I-catheterization yesigqila samanzi e-urinary - i-algorithm

Ngaphansi kwe-catheterization yesibindi sokuvuthwa kwabesifazane, i-algorithm ezocatshangelwa ngezansi, ziqonde inqubo ye-excretion yomchamo oqoqiwe. Uhlobo oluthile lwe-tube oyinyumba, oluthiphu oluphansi, lisetshenziselwa - i- catheter. Ububanzi bayo bungaba buhlukile futhi bukhethwe ngokuya ngobukhulu bokuvulwa kwe - urethral. Inqubo enjalo ingahle ibekwe futhi, uma kunesidingo, ukwethulwa kwesisombululo sezidakamizwa esiqandisini ngesifo senqubo ye-genitourinary.

I-Technique ye-catheterization yesisu

Ukuphathwa kabi kwezokwelapha kwenziwa kaningi ngabahlengikazi. Kuphela uma usebenzisa i-catheter ene-tip yensimbi yinkqubo eyenziwa udokotela.

Okokuqala, ngokusho kwe-algorithm yezenzo, ngaphambi kokukhipha isisu kubesifazane, ukuphathwa ngesandla nge-antiseptic (isibonelo, 9.5% i-chlorhexidine) eyenziwa. Ngemuva kwalokho, umhlengikazi ulungisa isitebe esiyinyumba lapho umcengezi ususwe khona kwi-bix (usebenzisa ama-catheter avuselelayo) noma kusuka ephaketheni (uma kwenzeka ilahlwa).

Ukuphela komjovo we-medinstrument kunamanzi amaningi nge-glycerin oyinyumba noma i-vaseline oil. Ngesikhathi esifanayo, amabhola oyinyumba, ama-napkins nama-tweezers afakwa ku-tray. Amabhola ahambelana nesisombululo se-furacilin. Futhi, lungiselela isirinji seJanet ngesisombululo se-furacilin, sishiswe kuma-degree angu-37 emanzini okugeza.

Emva kokuqedwa kwesigaba sokulungiselela, qhubekela phambili enkambisweni. Indlu yangasese ye-genitalia yangaphandle yenziwa, futhi isiguli sageza ngamanzi afudumele. Emva kwalokho, phakathi kwemilenze egobile futhi ehlola, imisa umkhumbi.

Umhlengikazi ungakwesokudla kwesiguli futhi ubeka indwangu eyinyumba ebhodini lakhe. Ngesikhathi esifanayo, iminwe yesandla sokunxele iyakhiwa yizibi ezincane, futhi ingena ngakwesokunene nge-pair of balls ephethe ibhola elinama-furatsilinom - ilapha ukungena kwangaphandle kwe-urethra. Ngemuva kwalokho, i-catheter ithathwa nge-forceps, iyibamba 4-5 cm kusukela ekupheleni okufakiwe. Ingxenye yamahhala isekelwe iminwe engu-4 no-5 yesandla sokunene.

Ukuphela komjikelezo we-catheter kuyajikelezwa, ukuhunyushwa kushintshwe ekujuleni kwe-4-5 cm ku-lumen ye-urethra. Ukubonakala komchamo kubonisa ukuthi i-catheter ifakwe ngendlela efanele futhi ifinyelele emgodleni wesigcawu.

Ngemuva kokuba umchamo uyeke ukuphuma, isirinji seJanet sinamathele ku-catheter futhi isixazululo se-furacilin sijova kancane kancane esikhwameni. Ngemuva kwalokhu, unqamule i-syringe uphinde uqondise ukuphela kwe-catheter emkhunjini. Ngale ndlela, isigxobo sesisu sasihlanjululwa.

Ngemuva kokuphela kwe-rinse, i-catheter isuswa ngokunyakaza okujikelezayo, ngenkathi ucindezela isandla sesobunxele esiswini esingaphansi.

Ekupheleni kwenqubo, ngokusho kwendlela yokwenza i-catheterization yesisu kubesifazane, ukuvulwa kwe-urethral kuphethwe kabusha ngebhola lekotoni nge-furatsilinom.