Catheterization: mitundu yayikulu ndi iti

Zamkati

• Mitundu ya catheterization
• Catheterization yamtima
• Catheterization ya chikhodzodzo
• Catheterization ya umbilical
• Catheterization ya Nasogastric
• Kuopsa kwa catheterization

Catheterization ndi njira yachipatala momwe chubu cha pulasitiki, chotchedwa catheter, chimalowetsedwa mumtsuko wamagazi, chiwalo kapena thupi kuti chithetse magazi kapena madzi ena.

Njirayi imachitika molingana ndi momwe wodwalayo amathandizira, ndipo imatha kuchitika pamtima, chikhodzodzo, mchombo ndi m'mimba. Mtundu wa catheterization womwe umakonda kuchitidwa ndi catheterization yamtima, yomwe imagwiridwa kuti izithandiza kupeza komanso kuchiza matenda amtima.

Monga njira ina iliyonse yamankhwala, catheterization imabweretsa zoopsa, zomwe zimasiyanasiyana kutengera komwe mayikidwe a tupus amapezeka. Chifukwa chake, ndikofunikira kuti munthuyo apite limodzi ndi gulu la anamwino kuti apewe zovuta zilizonse.

Mitundu ya catheterization

Catheterization imagwiridwa malinga ndi zosowa za wodwala, zazikuluzikulu ndizo:

Catheterization yamtima

Catheterization yamtima ndi njira yovuta yothamanga, yachangu komanso yolondola. Pochita izi, catheter imalowetsedwa kudzera mumtsempha, mwendo kapena mkono mpaka pamtima.

Catheterization sindiye kuchitira opaleshoni yayikulu, koma kumachitika kuchipatala, pogwiritsa ntchito makina owunikira omwe amatulutsa ma radiation (kuposa ma radiographs wamba) komanso komwe kumagwiritsidwa ntchito kusiyanitsa kwamphamvu. Chifukwa chake, kuwunika kwamtima ndikofunikira panthawi yonse yamayeso, kotero kuti mtima umawongoleredwa kudzera pa electrocardiogram. Nthawi zambiri imagwiridwa ndi mankhwala oletsa ululu am'deralo omwe amagwirizana nawo kapena ayi.

Kutengera ndi cholinga, ma catheters amatha kugwiritsidwa ntchito kuyeza kuthamanga, kuyang'ana mkati mwa mitsempha, kukulitsa valavu yamtima kapena kutsegulira mtsempha wotsekedwa. Ndikothekanso, pogwiritsa ntchito zida zomwe zimayambitsidwa kudzera mu catheter, kuti mupeze zitsanzo za minofu ya mtima ya biopsy. Phunzirani zambiri za kutsekemera kwa mtima.

Catheterization ya chikhodzodzo

Catheterization ya chikhodzodzo imakhala ndi kutulutsa kwa catheter kudzera mu urethra, yomwe imafikira chikhodzodzo ndi cholinga chofuna kutulutsa. Njirayi itha kuchitidwa pokonzekera maopaleshoni, munthawi ya opaleshoni kapena kuti muwone kuchuluka kwa mkodzo wopangidwa ndi munthuyo.

Catheterization yamtunduwu imatha kuchitidwa pogwiritsa ntchito machubu othandizira, omwe amangogwiritsidwa ntchito potulutsira chikhodzodzo mwachangu, osafunikira kuyikapo catheter, komanso amathanso kukhala a catheter ya chikhodzodzo, yomwe imadziwika ndi kusungidwa kwa Catheter yolumikizidwa m'thumba lakutolera lomwe limatsalira kwakanthawi, ndikutola mkodzo wa munthuyo.

Catheterization ya umbilical

Catheterization ya umbilical imaphatikizapo kuyambitsa catheter kudzera mumchombo kuti muyese kuthamanga kwa magazi, kuwunika mpweya wamagazi ndi njira zina zamankhwala. Nthawi zambiri amachitidwa kwa makanda asanakwane panthawi yomwe amakhala mu ICU yoyamwitsa, ndipo si njira yokhazikika, chifukwa imakhala ndi zoopsa.

Catheterization ya Nasogastric

Catheterization ya Nasogastric imadziwika ndikubweretsa chubu la pulasitiki, catheter, m'mphuno mwa munthu ndikufika m'mimba. Njirayi itha kuchitidwa kudyetsa kapena kuchotsa madzi am'mimba kapena m'mimba. Iyenera kuyambitsidwa ndi akatswiri oyenerera ndipo malo a catheter ayenera kutsimikiziridwa ndi radiograph.

Kuopsa kwa catheterization

Munthu amene adachitidwa matenda a catheterization ayenera kutsagana ndi gulu la anamwino kuti apewe matenda opatsirana ndi chipatala, zomwe zimasiyanasiyana kutengera mtundu wa catheterization yomwe idachitika:

• Thupi lawo siligwirizana, arrhythmia, magazi ndi matenda a mtima, pa nkhani ya mtima catheterization;
• Matenda a mkodzo ndi kupwetekedwa kwa mkodzo, ngati catheterization ya chikhodzodzo;
• Kutuluka kwa magazi, thrombosis, matenda ndi kuwonjezeka kwa magazi, pakakhala umbilical catheterization;
• Kutaya magazi, chifuwa cha chibayo, zotupa m'mimba kapena m'mimba, pakagwa catheterization ya nasogastric.

Ma catheters nthawi zambiri amasinthidwa, ndipo asepsis a tsambalo nthawi zonse amachita.