Those of us suffering from the many forms of urinary incontinence may find ourselves faced with the possibility having to use a catheter ("cathing") for a period of time. I know many of you are probably familiar with these (unfortunately), but I thought I would pass along some tips I've learned over the years.
Before I go too much further I want to point out that this site,IncontinenceNetwork.com, has several good articles oncatheters and catheterization.
我有，我有导管三种情况：
I do a weekly instillation of Gentamicin to keep any bacteria in my bladder under control.
I usually have my friend "Foley" for a period of time after a Botox procedure.
一旦“福利”叶子，我有时要执行什么我的医生叫“进出导尿”，意思是间歇性导尿以去除残留的尿液。
导管和插管的类型
Catheters come in several types, but the basics are Foley and non-Foley:
AFoleycatheter has a little balloon at the tip, which, when inflated, keeps the catheter from slipping out of the bladder. They are designed for "long-term" use, and are often referred to as "** indwelling catheters**." Generally they need to be changed every month or so, if they are needed for that long.
Non-Foleycatheters have no such balloon and are designed for** intermittent use**, meaning only when the bladder needs to be emptied.
One other notable difference is the tip design. Some have straight tips, while others have curved tips, called "Coude" tips. Generally men with intact prostates and most women can use straight tipped catheters. Men who have had prostate surgery may require a Coude-tipped catheter.
尺寸
导管有各种长度和直径。对于大部分男性导管是16英寸。女性导尿管往往是较短的，但不一定必须是。
Catheter diameter is measure using the French Scale (FR), which is the approximate circumference in millimeters. A 14 FR catheter has a circumference of 14 mm and a diameter of about 4.5 mm, or just under 3/16".
It is important to use the correct size. Generally the largest catheter diameter that can be tolerated comfortably should be used. Some of the reasons for this are:
- The larger the diameter, the stiffer the catheter. This actually makes insertion easier. If the catheter is too small, it may actually fold up inside the urethra.
- 膀胱和尿道内更好的密封。
导管手术
因为它是最好按照医生的指示，我不会讨论如何在这个Sharepost进行导尿。有很多互联网上的资源。
导尿管护理
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It's important to take proper care of the catheter. This involves cleaning as necessary, and taking care of the urinary opening if needed.** *** ** Always wash your hands before and after doing catheter care.** Use soap and warm water. Antibacterial soap is not required, but may help.
- Keep your skin and catheter clean.在一天清洁，至少在你的导管皮肤一次或两次。轻轻地清洁导管为好。我通常只是用一种非香味婴儿湿巾。可能有一些厚的排水可能导致脾气暴躁的残留物。去卫生间后清理是非常重要的。另外，我建议修剪头发那里。我并不是说这是有趣或总：没有什么更难受的是有你的导管挽发到你的尿道口
Always keep your urine (drainage) bag below the level of your bladder.虽然保持低于膀胱的水平袋是很重要的，我发现你不想把它太低。这可能会导致一个“吸”的效果，这是非常不舒服。它需要保持足够低，以防止尿液倒流任何。引流袋可能被污染的细菌随着时间的推移，你不希望这种细菌进入膀胱。
正确的内衣。I have found that loose fitting boxers work best. They keep pressure of the catheter, which is uncomfortable.
饮料，饮料，饮料。如果医生允许它喝，每天至少8杯液体。限制咖啡因的量：它刺激你的膀胱，其已经从导管恼火。最好是从酒精望而却步。当福利探访我，我通常会尽量至少喝的流体睡前一夸脱。这增加了夜间排尿这刷新我的膀胱和导管出来。不为什么，你没有起床反正！
- Do not tug on the tubing.这很痛！走路时不要笨拙和我一样，踩在管道。你应该有一个腿夹，但你可能还需要管夹在衣服上，尤其是在夜间。
间歇性导管车
Caring for an intermittent catheter is not as complicated but some have some of its own issues:
- Cleanliness.Cleanliness is probably a bigger issue with intermittent catheterization than with a Foley. Remember, you are inserting a tube several times a day into you bladder. It is very important to wash your hands with a good quality soap before starting. It is also very important to clean your urinary opening before starting. My local urologist indicated it is okay to use a baby wipe for this, but you might want to use soap and water to be sure. It's probably unnecessary to use a cleaning solution such as Betadine, but follow your doctor's advice. I dry everything off with paper towels.
- Lubricant.因为它通常不是无菌我不想使用OTC润滑剂一样KY果冻。一些抑菌（这意味着他们抑制细菌的生长）的润滑剂来在单次使用箔片包装，并与医生的处方获得。如果您不必导管很多，他们是值得的钱。
- Catheter re-use.Depending on your doctor's recommendations it is possible to re-used intermittent catheters. My doctor allows one week of re-use. After this period of time, even if the catheter looks okay, it is best to throw it out. Catheters can develop a biofilm over time that can't be seen. This may cause a bladder infection if the bacteria gets into your bladder.
- 导管护理。After use, clean the catheter with soap and warm water. Be sure to flush the inside as well as you can by holding the funnel end near the faucet with a strong stream of water running. Don't touch the underside of the faucet with it. Once clean either dry it with a paper towel or allow it to air dry. Store the catheter in a clean plastic bag. I don't close bag, preferring to leave it open to allow air to circulate. Any dampness may promote the growth of bacteria.
我希望你们中的大多数从来没有做到这一点，因为它不是什么好玩的。但是，对于那些你们谁做的，也许你可以从中学到我的经验的东西。