Kodi mukuopanso kuchitidwa opaleshoni yayikulu kuti muchotse miyala ya impso? Kodi mukudziwa kuti m'malo mochita opaleshoni yayikulu ngati yomwe kale inkafuna kuduladula ...
Kodi Nephroskopia ndi chiyani?
Mwachidule, iyi ndi njira yogwiritsira ntchito pofufuza mkati mwa impso zanu ndikuchiza matenda ena. Sikutanthauza kudula kwambiri monga kale.
Izi zimachitika pogwiritsa ntchito chida chapadera, chopyapyala chotchedwa nephroscope. Ndi chubu chachitali, chokhuthala pang'ono kuposa pensulo. Pakhungu la kumbuyo kwanu pamakhala kachidutswa kakang'ono kwambiri, ndipo chubu ichi chimayikidwa mu impso. Mkati mwa chubuchi muli kuwala, kamera (monga telesikopu), ndi makina othirira madzi kuti atsuke malo omwe opaleshoni ikuchitikira. Dokotala amachita chithandizochi poyang'ana zithunzi kuchokera ku kamerayi pa sikirini yayikulu.
Tangoganizani kuti mukufunika kuchotsa mwala wa impso. Mungagwiritse ntchito ultrasound kapena laser light kuti muswe mwalawu kudzera mu nephroscope iyi. Mukaswa, zidutswazo zimatulutsidwa kudzera mu chubu ichi. Ubwino waukulu wa izi ndikuti simuyenera kuchita opaleshoni yayikulu yotseguka monga momwe munkachitira kale. Kuti muthe kuchira mwachangu.
Kodi kugwiritsa ntchito Nephroskopia ndi chiyani?
Njira yochiritsira imeneyi imagwiritsidwa ntchito makamaka pazochitika zingapo. Tiyeni tiwone zomwe zili.
| Mwayi wa chithandizo | Kufotokozera kosavuta |
|---|---|
| Kuchotsa miyala ya impso (PCNL) | Njira imeneyi imagwiritsidwa ntchito pochotsa miyala ya impso, makamaka yomwe ndi yayikulu (yoposa 1 cm). Dzina lapadera la izi ndi Percutaneous Nephrolithotomy kapena (PCNL) . |
| Kuchotsa zidutswa za miyala | Amagwiritsidwanso ntchito kuchotsa zidutswa za miyala ya impso zomwe zimatsala pambuyo pa chithandizo china. |
| Kuchotsa zotupa zazing'ono | Ziphuphu zina zazing'ono zomwe sizili ndi khansa mkati mwa impso zimatha kuchotsedwa. |
| Kuchotsa ma cysts a impso | Njira imeneyi imagwiritsidwanso ntchito pochiza ma cysts, omwe ndi matumba odzaza madzi omwe amapangidwa mu impso. |
| Chithandizo cha kutsekeka kwa mitsempha (UPJ Obstruction) | Chithandizo cha kutsekeka kwa ureteropelvic junction (UPJ) , komwe ndi kutsekeka koyambirira kwa chubu chomwe chimatenga mkodzo kuchokera ku impso kupita ku chikhodzodzo. |
| Kuchotsa zinthu zina | Njirayi ingagwiritsidwenso ntchito kuchotsa chinthu chomwe chinayikidwa kunja kwa thupi, monga stent yomwe idayikidwa kale. |
Kodi ndiyenera kukonzekera bwanji opaleshoni iyi?
Pali zinthu zingapo zomwe muyenera kukonzekera musanalandire chithandizo chamtunduwu.
- Mayeso: Kuyezetsa mkodzo kudzachitika kuti muwone ngati pali matenda mu mkodzo wanu. Ngati pali matenda, muyenera kumwa mankhwala opha tizilombo toyambitsa matenda.
- Chidziwitso cha Mankhwala: Ngati mukumwa mankhwala ochepetsa magazi monga aspirin kapena warfarin (Coumadin®), muyenera kuuza dokotala wanu. Iye adzakulangizani kuti musiye kumwa mankhwala awa pafupifupi sabata imodzi opaleshoni isanachitike.
- Chakudya ndi Chakumwa: Nthawi zambiri simungadye kapena kumwa chilichonse kwa maola 8 musanachite opaleshoni.
- Uphungu wa zachipatala: Chofunika kwambiri ndikulankhula ndi dokotala wanu za zonsezi ndikutsatira malangizo ake molondola.
Kodi opaleshoniyi imachitidwa bwanji?
Chabwino, tsopano tiyeni tiwone njira zomwe zingagwiritsidwe ntchito pochiza matendawa.
Choyamba, dokotala wanu adzayang'ana mosamala ma scan onse omwe mudachitapo (monga CT scan kapena urogram) ndikukonzekera opaleshoni yanu. Mudzapatsidwa mankhwala oletsa ululu, kotero simudzamva kupweteka kulikonse, ngati kuti mukugona.
Kenako mudzayikidwa patebulo lochitira opaleshoni mimba yanu ikuyang'ana pansi. Choyamba, chubu chaching'ono (catheter) chidzalowetsedwa kudzera mu urethra yanu kupita mu impso yanu. Utoto wapadera udzadutsa mu chubucho ndipo X-ray idzatengedwa kuti muwone bwino mkati mwa impso yanu.
Kenako, monga momwe munakonzera, singano imalowetsedwa kudzera pakhungu la kumbuyo kwanu kupita ku impso. Malowo amakulitsidwa pang'ono, ndipo chubu (sheath) chimalowetsedwa. Izi zimachitika kudzera mu kudula pang'ono kofanana ndi senti imodzi. Tsopano, kudzera mu chubu ichi, nephroscope ndi zida zina zochitira opaleshoni zimatha kulowetsedwa mwachindunji mu impso.
Tsopano, dokotala akuyang'ana kudzera mu kamera ndikuswa mwala wa impso, kapena ngati ndi cholepheretsa, amachotsa, ndikutulutsa zidutswazo kudzera mu nephroscope.
Pomaliza, chinthu chotchedwa ureteral stent chimayikidwa mkati mwa chubu chomwe chimayenda kuchokera ku impso kupita ku chikhodzodzo (ureter). Ichi ndi chubu chapulasitiki chopanda kanthu chomwe chili ndi kutalika kwa mainchesi 10-12. Izi zimathandiza kuti mkodzo utuluke mosavuta ndipo zimathandiza impso kuchira mwachangu. Stent nthawi zambiri imachotsedwa mukawonana ndi dokotala wanu patatha pafupifupi sabata imodzi.
Kodi ndi zinthu ziti zomwe muyenera kuzisamalira mukabwerera kunyumba?
Mukamaliza opaleshoni, mudzatengedwera ku chipinda chochiritsira odwala. Mukatsimikizira kuti zonse zili bwino, nthawi zambiri mudzatha kupita kunyumba tsiku lotsatira. Samalani zinthu izi mukapita kunyumba.
- Ngati mukumva kutentha thupi, kuzizira komanso kunjenjemera, kapena kupweteka kwambiri komwe sikungathe kuthetsedwa ndi mankhwala ochepetsa ululu omwe dokotala wanu wakupatsani, imbani dokotala wanu nthawi yomweyo.
- Ndizabwinobwino kukhala ndi magazi pang'ono mu mkodzo mukatha opaleshoni. Koma...
Ngati muli ndi magazi ambiri m'mkodzo wanu, kapena ngati mukuona magazi ambiri oundana, pitani ku chipinda chapafupi chadzidzidzi (ETU) nthawi yomweyo. Ichi si chinthu chochedwetsa.
- Pokhapokha ngati dokotala wanu akulangizani mwanjira ina, pewani kunyamula zolemera kapena kuchita masewera olimbitsa thupi okhwima kwa milungu iwiri kapena inayi.
Kodi ubwino ndi zoopsa za chithandizochi ndi ziti?
Ubwino waukulu wa izi ndikuti ndi njira yotetezeka kwambiri ndipo siifuna opaleshoni yayikulu (opaleshoni yachikhalidwe). Chifukwa chake, nthawi yochira imakhala yochepa ndipo chiopsezo cha matenda nachonso chimakhala chochepa.
Komabe, monga opaleshoni iliyonse, pakhoza kukhala zoopsa zina zazing'ono.
- Kutuluka magazi panthawi ya opaleshoni kapena pambuyo pake (kuikidwa magazi kungakhale kofunikira nthawi ngati zimenezi).
- Kuchulukana kwa madzi m'mapapo.
- Matenda oopsa monga sepsis.
- Matenda a mkodzo.
- Kuwonongeka kwa impso kapena njira ya mkodzo.
Zoopsa zimenezi sizichitika kawirikawiri. Dokotala wanu adzakufotokozerani zonsezi bwino musanachite opaleshoni, kotero palibe chodetsa nkhawa.
Uthenga Wopita Nawo Kunyumba
- Nephroskopi ndi njira yamakono yomwe imalowetsa kamera kudzera m'mabala ang'onoang'ono pakhungu kuti ione ndikuchiza mkati mwa impso.
- Izi zimathandiza kwambiri, makamaka pochotsa miyala ikuluikulu ya impso (njira ya PCNL), ma cysts ang'onoang'ono, ndi zotsekeka.
- Nthawi yochira pambuyo pa izi ndi yochepa kwambiri kuposa nthawi yochira pambuyo pa kudulidwa kwakukulu.
- Ngati mukumva malungo, kupweteka kosalekeza, kapena kutuluka magazi ambiri mutachita opaleshoni, muyenera kupeza upangiri wa dokotala nthawi yomweyo.
- Ngati muli ndi mafunso okhudza izi, musaope kufunsa dokotala wanu.
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