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26/09/2022 às 15h45min - Atualizada em 28/09/2022 às 00h01min

Mitos e verdades sobre o uso do cateter urinário

Profissional da Coloplast orienta uso do produto

SALA DA NOTÍCIA Maria Estrella
www.coloplast.com.br

Divulgação Coloplast
Cerca de 5 mil brasileiros sofrem lesão medular anualmente e, em sua maioria, precisam esvaziar a bexiga com o uso de um cateter urinário. É o procedimento denominado Cateterismo Intermitente Limpo (CIL), que tem como objetivo evitar possíveis complicações para a saúde dos usuários.

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A person with her arms crossed

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" style="width:140px; height:228px" />A enfermeira estomaterapeuta especialista em marketing clínico de Continence Care da Coloplast, Marthyna de Mello, reforça que, no caso de dúvidas, uma orientação profissional é essencial para garantir o uso correto do cateter.

 
É necessário o uso de luvas para a realização do cateterismo intermitente limpo? 
MITO 
O urologista americano Jack Lapides demonstrou em 1972 que a prevenção da infecção urinária se dá pelo esvaziamento da bexiga. Desta forma, o uso da luva não é necessário na utilização do cateter. 
  
Adotar o cateterismo limpo implica apenas em uma realização higiênica? 
MITO 
Além de lavar as mãos ou passar álcool 70% antes do procedimento, fazer o cateterismo de quatro a seis vezes por dia (de acordo com a orientação do profissional de saúde) e manter-se hidratado garantem uma boa rotina com o cateterismo intermitente limpo e menor risco de complicações. 
  
É possível evitar infecções urinárias tomando antibióticos? 
MITO 
O uso excessivo de antibióticos não é benéfico. O que realmente reduz a incidência de infecção do trato urinário (ITU) quando se trata de CIL é a correta frequência e técnica do procedimento, e o destaque para o uso de cateteres hidrofílicos que são, comprovadamente, a tecnologia que reduz o risco das complicações mais frequentes.   
  
O paciente tem autonomia para decidir quantos cateterismos realiza por dia? 
MITO 
O usuário deve seguir as orientações do profissional de saúde e preencher o diário vesical para saber a frequência ideal para manter a bexiga saudável. 
  
O Cateterismo Intermitente Limpo é a técnica mais difundida do cateterismo intermitente e se baseia em uma boa higiene das mãos (com água e sabão ou álcool 70%) e higiene do canal uretral (usando um lenço umedecido ou gaze úmida com água) sem uso de luvas e antissépticos. 
VERDADE 
A técnica do cateterismo intermitente limpo baseada em uma boa higienização das mãos e do canal uretral sem todo o aparato asséptico, facilita para que o paciente realize o procedimento e tenha uma boa adesão ao tratamento. 
 
Quanto menos etapas de preparo para a realização do cateterismo intermitente limpo, melhor é a adesão do paciente? 
VERDADE 
Quanto mais fácil a realização do procedimento, melhor é a adesão do paciente. Existem três possibilidades de realização do cateterismo intermitente limpo: 
  1. No caso do cateter uretral convencional, o paciente precisa realizar a lubrificação manual.  
  2. Para uso do cateter com necessidade de ativação da lubrificação, é necessário rompimento de sachê, ou preparação com o uso de água destilada (a depender do modelo), para ativar a lubrificação e então realizar o procedimento.  
  3. E no caso do cateter com revestimento hidrofílico, o paciente abre a embalagem e o mesmo já está lubrificado pronto para ser usado, sem necessidade de nenhuma etapa de preparação, o que impacta positivamente na adesão ao procedimento. 
Informações para a imprensa:
Approach Comunicação
Maria Estrella – maria.estrella@approach.com.br  - (21) 9-9918-1221
Lorena Paiva – lorena.paiva@approach.com.br – (21) 9-8243-1191
Rogéria Lemos – rogeria.lemos@approach.com.br  - (21) 9-9769-2066


 


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