Chidimbu chekuongorora chekunonoka kana zororo: ndezvipi uye misiyano

Zvemukati

• Kana zvaratidzwa kuisa chiongorori
• Main mhando dzedundira catheter
• 1. Catheter yedundira
• 2. Bladder kana inopindira bladder catheter
• Ko catheter yedundira inoiswa sei
• Njodzi dzinogona kuitika dzekushandisa kuongorora

Chidimbu chedundira ipombi yakatetepa, inochinjika iyo inoiswa kubva murethra kuenda kudundira, kubvumira weti kuti itizire muhomwe yekuunganidza. Mhando iyi yekuferefeta inowanzo shandiswa kana vasingakwanise kudzora chiitiko chekuita weti, nekuda kwezvipingaidzo zvakaita seprostate hypertrophy, urethral dilation kana kunyangwe pazviitiko izvo zvinoitirwa kuitisa bvunzo pamuti weti kana kugadzirira munhu kuvhiyiwa, muenzaniso.

Unyanzvi uhu hunofanirwa kuitwa chete kana zvichidikanwa uye zvine hungwaru hunofanirwa kuitwa nenyanzvi yezvehutano, sezvo njodzi yekubatwa nehutachiona, kukuvara uye kubuda ropa zvakanyanya. Nekudaro, kune zvimwewo zviitiko apo kuunzwa kwesarudzo kunogona kuitirwa kumba, asi mune idzi kesi nzira chaiyo inoda kudzidziswa nemukoti uye kudzidziswa muchipatara.

Kana zvaratidzwa kuisa chiongorori

Nekuda kwenjodzi dzehunyanzvi, probe yedundira inofanira kungoshandiswa chete kana zvichinyatso kudikanwa, senge mune zviitiko zvinotevera:

• Ruregerero rweakakomba kana chisingaperi kuchengetedza weti;
• Kudzora kwekugadzira weti neitsvo;
• Post-renal renal kutadza nekuda kwekudzivirira kwe-infra-bladder;
• Kurasikirwa kweropa kuburikidza neweti;
• Kuunganidzwa kweiyo isina kubereka weti yemiedzo;
• Kuyera kwehuwandu hwehuwandu;
• Kudzora kwekusagadzikana kweweti;
• Ureteral dilation;
• Kuongororwa kwesimba remuchikamu chepasi cheweti;
• Kubvisa dundira pamberi, panguva uye mushure mekuvhiya uye bvunzo;

Uye zvakare, kuiswa kweye dundira chubhu kunogona kuitwawo kupa mishonga yakananga kudundira, muzviitiko zvehutachiona hwakakomba, semuenzaniso.

Main mhando dzedundira catheter

Kune mhando mbiri dzedundira catheterization:

1. Catheter yedundira

Iyo catheter yedundira inoshandiswa apo inoenderera weti drainage inoda kuchengetwa kwemazuva akati wandei, vhiki kana mwedzi.

Rudzi rwekuferefeta runoratidzwa kana zvichidikanwa kukurudzira kugara uchidurura dundira, kuongorora kubuda kweweti, kuita kugadzirira kwekuvhiya, kuita kudiridza kwedundira kana kudzikisa kusangana kweweti nemaronda eganda padyo nenhengo yekubereka.

2. Bladder kana inopindira bladder catheter

Kusiyana necatheter yedundira, iyo catheter yekusunungura haigare mumunhu kwenguva yakareba, ichiwanzobviswa mushure mekudonhedza dundira.

Rudzi urwu rwechubhu runonyanya kushandiswa kukweva weti isati yambosvika nzira yekurapa kana kuzorodzwa nekukurumidza kune vanhu vane hurema uye nekugara kwenguva refu kwekugaya weti, semuenzaniso. Inogona zvakare kushandiswa kune vanhu vane neurogenic bladder, kuwana isina kuchena weti sampuro kana kuita yasara weti bvunzo mushure mekuburitsa dundira.

Ko catheter yedundira inoiswa sei

Maitiro ekuisa catheter yedundira anofanirwa kuitwa nachiremba wehutano uye anowanzo tevera anotevera matanho:

1. Unganidza zvese zvinodiwa.
2. Pfeka magirovhosi uye geza nzvimbo yepedyo yemunhu;
3. Shamba maoko;
4. Chena kuvhura iyo catheterization package neiye munhu;
5. Vhura pasuru yekuongorora woiisa padyo nemutop, pasina kusvibiswa;
6. Isa girisi pane imwe yejira reganda;
7. Kumbira munhu kuti arare nemisana yavo, vakavhura makumbo avo echikadzi nemakumbo pamwechete, yemurume;
8. Pfeka magurovhosi asingabereki epa catheterization package;
9. Zora zano rekuongorora;
10. Kune vanhukadzi, ita antisepsis ne forceps yakarongedzwa, uchiparadzanisa miromo midiki nechigunwe uye chigunwe chepamberi, uchipfuura yakanyorova gauze yeantiseptic pakati pemiromo mikuru nediki uye pamusoro penyama yekudyira;
11. Kune vanhurume, ita antisepsis pane iyo glans ne forceps yakaiswa gauze yakanyoroveswa neantiseptic, uchifambisa chikanda chepamberi chakafukidza glans uye nyama yekuvhenekera nechigunwe chako uye munwe;
12. Tora chubhu neruoko rwusina kusangana nenharaunda yepedyo wozvipinza murethra, uye usiye mumwe mugumo mukati megaba, uchitarisa weti yakabuda;
13. Pfekenura pombi yekukwenenzvera ine gumi kusvika makumi maviri mL emvura yakadhirowewa.

Pakupera kwemaitiro, iyo probe inosungirirwa paganda nerubatsiro rwekunamatira, iyo mune varume inoiswa mudunhu repamusoro uye mumadzimai inoiswa pachidya chemukati.

Njodzi dzinogona kuitika dzekushandisa kuongorora

Catheterization yedundira inofanirwa kuitwa chete kana ichinyatso kudikanwa, nekuti inopa njodzi huru yekutapukira kweurinani, kunyanya kana chubhu isina kuchengetedzwa zvakanaka.

Uye zvakare, dzimwe njodzi dzinosanganisira kubuda ropa, kuumbwa kwematombo edundira uye mhando dzakasiyana dzekukuvara kune weti, kunyanya nekuda kwekushandisa kwesimba rakawandisa kana uchishandisa probe.

Dzidza maitiro ekuchengeta dundira chubhu kuitira kuti uderedze njodzi yehutachiona.