I-Suprapubic Catheters

Umxholo

• Yintoni i-catheter esetyenzisiweyo?
• Sifakwa njani esi sixhobo?
• Ngaba zikhona iingxaki ezinokubakho?
• Kufuneka ihlale ixesha elingakanani le fowuni?
• Kufuneka ndenze ntoni okanye ndingenzi ntoni ngelixa kufakwa esi sixhobo?
• Yenza njalo
• Musa ukwenza
• Ukuthatha

Yintoni i-catheter ye-suprapubic?

I-catheter ye-suprapubic (ngamanye amaxesha ibizwa ngokuba yi-SPC) sisixhobo esifakwe kwisinyi sakho ukukhupha umchamo ukuba awukwazi ukuzichamela ngokwakho.

Ngokuqhelekileyo, i-catheter ifakwa kwi-bladder yakho ngokusebenzisa i-urethra, ityhubhu odla ngayo ukuphuma kuyo. I-SPC ifakwa iisentimitha ezimbalwa ezantsi kwenkaba yakho, okanye iqhosha lesisu, ngqo kwisinyi, ngaphezulu kwethambo lakho le-pubic. Oku kuvumela umchamo ukuba ukhutshwe ngaphandle kokuba ube netyhubhu ehamba kwindawo yakho yobuni.

Ii-SPC zihlala zihlala zikhululekile kunama-catheters aqhelekileyo kuba azifakwanga kwi-urethra yakho, egcwele izicwili ezibuthathaka. Ugqirha wakho unokusebenzisa i-SPC ukuba i-urethra yakho ayikwazi ukubamba i-catheter ngokukhuselekileyo.

Yintoni i-catheter esetyenzisiweyo?

I-SPC idonsa umchamo ngqo ngaphandle kwesinyi sakho ukuba awukwazi ukuzichamela wedwa. Ezinye iimeko ezinokufuna ukuba usebenzise i-catheter zibandakanya:

• ukugcinwa komchamo (awunakho ukuzichamela ngokwakho)
• ukungahambi kakuhle komchamo (ukuvuza)
• amalungu omzimba okhulayo
• ukwenzakala emqolo okanye ukwenzakala
• ukukhubazeka komzimba osezantsi
• isifo sokuqinelwa yimithambo (multiple sclerosis) (MS)
• Isifo sikaParkinson
• i-benign prostatic hyperplasia (BPH)
• umhlaza wesinyi

Unokunikwa i-SPC endaweni ye-catheter eqhelekileyo ngezizathu ezininzi:

• Awunakufane ufumane usulelo.
• Izicubu ezijikeleze amalungu akho obuni azinakwenzeka ukuba zonakaliswe.
• I-urethra yakho inokonakala kakhulu okanye ibuthathaka ukuba ibambe i-catheter.
• Unempilo ngokwaneleyo ukuba uhlale usebenze ngesondo nangona ufuna i-catheter.
• Usandula ukwenza utyando kwisinyi, urethra, isibeleko, incanca, okanye elinye ilungu elikufutshane nomchamo wakho.
• Uchitha ixesha elininzi okanye lonke ixesha lakho kwisitulo esinamavili, kwimeko apho kulula ukusebenzisa ityhubhu ye-SPC.

Sifakwa njani esi sixhobo?

Ugqirha wakho uya kufaka kwaye atshintshe i-catheter yakho amaxesha ambalwa okuqala emva kokuba unikwe enye. Emva koko, ugqirha wakho unokukuvumela ukuba unakekele i-catheter yakho ekhaya.

Okokuqala, ugqirha wakho unokuthabatha i-X-ray okanye enze i-ultrasound kwindawo leyo ukujonga nakuphi na ukungaqheleki okujikeleze indawo yakho yesinyi.

Ugqirha wakho uya kusebenzisa inkqubo ye-Stamey ukufaka i-catheter yakho ukuba isinyi sakho siphazamisekile. Oku kuthetha ukuba igcwaliswe kakhulu ngumchamo. Kule nkqubo, ugqirha wakho:

1. Ilungiselela indawo yesinyi nge-iodine kunye nesisombululo sokucoca.
2. Fumana isinyi sakho ngokuziva kamnandi ujikeleze indawo.
3. Sebenzisa i-anesthesia yendawo ukunciphisa indawo.
4. Faka i-catheter usebenzisa isixhobo seStamey. Oku kunceda ukukhokela i-catheter ngesiqwenga sesinyithi esibizwa ngokuba yi-obturator.
5. Isusa i-obturator nje ukuba i-catheter ikwisinyi sakho.
6. Ukufakela ibhaluni ekupheleni kwekhatheyitha ngamanzi ukuyigcina ingaphumi.
7. Ukucoca indawo yokufaka kunye nokuqinisa ukuvula.

Ugqirha wakho unokukunika nebhegi encanyathiselwe emlenzeni wakho ukuze umchamo ungene kuwo. Ngamanye amaxesha, i-catheter ngokwayo inokuba nayo ivelufa kuyo evumela ukuba ukhuphe umchamo ungene kwindlu yangasese xa kufuneka njalo.

Ngaba zikhona iingxaki ezinokubakho?

Ukufakwa kwe-SPC yinkqubo emfutshane, ekhuselekileyo edla ngokuba neengxaki ezimbalwa. Ngaphambi kokufakwa, ugqirha wakho unokucebisa ukuba uthathe i-antibiotics ukuba uye wafaka i-valve yentliziyo okanye uthatha nayiphi na igazi elincinci.

Iingxaki ezinokubakho zokufakwa kwe-SPC zibandakanya:

• Umchamo awupheli kakuhle
• umchamo uvuza ngaphandle kwekhafu yakho
• Inani elincinci legazi kumchamo wakho

Unokucelwa ukuba uhlale ekliniki okanye esibhedlele ukuba ugqirha wakho uqaphela naziphi na iingxaki ezifuna unyango kwangoko, ezinje:

• umkhuhlane ophezulu
• iintlungu zesisu ezingaqhelekanga
• usulelo
• Ukukhutshwa kwindawo yokufaka okanye urethra
• ukuphuma ngaphakathi (ukuphuma kwegazi)
• umngxunya kwindawo yamathumbu (ukugqobhoza)
• amatye okanye iziqwenga zethishu kumchamo wakho

Jonga ugqirha wakho ngokukhawuleza ukuba i-catheter yakho iwela ekhaya, njengoko kufuneka iphinde ifakwe ukuze ukuvulwa kungavali.

Kufuneka ihlale ixesha elingakanani le fowuni?

I-SPC ihlala ihlala ifakwe iiveki ezine ukuya kwezisibhozo ngaphambi kokuba itshintshwe okanye isuswe. Ingasuswa kwangoko ukuba ugqirha wakho ukholelwa ekubeni uyakwazi ukuzichamela ngokwakho kwakhona.

Ukususa i-SPC, ugqirha wakho:

1. Igubungela indawo ejikeleze isinyi sakho ngeephedi zangaphantsi ukuze umchamo ungafiki kuwe.
2. Ujonga indawo yokufaka nakuphi na ukudumba okanye ukucaphuka.
3. Iphelisa ibhaluni ekupheleni kwecatheter.
4. Cofa ipayitile ngqo apho ingena khona esikhumbeni kwaye uyitsale kancinci.
5. Ukucoca kunye nokucoca indawo yokufaka.
6. Yivala ukuvalwa kokuvalwa.

Kufuneka ndenze ntoni okanye ndingenzi ntoni ngelixa kufakwa esi sixhobo?

Yenza njalo

• Sela iiglasi eziyi-8 ukuya kwezi-12 zamanzi yonke imihla.
• Khuphela isikhwama sakho somchamo amatyeli aliqela ngosuku.
• Hlamba izandla zakho nanini na xa uphatha ibhegi yakho yomchamo.
• Coca indawo yokufaka ngamanzi ashushu kabini ngemini.
• Jika i-catheter yakho xa uyicoca ukuze inganamatheli kwisinyi sakho.
• Gcina naziphi na izinto zokunxiba kule ndawo de indawo yokufaka iphiliswe.
• Tape ityhubhu ye catheter emzimbeni wakho ukuze ingatyibiliki okanye itsibe.
• Yitya ukutya okukunceda ukunqanda ukuqhina, okufana nefayibha, iziqhamo kunye nemifuno.
• Qhubeka nayiphi na imisebenzi yesondo rhoqo.

Musa ukwenza

• Sukusebenzisa nayiphi na i-powders okanye i-creams ejikeleze indawo yokufaka.
• Sukuhlamba okanye ukufaka emanzini indawo yakho yokufaka ixesha elide.
• Musa ukuhlamba ngaphandle kokumboza indawo ngokunxiba okungangeni manzi.
• Musa ukuphinda ufake i-catheter ngokwakho ukuba iyawa.

Ukuthatha

I-SPC yeyona ndlela ikhululekile ngakumbi kwi-catheter eqhelekileyo kwaye ikuvumela ukuba uqhubeke nemisebenzi yakho yesiqhelo yemihla ngemihla ngaphandle kokubandezeleka okanye iintlungu. Kwakhona kulula ukuyigubungela ngempahla okanye ukunxiba ukuba ufuna ukuyigcina iyimfihlo.

I-SPC inokusetyenziswa okwethutyana emva kotyando okanye unyango lweemeko ezithile, kodwa inokufuna ukuhlala isigxina kwezinye iimeko. Thetha nogqirha wakho malunga nendlela yokunyamekela kunye nokutshintsha i-catheter yakho ukuba ufuna ukuyigcina ixesha elide.