugcina, ukuze kuvinjelwe ithubhu le-catheter ukuthi lingadonsi futhi likubangele ukungakhululeki, kusetshenziselwa izintambo ukubopha ithubhu nesikhwama emlenzeni wakho.
Uma ngikhuluma iqiniso, ungase uzizwe ungakhululekile futhi ubuhlungu kancane uma usebenzisa lokhu, kodwa ijeli eqeda izinhlungu izokunciphisa kakhulu lokho.
Ngezinye izikhathi, uma udinga ukusebenzisa i-catheter isikhathi eside, abasebenzi bezokwelapha bazokufundisa ukuthi ungayifaka kanjani wena (self-catheterization).
Uyinakekela kanjani kahle i-catheter kanye nesikhwama somchamo?
Lena yingxenye ebaluleke kakhulu. Kukhona ingozi enkulu yokutheleleka uma usebenzisa i-catheter. Ngakho-ke, udinga ukuqaphela kakhulu ukuhlanzeka.
- Ukugeza izandla: Geza izandla zakho kahle ngensipho namanzi ngaphambi nangemva kokuphatha i-catheter noma isikhwama. Lena yindlela engcono kakhulu yokuvimbela ukusabalala kwamagciwane.
- Ukuhlanza ipayipi: Okungenani kabili ngosuku, hlanza ipayipi le-catheter (ingxenye engaphandle komzimba) ngamanzi anensipho kanye nendwangu emanzi noma ithawula lephepha. Bese ulihlikihla kancane.
Indlela yokukhipha isikhwama somchamo
Kufanele ukhiphe umchamo wakho okungenani njalo emahoreni amabili kuya kwamathathu. Uma usebenzisa isikhwama esikhulu ebusuku, kufanele usikhiphe njalo emahoreni ayisishiyagalombili.
| Izinyathelo | Okufanele ngikwenze |
|---|---|
| 1. Ukugeza izandla | Okokuqala, geza izandla zakho kahle ngensipho. |
| 2. Ukuvula isikhwama | Vula isivalo noma i-clamp phansi kwesikhwama. |
| 3. Ukungakwazi ukuzibamba komchamo | Thululela umchamo esikhwameni endlini yangasese. (Uma udokotela wakho ekunike isitsha sokulinganisa inani lomchamo, sithululele kuso kuqala, ubhale inani, bese usikhipha endlini yangasese.) |
| 4. Ukuhlanza umlomo wepayipi | Hlanza indawo yokukhipha amanzi ngensipho namanzi. Sula kusukela phezulu kuya phansi ukuze ususe amagciwane. Bese uyomisa kancane. |
| 5. Ukuvala kabusha nokugeza izandla | Vala isivalo noma i-clamp ngokuqinile. Ekugcineni, faka insipho futhi bese ugeza izandla zakho kahle. |
Indlela yokushintsha isikhwama somchamo
Ngokuvamile, uma udinga ukushintsha izikhwama, landela lezi zinyathelo.
1. Okokuqala, geza izandla zakho kahle.
2. Khulula umchamo ngokuphelele esikhwameni esidala.
3. Hlanza indawo lapho ipayipi le-catheter kanye nesikhwama kuhlangana khona ngamanzi anensipho.
4. Ngaphezulu nje kwendawo yokuxhuma, cindezela bese ubamba ithubhu le-catheter ngeminwe yakho.
5. Susa isikhwama esidala ngokucophelela.
6. Xhuma isikhwama esisha bese ukhulula ithubhu elivalelekile.
Uma ususebenzise isikhwama esifanayo isikhathi esingaphezu kwesonto, noma uma sinephunga elibi, kungumqondo omuhle ukusihlanza ngamanzi anensipho. Isixazululo sezindebe eziyi-1 1/4 zeviniga kumalitha amabili amanzi singasiza ekunciphiseni iphunga nokuvimbela izifo.
Kufanele ngisebenzise lokhu isikhathi esingakanani?
Kuncike kakhulu esimweni sakho. Kungadingeka ukuthi uyisebenzise kuphela uze ululame ngemva kokuhlinzwa. Ungayisusa ngemva kokululama. Kodwa uma unesifo esikuvimbela ukuthi uchame ngokwemvelo, kungadingeka ukuthi usisebenzise amasonto noma izinyanga.
Akuvamile kakhulu, abanye abantu bangadinga ukusebenzisa i-catheter ye-Foley impilo yabo yonke. Ezimweni ezinjalo, udokotela wakho uzokufundisa ukuthi ungaphila kanjani nayo ukuze uqhubeke nokuphila impilo evamile, njengokuya emsebenzini, ukugeza, ukubhukuda, ukuhamba, ngisho nokwenza ucansi.
I-catheter ye-Foley ngokuvamile idinga ukushintshwa okungenani njalo ezinyangeni ezintathu .
Yiziphi izingozi ezingabangelwa yilokhu?
Ingozi enkulu yokusebenzisa i-catheter ye-Foley ukuba nokutheleleka komgudu womchamo (UTI). Uma usebenzisa i-catheter isikhathi eside, amathuba okutheleleka ayanda.
Ngaphezu kwalokho, izinkinga ezilandelayo zingase zenzeke:
- Ukuvuvukala noma ubuhlungu bokuqaqamba kwesinye (ukuqaqamba kwesinye).
- Ukulimala kwendlela yomchamo.
- Ukuvuza komchamo okuvela eduze kwe-catheter.
- Ukopha.
Uma unalezi zimpawu, bona udokotela ngokushesha.
Uma unemibuzo noma ukukhathazeka nge-catheter yakho, ungangabazi ukushayela udokotela wakho ucingo. Funa iseluleko sezokwelapha ngokushesha, ikakhulukazi uma unezinye zezimpawu ezingezansi.
| Isibonakaliso | Incazelo |
|---|---|
| Imfiva | Uma izinga lokushisa lomzimba wakho liphakeme kune-100.5 Fahrenheit (38 Celsius). |
| Ushintsho kumchamo | Uma umchamo unombala omnyama noma unephunga elibi nelinamandla. |
| Ukuvuza komchamo | Uma umchamo uvuza usuka eduze kwepayipi le-catheter. |
| Ubuhlungu besisu | Uma unezinhlungu esiswini noma uzizwa usuthi. |
| Igazi emchameni | Uma ubona igazi noma amahlule egazi emchameni wakho (i-hematuria). |
| Ukuncipha kokuchama | Uma ukugeleza komchamo esikhwameni kwehle kakhulu noma kume ngokuphelele (hlola futhi ukuthi ipayipi ligobile ndawana thize). |
| Ukususwa kwe-catheter | Uma ngesizathu esithile i-catheter ikhululeka. |
Okokugcina, uma unenkinga yokuchama, i-Foley catheter iyithuluzi elibaluleke kakhulu elikusiza ukuthi ukhiphe isinye sakho. Ukuphatha umchamo wakho esikhwameni ngaphandle komzimba wakho kungazwakala kungavamile futhi kungakhululekile. Ungase uphuthelwe eminye yemisebenzi yakho evamile ngokwesaba ukuthi izovuza noma iphume. Konke lokhu kujwayelekile. Khuluma ngokukhululekile nodokotela wakho nganoma yikuphi ukukhathazeka noma ukwesaba onakho. Bangakuchazela lokhu ngokuningiliziwe futhi bakunike ukukhululeka. Kufanele ukujwayele ngokuhamba kwesikhathi. I-Foley catheter akuyona into okufanele imise impilo yakho.
Umlayezo Wokuya Nawe Ekhaya
- Geza izandla zakho kahle ngensipho namanzi ngaphambi nangemva kokuphatha isikhwama se-catheter noma somchamo. Ukuhlanzeka kuyinto ebaluleke kakhulu.
- Gcina njalo isikhwama somchamo siphansi kunesinye sakho. Lokhu kuzovimbela umchamo ukuthi ugeleze emuva.
- Ungakhohlwa ukukhipha isikhwama somchamo ngesikhathi esibekiwe (ngokuvamile njalo emahoreni angu-2-3).
- Uma unezimpawu zokutheleleka, njengomkhuhlane, umchamo onamafu, noma umchamo onephunga elibi, yazisa udokotela wakho ngokushesha.
- Ungesabi ukubuza udokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Bakhona ukuzokusiza.
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