Ama-catheters e-Urinary
Ipayipi lomchamo yipayipi elibekwe emzimbeni ukukhipha nokuqoqa umchamo esinyeni.
Ama-catheters e-Urinary asetshenziselwa ukukhipha isinye. Umhlinzeki wakho wezokunakekelwa kwempilo angancoma ukuthi usebenzise ipayipi uma une:
- Ukungasebenzi komchamo (ukuvuza umchamo noma ukungakwazi ukulawula lapho uchama)
- Ukugcinwa kwe-Urinary (ukungakwazi ukukhipha isinye sakho lapho udinga)
- Ukuhlinzwa ku-prostate noma isitho sangasese
- Ezinye izimo zezokwelapha ezifana ne-multiple sclerosis, ukulimala komgogodla, noma ukuwohloka komqondo
Ama-Catheters eza ngobukhulu obuningi, izinto zokwakha (i-latex, i-silicone, i-Teflon), nezinhlobo (ithiphu eqondile noma ye-coude). I-catheter ye-Foley uhlobo oluvamile lwe-catheter yokuhlala. Inethubhu, ethambile, epulasitiki noma yenjoloba efakwa esinyeni ukukhipha umchamo.
Ezimweni eziningi, umhlinzeki wakho uzosebenzisa i-catheter encane kunazo zonke efanelekile.
Kunezinhlobo ezintathu eziyinhloko zama-catheters:
- Ipayipi elihlala ngaphakathi
- Ipayipi lekhondomu
- I-catheter yokuzimela engapheli
UKUHLALA EMAKHATHINI WASEKUHLALENI
Ipayipi lomchamo elihlala ngaphakathi yilona elisele esinyeni. Ungasebenzisa i-catheter ehlala isikhathi esifushane noma isikhathi eside.
Ipayipi elihlala ngaphakathi liqoqa umchamo ngokunamathisela esikhwameni sokukhipha amanzi. Isikhwama sine-valve engavulwa ukuvumela ukuphuma komchamo. Ezinye zalezi zikhwama zingavikeleka emlenzeni wakho. Lokhu kukuvumela ukuthi ugqoke isikhwama ngaphansi kwezingubo zakho. Ipayipi elihlala ngaphakathi lingafakwa esinyeni ngezindlela ezi-2:
- Ngokuvamile, i-catheter ifakwa nge-urethra. Lesi yishubhu esithwala umchamo usuka esinyeni uye ngaphandle emzimbeni.
- Kwesinye isikhathi, umhlinzeki uzofaka i-catheter esinyeni sakho ngembobo encane esiswini sakho. Lokhu kwenziwa esibhedlela noma ehhovisi lomhlinzeki.
Ipayipi elihlala ngaphakathi linebhaluni elincane elifuthwe ekugcineni kwalo. Lokhu kuvimbela i-catheter ekushibilikeni emzimbeni wakho. Lapho i-catheter idinga ukususwa, ibhaluni liyancipha.
AMAKHATHINI E-CONDOM
Ama-catheters amakhondomu angasetshenziswa ngabesilisa abane-incontence. Ayikho ithubhu ebekwe ngaphakathi kwepipi. Esikhundleni salokho kubekwa into efana nekhondomu ngaphezu kwepipi. Ishubhu lihola lisuka kule divayisi liye esikhwameni samanzi. I-catheter yekhondomu kufanele ishintshwe nsuku zonke.
AMAKHATHINI OKUPHAKATHI
Ungasebenzisa i-catheter engena ngezikhathi ezithile lapho udinga ukusebenzisa i-catheter kwesinye isikhathi noma ungafuni ukugqoka isikhwama. Wena noma umnakekeli wakho uzofaka i-catheter ukukhipha isinye bese usisusa. Lokhu kungenziwa kanye noma kaningi ngosuku. Ubuningi buzoya ngesizathu sokuthi udinga ukusebenzisa le ndlela noma ukuthi kudingeka umchamo omningi kangakanani ukukhishwa esinyeni.
UKUDLALA IZIMPAHLA
I-catheter ivame ukufakwa esikhwameni samanzi.
Gcina isikhwama sokukhipha amanzi siphansi kunesinye ukuze umchamo ungabuyeli emuva esinyeni sakho. Sula konke okokuhambisa amanzi uma sekugcwele isigamu nangesikhathi sokulala. Geza izandla zakho njalo ngensipho namanzi ngaphambi kokuthulula isikhwama.
INDLELA YOKUNAKEKELA IKHATHETERI
Ukunakekela ipayipi elihlala ngaphakathi, hlanza indawo lapho ipayipi liphuma khona emzimbeni wakho kanye nepayipi uqobo lwayo ngensipho namanzi nsuku zonke. Futhi hlanza indawo njalo emva kokunyakaza kwamathumbu ukuvikela ukutheleleka.
Uma une-catheter ye-suprapubic, hlanza imbobo esiswini sakho nepayipi ngensipho namanzi nsuku zonke. Bese uyimboza nge-gauze eyomile.
Phuza uketshezi oluningi ukusiza ukuvikela izifo. Buza umhlinzeki wakho ukuthi kufanele uphuze kangakanani.
Geza izandla zakho ngaphambi nangemva kokuphatha okokuhambisa amanzi. UNGAYIVUMELI i-valve esidayisa ukuthinta noma yini. Uma isitolo singcola, sihlanze ngensipho namanzi.
Kwesinye isikhathi umchamo ungavuza uzungeze ipayipi. Lokhu kungabangelwa:
- Ipayipi le-catheter elivinjiwe noma elinekinki kulo
- Ipayipi elincane kakhulu
- Ukuqaqamba kwesinye
- Ukuqunjelwa
- Usayizi webhaluni ongalungile
- Ukutheleleka ngomgudu womchamo
IZINKINGA EZINGENZEKA
Izinkinga zokusetshenziswa kwe-catheter zifaka:
- Ukungezwani komzimba noma ukuzwela ku-latex
- Amatshe esinye
- Ukutheleleka ngegazi (septicemia)
- Igazi emchameni (hematuria)
- Ukulimala kwezinso (imvamisa kuphela ukusetshenziswa kwesikhathi eside, ukuhlala ngepayipi lokuhlala)
- Ukulimala kwe-Urethral
- Izifo zomgudu womchamo noma izinso
- Umdlavuza wesinye (kuphela ngemuva kwepayipi lokuhlala isikhathi eside)
Shayela umhlinzeki wakho uma une:
- Izinhlungu zesinye ezingapheli
- Ukopha ngaphakathi noma eduze kwe-catheter
- Imfiva noma amakhaza
- Umchamo omkhulu uvuza uzungeze ipayipi
- Izilonda zesikhumba ezungeze ipayipi le-suprapubic
- Amatshe noma indle ku-catheter ye-urinary noma esikhwameni samanzi
- Ukuvuvukala kwe-urethra ezungeze ipayipi
- Umchamo onephunga elinamandla, noma ujiyile noma unamafu
- Mncane kakhulu noma awukho nhlobo umchamo okhishwa ku-catheter futhi uphuza uketshezi olwanele
Uma ipayipi livaleka, libuhlungu, noma litheleleka, kuzodingeka ukuthi lithathelwe indawo ngokushesha.
Ipayipi - umchamo; Ipayipi le-Foley; Ipayipi lokuhlala ngaphakathi; Ama-catheters we-Suprapubic
UDavis JE, uSilverman MA. Izinqubo ze-Urologic. Ku: Roberts JR, Custalow CB, Thomsen TW, ama-eds. Izinqubo Zomtholampilo zikaRoberts noHedges ku-Emergency Medicine kanye ne-Acute Care. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 55.
IPanicker JN, iDasGupta R, iBatla A. Neurourology. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 47.
Ukulimala komgogodla weSabharwal S. Spinal (lumbosacral) Ku: Frontera WR, iSilver JK, uRizzo TD, eds. Okubalulekile Kwemithi Yomzimba Nokuvuselelwa. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 158.
Umsila T, uDenstedt JD. Izisekelo zokugeleza komgudu womchamo. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 6.