Nā mīkini mimi

ʻO ka catheter urinary kahi paipu i hoʻokomo ʻia i ke kino e hoʻokahe a hōʻiliʻili i ka mimi mai ka pā.

Hoʻohana ʻia nā mimi mimi e hoʻokahe i ka ʻai. Hiki i kāu kauka olakino ke koi aku iā ʻoe e hoʻohana i kahi catheter inā loaʻa iā ʻoe:

• Urinary incontinence (kulu ka mimi a i ʻole hiki ʻole ke kaohi ke mimi ʻoe)
• Ka mālama mimi (hiki ʻole ke hakahaka i kāu ʻōpū ke pono ʻoe)
• ʻOki kino ma ka prostate a i ʻole nā ​​genital
• ʻO nā kūlana olakino ʻē aʻe e like me sclerosis he nui, ʻeha o ke kuamoʻo, a i ʻole dementia

Hele mai nā catheters i nā nui, nā mea pono (latex, silicone, Teflon), a me nā ʻano (pololei a i ʻole ka ʻaoʻao coude). ʻO kahi catheter Foley kahi ʻano maʻamau o ka catheter noho. Loaʻa iā ia, palupalu, palakiko a i ʻole ka paipu kāpili i hoʻokomo ʻia i loko o ka pāpaʻi e hoʻopau i ka mimi.

I ka hapanui o nā hihia, e hoʻohana kāu mea hoʻolako i ka catheter liʻiliʻi e kūpono.

Aia he 3 ʻano nui o ka catheters:

• Pahu hoʻoulu noho
• Pōpō Condom
• Kāpena iho pākī

E HUUU ANA I NA PEPA HETA

ʻO kahi catheter urinary e noho ana i loko kahi i waiho ʻia i loko o ka ʻai. Hiki paha iā ʻoe ke hoʻohana i kahi catheter noho i loko no kahi manawa pōkole a lōʻihi paha.

ʻOhi kahi catheter i loko e ʻohi i ka mimi ma ka hoʻopili ʻana i kahi ʻeke hoʻokahe. He ʻūpā ko ka ʻeke i hiki ke wehe ʻia e ʻae i ka mimi e kahe mai. Hiki ke hoʻopaʻa ʻia i kekahi o kēia mau ʻeke i kou wāwae. ʻAe kēia iā ʻoe e komo i ka ʻeke ma lalo o kou kapa. Hoʻokomo ʻia paha kahi catheter i loko o ka maʻi i loko o ka wai i nā ʻano 2:

• ʻO ka pinepine, hoʻokomo ʻia ka catheter ma o ka urethra. ʻO kēia ka paipu e lawe i ka mimi mai ka pūpū a i waho o ke kino.
• I kekahi manawa, e hoʻokomo ka mea hāʻawi i kahi catheter i loko o kāu pēpē ma o kahi puka liʻiliʻi i loko o kou ʻōpū. Hana ʻia kēia ma kahi haukapila a i ʻole ke keʻena lawelawe.

ʻO kahi popoki noho i loko kahi pulu liʻiliʻi i hoʻonui ʻia ma ka hopena. Pale kēia i ka catheter mai ka heʻe ʻana i waho o kou kino. Ke pono e hemo i ka catheter, hoʻopau ʻia ka pāluna.

PAHU KAHIKO

Hiki ke hoʻohana ʻia nā condhet catheters e nā kāne me ka hiʻina ʻole. ʻAʻohe pahu i waiho ʻia i loko o ka peni. Ma kahi o, kau ʻia kahi hāmeʻa condom ma luna o ka peni. Kuhi kahi pahu mai kēia hāmeʻa i kahi ʻeke hoʻokahe. Pono e hoʻololi i ka catheter condom i kēlā me kēia lā.

PAHI PAHU KUPANAHA

E hoʻohana ʻoe i kahi catheter intermittent ke hoʻohana wale ʻoe i kahi catheter i kekahi manawa a i ʻole makemake ʻoe e ʻeke i kahi ʻeke. E hoʻokomo ʻoe a i kāu mea mālama paha i ka catheter e hoʻokahe i ka pūpū a laila hemo. Hiki ke hana i kēia i hoʻokahi wale nō a i kekahi mau manawa i ka lā. E hilinaʻi ke alapine i ke kumu e pono ai e hoʻohana i kēia hana a i ʻole pehea ka nui o ka mimi e hoʻokahe ʻia mai ka pale.

ʻĀpana DRAINAGE

Hoʻopili pinepine ʻia kahi catheter i kahi ʻeke hoʻokahe.

E mālama i ka ʻeke hoʻowahāwahā ma lalo o kāu pēpē i ʻole e kahe hou ka mimi i loko o kāu pēpē. Hoʻopau i ka hāmeʻa wai ma kahi o hoʻokahi hapalua piha a i ka manawa hiamoe. Holoi mau i kou mau lima me ke kopa a me ka wai ma mua o ka hemo ʻana o ka ʻeke.

Pehea e mālama ai i kahi CATHETER

No ka mālama ʻana i kahi catheter noho i loko, e hoʻomaʻemaʻe i kahi e puka ai ka catheter i kou kino a me ka catheter iā ia iho me ke kopa a me ka wai i kēlā me kēia lā. E hoʻomaʻemaʻe i ka wahi ma hope o kēlā me kēia neʻe ʻana o ka ʻōpū e pale i ka maʻi.

Inā loaʻa iā ʻoe kahi catheter suprapubic, hoʻomaʻemaʻe i ka wehe i loko o kou ʻōpū a me ka paipu me ke kopa a me ka wai i kēlā me kēia lā. A laila e uhi iā ia me ka lole maloʻo maloʻo.

Inu nui i nā wai e kōkua ai i ka pale ʻana i nā maʻi. E noi i kāu mea nāna e hāʻawi i ka nui āu e inu ai.

E holoi i kou mau lima ma mua a ma hope o ka lawelawe ʻana i ka mea hoʻoliʻiliʻi. Mai ʻae i ka pahu puka e hoʻopā i kekahi mea. Inā haumia ka puka, hoʻomaʻemaʻe ia me ke kopa a me ka wai.

I kekahi manawa hiki ke kulu ka mimi a puni ka catheter. ʻO kēia paha ke kumu o:

• Pāpale i ālai ʻia a i ʻole he kink i loko o ia mea
• Catheter mea liʻiliʻi loa
• Manuahi spadms
• Konipōpō
• ʻO ka nui hewa pāluna
• Nā maʻi maʻi urinary

NA HUAKAI PAIA

ʻO nā pilikia o ka hoʻohana catheter:

• Pākuʻi a ʻike paha i ka hopena
• Pōhaku Bladder
• Nā maʻi koko (septicemia)
• Koko i ka mimi (hematuria)
• Nā hōʻino kīwaha (ʻo ka maʻamau me ka wā lōʻihi wale nō, ka hoʻohana ʻana i ka catheter ma loko)
• ʻEha Urethral
• ʻO nā maʻi urinary a i ʻole nā ​​maʻi ʻino
• Ka maʻi ʻaʻai o ka maʻi ʻaʻai (ma hope wale o ka catheter noho lōʻihi)

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• Pākuʻi kī ʻole e hele aku
• Kahe i loko a i ʻole ka puni o ka catheter
• Fiva a i ʻole haʻalulu
• Piʻiliʻi ka nui o ka mimi a puni ka catheter
• ʻEha nā ʻili a puni kahi catheter suprapubic
• Nā pōhaku a i ʻole sediment i loko o ka catheter urinary a i ʻole ʻeke hoʻoheheʻe
• ʻO ka pehu ʻana o ka urethra a puni ka catheter
• Mimi me ka hohono ikaika, a i ʻole manoanoa a ʻōpua paha
• Liʻiliʻi ʻole a i ʻole kahe kahe mai ka catheter a ke inu nei ʻoe i nā wai i lawa

Inā paʻa ka catheter, ʻeha, a maʻi paha, pono ia e hoʻololi koke ʻia.

Catheter - mimi; Foley catheter; Pahu hoʻoulu noho; Nā catheters Suprapubic

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Panicker JN, DasGupta R, Batla A. Neurourology. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 47.

ʻO Sabharwal S. Spinal cord injury (lumbosacral) i: Frontera WR, Silver JK, Rizzo TD, eds. Nā mea nui o ka lāʻau lapaʻau a me ka hoʻoponopono hou. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 158.

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.