Uma uzwa 'nge-catheter', cishe ucabanga ngepayipi elifakwa kwi-urethra, akunjalo? Abantu abaningi bayayazi futhi balubonile lolo hlobo lwe-catheter. Kodwa bewazi ukuthi kukhona enye indlela yokukhipha umchamo esinyeni? Okusho ukuthi, kwenziwa i-incision encane esiswini esingezansi bese kufakwa ipayipi ngqo esinyeni ngayo. Yilokho esikubiza ngokuthi "i-catheter ye-suprapubic". Kungenzeka ukuthi awuzange uzwe okuningi ngalokhu. Ngakho ake sixoxe ngakho konke ngamagama alula namuhla.
Iyini ngempela i-catheter ye-suprapubic?
Kalula nje, leli yipayipi eliguquguqukayo elenziwe ngerabha noma ipulasitiki elisetshenziselwa ukukhipha umchamo esinyeni sakho uma ungakwazi ukuchama wedwa. Kodwa-ke, esikhundleni sokufakwa nge-urethra njenge-catheter evamile, lifakwa ngokusikwa okuncane okwenziwe esikhumbeni sesisu sakho esingezansi.
Le ndlela iphephile kakhulu ezimweni eziningi. Futhi ingozi yezinkinga iphansi. Ikakhulukazi kulabo abadinga ukusebenzisa i-catheter isikhathi eside , ilula kakhulu futhi ayibuhlungu kakhulu kune-catheter evamile. Futhi, iyisisombululo esingcono kakhulu kulabo abanenkinga yokufaka i-catheter evamile ngenxa yokuphazamiseka okuthile noma ukulimala endleleni yomchamo.
Kungani umuntu angadinga i-catheter enje?
Isizathu esiyinhloko ukuthi isinye asikwazi ukukhishwa ngokuphelele ngenxa yesimo esithile sezokwelapha noma ukuphazamiseka. Uma umchamo ugcinwa esinyeni, ungabangela ubuhlungu obukhulu, ukutheleleka, ngisho nokulimala kwezinso. Umuntu onezimo ezilandelayo angadinga i-catheter efana nale:
| Isimo noma imbangela | Incazelo elula |
|---|---|
| Ukungakwazi ukuzibamba komchamo | Ukuvuza komchamo okungahleliwe, njengalapho ukhwehlela noma uhleka. |
| Ukwehla Kwesitho Se-pelvic | Ukuncipha kwezitho zomzimba njengesibeletho kanye nesinye kwabesifazane. |
| Izinkinga Zendlala Yesitho Sangasese | Umdlavuza we-prostate noma ukwandiswa kwe-prostate gland (i-Benign Prostatic Hyperplasia). |
| Ukulimala Kwentambo Yomgogodla | Ukulahlekelwa ukulawula umchamo ngenxa yokulimala komgogodla ngenxa yengozi. |
| Izifo zesimiso sezinzwa | Izifo ezifana ne-Multiple Sclerosis (MS) kanye nesifo sikaParkinson. |
| Ukuqina komchamo | Ipayipi lapho umchamo udlula khona lincishisiwe ngesizathu esithile. |
| Ukuhlinzwa | Ngemva kokuhlinzwa kwe-prostate kanye nokuhlinzwa kwezitho zangasese. |
Inqubo yokufaka le catheter yenzeka kanjani?
Lokhu kuvame ukwenziwa udokotela esibhedlela noma emtholampilo.
1. Ukulungiselela: Okokuqala, udokotela uzothatha i-X-ray noma i-ultrasound scan ukuze abone ukuthi isinye sakho sikuphi nokuthi ngabe kukhona yini ezinye izitho ezisizungezile, njengamathumbu. Lokhu kwenzelwa ukufaka i-catheter ngokuphephile.
2. Ukuhlanza kanye ne-anesthesia: Okulandelayo, indawo yesisu lapho kuzosikwa khona ihlanzwa kahle ngesibulali-magciwane. Ngemuva kwalokho, kufakwa umuthi wokubulala izinzwa wendawo endaweni ukuze uyiqede. Ngakho ngeke uzwe ubuhlungu obukhulu. Kwezinye izimo, kuye ngesimo sesiguli, kungasetshenziswa i-anesthesia ejwayelekile.
3. Ukufaka i-catheter: Ngemva kokuba indawo ingasebenzi kahle, udokotela wenza ukusika okuncane esikhumbeni bese efaka i-catheter ngokucophelela esinyeni. Lapho nje ifakwa, umchamo uqala ukugeleza ngepayipi bese uqongelela esikhwameni sokuqoqa esinamathiselwe kuyo.
4. Ukubekwa: Kuthungwa kancane ukuze kugcinwe i-catheter endaweni yayo ngaphandle kokuba iwele. Futhi, kukhona ibhaluni elincane ekugcineni kwe-catheter elingaphakathi kwesinye. Uma uyigcwalisa ngamanzi ahlanzekile bese uyifutha, i-catheter iyabhajwa ngaphakathi kwesinye futhi iyivimbele ukuthi ingaphumi.
Yonke inqubo ithatha isikhathi esingaphansi kwemizuzu engama-20. Uma udinga ukuyisebenzisa isikhathi eside, udokotela wakho noma umhlengikazi uzokukhombisa noma ilungu lomndeni ukuthi ungayishintsha kanjani futhi uyigcine ihlanzekile.
Uyinakekela kanjani i-catheter nendawo eyizungezile ekhaya?
Lokhu kuyinto ebaluleke kakhulu. Ukugcina indawo ezungeze i-catheter ihlanzekile kungasiza kakhulu ekuvimbeleni ukutheleleka.
Ukunakekela indawo yokufaka i-catheter
- Okokuqala, geza izandla zakho kahle ngensipho ngaphambi kokuthinta i-catheter.
- Susa ibhandishi endaweni ye-catheter nsuku zonke bese uhlola izimpawu zokutheleleka.
- Ubuhlungu
- Ukuvuvukala
- Ukubomvu kwesikhumba noma ukushintsha kombala
- Ukukhishwa kobomvu
- Uma unezinye zalezi zimpawu, shayela udokotela wakho ngokushesha .
- Okungenani kanye ngosuku, hlanza isikhumba esizungeze i-catheter ngobumnene usebenzisa insipho namanzi. Bese usisula ngethawula elihlanzekile.
Indlela yokushintsha isikhwama se-catheter
1. Geza izandla zakho kahle ngensipho.
2. Thulula umchamo esikhwameni esidala somchamo uye endlini yangasese.
3. Bamba ithubhu le-catheter kancane ngeminwe yakho bese ususa isikhwama somchamo esidala.
4. Hlanza ingxenye yepayipi le-catheter (i-Drainage Port) ngamanzi anensipho noma i-antiseptic wipe.
5. Hlanza ingxenye exhumanisayo yesikhwama somchamo esisha ngendlela efanayo bese uyixhuma nepayipi le-catheter.
6. Hlola ukuthi ithubhu ligobile noma linamathele kuphi.
7. Geza izandla zakho kahle futhi.
Uma ususebenzise i-catheter isikhathi esingaphezu kwesonto, noma uma isikhwama somchamo sinephunga elibi, kungumqondo omuhle ukusigeza. Sigeze ngensipho namanzi, bese usigeza kahle ngamanzi ahlanzekile.
Yiziphi izinzuzo nemiphumela emibi yale ndlela?
Njenganoma iyiphi inqubo yezokwelapha, kunezinzuzo kanye nezingozi.
| Izinzuzo | Izingozi nemiphumela emibi (Izingozi/Izinkinga) |
|---|---|
| Ngokukhipha amanzi esinyini njalo, izimo ezingathi sína njengobuhlungu, ukutheleleka, kanye nokulimala kwezinso kuyavinjelwa. | I-catheter ikhululeka noma ipayipi libhajwe. |
| Kukhululekile kakhulu kune-catheter evamile, ikakhulukazi esikhathini eside. | Ukuvela kwezifo zomgudu womchamo (UTIs). |
| Njengoba i-urethra ikhululekile, akukho sithiyo ebudlelwaneni bobulili. | Ukuzwa ubuhlungu noma ukuqina kwesinye (ukuqaqamba kwesinye). |
| Kungavimbela ukulimala kanye nobuhlungu emgudwini womchamo. | Ukuvuza komchamo okuvela eduze kwe-catheter. |
| Kulula ukuyinakekela, ngisho nakulabo abasebenzisa isihlalo sabakhubazekile. | Ukopha noma amatshe esinyeni. |
Isikhathi sokubona udokotela ngokushesha
Uma unezinye zezimpawu ezilandelayo, ungalibali bese ushayela udokotela wakho ucingo ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Ukuba nomkhuhlane ongaphezu kwama-38 Celsius (100.5 Fahrenheit).
- Uma kukhona ukuvuza okukhulu komchamo eduze kwe-catheter.
- Uma uzwa ubuhlungu obukhulu noma ukugcwala esiswini esingezansi.
- Uma ubona igazi noma amahlule egazi emchameni (i-hematuria).
- Uma inani lomchamo eliqoqwe esinyeni lincane kakhulu noma kungekho mchamo oqoqwe nhlobo.
- Uma ngasizathu simbe i-catheter iphuma ngokuphelele.
Umlayezo Wokuya Nawe Ekhaya
- I-catheter ye-suprapubic iyipayipi elifakwa ngqo esinyeni lisuka esiswini esingezansi futhi lisetshenziselwa ukukhipha umchamo. Lokhu kungaba lula kakhulu kubasebenzisi besikhathi eside.
- Ukuze uvimbele ukutheleleka, kubalulekile ukugcina indawo yokufaka i-catheter kanye nezandla zakho zihlanzekile ngaso sonke isikhathi.
- Qaphela izimpawu eziyisixwayiso ezifana nomkhuhlane, ubuhlungu obukhulu, igazi emchameni, noma i-catheter ephumayo. Uma lokhu kwenzeka, funa iseluleko sezokwelapha ngokushesha.
- Kujwayelekile ukuthi le nqubo izwakale ingakhululekile futhi ingajwayelekile. Kodwa uma usufunde ukuyinakekela kahle, ungaqala imisebenzi yakho evamile.
- Ungesabi ukukhuluma ngokukhululekile nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
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