Foley catheter kwa dilation wa khomo pachibelekeropo: Mitundu ndi Masayizi

Foley catheter kwa yakucha khomo lachiberekero kawirikawiri amagwiritsidwa ntchito yokumba kupatsidwa ulemu ntchito. Ndi otchuka zachipatala chipangizo, ndiwo Ndipotu, chubu ndi chibaluni.

ntchito mchitidwe

Foley catheter kwa khomo lachiberekero mwakhama ntchito Kuwulura mabungwe zachipatala zaka zapitazo. Lero, kutchuka kwake ikuchepa. Masiku ano, madokotala masiku ano sangakhale ntchito pa yobereka. mfundo ndi yakuti posachedwapa pali njira zina zambiri zimene kutsimikiziridwa kuti waphindu komanso zothandiza.

Komabe, mu zina, ntchito lero. A catheter Foley kwa dilation wa khomo pachibelekeropo umayamba yekha mu chipatala kuchipatala. Popanda kudziwa akatswiri ndi luso sangachite pano. Kumene, inadza amayi amene paokha anaikapo okha chipangizo ichi kunyumba. Komabe, tiyenera kukumbukira kuti kanthu yoyamba ndi ngozi kupulumutsa moyo wa mwana wanu.

Kodi mtundu wa milandu, pamene mwana wodzabadwayo kuthandiza ndendende catheter izi?

mitundu ya catheters

Foley catheter - dokotala chipangizo yosavuta, wopangidwa mwa chubu ndi zibaluni. Chifukwa padziko yosalala izo waikidwa wopanda zopweteka ndi mavuto ngakhale kusapeza mosakayika sangathe kupewa.

Pa nthawi yomweyo yosalala pamwamba kumatha n'zotheka kukula oipa mabakiteriya ndi zinthu organic. zamoyo izi si kuti kusuta chamba.

Ambiri Foley catheter kwa dilatation khomo lachiberekero imakhala yamphamvu, yomwe ili ofananira kutupa, umaonetsera zoyenera zolimba. Pakhomo la valavu pulasitiki zokuzira, imene njira ndi ingested parturient. vavu chatsekedwa mwamphamvu ndi masika wapadera. dongosolo kumatha kuthekera deflation.

Komanso m'gulu la catheter nsonga ndi cholumikizira cylindrical. maonekedwe Last nyuzi woboola pakati, wamphamvu kwambiri, akhoza sasintha. Zonsezi amapereka kulumikiza khalidwe chipangizo ndi khomo pachibelekeropo, kutalika pazipita nthawi.

Chisamaliro linaperekedwa kwa Mlengi wa chipangizo ndi ma CD. Angathe kutenga, kamodzinso popanda kugwira izo, zomwe zingathandize sterility ndi chiopsezo kochepa chotenga matenda osiyanasiyana.

Pre Onetsetsani kuwerenga malangizo, koma osati ntchito chipangizo ndekha, ndipo kuti anachita modekha kuti ndondomeko, podziwa ndendende zomwe adokotala kuchita pa chilichonse siteji.

Makulidwe catheters

Foley catheter kwa dilatation khomo lachiberekero zimagawidwa malinga kukula. Kodi mungasankhe - mosavuta anatsimikiza ndi mtundu wa mtundu kuchotsa, ntchito zingakweze ndi zibaluni. Ndi izo, dokotala aone zomwe ali mukufuna Foley catheter. Makulidwe tebulo ndi magawo yoyenera zilipo obstetricians.

The chipangizo otchuka ndi ziwiri catheter №18. Komabe, dokotala anu angasankhe chida china - izo zidalira pa makhalidwe munthu wa thupi wamkazi. Chinthu chachikulu - kuchita nokha.

zosiyanasiyana catheters

Pofuna kudziwa catheter chofunika, dokotala amafunika kuti kuyendera bwino amayi khomo pachibelekeropo.

Njira yotchuka kwambiri Foley catheter 2 imatengedwa tingachipeze powerenga za obstetrics. kusiyana Aika - pamaso pa njira imodzi yokha. Monga zimakhalira monga jekeseni ndi utsogoleli wa madzi mankhwala mu yamphamvu waukulu. Kusankha zinthu zimadalira chisankho olowa wa azamba ndi mayi ake, koma akatswiri mwamphamvu analangiza ntchito silikoni. Iye ali m'njira zambiri.

Choyamba, mankhwala inertness ndi matenthedwe bata. Chachiwiri, hydrophobic katundu, pakalibe mavuto padziko. Ndipo Chofunika, ngakhale ndi zimakhala thupi ndi kuthetsa chiopsezo zosiyanasiyana chokhwima. Kuphatikizapo awo sagwirizana.

Komabe, catheter nazo sangathe kwambiri. Ichi ndi mtengo wake kwambiri. Ena ofanana zipangizo zachipatala mtengo kwambiri.

Atatu njira catheter

azamba anakumana milandu yovuta akulangizidwa kusankha zipangizo zina mankhwala. Gwiritsani atatu njira Foley catheter kwa dilatation khomo lachiberekero.

Pankhaniyi njira zosiyana, zomwe kwambiri facilitates ntchito ya dokotala ndi ndondomeko otaya yobereka. Kudzera m'njira imeneyi mu mankhwala khomo pachibelekeropo wapadera tikuuzidwa, amene angathe kwambiri atsogolere ndondomeko yoperekera.

Female catheter

zachipatala chipangizo china chimene chafala - ndi catheter wamkazi. m'litali ndi yaikulu monga zitsanzo m'mbuyomu. Chifukwa, chiopsezo akubereka kum'vulaza kochepa. Pamene pali chiopsezo chachikulu cha kuwonongeka kwa ziwalo, khomo pachibelekeropo kukonzekera pobereka wochititsidwa ntchito catheter izi.

Onetsetsani kuti kukaonana ndi katswiri, kusankha catheter isanafike yobereka. Ngati mwaganiza kugula izo paokha, inu mukhoza kupeza chipangizo amene alibe zimakhudza aliyense pa kukondoweza khomo lachiberekero. Zikafika poipa, chiopsezo kuvulazidwa monga mwana, mayi ake.

zikuonetsa

Madokotala mu nthawi yoikidwayo wa ntchito patrimonial si anati, kukondoweza akuyamba yobereka catheter Foley. Agwirizana ndi dokotala. zikuonetsa Medical umenewu muyeso zotsatirazi.

Mimba anachedwa kwa masiku 10 kapena kuposa, mayi ali aakulu matenda mtima ndi chiwerengero cha matenda ena - shuga, preeclampsia.

Monga lokonzekera khomo pachibelekeropo azikhala ntchito Foley catheter limayamba pamene mkazi wakubala wotopa, khomo pachibelekeropo silinakwaniritsidwe kuwuluridwa, ngakhale makontena kale. Pali ntchito ofooka waukulu kwambiri mwana wosabadwayo, polyhydramnios, msanga izlite amniotic madzimadzi.

Ngati kumene apakati contraindicated njira zina kupangira ntchito, dokotala mukuganiza kuti akabweretsa Foley catheter. Kubereka ndiye kukhala lopambana, chiberekero ayenera chiwululidwe.

contraindications

Komabe, si azimayi onse latsopano tikulimbikitsidwa kuti catheter angapo a contraindications. Iwo makamaka kugwirizana ndi matenda.

Kodi matenda aliwonse ukazi ndi yoopsa chikhodzodzo chophukacho.

Ngozi akhoza zimachitika pamene udzu dyer kapena vaginitis. Musagwiritse ntchito Foley catheter pa magazi akalandire chithandizo mkati kapena otsika latuluka previa.

Nthawi zonse pamwambapa, catheter zitha oslozhit pobereka. Makamaka adawopa kusatetezeka yoopsa Koma obstetricians ntchito njira zina zolimbikitsa dilatation khomo lachiberekero.

Kodi ndondomeko?

Kuzindikira bwino kukutetezani ku kuda nkhawa. Choncho ngati mukudziwa kuti mukalowa Foley catheter, malangizo ntchito ayenera ankaphunzira. Kotero inu mukudziwa ndendende zomwe adokotala anu akuchita pa chilichonse siteji.

Bwinobwino sipatenga nthawi zambiri. The sangathe lalikulu - ululu pamene kutumikiridwa ndi mayesero chifukwa cha ululu izi. Ngati dotolo amachita zimatenga nthawi yoyamba, unsembe wa catheter ndi ndidzadutsa mofulumira kwambiri.

Sitepe yoyamba ndi azamba pafupifupi onse zizindikiro ndi contraindications kwa njirayi. Pamwamba ankachitira nyini decontamination njira. Mayina wapadera wosabala galasi.

Gwirani catheter achepetsa azamba amanyamula mu khomo pachibelekeropo. Chinthu chachikulu pa nthawi imeneyi kuyika zibaluni kufufuma ndi pamwamba Os mkati.

Komanso anatengedwa syringe Botolo 10, mothandizidwa zibaluni ndi mpweya kukula ankafuna. Izi ndi mfundo zimene catheter lapansi. Botolo la madzi kumawonjezera kamvekedwe ndi motility wa amayi chiberekero, amayikanikiza pa izo ndi akuphulikira.

Ngakhale aluso njira, ngati dotolo ali pa nthawi yomweyo atchule mu chikhodzodzo yoopsa ndi saline mwa chubu.

Pa tepi chapadera catheter amamangiriridwa ku ntchafu lamkati. Panthawi imeneyi, chubu otsala wopindidwa mphete ndipo anaikidwa mu nyini mpaka nthawi imene nkhondo udzayamba. Koma zosaposa tsiku. Ngati zimenezi sizipangitsa kuthandiza, ndiye ntchito generic zofunika yotithandiza oxytocin pamene.

Ngati podwala utangoyamba, Foley catheter (Malangizo ntchito amalamula kuti) mukufuna kuchotsa. Mwamsanga kundicemereranyi dokotala. Iye anayika syringe wapadera mu botolo ndi ntchito kukokera onse a madzi. Pambuyo chubu ndi clamped achepetsa wapadera ndipo anasolola la nyini. Onetsetsani kuti ili ndi ntchito zaumoyo kanthu, kuchotsa catheter nokha, mungathe kuthira madzi kapena saline mu nyini. Izi zikuoneka kuti tifulumizane matenda.

M'pofunikanso kukumbukira kuti Foley catheter ndi zimasiyana kwambiri ndi chida mwachizolowezi mkodzo. Ntchito njira zofanana, koma mu nkhani ya catheters yolondola ntchito amadalira zakambidwa kubadwa.

Monga ulamuliro, chipangizo oterowo sanama kunyumba, koma mu kuchipatala kuchipatala, pamene ntchito pafupi kuyamba. Komabe, ngakhale pamene atazunguliridwa ndi ogwira ntchito kuchipatala kudziwa momwe ntchito ndi kusamalira catheters, siyingawapweteke.

Care catheters

dokotala kulikonse pamaso kuika catheter chofunika kufotokozera wodwala momwe tingakhalire maola ochepa naye. Tsatanetsatane akupezeka mu bukhuli, pali limafotokoza mwatsatanetsatane mmene ntchito Foley catheter. Makulidwe tebulo lomwe mukhoza kusankha bwino, nayenso, ali kumeneko.

Pofuna kupewa mavuto zinachitika, m'pofunika kuti aziona kwambiri nthawi zonse priborrm. Kutsatira malamulo a chisamaliro pansi pa mphamvu ya lililonse.

The catheter yokha ndi khungu padziko m'pofunika prodizenfitsirovat. Komanso, kusamba m'manja ndi sopo ndi madzi. Chiopsezo ndi zonyamula matenda lalikulu kwambiri. Pa nthawi yomweyo, kumbukirani kuti inu simungakhoze kusamba m'dera yomweyo ozungulira chida chubu.

Onetsetsani kuti catheter zibaluni si waponya asanakalambe. Ikani kabudula lalikulu, zabwino thonje izo sizigwira choopsa kayendedwe. Musalole chubu unakhota kapena usachite.

Ngati mayi atsopano amene ayamba okayikitsa ndi catheter Mwachitsanzo, yoyaka kutengeka, kuzizira, kupweteka pamimba ndi kumbuyo, ayenera kudziwitsa dokotala anu yomweyo.

zosokonezeka zotheka

Pamene ntchito catheter zina mavuto. Pano pali anthu ambiri.

Nthawi zambiri mavuto chichokera chakuti kutsitsi ukugwa asanabadwe nyini. Pamene zotsatira izi anakhumba sizinawakhudze. Pa zochitika izi, chipangizo m'malo kapena kugwiritsa ntchito njira mwapadera.

Anagwira akasinja kuti kutayikira. Izi zikutanthauza kuti kuphwanya umphumphu wa vavu. chipangizo ayenera m'malo.

The zibaluni ndi mkati, pamene anayamba ntchito. An mwamsanga ayenera kuchotsa catheter, kutsatira thandizo la zachipatala.

Latsopano mayi ululu woopsa pa mayikidwe a catheter lapansi. Zimakhala n'chongoletsa mankhwala ululu-akuvutika.

Reviews

Lero, chida ichi sikawirikawiri ntchito. Pali njira aluso ndi yowopsa. Koma ngati inu ntchito chipangizo imeneyi, osadandaula. M'chipatala ndinu Panalibe vuto. An dokotala wodziwa mosavuta ntchito ndondomeko ntchito Foley catheter. Mayankho analandira kwa odwala, ayenera kuwatsimikizira amayi oyembekezera.

odwala ambiri amanena kuti chifukwa cha ichi yobereka zachipatala chipangizo chingachititse munthu pazipita maola 12. Childs, kupatsidwa ulemu ntchito Kwalamulidwa pamene deadlines onse yobereka ndi kale. Kawirikawiri pa masabata 38-39.

Izo Sizotheka kukwaniritsa chimene mukufuna. Nthawi zina, nkhondo chifukwa catheter, kufooketsa, ndipo lingakhoze ndipo phompho. Pankhaniyi m'pofunika amachita opaleshoni.