Ulwazi lwe-Foley Catheter
Iyini iCatheter Catheter?
I- catheter ye- Foley iyindawo yokuhlala emanzini. Ebizwa ngokuthi uFrederic Foley, udokotela ohlinzayo owaqala ukuklama i- catheter , i-Foley iyi-tube engavamile, eguquguqukayo efaka ingenwa ngesisindo ngokusebenzisa i-urethra.
Kulezi ziguli ezingenakudla isifiso saso ngenxa yezizathu ezihlukahlukene ezihlanganisa ukuhlinzwa kwe-anesthesia ngesikhathi sokuhlinzwa noma inkinga ngesibindi ngokwayo, i-foley ivumela umchamo ukuba uvuthe njalo.
Ngenkathi umchamo uvame ukuqoqa esikhwameni, bese ukhululwa ngenkathi uchama, i-foley ivumela ukuba ihlale igwetshiwe kusuka kwesinye. Umchamo uqoqwe esikhwameni futhi uchithe njengoba kudingeka.
Indlela iKathemathi Yase-Urinary Isebenza ngayo
I-catheter ye-Foley ifakwe ku-urethra, ithubhu ephethe umchamo ngaphandle komzimba. It ngomusa iphoqa up urethra kuze sifinyelele isambiso. Umgodi ekugcineni kwesibhubhu we-tube uvumela umchamo ukuba uphumele ngaphandle kwesibindi, ngokusebenzisa i-urethra futhi ngaphandle komzimba ungene esikhwameni sokuqoqa.
Uma phezulu kwesibhubhe se-foley sifinyelela isisu, ibhaluni ihlonywe ngamanzi oyinyumba ukugcina ithubhu ibe khona. I-catheter ihloselwe ukuhlala endaweni yamahora amaningana noma ngaphezulu. Kubalulekile ukuthi i-catheter ihlale isendaweni kuphela uma kudingekile, njengoba ingozi yokutheleleka ikhulisa isikhathi eside.
I-catheter ayinalo indawo yokunakekelwa kahle, futhi ayihambisani nokuya njalo endlini yangasese.
Ama-catheters ama-Foley awafanelekile njengokwelashwa kokungahlambuluki . Isibonelo, iziguli ezinokufakelwa okuhlangene zinezinhlayiya ezibekwa phambi kokuhlinzwa futhi ngokuvamile zizohlala zikhona kuze kube yizinsuku ezimbalwa emva kokuhlinzwa uma zingenakukwazi ukufika embhedeni ngaphandle kokuba nobuhlungu futhi zingakwazi ukuhamba endlini yokugezela.
Ukufakwa kwe-Foley
Ama-catheters e-Foley ajwayele ukubekwa ngaphambi kokuhlinzwa, ukugcina isirabhu singenalutho ngesikhathi nangemva kwenqubo. Phakathi nenqubo isiguli asinalutho futhi awukwazi isidingo sokuvota. Ngemuva kwenqubo, noma kunjalo, kungenzeka ukuthi akuphephile isiguli ukuhamba. Kungenzeka bagule kakhulu ukuba banganakekeli izidingo zabo zokugezela noma udokotela wabo ohlinzayo bangase babe nomuzwa wokuthi i-catheter ingcono kakhulu ekubuyiseleni kwabo.
Ukufakwa kukaFoley kuvame ukwenziwa ngumhlengikazi, futhi kungenziwa ngaphambi noma emva kokunikwa i-anesthesia, kodwa ngokujwayelekile ngaphambi kokuzibandakanya kokuqala uma isiguli sisebenza. Izibhedlela zihluka emazweni abo. Kwabaningi, ukubekwa kwe-catheter okuhlala kuyo kubhekwa njengendlela evamile yokuhlinzekwa okulindeleke ukuba idlule ihora elilodwa noma ngaphezulu; lapho isiguli sizoya ku-ICU ngemva kokuhlinzwa; lapho inqubo ihilela ipheshana lomchamo ; noma lapho isiguli singeke sikwazi ukuhamba ngemva kwenqubo. Isikhwama sokuqoqa umchamo esihlanganiswe ne- foley sisiza ukulandelela umkhiqizo wamanzi ngesikhathi sokuhlinzwa futhi ngesikhathi sokuhlala esibhedlela.
I-catheter ifakwa ngokusebenzisa inqubo oyinyumba, okusho ukuthi i-catheter ngokwayo ayinyumba. Isikhumba silungiselelwe ngesisombululo sokususa amagciwane kanye namagilavu angumzimba anxiwe ngumhlengikazi.
I-catheter iboshwe nge-lubricant oyinyumba ukwenza kube lula ukugwema futhi ugweme ukucasula ngaphakathi kwe-urethra. Inqubo oyinyumba isetshenziselwa ukuvimbela ukutheleleka kwe-urinary tract (UTIs) , ukuhlukunyezwa okuvame kakhulu okuhlobene nokusetshenziswa kwamakhemikhali e-urinary .
Ukufaka iFoley akufanele kube buhlungu; futhi akubuhlungu ukuba nendawo eyodwa. Ezinye iziguli zichaza ukuthi uFoley ukhona njengendlela evuthayo. I-catheter ingaphazamisa ukuzwa kwakho okujwayelekile okudingayo ukuvota. Ungase uzizwe sengathi udinga ukusebenzisa indlu yokudlela nakuba i-catheter igcina ingilazi yakho ingenalutho.
Ukunakekelwa kweCatheter Catheter
Uma isikhala siphelile, isiguli singase sihambe, kodwa kufanele sithathwe ngokucophelela ukuze singadonsa tube ngaphandle kwendawo. Okuthile okulula njengokuqhaqha noma ukukhubeka kungaholela ekutheni ithini likhishwe, ngakho-ke kufanele unakekele uma kunesidumbu.
Ukukhipha i-catheter ngaphandle kokuphazamisa ibhaluni akuyona nje ebuhlungu kakhulu, kungabangela ukulimala okungunaphakade ku-urethra. Ngokuvamile, i-Foley tubing idluliselwa emthonjeni wesiguli ukuvimbela ukususwa ngengozi nokuhlukunyezwa.
Lapho uFoley ekhona, ukuhlanzeka okuhle kakhulu kubalulekile ekuvimbeleni i-UTI . Ingxenye yesikhumbi esithinta umzimba kufanele ihlanzwe ngokuphelele ngesikhathi sokugeza nanoma yisiphi isikhathi isilahliwe. Ngaphezu kwalokho, izinsipho ezikhethekile noma ukuhlanza zingasetshenziswa ezithombeni zobulili ukuze kuncishiswe ingozi yokutheleleka ngemva kokuhlinzwa .
Izinhlekelele ze-Urinary Catheter
I- catheter yokuhlala emanzini ihloselwe ukuhlala endaweni yesikhathi eside, kusukela emahoreni kuya emavikini. Kwezinye iziguli, i-catheter ihlala isikhathi eside kakhulu, kodwa lokhu akuvamile. Izibhedlela eziningi zinezinhlelo kanye nezinqubomgomo ezidinga ukuba abakhiqizi basuswe ngokushesha ukuze kuncishiswe ingozi yokutheleleka okwenzekayo.
Ezinye iziguli zithola ukugcinwa kwe-urinary ngemuva kokuhlinzwa, okungahle kudingeke ukuthi i-catheter idingeke ngisho noma isiguli singasidingi ngesikhathi senqubo. Iziguli zingase zithole ukugcinwa kwe-urinary ngemuva kokususwa kwekhotha likaFoley.
Esikhathini esedlule, iziguli ezithinta i-latex zizobhekana ne-catheters yazo zonke izinhlobo, njengoba zivame ukuqukethe i-latex. Njengamanje, iningi lemikhiqizo emikhulu yama-catheter ayinayo ingxenye ye-latex nhlobo, isusa le ngozi cishe cishe wonke amacala. Iziguli ezinomzwelo we-latex noma izifo ezithathelwanayo kufanele zizise ithimba labo lokunakekelwa kwezempilo ngaphambi kokwelashwa, njengoba kuneminye imithombo eminingi engaba khona ye-latex okufanele igwenywe.
Catheters eziqondile
I-Foley iyi-catheter yomchamo ehloswe ukuba ibe khona isikhathi esithile. I-catheter ye-Foley akufanele ididaniswe ne- catheter eqondile , efakwe kanye kanye nokulahlwa ngemuva kokuba isilazi sikhishwe.
Imithombo:
I-Medline Plus. I-Catheters yase-Urinary. Ifinyelele ngo-Septhemba, 2011. http://www.nlm.nih.gov/medlineplus/article/003981.htm