ʻO nā catheters mimi i lokohe mau lāʻau lapaʻau koʻikoʻi i hoʻohana ʻia ma ka honua holoʻokoʻa i nā haukapila, nā keʻena olakino, a me ka mālama home. He mea nui ka hoʻomaopopo ʻana i kā lākou ʻano, nā noi, a me nā pilikia no nā mea mālama olakino, nā mea hoʻolaha, a me nā mea maʻi. Hāʻawi kēia ʻatikala i kahi ʻike piha o nā catheters indwelling, ʻoi akuIDC cathetersaSPC catheters, e kākoʻo i nā hoʻoholo kūʻai ʻike ma ka ʻoihana lako lapaʻau.
He aha ka Indwelling Urinary Catheter?
He catheter mimi i noho ʻia, i ʻike mau ʻia ʻo aFoley catheter, he paipu maʻalahi i hoʻokomo ʻia i loko o ka ʻōpū e hoʻokahe mau i ka mimi. ʻAʻole like me nā catheters intermittent, i hoʻokomo wale ʻia i ka wā e pono ai, noho mau nā catheters i loko o ka ʻōpū no nā manawa lōʻihi. Hoʻopaʻa ʻia lākou e kahi baluna liʻiliʻi i hoʻopiha ʻia me ka wai maʻemaʻe e pale ai i ka hemo.
Hoʻohana nui ʻia nā catheters indwelling ma hope o ka ʻoki ʻana, i ka wā e noho lōʻihi ai i ka haukapila, a i ʻole no nā poʻe maʻi me ka paʻa mau ʻana o ka mimi, pilikia o ka neʻe ʻana, a i ʻole nā kūlana neurological.
ʻOkoʻa ma waena o SPC a me IDC Catheters
ʻElua ʻano nui o nā catheters i noho ma muli o ke ala hoʻokomo:
1. IDC Catheter (Urethral)
Hoʻokomo ʻia kahi catheter IDC (Indwelling Urethral Catheter) ma o ka urethra pololei i loko o ka ʻōpū. ʻO ia ke ʻano maʻamau i hoʻohana ʻia i ka mālama pōkole a me ka mālama lōʻihi.
2. SPC Catheter (Suprapubic)
Hoʻokomo ʻia kahi catheter SPC (Suprapubic Catheter) ma o kahi ʻoki liʻiliʻi ma ka ʻōpū o lalo, ma luna pono o ka iwi pubic. Hoʻohana maʻamau kēia ʻano no ka hoʻopaʻa ʻana i ka wā lōʻihi inā ʻaʻole hiki ke hoʻokomo ʻia ka urethral a i ʻole ke kumu o nā pilikia.
Nā ʻokoʻa nui:
Paena hoʻokomo: Urethra (IDC) vs. ʻōpū (SPC)
Hōʻoluʻolu: Hiki i ka SPC ke hōʻemi i ka huhū ma ka hoʻohana lōʻihi
Pilikia o ka ma'i: He ha'aha'a paha ka pilikia o SPC o kekahi mau ma'i
Maintenance: Pono nā ʻano ʻelua i ka maʻemaʻe kūpono a me ka hoʻololi maʻamau
Nā pilikia a me nā pilikia o ka IDC Catheters
ʻOiai maikaʻi nā catheters IDC, lawe lākou i kekahi mau pilikia inā ʻaʻole mālama pono ʻia:
ʻO nā maʻi maʻi urinary (UTI): ʻO ka pilikia maʻamau. Hiki i ka maʻi bacteria ke komo i loko o ka catheter a hoʻopōʻino i ka ʻōpū a i ʻole nā puʻupaʻa.
ʻO ka ʻōpū o ka ʻōpū: Hiki ke hana ma muli o ka huhū.
ʻO ka ʻeha ʻeha: Hiki i ka hoʻohana lōʻihi ke alakaʻi i ka hōʻeha a i ʻole ke koʻikoʻi.
Paʻa: Hoʻokumu ʻia e ka encrustation a i ʻole nā clots.
ʻAʻole hōʻoluʻolu a leaka paha: ʻO ka nui kūpono ʻole a i ʻole ke kau ʻana e alakaʻi i ka leaka mimi.
No ka hōʻemi ʻana i kēia mau pilikia, pono nā mea mālama ola e hōʻoia i ka nui o ka nui o ka catheter Foley, mālama i ka ʻenehana sterile i ka wā o ka hoʻokomo ʻana, a hahai i kahi papa manawa mālama a me ka hoʻololi.
Nā ʻano o nā mea hoʻoheheʻe noho
Nā catheters e noho anaʻokoʻa ma muli o ka hoʻolālā, ka nui, a me nā mea. Pono ke koho ʻana i ke ʻano kūpono no ka palekana a me ka hōʻoluʻolu.
Nā ʻano maʻamau:
2-way Foley catheter: ʻO ka hoʻolālā maʻamau me kahi kahawai wai a me kahi kahawai hoʻonui baluna.
3-way Foley catheter: Loaʻa i kahi ala hou no ka hoʻoheheʻe ʻana i ka ʻōpū, hoʻohana ʻia ma hope o nā ʻokiʻoki.
Silicone catheters: Biocompatible a kūpono no ka hoʻohana lōʻihi.
Latex catheters: ʻoi aku ka maʻalahi, akā ʻaʻole kūpono i nā poʻe maʻi me nā allergies latex.
Ka nui o ka Foley Catheter:
| Nui (Fr) | Anawaena waho (mm) | Hoʻohana maʻamau |
| 6 Fr | 2.0 mm | ʻO nā maʻi pediatric a i ʻole neonatal |
| 8 Fr | 2.7 mm | Hoʻohana keiki a i ʻole urethras haiki |
| 10 Fr | 3.3 mm | ʻO nā keiki a i ʻole ka wai māmā |
| 12 Fr | 4.0 mm | ʻO nā maʻi wahine, hoʻokahe wai ma hope o ka hana |
| 14 Fr | 4.7 mm | Hoʻohana kanaka makua maʻamau |
| 16 Fr | 5.3 mm | ʻO ka nui maʻamau no nā kāne / wahine makua |
| 18 Fr | 6.0 mm | ʻOi aku ka nui o ka wai kahe, hematuria |
| 20 Fr | 6.7 mm | Pono ma hope o ka ʻoki ʻana a i ʻole ka irrigation |
| 22 Fr | 7.3 mm | Ka wai kahe nui |
Hoʻohana no ka wā pōkole i nā hale hoʻoheheʻe noho
ʻO ka hoʻohana ʻana i ka catheterization no ka wā pōkole ma lalo o 30 mau lā. He mea maʻamau i:
Ma hope o ka hana ʻana
Ka paʻa ʻana o ka mimi
Noho pōkole i ka haukapila
Nānā mālama koʻikoʻi
No ka hoʻohana pōkole, makemake pinepine ʻia nā catheters Latex Foley ma muli o ko lākou maʻalahi a me ka maikaʻi.
Hoʻohana no ka wā lōʻihi i nā hale hoʻoheheʻe noho
Ke koi ka poʻe maʻi i ka catheterization no nā lā ʻoi aku ma mua o 30 mau lā, manaʻo ʻia ka hoʻohana lōʻihi. Pono pinepine kēia i nā hihia o:
ʻO ka hoʻomau ʻole ʻana o ka mimi
Nā maʻi neurological (e laʻa, nā ʻeha spinal cord)
Ka palena o ka neʻe ʻana
Ma ia mau hihia, ʻōlelo ʻia nā catheters SPC a i ʻole silicone IDC catheters ma muli o ko lākou lōʻihi a hoʻemi ʻia ka pilikia o nā pilikia.
Pono nā mālama mālama lōʻihi:
Hoʻololi maʻamau (maʻamau i kēlā me kēia 4-6 pule)
Hoʻomaʻemaʻe i kēlā me kēia lā i ka catheter a me ka ʻeke wai
Ka nānā ʻana no nā hōʻailona o ka maʻi a i ʻole ke poloka
Ka hopena
Inā no ka hoʻihoʻi pōkole a i ʻole ka mālama wā lōʻihi, ʻo ka catheter mimi i loko he huahana koʻikoʻi i kalako lapaaukaulahao. Ke koho ʻana i ke ʻano kūpono-IDC catheter a i ʻole SPC catheter-a me ka nui e hōʻoia i ka palekana a me ka hōʻoluʻolu. Ma keʻano he alakaʻi hoʻolaha o nā mea lapaʻau, hāʻawi mākou i nā catheters Foley kiʻekiʻe i kūpono i nā kūlana honua, i loaʻa i nā nui a me nā mea waiwai.
No nā kauoha nui a me ka hāʻawi honua ʻana i nā catheters mimi, e kelepona i kā mākou hui kūʻai i kēia lā.
Ka manawa hoʻouna: Jun-16-2025