Mālama pōpoki Suprapubic

Hoʻopau kahi catheter suprapubic (Tube) i ka mimi mai kāu pākuʻi. Hoʻokomo ʻia ia i loko o kāu pahu wai ma o kahi puka liʻiliʻi i kou ʻōpū. 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.

ʻOi aku ka maʻalahi o kāu catheter iā ʻoe e hoʻokahe i kāu kīloi a pale i nā maʻi. Pono ʻoe e hōʻoia e holo pono nei. Pono paha ʻoe e ʻike pehea e hoʻololi ai. Pono e hoʻololi i ka catheter i kēlā me kēia 4 a 6 mau pule.

Hiki iā ʻoe ke aʻo pehea e hoʻololi ai i kāu catheter i kahi ala maʻamau (maʻemaʻe loa). Ma hope o kekahi hana, e maʻalahi ia. Na kāu kahu mālama ola e hoʻololi ia nou i ka manawa mua.

I kekahi manawa hiki i nā lālā o ka ʻohana, kahi kahu hānai, a i ʻole nā ​​mea ʻē aʻe ke kōkua iā ʻoe e hoʻololi i kāu catheter.

E loaʻa iā ʻoe kahi kuhikuhi e kūʻai i nā catheters kūikawā ma kahi hale kūʻai lako lāʻau. ʻO nā lako ʻē aʻe āu e pono ai, nā mīkina lima wili, kahi pahu catheter, syringes, solution sterile e hoʻomaʻemaʻe me, gel e like me K-Y Jelly a i ʻole Surgilube (MAI hoʻohana iā Vaseline), a me kahi ʻeke hoʻowai. Loaʻa paha iā ʻoe ka lāʻau no kāu ʻōpū.

Inu 8 a 12 mau aniani o ka wai i kēlā me kēia lā no kekahi mau lā ma hope o kou hoʻololi ʻana i kāu catheter. Hōʻalo i ka hoʻoikaika kino no hoʻokahi pule a ʻelua paha. ʻOi aku ka maikaʻi e mālama i ka catheter i hoʻopaʻa ʻia i kou ʻōpū.

Ke kau pono kāu catheter, pono ʻoe e ninini i kāu ʻeke mimi i kekahi manawa wale nō i ka lā.

E hāhai i kēia mau alakaʻi no ke olakino a me ka ʻili maikaʻi.

• E hōʻoia i ka pūnaewele catheter i kekahi mau manawa i ka lā. E hōʻoia no ka ʻulaʻula, ʻeha, pehu, a i ʻole ka pā.
• E holoi i ka wahi a puni kāu catheter i kēlā me kēia lā me ke kopa me ka wai. Pākuʻi maloʻo maloʻo. Maikaʻi ka ua. E noi i kāu poʻe lawelawe e pili ana i nā ʻauʻau, nāʻauʻau, a me nā wai wela.
• Mai hoʻohana i nā kalima, nā pauka, a i ʻole nā ​​sprays kokoke i ka pūnaewele.
• E noi i nā bandages a puni ka pūnaewele i ke ala a kāu mea hāʻawi i hōʻike ai iā ʻoe.

Pono ʻoe e nānā i kāu catheter a me kāu ʻeke ma loko o ka lā.

• E hōʻoia i kāu ʻeke ma lalo mau o kou pūhaka. Mālama kēia i ka mimi mai ka hoʻi i loko o kāu kīloi.
• E hoʻāʻo ʻaʻole e hoʻokaʻawale i ka catheter ma mua o kāu e pono ai. Mālama ʻia e pili ana e ʻoi aku ka maikaʻi o ka hana.
• E hōʻoia no nā kink, a neʻe i ka pīpī a puni inā ʻaʻole e kahe ana.

Pono ʻoe e hoʻololi i ka catheter ma kēlā me kēia 4 a 6 mau pule. Holoi mau i kou mau lima me ke kopa a me ka wai ma mua o ka hoʻololi ʻana.

Ke hoʻomākaukau kāu lako pono, e moe i kou kua. E kau i ʻelua mau mikilima sterile, ʻo kekahi ma luna o kekahi. A laila:

• E hōʻoia i ka lubricated o kāu catheter hou ma ka hopena e hoʻokomo ʻoe i loko o kou ʻōpū.
• E hoʻomaʻemaʻe a puni ka pūnaewele e hoʻohana ana i kahi hopena sterile.
• Hoʻohuli i ka pāluna me kekahi o nā ʻekena.
• E lawe mālie i ka catheter kahiko.
• Wehe i nā mīkina lima ʻelua.
• Hoʻokomo i ka catheter hou a hiki i kahi i kau ʻia ai kekahi.
• E kali a kahe kahe. E hala paha i mau minuke.
• Hoʻopulu i ka baluna e hoʻohana ana i 5 a 8 ml o ka wai sterile.
• Hoʻopili i kāu ʻeke hoʻokahe.

Inā pilikia ʻoe i ka hoʻololi ʻana i kāu catheter, e kelepona koke aku i kāu mea hāʻawi. Hoʻokomo i kahi catheter i loko o kāu urethra ma o kāu wehe urinary ma waena o kāu labia (wahine) a i ʻole i ka peni (kāne) e hele i ka mimi. MAI haʻalele i ka catheter suprapubic no ka mea hiki ke pani koke ka lua. Eia nō naʻe, inā ua wehe ʻoe i ka catheter i kēia manawa a ʻaʻole hiki ke hoʻi hou iā ia, e kāhea i kāu mea lawelawe a i ʻole e hele i ka lumi pilikia kūloko.

Kāhea i kāu mea hāʻawi inā:

• Ke pilikia nei ʻoe i ka hoʻololi ʻana i kāu catheter a i ʻole ka waiho ʻana i kāu ʻeke.
• Ke hoʻopiha koke nei kāu ʻeke, a hoʻonui ʻoe i ka mimi.
• Ke kulu nei ʻoe i ka mimi.
• ʻIke ʻoe i ke koko i kou mimi i kekahi mau lā ma hope o kou haʻalele ʻana i ka haukapila.
• Ke kahe nei ʻoe i ka pūnaewele hoʻokomo ma hope o kou hoʻololi ʻana i kāu catheter, a ʻaʻole ia e kū i loko o 24 mau hola.
• Ua kāpae ʻia kāu catheter.
• ʻIke ʻoe i ka grit a i nā pōhaku paha i kāu mimi.
• ʻAʻole e hana ana kāu mau lako (ʻaʻole hū ʻole ka baluna a i ʻole nā ​​pilikia ʻē aʻe).
• ʻIke ʻoe i kahi pilau a i ʻole hoʻololi i ke kala i kāu mimi, a i ʻole ʻākoʻi kou mimi.
• Loaʻa iā ʻoe nā ʻōuli o ka maʻi (kahi ʻāʻā ahi ke ʻimi ʻoe i ke kuni, ke kuni, a me ke anuanu).

SPT

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 Solomon ER, Sultana CJ. ʻO ke kahe wai a me nā ʻano pale pale mimi. I: Walters MD, Karram MM, eds. Urogynecology a me ka hana hou ʻana o Pelvic Surgery. ʻEhā ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 43.

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.

• Hoʻoponopono i ka paia mua o ka paia
• Pepeiao urinary artipona
• ʻO prostatectomy radical
• Urinary incontinence - implant implant
• Urinary incontinence - hoʻomaha ʻana o retropubic
• Urinary incontinence - hoʻopilikia-manu ʻaʻohe liʻiliʻi lola
• Urinary incontinence - urethral sling ʻōnaehana

• Sclerosis maha - hoʻokuʻu
• ʻO ka Prostate resection - minimally invasive - hoʻokuʻu
• Prostatectomy radical - hoʻokuʻu
• Hahau - hoʻokuʻu
• Transurethral resection o ka prostate - hoʻokuʻu
• Nā mīkini mimi - he aha e nīnau aku ai i kāu kauka
• Nā ʻeke hoʻokahe mimi

• Ma hope o ke kaha
• Nā Maʻi Loʻi
• Nāʻeha Spinal
• ʻO ka Urinary Incontinence
• Mimi a me ka mimi