I-Catheter ye-Urinary ehlala ngaphakathi: Iintlobo, usetyenziso kunye neengozi

Ii-catheters zomchamo ezihlala ngaphakathizizinto eziyimfuneko zonyango ezisetyenziswa kwihlabathi jikelele ezibhedlele, iikliniki, kunye nokhathalelo lwasekhaya. Ukuqonda iintlobo zabo, izicelo, kunye nobungozi kubalulekile kubaboneleli bezempilo, abasasazi, kunye nezigulana ngokufanayo. Eli nqaku linika umbono obanzi we-catheters ezihlala ngaphakathi, ngakumbiI-IDC catheterskwayeSPC catheters, ukuxhasa izigqibo zokuthenga ezinolwazi kwishishini lokubonelela ngezonyango.

Yintoni i-Indwelling Urinary Catheter?

I-catheter yomchamo ehlala ngaphakathi, eyaziwa ngokuba yi-aFoley catheter, ngumbhobho oguquguqukayo ofakwe kwi-bladder ukuze uqhube umchamo. Ngokungafaniyo nee-catheters ezingaphakathi, ezifakwa kuphela xa kuyimfuneko, ii-catheters ezihlala ngaphakathi zihlala kwisinyi ixesha elide. Zikhuselwe ngebhaluni encinci ezaliswe ngamanzi angcolileyo ukukhusela ukukhutshwa.

Iicatheter ezihlala ngaphakathi zisetyenziswa ngokubanzi emva kotyando, ngexesha lokuhlala ixesha elide esibhedlele, okanye kwizigulana ezinokugcinwa komchamo okungapheliyo, imiba yokuhamba, okanye iimeko ze-neurological.

Umahluko phakathi kwe-SPC kunye ne-IDC Catheters

Kukho iindidi ezimbini eziphambili zeecatheter zokuhlala ezisekelwe kwindlela yokufaka:

1. I-IDC Catheter (Urethral)

I-IDC catheter (Indwelling Urethral Catheter) ifakwa ngombhobho we-urethra ngqo kwisinyi. Lolona hlobo lusetyenziswa ngokuqhelekileyo kukhathalelo lwexesha elifutshane kunye nexesha elide.

2. I-SPC Catheter (Suprapubic)

I-catheter ye-SPC (i-Suprapubic Catheter) ifakwe kwi-incision encinci kwisisu esisezantsi, ngaphezu kwethambo le-pubic. Le ndlela isetyenziswa ngokuqhelekileyo kwi-catheterization yexesha elide xa ukufakwa kwe-urethral kungenakwenzeka okanye kubangela iingxaki.

Umahluko oPhambili:

Indawo yoFakelo: Urethra (IDC) vs. isisu (SPC)

Intuthuzelo: I-SPC inokubangela ukucaphuka okuncinci ekusebenziseni ixesha elide

Umngcipheko wosulelo: I-SPC inokuba nengozi ephantsi yosulelo oluthile

Ukugcinwa: Zombini iintlobo zifuna ucoceko olufanelekileyo kunye nokutshintshwa rhoqo

Imingcipheko kunye neengxaki ze-IDC Catheters

Ngelixa ii-catheters ze-IDC zisebenza, zithwala imingcipheko emininzi ukuba ayilawulwa ngokufanelekileyo:

Ukosuleleka kwe-Urinary Tract Infections (UTIs): Eyona ngxaki ixhaphakileyo. Iintsholongwane zinokungena ngecatheter kwaye zosuleleke kwisinyi okanye kwizintso.

I-bladder spasms: Ingenzeka ngenxa yokucaphuka.

Ukuxhatshazwa kwe-Urethral: Ukusetyenziswa ixesha elide kunokukhokelela ekulimazeni okanye kungqongqo.

Ukuvala: Kubangelwa kukugquma okanye amahlwili.

Ukungakhululeki okanye ukuvuza: Ubungakanani obungafanelekanga okanye ukubekwa kunokukhokelela ekuvuzeni komchamo.

Ukunciphisa le mingcipheko, ababoneleli bezempilo kufuneka baqinisekise ubungakanani obuchanekileyo be-catheter ye-Foley, bagcine ubuchule obunyumba ngexesha lokufakwa, kwaye balandele ukhathalelo oluqhelekileyo kunye neshedyuli yokutshintsha.

Iintlobo zeeCatheters zokuHlala

Ii-catheters ezihlala ngaphakathiziyahluka ngokoyilo, ubukhulu, kunye nemathiriyeli. Ukukhetha uhlobo olufanelekileyo luyimfuneko kukhuseleko lwesigulane kunye nokuthuthuzela.

Iintlobo eziqhelekileyo:

I-2-way Foley catheter: Uyilo olusemgangathweni olunomjelo wokuhambisa amanzi kunye nomjelo wokunyuka kwamaxabiso ebhaluni.

I-3-way Foley catheter: Ibandakanya umjelo owongezelelweyo wokunkcenkceshela isinyi, esetyenziswa emva kotyando.

I-Silicone catheters: I-Biocompatible kwaye ifanelekile ukusetyenziswa kwexesha elide.

I-Latex catheters: Iguquguquka ngakumbi, kodwa ayifanelekanga kwizigulane ezine-latex allergies.

Ubungakanani beCatheter yeFoley:

Ukusetyenziswa kwexesha elifutshane leeCatheters zokuhlala

I-catheterization yexesha elifutshane ichazwa ngokubanzi njengokusetyenziswa ngaphantsi kweentsuku ezingama-30. Iqhelekile kwi:

Ukhathalelo lwasemva kotyando

Ukugcinwa komchamo ngokukhawuleza

Ukuhlala ixesha elifutshane esibhedlele

Ukujongwa kwenkathalo ebalulekileyo

Ukusetyenziswa kwexesha elifutshane, iicatheter zeFoley latex zihlala zikhethwa ngenxa yokuguquguquka kwazo kunye nokusebenza kakuhle kweendleko.

Ukusetyenziswa kwexesha elide kweeCatheters zokuHlala

Xa izigulane zifuna i-catheterization ngaphezu kweentsuku ezingama-30, kuthathwa njengokusetyenziswa kwexesha elide. Oku kudla ngokuba yimfuneko kwiimeko zoku:

Ukungaphumeleli komchamo okungapheliyo

Iimeko zemithambo-luvo (umzekelo, ukwenzakala komnqonqo)

Izithintelo ezinzima zokuhamba

Kwiimeko ezinjalo, ii-catheters ze-SPC okanye i-silicone IDC catheters zinconywa ngenxa yokuqina kwazo kunye nokunciphisa umngcipheko weengxaki.

Ukhathalelo lwexesha elide kufuneka lubandakanye:

Ukutshintshwa rhoqo (ngokuqhelekileyo rhoqo kwiiveki ezi-4-6)

Ukucocwa kwansuku zonke kwe-catheter kunye nengxowa yokukhupha amanzi

Ukubeka iliso kwiimpawu zosulelo okanye ukuvaleka

Ukuqukumbela

Nokuba kukuchacha kwexesha elifutshane okanye ukhathalelo lwexesha elide, i-catheter ye-urinary ehlala kuyo iyimveliso ebalulekileyoubonelelo lwezonyangoikhonkco. Ukukhetha uhlobo oluchanekileyo-i-IDC catheter okanye i-catheter ye-SPC-kunye nobukhulu buqinisekisa ukhuseleko lwesigulane kunye nentuthuzelo. Njengomthengisi ohamba phambili kwizinto ezityiwayo zonyango, sibonelela ngeecatheter zodidi oluphezulu zeFoley ezenzelwe imigangatho yamazwe ngamazwe, ezifumaneka ngokobukhulu obahlukeneyo kunye nemathiriyeli.

Ukufumana ii-odolo ezininzi kunye nokuhanjiswa kwehlabathi jikelele kwee-catheter zomchamo, qhagamshelana neqela lethu lokuthengisa namhlanje.