Inqubo yokwelashwa yiyona ndlela yokufaka umcengezi emgodini wemvelo womzimba (kulesi simo, isilonda ngokusebenzisa i-urethra). I-catheter iyishubhu engaphakathi ngaphakathi - ipulasitiki, imfucumfucu noma insimbi.
Izinkomba zokuphazamiseka kwesisu
Ukuphathwa kwe-catheterization yesibindi sesisu kuyenziwa ukuze:
- yenza isisindo sokuhlanza ukuze ususe i-pus, imikhiqizo yokubola yamatshe amancane noma amathishu, ngaphambi kokwenza i-cystoscopy;
- ukuhoxisa umchamo kuwo ngokulibaziseka okungapheli; ukuvuvukala emgqeni we-urinary, nge reflux vesicoureteral;
- faka lesi sidakamizwa esigodlweni ngezinhloso zokuxilonga noma zokwelapha;
- khipha umchamo kusuka kwesinye isisu sokuhlaziywa ;
- thola ivolumu yomchamo wokuhlala;
- enze umsebenzi ngaphansi kwe-anesthesia ye-epidural noma i-anesthesia;
- ukuhoxisa umchamo ngeziguli zomgogodla ezinokuphazanyiswa ezithombeni zomzimba.
Inqubo yokwenza i-catheterization yesisu kanye nezinsimbi ezisetshenziswayo
Insimbi eyinhloko yale nqubo yizinhlayiya.
Ukuze kusetshenziswe inqubo, njengomthetho, ama-catheters 16-20 asetshenziswa. Ama-catheters ezenziwe ngamapulasitiki, ensimbi noma enjoloba zihambisana nenzalo edingekayo engakapheli isigamu sehora.
I-catheters ezithambile nayo isetshenziswa. Zibilisiwe ngesixazululo se-oxycyanide ye-mercuric. Ama-catheter anesisindo e-intanethi ayinzalo emabhukwini angama-formalin.
Ngaphambi kwenqubo, isisebenzi sezempilo kufanele siphathe izandla, siwageze kuqala nge sese bese usula ngotshwala. Umgodi we-urethra wesifazane uphathwa ngebhola lekotoni eligxilwe kwisisombululo se-disinfectant.
Ngokuqondile inqubo yokubeka i-catheter esithombeni kwabesifazane akuyona inzima kakhulu.
- Ngomunwe wesandla sobunxele isisebenzi sezokwelapha siphuca amajaji wesifazane.
- Khona-ke, i-catheter eyayiphambene ne-vaseline noma i-glycerin efakwe ngokushelela ngesandla sokunene ekuvuleni kwe-urethra. Uma umchamo ubonakala, lokhu kubonisa ukuthi i-catheter ifinyelele isilonda.
- Uma kunenkinga ngokusungulwa kwe-catheter, kufanele kube nokusetshenziswa kwe-catheter encane.
- Khona-ke i-catheter kufanele ixhunywe ku-drain.
- Ngemuva kokuba umchamo uyeke ukuhamba, isisebenzi sezempilo singacindezela kancane endaweni yesigqila ngodonga lwesisu ukuze sikhonze izinsalela zomchamo.
Uma inqubo yenkambiso yayiwukukala inani lomchamo we-residual, khona-ke umchamo ongasese uthunyelwa kwisitsha sokulinganisa. Uma ukukhwabanisa kulandela umgomo wokugxilisa umzimba, ke, ngokuletha umuthi, i-catheter isusiwe. E-catheterization ngenhloso yokukhipha isisindo, isalini ifakwe ku-balonchik ekugcineni komcathisi.
Imiphumela kanye nezinkinga emva kokuphazamiseka kwesisu
Uma isifiso singenakugcwaliswa kahle, udonga lwesilonda lungonakaliswa. Ukuvimbela lokhu kungenzeki, isisebenzi sezempilo kufanele senze i-perepukutirovat isambiso esifundeni se-suprapubic.
Enye inkinga enkulu kakhulu isifo esithathelisayo, sokuvimbela ukuthi abasebenzi bezokwelapha abaqhuba lolu hlelo kufanele balandele imithetho ye-antiseptic ne septic.
Nge-catheterization evamile, abesifazane bangase bahlakulele umkhuhlane we-urethral, obonakala ngokunyuka kwamazinga okushisa ngenxa yokumunca okuqukethwe okuthelelekile ngokulimala kumama we-urethral mucosa. Ngakho-ke, ngaphambi kokuthi isisindo sithathwe, isisombululo se-disinfectant sijova kwisigqila noma ama-antibiotic.