Ukunakekela iThubhu Yakho yeNephrostomy

-Delile

• Ukubeka ithubhu le-nephrostomy
• Ngaphambi kwenqubo yakho
• Ngesikhathi senqubo yakho
• Ukunakekela ithubhu yakho
• Ukuhlolwa kwethambo lakho le-nephrostomy
• Ukukhipha isikhwama sakho samanzi
• Ukuhlanza i-tubing yakho
• Izinto ezingeziwe okufanele zikhunjulwe
• Izinkinga zethambo le-nephrostomy
• Ukususa ishubhu
• Ukuthatha

Ukubuka konke

Izinso zakho ziyingxenye yohlelo lwakho lomchamo futhi zisebenza ukukhiqiza umchamo. Imvamisa, umchamo okhiqizwayo ugeleza usuke ezinso ungene kuthubhu ebizwa nge-ureter. I-ureter ixhuma izinso zakho esinyeni sakho. Lapho umchamo owanele uqoqekile esinyeni sakho, uzizwa unesidingo sokuchama. Umchamo udlula usuka esinyeni, udlule kumchamo wakho, nasemzimbeni wakho.

Kwesinye isikhathi kuba nebhlokhi ohlelweni lwakho lomchamo futhi umchamo awukwazi ukugeleza njengokujwayelekile. Ukuvinjelwa kungadalwa yizinto eziningi, kufaka phakathi:

• amatshe ezinso
• ukulimala ezinso noma kwe-ureter
• ukutheleleka
• isimo sokuzalwa obukade unaso selokhu wazalwa

Ishubhu le-nephrostomy yipayipi elifakwa esikhunjeni sakho nasesinso sakho. Ishubhu lisiza ukukhipha umchamo emzimbeni wakho. Umchamo okhanyisiwe uqoqwa esikhwameni esincane esitholakala ngaphandle komzimba wakho.

Ukubeka ithubhu le-nephrostomy

Inqubo yokubeka ithubhu yakho ye-nephrostomy ngokuvamile ithatha isikhathi esingaphansi kwehora futhi izokwenziwa ngenkathi uthambile.

Ngaphambi kwenqubo yakho

Ngaphambi kokufakwa kwe-nephrostomy tube yakho, kufanele uqiniseke ukuthi wenza okulandelayo:

• Khuluma nodokotela wakho nganoma yimiphi imithi noma izithasiselo ozithathayo. Uma kunemithi okungafanele uyithathe ngaphambi kwenqubo yakho, udokotela wakho uzokuyalela ukuthi uyeke nini ukuyidla. Akufanele uyeke ukuthatha imishanguzo ngaphandle kokukhuluma nodokotela wakho kuqala.
• Qiniseka ukuthi uhambisana nanoma yimiphi imikhawulo ebekwe udokotela wakho maqondana nokudla neziphuzo. Isibonelo, ungavinjelwa ekudleni noma yini phakathi kwamabili kusihlwa ngaphambi kwenqubo yakho.

Ngesikhathi senqubo yakho

Udokotela wakho uzokujova umjovo wokubulala izinzwa endaweni lapho kuzofakwa khona ithubhu le-nephrostomy. Bazosebenzisa ubuchwepheshe be-imaging njenge-ultrasound, i-CT scan, noma i-fluoroscopy ukubasiza ukuthi babeke ithubhu kahle. Lapho ithubhu selifakiwe, bazonamathisela idiski elincane esikhunjeni sakho ukusiza ukubamba ithubhu endaweni yalo.

Ukunakekela ithubhu yakho

Udokotela wakho uzokuyala ngokuthi uyinakekela kanjani ithubhu yakho ye-nephrostomy. Kuzofanele uhlole ithubhu yakho nsuku zonke futhi ungabi nalutho noma yimuphi umchamo oqoqwe esikhwameni samanzi.

Ukuhlolwa kwethambo lakho le-nephrostomy

Lapho uhlola ithubhu yakho ye-nephrostomy, kufanele uhlole okulandelayo:

• Qinisekisa ukuthi ukugqoka kwakho kumile, kuhlanzekile futhi kuvikelekile. Uma imanzi, ingcolile, noma ivulekile, kuzodingeka iguqulwe.
• Hlola isikhumba sakho eduze kokugqoka ukuze uqiniseke ukuthi abukho ububomvu noma ukuqubuka.
• Bheka umchamo oqoqwe esikhwameni sakho samanzi. Kwakungafanele ishintshe ngombala.
• Qiniseka ukuthi awekho ama-kinks noma ama-twist kuthubhu okuholela ekugqokeni kwakho uye esikhwameni samanzi.

Ukukhipha isikhwama sakho samanzi

Uzodinga ukukhipha isikhwama sakho samanzi endle endlini yangasese uma cishe sigcwele isigamu. Isikhathi phakathi kokukhishwa ngakunye kwesikhwama singahluka kumuntu nomuntu. Abanye abantu bazodinga ukwenza lokhu njalo emahoreni ambalwa.

Ukuhlanza i-tubing yakho

Ngokuvamile udinga ukukhipha i-tubing yakho okungenani kanye ngosuku, kepha kungadingeka ukuthi ufeze kaningi ukulandela inqubo yakho. Udokotela wakho uzokunikeza imiyalo ethile yokuthi ungasusa kanjani i-tubing yakho. Inqubo ejwayelekile imi kanje:

1. Geza izandla zakho kahle. Gqoka amagilavu.
2. Vala isitobha esikhwameni esikhipha amanzi. Le yi-valve yepulasitiki elawula ukugeleza ketshezi ngethambo lakho le-nephrostomy. Inezikhala ezintathu. Kuvulwa okukodwa kunamashubhu axhumene nokugqoka. Enye inamathiselwe esikhwameni sokukhipha amanzi, kuthi esesithathu sinanyathiselwe ethekwini lokunisela.
3. Susa ikepisi echwebeni lokunisela bese uswayipha kahle ngotshwala.
4. Usebenzisa isipontsho, cindezela isisombululo sikasawoti echwebeni lokunisela. Ungadonsi i-plunger yesirinji emuva noma ujove ngaphezu kwamamililitha ayi-5 ekhambi likasawoti.
5. Phindisela isitobha emuva endaweni yokuhambisa amanzi.
6. Susa isirinji echwebeni lokunisela bese ubuyisa imbobo ngekepisi elihlanzekile.

Izinto ezingeziwe okufanele zikhunjulwe

• Qiniseka ukuthi ugcina isikhwama sakho sokuhambisa amanzi singaphansi kwezinga lezinso zakho. Lokhu kuvimbela isipele somchamo. Imvamisa, isikhwama sokuhambisa amanzi siboshelwe emlenzeni wakho.
• Noma nini lapho uphatha ukugqoka kwakho, i-tubing, noma isikhwama sokuhambisa amanzi, qiniseka ukuthi uhlanze izandla zakho ngensipho namanzi afudumele noma nge-sanitizer enotshwala.
• Akufanele ugeze noma ubhukude ngenkathi une-nephrostomy tube endaweni. Ungageza futhi amahora angama-48 ngemuva kwenqubo yakho. Kuyasiza ukusebenzisa i-handhead shower, uma kungenzeka, ukuze ugweme ukugqoka kwakho kube manzi.
• Zama ukuzikhawulela emisebenzini elula elandela inqubo yakho futhi wandise kuphela izinga lomsebenzi wakho uma ulibekezelela kahle. Gwema noma yikuphi ukunyakaza okungabeka ubunzima ekugqokeni noma ku-tubing.
• Uzodinga ukushintsha ukugqoka kwakho okungenani kanye ngesonto.
• Qiniseka ukuthi uphuza iziphuzo eziningi.

Izinkinga zethambo le-nephrostomy

Ukubeka ishubhu le-nephrostomy ngokuvamile kuyindlela ephephile. Inkinga ejwayelekile kakhulu ongase uhlangane nayo ukutheleleka. Kufanele uxhumane nodokotela wakho ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo, njengoba zingakhombisa ukutheleleka:

• umkhuhlane ongaphezu kuka-101 ° F (38.3 ° C)
• ubuhlungu ohlangothini lwakho noma emhlane ongezansi
• ukuvuvukala, ububomvu, noma isisa endaweni yokugqoka kwakho
• Ukugodola
• umchamo omnyama kakhulu noma onamafu, noma onuka kabi
• umchamo obomvana noma obomvu

Kufanele futhi uxhumane nodokotela wakho uma kwenzeka okunye kwalokhu okulandelayo, ngoba kungaba uphawu lokuvinjelwa:

• Umsele wamanzi omchamo awubi kahle noma awukho umchamo oqoqiwe isikhathi esingaphezu kwamahora amabili.
• Ukuvuza komchamo endaweni yokugqoka noma kusuka kushubhu lakho.
• Awukwazi ukukhipha ishubhu sakho.
• Ishubhu yakho ye-nephrostomy iyawa.

Ukususa ishubhu

Ishubhu yakho ye-nephrostomy ingeyesikhashana futhi ekugcineni kuzodingeka isuswe. Ngesikhathi sokususwa, udokotela wakho uzokujova umjovo wokubulala izinzwa endaweni lapho kufakwe khona ithubhu le-nephrostomy. Bazobe sebesusa ngobumnene ishubhu le-nephrostomy bese befaka ukugqoka kusayithi lapho lalikhona ngaphambili.

Ngesikhathi sakho sokululama, uzofundiswa ukuthi uphuze uketshezi oluningi, uvikele umsebenzi onzima, futhi ugweme ukugeza noma ukubhukuda.

Ukuthatha

Ukubekwa kwephayiphu ye-nephrostomy kungokwesikhashana futhi kuvumela umchamo ukuba ukhiphe ngaphandle komzimba wakho lapho ungakwazi ukugeleza ngohlelo lwakho lomchamo njengokujwayelekile. Kufanele uxhumane nodokotela wakho ngokushesha uma unanoma ikuphi ukukhathazeka mayelana ne-nephrostomy tube yakho noma usola ukutheleleka noma ibhlokhi kushubhu lakho.