Izithunywa Zokugcwalisa Amaphu: Izimplication zokusebenza eziphambili

Isingeniso

Izithayile zokugcina amaphu ziyisikhundla esebenzisa kakhulu emithayilweni yezempilo esithetha ukuthi zihlanganisa ukugcina kwamaphu kubantu abangakwazi ukugcina amaphu ngokwesibonelo noma abadinga ukubhekwa okuphakathi kokugcina amaphu ngokuphelele.

Kubaprofesi bokuthenga imithayile yezempilo nabasemthunyeni bezempilo, ukuziqonda iziphakade phakathi kwe-Foley catheters, izithayile zokugcina ngamahora, ne-suprapubic catheters kuyisisekelo sokuthuthukisa ukugcina kwabasemthunyeni nokuthuthukisa izinhlayiya zokusebenza.

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Izithayile ezinkulu zokugcina amaphu nezisebenzayo

Amasimahle amathuluzi aseFoley: Ayisetyenziswa ngokwanele ukususa isihlalo sesibhakabhaka ngokuphelele

Amasimahle amathuluzi esihlalo, okuyizwi elithi amathuluzi aseFoley, ayisetyenziswa ngokwanele kakhulu kwezindawo zokugcina izinto eziphambili kwezindawo zokugcina izinto.

Ayisetyenziswa ngokwanele kwezi zinto zilandelayo:

• ukususa isihlalo sesibhakabhaka ngokusha kancane emva kokuchithwa
• ukulungisa ukungafika kwesihlalo
• ukubhalisa isihlalo esisuka kumalungu okukhethwe

Ngoba amathuluzi aseFoley ayisetyenziswa ngokwanele kwezindawo zokuthengisa izinto eziningi, ukulungisa imali nokuthi kuyaphila ukuthengiselwa kwezindawo zokugcina izinto kuyisidingo esikhundleni sokuthengiselwa kwezindawo zokugcina izinto.

Abasimahle bakhetha ukuthuthukisa ukusebenza kwamathuluzi ngokusetshenzisa izinto ezithile njengezinye zokuvumela ukuthi amathuluzi azinike amandla, ukuthi kuboneke ukususa isihlalo, nokuthuthukisa izinto ezithile okufanele ukuthi abantu bakhangele kakhulu nokuthi akhangele ukuthi kubhekene nezinhlobo zezifo.

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Amasimahle amathuluzi okuthatha isihlalo ngokuthekwana: Akhuthaza ukuthatha isihlalo ngokuthekwana nokuqondwa kwezindawo zokugcina izinto ngokuphelele

Amakatheteri okuphambeka aphakathi kwebladda ngokuthempelaka futhi akususweli ngasinye isikhathi sokusebenzisa. Kuyasebenziswa ngamakhelini abanqumayela ukulawula i-bladder ngokuphelele, kungakhelini abaningi abanemiphumayo yezinhlobo zokugcina i-bladder.

Kukhulu kuka-Indwelling catheterization eyadlula isikhathi eside, ukuphambeka kwamakatheteri kunciphisa isikhathi sokubekwa kwekatheteri futhi kungakusiza ukuncipha izinkinga zokufa ngenxa yamaphutha lapho kwenziwa ngokuzenzakale.

Ukuchaza izinto ezihlukene kuleli qembu kuyasebenza ngokuvamile ku:

• amakhambe okuhlanza okukhona ukufika kwezinye ngokushesha
• izindlela zokudala ezingenakho ukusebenza ngokushesha
• izikithi zokusebenza ngokushesha kwezindawo zokulawula amakhelini emnyango

Ngokuphatha kokulawula amakhelini emnyango kuyadlula, izinkundla zokuphambeka kwamakatheteri ziyabonwa ngokuphelele ngamakhelini nabaphathi basebenzi bokulawula amakhelini.

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Amakatheteri okuphambeka kwe-suprapubic: Isilungelo esisodwa sokulawula ngokuphelele

Izicatheter zesuprapubic zihambiswe ngaphandle kwezinyawo zemikhaya ngqo emhlanganeni. Ziqondwa kakhulu kubantu abadinga ukusebenzisa izicatheter ngeminyaka eminingi noma uma ukusebenzisa izicatheter zezinyawo zemkhaya akufanele.

Izindlela ezingavamile zokuthi zibe yizinkundla zokukhetha ziyinkimbinkimbi yokuhambisa izinyawo zemkhaya nezidingo lokusebenzisa izicatheter kubantu abaningi.

Kodwa, ukubeka izicatheter zesuprapubic kudinga indlela yokusebenza yomphakathi wokuzilungiselela ubuchwepheshe nokuxhumana phakathi kwabasemthethweni bakusiza, kuyadinga ukuthi abasemthethweni bakusiza bafanele kakhulu ngokusebenzisa izindlela zokuzilungiselela ubuchwepheshe nokuzinika izindlela zokuzilungiselela ubuchwepheshe.

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Ukukhetha imithi nezindlela zokubeka amakhemikhali kwezicatheter zezinyawo zemkhaya

Imithi yase-Silicone, Latex, ne-PVC

Ukukhetha imithi kuyakhiqha ukuthi izicatheter zibe yizinkimbinkimbi, zibe yizinkundla zokukhetha, zibe yizinkundla zokukhetha, nokuthi zibe yizinkundla zokukhetha.

Izicatheter zase-Silicone ziqondwa kakhulu ngokuthi zibe yizinkundla zokukhetha kanye noma ziqondwa kakhulu uma kudinga ukukhetha izinto ezingazange zibe yase-Latex.

Izinkambo zase-Latex zisetyenziselwa ngokuthandayo ngoba zinamathuba okukhanya nokunceda kwezindlela zokusebenza, nakuba izinkinga zokubaluleka kwesikhungo sokuziphatha ngokungafanele kwe-latex sibangqina ukuthi kwenziwe izinkambo ezinye.

Amakathetha e-PVC kungasemthwakweni wokusebenzisa ngokusheshayo apho ukunceda kwezindlela zokusebenza kuyisisekelo esibalulekile.

Ukuchaza okuhle kwezinkambo kuyiphakade kubizwa ngamaziko okukhanya, amaphakathi okukhanya, namadlingo okusebenzisa amakhanda okukhanya.

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Amakhamu okukhanya ne-amakhamu okuvimba amakhaya

Izinhlelo zokukhanya ziyizindaba zokuthuthukiswa ekupheleni kwamakathetha okukhanya.

Amakhamu okukhanya akha umugqa wamakathetha okukhanya uma akhanyelwa ngamanzi, okusiza ukunciphisa ukuthwabha xa kufakwa. Kuyisisekelo sokusebenzisa amakathetha okukhanya okwesikhathi esifanayo okwesikhathi esifanayo okwesikhathi esifanayo.

Amakothi okukhanyisa amasuli, akhiwa kwezinkokhelo zezilwane zomuthi wokushisa, ayasebenza ukunciphisa ukubambeka kwamabacteria kumaka wokuphakamisa. Kepha, iziphumo zokuzilonga kungakhathaliseki ngokwesifundo sokuphakamisa, isitha sokuphakamisa, nokuthi yini indawo yokusebenza kwemikhosana.

Ngakho ke, amahospitale aqondisa izinkothi ngokwesifundo sokuzilonga kanye nezinkinga zokuthengisa.

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Ukuvikela phambi kokufa nokuKhetha Izinto Zokusebenza Kwihospitale

Amakhosana ekugcina amakhosana ayagcina ukuvikela phambi kokufa xa azilonga izinto zokuphakamisa kwezinyawo.

Nakuba izinkothi zokuphakamisa zingakwazi ukunika ukuthembeka okwengeziwe, ukuncipha ukufa kwezinyawo (CAUTIs) kuyaphendula kuma:

• ukukhetha okuhle kokuphakamisa
• ukuphakamisa ngokwesifundo sokuzilonga
• imigomo Yophucoko
• ukuncipha ukusetshenziswa kokuphakamisa okungafanelekile

KuMakhasi, ukunikeza ulwazi olwasebenzayo ngokwesifundo futhi ukusiza amandla okusebenza kwemikhosana ngokufundisa kungaba yisidingo esibalulekile ekufundweni okuhle kwezindawo zokuthengisa.

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Yini Okufanele Ukwenza Ukukhetha Kwesilinganiso Sokuphakamisa Kwezinyawo

Izinkambo zokuthatha amaphakathi ezinye ziyisisekelo sokukhetha isikhombisa esifanele sokuthatha amaphakathi, kubandakanya:

• isikhathi esisizokusebenza
• isimo sesintu esithathe amaphakathi
• ukusetyenziswa kliniki
• izidingo zomthelelo
• izindlela zokuvikela ukuthi kwenzeke ubungo

Amaphakathi ase-Foley ayisisekelo esifanele sokuthatha amaphakathi ngokuphelele, ngakho-ke amaphakathi okuthatha amaphakathi ngokuphakamisa nase-suprapubic ayinika izinkambo ezingafanele kuzo zonke izinkinga zokuthatha amaphakathi.

Kubazikhipha bezinhlayiya zokusebenzisa izinto zokusebenza, ukuthuthukisa izinkambo zokuthatha amaphakathi kufuneka kubalwa ukuthi kuyasindiswa ukuthatha amaphakathi kwesibonelo, ukuthuthukisa izinto zokusebenza, izimpendulo zokugcina izimpendulo zokugcina izimpendulo, nokuthanda kwezinhlayiya zokusebenza.

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Imibuzo Evame Ukubuzwa

Zini izinhlobo ezinkulu zezinkambo zokuthatha amaphakathi?

Izinhlobo ezinkulu zivela ku-Amaphakathi ase-Foley, amaphakathi okuthatha amaphakathi ngokuphakamisa, namaphakathi ase-suprapubic. Ngisho noma yiliphi ilo hlobo lizakhiwe ukusindiswa kwezinhlobo ezihlukahlukene zokusebenza kwezibonelo, nokuthanda kwebizo lezintu ezithathe amaphakathi.

Kungani amaphakathi okuthatha amaphakathi ngokuphakamisa abhekwa kakhulu?

Amaphakathi okuthatha amaphakathi ngokuphakamisa ayinika ukuthatha amaphakathi ngokusha kwezinye izikhathi, futhi abhekwa kakhulu kubantu abadinga ukuthatha amaphakathi ngokuphakamisa ngaphandle kokuthatha amaphakathi ngokuphelele.

I-silicone iyisilinganiso esihle kune-latex ngamacatheter ase-urinary?

I-silicone inika ukuthanda kwezinhlobo zezinto zokusebenza kanye nezinye izinkambo zokusebenza kuma-catheter angalathi latex. Kepha, umkhakha owesihle uyaphenduka ngokwesikhundla sokusebenza kanye nesikhundla sokusebenza kwamanje.

Imicatheter yamagcobo ayinika ukuthinteka kokubophelela kwezinkambo?

Ama-gcobo amaningi ayinika ukuthinteka kokubophelela kwezinkambo okanye ukuthinteka kokufuna ukuthenga kwezinkambo, kodwa ukuthinteka kokubophelela kwezinkambo kuyaphenduka ngokwesikhundla sokusebenza kwama-catheter kanye nesikhundla sokusebenza kwemithombo yezinhlobo.