Ngezinye izikhathi, ngenxa yezifo ezahlukahlukene noma ngemva kokuhlinzwa, singase singakwazi ukuchama sodwa. Bese kuthi odokotela basebenzise indlela yokukhipha umchamo . Iningi labantu lazi kuphela nge -catheter evame ukufakwa nge-urethra. Kodwa bewazi ukuthi ukusikwa okuncane kungenziwa esiswini esingezansi futhi ipayipi lingafakwa ngqo esinyeni? Yilokho esikubiza ngokuthi i-Suprapubic Catheter .
Kuyini i-Suprapubic Catheter (SPC)?
Kalula nje, i-Suprapubic Catheter (SPC) iyipayipi elincane, eliguquguqukayo lerabha noma lepulasitiki . Odokotela bayisebenzisela ukukhipha umchamo esinyeni sakho uma ungakwazi ukuchama wedwa. Abantu abaningi bacabanga ukuthi lokhu kungenziwa kuphela ngokudlulisa ipayipi e -urethra yakho . Kodwa ngale nqubo ye-SPC, udokotela wakho wenza ukusika okuncane esiswini sakho esingezansi bese efaka ipayipi ngqo esinyeni sakho.
I-SPC ngokuvamile iphephile kakhulu, inengozi encane yezinkinga . Abantu abaningi bayayithanda ngoba kulula ukuyifaka kune-catheter yendabuko. Futhi, ngezinye izikhathi i-SPC iyindlela enhle uma i-catheter ingenakufakwa kusetshenziswa ezinye izindlela ngenxa yokulimala komgudu womchamo.
Kungani umuntu angafuna ukufaka ipayipi elinje?
Ungasebenzisa leli payipi ukukhipha umchamo noma nini lapho ungakwazi ukuchama wedwa. Nazi ezinye zezimo zezokwelapha ezingabangela lokhu.
| Isimo noma imbangela | Incazelo elula |
|---|---|
| Ukungakwazi ukuzibamba komchamo | Ukuchama uma ungafuni. |
| Izinkinga ze-prostate | I-benign prostatic hyperplasia noma umdlavuza we-prostate. |
| Ukulimala komgogodla | Ukungasebenzi kahle kwesinyi ngenxa yokulimala komgogodla. |
| Ukuhlinzwa | Ngemva kokuhlinzwa endaweni ye-prostate noma ezindaweni zangasese. |
| Izifo zesimiso sezinzwa | Izimo ezifana ne-Multiple Sclerosis (MS) kanye nesifo sikaParkinson. |
| Ukuqina komchamo | Ukuvaleka komgudu womchamo ngenxa yokutheleleka noma izingozi zangaphambilini. |
Ngingayifaka kanjani le tube? Ingabe izobuhlungu?
Le nqubo ayinkulu njengoba ungase ucabange. Okokuqala, udokotela uzothatha iskeni (i-X-ray noma i-ultrasound) yesinye sakho nendawo ezungezile ukuze athole indawo ephephile yokufaka ipayipi. Ngezinye izikhathi, izingxenye zamathumbu ethu amancane zingadlula eduze kwesinye.
Ngemuva kwalokho, isikhumba esingaphansi kwesisu lapho kuzofakwa khona ipayipi sizohlanzwa kahle ngesisombululo sokubulala amagciwane . Okulandelayo, indawo izoncishiswa ukuze ungezwa ubuhlungu. Ngezinye izikhathi unganikezwa i-anesthesia ejwayelekile.
Ngemva kokuba indawo isiphelelwe amandla, udokotela wenza ukusika okuncane kakhulu esikhumbeni bese efaka ithubhu le-SPC esinyini. Lapho nje ithubhu selifakiwe, umchamo uqala ukuphuma kulo bese uqoqana esikhwameni esinamathiselwe kulo. Ukuze kuvinjelwe ithubhu ukuthi lingaphumi, ingxenye encane efana nebhaluni ekugcineni kwangaphakathi ifuthwa ngamanzi ahlanzekile. Ngaphezu kwalokho, kufakwa umthungo omncane esikhumbeni ukuze kuqiniswe ithubhu. Ekugcineni, kufakwa ibhandishi phezu kwenxeba ukuze kuvikelwe ekuthelelekeni.
Yonke inqubo ithatha isikhathi esingaphansi kwemizuzu engama-20 . Uma udinga ukusebenzisa leli payipi isikhathi eside, udokotela wakho noma umhlengikazi uzokukhombisa noma ilungu lomndeni ukuthi ungalishintsha kanjani ngokuphephile.
Ungayinakekela kanjani le catheter ye-suprapubic ekhaya?
Into ebaluleke kakhulu uma ugqoka leli payipi ukugcina indawo elizungezile ihlanzekile .
Ukuhlanza inxeba kanye nendawo elizungezile
Geza izandla zakho kahle ngensipho namanzi ngaphambi kokuphatha ithubhu noma ukushintsha isikhwama. Lokhu kuzosiza ekuvimbeleni ukusabalala kwamagciwane. Okungenani kanye ngosuku, hlanza ngobumnene indawo ezungeze ithubhu ngensipho namanzi bese uyomisa ngethawula elihlanzekile.
Futhi, susa ibhandishi bese ulihlola nsuku zonke ukuze ubone izimpawu zokutheleleka.
| Izimpawu okufanele uzibheke uma ungenwe yileli gciwane | |
|---|---|
| Ubuhlungu | Ubuhlungu obungavamile endaweni yokufaka inaliti kanye naseduze kwayo. |
| Ukuvuvukala nokubomvu | Ukuvuvukala kwesikhumba noma ukushintsha kombala (ukubomvu). |
| Ubomvu | Uketshezi oluphuzi noma oluluhlaza (ubomvu) oluphuma esilondeni. |
Uma ubona noma yiziphi zalezi zimpawu, shayela udokotela wakho ngokushesha.
Indlela yokushintsha isikhwama se-catheter
Ukushintsha isikhwama kulula kakhulu. Landela lezi zinyathelo:
1. Okokuqala, geza izandla zakho kahle ngensipho.
2. Thulula umchamo esikhwameni esisetshenzisiwe ungene endlini yangasese.
3. Vimbela umchamo ukuthi ungaphumi epayipini ngokucindezela ipayipi ngeminwe yakho. Bese ususa isikhwama esidala.
4. Sula ingxenye yepayipi (imbobo) ngamanzi anensipho noma i-antiseptic wipe.
5. Hlanza ingxenye exhumanisayo yesikhwama esisha ngendlela efanayo bese uyixhuma epayipini.
6. Hlola ukuthi ithubhu ligobile noma linamathele kuphi.
7. Ekugcineni, geza izandla zakho kahle ngensipho futhi.
Kufanele ngigcine leli payipi isikhathi esingakanani?
Kuya ngesimo sakho. Kungase kudingeke ukuthi uyigcine ivuliwe kuze kube yilapho usuphilile. Kodwa uma kufanele uyisebenzise isikhathi eside, kufanele ushintshe ithubhu okungenani njalo emavikini ama-4 .
Futhi, ukuze uvimbele ukwakheka kwamahlule egazi ngaphakathi kwepayipi, kufanele uhlanze ipayipi ngamanzi ahlanzekile okungenani kanye ngosuku. Udokotela wakho uzokunikeza ulwazi olwengeziwe ngalokhu.
Yiziphi izinzuzo kanye nokungalungi kwe-catheter ye-suprapubic?
Njenganoma iyiphi idivayisi yezokwelapha, lena inezinzuzo kanye nezingozi.
| Izinzuzo | Izinkinga / Izingozi |
|---|---|
| Ngokugcina isinye singenalutho njalo, ungavimbela ubuhlungu obukhulu, izifo zomgudu womchamo (UTIs), kanye nokulimala kwezinso. | Ipayipi liyakhululeka. |
| Kukhululekile futhi kulula kakhulu kune-catheter evamile. | Ukuvuza komchamo ngenxa yokuvaleka kwepayipi. |
| Ukukwazi ukuya ocansini ngenkathi ugqoke leli payipi. | Ukuvela kwezifo zomgudu womchamo (UTIs). |
| Ubuhlungu obubangelwa ukufinyela kwemisipha yesinye (ukushaqeka kwesinye). | |
| Ukuvuza komchamo ozungeze ipayipi, ukopha, kanye nokwakheka kwamatshe esinyeni. |
Kufanele ngibone nini udokotela ngokushesha?
Uma unemibuzo noma izinkinga ngaleli payipi, khuluma nodokotela wakho ngokushesha. Funa iseluleko sezokwelapha ngokushesha, ikakhulukazi uma unezimpawu ezilandelayo:
| Izimo ezidinga ukunakekelwa okusheshayo | |
|---|---|
| Imfiva | Uma izinga lokushisa lomzimba liphakeme kune-100.5°F (38°C). |
| Ukuvuza komchamo | Uma umchamo uphuma eduze kwepayipi. |
| Ubuhlungu besisu | Uma uzwa ubuhlungu obukhulu esiswini sakho noma umuzwa wokugcwala. |
| Igazi emchameni | Uma kukhona amahlule egazi noma igazi elibonakalayo emchameni (i-hematuria). |
| Ukungakwazi ukuzibamba | Uma umchamo omncane kakhulu ungena esikhwameni noma uma umile ngokuphelele. |
| Ukususa ipayipi | Uma i-catheter ye-suprapubic iphuma yodwa. |
Uyini umehluko phakathi kwe-Foley Catheter ne-Suprapubic Catheter?
Kalula nje, i-catheter ye-Foley evamile ifakwa eceleni kwe-urethra yakho. Kodwa-ke, i-catheter ye-Suprapubic ifakwa ngokusikeka esiswini sakho esingezansi kanye ngqo kwesinye.
Umlayezo Wokuya Nawe Ekhaya
- I-catheter ye-suprapubic iyipayipi elifakwa ngqo esinyeni lisuka esiswini esingezansi bese lisetshenziselwa ukukhipha umchamo.
- Lokhu kulula futhi kukhululekile ukukusebenzisa isikhathi eside kunendlela evamile.
- Kubalulekile ukugcina indawo yepayipi nendawo ezungezile ihlanzekile ukuze kuvinjelwe ukutheleleka.
- Landela imiyalelo kadokotela wakho ngqo. Qaphela ukuthi ungayishintsha futhi uyihlanze kanjani ipayipi.
- Uma uzwa izimpawu zokutheleleka, ubuhlungu obukhulu, noma ukuvaleka noma ukuvuza kwepayipi, bona udokotela ngokushesha.
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