Catheterization: zeziphi iintlobo eziphambili

Umxholo

• Iindidi zokwenza i-catheterization
• Ukucinywa kwentliziyo
• Catheterization yesinyi
• Ukucinywa kwecatheterization kwe-Umbilical
• Catheterization yeNasogastric
• Umngcipheko we-catheterization

I-Catheterization yinkqubo yonyango apho ityhubhu yeplastiki, ebizwa ngokuba yi-catheter, ifakwe kwisitya segazi, kwilungu okanye kumzimba womzimba ukulungiselela ukuhanjiswa kwegazi okanye olunye ulwelo.

Inkqubo yenziwa ngokweemeko zesigulana, kwaye inokwenziwa entliziyweni, kwisinyi, enkabeni nakwisisu. Uhlobo lwe-catheterization olwenziwa rhoqo yi-catheterization yentliziyo, eyenzelwe ukunceda ekuchongeni nasekunyangeni isifo sentliziyo.

Njengayo nayiphi na enye inkqubo yonyango, i-catheterization ibeka umngcipheko, eyahluka ngokobeko bokubekwa kwetupus. Ke ngoko, kubalulekile ukuba umntu akhatshwe liqela labongikazi ukuze kuthintelwe naziphi na iingxaki.

Iindidi zokwenza i-catheterization

Ukucofwa kwamathebhu kwenziwa ngokweemfuno zesigulana, ezona ziphambili zezi:

Ukucinywa kwentliziyo

I-catheterization yentliziyo yinkqubo yonyango ehlaselayo, ekhawulezayo nechanekileyo. Kule nkqubo, i-catheter ifakwe ngomthambo, umlenze okanye ingalo entliziyweni.

I-Catheterization ayilongenelelo ngoncedo olukhulu, kodwa yenziwa esibhedlele, kusetyenziswa umatshini othile woviwo okhupha i-radiation (ngaphezulu kweeradiographs eziqhelekileyo) nalapho kusetyenziswa khona umahluko we-venous. Ke ngoko, ukubekwa esweni kwentliziyo kubalulekile ngexesha lonke loviwo, ukuze intliziyo ilawulwe nge-electrocardiogram. Iphantse yenziwa rhoqo nge-anesthesia yendawo enxulumene nayo okanye hayi ngokuthanjiswa.

Ngokuxhomekeka kwinjongo, iicatheters zinokusetyenziselwa ukulinganisa uxinzelelo, jonga ngaphakathi kwimithambo yegazi, wandise ivelufa yentliziyo okanye uvule umthambo ovaliweyo. Kuyenzeka ukuba, ngokusebenzisa izixhobo eziziswe nge-catheter, ukufumana iisampulu zethishu yentliziyo ye-biopsy. Funda ngakumbi malunga ne-catheterization yentliziyo.

Catheterization yesinyi

I-catheterization ye-bladder ibandakanya ukwaziswa kwe-catheter ngokusebenzisa i-urethra, efikelela kwisinyi ngeenjongo zokuyikhupha. Le nkqubo inokwenziwa kulungiselelo lotyando, ngexesha lasemva kotyando okanye ukujonga inani lomchamo oveliswe ngumntu.

Olu hlobo lwe-catheterization lunokwenziwa kusetyenziswa iityhubhu zokunceda, ezisetyenziselwa kuphela ukukhupha isinyi ngokukhawuleza, ngaphandle kwesidingo sokugcina i-catheter, kwaye inokuba yeyodidi lwe-catheter ye-bladder, ephawuleka ngokubekwa ipayinti yokuhambisa amanzi ebotshelelwe kwingxowa yokuqokelela ehleli ixesha elithile, iqokelela umchamo womntu.

Ukucinywa kwecatheterization kwe-Umbilical

I-umbilical catheterization ibandakanya ukwazisa i-catheter ngokusebenzisa inkaba ukulinganisa uxinzelelo lwegazi, ukujonga iigesi kunye nezinye iinkqubo zonyango. Ihlala yenziwa kwiintsana ezizelwe ngaphambi kwexesha ngelixa bekwi-ICU yeentsana, kwaye ayisiyo inkqubo yesiqhelo, njengoko inobungozi.

Catheterization yeNasogastric

I-catheterization ye-Nasogastric ibonakaliswa ngokungeniswa kombhobho weplastiki, i-catheter, empumlweni yomntu kunye nokufikelela kwisisu. Le nkqubo inokwenziwa ukondla okanye ukususa ulwelo esiswini okanye kwindawo yomqala. Kufuneka ingeniswe ngugqirha oqeqeshiweyo kwaye indawo yecatheter kufuneka iqinisekiswe yiradiographical.

Umngcipheko we-catheterization

Umntu ofumene i-catheterization kufuneka akhatshwe liqela labongikazi ukuze kuthintelwe ukusuleleka esibhedlele kunye neengxaki, ezahluka ngohlobo lokuthanjiswa komzimba okwenziwe:

• Negazi lakho, arrhythmia, ukopha kunye nentliziyo, kwimeko catheterization sentliziyo;
• Usulelo lomchamo kunye nokwenzakala kwi-urethra, kwimeko ye-catheterization yesinyi;
• Ukopha, i-thrombosis, ukosuleleka kunye nokunyuka koxinzelelo lwegazi, kwimeko ye-umbilical catheterization;
• I-hemorrhage, aspiration pneumonia, izilonda kwi-esophagus okanye esiswini, kwimeko ye-nasogastric catheterization.

Iicatheters zihlala zitshintshwa ngamaxesha athile, kwaye i-asepsis yesiza ihlala isenziwa.