Ama-Catheters eSuprapubic

-Delile

• Iyiphi i-catheter ye-suprapubic esetshenziselwa yona?
• Ifakwa kanjani le divayisi?
• Ingabe zikhona izinkinga ezingaba khona?
• Le divayisi kufanele ihlale isikhathi eside kangakanani ifakiwe?
• Yini okufanele ngiyenze noma ngingenzi ngenkathi kufakwa le divayisi?
• Do’s
• Okungafanele kwenziwe
• Ukuthatha

Yini i-catheter ye-suprapubic?

I-catheter ye-suprapubic (kwesinye isikhathi ibizwa nge-SPC) iyithuluzi elifakwa esinyeni sakho ukukhipha umchamo uma ungakwazi ukuzichamela wedwa.

Imvamisa, i-catheter ifakwa esinyeni sakho nge-urethra, ithubhu ovame ukukhipha kulo. I-SPC ifakwa amasentimitha ambalwa ngaphansi kwenkaba yakho, noma inkinobho yesisu, ngqo esinyeni sakho, ngenhla nje kwethambo lakho le-pubic. Lokhu kuvumela ukuthi umchamo ukhishwe ngaphandle kokuba ithubhu idlule endaweni yakho yobulili.

Ama-SPC ngokuvamile anethezekile kunama-catheters avamile ngoba awafakwa nge-urethra yakho, egcwele izicubu ezizwelayo. Udokotela wakho angasebenzisa i-SPC uma i-urethra yakho ingakwazi ukubamba ipayipi ngokuphephile.

Iyiphi i-catheter ye-suprapubic esetshenziselwa yona?

I-SPC idonsa umchamo ngqo esinyeni sakho uma ungakwazi ukuzichamela wedwa. Ezinye izimo ezingadinga ukuthi usebenzise i-catheter zifaka:

• ukugcinwa komchamo (awukwazi ukuzichamela ngokwakho)
• ukungahambisani nomchamo (ukuvuza)
• ukwanda kwesitho sangasese
• ukulimala komgogodla noma ukuhlukumezeka
• ukukhubazeka komzimba okuphansi
• i-multiple sclerosis (MS)
• Isifo sikaParkinson
• i-benign prostatic hyperplasia (BPH)
• umdlavuza wesinye

Unganikezwa i-SPC esikhundleni se-catheter ejwayelekile ngezizathu eziningana:

• Awunamathuba amaningi okuthi uthole ukutheleleka.
• Izicubu ezizungeze isitho sakho sangasese azinakulimala.
• I-urethra yakho ingalimala kakhulu noma izwele ukubamba ipayipi.
• Unempilo eyenele yokuhlala ucansi yize udinga ipayipi.
• Usanda kuhlinzwa esinyeni, emthanjeni, esibelethweni, ebudodeni, noma kwesinye isitho esiseduze nomchamo wakho.
• Uchitha isikhathi sakho esiningi noma sonke esihlalweni sabakhubazekile, lapho kwenzeka khona ukuthi ipayipi le-SPC kube lula ukulinakekela.

Ifakwa kanjani le divayisi?

Udokotela wakho uzofaka futhi ashintshe i-catheter yakho izikhathi ezimbalwa zokuqala ngemuva kokunikezwa eyodwa. Ngemuva kwalokho, udokotela wakho angakuvumela ukuthi unakekele i-catheter yakho ekhaya.

Okokuqala, udokotela wakho angathatha ama-X-ray noma enze i-ultrasound endaweni ukuze ahlole noma ikuphi ukungahleleki okuzungeze indawo yakho yesinye.

Udokotela wakho cishe uzosebenzisa inqubo ye-Stamey ukufaka i-catheter yakho uma isinye sakho siphazamisekile. Lokhu kusho ukuthi kugcwala ngokweqile ngomchamo. Kule nqubo, udokotela wakho:

1. Ilungisa indawo yesinye nge-iodine nesisombululo sokuhlanza.
2. Ithola isinye sakho ngokuzizwa ngobumnene endaweni.
3. Isebenzisa i-anesthesia yendawo ukufiphaza indawo.
4. Ifaka i-catheter isebenzisa idivayisi ye-Stamey. Lokhu kusiza ukuhola i-catheter ngaphakathi nensimbi ebizwa ngokuthi i-obturator.
5. Isusa i-obturator uma i-catheter isisesinyeni sakho.
6. Ufaka ibhaluni ekugcineni kwepayipi ngamanzi ukuze lingangeni.
7. Ihlanza indawo yokufaka futhi ivule ukuvulwa.

Udokotela wakho futhi angakunika isikhwama esinamathiselwe emlenzeni wakho ukuze umchamo ungene kuwo. Kwezinye izimo, i-catheter ngokwayo ingavele ibe ne-valve kuyo evumela ukuthi ukhiphe umchamo ungene endlini yangasese lapho kudingeka khona.

Ingabe zikhona izinkinga ezingaba khona?

Ukufakwa kwe-SPC kuyindlela emfushane, ephephile evame ukuba nezinkinga ezimbalwa. Ngaphambi kokufakwa, udokotela wakho angancoma ukuthatha ama-antibiotic uma uke washintshwa i-valve yenhliziyo noma uthatha noma iziphi izinciphisi zegazi.

Izinkinga ezincane ezingaba khona zokufakwa kwe-SPC zifaka:

• umchamo ungakhiphi kahle
• umchamo uvuza kupayipi lakho
• amanani amancane egazi emchameni wakho

Kungadingeka ukuthi uhlale emtholampilo noma esibhedlela uma udokotela wakho abona noma yiziphi izinkinga ezidinga ukwelashwa ngokushesha, njenge:

• umkhuhlane omkhulu
• ubuhlungu obungavamile besisu
• ukutheleleka
• ukukhishwa endaweni yokufaka noma i-urethra
• ukopha kwangaphakathi (ukopha)
• imbobo endaweni yamathumbu (i-perforation)
• amatshe noma izingcezu zezicubu emchameni wakho

Bona udokotela wakho ngokushesha okukhulu uma i-catheter yakho iwela ekhaya, njengoba idinga ukufakwa kabusha ukuze ukuvulwa kungavali.

Le divayisi kufanele ihlale isikhathi eside kangakanani ifakiwe?

I-SPC ivame ukuhlala ifakiwe amasonto amane kuya kwayisishiyagalombili ngaphambi kokuthi idingeke ukuthi iguqulwe noma isuswe. Kungasuswa ngokushesha uma udokotela wakho ekholelwa ukuthi uyakwazi ukuzichamela wedwa futhi.

Ukususa i-SPC, udokotela wakho:

1. Ihlanganisa indawo ezungeze isinye sakho ngamaphakethe wangaphansi ukuze umchamo ungakutholi.
2. Ihlola indawo yokufaka noma yikuphi ukuvuvukala noma ukucasuka.
3. Iphula ibhaluni ekugcineni kwepayipi.
4. Kubambelela ipayipi leathe ngqo lapho lingena khona esikhunjeni bese ulikhipha kancane kancane.
5. Ihlanza futhi ihlanzele indawo yokufaka.
6. Ithunga ukuvulwa kokuvalwa.

Yini okufanele ngiyenze noma ngingenzi ngenkathi kufakwa le divayisi?

Do’s

• Phuza izingilazi zamanzi eziyi-8 kuye kwezingu-12 nsuku zonke.
• Khipha isikhwama sakho somchamo izikhathi eziningana ngosuku.
• Geza izandla zakho noma nini lapho uphatha isikhwama sakho somchamo.
• Hlanza indawo yokufaka ngamanzi ashisayo kabili ngosuku.
• Jika i-catheter yakho lapho uyihlanza ukuze inganamatheli esinyeni sakho.
• Gcina noma yikuphi ukugqoka endaweni kuze kube yilapho indawo yokufaka iphola.
• Thepha ithubhu ye-catheter emzimbeni wakho ukuze ingashibiliki noma idonse.
• Yidla ukudla okuzokusiza ugweme ukuqunjelwa, okufana nefayibha, izithelo nemifino.
• Qhubeka nanoma yimuphi umsebenzi ojwayelekile wezocansi.

Okungafanele kwenziwe

• Ungasebenzisi noma yiziphi izimpushana noma okhilimu ezungeze indawo yokufaka.
• Ungagezi noma ucwilise indawo yakho yokufaka emanzini isikhathi eside.
• Ungagezi ngaphandle kokumboza indawo ngokugqoka okungangeni manzi.
• Ungafaki i-catheter ngokwakho uma iwa.

Ukuthatha

I-SPC enye indlela enethezeke kakhudlwana eya ku-catheter ejwayelekile futhi ikuvumela ukuthi uqhubeke nemisebenzi yakho ejwayelekile yansuku zonke ngaphandle kokuhlukumezeka noma ubuhlungu. Kulula futhi ukumboza ngezingubo noma ukugqoka uma ufuna ukukugcina kuyimfihlo.

I-SPC ingasetshenziswa okwesikhashana ngemuva kokuhlinzwa noma ukwelashwa kwezimo ezithile, kepha kungadingeka ukuthi ihlale endaweni unomphela kwezinye izimo. Khuluma nodokotela wakho ngokuthi ungayinakekela kanjani futhi uyishintshe ipayipi lakho uma udinga ukuligcina isikhathi eside.