Ndizachilendo kumva mantha pang'ono komanso nkhawa dokotala akakuuzani kapena munthu amene mumamudziwa kuti mukufuna opaleshoni ya impso. Sizodabwitsa, makamaka popeza impso ndi chiwalo chofunikira kwambiri m'thupi lathu. Koma dokotala wanu amamvetsa momwe mukumvera. Ndicho chifukwa chake adzakufotokozerani opaleshoniyo, zotsatira zomwe mukuyembekezera, komanso nthawi yomwe mudzachira.
Mwachidule, kodi Heminephrectomy ndi chiyani?
Kuchotsa heminephrectomy (hemi-nephrec-to-me) ndi opaleshoni yomwe imachotsa gawo lokhalo la impso yanu lomwe silikugwira ntchito bwino. Impso yonse siichotsedwa, koma gawo lokhalo lomwe silikugwira ntchito bwino.
Opaleshoni iyi nthawi zambiri imachitidwa kwa anthu omwe ali ndi vuto lotchedwa Duplex Kidney . Tsopano mwina mukudabwa kuti ndi chiyani.
Tangoganizirani, tonsefe tili ndi impso ziwiri m'thupi lathu. Nthawi zambiri, pali mkodzo umodzi wokha womwe umatenga mkodzo kuchokera ku impso imodzi kupita ku chikhodzodzo. Koma anthu ena amabadwa ndi mkodzo iwiri mu impso imodzi chifukwa cha vuto lobadwa nalo. Ichi ndichifukwa chake timatcha ``Duplex Kidney``.
Koma si aliyense amene ali ndi "Duplex Kidney" amene amakhala ndi mavuto. Anthu ena amakhala osadziwa kuti ali ndi vutoli. Koma nthawi zina lingayambitse mavuto ena.
Kodi ndi mavuto ati omwe angabwere chifukwa cha Duplex Impso?
Pali mavuto atatu akuluakulu omwe angachitike chifukwa cha `Duplex Kidney`. Tiyeni tiwone kuti ndi chiyani.
| Vuto (Mkhalidwe) | Mwachidule... |
|---|---|
| Vesicoureteral Reflux (VUR) | Izi zimapangitsa kuti mkodzo mu chikhodzodzo ubwererenso ku impso. Pakapita nthawi, izi zitha kuwononga impso. |
| Ectopic ureter | Chomwe chimachitika apa ndichakuti urethra wowonjezera suli wolumikizidwa ndi chikhodzodzo, koma ndi chiwalo china chapafupi. Izi zitha kuwononganso chiwalo chimenecho. |
| Ureterocele | Mkodzo, womwe umalowa m'chikhodzodzo, umatupa ngati baluni, zomwe zimalepheretsa kutuluka kwa mkodzo. Izi zitha kuwonjezera kuthamanga kwa magazi mkati mwa impso ndikuwononga. |
Ngakhale mutakumana ndi mavuto amenewa, nthawi zambiri, dokotala wanu amangokuyang'anirani. Komabe, ngati muli ndi matenda opatsirana m'mitsempha ya mkodzo pafupipafupi , kapena ngati gawo la impso yanu lataya ntchito yake chifukwa cha zifukwa zomwe tatchulazi, dokotala wanu angakulangizeni kuti muchotsedwe heminephrectomy.
Kodi muyenera kukonzekera bwanji musanachite opaleshoni?
Opaleshoni isanachitike, dokotala wanu wa opaleshoni (dokotala wa urologist) adzakufotokozerani bwino za opaleshoniyo ndipo adzakupatsani chilolezo. Kuphatikiza apo, adzakuyesani mayeso angapo kuti atsimikizire kuti muli bwino pa opaleshoniyo. Adzakufunsani mosakayika za izi:
- Mbiri yanu yonse ya thanzi .
- Muyenera kuuza dokotala wanu za mankhwala aliwonse omwe mumamwa. Izi zikuphatikizapo mankhwala olembedwa ndi dokotala, mankhwala ogulitsidwa kunja kwa ofesi, mankhwala ochokera ku zitsamba, komanso mavitamini. Mankhwala ena, monga ochepetsa magazi, amatha kuwonjezera chiopsezo cha kutuluka magazi panthawi ya opaleshoni.
- Za ziwengo zilizonse zomwe mungakhale nazo.
Masiku angapo opaleshoni isanachitike, mudzadziwitsidwa za mankhwala omwe muyenera kumwa, ngati alipo, komanso nthawi yoti musiye kumwa. Mudzadziwitsidwanso nthawi yeniyeni yomwe muyenera kusiya kudya ndi kumwa (kusala kudya) opaleshoni isanachitike.
Kodi opaleshoniyi imachitidwa bwanji?
Opaleshoni iyi ikhoza kuchitika m'njira zitatu zazikulu: opaleshoni yotseguka, opaleshoni ya laparoscopic, ndi opaleshoni ya robotic.
| Mtundu wa opaleshoni | Momwe mungachitire izi ndi maubwino ake |
|---|---|
| Tsegulani Heminephrectomy | Dokotala adzakudulani pamimba panu mainchesi 12, pakati pa nthiti zanu ndi chiuno chanu. Izi zithandiza dokotalayo kuona bwino impso. Chiwalo chomwe sichikugwira ntchito chingachotsedwe pamanja. |
| Opaleshoni ya Laparoscopic | Izi zimaphatikizapo kudula pang'ono m'mimba m'malo mwa kudula kwakukulu kamodzi. Chida chopyapyala chokhala ndi kamera (laparoscope) chimayikidwa kudzera mu kudula kamodzi kuti chiwone impso. Zipangizo zopangira opaleshoni zimayikidwa kudzera mu kudula kwina kuti zichotse gawo losagwira ntchito bwino. Ubwino wa izi ndikuti chilondacho chimakhala chaching'ono ndipo chimachira mwachangu. |
| Opaleshoni ya Robotic | Izi zikufanana ndi opaleshoni ya laparoscopic, koma apa dokotala amalamulira zida zochitira opaleshoni pogwiritsa ntchito manja a makina a robotic. Izi zimathandiza kuti opaleshoniyo ikhale yovuta komanso yolondola. |
Opaleshoni isanayambe, dokotala wogonetsa adzakupatsani mankhwala ogonetsa (`General Anesthesia`). Kuti musamve kupweteka kulikonse, mudzakhala mukugona. Kenako catheter ya Foley idzayikidwa kuti ichotse m'chikhodzodzo chanu. Opaleshoni nthawi zambiri imatenga maola awiri kapena atatu .
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni? Ndipo zimatenga nthawi yayitali bwanji kuti munthu achire?
Mukatha opaleshoni, mudzayang'aniridwa m'chipinda chochiritsira mpaka mutadzuka ndipo thanzi lanu lidzakhazikika. Mudzapatsidwa mankhwala oletsa ululu wanu.
Nthawi yochira idzasiyana malinga ndi mtundu wa opaleshoni yomwe mudachita.
- Mukachita opaleshoni ya laparoscopic kapena robotic, nthawi zambiri mutha kubwerera ku zochita zanu zachizolowezi mkati mwa masabata 4-6 .
- Zingatenge pafupifupi masabata 8-12 kuti munthu achire bwino pambuyo pa opaleshoni yotseguka .
Dokotala wanu adzakulimbikitsani kuti muyende pang'ono pamene mukuchira. Kuyenda ndi kwabwino kwa thupi lanu ndipo kungathandize kupewa zinthu monga magazi kuundana ndi chibayo. Koma muyenera kupewa kunyamula chilichonse cholemera kuposa mapaundi 3.5 (pafupifupi galoni imodzi ya madzi).
Kodi muyenera kusamala ndi chakudya ndi zakumwa?
Inde. Kwa milungu inayi yoyambirira mutachita opaleshoni, mudzalangizidwa kumwa magalasi 6-8 a madzi patsiku ndikudya zakudya zofewa komanso zosavuta kugaya. Mudzalangizidwanso kupewa zakudya zina mpaka matumbo anu atabwerera mwakale.
| Zakudya zabwino | Zinthu zopewera |
|---|---|
|
Ngati muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo!
Ngati mukukumana ndi zizindikiro zilizonse zomwe zili pansipa mutachita opaleshoni, muyenera kuyimbira foni dokotala wanu nthawi yomweyo kapena kupita ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi.
- Kuvuta kupuma
- Kutuluka magazi kwambiri kuchokera pamalo olumikizirana
- Kulekanitsa khungu kudzera mu zosokera
- Zizindikiro za matenda: Izi zikuphatikizapo kufiira, utoto wofiirira, bulauni, kapena wakuda kuzungulira bala, malungo, mafinya ochokera pabala, kapena fungo loipa.
- Kuwonjezeka kwa ululu wosapiririka
- Kupweteka kwa mwendo
- Magazi mu mkodzo
Ndizachibadwa kuopa opaleshoni. Ndizachibadwa kukhala ndi mafunso monga, "Nanga bwanji ngati opaleshoniyo sikuyenda bwino?" kapena "Nanga bwanji ngati zizindikiro zanga zikuipiraipira?" Koma ganiziraninso zabwino zake. "Kodi opaleshoniyi ipangitsa moyo wanga kukhala wosavuta bwanji?" kapena "Kodi ndidzatha kuchotsa matenda omwe ndakhala nawo?" Kuganiza motere kungakuthandizeni kumva bwino kwambiri.
Uthenga Wopita Nawo Kunyumba
- Kuchotsa impso ndi opaleshoni yomwe imachotsa gawo lokhalo la impso lomwe silikugwira ntchito bwino. Impso yonse sichotsedwa.
- Opaleshoni imeneyi nthawi zambiri imachitika pamavuto omwe amayamba chifukwa cha matenda obadwa nawo otchedwa Duplex Kidney.
- Opaleshoniyi ingachitike motseguka, mwa laparoscopic, kapena mwa robotic. Nthawi yochira imadalira njira yomwe yagwiritsidwa ntchito.
- Tsatirani malangizo a dokotala wanu mosamala mukatha opaleshoni, makamaka pankhani yokhudza zakudya ndi kunyamula zolemera.
- Ngati muwona zizindikiro zochenjeza monga kupuma movutikira, kutuluka magazi kwambiri, kapena zizindikiro za matenda, funsani upangiri wa dokotala nthawi yomweyo.
- Kambiranani momasuka ndi dokotala wanu za mafunso kapena nkhawa zomwe muli nazo.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment