Ngā mea katoa mō te Nephroscopy, he maimoatanga māmā mō ngā whatukuhu

Kei te wehi anō hoki koe kei pokangahia he pokanga nui hei tango i ngā kōhatu tākihi? I mōhio koe, hei utu mō te pokanga nui pērā i ngā mea i mua he tapahi nui, ka taea e koe te tango i ngā kōhatu tākihi mā te whakamahi i tētahi kāmera i whakaurua mā roto i tētahi tapahi iti? Koinei te tikanga maimoatanga hou e kiia nei ko te 'Nephroscopy.' I tēnei rā, ka kōrerohia e tātou tēnei me te taipitopito, me te tino māmā.

He aha te Nephroscopy?

He tikanga tēnei hei tirotiro i te roto o ō whatukuhu, hei rongoā hoki i ētahi mate. Kāore e nui te tapahi pērā i mua.

Ka mahia tēnei mā te whakamahi i tētahi taputapu motuhake, angiangi e kiia nei ko te nephroscope. He ngongo roa, he matotoru ake i te pene. Ka mahia he tapahi iti rawa ki te kiri o tō tuara, ā, ka whakaurua tēnei ngongo ki roto i te whatukuhu. Kei roto i tēnei ngongo he rama, he kāmera (pērā i te karu tiro), me tētahi pūnaha whakamakuku hei horoi i te wāhi e mahia ana te pokanga. Ka whakahaerehia e te tākuta te maimoatanga mā te tiro i ngā whakaahua mai i tēnei kāmera ki runga i tētahi mata nui.

Whakaarohia me tango e koe tētahi kōhatu tākihi. Ka taea e koe te whakamahi i te ultrasound, i te rama laser rānei hei wawahi i te kōhatu mā roto i tēnei nephroscope. I muri i te wawahi, ka unuhia ngā wahi mā roto i tēnei ngongo. Ko te painga nui o tēnei ko te kore e hiahiatia he pokanga tuwhera nui pērā i mua. Nō reira ka tere ake tō ora.

He aha ngā whakamahinga o te Nephroscopy?

He maha ngā āhuatanga e whakamahia ana mō tēnei tikanga maimoatanga. Kia kite tātou he aha ēnei.

Me pēhea taku whakarite mō tēnei pokanga?

He maha ngā mea me whakarite e koe i mua i te whai i tēnei momo maimoatanga.

• Ngā Whakamātautau: Ka whakahaerehia he whakamātautau mimi hei tirotiro mēnā he mate kei roto i tō mimi. Mēnā he mate, me tango e koe he paturopi.
• Ngā Mōhiotanga Rongoā: Mena kei te tango koe i ngā rongoā whakaiti toto pēnei i te aspirin, te warfarin rānei (Coumadin®), me kōrero koe ki tō tākuta. Māna koe e tohutohu kia mutu te tango i ēnei rongoā i te wiki i mua i te pokanga.
• Kai me te Inu: Kāore e taea e koe te kai, te inu rānei i tetahi mea mō ngā haora e 8 i mua i te pokanga.
• Tohutohu hauora: Ko te mea nui ko te kōrero ki tō tākuta mō ēnei mea katoa, me te whai i ana tohutohu kia tika.

Me pēhea te mahi i te pokanga?

Āe, kia titiro tātou ki ngā mahi mō tēnei maimoatanga.

Tuatahi, ka arotakehia e tō tākuta ngā karapa kua oti i a koe (pēnei i te karapa CT, i te urogram rānei) ā, ka whakaritea tō pokanga. Ka tukuna he rongoā whakamoe whānui ki a koe, kia kore ai koe e mamae, me te mea kei te moe koe.

Kātahi ka whakatakotoria koe ki runga i te tēpu pokanga me tō puku e anga ana ki raro. Tuatahi, ka whakaurua he ngongo iti (catheter) mā roto i tō urethra ki roto i tō whatukuhu. Ka tukuna he tae motuhake mā roto i te ngongo, ā, ka tangohia he hihi-X hei tiro mārama i roto i tō whatukuhu.

Kātahi, e ai ki te whakamahere, ka werohia he ngira mā te kiri i tō tuara ki roto i te whatukuhu. Ka whānui ake te wāhi, ā, ka whakauruhia he ngongo (pūkahukahu). Ka mahia tēnei mā te tapahi iti, he rite te rahi ki te dime. Ināianei, mā roto i tēnei ngongo, ka taea te tuku tika i te nephroscope me ētahi atu taputapu pokanga ki roto i te whatukuhu.

Ināianei, ka titiro te tākuta mā te kāmera, ka wahia he kōhatu tākihi, ki te mea rānei he aukati, ka tangohia, kātahi ka tangohia ngā wahi mā te nephroscope.

Hei whakamutunga, ka whakanohoia he mea e kiia nei ko te stent ureteral ki roto i te ngongo e rere ana mai i te whatukuhu ki te mimi (ureter). He ngongo kirihou tuwhera tēnei, tata ki te 10-12 inihi te roa. Mā tēnei ka ngāwari ake te rere o te mimi, ā, ka tere ake te ora o te whatukuhu. I te nuinga o te wā ka tangohia te stent ina kite koe i tō tākuta i roto i te wiki pea.

He aha ngā mea me tiaki e koe i muri i te hokinga ki te kāinga?

I muri i te pokanga, ka haria koe ki te rūma whakaora. Kia whakaūtia kei te pai ngā mea katoa, ka taea e koe te hoki ki te kāinga i te aonga ake. Kia tino tiakina ēnei mea i muri i tō hokinga ki te kāinga.

• Ki te pāngia koe e te kirika, te mātao me te wiri, te mamae nui rānei e kore e taea te whakahaere e ngā rongoā whakamamae mamae kua tohua e tō tākuta, waea atu ki tō tākuta tonu.
• He mea noa te kitea he toto iti i roto i tō mimi i muri i te pokanga. Engari...

• Ki te kore e tohua tētahi atu e tō tākuta, karohia te hiki i ngā taumaha, te mahi rānei i ngā mahi whakakori tinana kaha mō ngā wiki e rua ki te whā.

He aha ngā painga me ngā mōrearea o tēnei maimoatanga?

Ko te painga nui o tēnei he tikanga tino haumaru, ā, kāore e hiahiatia he pokanga nui (pokanga tuku iho). Nō reira, he poto ake te wā whakaora, ā, he iti ake hoki te tūponotanga o te pangia.

Heoi, pērā i ngā pokanga katoa, tera pea ētahi mōrearea iti.

• Te toto i te wā e pokanga ana, i muri rānei i te pokanga (tērā pea me whakawhiti toto i aua wā).
• Te kohikohinga wai i roto i ngā pukahukahu.
• He mate kino pērā i te sepsis.
• Mate pāwera o te ara mimi.
• Te kino ki te whatukuhu, ki te ara mimi rānei.

He tino onge ēnei mōrearea. Mā tō tākuta ēnei mea katoa e whakamārama ki a koe i mua i te pokanga, nō reira kāore he mea hei manukanuka.