Yini okufanele uyenze uma umchamo ungakhishwa ngesikhathi sokufakwa kwe-catheter ngezikhathi ezithile?

Uma kwenziwa i-catheterization ngezikhathi ezithile, kunezimo ezithile lapho isinyi sibonakala sivuvukele khona, kodwa umchamo awukwazi ukuphuma ngemva kokufakwa kwe-catheter. Nakuba lesi simo singavamile, siyinkinga ekhathaza ezinye iziguli. Namuhla sizoxoxa ngendlela yokusingatha lesi simo.

Ngokuvamile, ngaphandle kokuvaleka kwe-catheter uqobo kanye nokubekwa kwe-catheter okungalungile (njengokufakwa kwesitho sangasese sowesifazane ngengozi ezigulini zesifazane), ukwehluleka ukukhipha umchamo kunezimbangela ezimbili ezingaba khona:

**Isizathu Sokuqala:**

I-catheter ingene esinyeni. Uma isiguli sine-prostatic hypertrophy, ukuvaleka kwesikhathi eside kokuphuma kwesinyeni kuzobangela ukuphakama komugqa we-interureteric. Kuhlanganiswe nokukhula kwe-lobe ephakathi ye-prostate, ngezinye izikhathi ngemva kokuba i-catheter ingene esinyeni iyasunduzelwa phezulu. Kuleli qophelo, nakuba i-catheter isesinyeni, ngoba isunduzelwe phezulu, i-catheter ichopho iphelela odongeni lwesinye olungaphambili, okubangela ukuphuma kahle kwamanzi. Kulokhu, i-catheter esesinyeni ivame ukungabi sesimweni esiphansi kakhulu, kodwa ingaba sesimweni esiphezulu kakhulu.

**Isizathu Sesibili:**

Isimo sesibili empeleni siyisithiyo sokufaka i-catheter ngezikhathi ezithile futhi sidinga ukushintshela kwezinye izindlela zokukhipha i-catheter njengokufaka i-catheter endaweni ehlala kuyo. Ngeke sichaze kabanzi ngalokhu lapha. Ngezansi, sizogxila ekuxoxeni ngesimo sokuqala. Uma sibhekene nesimo sokuqala, kunconywa izinyathelo ezilandelayo:

(1) Qinisekisa ukuthi i-catheter igcotshwa ngokwanele futhi ikhululeke kakhulu i-urethra ukuze kufezwe i-catheter ephumelelayo ekuqaleni ngangokunokwenzeka.

(2) Okokuqala faka i-catheter ngokujulile, bese uyidonsela ngaphandle ngobumnene ukuze ubeke i-catheter endaweni enokukhipha amanzi okungcono.

• Uma ungakwazi ukukhipha umchamo, ungasheshi ukukhipha i-catheter. Okokuqala, faka amanzi ukuze uhlole ukuthi i-catheter inelungelo lobunikazi yini. Uma izwakala ivimbekile, faka i-catheter kancane kancane esinyini, bese uhlola futhi ukuthi inelungelo lobunikazi yini. Uma lokhu kungasebenzi, i-catheter ingasuswa bese ifakwa kabusha. Ngezinye izikhathi isizathu sokukhipha ama-200 ml kuphela ngaphambi kokuba ukugeleza kume nje into efana nokuqhekeka kwegazi okuncane okuvimba i-catheter, noma isikhundla se-catheter siphazamiseke kancane. Ukulungisa isikhundla se-catheter kungaxazulula inkinga.

Uma ungakwazi ukukhipha umchamo, qala uhlole imbangela ngokwakho: ingabe ukuvaleka noma esinye isizathu? Uma kukhona ukuvaleka okubangela ubunzima bokufaka i-catheter, kufanele uqale ulinganisele indawo yokuvaleka. Uma ukuvaleka kusentanyeni ye-prostate noma yesinye ngenxa ye-prostatic hypertrophy, ukushintshela ku-catheter ye-prostate (i-catheter enesihloko esibukhali esigobile) nokulawula kahle isiqondiso se-curve kunikeza ithemba lokuphumelela kokufaka i-catheter.

Uma ungakwazi ukubona ngokucacile ukuthi i-catheter ifakiwe kodwa akukho mchamo ophumayo, qala ngokunisela ngesinyi ngesandla ukuze uhlole ukuvaleka kwezinto eziqinile. Ngezinye izikhathi izinto ezigobhozayo noma indle yomchamo kwakheka esinyeni, kuvala imigodi yokukhipha amanzi futhi kuvimbele ukugeleza komchamo. Kulesi simo, zama ukusebenzisa i-catheter enkulu ngobukhulu obufanayo. Uma i-catheter enkulu ngobukhulu obufanayo iwugqinsi kakhulu futhi kunzima ukuyifaka, i-catheter enezimbobo zokukhipha amanzi ezikhulisiwe ingafaneleka kangcono. Uma ukuhlolwa kukhombisa ukuthi i-catheter ayivalekile, lungisa i-engeli ye-catheter bese uzama ukushintsha izikhundla zomzimba, okufanele kuxazulule inkinga. Vele, uma izimo zivuma, kungcono ukufuna usizo kudokotela ochwepheshe.

Isihlangululo

1. Okunye okuqukethwe kulesi sihloko kuvela emithonjeni eku-inthanethi. Uma kukhona ukwephulwa komthetho, sicela uxhumane nathi ukuze kususwe.
2. Ulwazi lwezokwelapha olunikezwe lapha lungolwesithenjwa kuphela futhi akufanele lusetshenziswe njengesisekelo sokuxilongwa noma ukwelashwa kwezokwelapha.