Kusamalira Thupi Lanu la Nephrostomy

Zamkati

• Kuyika chubu cha nephrostomy
• Musanachitike
• Mukamachita izi
• Kusamalira chubu chanu
• Kuyendera chubu chanu cha nephrostomy
• Kutulutsa thumba lanu lokwanira ngalande
• Kutulutsa tubing yanu
• Zowonjezera zofunika kukumbukira
• Zovuta za chubu cha nephrostomy
• Kuchotsa chubu
• Kutenga

Chidule

Impso zanu ndi gawo lanu lamikodzo ndipo zimagwira ntchito kutulutsa mkodzo. Nthawi zambiri, mkodzo womwe umatuluka umachokera ku impso kupita mu chubu chotchedwa ureter. The ureter amalumikiza impso zanu ndi chikhodzodzo. Pamene mkodzo wokwanira wasonkhanitsa mu chikhodzodzo, mumamva kufunika kokodza. Mkodzo umadutsa kuchokera mu chikhodzodzo, kudzera mu mtsempha wako, ndi kunja kwa thupi lako.

Nthawi zina mumakhala chotchinga ndipo mkodzo sungayende bwino. Kutseka kumatha kuyambitsidwa ndi zinthu zingapo, kuphatikiza:

• impso miyala
• kuvulala kwa impso kapena ureter
• matenda
• chikhalidwe chobadwa nacho chomwe mwakhala nacho kuyambira chibadwire

Tepu ya nephrostomy ndi catheter yomwe imalowetsedwa kudzera pakhungu lanu ndikutsitsa impso zanu. Chubu chimathandizira kukhetsa mkodzo m'thupi lanu. Mkodzo wothiridwa umasonkhanitsidwa m'thumba laling'ono lomwe lili kunja kwa thupi lanu.

Kuyika chubu cha nephrostomy

Njira yoyika chubu yanu ya nephrostomy imatenga nthawi yochepera ola limodzi ndipo idzachitika mukakhala pansi.

Musanachitike

Musanayike chubu chanu cha nephrostomy, muyenera kukhala otsimikiza kuti muchite izi:

• Lankhulani ndi dokotala wanu za mankhwala aliwonse omwe mumamwa. Ngati pali mankhwala omwe simuyenera kumwa musanachitike, dokotala wanu akukulangizani nthawi yomwe muyenera kumwa. Simuyenera kusiya kumwa mankhwala osalankhula ndi dokotala poyamba.
• Onetsetsani kuti mukutsatira malamulo aliwonse omwe dokotala angakupatseni pankhani yokhudza zakudya ndi zakumwa. Mwachitsanzo, mutha kuletsedwa kudya chilichonse pakati pausiku madzulo musanachite.

Mukamachita izi

Dokotala wanu adzakupatsani mankhwala oletsa kupweteka pamalowo pomwe payenera kuikidwa chubu cha nephrostomy. Adzagwiritsa ntchito ukadaulo wojambula monga ultrasound, CT scan, kapena fluoroscopy kuwathandiza kuyika chubu molondola. Chubu chikalowetsedwa, amadziphatika ndi kansalu kakang'ono pakhungu lanu kuti kathandizire kusunga chubu.

Kusamalira chubu chanu

Dokotala wanu adzakulangizani za momwe mungasamalire chubu lanu la nephrostomy. Muyenera kuyendera chubu chanu tsiku ndi tsiku komanso kutulutsa mkodzo uliwonse womwe wasonkhanitsa mu thumba la ngalande.

Kuyendera chubu chanu cha nephrostomy

Mukamayang'ana chubu chanu cha nephrostomy, muyenera kuwona zotsatirazi:

• Onetsetsani kuti mavalidwe anu ndi owuma, oyera, komanso otetezeka. Ngati ndi yonyowa, yauve, kapena yotayirira, iyenera kusinthidwa.
• Onetsetsani khungu lanu mozungulira kuvala kuti muwonetsetse kuti palibe kufiira kapena zotupa.
• Yang'anani pa mkodzo womwe wasonkhanitsa mu thumba lanu lotulutsa madzi. Sitiyenera kusintha mtundu.
• Onetsetsani kuti mulibe kinks kapena zopindika mu tubing yomwe imatsogolera kuyambira kuvala kwanu kupita ku thumba la ngalande.

Kutulutsa thumba lanu lokwanira ngalande

Muyenera kutulutsa chimbudzi chanu mchimbudzi mukakhala kuti mwadzaza theka. Kuchuluka kwa nthawi pakati pakutsitsa thumba kumasiyana pamunthu ndi munthu. Anthu ena amafunika kuchita izi maola ochepa.

Kutulutsa tubing yanu

Muyenera kutsuka machubu anu kamodzi patsiku, koma mungafunike kutsuka mobwerezabwereza kutsatira njira yanu. Dokotala wanu adzakupatsani malangizo achindunji amomwe mungayambitsire ma tubing anu. Njira zake ndi izi:

1. Sambani manja anu bwinobwino. Valani magolovesi.
2. Chotsani stopcock kupita ku chikwama chonyamulira. Iyi ndi valavu yapulasitiki yomwe imayang'anira kuyenderera kwamadzimadzi kudzera mu chubu chanu cha nephrostomy. Ili ndi mipata itatu. Kutsegula kumodzi kumalumikizidwa ndi machubu omwe amamangiriridwa. China chimamangiriridwa m'thumba la ngalande, ndipo chachitatu chimamangiriridwa ku doko lothirira.
3. Chotsani kapu kuchokera padoko lothirira ndikusambira bwino mowa.
4. Pogwiritsa ntchito sirinji, kanikizani madzi amchere mu doko lothirira. Osakoka jakisoni wojambulira kumbuyo kapena jakisoni woposa mamililita 5 amchere wamchere.
5. Bwezerani stopcock kubwerera kumalo osungira madzi.
6. Chotsani sirinji pa doko lothirira ndikubwezeretsani doko ndi kapu yoyera.

Zowonjezera zofunika kukumbukira

• Onetsetsani kuti thumba lanu lolowera pansi pamafika impso zanu. Izi zimalepheretsa kusunga mkodzo. Nthawi zambiri, thumba lonyowalalo limamangiriridwa mwendo wanu.
• Nthawi zonse mukamagwira zovala, tubing, kapena thumba lanu, onetsetsani kuti mwatsuka m'manja ndi sopo kapena madzi ofunda kapena mankhwala opangira mowa.
• Simuyenera kusamba kapena kusambira mukakhala ndi chubu cha nephrostomy m'malo mwake. Mutha kusambanso patadutsa maola 48 mutatha kuchita. Ndizothandiza kugwiritsa ntchito mutu wosamba m'manja, ngati zingatheke, kuti mupewe kuvala konyowa.
• Yesetsani kudzichepetsera pazinthu zochepa kutsatira njira yanu ndikungowonjezera magwiridwe antchito ngati mumalolera bwino. Pewani mayendedwe aliwonse omwe angawononge mavalidwe kapena ma tubing.
• Muyenera kusintha mavalidwe anu kamodzi pa sabata.
• Onetsetsani kuti mumamwa madzi ambiri.

Zovuta za chubu cha nephrostomy

Kuyika chubu cha nephrostomy nthawi zambiri kumakhala kotetezeka. Vuto lofala kwambiri lomwe mwina mungakumane nalo ndi matenda. Muyenera kulumikizana ndi adokotala nthawi yomweyo ngati mukumane ndi izi, chifukwa zitha kuwonetsa matenda:

• malungo opitilira 101 ° F (38.3 ° C)
• kupweteka m'mbali mwanu kapena kumbuyo
• kutupa, kufiira, kapena kukoma mtima pamalo omwe mumavalira
• kuzizira
• mkodzo womwe uli wakuda kwambiri kapena wamitambo, kapena wonunkhira bwino
• mkodzo womwe uli pinki kapena wofiira

Muyeneranso kulumikizana ndi dokotala ngati izi zikuchitika, chifukwa zitha kukhala chizindikiro cha kutseka:

• Ngalande za mkodzo ndizosauka kapena palibe mkodzo womwe watolera kwa maola opitilira awiri.
• Kutuluka kwamikodzo pamalo obvalira kapena kuchokera kumachubu yanu.
• Simungathe kutsitsa yamachubu yanu.
• Thupi lanu la nephrostomy limagwa.

Kuchotsa chubu

Thumba lanu la nephrostomy ndi la kanthawi kochepa ndipo pamapeto pake lidzafunika kuchotsedwa. Mukachotsedwa, dokotala wanu adzakupatsani mankhwala oletsa ululu pamalowo pomwe chubu cha nephrostomy chidalowetsedwa. Kenako amachotsa chubu cha nephrostomy ndikuthira mavalidwe pamalo omwe anali kale.

Mukamatha kuchira, mukulangizidwa kuti muzimwa madzi ambiri, pewani zovuta, komanso kupewa kusamba kapena kusambira.

Kutenga

Kukhazikitsidwa kwa chubu cha nephrostomy ndikosakhalitsa ndipo kumalola mkodzo kutuluka kunja kwa thupi lanu pomwe sungayende kudzera mumakina anu monga momwe zimakhalira. Muyenera kulumikizana ndi adotolo nthawi yomweyo ngati muli ndi nkhawa ndi chubu chanu cha nephrostomy kapena mukukayikira kuti muli ndi kachilombo kapena chotchinga mumachubu yanu.