Kodi dokotala wanu wakuuzani kuti muyenera kuchotsa chotupa chaching'ono, chotupa, kapena maselo osazolowereka mu chikhodzodzo chanu pogwiritsa ntchito magetsi? Mwina munachita mantha pang'ono mutamva izi zikutchedwa 'Fulguration'. Ndani sangaope akamanena kuti "kuwotcha ndi magetsi", sichoncho? Koma izi sizoyenera kuopa. Uwu ndi chithandizo chamankhwala chapamwamba chomwe chimachitidwa mwanjira yolamulidwa komanso yotetezeka popanda kupanga chotupa chachikulu ngati opaleshoni. Chifukwa chake tiyeni tikambirane za izi mwachidule, ndikuyankha mafunso onse omwe muli nawo m'maganizo.
Mwachidule, kodi Fulguration ndi chiyani?
Taganizirani momwe mphezi imagunda thambo, ndikupanga kuwala ndi kutentha. Mawu akuti fulguration amachokera ku liwu la Chilatini lotanthauza "kugunda ndi mphezi." Koma izi sizowopsa ngati mphezi.
Mwachidule, njira iyi imaphatikizapo dokotala wa urologist pogwiritsa ntchito chipangizo chapadera kuti apange mphamvu yamagetsi yaying'ono kwambiri, yolamulidwa. Chipangizochi sichimayikidwa mwachindunji pakhungu lanu. M'malo mwake, mphamvu yamagetsi imadutsa mumlengalenga pakati pa chipangizocho ndi minofu yomwe ikuchiritsidwa, ndikuwononga maselo osazolowereka. Mwa kuyankhula kwina, imawotcha, kuswa, ndikuchotsa maselo amenewo.
Kutentha komwe kumachitika mwa njira imeneyi kumakhudza khungu kapena khoma la chikhodzodzo lokha. Chifukwa chake, palibe kuwonongeka kwa ziwalo zofunika kwambiri kapena minofu yamkati. Komanso, njira iyi imatha kuletsa kutuluka kwa magazi.
Kawirikawiri, ngati dokotala wanu wakupatsani chithandizochi, ndi chofunikira kuchipatala. Mu chipatala cha boma, palibe ndalama zina zowonjezera. Mu chipatala chachinsinsi, inshuwalansi yanu idzaphimba izi. Dokotala wanu ndi ogwira ntchito kuchipatala adzakudziwitsani za izi.
N’chifukwa chiyani mukufuna kuchita chithandizo cha Fulguration ichi?
Mankhwalawa amagwiritsidwa ntchito pochiza matenda osiyanasiyana a chikhodzodzo. Ndi njira yothandiza kwambiri yowonongera maselo a khansa, maselo oyambitsa khansa, ndi zotupa zosaopsa.
| Matenda | Kodi kupukutira kumathandiza bwanji? |
|---|---|
| Khansa ya Chikhodzodzo | Opaleshoni yotchedwa TURBT (Transurethral Resection of Bladder Tumor) imachitika kuti ipeze ndikuchiza khansa yomwe sinafalikire mpaka ku minofu ya chikhodzodzo. Kutulutsa maselo a khansa ndi njira yochotsera magazi m'thupi. |
| Matenda a Interstitial Cystitis | Izi zimapangitsa kuti makoma a chikhodzodzo adzipe ndi kupweteka. Muthanso kumva magazi mu mkodzo wanu. Njirayi imathandiza kuchepetsa zizindikiro mwa kuchotsa minofu yopweteka ndi zilonda zomwe zimachitika chifukwa cha vutoli. |
| Ma polyps a chikhodzodzo | Izi ndi ziphuphu zazing'ono, zomwe sizimayambitsa khansa. Zingayambitse kupweteka komanso kufunikira kukodza pafupipafupi. Kutulutsa fungo loipa kumatha kuchotsa ziphuphuzi mosavuta. |
| Matenda a UTI obwerezabwereza | Mankhwalawa angagwiritsidwe ntchito kuchepetsa chiopsezo cha matenda, makamaka kwa akazi omwe ali ndi matenda opitilira mkodzo omwe sangathe kuthetsedwa ndi maantibayotiki, makamaka akatha kusamba. |
| Chikhodzodzo Diverticula | Izi ndi timatumba tating'onoting'ono tomwe timapanga khoma la chikhodzodzo. Izi zingapangitse kuti zikhale zovuta kutulutsa madzi onse m'chikhodzodzo ndikupangitsa kuti chisamve bwino. Fulguration imagwiritsidwanso ntchito kuchotsa timatumbati. |
Kodi chimachitika ndi chiyani musanalandire chithandizo komanso mukalandira chithandizo?
Uwu ndi mankhwala osavulaza kwambiri, kotero palibe chodetsa nkhawa.
Dziwani izi musanalandire chithandizo
Dokotala wanu adzakupatsani upangiri womwe mukufuna, koma mutha kufunsa ndikufotokozera zinthu izi:
- Kodi pali nthawi yomwe ndiyenera kusiya kudya ndi kumwa ndisanayambe kulandira chithandizo ?
- Kodi ndiyenera kusiya kumwa mankhwala aliwonse omwe ndimamwa nthawi zambiri?
- Kodi ndingapite kunyumba tsiku lomwelo pambuyo pa chithandizo, kapena ndiyenera kukhalabe kuchipatala?
- NdipatseniKodi ndi mtundu wanji wa mankhwala oletsa ululu omwe amagwiritsidwa ntchito? (Kodi amakhudza thupi lonse, kapena dera lokha?)
- Kodi mukufuna wina woti akutengereni kunyumba?
Pa nthawi ya chithandizo
Mudzachitidwa opaleshoniyi m'chipinda chochitira opaleshoni. Ngati mutapatsidwa mankhwala oletsa ululu, simudzamva chilichonse, mudzakhala mukugona. Nthawi zina mungapatsidwenso mankhwala oletsa ululu am'deralo kuti athetse ululu m'derali lokha.
1. Choyamba, dokotala amaika chipangizo chotchedwa cystoscope kudzera mu mkodzo wanu. Ichi ndi chubu chachitali, chopyapyala chokhala ndi kamera ndi kuwala. Izi zimakupatsani mwayi wowona mkati mwa chikhodzodzo chanu.
2. Kenako, malo omwe minofu, ziphuphu, kapena zilonda zachilendo zimapezeka amadziwidwa.
3. Tsopano, chida china chotchedwa resectoscope chikugwiritsidwa ntchito. Apa ndi pomwe magetsi olamulidwa amatumizidwa kudzera mu waya wozungulira.
4. Mphamvu yamagetsi iyi imawononga minofu yolakwika. Imatsekanso mitsempha yamagazi yofewa yomwe ili m'derali, ndikuletsa kutuluka magazi.
Nthawi yomwe imatenga kuti opaleshoni yonseyi ichitike imadalira kuchuluka kwa minofu yomwe ichotsedwe. Ngakhale zingatenge mphindi 5 zokha kuti ziwononge chotupa chaching'ono, zingatenge mphindi 15 mpaka 90 ngati zitachitidwa opaleshoni monga TURBT.
Nthawi yochira ndi zotsatirapo zake pambuyo pa chithandizo
Nthawi yochira imasiyana malinga ndi mtundu wa thupi lanu komanso kuchuluka kwa chithandizo.
Zotsatirapo zomwe zingatheke
Zina kapena zonsezi zingachitike, koma nthawi zambiri zimatha patatha masiku ochepa.
- Magazi pang'ono mu mkodzo wanu: Mkodzo wanu ukhoza kukhala pinki kapena wofiira kwa masiku angapo. Izi ndi zachilendo.
- Kupsa kapena kupweteka pokodza: Izi zidzathanso pakatha masiku ochepa. Dokotala adzakupatsani mankhwala ofunikira pa izi.
- Kukodza pafupipafupi: Izi zitha kuchitika chifukwa chikhodzodzo chayamba kuvutika pang'ono. Izi zimathanso kutha patatha masiku angapo.
- Kupweteka kwa chikhodzodzo: Izi ndi zakanthawi kochepa.
- Matenda a mkodzo (UTI): Malungo, kutentha thupi mukakodza, ndi mkodzo wonunkha kapena wamtambo zingakhale zizindikiro za matenda. Ngati zili choncho, uzani dokotala wanu nthawi yomweyo.
Zimatenga nthawi yayitali bwanji kuti munthu achire?
Iyi ndi njira yofanana ndi momwe matupi athu amachiritsira tikapsa kwinakwake. Monga momwe chilonda chimapangikira pamwamba pa kupsa, chimatuluka ndipo khungu latsopano limakula, mkati mwa chikhodzodzo chimachira mofanana.
Bala lomwe lili mkati mwa thupi komanso pamalo onyowa limatenga nthawi yayitali kuti lichiritsidwe kuposa bala lotseguka. Nthawi zambiri limatenga masiku 5-7 kapena mpaka milungu iwiri kuti lichiritsidwe mokwanira.
PanthawiyiNdikofunikira kwambiri kupuma mokwanira. Pewani kunyamula zinthu zolemera komanso kuchita masewera olimbitsa thupi okhwima. Izi zipatsa chikhodzodzo nthawi yochira ndikuchepetsa chiopsezo chotuluka magazi pambuyo pake.
Samalani zizindikiro izi!
Ngati mukukumana ndi zizindikiro zotsatirazi, zikhoza kukhala chizindikiro cha matenda kapena vuto lina. Imbani dokotala wanu nthawi yomweyo, kapena pitani ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi nanu.
- Malungo (kupitirira 101°F / 38.3°C)
- Kutuluka magazi ambiri komwe sikungathe kuimitsidwa (ngati mkodzo uli wofiira kwambiri ndipo uli ndi magazi oundana)
- Kupweteka kwambiri m'mimba
Kodi pali zoopsa zilizonse ndi chithandizochi?
Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali zoopsa zazing'ono kwambiri. Komabe, chifukwa chakuti katswiri wanu waphunzitsidwa kuchepetsa zoopsazi, zotsatirapo zoyipa kwambiri sizimachitika kawirikawiri.
- Zotsatira za mankhwala oletsa ululu: Anthu ena amatha kuvutika ndi nseru ndi kusanza chifukwa cha mankhwala oletsa ululu.
- Kuwonongeka kwa minofu: Nthawi zambiri, chipangizochi chingayambitse kuwonongeka pang'ono kwa chikhodzodzo kapena mkodzo.
- Kuboola kwa chikhodzodzo: Izi zimachitika kawirikawiri. Ngati zitachitika, mungafunike opaleshoni ina kuti mukonze .
- Matenda: Chiwopsezochi n'chochepa kwambiri chifukwa njira zonse zofunika zimatengedwa kuti tipewe matenda m'chipinda chochitira opaleshoni.
Dokotala wanu adzasamalira zonsezi ndikuonetsetsa kuti muli otetezeka kwambiri. Choncho musachite mantha ndi izi mopanda chifukwa.
Uthenga Wopita Nawo Kunyumba
- Kutsegula chikhodzodzo ndi njira yotetezeka komanso yothandiza yogwiritsira ntchito mphamvu yamagetsi kuchotsa minofu yosazolowereka, zotupa, kapena zilonda mu chikhodzodzo.
- Izi zimachitika popanda kuduladula kwakukulu, kotero nthawi yochira ndi yochepa.
- Mankhwalawa amagwiritsidwa ntchito pa matenda angapo, monga khansa ya chikhodzodzo, interstitial cystitis, ndi matenda obwerezabwereza a mkodzo.
- Ndizachilendo kumva kutuluka magazi ndi kutentha pang'ono mutalandira chithandizo. Izi zimatha pakatha masiku ochepa.
- Funani upangiri wa dokotala nthawi yomweyo ngati muli ndi malungo aakulu, kutuluka magazi ambiri, kapena kupweteka kwambiri.
- Kutsatira malangizo a dokotala mutalandira chithandizo ndi kupuma mokwanira ndikofunikira kuti munthu achire msanga.
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