Te tiaki i to ngongo Nephrostomy

Toka Te Manawa

• Te whakanoho i te ngongo nephrostomy
• I mua i to tikanga
• I a koe e mahi ana
• Te tiaki i to ngongo
• Te tirotiro i to ngongo nephrostomy
• Te tango i to peke waikeri
• Te whakaheke i to ngongo
• He mea taapiri kia maumahara
• Nga haurangi o te ngongo nephrostomy
• Te tango i te ngongo
• Te tangohanga

Tirohanga

Ko ou whatukuhu he waahanga o to punaha mimi ka mahi ki te whakaputa i te mimi. Te tikanga, ko te mimi e puta mai ana ka rere mai i nga whatukuhu ki roto i te ngongo e kiia ana he ureter. Ka honoa e te kaihaiha ou whatukuhu ki to ngata. Ka nui ana te mimi i kohia i roto i to putea, ka mohio koe he hiahia koe ki te mimi. Ka haere te mimi mai i te putea, puta noa i to urethra, ka puta atu i to tinana.

I etahi wa ka puta he poraka i roto i to punaha mimi kaore e taea e te mimi te rere kia rite ki te tikanga He maha nga mea ka pa mai te aukati, tae atu ki:

• kowhatu tarai
• whara ki te tihi ureter ranei
• he mate
• he ahuatanga whanau mai i to whanautanga

Ko te ngongo nephrostomy he catheter kua whakauruhia ki roto i to kiri, ki roto hoki i to whatukuhu. Ka awhina te ngongo ki te whakaheke i te mimi mai i to tinana. Ka kohia te mimi maroke ki roto i te peke iti kei waho o to tinana.

Te whakanoho i te ngongo nephrostomy

Ko te tikanga ki te whakatakoto i to ngongo nephrostomy he iti ake i te haora te wa ka mahia i te wa e whakapohehe ana koe.

I mua i to tikanga

I mua i te whakatakotoranga o to ngongo nephrostomy, kia mahara ki te mahi i enei e whai ake nei:

• Korero ki to taakuta mo nga rongoa me nga taapiringa e tangohia ana e koe. Mena he rongoa kaore e tika kia tangohia e koe i mua o to tikanga, ma te taakuta koe e ako ki te wa ka mutu ai te tango i a raatau. Kaua e mutu te kai rongoa me te kore korero ki to taakuta i te tuatahi.
• Kia mau ki nga here kua whakatauhia e to taakuta mo te kai me te inu. Hei tauira, ka aukatia koe ki te kai kai i muri o te waenganui po i te ahiahi i mua o to tikanga.

I a koe e mahi ana

Ka werohia e to taakuta te rongoa rongoa i te waahi e whakauru ai te ngongo nephrostomy. Ka whakamahia e raatau te hangarau whakaahua penei i te ultrasound, te tirotiro CT, te fluoroscopy ranei hei awhina i a raatau ki te tuu tika i te ngongo. Ka oti te whakauru i te ngongo, ka taapirihia e ratau he kopae iti ki to kiri kia pai ai te pupuri i te ngongo.

Te tiaki i to ngongo

Ma to taakuta koe e ako ki te tiaki i to ngongo nephrostomy. Me tirotirohia e koe to ngongo i ia ra ia ra me te whakakore i nga miihini kua kohia i roto i te peke waikeri.

Te tirotiro i to ngongo nephrostomy

Ka tirotirohia e koe to ngongo nephrostomy, me tiro e koe nga mea e whai ake nei:

• Tirohia he maroke, he ma, he tau hoki ou kakahu. Mena he maku, he paru, he waatea ranei, me whakarereke.
• Tirohia to kiri i te taha o te kaakahu kia kore he whero, ka ru ranei.
• Tirohia te mimi i kohia i roto i to peke waikeri. Me kaua e rereke te tae.
• Kia mahara kaore he kink, he koretake ranei i te ngongo e ahu mai ana i o kakahu ki te peke waikeri.

Te tango i to peke waikeri

Me waiho e koe to peeke rerenga wai ki roto i te wharepaku ina tata ki te haurua o te wa. Ko te wa i waenga i ia waahi ka ngaro o te peeke ka rereke mai i tenei tangata ki tenei tangata. Ko etahi taangata me mahi i tenei i nga haora iti nei.

Te whakaheke i to ngongo

I te nuinga o te wa me riringi e koe to koromamao kia kotahi te wa i te ra, engari akene he wa i muri ake ka whai koe i to tikanga. Ka hoatu e to taakuta etahi tohutohu motuhake mo te peera i to koromamao. Ko nga whakaritenga whanui penei:

1. Horoihia o ringaringa. Whakauruhia nga karapu.
2. Patohia te kati ki te peke waikeri. He paera kirihou tenei e whakahaere ana i te rere o te wai i roto i to ngongo nephrostomy. E toru ona puare. Kotahi te tuwhera e piri ana ki nga ngongo e piri ana ki te kaakahu. Ko tetahi atu ka piri ki te peke waikeri, a ko te tuatoru ka piri ki te tauranga wai.
3. Tangohia te potae mai i te tauranga irrigation ka horoi rawa ki te waipiro.
4. Ma te whakamahi i te hikoi, peia te otinga tote ki roto i te tauranga wai. Kaua e kukume i te pungarongo pupuhi o te pūwero, ka werohia ranei neke atu i te 5 mililita o te otinga tote.
5. Whakahokia te stopcock ki te waahi waikeri.
6. Tangohia te syringe mai i te tauranga irrigation ka whakaora i te tauranga me te potae ma.

He mea taapiri kia maumahara

• Kia mahara ki te waiho i to peke waikeri i raro i te taumata o ou whatukuhu. Ka aukati tenei i te taarua o te mimi. I te nuinga o nga wa, ka herea te peeke waikeri ki to waewae.
• I nga wa katoa ka hapai koe i o kaakahu, korere, peeke peekeri ranei, kia mahara kua horoia o ringaringa ki te hopi me te wai mahana, ki te horoi waipiro ranei.
• Kaua e horoi, e kauhoe ranei i te mea kei i a koe he ngongo nephrostomy. Ka taea e koe te horoi ano i nga haora 48 i muri o to tikanga. He mea pai ki te whakamahi i te upoko ua o te ringaringa, mena ka taea, kia kore ai e makuku to kakahu.
• Ngana ki te whakaiti i a koe ki te mahi maamaha e whai ana i nga tikanga whakahaere me te whakanui ake i to taumata mahi mena he pai ki a koe. A ape i nga nekehanga ka raru pea nga riu, te korere ranei.
• Me whakarereke e koe o taakahu i te iti rawa i te waa i te wiki.
• Kia mahara ki te inu i te maha o nga wai.

Nga haurangi o te ngongo nephrostomy

Ko te whakanoho i te ngongo nephrostomy he tikanga haumaru. Ko te mate kino e kitea ana e koe ka pangia e te mate. Me korero tonu e koe ki to taakuta mena ka kite koe i nga tohu e whai ake nei, na te mea he tohu pea he mate.

• he kirika nui ake i te 101 ° F (38.3 ° C)
• te mamae o to taha o to tua o raro ranei
• te pupuhi, te whero, te ngawari ranei i te waahi o ou kakahu
• te wiri
• mimi ka pouri rawa, ka kapua ranei, ka kakara ranei
• mimi he mawhero, whero ranei

Me whakapiri atu hoki koe ki to taakuta mena ka whai ake tetahi o enei, na te mea he tohu te aukati:

• He ngoikore te whakaheke i te mimi, kaore ranei he mimi i kohia neke atu i te rua haora.
• Ka rere mai te mimi mai i te waahi whakakakahu, ma te korere ranei.
• Kaore e taea te horoi i to korere.
• Ka taka tau ngongo nephrostomy.

Te tango i te ngongo

He wa poto to ngongo nephrostomy ka mutu me tango. I te wa e tangohia ana, ka werohia e to taakuta he rongoa rongoa i te waahi i whakauruhia ai te ngongo nephrostomy. Ka tangohia maeneene e ratau te ngongo nephrostomy ka taatai ​​i nga kakahu ki te papanga i mua.

I roto i to wa whakaora, ka tohutohungia koe kia nui te inu wai, karo i nga mahi uaua, me te karo i te kaukau me te kaukau.

Te tangohanga

Ko te whakanoho i te ngongo nephrostomy he wa poto ka tuku i te mimi ki te rerenga o waho o to tinana ka kore e rere i roto i to punaha mimi kia rite ki te tikanga. Me korero tonu e koe ki to taakuta mena kei te awangawanga koe mo to ngongo nephrostomy ka whakapae koe he mate he poraka ranei kei roto i to ngongo.