Opaleshoni ya Catheterization ya chikhodzodzo

Kuchotsa mkodzo m'chikhodzodzo ndi njira yachipatala yomwe imachitika ku India pochotsa mkodzo m'chikhodzodzo. Nthawi zambiri amalangizidwa kwa odwala omwe sangathe kukodza okha chifukwa cha matenda osiyanasiyana monga kukula kwa prostate, kuvulala kwa msana, kapena pambuyo pa opaleshoni.

Njirayi nthawi zambiri imakhala yotetezeka ndipo imakhala yopambana kwambiri. Komanso, mtengo wa catheterization wa chikhodzodzo ku India ndi wotsika mtengo, zomwe zimapangitsa kuti odwala ambiri azipezeka.

Mitundu ya Catheterization ya Chikhodzodzo

Pokambirana za catheterization ya chikhodzodzo, munthu ayenera kusiyanitsa magulu onse a catheter. Magawo a catheter a chikhodzodzo: 

• Ma catheters apakati: Ma catheter awa ndi oti agwiritse ntchito kwakanthawi kochepa. Pamene chikhodzodzo chakhuta, catheter imachotsedwa mu chikhodzodzo. Izi zikhoza kuchitika kangapo masana. 
• Ma Catheters Okhazikika: Izi zimakhalapo kwa nthawi yayitali kwambiri. Amagwiridwa m'chikhodzodzo ndi baluni yaing'ono yofufuma. Pali njira ziwiri zazikulu zolowetsa ma catheter okhala mkatimo monga ma catheter a urethra omwe amadutsa mumkodzo ndi ma catheter a suprapubic omwe amadutsa mu chikhodzodzo kupyolera mu kabowo kakang'ono ka khoma la mimba.

Zizindikiro za Catheterization ya chikhodzodzo

Catheterization ya chikhodzodzo imachitika pamene munthu sangathe kutulutsa chikhodzodzo nthawi zonse. Njira zoterezi zingasonyezedwe muzinthu zosiyanasiyana monga kulepheretsa (mwachitsanzo, kukula kwa prostate, kukhwima, miyala, zotupa), nkhani za ubongo (mwachitsanzo, kuvulala kwa msana, MS, stroke), zotsatira za mankhwala, zosowa pambuyo pa opaleshoni, kudzimbidwa kwakukulu, ndi zina zotero. Zifukwa za catheterization zimaphatikizapo kuyang'anira kutuluka kwa mkodzo kwa odwala omwe akudwala kwambiri, kusamalira kusadziletsa, kukonzekera opaleshoni, kupereka mankhwala, kuchiritsa mabala, ndi kuthandizira ntchito zochepetsera.

Diagnostic kwa chikhodzodzo catheterization

Izi zikuphatikiza kuwunika kwatsatanetsatane kwachipatala, komwe kungaphatikizepo izi:

• Mbiri yachipatala: Kubwereza zizindikiro ndi zochitika zakale.
• Kuwunika kwachipatala: Kuwunika thanzi lonse; kufufuza pamimba ndi m'chiuno dera. 
• Mayeso a mkodzo: Zitsanzo zimawunikidwa pa matenda kapena zolakwika.
• Maphunziro a kujambula: Ultrasound ndi CT scans amawonera mkodzo ndikupeza zovuta.
• Makani a chikhodzodzo: Kugwiritsa ntchito ultrasound kuyeza zotsalira za post-void.
• Kuyeza kwa Urodynamic: Kuunika kwa machitidwe ndi ntchito za chikhodzodzo ndi urethra.

Kuopsa ndi Zovuta Zake Katheterization Yachikhodzodzo

Catheterization ya chikhodzodzo nthawi zina imakhala yofunikira, koma nthawi zonse imatha kukhala ndi zoopsa komanso zovuta zomwe ogwira ntchito yazaumoyo komanso odwala ayenera kudziwa. Nazi zambiri: 

Zowopsa:

• Ma catheters a nthawi yayitali amalola kuti chiopsezo cha UTI (matenda a mkodzo) chiwonjezeke. 
• Chiwopsezo cha UTI chimakwera pang'ono chifukwa cha mkodzo wamfupi wa amayi. 
• Kufooka kwa chitetezo chokwanira chifukwa cha ukalamba kumawonjezera mwayi wotenga matenda.
• Kusokonezeka monga matenda a shuga ndi kusamalidwa bwino kwa catheter kumawonjezera chiopsezo cha zovuta. 
• Kukhala waukhondo ndi kuphunzitsidwa bwino kumawonjezera chiopsezo chotenga matenda.

Mavuto:

• Matenda a mkodzo (UTIs) okhudzana ndi ma catheter amapezeka kawirikawiri ndipo angayambitse mavuto aakulu azachipatala. 
• Kuphulika kwa chikhodzodzo ndi magwero a ululu ndi kusapeza bwino. 
• Kugwiritsa ntchito mphamvu zambiri poika catheter kungayambitse kuwonongeka kwa mkodzo. 
• Kugwiritsa ntchito nthawi yayitali kungayambitse kupangika kwa miyala ya chikhodzodzo. 
• Dothi kapena kuundana kwa magazi kumatha kutsekereza kutuluka kwa mkodzo. 
• Mkodzo ukhoza kuchitika. UTI wosachiritsika ukhoza kuwononga impso. 
• Nthawi zambiri, ma UTI amatha kuyambitsa mtundu wakupha wa sepsis. 
• Minofu ya chipsera imatha kupangitsa kuti mkodzo utseke.

Odwala omwe amafunikira catheterization kwa nthawi yayitali angafunikire kuphunzira momwe angasamalire catheter okha kapena kukhala ndi wosamalira kuwathandiza. Komabe, opereka chithandizo chamankhwala nthawi zambiri amapereka maphunziro ndi maphunziro kuti awonetsetse kuti odwala ndi osamalira amvetsetsa momwe angasamalire catheter ndikusunga ukhondo.

Ponseponse, catheterization ya chikhodzodzo ndi njira yodziwika bwino komanso yotetezeka ku India, yokhala ndi chisamaliro chapamwamba komanso ndalama zotsika mtengo.

Njirayi ikhoza kuchitidwa kuchipatala, kuchipatala, kapena kunyumba ndi maphunziro oyenerera ndi zipangizo. Nthawi zambiri zimachitika pansi pa mikhalidwe yosabala kuti achepetse chiopsezo cha matenda.

Panthawi ya ndondomekoyi, wodwalayo amaikidwa bwino, ndipo malo ozungulira mkodzo amatsukidwa ndi mankhwala ophera tizilombo toyambitsa matenda. Kenako catheter imalowetsedwa mumkodzo ndikuwongolera mpaka kuchikhodzodzo. Pamene catheter ili m'chikhodzodzo, mkodzo umatulutsidwa kudzera mu catheter mu thumba la zosonkhanitsa.

Kutalika kwa nthawi yomwe catheter imakhalabe m'chikhodzodzo zimadalira chifukwa cha ndondomekoyi. Kwa catheterization kwakanthawi kochepa, catheter imatha kuchotsedwa pomwe chikhodzodzo chatulutsidwa. Kwa catheterization kwa nthawi yaitali, catheter ikhoza kukhalapo kwa masiku angapo kapena masabata, ndipo wodwala kapena wosamalira adzafunika kuphunzitsidwa momwe angasamalire catheter ndi kusunga ukhondo.

Kachitidwe Kamodzi Kwa Amuna:

Njira yopangira catheterization ya mkodzo wamwamuna iyenera kuchitidwa mosamala kwambiri ndi njira yosabala komanso chitonthozo cha wodwala. 

• Kukonzekera kumaphatikizapo zinthu izi: catheter, magolovesi, antiseptic, lubricant, madzi a baluni, ndi thumba la mkodzo. Malo a denga ndi ofunika, ndi miyendo yofalikira pang'ono. 
• Gwiritsirani ntchito njira ya aseptic posamba m'manja, kutsegula zida za catheter, kuvala magolovesi osabala, ndi kuyeretsa maliseche, kuphatikizapo kuchotsa khungu (ngati liripo) ndikutsuka mbolo ndi mankhwala ophera tizilombo toyambitsa matenda.
• Mafuta nsonga ya catheter; ilowetseni pang'onopang'ono mu mkodzo. Kenako itsogolereni ngati ikukumana ndi kukana. Ngati izi zitachitika, ikaninso mbolo, ndipo ikani kukakamiza pang'ono. Panthawi imeneyi, muyenera kupititsa patsogolo mpaka mkodzo utatuluka. 
• Kumayambiriro kwa mkodzo kudutsa mu catheter, lembani buluni ndi madzi osabala molingana ndi malangizo a phukusi. Tsimikizirani kukwera koyenera, kulumikiza thumba la mkodzo, ndikusintha khungu ngati labwezedwa. 
• Pambuyo pa ndondomekoyi, tetezani catheter ku ntchafu ndikuyika thumba la mkodzo pansi pa mlingo wa chikhodzodzo, ndiyeno tayani zinthu monga momwe zilili. 

Zindikirani: Mkodzo wachimuna nthawi zambiri umakhala wovuta ndipo ukhoza kukhala wovuta pakulowetsa. Mafutawa amateteza kusapeza bwino komanso kuvulala. Kuyika mofatsa kumateteza nthawi zonse kuvulala. Njira ya Aseptic imalepheretsa kuthekera kulikonse kwa matenda. Chisamaliro ndi kuyankhulana kumawonjezera chitonthozo cha makasitomala. 

Kachitidwe Kanthawi Kwa Akazi:

Monga momwe zimakhalira zina zonse za catheterization ya mkodzo, njira zolondola komanso zosabala ndizofunika kwambiri pankhani ya odwala achikazi. Zotsatirazi ndizofotokozera zonse za ndondomekoyi: 

• Sonkhanitsani zida zonse zofunika kuphatikiza zida za catheter, magolovesi, antiseptic, lubricant, madzi osabala kuti mufufuze buluni, ndi thumba la mkodzo. Ikani wodwalayo pamsana pake, kuŵerama mawondo awo ndi kutambasula miyendo yawo. 
• Chitani zaukhondo m'manja, tsegulani zida za catheter, ndi kuvala magolovesi osabala. Tsukani poyera poyera pobowola mkodzo ndikupukuta kutsogolo ndi kumbuyo ndi swab yatsopano nthawi zonse ndi mankhwala ophera tizilombo toyambitsa matenda. 
• Ikani mafuta osakaniza kunsonga ndikuyika catheter pang'onopang'ono potsegula mkodzo. Zimapitilira mpaka mkodzo uyamba kuyenda. Phulitsani chibaluni ndi kuchuluka koyenera kwa madzi osabala, ndikuchikoka pang'ono kutsimikizira kuti chalowa mkati mwa chikhodzodzo. Kenako sungani thumba la mkodzo. 
• Pambuyo pa njirayi, tetezani catheter ku ntchafu yamkati kuti musakoke ndikuyika thumba la mkodzo pansi pa mlingo wa chikhodzodzo. Tayani katundu malinga ndi ma protocol. 

Zindikirani: Kuzindikiritsa kutseguka kwa mkodzo ndikofunikira kuti mupewe cholakwika chilichonse cholowetsa. Kupaka mafuta okwanira kumachepetsa kusapeza bwino. Pewani kulowetsa mwamphamvu kuti muteteze kuvulala kwa mkodzo. Kutsatira mosamalitsa njira ya aseptic kumapereka chitsimikizo pakuwongolera matenda.

Ngakhale kuti catheterization ya chikhodzodzo nthawi zambiri imakhala yotetezeka, pali zoopsa zina, monga matenda, kutuluka magazi, ndi kuvulala kwa mkodzo kapena chikhodzodzo. Ndikofunikira kutsatira malangizo achipatala mosamala ndikuwonetsa zizindikiro zachilendo kapena kusapeza bwino.