Nā Pahu Suprapubic

Anter

• He aha ka catheter suprapubic e hoʻohana ai?
• Pehea e hoʻokomo ʻia ai kēia hāmeʻa?
• Aia paha kekahi pilikia
• Pehea ka lōʻihi e hoʻokomo ai i kēia hāmeʻa?
• He aha kaʻu e hana ai ʻole e hana ai ke hoʻokomo ʻia kēia hāmeʻa?
• Hana's
• ʻAʻohe pono
• ʻO ka lawe lawe ʻana

He aha ka catheter suprapubic?

ʻO kahi catheter suprapubic (i kekahi manawa i kapa ʻia ʻo SPC) kahi mea i hoʻokomo ʻia i loko o kāu pēke e hoʻokahe i ka mimi inā ʻaʻole hiki iā ʻoe ke mimī iā ʻoe iho.

ʻO ka maʻamau, hoʻokomo ʻia kahi catheter i loko o kāu pēpē ma o kāu urethra, ka paipu āu e mimi ai mai. Hoʻokomo ʻia kahi SPC i mau ʻīniha ma lalo o kou piko, a i ʻole ka pihi ʻōpū, pololei i loko o kāu ʻōpū, ma luna pono o kou iwi pubic. ʻAe kēia e hoʻokahe ʻia ka mimi me ka ʻole o ka paipu e hele ana i kāu wahi genital.

ʻOi aku ka ʻoluʻolu o nā SPC ma mua o nā catheters maʻa mau no ka mea ʻaʻole lākou i hoʻokomo ʻia ma o kāu urethra, i piha i nā mea makaʻala. E hoʻohana paha kāu kauka i kahi SPC inā ʻaʻole hiki i kāu urethra ke hoʻopaʻa pono i kahi catheter.

He aha ka catheter suprapubic e hoʻohana ai?

Hoʻopau pololei kahi SPC i ka mimi mai kāu pēpē inā ʻaʻole hiki iā ʻoe ke mimi iā ʻoe iho. ʻO kekahi mau ʻano e koi paha iā ʻoe e hoʻohana i ka catheter me:

• ka mālama mimi (ʻaʻole hiki ke urination iā ʻoe iho)
• urinary incontinence (kulu)
• hoʻolaha pelvic organ prolaps
• nā hōʻeha a me nā ʻehaʻeha
• paralysis kino ma lalo
• mau sclerosis (MS)
• Maʻi ʻo Parkinson
• hyperplasia prostatic maikaʻi (BPH)
• maʻi ʻaʻai ʻōpū

Hāʻawi ʻia iā ʻoe i kahi SPC ma kahi o ka catheter maʻamau no nā kumu he nui:

• ʻAʻole paha ʻoe e loaʻa i kahi maʻi.
• ʻAʻole hiki ke hōʻino ʻia nā mea a puni kāu genitalia.
• Hiki paha ke hōʻeha a maʻalahi paha kāu urethra e hoʻopaʻa i kahi catheter.
• Ua lawa kou olakino e noho i ka moekolohe ʻoiai ʻoe e pono i kahi catheter.
• Ua ʻoki wale ʻoe ma kāu ʻōpū, uretra, uterus, penis, a i ʻole nā ​​mea ʻē aʻe e kokoke ana i kou urethra.
• Hoʻolilo ʻoe i ka hapa nui a i ʻole i kou manawa āpau i kahi noho huila, a ʻoi aku ka maʻalahi o ka mālama ʻana i kahi catheter SPC.

Pehea e hoʻokomo ʻia ai kēia hāmeʻa?

E hoʻokomo kāu kauka a hoʻololi i kāu catheter i nā manawa mua ma hope o ka hāʻawi ʻia ʻana i hoʻokahi. A laila, ʻae paha kāu kauka iā ʻoe e mālama i kāu catheter ma ka home.

ʻO ka mea mua, hiki i kāu kauka ke lawe i nā kukuna X a hana i kahi ultrasound ma ia wahi e nānā ai no nā mea ʻē aʻe e pili ana i kāu wahi bladder.

E hoʻohana paha kāu kauka i ke kaʻina Stamey e hoʻokomo i kāu catheter inā kuhi ʻia kāu ʻōpala. ʻO ke kumu o kēia ua piha i ka mimi. I kēia kaʻina hana, kāu kauka:

1. Hoʻomākaukau i ka wahi bladder me ka iodine a me ka hopena hoʻomaʻemaʻe.
2. Kahi i kāu pēpē ma ke ʻano mālie ma kahi o ka wahi.
3. Hoʻohana i ka anesthesia kūloko e hoʻopōpō ai i ka wahi.
4. Hoʻokomo i kahi catheter me ka hoʻohana ʻana i kahi hāmeʻa Stamey. Kōkua kēia i ke alakaʻi i ka catheter me kahi ʻāpana metala i kapa ʻia he obturator.
5. Wehe i ka obturator i ka manawa o ka catheter i loko o kāu pēke.
6. Hoʻoulu i kahi pāluna ma ka hopena o ka catheter me ka wai i mea e hāʻule ʻole ai i waho.
7. Hoʻomaʻemaʻe i ka wahi hoʻokomo a humuhumu i ka wehe.

Hāʻawi paha kāu kauka iā ʻoe i kahi ʻeke i pili i kou wāwae no ka mimi e kahe ai i loko. I kekahi mau hihia, he paepae wale ko ka catheter iā ia iho e ʻae iā ʻoe e hoʻokahe i ka mimi i loko o ka lua i nā wā e pono ai.

Aia paha kekahi pilikia

Hoʻokomo ʻo SPC i kahi hana pōkole a palekana i loaʻa pinepine i nā pilikia. Ma mua o ka hoʻokomo ʻana, hiki i kāu kauka ke koi aku e lawe i nā lāʻau ʻalopika inā loaʻa iā ʻoe kahi pani puʻuwai puʻuwai a i ʻole lawe i nā mea lahilahi o ke koko.

ʻO nā pilikia liʻiliʻi o ka hoʻokomo SPC pū kekahi:

• mimi ole kahe pono
• kahe mai ka mimi mai loko mai o kāu catheter
• nā liʻiliʻi o ke koko i kāu mimi

Koi ʻia ʻoe e noho i ka haukapila a i ʻole ka haukapila inā ʻike kāu kauka i nā pilikia e pono ai ka mālama koke ʻana, e like me:

• wela wela
• ʻeha ʻeha o ka ʻōpū
• maʻi maʻi
• hoʻokuʻu mai ka wahi hoʻokomo a i ʻole ka urethra
• kahe koko (hemorrhage)
• he puka ma ka nahele o ka ʻōpū (perforation)
• nā pōhaku a i ʻole nā ​​ʻāpana o ke kiko i kou mimi

E ʻike koke i kāu kauka inā hāʻule kāu catheter ma ka home, no ka mea pono e hoʻokomo hou ʻia i ʻole e pani ka wehe.

Pehea ka lōʻihi e hoʻokomo ai i kēia hāmeʻa?

Hoʻokomo mau ʻia kahi SPC no ʻehā a ʻewalu mau pule ma mua o ka hoʻololi a wehe ʻia ʻana paha. Hiki ke hoʻoneʻe koke ʻia inā manaʻo kāu kauka hiki iā ʻoe ke urī hou iā ʻoe iho.

E wehe i kahi SPC, kāu kauka:

1. E uhi i ka wahi a puni kāu ʻōpū me nā underpads i ʻole e hiki ka mimi ma luna ou.
2. Nānā i ka wahi hoʻokomo no nā pehu a me nā ukiuki.
3. Hoʻonani i ka baluna i ka hopena o ka catheter.
4. Hoʻopili pololei i ka catheter i kahi e komo ai i ka ʻili a huki mālie iā ia.
5. Holoi a hoʻomaʻemaʻe i ka wahi hoʻokomo.
6. Kuʻi ka puka i ka wehe.

He aha kaʻu e hana ai ʻole e hana ai ke hoʻokomo ʻia kēia hāmeʻa?

Hana's

• Inu he 8 a 12 mau aniani o ka wai i kēlā me kēia lā.
• Hoʻopau i kāu ʻeke mimi i nā manawa he nui i ka lā.
• E holoi i kou mau lima ke lawe ʻoe i kāu ʻeke mimi.
• E hoʻomaʻemaʻe i kahi i hoʻokomo ʻia me ka wai wela i ʻelua mau manawa i ka lā.
• E hoʻohuli i kāu catheter ke hoʻomaʻemaʻe ʻoe iā ia o pili ʻole ia i kāu ʻōpū.
• Mālama i nā lole ma kahi a hiki i ka hoʻōla ʻia o kahi i hoʻokomo ʻia.
• Hoʻopili i ka pahu catheter i kou kino i ʻole e paheʻe a huki paha.
• ʻAi i nā meaʻai e kōkua iā ʻoe e hōʻalo i ka paʻa paʻa, e like me ka puluniu, nā huaʻai, a me nā mea kanu.
• E hoʻomau i nā hana moekolohe maʻamau.

ʻAʻohe pono

• Mai hoʻohana i nā pauka a i ʻole nā ​​kalima e pili ana i ka wahi hoʻokomo.
• Mai lawe i ka ʻauʻau a hoʻohuʻu paha i kāu wahi hoʻokomo i ka wai no kahi manawa lōʻihi.
• Mai ʻauʻau me ka uhi ʻole ʻana i ka wahi me ka lole pale wai.
• Mai hoʻokomo hou i ka catheter iā ʻoe iho inā hāʻule ia i waho.

ʻO ka lawe lawe ʻana

ʻOi aku ka ʻoluʻolu o kahi SPC i kahi catheter maʻamau a ʻae iā ʻoe e hoʻomau i kāu hana maʻamau i kēlā me kēia lā me ka ʻoluʻolu ʻole a me ka ʻeha ʻole. Maʻalahi nō hoʻi e uhi me nā lole a me nā kapa komo inā makemake ʻoe e mālama pilikino ia.

Hoʻohana wale ʻia kahi SPC no ka manawa pōkole ma hope o ke kaha ʻana a i ʻole ka mālama ʻana i kekahi mau ʻano, akā pono paha e noho paʻa mau i kekahi mau hihia. E kamaʻilio me kāu kauka e pili ana i ka mālama a hoʻololi i kāu catheter inā pono ʻoe e mālama iā ia no kahi manawa lōʻihi.