Inkqubo yokwenza i-catheterization yinkqubo yokufaka i-catheter kwisigxina semvelo yomzimba (kulo mzekelo, i-bladder ngokusebenzisa urethra). I-catheter yindawo engena ngaphakathi ngaphakathi kwepayipi-iplastiki, irubha okanye isinyithi.
Izibonakaliso ze-catheterization
Ukuqhutyelwa kwe-catheterization ye-urinary bladder yenziwa ukuze:
- yenza isambisi sokuhlanza ukuze ususe i-pus, imveliso yokubola yamatye amancinci okanye ama-tissue, ngaphambi kokuba wenze i-cystoscopy;
- ukurhoxisa umchamo kuwo kunye nokulibaziseka okungapheliyo; ukuvuvukala kwindlela yokucoca, kunye ne-reflux ye-vesicoureteral;
- Faka ifayile kwi-bladder ngenjongo yokuxilonga okanye yezokwelapha;
- ukukhupha umchamo kwi-bridder bladder ukuhlalutya ;
- ukugqiba umthamo wokuhlala umchamo;
- ukwenza umsebenzi phantsi kwe -anesthesia okanye i-aneshesia;
- ukurhoxisa umchamo kwizigulana zomgulane ezinokuphazanyiswa kwizitho zeplavic.
Inkqubo yokwenza i-catheterization ye-bladder kunye nezixhobo ezisetyenziswayo
Isixhobo esona sikhulu sale nkqubo siyi-catheters.
Kuba inkqubo, njengomthetho, i-catheters 16-20 isetyenziswe. I-Catheters ezenziwe ngeplastiki, izitye okanye i-rabri zixhomekeke ekutheni inzalo iyimfuneko kwisithuba sesigama seyure.
I-catheters e-elastic isetyenziswa kwakhona. Zizaliswe kwisisombululo se-oxycyanide. Izikhonkwane ze-tissue catheters zinyanzeliswa kwiibini zomsebenzi ezisemthethweni.
Ngaphambi kwenkqubo, umsebenzi wezempilo kufuneka aphathe izandla, ahlambe okokuqala ngesepha kwaye aphelise ngotywala. Umngcipheko we-urethra wesifazane uphathwe ngebhola yekotoni igxininiswe kwisisombululo se-disinfectant.
Ngokuthe ngqo inkqubo yokubeka i-catheter kwisibilini kubasetyhini ayinzima kakhulu.
- Ngeminwe yesandla sasekhohlo umqeshwa ogqirha ugxotha ibhinqa lomfazi.
- Emva koko, i-catheter eyayiphambi kwe-vaseline okanye i-glycerin ifakwe ngokuthe tye ngesandla sokunene ekuvuleni kwe-urethra. Xa umchamo ubonakala, oku kubonisa ukuba i-catheter ifinyelele kwisilwanyana.
- Ukuba kukho ubunzima ngokusungulwa kwecatheter, kufuneka kusetyenziswe i-catheter encinci.
- Emva koko i-catheter kufuneka ifakwe kwi-drain.
- Emva kokuba umchamo uyeke ukuhamba, umsebenzi wezempilo angacinezela encinci kwindawo yesibhanqa ngokusebenzisa udonga lwesisu ukuze adibanise iindawo ezihlala kumchamo.
Ukuba injongo yenkqubo yayikulinganisa umthamo wokuhlala umchamo, ngoko umjelo oqhekezayo uthelelwa kwisitya sokulinganisa. Ukuba ukuxhaphaza kuqhubekele injongo yokugxilwa, ngoko, ngokuzisa isilwanyana, i-catheter isuswe. Kwi-catheterization ngenjongo yokuhambisa amanzi, i-saline ifakwe kwi-balonchik ekupheleni kwe-catheter.
Iziphumo kunye noxinzelelo emva kokuphazamiseka kwe-bladder
Ukuba i-bladder ayizalisekanga ngokugcwele, udonga lwesibhandi lonakaliswe. Ukuthintela oku kungenzeki, umqeshwa wezempilo kufuneka apake perepukutirovat isilwanyana kwisithili esiphezulu.
Enye inkxalabo enzulu yintsholongwane ekhuphukayo, ekuthintela ukuba abasebenzi bezonyango baqhuba le ndlela yokunyanzelisa kufuneka balandele imithetho ye-antiseptic ne-septic.
Ngokuqhekeza ngokuphindaphindiweyo, abasetyhini banakho ukuhlaziya umkhuhlane wegazi, obonakala ngokunyuka kwamaqondo obushushu ngenxa yokubanjelwa kwezinto ezinesifo ngenxa yomonakalo kwi-mucosa yomfazi. Ngako oko, phambi kokuba umcengezi ususwe, isisombululo se-disinfectant sisilwe kwi-vestile okanye i-antibiotics.