Urethral catheter: zviratidzo zvekutonga

A catheter inonzi chirongwa chakakosha chorapa chakagadzirirwa kubvisa muviri kana kuisa zviridzwa kuburikidza naro panguva yekushanda. Zviito zvekutsvaga zvinonzi "catheterization". Iyo catheter inoratidzika seyakasvibiswa purasitiki.

Nokudaro catheter ye urethral inobatsira kusvika kumunda wekanyara usina kuputsa masvingo ayo, nokuda kwekuchenesa urini. Iyi nzira inoshandiswa zvose pakuongorora nekurapa zvinangwa. Kushandiswa kunobatsira kubvisa zvakakonzerwa mvura yakasvibiswa kubva muchirwere uye, kana zvichifanira, kuvhara mishonga mumakona ayo asina chinhu.

Chinangwa chekuita

Urethral catheters inoshandiswa navanachiremba munyaya dzinotevera:

1. Urinary retention - chirwere chisingagumi kana chakakomba, chinokonzerwa nekumarara kwechirwere, kuderedza mvura, kusachengetedzwa kwechirwere, kusangana nekukuvara kwakadzoka shure.
2. Muzvipembenene zvinokonzerwa nemugero wemuguta kuitira chinangwa chokuchigeza.
3. Kana zvichidikanwa, kuongororwa kwemakirini emvura.

Mhando dze catheter majeri

Mishonga yemakathetta inorongedzwa nenhamba yezvitsuwa, nehupamhi hwazvo uye chimiro, mararamiro echiitiko uye chirevo chekugadzirisa.

Mazano ekubvisa urinary fluid anogona kuitwa kubva:

• Elastic materials: silicone, rubber (soft catheters);
• Rigid - plastiki alloys kana simbi.

Uyewo kusiyanisa urethral catheters nekushandisa kwenguva pfupi uye kusingaperi. Mhando dze catheters pakurapwa kwechiremba dzinotsanangurwa neurologist, uye mukoti anokwanisawo kuisa chigadzirwa.

Muzviitiko zvakawanda, kuchengetwa kwemuti kunopedzwa nekateti yakanyorova, iyo inoratidzika seyimbi yakasara inenge yakareba kusvika 10 mm. Imwe mugumo we tube inopoteredzwa uye ine rutivi rwomukati, uye yechipiri - yakaitwa nehuwandu hunoputika-hwakafanana. Izvi zvinoita kuti zvive nyore kuisa sirinza yakazara nemishonga mairi. Kana yakashandiswa, chigadzirwa chacho chinopinzwa mumvura inodzika, ndokuoma. Catheters yakagadzirirwa inochengetwa mumabhokisi akazara akazara necarbolic solution kana boric acid.

Mune zvimwe zviitiko, urine kuchengetedza urusi kunobviswa nemagetsi akaoma.

Nzira ye "utera husina simba"

Kushandiswa kwekuvhara urinary excretion muvarwere vechikadzi hakusi zvakanyanya kuoma. Chimwe catheter yechikadzi chisingaiti chinogona kunge chiri nyore uye chakaoma. Inotangira muhutano husati hwaitwa anti-antiseptic urethral. Matonho okutanga emuviri anoratidza kutanga kwekutsvaira.

Nzira ye "hutano hwakasimba"

Zviratidzo zvehupenyu zvevarume zvinokonzera kushandiswa kwecatheterization. Mushure mezvose, urefu hwemurume urethra inoda kusvika masendimita masere nemashanu kupfuura hutachikadzi. Kudzivirira kusununguka kwekubata uye mbiri dzakatetepa mumakumbo evanhu, naizvozvo hutachiona hwemurume hune hutano hwakanyanya.

Chiremba anomisa chisarudzo pane zvinyorwa zvechigadzirwa, achitungamirirwa nemamiriro ekurapa. Saka varume vane prostate adenoma vanorayirirwa zvakasimba ye catheter. Inotangwa chete nachiremba, sezvo kushandiswa uku kwakaoma uye kunoda unyanzvi hwakanaka uye nekuchenjerera. Chimwe chinyorwa chisina kutenderwa chinonzi metallic urethral catheter chinogona kukonzera matambudziko akawanda mumurwere.

Zvinokonzerwa nezvinetso mushure mekuita

Chero kushandiswa kupi zvoutano kune kushandiswa kwezvigadzirwa zvakasiyana kunogona kukonzera matambudziko mamwe, kwete kuregererwa uye catheterization. Zvikonzero zvezvinetso zvinosanganisira:

• Kwete kuchengeta mitemo ye aseptic;
• Kushandiswa kwesimba risina kukodzera paunenge uchitaura chigadzirwa.

Matambudziko anokonzerwa nokuputsa kwemitemo yekuiswa kwechigadzirwa inoratidzwa mukuratidzwa kwehutachiona hwe cystitis, urethritis uye pyelonephritis. Nekutaura kwakanyanya kwakanyanya kwekateti, pangave nekuratidzwa kwekutyora kwehutenderedzwa hwekuvhenekera kwekuvhenekera uye kuputika kwechidzitiro. Kushandiswa kwekombiyuta yakanyorovedza, dzimwe nguva kuderedza kuitika kwezvinetso.

CHINOKOSHA! Iyo catheter yeusrethral haisati yashandiswa pakuvapo kwezvirwere zvekuvhenekera.

Catheter Removal procedure

Kana iyo shanduro ichibudiswa mushure mekuvhiyiwa, inogona kubviswa chete mushure mekurumbidzwa kwechiremba. Saka mhando yekateti yechipfuva uye yepakati inoputika inodzingwa chete nachiremba, zviito zvakasununguka zvinotungamirira kune mamwe matambudziko.

Sezvo wakagamuchira zano rekuenda kune chiremba, chigadziro chekuita chivimbo chemurwere chinogona kubviswa zvakasununguka uye chinotsiviwa nezvitsva, zvinokosha chete kunyatsoteerera mitemo yevanorwisa uye kuronga utano hwako. Shandisa catheters zvinoshandiswa zvinoshandiswa, zvinodzokodzwa uye zvinoshandiswa kusvikira kushandiswa kwotevera.

Mushure mekutonga kwenguva

Sezvo mutemo, mushure mekushandisa kwenguva yakareba chigadzirwa, zvirwere zvekuvhiringidza zvemugodhi we urinary hunoitika. Saka mutumbi unopindirana nekuvapo kwomumwe mutorwa mauri. Vanachiremba vanopa mazano mushure mekugadzirisa kushambidza kushambidza nemvura yekugadzirisa potassium permanganate. Kunyora kubviswa zvakanaka kwakanyanyisa kufungidzirwa kwema chamomile, sage uye wort John's wort. Nzvimbo dzekutsamwiswa dzinogona kugoverwa necheki kamu. Nechinangwa chekudzivirira munguva ino inokurudzirwa kupfeka yakareba jira rakagadzirwa nemafuta ezvisikwa. Zvakakosha kusiya kwenguva pfupi zvinhu zvekugadzirira, sezvo kupfeka zvigadzirwa zvakadaro zvinongowedzera mamiriro acho ezvinhu uye zvinotungamirira kune kuvhiringidza kwakanyanya.

Kana pane hutano hwepamusoro, iwe unofanirwa kutaurirana nachiremba, chokwadi ichi chinoratidzira kukurudzirwa kwechirwere chinotapukira mumugwagwa wemuguta.

Usave wakakosha uye iyo nzira yewaini inotonhora, asi kubva pakushambidza inofanira kurasikirwa.

Ngwarira kutevera ruvara rwemuti, pakutanga unogona kuva nemuvara wepinki, asi zvakajairika. Kana ruvara ruchiita rutsvuku, iwe unofanira kuzivisa chiremba.

Kazhinji ikoko kunogona kuva nehasha kumativi ose apo nzvimbo yechereter yeusrethral yakamira. Kupfeka zvipfeko zvepotoni, sezvo zvichibvumira mweya kupinda mukati mharaunda, uye ichapora nokukurumidza.

Contraindications for the installation of the urethral catheter

Nzira ye catheterization inopikiswa kune vanhu vanotambura:

• Infectious urethritis;
• Tsvina yemuguta sphincter;
• Zviratidzo zve anuria.

Uye iwe wakaziva kuti ...

1. Irological catheter yemurume inenge yakareba anenge 30 masikati, uye catheter yevakadzi inenge 15 cm.
2. Iyo inonyanya kuzivikanwa uye inoshandiswa zvikuru muurology ndiyo catheter ya Foley.
3. Zvirongwa zvakakura kupfuura zvimwe zvose zvinoshandiswa kutora midzi midzi.
4. Chero catheter chero ipi zvayo inoda kugadziriswa kwakasimba. Kazhinji, chigamba chinoshandiswa ichi.
5. Yakanyanya kuchengeteka uye isingatambudziki, munguva yedu, ndiyo Malecot system naPetzer.
6. Kunewo zvirongwa zvemoyo. Izvi zvinonyorera, zvinonzwisisika zvinokonzerwa nekodha mabhaloni ane catheters kumusoro. Zita ravo ndiro Swan-Ganz catheter. Dzinoshandiswa kuongorora mapirmita yemwoyo.