Matanho e-catheterization echando
Uku kurapwa kwechiremba kunoitwa kakawanda nevanesi. Chero bedzi paunoshandisa catheter nesimbi inopinza ndiyo nzira inogadzirwa nachiremba.
Chokutanga, maererano nehurongwa hwezviito, usati wanyatsogadziriswa nechisviniro kuvakadzi, shandisa majekesiti nean antiseptic (somuenzaniso, 9.5% chlorhexidine) inoitwa. Mushure mezvo, mukoti anogadzirira ganda rakaoma umo catheter inodzingwa kubva ku bix (uchishandisa catheters reusable) kana kubva pane imwe (pakatarisa kuwanikwa).
Iyo inopera inopedzisira ya medinstrument inonyatsodirirwa neyonda glycerin kana vaseline mafuta. Panguva imwe chete, bhora risina kuchena, napkins uye tweezers dzinowanikwa pachiteshi. Mabhora acho akanyoroveswa nemhinduro ye furacilin. Uyewo, gadzira jira reJanet nemhinduro ye furacilin, inopisa kusvika kune digirii 37 mumvura yekugeza.
Mushure mekupera kwegadziriro yegadziriro, rambai muchienda. Chimbudzi chemuviri wekunze unoitwa, uye murwere anoshambidzwa nemvura inodziya. Mushure meizvi, pakati pemakumbo akadzikamisa uye akaongorora, vanogadzira ngarava.
Mukoti ari kurudyi kwomurwere uye anoisa mucheka wakaoma pamashizha ake. Panguva imwecheteyo, minwe yoruoko rworuboshwe inoberekwa nediki, uye inotora kuruoko rworudyi nekaviri yebhora rine furatsilinom - inobata kunze kwechiremba ye urethra. Mushure mokudaro, catheter inotorwa ne forceps, ichiitora 4-5 cm kubva pakapera. Chikamu chesununguko chinotsigirwa neminwe 4 neminwe yoruoko rworudyi.
Mhedziso yakagadzika ye catheter inotenderedzwa, kushandurirwa kunoshandiswa kusvika pakadzika 4-5 cm mu lumen ye urethra. Kuonekwa kwemuti kunoratidza kuti catheter inowanikwa zvakajeka uye yakazosvika kumucheto wechidzara.
Mushure mokunge urini urega kumira kunze, jira reJanet rinobatanidzwa kune catheter uye sarudzo ye furacilin inononoka kupinda mucheka. Mushure meizvi, bvisa siriniti uye utungamirire kuguma kwecatheter mumudziyo. Nenzira iyi, chidimbu chechidimbu chinoshambidzwa.
Mushure mekuguma kwegurusa, catheter inobviswa nekufambisa kwemafambiro, ichifambisa ruoko rworuboshwe padumbu rezasi.
Pakuguma kwegadziriro, maererano netsika yekuita catheterization yakasakara mumadzimai, kuvhura kwechiremba kunodzokorora zvakare nekotoni bhora ne furatsilinom.