Iicatheters zasemanzini

Icatheter yomchamo yityhubhu ebekwe emzimbeni ukuze ukhuphe kwaye uqokelele umchamo kwisinyi.

Iicathet ze-Urinary zisetyenziselwa ukukhupha isinyi. Umboneleli wakho wezempilo unokucebisa ukuba usebenzise i-catheter ukuba unayo:

• Ukungahambi kakuhle komchamo (ukuphuma komchamo okanye ukungakwazi ukulawula xa uchama)
• Ukugcinwa kwe-Urinary (ukungakwazi ukukhupha i-bladder yakho xa ufuna)
• Utyando kwiprotrate okanye kwilungu lobufazi
• Ezinye iimeko zonyango ezinje nge-multiple sclerosis, ukwenzakala kwethambo lomqolo, okanye isifo sengqondo esixhalabisayo

I-Catheters ziza ngobukhulu obukhulu, izixhobo (i-latex, i-silicone, i-Teflon), kunye neentlobo (i-tip okanye i-coude tip). I-catheter ye-Foley luhlobo oluqhelekileyo lwecatheter yokuhlala. Inayo, ithambile, iplastiki okanye ityhubhu yerabha efakwa kwisinyi ukukhupha umchamo.

Kwiimeko ezininzi, umboneleli wakho uya kusebenzisa i-catheter encinci efanelekileyo.

Zintathu iintlobo eziphambili zeekathethi:

• I-catheter yokuhlala
• Catheter yekhondom
• Ukuzikhathaza okungaphakathi

AMAKHATHILI AHLALA KUMHLABA

I-catheter yokuchama ehlala ngaphakathi ishiyeke kwisinyi. Unokusebenzisa i-catheter yokuhlala ixesha elifutshane okanye ixesha elide.

I-catheter ehlala ngaphakathi iqokelela umchamo ngokuncamathisela kwingxowa yokuhambisa amanzi. Ingxowa inevalvu enokuvulwa ukuvumela ukuphuma komchamo. Ezinye zezi ngxowa zinokukhuseleka emlenzeni wakho. Oku kukuvumela ukuba unxibe ibhegi phantsi kweempahla zakho. I-catheter yokuhlala inokufakwa kwisinyi ngeendlela ezi-2:

• Rhoqo, i-catheter ifakwa kwi-urethra. Lo ngumbhobho ohambisa umchamo ukusuka kwisinyi ukuya ngaphandle komzimba.
• Ngamanye amaxesha, umboneleli uya kufaka i-catheter kwisinyi sakho ngomngxunya omncinci esiswini sakho. Oku kwenziwa esibhedlele okanye kwi-ofisi yomboneleli.

I-catheter yokuhlala inebhaluni encinci enomoya wokuphela kwayo. Oku kuthintela i-catheter ekutyibilikeni emzimbeni wakho. Xa i-catheter ifuna ukususwa, ibhaluni iyasuswa.

IINKONZO ZE-CONDOM

Iicathet zeekhondomu zinokusetyenziswa ngamadoda anokungalawuleki. Akukho tyhubhu ibekwe ngaphakathi kwilungu lobudoda. Endaweni yoko, isixhobo esifana nekhondom sibekwe ngaphezulu kwelungu lobudoda. Umbhobho okhokelela kwesi sixhobo ukuya kwingxowa yokuhambisa amanzi. Icatheter yekhondomu kufuneka itshintshwe yonke imihla.

IIKHATHILI ZEZITHUBA

Ungasebenzisa i-catheter engaphakathi xa ufuna kuphela ukusebenzisa i-catheter ngamanye amaxesha okanye awufuni kunxiba ibhegi. Wena okanye umntu omkhathalelayo uya kufaka i-catheter ukukhupha isinyi uze uyisuse. Oku kunokwenziwa kube kanye okanye amaxesha amaninzi ngosuku. Ukuhamba rhoqo kuya kuxhomekeka kwisizathu sokuba kufuneka usebenzise le ndlela okanye ukuba umchamo ungakanani ekufuneka ukhutshiwe kwisinyi.

IINGXOWA ZOKUFA

I-catheter ihlala iqhotyoshelwe kwingxowa yokuhambisa amanzi.

Gcina isikhwama sokuhambisa amanzi esisezantsi kunesinyi sakho ukuze umchamo ungabuyeli umva uye kwisinyi sakho. Khuphela isixhobo sokuhambisa amanzi xa sisiqingatha esinye sigcwele kwaye ngexesha lokulala. Ngalo lonke ixesha hlamba izandla zakho ngesepha namanzi ngaphambi kokuba ukhuphe ibhegi.

INDLELA YOKUKHATHALELA IKATHATHU

Ukugcina i-catheter yokuhlala, coca indawo apho i-catheter iphuma khona emzimbeni wakho kunye ne-catheter ngokwayo ngesepha kunye namanzi yonke imihla. Coca kwakhona indawo emva kwentshukumo yamathumbu ukuthintela usulelo.

Ukuba une-catheter ye-suprapubic, coca ukuvulwa esiswini sakho kunye netyhubhu ngesepha namanzi yonke imihla. Emva koko uyigubungele nge-gauze eyomileyo.

Sela amanzi amaninzi ukunceda ukuthintela usulelo. Buza umboneleli wakho ukuba ufanele ukusela kangakanani.

Hlamba izandla zakho ngaphambi nasemva kokuphatha isixhobo sokuhambisa amanzi. SUKUVUMELELE ukuba ivelufa yokuphuma ichukumise nantoni na. Ukuba indawo oyithengisayo ingcolile, yicoce ngesepha namanzi.

Ngamanye amaxesha umchamo unokuvuza ujikeleze i-catheter. Oku kunokubangelwa:

• Ipayipi ethambileyo okanye enekink kuyo
• Ipayipa encinci kakhulu
• Ukuqaqamba kwesinyi
• Ukuqunjelwa
• Ubungakanani bebhaluni obungalunganga
• Usulelo lomjelo womchamo

IINGXAKI EZINOKWENZEKA

Iingxaki zokusetyenziswa kwe-catheter zibandakanya:

• Ukungezwani komzimba okanye ubuntununtunu kwi-latex
• Amatye esinyi
• Usulelo lwegazi (septicemia)
• Igazi kumchamo (hematuria)
• Ukonakala kwezintso (kuhlala kuphela ixesha elide, ukusetyenziswa kweketter)
• Ukulimala kwe-Urreral
• Umchamo okanye isifo sezintso
• Umhlaza wesinyi (kuphela emva kwexesha elide lokuhlala catheter)

Fowunela umnikezeli wakho ukuba unayo:

• I-blasder spasms engapheliyo
• Ukopha ngaphakathi okanye ngokungqonge i-catheter
• Umkhuhlane okanye ubanda
• Umthamo omkhulu ovuzayo ujikeleze i-catheter
• Izilonda zesikhumba ezijikeleze i-catheter ye-suprapubic
• Amatye okanye intlenga kwindawo yokuhambisa umchamo okanye ibhegi yokuhambisa amanzi
• Ukudumba kwe-urethra ejikeleze i-catheter
• Umchamo unevumba elomeleleyo, okanye utyebile okanye unamafu
• Umncinci kakhulu okanye awukho umchamo ohambisa amanzi kwi-catheter kwaye usela ulwelo olwaneleyo

Ukuba i-catheter ivaliwe, ibuhlungu, okanye iyosuleleka, kuya kufuneka ibuyiselwe kwangoko.

Catheter - umchamo; Catheter yeFoley; Ipayipi yokuhlala; Iicatheters zeSuprapubic

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IPanicker JN, iDasGupta R, iBatla A. Neurourology. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 47.

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Ngomsila T, iDenstedt JD. Izinto ezisisiseko zokuhambisa umchamo. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 6.