Gutura inkarinibyingenzi bikenerwa mubuvuzi bikoreshwa kwisi yose mubitaro, mumavuriro, no kwita murugo. Gusobanukirwa ubwoko bwabo, ibyifuzo byabo, nibibazo nibyingenzi kubashinzwe ubuzima, abagabura, ndetse n’abarwayi kimwe. Iyi ngingo itanga incamake yuzuye ya catheters ituye, cyane cyaneIDC cathetersnaCatheters, gushyigikira ibyemezo byubuguzi bimenyerewe mu nganda zitanga ubuvuzi.
Catheter yo mu nkari ituye ni iki?
Catheter yinkari ituye, ikunze kwitwa aCatheter, ni umuyoboro woroshye winjijwe mu ruhago kugirango uhore ukuramo inkari. Bitandukanye na catheteri rimwe na rimwe, byinjizwa gusa mugihe bikenewe, catheters ituye iguma mu ruhago igihe kinini. Zirinzwe numupira muto wuzuye amazi meza kugirango wirinde gutandukana.
Catheters ituye ikoreshwa cyane nyuma yo kubagwa, mugihe ibitaro bimara igihe kirekire, cyangwa kubarwayi bafite inkari zidakira, ibibazo byimikorere, cyangwa indwara zifata ubwonko.
Itandukaniro Hagati ya SPC na IDC Catheters
Hariho ubwoko bubiri bwingenzi bwa catheters butuye bushingiye kumuhanda winjizamo:
1. Catheter ya IDC (Urethral)
Catheter IDC (Indwelling Urethral Catheter) yinjizwa muri urethra mu ruhago. Nubwoko bukunze gukoreshwa muburyo bwigihe gito nigihe kirekire.
2. Catheter ya SPC (Suprapubic)
Catheter ya SPC (Suprapubic Catheter) yinjizwa binyuze mumutwe muto munda yo hepfo, hejuru yamagufa yigituba. Ubu buryo busanzwe bukoreshwa mugihe kirekire catheterisiyoneri mugihe kwinjiza urethral bidashoboka cyangwa bitera ingorane.
Itandukaniro ry'ingenzi:
Urubuga rwinjiza: Urethra (IDC) ninda yinda (SPC)
Ihumure: SPC irashobora gutera uburakari buke mugukoresha igihe kirekire
Ibyago byo kwandura: SPC irashobora kugira ibyago bike byo kwandura
Kubungabunga: Ubwoko bwombi busaba isuku ikwiye no gusimburwa buri gihe
Ingaruka n'ingorane za IDC Catheters
Mugihe IDC catheters ikora neza, itwara ingaruka nyinshi niba idacunzwe neza:
Indwara zifata inkari (UTIs): Ingorane zikunze kugaragara. Indwara ya bagiteri irashobora kwinjira muri catheter ikanduza uruhago cyangwa impyiko.
Uruhago rwuruhago: rushobora kubaho kubera kurakara.
Ihahamuka ry'inkari: Gukoresha igihe kirekire birashobora gukomeretsa cyangwa gukomera.
Inzitizi: Biterwa na encrustation cyangwa clots.
Kubura amahwemo cyangwa kumeneka: Ingano idakwiye cyangwa gushyirwa bishobora gutera inkari.
Kugira ngo izo ngaruka zigabanuke, abatanga ubuvuzi bagomba kwemeza ingano ya catheter ya Foley, gukomeza tekinike ya sterile mugihe cyo kuyinjiza, kandi bagakurikiza gahunda isanzwe yo kwita no gusimbuza.
Ubwoko bwa Catheters
CathetersBitandukanye ukurikije igishushanyo, ingano, nibikoresho. Guhitamo ubwoko bwiza nibyingenzi mumutekano wumurwayi no guhumurizwa.
Ubwoko Rusange:
Inzira 2-Foley catheter: Igishushanyo gisanzwe hamwe numuyoboro wamazi hamwe numuyoboro wibiciro bya ballon.
Inzira 3-ya Foley catheter: Harimo umuyoboro winyongera wo kuhira uruhago, ukoreshwa nyuma yo kubagwa.
Catheters ya silicone: Biocompatible kandi ikwiriye gukoreshwa igihe kirekire.
Catheters ya Latex: Biroroshye guhinduka, ariko ntibikwiye kubarwayi bafite allergie ya latex.
Ingano ya Foley Catheter:
Ingano (Fr) | Diameter yo hanze (mm) | Gukoresha Rusange |
6 Fr. | 2,2 mm | Abarwayi b'abana cyangwa abana bavuka |
8 Fr. | Mm 2.7 | Gukoresha abana cyangwa urethras |
10 Fr. | 3,3 mm | Amazi y'abana cyangwa yoroheje |
12 Fr. | 4.0 mm | Abarwayi b'abagore, amazi nyuma yo kubagwa |
14 Fr. | 4,7 mm | Gukoresha bisanzwe |
16 Fr. | 5.3 mm | Ingano isanzwe kubagabo bakuze / igitsina gore |
18 Fr. | 6.0 mm | Amazi aremereye, hematuria |
20 Fr. | 6.7 mm | Nyuma yo kubagwa cyangwa kuhira imyaka |
22 Fr. | 7.3 mm | Amazi manini |
Gukoresha Igihe gito Gukoresha Catheters
Catheterisation yigihe gito isobanurwa nkugukoresha iminsi itarenze 30. Birasanzwe muri:
Kuvura nyuma yo kubagwa
Kugumana inkari zikabije
Ibitaro bigufi bigumaho
Igenzura rikomeye
Kubikoresha mugihe gito, catheters ya latex Foley ikunzwe cyane kubera guhinduka kwayo no gukora neza.
Gukoresha Igihe kirekire Catheters
Iyo abarwayi bakeneye catheterisation muminsi irenze 30, bifatwa nkigihe kirekire. Ibi akenshi birakenewe mubibazo bya:
Kutagira inkari zidakira
Imiterere ya Neurologiya (urugero, ibikomere by'umugongo)
Imipaka ikabije
Mu bihe nk'ibi, catheters ya SPC cyangwa silicone IDC catheters birasabwa kubera igihe kirekire kandi bikagabanya ibyago byo guhura nibibazo.
Kuvura igihe kirekire bigomba kubamo:
Gusimburwa bisanzwe (mubisanzwe buri byumweru 4-6)
Isuku ya buri munsi ya catheter hamwe numufuka wamazi
Gukurikirana ibimenyetso byanduye cyangwa kuziba
Umwanzuro
Haba gukira mugihe gito cyangwa kwitabwaho igihe kirekire, catheter yinkari ituye nigicuruzwa gikomeye muriubuvuziurunigi. Guhitamo ubwoko bukwiye - IDC catheter cyangwa SPC catheter - nubunini butanga umutekano wumurwayi no guhumurizwa. Nkumwanya wambere wohereza ibicuruzwa hanze yubuvuzi, dutanga ubuziranenge bwa Foley catheters bujyanye nibipimo mpuzamahanga, biboneka mubunini nibikoresho.
Kumurongo mwinshi hamwe no gukwirakwiza kwisi yose, hamagara itsinda ryacu ryo kugurisha uyu munsi.
Igihe cyo kohereza: Jun-16-2025