ʻO ka catheterization ponoʻī - wahine
E hoʻohana ʻoe i kahi catheter (Tube) e hoʻokahe i ka mimi mai kāu pēpē. Pono ʻoe i kahi catheter no ka mea he urinary incontinence (leakage) ʻoe, ka paʻa ʻana o ka mimi (ʻaʻole hiki ke mimino), ʻoki kino i pono ai kahi catheter, a i ʻole kekahi pilikia olakino.
E kahe ʻo ka mimi ma loko o kāu catheter i loko o ka lua a i ʻole kahi pahu kūikawā. E hōʻike kāu mea mālama ola iā ʻoe pehea e hoʻohana ai i kāu catheter. Ma hope o kekahi hana, e maʻalahi ia.
I kekahi manawa ʻohana paha a poʻe ʻē aʻe paha āu e ʻike ai, e like me ka hoa aloha a kahu hānai a i ʻole mea kōkua lapaʻau, hiki paha ke kōkua iā ʻoe e hoʻohana i kāu catheter.
E loaʻa iā ʻoe kahi kuhikuhi no ka catheter kūpono nāu. ʻO ka maʻamau o kāu catheter ma kahi o 6 ʻīniha (15 kenimika) ka lōʻihi, akā aia kekahi mau ʻano a me nā nui. Hiki iā ʻoe ke kūʻai i nā catheters ma nā hale kūʻai lako lāʻau. Pono ʻoe i mau ʻeke ea liʻiliʻi a me kahi gel e like me ka jelly K-Y a i ʻole Surgilube. Mai hoʻohana iā Vaseline (ʻaila ʻaila). Hiki i kāu mea hāʻawi ke waiho i kahi kuhikuhi i kahi hui hoʻonohonoho leka e lawe pololei ʻia kāu catheters a me kāu lako i kou hale.
E nīnau i ka manawa hea ʻoe e ninini ai i kāu bladder me kāu catheter. I ka hapanui o nā hihia, hoʻokahe ʻoe i kāu ʻōpū i kēlā me kēia 4 a 6 mau hola, a i ʻole 4 a 6 mau manawa i ka lā. E hoʻonele mau i kāu ʻōmole i ke kakahiaka a ma mua pono o kou hiamoe ʻana i ka pō. Pono paha ʻoe e ninini pinepine i kāu ʻōpū inā ua ʻoi aku kou nui o nā wai e inu.
Hiki iā ʻoe ke hoʻowahāwahā i kāu ʻōnaehana ʻoiai ʻoe e noho ana i ka lua. Hiki i kāu mea hāʻawi ke hōʻike iā ʻoe pehea e hana pono ai i kēia.
E hāhai i kēia mau kaʻina hana e hoʻokomo i kāu pahu pahu:
- E holoi maikaʻi i kou mau lima me ke kopa a me ka wai.
- E hōʻiliʻili i kāu lako: catheter (hāmama a mākaukau e hoʻohana), kāwele a i ʻole nā holoi hoʻomaʻemaʻe ʻē aʻe, lubricant, a me kahi ipu e hōʻiliʻili i ka mimi inā ʻaʻole ʻoe e hoʻolālā e noho i ka lua.
- Hiki iā ʻoe ke hoʻohana i nā mīkina lima hoʻohemo maʻemaʻe, inā makemake ʻoe ʻaʻole e hoʻohana i kou mau lima. ʻAʻole pono nā mīkina lima e wili, ke ʻōlelo ʻole kāu mea hāʻawi.
- Me ka lima hoʻokahi, e huki mālie i ka labia a loaʻa ka puka urinary. Hiki iā ʻoe ke hoʻohana i ke aniani e kōkua ai iā ʻoe i ka mua. (He mea kōkua i kekahi manawa ke noho i hope ma ka lua me kahi aniani i kākoʻo ʻia e kōkua ai e ʻike i ka wahi.)
- Me kou lima ʻē aʻe, holoi i kāu labia he 3 mau manawa mai mua a hope, i luna a i lalo i ka waena, a ma nā ʻaoʻao ʻelua. E hoʻohana i kahi kāwele antiseptic hou a i ʻole ka holoi pēpē i kēlā me kēia manawa. A i ʻole, hoʻohana paha ʻoe i nā pōpō pulupulu me ke kopa me ka wai. E holoi maikaʻi a maloʻo inā hoʻohana ʻoe i ke kopa a me ka wai.
- E noi i ka KY Y Jelly a i ʻole nā gel ʻē aʻe i ka piko a ma luna o 2 ʻīniha (5 kenimika) o ka catheter. (Hele mai kekahi mau catheters me ka gel ma luna o lākou.)
- ʻOiai ʻoe e hoʻomau i ka paʻa o kāu labia me kou lima mua, e hoʻohana i kou lima ʻē aʻe e paheʻe mālie i ka catheter i loko o kāu urethra a hiki i ka wā e hoʻomaka ai ke kahe o ka mimi. MAI hoʻoikaika i ka catheter. Hoʻomaka hou inā ʻaʻole hele maikaʻi. E hoʻāʻo e hoʻomaha a hanu nui. Kōkua paha kahi aniani liʻiliʻi.
- E kahe ka mimi i loko o ka lua a i ʻole ka ipu.
- Ke kū kahe o ka mimi, hemo mālie i ka catheter. Paina ka hopena i pale ʻole i ka pulu.
- E holoi a puni kāu puka urinary a labia hou me kahi kāwele, holoi pēpē, a ʻāpō pulupulu paha.
- Inā ʻoe e hoʻohana nei i kahi ipu e ʻohiʻohi i ka mimi, hoʻowahāwahā ʻia i loko o ka lua. Pani mau i ka uhi o ka lua ma mua o ka holoi ʻana i mea e pale aku ai i nā maʻi lele.
- E holoi i kou mau lima me ke kopa a me ka wai.
E uku ka hapa nui o nā ʻoihana inikua iā ʻoe e hoʻohana i ka catheter sterile no kēlā me kēia hoʻohana. Hoʻohana ʻia kekahi mau ʻano catheters i hoʻokahi wale nō manawa, akā hiki ke hoʻohana hou ʻia he nui nā catheters inā hoʻomaʻemaʻe pono ʻia lākou.
Inā hoʻohana hou ʻoe i kāu catheter, pono ʻoe e hoʻomaʻemaʻe i kāu catheter i kēlā me kēia lā. E hōʻoia mau i loko o kahi lumipaku maʻemaʻe. Mai hoʻopili i ka catheter i kekahi o nā lumi make (e like me ka lua, ka paia, a me ka papahele).
E hāhai i kēia mau kaʻina hana:
- E holoi pono i kou mau lima.
- E holoi i ka catheter me kahi hopena o 1 ʻāpana vineka keʻokeʻo a me 4 mau ʻāpana wai. A i ʻole, hiki iā ʻoe ke pulu iā ia i ka hydrogen peroxide no 30 mau minuke.Hiki nō ke hoʻohana i ka wai mehana a me ke kopa. ʻAʻole pono ka catheter i sterile, maʻemaʻe wale.
- E holoi hou iā ia me ka wai anuanu.
- E kau i ka catheter ma luna o kahi kāwele e hoʻomaloʻo ai.
- Ke maloʻo, e mālama i ka catheter i loko o kahi ʻeke ea hou.
Kiola i ka catheter ke maloʻo a palupalu.
Ke haʻalele ʻoe i kou hale, e lawe i kahi ʻeke ea ʻokoʻa no ka mālama ʻana i nā pōpoki hoʻohana. Inā hiki, holoi i nā catheters ma mua o ka waiho ʻana iā lākou i loko o ka ʻeke. Ke hoʻi ʻoe i ka home, e hāhai i nā ʻanuʻu i luna e hoʻomaʻemaʻe pono iā lākou.
Kāhea i kāu kahu mālama ola inā:
- Ke pilikia nei ʻoe i ka hoʻokomo a hoʻomaʻemaʻe ʻana paha i kāu catheter.
- Ke kulu nei ʻoe i ka mimi ma waena o ka catheterization.
- He ʻeha a ʻeha paha kou.
- ʻIke ʻoe i kahi pilau.
- Loaʻa iā ʻoe ka ʻeha i loko o kāu ʻōpala a i ʻole huʻu.
- Loaʻa iā ʻoe nā ʻōuli o ka maʻi (kahi ʻāʻā ahi ke hele ʻoe i ka mimi, ke kuni, ka luhi, a me ke anuanu).
Catheterization intermittent hoʻomaʻemaʻe - wahine; CIC - wahine; Hoʻohui kūpilikiʻi iho
- Catheterization ʻōpū - wahine
ʻO Davis JE, Silverman MA. Nā kaʻina hana Urologic. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 55.
ʻO Tailly T, Denstedt JD. Kumumea o ka urinary tract drainage. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 6.
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