Inogara urinary catheterszvinhu zvakakosha zvekurapa zvinoshandiswa pasi rose muzvipatara, makiriniki, nekuchengetwa kwemba. Kunzwisisa marudzi avo, mashandisirwo, uye njodzi kwakakosha kune vanopa hutano, vanogovera, uye varwere zvakafanana. Ichi chinyorwa chinopa mhedziso yakazara yeanogara macatheter, kunyanyaIDC cathetersuyeSPC catheters, kutsigira zvisarudzo zvekutenga zvine ruzivo muindasitiri yezvekurapa.
Chii chinonzi Indwelling Urinary Catheter?
Iyo inogara urinary catheter, inowanzozivikanwa seaFoley catheter, ichubhu inopinzwa mudundira kuti irambe ichibudisa weti. Kusiyana nemakatheta anopindirwa, anoiswa chete pazvinenge zvichidiwa, macatheter anogara mudundira kwenguva yakareba. Vanochengetedzwa nebharumu duku rakazadzwa nemvura isina utachiona kudzivirira kubviswa.
Macatheter emukati anoshandiswa zvakanyanya mushure mekuvhiyiwa, panguva yekugara muchipatara kwenguva refu, kana kune varwere vane usingaperi weti yekuchengetedza, nyaya dzekufamba, kana mamiriro etsinga.
Musiyano Pakati peSPC neIDC Catheters
Kune maviri makuru emhando dzemukati catheter zvichienderana nenzira yekuisa:
1. IDC Catheter (Urethral)
Catheter yeIDC (Indwelling Urethral Catheter) inoiswa kuburikidza neurethra yakananga dundira. Ndiyo inonyanya kushandiswa mhando mune zvose zvenguva pfupi uye kwenguva refu kutarisira.
2. SPC Catheter (Suprapubic)
An SPC catheter (Suprapubic Catheter) inoiswa kuburikidza nediki incision mudumbu rezasi, pamusoro pepubic bone. Iyi nzira inowanzo shandiswa kwenguva yakareba catheterization kana urethral kuiswa kusingagoneki kana kukonzera matambudziko.
Misiyano Yakakosha:
Nzvimbo yekupinza: Urethra (IDC) vs. dumbu (SPC)
Nyaradzo: SPC inogona kukonzera kutsamwa kushoma mukushandiswa kwenguva refu
Njodzi yekutapukirwa: SPC inogona kunge ine njodzi yakaderera yezvimwe zvirwere
Maintenance: Mhando mbiri idzi dzinoda hutsanana hwakafanira uye kugara uchitsiviwa
Njodzi uye Matambudziko eIDC Catheters
Nepo IDC catheter inoshanda, inotakura njodzi dzinoverengeka kana isina kubatwa nemazvo:
Urinary Tract Infections (UTIs): Dambudziko rinowanzoitika. Utachiona hunogona kupinda nemucatheter uye hunokanganisa dundira kana itsvo.
Bladder spasms: Inogona kuitika nekuda kwekutsamwa.
Urethral trauma: Kushandiswa kwenguva refu kunogona kukonzera kukuvara kana kuomeswa.
Zvivharo: Zvinokonzerwa ne encrutation kana clots.
Kusagadzikana kana kuvuza: Saizi isina kunaka kana kuiswa kunogona kutungamira mukudonha weti.
Kuti uderedze njodzi idzi, varapi vehutano vanofanirwa kuve nehukuru hweFoley catheter saizi, kuchengetedza nzira isina hutachiona panguva yekuiswa, uye kutevedzera yenguva dzose yekutarisira uye yekutsiva hurongwa.
Mhando dzeIndwelling Catheters
Inogara catheterszvinosiyana nemagadzirirwo, saizi, uye zvinhu. Kusarudza rudzi rwakakodzera kwakakosha kune kuchengetedzwa kwemurwere uye kunyaradza.
Common Types:
2-nzira Foley catheter: Iyo yakajairwa dhizaini ine mugero wemvura uye bharumu inflation chiteshi.
3-nzira Foley catheter: Inosanganisira imwe nzira yekudiridza dundira, inoshandiswa mushure mekuvhiyiwa.
Silicone catheters: Biocompatible uye yakakodzera kushandiswa kwenguva refu.
Latex catheters: Inoshanduka-shanduka, asi isina kukodzera varwere vane latex allergies.
Foley Catheter Sizes:
| Saizi (Fr) | Kunze Diameter (mm) | Common Use |
| 6 Fr | 2.0 mm | Vana kana neonatal varwere |
| 8 Fr | 2.7 mm | Kushandiswa kwevana kana kutetepa urethra |
| 10 Fr | 3.3 mm | Pediatric kana light drainage |
| 12 Fr | 4.0 mm | Varwere vechikadzi, post-operative drainage |
| 14 Fr | 4.7 mm | Kushandiswa kwevanhu vakuru |
| 16 Fr | 5.3 mm | Saizi yakajairika yevarume vakuru/vakadzi |
| 18 Fr | 6.0 mm | Kuwedzera kwemvura, hematuria |
| 20 Fr | 6.7 mm | Post-surgery kana kudiridza zvinodiwa |
| 22 Fr | 7.3 mm | Hombe vhoriyamu drainage |
Kushandiswa Kwenguva pfupi kweIndwelling Catheters
Yenguva pfupi catheterization inowanzotsanangurwa sekushandiswa kwemazuva asingasviki makumi matatu. Zvinowanzoitika mu:
Post-operative care
Acute urinary retention
Kugara kwenguva pfupi muchipatara
Critical care monitoring
Nekushandisa kwenguva pfupi, latex Foley catheter inowanzofarirwa nekuda kwekushanduka-shanduka uye kudhura-kushanda.
Kushandiswa Kwenguva Yakareba Kwekugara Kwemukati Catheters
Kana varwere vachida catheterization kwemazuva anopfuura makumi matatu, inofungidzirwa kushandiswa kwenguva refu. Izvi zvinonyanya kukosha muzviitiko zve:
Chisingaperi weti incontinence
Neurological mamiriro (semuenzaniso, kukuvara kwemusana)
Kukanganisa kwakanyanya kwekufamba
Mumamiriro ezvinhu akadaro, SPC catheters kana silicone IDC catheters inokurudzirwa nekuda kwekugara kwayo uye kuderedzwa kwengozi yematambudziko.
Kuchengetedza kwenguva refu kunofanira kusanganisira:
Nguva dzose kutsiva (kazhinji mavhiki e4-6)
Kucheneswa kwezuva nezuva kwecatheter uye bhegi remvura
Kutarisa zviratidzo zvehutachiona kana kuvhara
Mhedziso
Ingave yekupora kwenguva pfupi kana kutarisirwa kwenguva refu, iyo inogara urinary catheter chinhu chakakosha mukupihwa kwekurapachain. Kusarudza mhando yakakodzera-IDC catheter kana SPC catheter-uye saizi inovimbisa kuchengetedzwa kwemurwere uye kunyaradza. Semutengesi anotungamira kunze kwezvinhu zvinodyiwa zvekurapa, tinopa emhando yepamusoro Foley catheter akarongedzerwa kune epasi rose zviyero, anowanikwa muhukuru hwakasiyana uye zvinhu.
Kuti uwane maodha akawanda uye kugoverwa kwepasirese kwemaurinary catheter, bata timu yedu yekutengesa nhasi.
Nguva yekutumira: Jun-16-2025