Tiyeni tiphunzire za chithandizo cha khansa ya impso chomwe sichinachitike opaleshoni? (Kuchotsa impso)

Ndizachilendo kumva mantha komanso kudabwa dokotala wanu akakuuzani kapena wina m'banja mwanu ali ndi khansa ya impso. Koma ndi kupita patsogolo kwa mankhwala amakono, pali mankhwala omwe ndi othandiza kwambiri kuposa opaleshoni ndipo sakhudza thupi kwambiri. Chithandizo chimodzi chotere chimatchedwa 'ablation', chomwe ndi chithandizo chapadera chomwe chimagwiritsidwa ntchito kuwononga maselo a khansa ya impso. Tiyeni tikambirane izi mwachidule lero.

Mwachidule, kodi ablation ndi chiyani?

Kuchotsa m'thupi ndi njira ina m'malo mwa opaleshoni yochizira khansa ya impso. Mu njira imeneyi, dokotala wanu amaika chipangizo chopyapyala kwambiri chonga singano (chofufuzira) kudzera pakhungu lanu kupita kumalo komwe khansa ili. Kenako, chipangizocho chimapereka kutentha kwambiri kapena kuzizira ku maselo a khansa. Taganizirani ngati jakisoni yeniyeni, chithandizochi chimapha maselo a khansa okha. Ubwino waukulu wa izi ndikuti umasiya minofu ya impso yathanzi yozungulira khansayo osakhudzidwa . Izi zikutanthauza kuti gawo lathanzi la impso silikhudzidwa.

Kodi chithandizochi ndi choyenera kwa ndani?

Mankhwalawa si oyenera aliyense. Dokotala wanu adzafufuza matenda anu ndikusankha ngati ndi oyenera kwa inu. Mankhwalawa nthawi zambiri amalimbikitsidwa pazochitika zotsatirazi:

• Kwa iwo omwe sakufuna kapena sakufuna kuchitidwa opaleshoni: Kwa anthu ena, chifukwa cha ukalamba kapena matenda ena monga matenda a mtima kapena matenda a shuga , opaleshoni yayikulu (nephrectomy) ikhoza kukhala yoopsa. Ndipo anthu ena safuna kuchitidwa opaleshoni. Iyi ndi njira yabwino kwa anthu otere.
• Ngati khansa ndi yaying'ono: Njira iyi nthawi zambiri imakhala yothandiza kwambiri pa zotupa za khansa zazing'ono kuposa masentimita 3-4 (pafupifupi mainchesi 1.5) .
• Kwa iwo omwe ali ndi zotupa zazing'ono zingapo mu impso imodzi kapena zotupa zazing'ono mu impso zonse ziwiri: M'malo mochotsa impso yonse kudzera mu opaleshoni, njira iyi imatha kuwononga zotupa zokha ndikusunga impso.

Kodi mitundu ikuluikulu ya chithandizo cha ablation ndi iti?

Chithandizochi chimachitika makamaka m'njira ziwiri: malinga ndi mphamvu zomwe zimagwiritsidwa ntchito kuwononga maselo a khansa.

Kodi ndiyenera kukonzekera bwanji ndisanalandire chithandizo?

Dokotala wanu adzakupatsani malangizo omveka bwino okhudza izi. Kawirikawiri,

• Mukulimbikitsidwa kupewa kudya kapena kumwa kwa maola angapo musanalandire chithandizo.
• Mungapemphedwe kuti musiye kumwa mankhwala enaake kwakanthawi (makamaka ochepetsa magazi ), mavitamini , kapena mankhwala a Ayurvedic .

Kodi chimachitika ndi chiyani panthawi ya chithandizo?

Pali njira ziwiri zazikulu zochitira chithandizochi. 1. Laparoscopically: Izi zimachitika ndi dokotala wa urologist. Mudzapatsidwa mankhwala oletsa ululu. Kenako, mabala angapo ang'onoang'ono amapangidwa m'mimba, kamera (laparoscope) imayikidwa kudzera mu imodzi mwa mabala, ndipo chipangizo chochotsera ululu chimayikidwa kudzera mu mabala ena. Ngakhale kuti iyi ndi njira yochitira opaleshoni, imachira mwachangu chifukwa mabalawo ndi ang'onoang'ono kwambiri. 2. Percutaneously:Izi zimachitika ndi dokotala wa radiology. Izi zimaphatikizapo kuyika dzanzi pamalo omwe akufunikira kuchiritsidwa (local anesthesia) ndikuyika singano pakhungu kupita ku chotupa mukuyang'ana scan (CT kapena ultrasound). Muthanso kupatsidwa mankhwala okuthandizani kugona. Njira zodziwika bwino panthawi ya chithandizo ndi izi:

• Kupangitsa khungu kukhala louma kapena losasangalatsa .
• Chubu cha kanthawi (ureteral stent) chingaikidwe kuti chithandize kuyenda bwino kwa mkodzo .
• Kachidutswa kakang'ono ka chotupa cha khansa kamatengedwa kuti kayesedwe (biopsy). Izi zingathandize kudziwa mtundu weniweni wa khansa.
• Pamene akuyang'ana pazenera lojambulira, chipangizo chochotsera maselo chimayikidwa mu chotupacho, chimayatsidwa, ndipo maselo a khansa amawonongeka.

Njira yonseyi nthawi zambiri imatenga ola limodzi kapena atatu .

Kodi mungayembekezere chiyani mutalandira chithandizo?

Pambuyo pa chithandizo,

• Mungathe kupita kunyumba tsiku lomwelo, kapena mungafunike kukhala m'chipatala kwa tsiku limodzi .
• Mungamve kutopa, kupweteka, ndi kumva kuwawa m'dera lomwe chithandizocho chinachitikira .
• Mungaone kutuluka magazi kapena mabala. Izi ndi zachilendo.

Kodi ubwino wa chithandizochi ndi wotani?

Chithandizochi chili ndi ubwino wambiri poyerekeza ndi opaleshoni yaikulu.

• Kuchira mwachangu: Mutha kuchira mwachangu chifukwa cha kupweteka pang'ono komanso kutuluka magazi pang'ono.
• Zilonda zochepa: Popeza zimachitika kudzera m'mabala ang'onoang'ono kwambiri, sizisiya zipsera zazikulu zilizonse.
• Kuwonongeka kochepa kwa impso zathanzi: Uwu ndiye ubwino waukulu.
• Kupita kuchipatala sikofunikira kawirikawiri: nthawi zambiri mukhoza kupita kunyumba tsiku limodzi.
• Chiwopsezo chochepa: Pali chiopsezo chochepa cha mavuto poyerekeza ndi opaleshoni yayikulu.

Kodi palibe chiopsezo pamenepo?

Monga momwe zimakhalira ndi njira ina iliyonse yachipatala, pali zoopsa zazing'ono, koma sizichitika kawirikawiri kuposa opaleshoni yayikulu.

• Kutuluka magazi kapena magazi kuundana
• Matenda
• Kutupa kapena mabala pamalo ochiritsira
• Pali mwayi wochepa woti mitsempha yamagazi yapafupi, mitsempha, kapena ziwalo zina ziwonongeke.
• Kutsekeka kwa ureter

Dokotala wanu adzakufotokozerani bwino zoopsa izi.

Kodi ndiyenera kuyimbira dokotala liti?

Ngati mukumva zizindikiro zotsatirazi mutalandira chithandizo, muyenera kuyimbira dokotala nthawi yomweyo . Kapena pitani kuchipatala chapafupi.Pitani ku Chipinda Chothandizira Padzidzidzi (ETU).

• Ululu wosapiririka kapena kutuluka magazi ambiri.
• Kusanza kosalekeza.
• Kuvuta kukodza kapena magazi mu mkodzo.
• Zizindikiro za matenda, monga malungo .

Nthawi zambiri mukhoza kuyambiranso kuchita zinthu monga kuyenda pansi ndi kuyendetsa galimoto pasanathe tsiku limodzi kapena awiri. Komabe, muyenera kufunsa dokotala wanu musanayambe kuchita zinthu monga kunyamula zinthu zolemera kapena kuchita masewera olimbitsa thupi okhwima.

Kodi chithandizochi chingachitike kangapo? Inde. Ngati khansa sinathe konse, ngati yabwerera, kapena ngati zotupa zatsopano zayamba, chithandizochi chingachitikenso.

Uthenga Wopita Nawo Kunyumba

• Kuchotsa mimba chifukwa cha khansa ya impso ndi njira yothandiza kwambiri yochiritsira yomwe siikhudza thupi, m'malo mwa opaleshoni.
• Izi ndizoyenera makamaka kwa iwo omwe ali ndi zotupa zazing'ono (zosakwana 3-4 cm) komanso omwe sangakwanitse kuchita opaleshoni yayikulu.
• Izi zimaphatikizapo kugwiritsa ntchito kuzizira kwambiri (cryoablation) kapena kutentha kwambiri (RFA) kuti awononge maselo a khansa okha.
• Ululu umakhala wochepa, kuchira msanga, kukhala m'chipatala kwa nthawi yochepa, komanso kuwonongeka kochepa kwa minofu ya impso yathanzi.
• Monga momwe zimakhalira ndi chithandizo chilichonse, pali zoopsa zazing'ono, koma sizili ngati opaleshoni yayikulu. Njira yabwino yodziwira ngati chithandizochi chili choyenera kwa inu ndikulankhula ndi dokotala wanu.