Kuthetsa kansalu koyeretsa mkodzo kwa amayi - algorithm

Pansi pa catheterization ya chikhodzodzo cha mkodzo kwa amayi, zomwe zidzakambirane pansipa, zimvetsetsani ndondomeko yowonjezera mkodzo. Mtundu wodula wosalala, wokhala wofewa, umagwiritsidwa ntchito - catheter. Machenga ake akhoza kukhala osiyana ndi osankhidwa malingana ndi kukula kwa kutsegula kwa chiwalo. Ndondomeko yotereyi ikhoza kulamulidwa ndipo, ngati kuli kotheka, kuyambitsa njira yothetsera mankhwala mu chikhodzodzo ndi matenda a mavitamini.

Njira yowonongeka kwa chikhodzodzo

Kugwiritsidwa ntchito kwachipatala kumachitika nthawi zambiri ndi anamwino. Pokhapokha mukamagwiritsa ntchito catheter pogwiritsa ntchito chitsulo ndi ndondomeko yochitidwa ndi dokotala.

Choyamba, malingana ndi ndondomeko ya zochita, musanayambe kansalu kwa amayi, chithandizo chamankhwala ndi mankhwala opatsirana (monga 9.5% chlorhexidine) chikuchitidwa. Pambuyo pake, namwino akukonzekera sitayi yowonongeka yomwe catheter imachotsedwa ku bix (pogwiritsira ntchito catheters yosinthika) kapena kuchokera phukusi (ngati likuchotsedwa).

Kutha kwa jekeseni kwa mankhwalawa kumakhala madzi okwanira ndi wosabala glycerin kapena mafuta odzola. Pa nthawi yomweyi, mipira yopanda kanthu, maapulopu ndi tiezers amaikidwa pa tray. Mipira imayambitsidwa ndi yankho la furacilin. Komanso, konzani sitiroti ya Janet ndi yankho la furacilin, lotentha madigiri 37 mu madzi osamba.

Pambuyo pokonzekera gawoli, pitirizani kukonzekera. Chimbudzi cha mafinitri akunja akuchitidwa, ndipo wodwalayo amasambitsidwa ndi madzi ofunda. Pambuyo pake, pakati pa miyendo ikuyendayenda ndikufufuza, imakhazikitsa sitima.

Namwino ali kumanja kwa wodwalayo ndipo amaika zovala zopanda pake pa pubis. Pa nthawi yomweyi, zala za kumanzere zimakhala ndi zochepa, ndipo zimalowa m'dzanja lamanja ndi ziboliboli ndi mpira. Pambuyo pake, catheter imatengedwa ndi forceps, kuigwira 4-5 masentimita kuchokera kumapeto. Gawo laulere limathandizidwa ndi zala 4 ndi zisanu za dzanja lamanja.

Mapeto ake a catheter amasinthasintha, amasinthidwa ku kuya kwa masentimita 4-5 mu lumen ya urethra. Maonekedwe a mkodzo amasonyeza kuti catheter imayikidwa molondola ndikufika pamtanda wa chikhodzodzo.

Mtsinje ukatha kuonekera, sitiroti ya Janet imamangiriridwa ku catheter ndipo yankho la furacilin limalowetsedwa pang'onopang'ono mu chikhodzodzo. Pambuyo pa izi, tisiye syringe ndikuwongolera kutha kwa catheter m'chombo. Mwanjira iyi, khola la chikhodzodzo limatsukidwa.

Pambuyo pa kumatsuka, catheter imachotsedwa ndi kayendetsedwe ka kayendetsedwe kake, ndikukakamira kumanzere pamimba pamunsi.

Pamapeto pa ndondomekoyi, malinga ndi njira yopangira chithandizo cha chikhodzodzo kwa amayi, kutseguka kwa chiwerewere kumatulutsidwa kachiwiri ndi phutho ndi furatsilinom.