(1) Y dull o gadarnhau bod pen isaf y tiwb J dwbl yn y bledren yn ystod y llawdriniaeth:
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) Er mwyn osgoi cymhlethdodau, dylid rhoi sylw hefyd i:
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.
I gloi, po hiraf yw amser indwelling y cathetr J dwbl, yr uchaf yw nifer yr achosion o gymhlethdodau, felly dylid ei ddileu mewn pryd. Yn gyffredinol, mae'r tiwb indwelling 4 i 6 wythnos ar ôl y llawdriniaeth. I'r rhai sydd wir angen tiwb preswyl tymor hir, dylid ei ailosod bob 2 i 3 mis. Yn ogystal, mae dilyniant ar ôl y llawdriniaeth hefyd yn bwysig iawn, mae'n hawdd colli'r apwyntiad dilynol ar ôl llawdriniaeth, ac os yw'r dilyniant- heb fod yn amserol, gall cymhlethdodau neu gerrig cymhleth achosi anhawster i gael gwared ar y cathetr, sydd nid yn unig yn cynyddu manteision corfforol ac economaidd y claf.
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.
