Yintoni uMahluko phakathi kwe-SPC kunye ne-IDC?
Iicatheter zokuchamazizinto ezisetyenziswayo zonyango ezisetyenziselwa ukukhupha umchamo kwisinyi xa isigulane singakwazi ukwenza oko ngokwemvelo. Iintlobo ezimbini eziqhelekileyo zeecatheter zomchamo ezihlala ixesha elide zizoSPC catheter(Suprapubic Catheter) kunye neI-IDC catheter(Ikhaya le-Urethral Catheter). Ukukhetha okulungileyo kuxhomekeke kwizinto ezahlukeneyo zeklinikhi, ukhetho lwesigulane, kunye neengxaki ezinokubakho. Eli nqaku liza kuchaza umahluko phakathi kwe-SPC kunye ne-IDC catheters, ii-pros and cons zabo, kunye nokunceda abaqeqeshi bezonyango kunye nabakhathaleli ukuba benze izigqibo ezinolwazi.
Yintoni i-IDC Catheter?
An I-IDC (Indwelling Urethral Catheter), ekwabizwa ngokuba yi-aFoley catheter, ifakwe ngeumchamokwaye kwiisinyi. Ihlala isendaweni ngoncedo lwebhaluni efakwe ngaphakathi kwi-bladder.
- Ngokuqhelekileyo isetyenziselwa i-catheterization yexesha elifutshane kunye nexesha elide.
- Ihlala ifakwa ezibhedlele, kumakhaya abantu abalupheleyo, okanye kwizigulana zokhathalelo lwasekhaya.
- Ifumaneka ngokobukhulu obahlukeneyo kunye nezixhobo (umzekelo, i-latex, i-silicone).
Sebenzisa Amatyala:
- Ukugcinwa komchamo emva kotyando
- Ukungaphumeleli komchamo
- Ukubeka iliso ekuphumeni komchamo
- Izigulana ezingakwaziyo ukuzincama
Yintoni iCatheter ye-SPC?
An SPC (Suprapubic Catheter)luhlobo lwecatheter yokuhlalayiyo iifakwe ngotyando ngodonga lwesisungqo kwisinyi, ukudlula urethra ngokupheleleyo.
- Ifakwe ngenkqubo yotyando encinci phantsi kwe-anesthesia yendawo.
- Ifanelekile kwi-catheterization yexesha elide.
- Ifuna indawo engcolileyo kunye nobuchule bonyango ukuze kufakwe.
Sebenzisa Amatyala:
- Izigulane ezineentlungu ze-urethral okanye i-strictures
- Abasebenzisi be-catheter ezingapheliyo bafumana usulelo oluphindaphindiweyo lwe-urethral
- Iimeko zemithambo-luvo ezichaphazela ukusebenza kwesinyi (umzekelo, ukwenzakala komnqonqo)
Umahluko phakathi kwe-SPC kunye ne-IDC
| Uphawu | I-IDC Catheter (Urethral) | SPC Catheter (Suprapubic) |
|---|---|---|
| Indlela yokufaka | Nge-urethra | Ngodonga lwesisu |
| Uhlobo lweNkqubo | I-non-utyando, inkqubo yebhedi | Inkqubo encinci yotyando |
| Inqanaba lokuthuthuzela (Ixesha elide) | Inokubangela ukucaphuka okanye ukungakhululeki kwe-urethral | Ngokuqhelekileyo ukhululekile ngakumbi ekusebenziseni ixesha elide |
| Umngcipheko wokosuleleka | Umngcipheko ophezulu wosulelo lwe-urinary tract (UTIs) | Umngcipheko ophantsi we-UTIs (uthintela urethra) |
| Ukushukuma kweMpembelelo | Inokuthintela intshukumo, ngakumbi kumadoda | Inika ukushukuma okukhulu kunye nentuthuzelo |
| Ukubonakala | Ibonakala kancinci | Isenokubonakala ngakumbi phantsi kwempahla |
| Isondlo | Kulula ukuba abakhathaleli abangengonyango balawule | Ifuna uqeqesho olungakumbi kunye nobuchule obunyumba |
| Ukufaneleka | Ilungele ukusetyenziswa kwexesha elifutshane kunye nexesha eliphakathi | Ilungele ukusetyenziswa kwexesha elide |
Izinto eziluncedo nezingeloncedo
I-IDC Catheter (Ikhathetha ye-Urethral yangaphakathi
Izinto eziluncedo:
- Ukufakwa okulula kunye nokukhawuleza
- Ifumaneka ngokubanzi kuzo zonke iisetingi zokhathalelo lwempilo
- Ayifuni utyando
- Iqhelekile kuninzi lwababoneleli bezempilo
Izinto ezingeloncedo:
- Amathuba aphezulu okwenzakala kunye noxinzelelo lwe-urethral
- Inokubangela ukuphazamiseka ngexesha lokunyakaza okanye ukuhlala
- Umngcipheko omkhulu wosulelo lomgudu womchamo
- Inokubangela umonakalo wexesha elide kwi-urethra
SPC Catheter (Suprapubic Catheter)
Izinto eziluncedo:
- Ukunciphisa umngcipheko womonakalo we-urethral kunye nosulelo
- Ukhululekile ngakumbi kubasebenzisi bexesha elide
- Ulawulo olulula lwezempilo, ngakumbi kubantu ababelana ngesondo
- Kulula ukutshintsha kubasebenzi bezonyango abaqeqeshiweyo
Izinto ezingeloncedo:
- Ifuna ukufakwa kunye nokususwa ngotyando
- Iindleko eziphezulu zangaphambili
- Umngcipheko wokulimala kwamathumbu ngexesha lokufakwa (kunqabile)
- Ingashiya isiva esibonakalayo okanye indawo yecatheter
Ukuqukumbela
Zombini iikhathetha ze-IDC kunye ne-SPC zisebenza indima ebalulekileyo ekulawuleni ukugcinwa komchamo kunye nokungakwazi ukuzibamba. NgelixaI-IDC catheterskulula ukuzifaka kunye nokulawula ukusetyenziswa kwexesha elifutshane, beza kunye nomngcipheko ophezulu wokwenzakala kunye nosulelo lwe-urethral. Okuchasene,SPC catheterszinika intuthuzelo yexesha elide engcono kunye nomngcipheko oncitshisiweyo wosulelo, kodwa zifuna ukufakwa ngotyando kunye nolondolozo oluqhubekayo lobungcali.
Xa ukhetha phakathi kwe-IDC okanye i-SPC catheter, isigqibo kufuneka sisekelwe kwixesha lokusetyenziswa kwe-catheter, i-anatomy yesigulane, ukhetho lokuthuthuzela, kunye nemingcipheko. Soloko udibana nomboneleli wezempilo oqeqeshiweyo ukuze abone esona sicombululo sifanelekileyo somchamo wecatheter.
Lunge ukhetho lwakho lweizinto ezityiwayo zonyangokunye nezisombululo eziphezulu ze-urinary catheter ezilungiselelwe zombini ukhathalelo olufutshane kunye nexesha elide. Nokuba ufuna iikhathetha ze-Foley, iikhathetha ze-IDC, okanye iikhathetha ze-SPC, sebenzisana nomboneleli wezonyango othembekileyo ukuqinisekisa ukuthembeka, ukukhululeka, kunye nokuthotyelwa.
Ixesha lokuposa: Jun-23-2025