The advantages of intermittent catheterization are as follows:
1. Maintaining independent life.
2. Reduces urinary tract infections
3. Prevents upper urinary tract reflux
4. Maintains normal sexual relations
5. Reduces dependence on assistive devices and appliances
Use of the method is as follows;
1. Catheterization is usually carried out once every 4 hours, and the volume of urine is maintained at a rate of 300-500 ml per time, and the patient should drink plenty of water. The patient should also drink plenty of fluids and maintain a certain amount of urine to help prevent infection. Catheterization can be done once a day before going to bed at night and once in the morning after waking up. The daily water intake should be adjusted appropriately according to the urine volume, and the intake should be uniform for 24 hours to prevent the need for additional catheterization due to the intake of large amounts of water in a short period of time.
2. The specific method is to wash and dry the catheterization equipment. Generally use 12F ~ 14F urinary catheter, catheterization will be inserted into the urethra until the urine out of the urinary catheter and then inserted into the 1 ~ 2 cm, the catheter end of the bubble cover removed, drain the urine after the removal of the urinary catheter. You can apply a special home catheter, change the disinfectant in the set every day, two catheters in turn, one week to replace one, the other washed and dried, one month later, you can choose to boil the two sets of catheters to disinfect once, after six months to replace the two catheters.
3. This clean catheterization has the potential to induce bacteriuria, but with catheterization at four-hour intervals, the bacteria in the bladder are less than dilute enough for bacterial infections capable of destroying the mucous membranes to occur. The incidence of asymptomatic bacteriuria is about 74%, and it is relatively rare with high fever or pyelonephritis. Increased mucus in the urinary bladder is one of the most important factors contributing to urinary tract infections, and it is recommended that the mucus in the bladder be flushed out as much as possible at regular intervals (1 to 3 days).
4. For those who self-catheterize with intermittent clean catheterization, the presence of foul-smelling, cloudy urine, lower abdominal cramps, fever, back pain, and urgency suggests the possibility of cystitis or urinary tract infection. Mild cases can be relieved by shortening the catheterization time and drinking plenty of water, while severe cases should take oral antibiotics for 3-5 days. Those with high fever should go to the hospital promptly for intravenous antibiotics, and at the same time, a urinary catheter should be left in place through the urethra or fistula until the symptoms disappear or the temperature is normalized for 3-5 days.
5. Patients with intermittent clean self-catheterization need to have urine cultures checked every 1-3 months. In case of infection, antibiotic treatment can be initiated based on the results of the last urine culture, and the urine culture can be performed at the same time.
6. Intermittent catheterization is difficult to estimate the bladder capacity at the beginning of the process, the patient how to grasp the catheterization time and catheterization volume is a gradual training process, after a period of training, the patient can generally grasp a certain catheterization rules.
7. Intermittent clean home catheterization has some comorbidities, such as urethral injuries and urinary tract infections, but it is safer and more reliable than indwelling catheters.
8. The significance of self-cleaning catheterization lies in the fact that once the patient has mastered this catheterization technique, he or she can return to the community, care for himself or herself, and live independently.
9. A homemade diluted solution of povidone-iodine can be used for disinfection by immersion (1 part povidone-iodine solution + 10 parts saline).
Beijing can go to Boai Hospital to buy, but more expensive, you can contact the dealer to buy, or log on to Taobao to search for 'intermittent catheterization' can also be bought