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9号-你对尿路管理还在袖手“膀”观吗?康小护带你乘风破浪 2020.09.14

作品名称

你对尿路管理还在袖手“膀”观吗?康小护带你乘风破浪

作者

四川大学华西医院康复医学中心 杨悦、张建梅、丁明甫



HALOU! LEDISEN andBINGYOUMEN,KANDAOZHEIGEBIAOTI,SHIBUSHIYIJINGZAINAOHAIFEISUDIXUANZHUAN、TIAOYUE、WOBIZHEYAN?POBUJIDAIXIANGWENGESHIWANGEWEISHAZIHEZAGENONG?


XU!MOHUANG,YIGEYIGEJUSHOUSHUOMA。

A:HUSHILAOSHI,WOKEYIZIJIE,DANSHISHIZHONGGANJUENIAONIAOMEIJIEGANJINGNI,MEIPAIGANJINGYOUSHAZIWEIHAI?

B:HUSHIXIAOJIEJIE,WOYIZHIZAIQINGJIEJIANXIEDAONIAO,ZHEIYANGHAIYAOHAOJIUCAIKEYIZIJIPAIXIAOBIANE?

C:HUSHIMEIMEI,DAONIAOHAOMAFANE,YOUMEIDESHAZIGENGHAODEBANFAMA?

HAO!DAJIAMOZHUOJI,WOMENJINTIANLAILVYILV,YOUWOMENHUAXIKANGXIAOHUZAI,JIAONICHUQIZHI“SHEN”!


问:是咋个回事导致的排尿问题?

KANGXIAOHU:YOUYUWAISHANGHUOJIBINGYINQIDESHENJINGDIAOJIEYICHANG,DAOZHIBUNENGZHENGCHANGPAINIAO,JIFASHENGSHENJINGYUANXINGBANGGUANG。SHENJINGYUANXINGBANGGUANGGUANLISHUOLAIHUAZHANG,XIJIEYOUDUO,JINTIANZHUYAOBAIHAWEISHAZIYAOPAIKONGBANGGUANG?

SHENZANGCHANSHENGNIAOYE,JINGSHUNIAOGUANHUIJIDAOBANGGUANG,RUGUOJINRUBANGGUANGDENIAOYEZAICIFANLIUDAOSHENZANG,JIANGZAOCHENGSHENZANGDESUNHAI。

LINGWAI,BIENIAOHUISHIBANGGUANGSHOUSUOLIXIAJIANG,YUNIAOLIANGZENGJIA,RUGUOJINGCHANGBUNENGWANQUANPAIKONGBANGGUANG,NIAOYEHUIBIANZHI,BANGGUANGNEIDEXIJUNFANZHI,KEDAOZHINIAOLUGANRAN。


问:仅仅只是可能发生尿路感染吗?康小护:你太小看并发症了嘛。

BANGGUANGPAIKONGBUQUANKEYINQIDUOZHONGBINGFAZHENG:

NIAOLUGANRAN

43TIANGANRANLVDA100%

NIAOLUJIESHI

2NIANHOUBANGGUANGJIESHIFASHENGLVCHAOGUO6.6%

SHANGNIAOLUSUNHAI

10NIANSHENJISHUIHESHENWEISUOCHAOGUO10%


ZHUYILE,CUNZAINIAOLUBINGFAZHENGDESHENJINGYUANXINGBANGGUANGHUANZHEZHUANGUIWEISHENBINGHOU,SIWANGLVGAODA60%。ZHONGGUOSHENJINGYUANXINGBANGGUANGHUANZHESHOUYAOZHISIYUANYINSHISHENSHUAI!


KANGXIAOHU:ZHIYAONINENGGUILVDIPAIKONGBANGGUANG,JIUNENGZHANWUBU“SHEN”。JIDEWENMODIAN“ZAIKAN”,MIANDEYIHOUZHAOBUDAOLAO。


HELIXUANZEBANGGUANGPAIKONGFANGSHIYOUZHUYU

· JIANGDIBANGGUANGYALI

· JIANSHAOCANYUNIAOLIANG

· JIANGDINIAOLUGANRANFENGXIAN

· YUFANGZHANGQIZHISIXINGBINGFAZHENG

· BAOHUSHANGNIAOLU

· BAOZHENGZHANGQISHENGCUNJISHENGHUOZHILIANG


WHOTUIJIAN:80%GANRANYUANYULIUZHIDAONIAO,JIANYISHENJINGYUANXINGBANGGUANGHUANZHEBIMIANLIUZHI,YINGCAIYONGJIANXIEDAONIAOPAIKONGBANGGUANG。

JIANXIEDAONIAOSHIGUOJINIAOKONGXIEHUI,TUIJIANDESHENJINGYUANXINGBANGGUANGDEZUIANQUANDESHOUXUANCUOSHI。(ZHENGJUQIANGDU=A)。


NEIME,RUHEPANDUANDAONIAOSHIJIJIBANGGUANGPAIKONG?MANPIANDOUSHIZHONGDIAN,WODOUBUXIAODEZHEILIYINGBUYINGGAIHUAZHONGDIAN?!


  1. NIAOLIUDONGLIXUEJIANCHA,MINGQUEBANGGUANGRONGLIANGJIBANGGUANGYALI。

  2. BANGGUANGRONGLIANGCEDINGYISHISHIJIANCEBANGGUANGRONGLIANG。ZHUYI:LIANXUDUOCICEDECANYUNIAOLIANGXIAOYU100mlHUOWEIBANGGUANGRONGLIANGDE20%,WUQITAMINIAOXIBINGFAZHENGKEKAOLVTINGZHIQINGJIEJIANXIEDAONIAO。

  3. GUILVDIYINSHUIJIDAONIAOSHIPANDUANDAONIAOSHIJIJIBANGGUANGPAIKONGDEJICHU。

TEBIEBUCHONGSHUOMING:HUAXIKANGFUYIXUEZHONGXINKEZUONIAOLIUDONGLIXUEJIANCHA,XUYAODEBINGYOUQINGGUADINGMINGFUFUJIAOSHOUHUOPANHONGXIAYISHIDEMENZHENHAOJINXINGYUYUE,GUANJIANSHIKUOYIZAIXIANWENZHENHA,ZUBUCHUHU,YUZHUANJIALINGJULIJIAOLIU。(XIANGQINGJIANWENMO)

WOMENHAIKAISHELEMENZHENBANGGUANGGUANLIZIXUN,YOUFEICHANGZHUANnieDEYIHUZHITUANDUIWEINIJIEJUEBANGGUANGWENTI,DANGRAN,MENZHENYESHIKEYIXUEXIJIANDAODELA!

SHUODAOZHEI,MOUXIEBINGYOUYIJINGXINXIRUOKUANGLA,BIJINGJIEJUEBANGGUANGWENTIYESHIRENSHENGZHONGDEYIJIANDASHI。

BINGYOUMEN,WUBIJILUHAOPAINIAORIJIE,ZHEISHIZIWOXUNZHAOPAINIAOGUILVZUIJIANYUEYOUBUSHILIMAODEFANGFA。WOSHIBUSHIHEIGUAI......

如何制定饮水计划呀?

  1. 按照常规4-6小时导尿一次,初步罗列整天导尿时间。
  2. 根据尿流动力学测得的膀胱容量确定两次导尿之间的饮水量。
  3. 根据患者自身代谢情况分析饮水及排尿的规律。
  4. 特殊情况特殊处理,确实这段时间水喝多了,那么根据自身代谢情况提前导尿嘛。莫那么笨哈。

RUGUOHAISHIGAOBUDONG,JIAJIANCHENGCHUZONGHUIMA,LIANGGEGONGSHIJIUGAODING。

DAONIAOPINCI≈NIAOYESHENGCHENGLIANG/ANQUANRONGLIANG

YINSHUILIANG≈NIAOYESHENGCHENGLIANG+SHENTISUNHAO

(TISHI:CHENGNIANRENMEIRINIAOYESHENGCHENGLIANGYUE1500~2000ml; SHENTISUNHAOYUE500ml)

EHUO!WOLIANMIJIDOUCHUANSHOUJINIMENLE,ZAITOULUDIANZHUYISHIXIANGYESHIMODEGUANXIDEHA。(XIANGDANGGUANJIAN,BUJINYAOKAN,HAIYAOKANDONGE)


  1. 每4~6小时导尿一次,每次导尿量应控制在膀胱安全容量范围内,不宜超过膀胱安全容量。
  2. 不应该为减少导尿次数而限制饮水,根据尿量制定饮水量,每日应保证有1500ml~2000ml尿量及饮水量,包括三餐中食物的摄水量,如:菜汤、水果等。如果患者运动量、排汗量增加等情况,应适当增加饮水量。
  3. 避免短时间内大量饮水,以防膀胱短时间过度膨胀,睡前3小时尽量不饮水。


YOURENYAOWENLE:LINIAODESHIWU、YINLIAOKEBUKEYISHERU?DAANSHIKEYI,DANSHIYAOGENJUQINGKUANGTIQIANDAONIAO。DANGRAN,WEILEHUANZHEDEJIANKANG,JINLIANGBUSHERULINIAODESHIWUJIYINLIAO。

ZAIEWAIFUSHANGYIZHANGSHUIGUOHANSHUILIANGTUBIAO,SHUIGUOSUIHAO,KEBUYAOTANBEIE!

ZUIHOU,KANGXIAOHUXIANGSHUOJIJUFEIFUZHIYAN,DAJIAKEYIJIANGJIANDAORONGRURICHANGSHENGHUO,JIANDAOJIUSHIMUQIANZUIANQUANDEZHILIAOFANGFA,ERQIEJIANDAOBENLAIJIUSHIRANGDAJIAHUIGUIDAOZHENGCHANGPAINIAOMOSHI,GUANNIANYIZHUANBIAN,JIUBUJUEDESHIFUDANLE,FANERSHIJIANSHAOBINGFAZHENGJITIGAOSHENGHUOZHILIANGDEDONGLI,XIWANGSHANGYOUMENJINGLIFENGYUHOUYIRANNENGGOUZHANFANGGUANGCAI!HUAXIKANGXIAOHUZHUFUNIMEN!


ZAICI,TEDIWEIQINAIDE、YOUAIDE、KEAIDEBINGYOUMENJIESHAOXIAWOMENHUAXIKANGFUYIXUEZHONGXINBANGGUANGGUANLITUANDUI。JINGZHANDEJISHU、XIANJINDEYIQI、QIANYANDELINIANZHUCHENGBINGYOUMENHEWOMENYIWURENYUANZHIJIANXINRENDEQIAOLIANG!YOUQINGZHUANJIAMENLONGZHONGDENGCHANG!BABAZHANGPAIQISA!




<WENMOCAIDAN>

教你如何在线问诊膀胱管理团队专家

WEIXINSOUSUO“SICHUANDAXUEHUAXIYIYUAN”GONGZHONGHAO,DIANGUANZHU,ZHAODAO“ZHENLIAOFUWU”,DIANJIJINRU,DIANJI“ZAIXIANMENZHEN”,JINRUDAOHUAYITONGJIEMIAN,YUEDUZAIXIANMENZHENXUZHI,DAGOUDIANQUEDING,JINRUHOUSOUSUO“DINGMINGFU”HUOZHE“PANHONGXIA”(DANGRANYEKEYIZIXUNQITADEZHUANJIA,SOUSUOZHUANJIAXINGMINGHUOZHEKESHIJIKE),DIANJI“SHENQING”,JIEXIALAIANZHAOTISHICAOZUOJIUKEYILA。



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