I-catheter ye-urinary ehlala ngaphakathiyizinto ezisetshenziswayo zezokwelapha ezibalulekile ezisetshenziswa emhlabeni wonke ezibhedlela, emitholampilo, nasekunakekelweni kwasekhaya. Ukuqonda izinhlobo zabo, izinhlelo zokusebenza, kanye nezingozi kubalulekile kubahlinzeki bezempilo, abasabalalisi, neziguli ngokufanayo. Lesi sihloko sinikeza ukubuka okuphelele kwama-catheter angaphakathi, ikakhulukaziI-IDC catheterfuthiAma-catheter e-SPC, ukusekela izinqumo zokuthenga unolwazi embonini yokuhlinzeka ngemithi.
Iyini i-Indwelling Urinary Catheter?
I-catheter yomchamo ehlala ngaphakathi, eyaziwa ngokuthi aI-Foley catheter, iyishubhu eliguquguqukayo elifakwa esinyeni ukuze liqhubeke nokukhipha umchamo. Ngokungafani nama-catheter aphakathi nendawo, afakwa kuphela lapho kudingeka, ama-catheter angaphakathi ahlala esinyeni isikhathi eside. Zivikelwe ngebhaluni elincane eligcwele amanzi oyinyumba ukuvimbela ukukhishwa.
Ama-catheter ahlala ngaphakathi asetshenziswa kakhulu ngemva kokuhlinzwa, ngesikhathi sokuhlala isikhathi eside esibhedlela, noma ezigulini ezinokugcinwa komchamo okungapheli, izinkinga zokuhamba, noma izimo zemizwa.
Umehluko Phakathi kwe-SPC ne-IDC Catheter
Kunezinhlobo ezimbili eziyinhloko zama-catheter ahlala ngaphakathi asekelwe emzileni wokufaka:
1. I-IDC Catheter (Urethral)
I-IDC catheter (Indwelling Urethral Catheter) ifakwa nge-urethra ngqo esinyeni. Iwuhlobo olusetshenziswa kakhulu kukho kokubili ukunakekelwa kwesikhashana kanye nesikhathi eside.
2. I-SPC Catheter (Suprapubic)
I-catheter ye-SPC (i-Suprapubic Catheter) ifakwa ngokusikwa okuncane ezansi nesisu, ngenhla nje kwethambo le-pubic. Le ndlela ngokuvamile isetshenziselwa ukufakwa kwe-catheter yesikhathi eside lapho ukufakwa kwe-urethral kungenzeki noma kubangela izinkinga.
Umehluko Obalulekile:
Indawo yokufakwa: Urethra (IDC) vs. isisu (SPC)
Ukunethezeka: I-SPC ingase ibangele ukucasuka okuncane ekusebenziseni isikhathi eside
Ingozi yokutheleleka: I-SPC ingase ibe nengozi ephansi yezifo ezithile
Ukunakekela: Zombili izinhlobo zidinga inhlanzeko efanele kanye nokushintshwa okuvamile
Izingozi Nezinkinga Ze-IDC Catheter
Ngenkathi ama-catheter e-IDC esebenza kahle, athwala izingozi ezimbalwa uma engalawulwa kahle:
Ukutheleleka nge-Urinary Tract Infections (UTIs): Inkinga evame kakhulu. Amagciwane angangena nge-catheter futhi atheleleke esinyeni noma ezinso.
Ama-spasms esinyeni: Kungenzeka ngenxa yokucasuka.
Ukuhlukumezeka kwe-Urethral: Ukusetshenziswa isikhathi eside kungaholela ekulimaleni noma ekuqineni.
Ukuvinjwa: Kubangelwa ukugcwala noma amahlule.
Ukungakhululeki noma ukuvuza: Usayizi ongafanele noma ukubekwa kungaholela ekuvuzeni komchamo.
Ukuze kuncishiswe lezi zingozi, abahlinzeki bezempilo kufanele baqinisekise osayizi abalungile be-catheter ye-Foley, bagcine indlela eyinyumba ngesikhathi sokufakwa, futhi balandele ukunakekelwa okujwayelekile kanye neshejuli yokushintsha.
Izinhlobo zama-Catheter angaphakathi
Ama-catheter angaphakathiziyahlukahluka ngomklamo, ubukhulu, kanye nempahla. Ukukhetha uhlobo olufanele kubalulekile ekuphepheni kwesiguli nokunethezeka.
Izinhlobo Ezivamile:
I-2-way Foley catheter: Idizayini evamile enomzila wokudonsa amanzi kanye neshaneli yokwehla kwamandla emali ibhaluni.
I-3-way Foley catheter: Ifaka umsele owengeziwe wokuchelela esinyeni, osetshenziswa ngemva kokuhlinzwa.
I-Silicone catheter: I-Biocompatible futhi ilungele ukusetshenziswa isikhathi eside.
Ama-catheter e-Latex: Avumelana nezimo kakhulu, kodwa awafaneleki iziguli ezine-latex allergies.
Usayizi we-Foley Catheter:
| Usayizi (Fr) | Ububanzi Bangaphandle (mm) | Ukusetshenziswa Okuvamile |
| 6 Fr | 2.0 mm | Iziguli zezingane noma ezisanda kuzalwa |
| 8 Fr | 2.7 mm | Ukusetshenziswa kwezingane noma ama-urethra amancane |
| 10 Fr | 3.3 mm | I-drainage yezingane noma elula |
| 12 Fr | 4.0 mm | Iziguli zesifazane, ukuphuma kwamanzi ngemuva kokuhlinzwa |
| 14 Fr | 4.7 mm | Ukusetshenziswa okujwayelekile kwabantu abadala |
| 16 Fr | 5.3 mm | Usayizi ovame kakhulu kwabesilisa/abesifazane abadala |
| 18 Fr | 6.0 mm | I-hematuria, i-drainage enzima kakhulu |
| 20 Fr | 6.7 mm | Izidingo zangemuva kokuhlinzwa noma zokuchelela |
| 22 Fr | 7.3 mm | Ukukhipha umthamo omkhulu |
Ukusetshenziswa Kwesikhathi Esifushane Kwamakhathetha Angaphakathi
I-catheterization yesikhathi esifushane ngokuvamile ichazwa njengokusetshenziswa isikhathi esingaphansi kwezinsuku ezingama-30. Kujwayelekile ku:
Ukunakekelwa kwangemva kokuhlinzwa
Ukugcinwa komchamo okubuhlungu
Ukuhlala isikhashana esibhedlela
Ukuqapha ukunakekelwa okubalulekile
Ngokusetshenziswa isikhathi esifushane, ama-catheter e-latex Foley avame ukuthandwa ngenxa yokuguquguquka kwawo kanye nokusebenza kahle kwezindleko.
Ukusetshenziswa Kwesikhathi Eside Kwama-Catheter Angaphakathi
Lapho iziguli zidinga i-catheterization izinsuku ezingaphezu kwezingama-30, kuthathwa njengokusetshenziswa kwesikhathi eside. Lokhu ngokuvamile kuyadingeka ezimweni:
Ukunganqamuki komchamo okungapheli
Izimo ze-neurological (isb, ukulimala komgogodla)
Ukulinganiselwa okukhulu kokuhamba
Ezimweni ezinjalo, ama-catheter e-SPC noma ama-silicone IDC catheter ayanconywa ngenxa yokuqina kwawo kanye nengozi encishisiwe yezinkinga.
Ukunakekelwa kwesikhathi eside kufanele kufake:
Ukushintshwa okuvamile (ngokuvamile njalo emavikini angu-4-6)
Ukuhlanzwa kwansuku zonke kwe-catheter kanye nesikhwama sokudonsa amanzi
Ukuqapha izimpawu zokutheleleka noma ukuvinjelwa
Isiphetho
Kungakhathaliseki ukuthi ukululama kwesikhashana noma ukunakekelwa kwesikhathi eside, i-catheter yomchamo ehlala ngaphakathi ingumkhiqizo obalulekileukuhlinzekwa kwezokwelaphaiketango. Ukukhetha uhlobo olulungile—i-IDC catheter noma i-SPC catheter—nosayizi kuqinisekisa ukuphepha nokunethezeka kwesiguli. Njengomthumeli kwamanye amazwe ohamba phambili wezinto ezisetshenziswayo zezokwelapha, sinikeza ama-catheter e-Foley ekhwalithi ephezulu aklanyelwe izindinganiso zamazwe ngamazwe, atholakala ngosayizi abahlukahlukene kanye nezinto zokwakha.
Ukuze uthole ama-oda amaningi kanye nokusatshalaliswa komhlaba wonke kwama-catheter omchamo, xhumana nethimba lethu labadayisi namuhla.
Isikhathi sokuthumela: Jun-16-2025