Makatheta emukati mewetizvinhu zvinokosha zvinoshandiswa pakurapa zvinoshandiswa pasi rose muzvipatara, makiriniki, uye kuchengetwa kumba. Kunzwisisa mhando dzazvo, mashandisirwo azvo, uye njodzi dzazvo kwakakosha kune vanopa hutano, vagovanisi, nevarwere zvakafanana. Chinyorwa chino chinopa ruzivo rwakakwana rwemacatheter anogara mukati, kunyanyaMakatheta eIDCuyeMakatheta eSPC, kutsigira sarudzo dzekutenga dzakavakirwa paruzivo muindasitiri yezvekurapa.
Chii chinonzi Catheter yeUrinary Inogara Mukati?
Katheta yemuweti inogara mukati, inozivikanwa seKatheta yeFoley, ichubhu inochinjika inopinzwa mudundira kuti irambe ichiburitsa weti. Kusiyana nemacatheter anongoerekana abuda, ayo anongoiswa kana zvichidikanwa chete, macatheter ari mukati anoramba ari mudundira kwenguva yakareba. Anovharwa nebharumu diki rakazadzwa nemvura isina utachiona kudzivirira kubuda kwemvura.
Macatheter anogara mukati anoshandiswa zvakanyanya mushure mekuvhiyiwa, panguva yekugara muchipatara kwenguva refu, kana kune varwere vane dambudziko rekugara kwenguva refu kweweti, matambudziko ekufamba, kana matambudziko etsinga.
Musiyano Pakati peSPC neIDC Catheters
Kune mhando mbiri huru dzemacatheter anogara mukati zvichibva panzira yekuisa:
1. Catheter yeIDC (Urethral)
Catheter yeIDC (Indwelling Urethral Catheter) inopinzwa neurethra zvakananga mudundira. Ndiyo inonyanya kushandiswa mukurapa kwenguva pfupi uye kwenguva refu.
2. SPC Catheter (Suprapubic)
Katheta yeSPC (Suprapubic Catheter) inopinzwa nepaburi diki riri pasi pedumbu, pamusoro pepfupa repubic. Nzira iyi inowanzo shandiswa pakuisa katheta kwenguva refu kana kuisa urethra kusingaite kana kukonzera matambudziko.
Misiyano mikuru:
Nzvimbo yekuisa: Urethra (IDC) vs. dumbu (SPC)
Kunyaradzwa: SPC inogona kuderedza kushatirwa kana ikashandiswa kwenguva refu
Njodzi yekutapukirwa: SPC inogona kunge isina njodzi yakakura yekutapukirwa nedzimwe hutachiona
Kuchengetedza: Mhando dzose dziri mbiri dzinoda kuchena kwakakodzera uye kutsiva nguva nenguva
Njodzi Nematambudziko Emaketani EIDC
Kunyange zvazvo macatheter eIDC achishanda zvakanaka, ane njodzi dzakawanda kana akasatarisirwa nemazvo:
Utachiona hweWeti (UTIs): Dambudziko rinowanzoitika. Mabhakitiriya anogona kupinda nepa catheter opinda mudundira kana itsvo.
Kurwadziwa kwedundira: Kunogona kuitika nekuda kwekutsamwa.
Kukuvara kwemuuro: Kushandisa kwenguva refu kunogona kukonzera kukuvara kana kuvharwa kweganda.
Kuvharika: Kunokonzerwa nekuvharika kweganda kana kuumbwa kweganda.
Kusagadzikana kana kubuda kwemvura: Kusakura zvakanaka kana kuiswa kwacho zvisina kunaka kunogona kukonzera kubuda kwemvura yeweti.
Kuti vaderedze njodzi idzi, vanopa hutano vanofanirwa kuona kuti saizi dzeFoley catheter dzakakwana, kuchengetedza nzira dzakachena panguva yekuiswa, uye kutevedzera nguva dzose kurapwa nekuchinjwa kwetsvina.
Mhando dzeCatheters Dzinogara Mukati
Makatheta ari mukatiZvinosiyana zvichienderana nekugadzirwa, saizi, uye zvinhu. Kusarudza mhando chaiyo kwakakosha kuti murwere agare akachengeteka uye anyaradzwe.
Mhando Dzakajairika:
Catheter yeFoley ine nzira mbiri: Dhizaini yakajairika ine mugero wekubuditsa mvura uye mugero wekuputika kwemvura webharumu.
Catheter yeFoley ine nzira nhatu: Inosanganisira imwe nzira yekudiridza dundira, inoshandiswa mushure mekuvhiyiwa.
Makatheta eSilicone: Anoshanda zvakanaka mumuviri uye akakodzera kushandiswa kwenguva refu.
Macatheter eLatex: Anochinjika zvakanyanya, asi haana kukodzera varwere vane allergies yelatex.
Saizi dzeFoley Catheter:
| Saizi (Fr) | Dhayamita yekunze (mm) | Kushandiswa Kwakajairika |
| 6 Fr | 2.0 mm | Varwere vevana kana vacheche |
| 8 Fr | 2.7 mm | Kushandiswa kwevana kana kuti nzira dzekudzivirira urethra dzakatetepa |
| 10 Fr | 3.3 mm | Kuyerera kwemvura muvana kana kuti zvishoma |
| 12 Fr | 4.0 mm | Varwere vechikadzi, mvura yabuda mushure mekuvhiyiwa |
| 14 Fr | 4.7 mm | Kushandiswa kwakajairika kwevanhu vakuru |
| 16 Fr | 5.3 mm | Saizi inonyanya kuwanikwa kuvanhurume/vakadzi vakuru |
| 18 Fr | 6.0 mm | Kubuda kwemvura zvakanyanya, hematuria |
| 20 Fr | 6.7 mm | Zvinodiwa mushure mekuvhiyiwa kana kudiridza |
| 22 Fr | 7.3 mm | Kuyerera kwemvura yakawanda |
Kushandiswa Kwenguva Pfupi KwemaCatheter Ekugara Mukati
Kushandiswa kwecatheter kwenguva pfupi kunowanzo tsanangurwa sekushandiswa kwemazuva asingasviki 30. Kunowanzoitika mu:
Kutarisirwa mushure mekuvhiyiwa
Kuchengetedza weti zvakanyanya
Kugara kwenguva pfupi muchipatara
Kuongororwa kwekuchengetedzwa kwevarwere vane chirwere chakakomba
Pakushandiswa kwenguva pfupi, macatheter eFoley elatex anowanzo shandiswa nekuda kwekuchinjika kwawo uye kushanda kwawo zvakanaka.
Kushandiswa Kwenguva Refu KwemaCatheter Ekugara Mukati
Kana varwere vachida catheterization kwemazuva anopfuura makumi matatu, inoonekwa sekushandiswa kwenguva refu. Izvi zvinowanzodiwa kana paine:
Kusagona kudzora weti kwenguva refu
Zvirwere zvetsinga (semuenzaniso, kukuvara kwemusana)
Kusakwanisa kufamba zvakanyanya
Muzviitiko zvakadaro, macatheter eSPC kana macatheter esilicone IDC anokurudzirwa nekuda kwekugara kwenguva refu kwawo uye njodzi shoma yematambudziko.
Kutarisirwa kwenguva refu kunofanira kusanganisira:
Kutsiva nguva dzose (kazhinji mavhiki mana kusvika matanhatu ega ega)
Kuchenesa catheter ne drainage bag zuva nezuva
Kutarisa zviratidzo zvehutachiona kana kuvharika
Mhedziso
Ingava yekupora kwenguva pfupi kana kurapwa kwenguva refu, catheter yemukati memushonga weti chinhu chakakosha muzvekupa mishongacheni. Kusarudza mhando chaiyo—IDC catheter kana SPC catheter—uye saizi inoita kuti murwere agare akachengeteka uye akasununguka. Sevatengesi vanotungamira vezvinhu zvinoshandiswa pakurapa, tinopa maFoley catheters emhando yepamusoro akagadzirwa zvinoenderana nezvinodiwa zvepasi rose, anowanikwa muhukuru hwakasiyana-siyana nezvinhu.
Kuti muwane maodha akawanda uye kugoverwa kwecatheters pasi rose, taurai nechikwata chedu chekutengesa nhasi.
Nguva yekutumira: Chikumi-16-2025