He aha ka ʻokoʻa ma waena o SPC a me IDC?
Nā catheters mimihe mau mea lapaʻau koʻikoʻi i hoʻohana ʻia no ka hoʻokahe ʻana i ka mimi mai ka ʻōpū mimi ke hiki ʻole i ka mea maʻi ke hana pēlā ma ke ʻano kūlohelohe. ʻElua mau ʻano maʻamau o nā catheters mimi noho lōʻihi ʻo ia kaʻO ke catheter SPC(Suprapubic Catheter) a me keʻO ke catheter IDC(Indwelling Urethral Catheter). ʻO ke koho ʻana i ka mea kūpono e pili ana i nā kumu lapaʻau like ʻole, nā makemake o ka mea maʻi, a me nā pilikia hiki. E wehewehe kēia ʻatikala i nā ʻokoʻa ma waena o nā catheters SPC a me IDC, ko lākou mau pono a me nā pōʻino, a kōkua i nā loea lapaʻau a me nā mea mālama e hana i nā hoʻoholo naʻauao.
He aha ka IDC Catheter?
An IDC (Indwelling Urethral Catheter), i ʻike nui ʻia hoʻi heʻO ke catheter Foley, ua hoʻokomo ʻia ma o kaʻūpāa i loko o kaʻōpū mimiNoho ia ma kona wahi me ke kōkua o kahi pōpō i hoʻopiha ʻia i loko o ka ʻōpū mimi.
- Hoʻohana pinepine ʻia no ka catheterization pōkole a me ka wā lōʻihi.
- Hoʻokomo pinepine ʻia i loko o nā haukapila, nā hale mālama maʻi, a i ʻole no nā poʻe maʻi mālama home.
- Loaʻa i nā nui like ʻole a me nā mea hana (e like me ka latex, silicone).
Nā Hihia Hoʻohana:
- Ka paʻa ʻana o ka mimi ma hope o ke ʻoki ʻana
- Ka hoʻōki ʻana o ka mimi
- Ke nānā ʻana i ka hoʻopuka mimi
- ʻAʻole hiki i nā maʻi ke hoʻopau iā lākou iho
He aha ka SPC Catheter?
An SPC (Catheter Suprapubic)he ʻano ocatheter e noho ana i lokoʻo iai hoʻokomo ʻia ma ke ʻoki ʻana ma o ka paia ʻōpūpololei i loko o ka ʻōpū mimi, e pale ana i ka urethra.
- Hoʻokomo ʻia ma o kahi hana ʻoki liʻiliʻi ma lalo o ka anesthesia kūloko.
- He kūpono no ka hoʻokomo ʻana o ka catheter i ka wā lōʻihi.
- Pono kahi ʻano sterile a me ka ʻike lapaʻau e hoʻokomo ai.
Nā Hihia Hoʻohana:
- Nā maʻi me ka trauma urethral a i ʻole nā strictures
- ʻO nā mea hoʻohana catheter mau e ʻike pinepine nei i nā maʻi urethral
- Nā kūlana neurological e pili ana i ka hana o ka ʻōpū mimi (e like me ka hōʻeha ʻana o ke kaula spinal)
ʻOkoʻa ma waena o SPC a me IDC
| Hiʻona | ʻO ka Catheter IDC (Urethral) | ʻO ke Catheter SPC (Suprapubic) |
|---|---|---|
| Ala Hoʻokomo | Ma o ka urethra | Ma o ka paia ʻōpū |
| ʻAno o ke Kaʻina Hana | Kaʻina hana moe, ʻaʻole ʻoki kino | Kaʻina hana ʻoki liʻiliʻi |
| Pae ʻOluʻolu (Wā Lōʻihi) | Hiki ke hoʻonāukiuki i ka urethral a i ʻole ka ʻeha ʻole | ʻOi aku ka ʻoluʻolu no ka hoʻohana lōʻihi |
| Ka pilikia o ka maʻi | ʻOi aku ka nui o ka pilikia o nā maʻi ʻaʻai urinary (UTIs) | Ka emi ʻana o ka pilikia o nā UTI (pale i ka urethra) |
| Ka Hopena o ka Neʻe ʻana | Hiki ke kaupalena i ka neʻe ʻana, ʻoiai no nā kāne | Hāʻawi i ka neʻe nui a me ka ʻoluʻolu |
| ʻIke ʻia | ʻIke ʻole ʻia | Hiki ke ʻike nui ʻia ma lalo o nā lole |
| Mālama | ʻOi aku ka maʻalahi o ka mālama ʻana no nā mea mālama ʻole lapaʻau | Pono i ka hoʻomaʻamaʻa hou aʻe a me ke ʻano hana sterile |
| Kūpono | Kūpono no ka hoʻohana pōkole a me ka manawa waena | Kūpono no ka hoʻohana lōʻihi |
Nā Pōmaikaʻi a me nā Pōʻino
ʻO ka Catheter IDC (Indwelling Urethral Catheter)
Nā Pōmaikaʻi:
- Hoʻokomo maʻalahi a wikiwiki hoʻi
- Loaʻa nui ʻia ma nā wahi mālama ola āpau
- ʻAʻole pono ke ʻoki kino
- Kamaʻāina i ka hapa nui o nā mea lawelawe mālama ola
Nā hemahema:
- ʻOi aku ka nui o ka trauma urethral a me nā strictures
- Hiki ke hōʻeha i ka ʻoluʻolu ʻole i ka wā e neʻe ai a noho paha
- ʻOi aku ka nui o ka pilikia o nā maʻi ʻaʻai mimi
- Hiki ke hōʻeha i ka urethra i ka wā lōʻihi
ʻO ka Catheter SPC (Suprapubic Catheter)
Nā Pōmaikaʻi:
- Hoʻemi ʻia ka pilikia o ka hōʻino ʻana o ka urethral a me ka maʻi
- ʻOi aku ka ʻoluʻolu no nā mea hoʻohana lōʻihi
- Ka mālama maʻemaʻe maʻalahi, ʻoiai no ka poʻe moe kolohe
- ʻOi aku ka maʻalahi o ka hoʻololi no nā limahana lapaʻau i aʻo ʻia
Nā hemahema:
- Pono ke hoʻokomo ʻana a me ka wehe ʻana i ke ʻoki kino
- ʻOi aku ke kumukūʻai mua
- Ka pilikia o ka ʻeha ʻōpū i ka wā e hoʻokomo ʻia ai (kākaʻikahi)
- Hiki ke waiho i kahi ʻeha i ʻike ʻia a i ʻole kahi catheter
Hopena
He kuleana koʻikoʻi ko nā catheters IDC a me SPC i ka mālama ʻana i ka paʻa ʻana o ka mimi a me ka incontinence.Nā catheters IDCʻoi aku ka maʻalahi o ka hoʻokomo a me ka mālama ʻana no ka hoʻohana pōkole, hele mai lākou me kahi pilikia kiʻekiʻe o ka trauma urethral a me nā maʻi. I ka hoʻohālikelike ʻana,Nā catheters SPChāʻawi i ka hōʻoluʻolu lōʻihi aʻe a me ka hoʻemi ʻana i ka pilikia o ka maʻi, akā koi lākou i ka hoʻokomo ʻana i ke ʻoki kino a me ka mālama loea e hoʻomau nei.
I ke koho ʻana ma waena o kahi catheter IDC a i ʻole SPC, pono e hoʻokumu ʻia ka hoʻoholo ma ka lōʻihi o ka hoʻohana ʻana i ka catheter, ke ʻano o ka mea maʻi, ka makemake o ka ʻoluʻolu, a me nā kumu pilikia. E kūkākūkā mau me kahi mea mālama ola kino kūpono e hoʻoholo ai i ka hopena catheter urinary kūpono loa.
E hoʻomaikaʻi i kāu koho onā mea hoʻopau lāʻau lapaʻaume nā hoʻonā catheter urinary kiʻekiʻe i hana ʻia no ka mālama pōkole a me ka lōʻihi. Inā ʻoe e kiʻi ana i nā catheters Foley, nā catheters IDC, a i ʻole nā catheters SPC, e hui pū me kahi mea hoʻolako lako lapaʻau hilinaʻi e hōʻoia i ka hilinaʻi, ka ʻoluʻolu, a me ka mālama ʻana.
Ka manawa hoʻouna: Iune-23-2025







