(1) An modh chun a dhearbhú go bhfuil foirceann íochtair an fheadáin dúbailte J sa lamhnán le linn na hoibríochta:
① After the catheter is placed, there is resistance to gently pulling the catheter, and it retracts into the ureter quickly after releasing it.
②The catheter enters the back hole of the bladder and urine flows out.
③Inject methylene blue into the bladder, squeeze the lower abdomen, and blue liquid flows out from the side hole.
④ Intraoperative X-ray or cystoscopy confirmed.
(2) Chun aimhréití a sheachaint, ba cheart aird a thabhairt freisin ar:
①Choose different types and good quality double-J tubes according to different patients, and estimate the position and length of the upper or lower double-J tubes according to the position of the stones on the intravenous pyelogram before surgery.
② The No. 1 silk thread is sewn at the end of the double J tube. After the upward movement, the silk thread can be clamped by the cystoscope and the double J tube can be taken out, so as to avoid the pain and economic loss caused by the operation, ureteroscopy and other methods to the patient.
③ X-ray or B-ultrasound to understand the position of the double J tube, and adjust the position of the double J tube through the cystoscope if necessary.
④ Long-term placement of double-J tubes should be replaced regularly to avoid the formation of stones. Ask the patient to drink plenty of fluids to reduce urinary salt deposition.
Mar fhocal scoir, dá fhad a bheidh an t-am chónaithe ar an gcaitidéar dúbailte J, is airde an mhinicíocht aimhréidh, mar sin ba chóir é a bhaint in am. Go ginearálta, tá an feadán indwelling 4 go 6 seachtaine tar éis na hoibríochta. Dóibh siúd a bhfuil géarghá acu le feadán cónaithe fadtéarmach, ba chóir é a athsholáthar gach 2 nó 3 mhí. Ina theannta sin, tá obair leantach iarobráide an-tábhachtach freisin, tá sé éasca an chaitidéar dúbailte laistigh in-obráide a dhéanamh a chailleann an obair leantach, agus má tá an beart leantach ní tráthúil, d’fhéadfadh deacrachtaí nó clocha casta a bheith ina chúis le deacracht a bhaint as an gcaitidéar, rud a mhéadaíonn ní hamháin buntáistí fisiceacha agus eacnamaíocha an othair.
Therefore, a strict follow-up system must be established: the operation records should be written with a built-in double-J tube; during the postoperative rounds, the patients and their families should be explained to the patients and their families that there are built-in double-J tubes, explaining the function and precautions ; The doctor's order in the discharge medical record should indicate the time of the follow-up visit and take the tube, and ask to drink more water.
