Catheter ya Urinary: Mitundu, Ntchito, ndi Zowopsa

Ma catheters okhala ndi mkodzondizofunika kwambiri pazachipatala zomwe zimagwiritsidwa ntchito padziko lonse lapansi m'zipatala, zipatala, ndi chisamaliro chapakhomo. Kumvetsetsa mitundu yawo, ntchito, ndi kuopsa kwawo ndikofunikira kwa opereka chithandizo chamankhwala, ogawa, ndi odwala chimodzimodzi. Nkhaniyi ikupereka chithunzithunzi chokwanira cha ma catheters okhalamo, makamakaIDC cathetersndiSPC catheters, kuthandizira zisankho zogulira mwanzeru pamakampani azachipatala.

Kodi Catheter ya Urinary Indwelling ndi chiyani?

Katheta wa mkodzo wokhalamo, yemwe amadziwika kuti aFoley catheter, ndi chubu chosinthasintha chomwe chimalowetsedwa m'chikhodzodzo kuti madzi atuluke mosalekeza. Mosiyana ndi ma catheter omwe amalowa m'chikhodzodzo, omwe amalowetsedwa pokhapokha ngati akufunikira, ma catheters okhala mkati amakhala mu chikhodzodzo kwa nthawi yaitali. Amatetezedwa ndi baluni yaying'ono yodzazidwa ndi madzi osabala kuti asatayike.

Ma catheters okhala m'kati amagwiritsidwa ntchito kwambiri pambuyo pa maopaleshoni, akakhala m'chipatala nthawi yayitali, kapena kwa odwala omwe ali ndi vuto la mkodzo, kusayenda bwino, kapena matenda amisempha.

Kusiyana Pakati pa SPC ndi IDC Catheters

Pali mitundu iwiri ikuluikulu ya ma catheters okhalamo kutengera njira yolowera:

1. Catheter ya IDC (Urethral)

Katheta wa IDC (Indwelling Urethral Catheter) amalowetsedwa kudzera mu mkodzo molunjika kuchikhodzodzo. Ndiwo mtundu womwe umagwiritsidwa ntchito kwambiri pakusamalira kwakanthawi kochepa komanso kwanthawi yayitali.

2. SPC Catheter (Suprapubic)

Catheter ya SPC (Suprapubic Catheter) imalowetsedwa kudzera m'kang'ono kakang'ono m'munsi pamimba, pamwamba pa pubic bone. Njirayi imagwiritsidwa ntchito pochotsa catheter kwa nthawi yayitali ngati kulowetsedwa kwa mkodzo sikutheka kapena kuyambitsa zovuta.

Kusiyana Kwakukulu:

Malo olowetsa: Urethra (IDC) vs. abdomen (SPC)

Chitonthozo: SPC ikhoza kuyambitsa kukwiya pang'ono mukamagwiritsa ntchito nthawi yayitali

Kuopsa kwa matenda: SPC ikhoza kukhala ndi chiopsezo chochepa cha matenda ena

Kusamalira: Mitundu yonse iwiri imafuna ukhondo woyenera komanso kusinthidwa pafupipafupi

Zowopsa ndi Zovuta za IDC Catheters

Ngakhale ma catheter a IDC amagwira ntchito, amakhala ndi zoopsa zingapo ngati sizikuyendetsedwa bwino:

Matenda a mkodzo (UTIs): Vuto lofala kwambiri. Mabakiteriya amatha kulowa kudzera mu catheter ndikuyambitsa chikhodzodzo kapena impso.

Kuphulika kwa chikhodzodzo: Kutha kuchitika chifukwa chopsa mtima.

Kuvulala kwa mkodzo: Kugwiritsa ntchito nthawi yayitali kungayambitse kuvulala kapena kutsekeka.

Kutsekeka: Kubwera chifukwa cha kutsekeka kapena kuundana.

Kusapeza bwino kapena kutayikira: Kukula kosayenera kapena kuyika kungayambitse kutulutsa mkodzo.

Kuti achepetse zoopsazi, opereka chithandizo chamankhwala ayenera kuwonetsetsa kukula kwa catheter ya Foley, kukhalabe ndi njira yosabala poika, ndikutsatira dongosolo lokhazikika komanso losintha.

Mitundu ya Catheters Zokhalamo

Ma catheters okhalamozimasiyana malinga ndi kapangidwe, kukula, ndi zinthu. Kusankha mtundu woyenera ndikofunikira kuti pakhale chitetezo cha odwala komanso chitonthozo.

Mitundu Yodziwika:

2-way Foley catheter: Kapangidwe kokhazikika kokhala ndi ngalande yothira madzi ndi njira ya balloon inflation.

3-way Foley catheter: Zimaphatikizapo njira yowonjezera yothirira chikhodzodzo, yomwe imagwiritsidwa ntchito pambuyo pa maopaleshoni.

Ma catheters a silicone: Ogwirizana komanso oyenera kugwiritsidwa ntchito kwanthawi yayitali.

Ma catheter a latex: Osinthika kwambiri, koma osayenera kwa odwala omwe ali ndi vuto la latex.

Kukula kwa Catheter ya Foley:

Kugwiritsa Ntchito Kwakanthawi kochepa kwa Catheters Zamkati

Catheterization yanthawi yayitali imatanthauzidwa ngati kugwiritsidwa ntchito kwa masiku osachepera 30. Ndizofala mu:

Kusamalira pambuyo pa opaleshoni

Kusunga kwamkodzo pachimake

Kukhala m'chipatala kwakanthawi

Kuyang'anira chisamaliro chofunikira

Kuti mugwiritse ntchito kwakanthawi kochepa, ma catheter a latex Foley nthawi zambiri amakondedwa chifukwa cha kusinthasintha kwawo komanso kutsika mtengo.

Kugwiritsa Ntchito Nthawi Yaitali Ma Catheters Okhazikika

Odwala akafuna catheterization kwa masiku opitilira 30, amatengedwa ngati ntchito yayitali. Izi nthawi zambiri zimakhala zofunikira pazochitika za:

Kusadziletsa kwa mkodzo kosatha

Matenda a Neurological (mwachitsanzo, kuvulala kwa msana)

Zolepheretsa kwambiri kuyenda

Zikatero, ma catheter a SPC kapena ma catheter a silikoni a IDC amalimbikitsidwa chifukwa cha kulimba kwawo komanso kuchepetsa chiopsezo cha zovuta.

Chithandizo cha nthawi yayitali chiyenera kuphatikizapo:

Kusintha pafupipafupi (nthawi zambiri masabata 4-6)

Kuyeretsa tsiku ndi tsiku kwa catheter ndi thumba la ngalande

Kuyang'anira zizindikiro za matenda kapena kutsekeka

Mapeto

Kaya ndikuchira kwakanthawi kochepa kapena chisamaliro chanthawi yayitali, catheter ya mkodzo wokhalamo ndi chinthu chofunikira kwambirichithandizo chamankhwalaunyolo. Kusankha mtundu woyenera-IDC catheter kapena SPC catheter-ndi kukula kumatsimikizira chitetezo cha odwala ndi chitonthozo. Monga otsogola otsogola kuzinthu zogulitsira zamankhwala, timapereka ma catheter apamwamba kwambiri a Foley ogwirizana ndi miyezo yapadziko lonse lapansi, omwe amapezeka mumiyeso ndi zida zosiyanasiyana.

Kuti mupeze maoda ambiri komanso kugawa padziko lonse lapansi ma catheter a mkodzo, lumikizanani ndi gulu lathu lazogulitsa lero.