Ke mālama nei i kāu Tube Nefrostomy

Anter

• Ke kau nei i ka paipu nephrostomy
• Ma mua o kāu kaʻina hana
• Ma kāu kaʻina hana
• Ke mālama nei i kāu paipu
• Nānā ʻia o kāu paipu nephrostomy
• Ke kāpae ʻana i kāu ʻeke hoʻokahe
• ʻO ka holoi ʻana i kāu paipu
• Nā mea hou aʻe e hoʻomanaʻo
• Nā kūpilikiʻi o kahi paipu nephrostomy
• Ke wehe nei i ka paipu
• ʻO ka lawe lawe ʻana

Hōʻike Overview

ʻO kāu mau puʻupaʻa kahi ʻāpana o kāu ʻōnaehana urinary a hana e hana i ka mimi. ʻO ka maʻamau, kahe ka mimi i hana ʻia mai nā puʻupaʻa i kahi paipu i kapa ʻia he ureter. Hoʻopili ka ureter i kou mau puʻupaʻa i kāu ʻōpū. Ke hōʻiliʻili ʻia ka mimi i loko o kāu pākeke, ʻike ʻoe i ka pono e mimi. Hele ka mimi mai ka puhaka, ma o kāu urethra, a ma waho o kou kino.

I kekahi manawa aia kekahi palaka i kāu ʻōnaehana urinary a hiki ʻole i ka mimi ke kahe e like me ka maʻamau. Hiki i nā blockage ke kumu ʻia e kekahi mau mea, e like me:

• pōhaku kīhāpai
• ʻeha i ka puʻupaʻa a i ʻole ureter
• he maʻi maʻi
• kahi kūlana hānau āu i hānau ai mai ka wā hānau

ʻO kahi nephrostomy tube kahi catheter i hoʻokomo ʻia i loko o kou ʻili a i loko o kou puʻupaʻa. Kōkua ka paipu i ka hoʻokahe ʻana i ka mimi mai kou kino. Hōʻiliʻili ʻia ka mimi i hoʻokahe ʻia i loko o kahi ʻeke liʻiliʻi ma waho o kou kino.

Ke kau nei i ka paipu nephrostomy

ʻO ke kaʻina hana e kau ai i kāu nephrostomy Tube e lawe maʻamau ma lalo o hoʻokahi hola a e hoʻokō ʻia ʻoiai e hoʻowalewale ʻia ʻoe.

Ma mua o kāu kaʻina hana

Ma mua o ke kau ʻia ʻana o kāu Tube nephrostomy, pono ʻoe e hana i kēia mau mea:

• E kamaʻilio me kāu kauka e pili ana i nā lāʻau a i ʻole nā ​​mea hoʻopihapiha āu e lawe nei. Inā loaʻa nā lāʻau i pono ʻole ʻoe e lawe ma mua o kāu kaʻina hana, e aʻo aku kāu kauka iā ʻoe i ka manawa e hoʻōki ai i ka lawe ʻana iā lākou. ʻAʻole pono ʻoe e haʻalele i ka lawe ʻana i nā lāʻau me ka ʻole e kamaʻilio mua i kāu kauka.
• E mālama pono i nā kapu i kau ʻia e kāu kauka e pili ana i ka meaʻai a me ka mea inu. ʻO kahi laʻana, hiki ke kapu ʻia ʻoe mai ka ʻai ʻana i kekahi mea ma hope o ke aumoe i ke ahiahi ma mua o kāu kaʻina hana.

Ma kāu kaʻina hana

E hoʻopili kāu kauka i kahi anesthetic ma ka pūnaewele kahi e hoʻokomo ʻia ai ka nephrostomy tube. A laila e hoʻohana lākou i ka ʻenehana kiʻi e like me ultrasound, CT scan, a i ʻole fluoroscopy e kōkua iā lākou e kau pono i ka paipu. Ke hoʻokomo ʻia ka paipu, hoʻopili lākou i kahi diski liʻiliʻi i kou ʻili e kōkua i ka hoʻopaʻa ʻana i ka paipu ma kahi.

Ke mālama nei i kāu paipu

E aʻo aku kāu kauka iā ʻoe i ka pehea e mālama ai i kāu ʻōpala nephrostomy. Pono ʻoe e nānā i kāu paipu i kēlā me kēia lā a me ka hakahaka o ka mimi i hōʻiliʻili ʻia i loko o ka ʻeke hoʻokahe.

Nānā ʻia o kāu paipu nephrostomy

Ke nānā ʻoe i kāu nephrostomy tube, pono ʻoe e nānā i kēia mau mea:

• Hōʻoiaʻiʻo i kou ʻaʻahu ʻana ua maloʻo, maʻemaʻe, a paʻa. Inā pulu, lepo, a wehe paha, pono e hoʻololi.
• E nānā i kou ʻili a puni ka lole e ʻike pono ʻaʻohe ʻulaʻula a kolohe paha.
• E nānā i ka mimi i hōʻiliʻili i kāu ʻeke hoʻokahe. ʻAʻole pono e loli i ke kala.
• E ʻike pono ʻaʻohe kinks a wili paha i ka paipu e alakaʻi ʻia mai kou ʻaʻahu ʻana i ka ʻeke hoʻokahe.

Ke kāpae ʻana i kāu ʻeke hoʻokahe

Pono ʻoe e ninini i kāu ʻeke hoʻokahe i loko o kahi lua ke kokoke paha i ka hapalua o ka piha. Hiki ke loli ka nui o ka manawa ma waena o kēlā me kēia ʻōnaehana o ka ʻeke mai kēlā me kēia kanaka. Pono kekahi poʻe e hana i kēia i kēlā me kēia mau hola.

ʻO ka holoi ʻana i kāu paipu

Pono ʻoe e pīpī i kāu paipu ma ka liʻiliʻi i hoʻokahi manawa i ka lā, akā pono paha ʻoe e pīpī pinepine i ka hahai ʻana i kāu kaʻina hana. E hāʻawi aku kāu kauka iā ʻoe i nā kuhikuhi kikoʻī e pili ana i ka wai o kāu tubing. ʻO ke kaʻina hana maʻamau penei:

1. E holoi pono i kou mau lima. Kau i nā mīkina lima.
2. E hoʻopau i ka stopcock i ka ʻeke hoʻokahe. He kiwikā ea kēia e kaohi ana i ke kahe o ka wai ma o kāu nephrostomy Tube. ʻEkolu ona mau puka. Hoʻopili hoʻokahi hāmama i nā paipu i pili i ka lole. Hoʻopili kekahi i ka ʻeke hoʻokahe, a pili ka hapakolu i kahi awa wai.
3. Wehe i ka pāpale mai ke awa wai a holoi pono me ka waiʻona.
4. Ke hoʻohana nei i kahi syringe, e pahu i ka wai paʻakai i loko o ke awa wai. Mai huki i ka syringe plunger i hope a i ʻole e hoʻopili i nā mea ʻoi aku ma mua o 5 milliliter o ka hopena saline.
5. E hoʻihoʻi i ka stopcock i ke kūlana hoʻokahe.
6. Wehe i ka syringe mai ke awa wai a hoʻihoʻi i ke awa me kahi pāpale maʻemaʻe.

Nā mea hou aʻe e hoʻomanaʻo

• E mālama pono i kāu ʻeke hoʻowai ma lalo o ka pae o kou puʻupaʻa. Pale kēia i ka hoʻopaʻa mimi. I ka manawa pinepine, hoʻopaʻa ʻia ka ʻeke hoʻokahe i kou wāwae.
• Ke kūleʻa ʻoe i kou ʻaʻahu, paipu, a i ʻole ʻeke hoʻokaʻawale, e hoʻomaʻemaʻe i kou mau lima me ke kopa a me ka wai mehana a i ʻole me kahi hoʻomaʻemaʻe wai ʻona.
• ʻAʻole pono ʻoe e ʻauʻau a ʻauʻau ʻoiai aia kahi nephrostomy tube ma kahi. Hiki iā ʻoe ke ʻauʻau hou he 48 mau hola ma hope o kāu kaʻina hana. He mea kōkua ka hoʻohana ʻana i kahi ʻūlū lima paʻa lima, inā hiki, i mea e hōʻalo ai i ka pulu ʻana o kou ʻaʻahu.
• E hoʻāʻo e kaohi iā ʻoe iho i ka hana māmā ma hope o kāu kaʻina hana a hoʻonui wale i kāu pae hana inā ʻoe e hoʻomanawanui maikaʻi iā ia. Hōʻalo i nā neʻe e hiki ke hoʻokau i nā lole a i ʻole ka paipu.
• Pono ʻoe e hoʻololi i kou ʻaʻahu ma ka liʻiliʻi i hoʻokahi manawa i ka pule.
• E inu pono i nā wai he nui.

Nā kūpilikiʻi o kahi paipu nephrostomy

ʻO ke kau ʻana i kahi paipu nephrostomy he hana palekana ia. ʻO ka pilikia maʻamau e hālāwai ai paha ʻoe me ka maʻi. Pono ʻoe e launa koke i kāu kauka inā ʻike ʻoe i kēia mau ʻōuli, no ka mea ke hōʻike nei lākou i kahi maʻi.

• kahi kuni ma luna o 101 ° F (38.3 ° C)
• ʻeha ma kou ʻaoʻao a i ʻole lalo
• pehu, ʻulaʻula, a palupalu paha ma ke kahua o kou ʻaʻahu
• haʻalulu
• mimi ʻeleʻele loa a ʻōpua paha, a ʻaʻala ʻole hoʻi
• mimi ʻulaʻula a ʻulaʻula paha

Pono ʻoe e launa pū me kāu kauka inā kū kekahi o kēia mau mea, no ka mea he hōʻailona paha ia o ka blockage:

• Maikaʻi ʻole ke kahe o ka mimi a ʻaʻole i hōʻiliʻili ʻia ka mimi ma kahi o ʻelua mau hola.
• ʻO nā kahe o ka mimi mai ke kahua lole a i ʻole kāu paipu.
• ʻAʻole hiki iā ʻoe ke holoi i kāu paipu.
• Hāʻule i kāu Tube nephrostomy.

Ke wehe nei i ka paipu

Kūlohelohe kāu paipu nephrostomy a pono e hemo hope. I ka wā o ka hemo ʻana, e hoʻokomo kāu kauka i kahi anesthetic ma ka pūnaewele kahi i hoʻokomo ʻia ai ka paipu nephrostomy. E wehe mālie lākou i ka nephrostomy tube a hoʻopili i kahi lole i ka pūnaewele ma mua.

I loko o kou wā hoʻōla, e kauoha ʻia ʻoe e inu i nā wai he nui, pale i ka hana ikaika, a pale i ka ʻauʻau ʻana a ʻauʻau paha.

ʻO ka lawe lawe ʻana

ʻO ke kau ʻana o kahi nephrostomy Tube he manawa pōkole ia a ʻae i ka mimi e kahe ma waho o kou kino ke hiki ʻole ke kahe ma o kāu ʻōnaehana urinary e like me ka maʻamau. Pono ʻoe e hoʻokaʻaʻike koke i kāu kauka inā he hopohopo kāu e pili ana i kāu nephrostomy tube a i ʻole kānalua paha i kahi maʻi a i ʻole palaka i kāu tubing.