Ulwazi lweFoley Catheter
Yintoni iCatheter Catheter?
I- catheter ye- Foley yindawo yokuhlala emanzini. Ebizwa ngokuba nguFrederic Foley, ugqirha oye waqala ukwakhiwa kwekathetha , iFoley iyinambuzane engenangqondo, eguquguqukayo enokufakwe kwi-bladder ngokusebenzisa i-urethra.
Kwizigulane ezingenakukwazi ukukhupha i-bladder yazo ngezizathu ezahlukahlukeneyo ezibandakanya ukuba ne-anesthesia ngexesha lotyando okanye ingxaki ngesibhanxa ngokwayo, i-foley ivumela umchamo ukuba uqhube ngokuqhubekayo.
Ngoxa umchamo wawuqhele ukuqokelela kwi-bladder, ukhululeke ngexesha lokucoca, i-foley ivumela ukuba ihlale ichithwe kwi-bladder. Umchamo uqokelelwe kwingxowa kwaye ikhutshwe njengoko kufuneka.
Indlela iCatheter yaseUrijini isebenza ngayo
I-catheter ye-Foley ifakwe kwi-urethra, ityhubhu ephethe umchamo ngaphandle komzimba. Ngenyameko iphosa i-urethra ide i fi kelele. Umgodi ekupheleni kwesibhubhe ivumela ukuba umchamo uphume kwi-bladder, nge-urethra nangaphandle komzimba kwi-bhokisi yokuqokelela.
Emva kokuba umphezulu we-foley tubing ufinyelele kwisibilini, ibhaluni ihlonywe ngamanzi angenayo ukuze kugcinwe i-tube. I-catheter ihloselwe ukuhlala kwindawo ethile kwieyure eziliqela okanye ngaphezulu. Kubalulekile ukuba i-catheter ihlale isendaweni nje kuphela xa kuyimfuneko, njengoko umngcipheko wosuleleko ukwandisa ixesha elide.
I-catheter ayifaki indawo yokunyamekela ngononophelo olungenamdla, kwaye ayiyifaki indawo yokuhamba rhoqo kwindlu yokugcina.
I-foley catheters ayifanelekanga njengonyango lokungabikho . Ngokomzekelo, izigulane ezithatha indawo yokutshintshwa ngokubambisana zineenkathazo ezibekwe phambi kokuhlinzwa kwaye ziya kuthi zihlale zihlala kwindawo ezincinci emva kokuhlinzwa xa zingenakukwazi ukufika kwindawo yokulala ngaphandle kokuba neentlungu kwaye zikwazi ukuhamba kwindawo yokuhlambela.
Ukufakela kweFoley
I-foley catheters zivame ukufakwa phambi kokuhlinzwa, ukugcina i-vestile ingenanto ngexesha nangemva kwenkqubo. Ngethuba lenkqubo inkqubo isigulane ayinayo kwaye ayiqondi into yokudinga. Emva kwenkqubo, nangona kunjalo, akunakho ukukhusela isigulane ukuhamba. Basenokugula kakhulu ukuba banakekele iimfuno zabo zokuhlambela okanye abagqirha babo banokuziva ukuba i-catheter iyona nto ibhetele kakhulu ekuphumeni kwayo.
Ukufakela kwe-Foley kuqhutyelwa ngumongikazi, kwaye kungenziwa ngaphambi okanye emva kokuba i-anesthesia inikezelwe, kodwa ngokuqhelekileyo ngaphambi kokuqala kokuqala xa isigulane sisebenza. Izibhedlele ziyahluka kwimigaqo yazo. Okweninzi, ukufakwa kwekhomathi yokuhlala kuthathwa njengendlela efanelekileyo yokucwangcisa okulindeleke ukuba idlule iyure okanye ngaphezulu; xa isiguli siya ku-ICU emva kokuhlinzwa; xa inkqubo ibandakanya iphecana lokucoca ; okanye xa isiguli singakwazi ukuhamba emva kwenkqubo. Isixokelelwano sokuqoqa umchamo esibanjwe kwi- foley sinceda ukulandelwa kwemveliso yamanzi ngexesha lotyando kwaye ngexesha lokuhlala esibhedlele.
I-catheter ifakwe kwisetyenzi esinyumba, oko kuthetha ukuba i-catheter ngokwayo ayinyumba. Ulusu lulungiselelwe isisombululo sokususa iintsholongwane kunye neiglavu ezinyumba zigqithwe ngumongikazi.
I-catheter yambethe i-lubricant oyinyumba ukuze kufakwe lula kwaye iphephe ukucasula ngaphakathi kwe-urethra. Isetyenzisi esingasinyanga sisetyenziselwa ukunceda ukukhuselwa kwezifo ze-urinary (UTIs) , inkcenkcesha eqhelekileyo enxulumene nokusetyenziswa kwamathanga okucoca .
Ukufakwa kweFoley akufanele kube buhlungu; Akukho kubuhlungu ukuba ube nomnye. Ezinye izigulane zichaza ukuba iPoley inendawo njengento ecaphukisayo. I-catheter inokuphazamisa ukuvakalelwa kwakho okuqhelekileyo okufuneka ulungise. Unokuvakalelwa ngathi kufuneka usebenzise indlu yangasese nangona i-catheter igcina i-bladder yakho ingenanto.
Ukunakekelwa kweCatheter Catheter
Emva kokuba i-catheter isendaweni, isigulane sinokuhamba, kodwa kufuneka kuthathelwe ingqalelo enkulu ukuba ingadonsa ityhubhu ngaphandle kwendawo. Into elula nje njengokuqhaqha okanye ukukhubeka ingabangela ukuba ityhubhu ikhutshwe ngaphandle, ngoko kufuneka unyamekele xa kukho i-catheter ekhoyo.
Ukususa i-catheter ngaphandle kokuphazamisa ibhaluni kungeyona nje into ebuhlungu kakhulu, inokubangela umonakalo ongunaphakade kwi-urethra. Ngokuqhelekileyo, i-Foley tubing idluliselwa kumlenze wesigulane ukukhusela ngokukhawuleza ukususwa kunye neentlungu.
Xa uFoley ekhoyo, ucoceko olucocekileyo lubalulekile ekukhuseleni iTI . Inxalenye yesikhuni esichukumisa umzimba kufuneka ihlambuluke ngexesha lokuhlamba kunye naliphi na ixesha elihlambulukileyo. Ukongezelela, iisepha okanye ezihlambulukileyo zingasetyenziselwa izitho zangasese ukwenzela ukunciphisa umngcipheko wokusuleleka emva kokuhlinzwa .
Iingozi ze-Urinary Catheter
I- catheter yokuhlala emanzini ihloselwe ukuhlala endaweni ethile ixesha elide, ukusuka kwiiyure ukuya kwiiveki. Kwezinye izigulane, i-catheter ihlala ixesha elide, kodwa oku akunqabile. Uninzi lwezibhedlele zineenkqubo kunye nemigaqo-nkqubo efuna ukuba i-catheters isuswe ngokukhawuleza kunokwenzeka ukuze kunciphise umngcipheko wokusuleleka.
Ezinye izigulane zifumana ukugcinwa kwe- urinary emva kokuhlinzwa, okwenza i-catheter iyimfuneko nangona isigulane singayidingi ngexesha le nkqubo. Izigulana nazo ziyakwazi ukugcinwa kwamanzi emva kokususwa kwecatheter yeFoley.
Kwixesha elidlulileyo, izigulane ezithintekayo kwi-latex ziza kuba neengxaki zeentambo zeentlobo zonke, njengoko zihlala ziqulethe i-latex. Njengamanje, ezininzi iimveliso ezinkulu ze-catheters azikho nxalenye ye-latex nonke, ukuphelisa loo mngcipheko phantse kuwo onke amacala. Izigulane ezinobuncwane bexesha elide okanye i-allergies kufuneka zazise iqela labo loononophelo lwezempilo ngaphambi kokuba unyango, njengoko kuninzi eminye imithombo ekhoyo ye-latex okumele igwenywe.
Catheters ezichanekileyo
U-Foley ngumcathisi we-urinary okubhekiselelwe ukuba ube kwindawo ethile ixesha. I-catheter ye-Foley akufanele idideke kunye ne- catheter echanekileyo , efakwe kanye kunye nokulahla emva kokuba i-vestile ikhutshwe.
Imithombo:
Medline Plus. Catheters Urine. Kufumaneka ngoSeptemba, 2011. http://www.nlm.nih.gov/medlineplus/ency/article/003981.htm