Suprapubic Catheters

Zvemukati

• Chii chinonzi suprapubic catheter inoshandiswa?
• Chigadzirwa ichi chinoiswa sei?
• Pane here zvinokwanisika kusangana?
• Chigadzirwa ichi chinofanira kugara chakareba zvakadii?
• Chii chandinofanira kuita kana kusaita kana ichi chigadzirwa chichiiswa?
• Ita
• Don'ts
• Kutora

Chii chinonzi suprapubic catheter?

Catheter suprapubic (dzimwe nguva inonzi SPC) mudziyo unoiswa muchiropa chako kubuda weti kana usingakwanise kuita weti wega.

Kazhinji, catheter inoiswa mudundira rako kuburikidza neurethra yako, iyo chubhu yaunowanzo buda mairi. SPC inoiswa mashoma masendimita pazasi peguvhu rako, kana bhatani remudumbu, yakanangana mudundira rako, pamusoro pebhopu rako chete. Izvi zvinobvumira weti kuti idururwe usina chubhu inopfuura nepanhengo yako yekubereka.

MaSPC anowanzo kuve akasununguka kupfuura enguva dzose catheters nekuti haana kuiswa kuburikidza neurethra yako, iyo izere nematete anonzwa. Chiremba wako anogona kushandisa SPC kana urethra yako isingakwanise kubata catheter zvakachengeteka.

Chii chinonzi suprapubic catheter inoshandiswa?

SPC inodhonza weti yakananga kunze kwedundira rako kana iwe usingakwanise kuita weti wega. Mimwe mamiriro angangoda kuti iwe ushandise catheter anosanganisira:

• kuchengetedza weti (haugone kuita weti wega)
• weti kusagadzikana (kubuda)
• chiuno chepelvic chinopararira
• kukuvara kwepamuviri kana kushungurudzika
• kudzikira kwemuviri muviri
• multiple sclerosis (MS)
• Chirwere chePasinson
• benign prostatic hyperplasia (BPH)
• gomarara redundira

Iwe unogona kupihwa SPC pachinzvimbo cheyakajairwa catheter nekuda kwezvikonzero zvakati.

• Iwe hausi ungangoita hutachiona.
• Minyama yakakomberedza nhengo yako yekubereka haina mukana wekukuvara.
• Urethra yako inogona kunge yakanyanya kukuvara kana kunetseka kubata catheter.
• Une hutano zvakakwana kuti ugare uchiita bonde kunyangwe iwe uchida catheter.
• Iwe uchangobva kuvhiyiwa padundira rako, urethra, chibereko, nhengo yemurume, kana imwe nhengo iri padyo nererera yako.
• Unopedza zvakanyanya kana yako nguva yese muwiricheya, mune iyo kesi iyo SPC catheter iri nyore kutarisira.

Chigadzirwa ichi chinoiswa sei?

Chiremba wako anoisa nekuchinja catheter yako kekutanga nguva shoma mushure mekunge wapiwa imwe. Ipapo, chiremba wako anogona kukubvumidza iwe kuti utore catheter yako kumba.

Kutanga, chiremba wako anogona kutora maX-ray kana kuita ultrasound munzvimbo kuti atarise chero zvakashata zvakakomberedza nzvimbo yako yedundira.

Chiremba wako angangoshandisa nzira yeSyamey yekuisa yako catheter kana bladder rako rakatenderedzwa. Izvi zvinoreva kuti yakazadzwa neweti. Mune maitiro aya, chiremba wako:

1. Inogadzirira iyo dundira nzvimbo ine ayodini uye yekuchenesa mhinduro.
2. Inotsvaga dundira rako nekunyorova kunzwa kutenderedza nharaunda.
3. Inoshandisa yemunharaunda yokutindivadza kuti numb nzvimbo yacho.
4. Inoisa catheter uchishandisa chishandiso cheStamey. Izvi zvinobatsira kutungamira catheter mukati nechidimbu chesimbi chinonzi obturator.
5. Inobvisa iyo obturator kana iyo catheter iri mune yako bladder.
6. Inofuridza chibharumu panopera catheter nemvura kuti isadonhe.
7. Anochenesa nzvimbo yekupinza uye anosona kuvhura.

Chiremba wako anogona zvakare kukupa bhegi rakanamatira pagumbo rako kuti weti ipinde mukati. Mune zvimwe zviitiko, iyo catheter pachayo inogona kungova nevhavha pairi iyo inobvumidza iwe kukweva weti muchimbuzi pese pazvinenge zvichidiwa.

Pane here zvinokwanisika kusangana?

Kuisirwa SPC ipfupi, yakachengeteka maitiro ayo anowanzo kuve nematambudziko mashoma. Usati waiswa, chiremba wako anogona kukurudzira kutora mishonga inorwisa mabhakitiriya kana iwe wakambove nekutsiva kwevhavha yemoyo kana uri kutora chero ropa rakaonda.

Zvinogona kuitika zvidiki zvekuiswa kwePSC zvinosanganisira:

• weti isiri kunyura zvakanaka
• weti ichidonha kubva pane yako catheter
• shoma reropa mumuti wako

Iwe unogona kudiwa kuti ugare mukiriniki kana chipatara kana chiremba wako akaona chero matambudziko anoda kurapwa nekukurumidza, senge:

• kupisa muviri
• kurwadziwa kwepamuviri
• hutachiona
• kubuda kubva munzvimbo yekuisa kana urethra
• kubuda ropa mukati (kubuda ropa)
• gomba munzvimbo ura (perforation)
• matombo kana zvidimbu zenyama munyama yako

Ona chiremba wako nekukurumidza sezvinobvira kana catheter yako ikadonha pamba, sezvo ichida kuiswa zvakare kuitira kuti kuvhura kusavhara.

Chigadzirwa ichi chinofanira kugara chakareba zvakadii?

SPC inowanzo gara ichipinzwa kwemavhiki mana kusvika masere isati yada kuchinjwa kana kubviswa. Inogona kubviswa nekukurumidza kana chiremba wako achitenda kuti unokwanisa kuita weti yako wega zvakare.

Kuti ubvise SPC, chiremba wako:

1. Inovhara nzvimbo yakatenderedza dundira rako nepasi pemaputi kuitira kuti weti isasvika pauri.
2. Inotarisa iyo yekuisa nzvimbo kune chero kuzvimba kana kutsamwa.
3. Kunodonhedza iro bharumu pakupera kwecatheter.
4. Zvinopinza catheter iko chaiko kwaanopinda muganda uye zvishoma nezvishoma anoidhonza.
5. Inochenesa uye inovhara nzvimbo yekuisa.
6. Anosona kuvhura kwakavharwa.

Chii chandinofanira kuita kana kusaita kana ichi chigadzirwa chichiiswa?

Ita

• Inwa magirazi masere kusvika gumi nemaviri emvura zuva rega rega.
• Bvisa bhegi rako weti kakawanda pazuva.
• Shamba maoko ako pese paunobata bhegi rako reweti.
• Chenesa nzvimbo yekuisa nemvura inopisa kaviri pazuva.
• Shandura catheter yako kana uchinge waichenesa kuitira kuti isanamatire kudundira rako.
• Chengetedza chero zvipfeko munzvimbo kusvikira nzvimbo yekuisa yapora.
• Tepa iyo catheter tube kumuviri wako kuti irege kutsvedza kana kudhonza.
• Idya chikafu kuti chikubatsire kudzivirira kuzvimbirwa, senge fiber, michero, uye miriwo.
• Ramba uchiita chero bonde nguva dzose.

Don'ts

• Usashandise chero hupfu kana mafuta anokomberedza nzvimbo yekuisa.
• Usatore mabhati kana kunyudza nzvimbo yako yekuisa mumvura kwenguva yakareba.
• Usageze usina kuvhara nzvimbo nekupfeka zvisina mvura.
• Usadzorezve catheter iwe kana ikadonha.

Kutora

Iyo SPC ndiyo yakasununguka nzira kune imwe nguva catheter uye inokutendera iwe kuenderera zvako zvakajairwa zvezuva nezuva zviitiko pasina kusagadzikana kana kurwadziwa. Zvakare zvakare kuvhara nezvipfeko kana kupfeka kana iwe uchida kuzvichengeta zvakavanzika.

SPC inogona kungoshandiswa kwenguva pfupi mushure mekuvhiyiwa kana kurapwa kwemamwe mamiriro, asi ingangoda kuramba iri munzvimbo zvachose mune zvimwe zviitiko. Taura nachiremba wako nezve maitiro ekuchengeta uye nekuchinja yako catheter kana iwe uchida kuichengeta mukati menguva refu yenguva.