UTI pili i ka catheter

ʻO kahi catheter kahi paipu i loko o kāu pēke e lawe i ka mimi mai ke kino. E noho kēia paipu ma kahi no ka manawa lōʻihi. Inā pēlā, ua kapa ʻia ia he catheter noho. Holo ka mimi mai kāu pēpē i loko o kahi ʻeke ma waho o kou kino.

Ke loaʻa ʻoe i kahi catheter urinary e noho ana i loko, hiki paha iā ʻoe ke hoʻomohala i kahi maʻi urinary tract (UTI) i loko o kāu puhā a me nā puʻupaʻa hoʻi.

Hiki i nā ʻano bacteria a fungi paha ke kumu i kahi UTI e pili ana i ka catheter. ʻOi aku ka paʻakikī o kēia ʻano UTI e mālama me nā antibiotic maʻamau.

ʻO nā kumu maʻamau e loaʻa ai kahi catheter noho i loko:

• Urine leakage (incontinence)
• ʻAʻole hiki ke hoʻonele i kāu ʻōpū
• ʻO ke kahakaha ma luna o kāu bladder, prostate, a i ʻole wahine liʻiliʻi

I ka wā o kahi noho ma ka haukapila, loaʻa paha iā ʻoe kahi catheter noho i loko.

• Ma hope pono o kekahi ʻano o ke ʻoki ʻana
• Inā ʻaʻole hiki iā ʻoe ke ʻimi
• Inā pono e nānā i ka nui o ka mimi āu e hana ai
• Inā maʻi loa ʻoe a ʻaʻole hiki ke kāohi i kou mimi

ʻO kekahi o nā ʻōuli maʻamau ka:

• ʻO ka mimi maʻamau a i ʻole ka mimi ʻōpua
• Koko i ka mimi (hematuria)
• Pilau a pilau paha i ka pilau
• Makemake pinepine a ikaika e mimi
• Kaomi, ʻeha, a i ʻole nā ​​spasms i kou kua a i ka ʻaoʻao haʻahaʻa o kou ʻōpū

Nā ʻōuli ʻē aʻe i hiki ke kū ʻia me kahi UTI:

• ʻO Chills
• Fiva
• ʻEha Flank
• Hoʻololi manaʻo a huikau paha (ʻo kēia paha nā hōʻailona o kahi UTI i kahi ʻelemakule)

E nānā nā mimi i ka maʻi maʻi:

• Hōʻike paha ka urinalysis i nā hunaola keokeo (WBC) a i ʻole nā ​​ʻulaʻula o ke koko (RBCs).
• Hiki ke kōkua i ka moʻomeheu mimi hoʻoholo i ke ʻano o nā koʻohune i ka mimi. E kōkua kēia i kāu mea mālama olakino e hoʻoholo i ka lāʻau antibiotic maikaʻi e hoʻohana.

Koi paha kāu mea hāʻawi:

• Ultrasound o ka ʻōpū a pelvis
• ʻO ka hōʻike CT o ka ʻōpū a i ʻole ke pelvis

ʻO ka poʻe me ka catheter noho i loko e loaʻa pinepine kahi urinalysis maʻamau a me ka moʻomeheu mai ka mimi i loko o ka ʻeke. Akā inā paha he maʻamau kēia mau hoʻokolohua, ʻaʻohe ou UTI. He mea paʻakikī kēia mea i kāu mea hāʻawi e koho inā e mālama iā ʻoe.

Inā loaʻa iā ʻoe kekahi mau ʻōuli o ka UTI, e mālama paha kāu mea hāʻawi iā ʻoe me nā lāʻau ʻaloʻalo.

Inā ʻaʻohe ou ʻōuli, e mālama kāu mea lawelawe iā ʻoe me nā lāʻau ʻaloʻalo inā wale:

• Hāpai ʻoe
• Ke hele nei ʻoe i kahi kaʻina hana e pili ana i ka urinary tract

ʻO ka hapanui o ka manawa, hiki iā ʻoe ke lawe i nā lāʻau ʻaloʻalo ma ka waha. He mea nui ia e lawe i nā mea āpau, ʻoiai inā ʻoe e ʻoi aku ka maikaʻi ma mua o ka hoʻopau ʻana. Inā ʻoi aku ka maʻi o kou maʻi, loaʻa iā ʻoe ka lāʻau i loko o ke aa koko. Hiki paha iā ʻoe ke loaʻa ka lāʻau e hōʻemi ai i ka spadms bladder.

Pono ʻoe i nā wai hou aʻe e kōkua i ka pīpī i ka bacteria. Inā ʻoe e mālama iā ʻoe iho ma ka home, makemake paha kēia e inu ʻeono a ʻewalu mau aniani o ka wai i ka lā. Pono ʻoe e nīnau i kāu mea nāna e hāʻawi i ka palekana o ka wai iā ʻoe. Hōʻalo i nā wai e hoʻonāukiuki ai i kāu ʻōpū, e like me ka wai ʻona, nā wai citrus, a me nā mea inu i loaʻa ka caffeine

Ma hope o ka pau ʻana o kāu mālama ʻana, loaʻa paha iā ʻoe kahi hōʻike mimi hou aʻe. E hōʻoia kēia hōʻoia i ka nalowale ʻana o nā g germ.

Pono e hoʻololi i kāu catheter ke loaʻa iā ʻoe kahi UTI. Inā he nui kāu mau UTI, hiki i kāu mea hāʻawi ke wehe i ka catheter. Hiki i ka mea hāʻawi ke:

• E noi iā ʻoe e hoʻokomo i ka catheter catheter intermittently i ʻole ʻoe e mālama i hoʻokahi i nā manawa āpau
• Hōʻike i nā manaʻo ʻohiʻohi mimi ʻē aʻe
• Paipai i ke ʻoki no laila ʻaʻole pono ʻoe i kahi catheter
• E hoʻohana i kahi catheter kapa komo kūikawā hiki ke hōʻemi i ka makaʻu o ka maʻi
• Kauoha aku i kahi lāʻau antibiotic haʻahaʻa a i ʻole nā ​​lāʻau ʻē aʻe nāu e lawe i kēlā me kēia lā

Hiki i kēia ke kōkua i ke paleʻana i ka bacteria mai ka uluʻana i kāu catheter.

Hiki ke paʻakikī ka mālama ʻana o nā UTI e pili ana i nā catheters ma mua o nā UTI ʻē aʻe. Loaʻa i nā maʻi he nui i ka manawa ke alakaʻi i ka hōʻino a me nā pōhaku hakuʻala a me nā pōhaku bladder.

Hiki i ka UTI i hoʻomaʻamaʻa ʻole ʻia ke hoʻomohala i nā puʻupaʻa a i ʻole nā ​​maʻi ʻoi loa.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• ʻO nā ʻōuli o ka UTI
• Paʻi hoʻi a ʻaoʻao ʻaoʻao hoʻi
• Fiva
• ʻO ka luaʻi

Inā loaʻa iā ʻoe kahi catheter noho i loko, pono ʻoe e hana i kēia mau mea e pale ai i ka maʻi.

• E hoʻomaʻemaʻe a puni ka wehe catheter i kēlā me kēia lā.
• E hoʻomaʻemaʻe i ka catheter me ke kopa a me ka wai i kēlā me kēia lā.
• E hoʻomaʻemaʻe maikaʻi i kāu wahi o ka pololei ma hope o kēlā me kēia neʻe ʻana o ka ʻōpū.
• E mālama i kāu ʻeke hoʻokahe ma lalo o kāu ʻōpū. Pale kēia i ka mimi i loko o ka ʻeke mai ka hoʻi ʻana i loko o kāu pēpē.
• Hoʻopau i ka ʻeke hoʻokahe ma ka liʻiliʻi ma hoʻokahi manawa i kēlā me kēia 8 mau hola, a i ʻole inā piha.
• Hoʻololi i kāu catheter e noho ana i hoʻokahi manawa i ka mahina.
• E holoi i kou mau lima ma mua a ma hope o kou hoʻopā ʻana i kāu mimi.

UTI - catheter pili; Maʻi maʻi urinary tract - catheter pili; Nosocomial UTI; UTI pili i ke olakino; ʻO bacteriuria e pili ana i Catheter; Ua loaʻa i ka haukapila UTI

• Catheterization ʻōpū - wahine
• Catheterization ʻōpū - kāne

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Nā maʻi maʻi urinary e pili ana i Catheter (CAUTI). www.cdc.gov/hai/ca_uti/uti.html. Hoʻohou ʻia ʻOkakopa 16, 2015. Loaʻa iā ʻApelila 30, 2020.

ʻO Jacob JM, Sundaram CP. ʻO ka catheterization tract urinary tract haʻahaʻa. Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Piladelapia, PA: Elsevier; 2021: chap 11.

Nicolle LE, Drekonja D. Hele i ka mea maʻi me ka maʻi urinary tract. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 268.

ʻO Trautner BW, Hooton TM. Nā maʻi maʻi urinary e pili ana i ka olakino. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 302.