Ndizachibadwa kukhala ndi nkhawa kapena nkhawa dokotala akamakulangizani opaleshoni ya impso kwa inu kapena wokondedwa wanu. Popeza impso ndi ziwalo zofunika kwambiri, nkhawa zotere n'zomveka bwino. Dziwani kuti gulu lanu lachipatala likumvetsa momwe mukumvera ndipo lilipo kuti likuthandizeni. Adzakufotokozerani njira yochizira, zotsatira zomwe mukuyembekezera, komanso njira yochizira mwatsatanetsatane kuti mukhale omasuka.
Kodi opaleshoni ya Heminephrectomy ndi chiyani?
Kuchotsa impso ndi opaleshoni pomwe gawo lokhalo losagwira ntchito la impso limachotsedwa. Dokotala wanu sadzachotsa chiwalo chonse, koma gawo lomwe silikugwiranso ntchito bwino.
Njira imeneyi nthawi zambiri imachitika pa matenda a Duplex Kidney . Mwina mukudabwa kuti zimenezi zikutanthauza chiyani.
Kawirikawiri, aliyense wa ife amakhala ndi impso ziwiri. Kawirikawiri, impso iliyonse imakhala ndi ureter imodzi (chubu chomwe chimatenga mkodzo kupita ku chikhodzodzo). Komabe, anthu ena ali ndi vuto lobadwa nalo pomwe impso imodzi imagwirizanitsidwa ndi ureter ziwiri; izi zimadziwika kuti Duplex Kidney .
Dziwani kuti si aliyense amene ali ndi Duplex Kidney amene amakumana ndi mavuto. Anthu ambiri amakhala moyo wawo wonse osadziwa kuti ali ndi vutoli. Komabe, nthawi zina lingayambitse mavuto ena omwe amafunika thandizo lachipatala.
Kodi ndi mavuto otani omwe angayambitse matenda a Duplex Kidney?
Impso ya Duplex ingayambitse mavuto atatu akuluakulu. Tiyeni tiwone zomwe zili.
| Mkhalidwe | Mwachidule… |
|---|---|
| Vesicoureteral Reflux (VUR) | Izi zimachitika pamene mkodzo umabwerera m'mbuyo kuchokera ku chikhodzodzo kupita ku impso. Pakapita nthawi, izi zingayambitse kuwonongeka kwa impso kosatha. |
| Ectopic ureter | Izi zimachitika pamene ureter ilumikizana ndi chiwalo china osati chikhodzodzo. Kusagwirizana kumeneku kungayambitse kuwonongeka kwa chiwalo chozungulira. |
| Ureterocele | Malekezero a mkodzo amatupa ngati baluni mkati mwa chikhodzodzo, zomwe zimalepheretsa mkodzo kuyenda bwino. Izi zimapangitsa kuti mkodzo udziunjikane, zomwe zingawononge impso. |
Ngakhale kuti pali mavuto amenewa, dokotala wanu wa ku Nirogi Lanka nthawi zambiri amayamba ndi kuyang'anira momwe mukuyendera. Komabe, ngati mukukumana ndi matenda opatsirana m'mitsempha ya mkodzo pafupipafupi kapena ngati mavuto omwe atchulidwawa apangitsa kuti gawo lina la impso yanu lisamagwire bwino ntchito , dokotala wanu angakulangizeni kuti muchotsedwe heminephrectomy.
Kodi muyenera kukonzekera bwanji opaleshoni?
Musanayambe opaleshoni yanu, dokotala wanu wa mkodzo adzakufotokozerani mwatsatanetsatane za opaleshoniyo ndikupeza chilolezo chanu chodziwitsidwa. Mudzayesedwanso musanachite opaleshoni kuti muwonetsetse kuti muli ndi thanzi labwino lokwanira. Gulu lanu lachipatala lidzakambirana mwachindunji za izi:
- Mbiri yanu yonse yazachipatala .
- Mankhwala onse omwe mukumwa pakadali pano. Izi zikuphatikizapo mankhwala olembedwa ndi dokotala, mankhwala ogulitsidwa kunja kwa chipatala, zowonjezera zitsamba, ndi mavitamini. Mankhwala ena, makamaka ochepetsa magazi, ayenera kuyimitsidwa chifukwa amawonjezera chiopsezo cha kutuluka magazi.
- Ziwengo zilizonse zomwe mukuzidziwa.
Mudzalandira malangizo omveka bwino okhudza nthawi yoti musiye kumwa mankhwala enaake komanso nthawi yoti muyambe kusala kudya (kupewa kudya ndi kumwa) musanachite opaleshoni.
Kodi opaleshoniyi imachitidwa bwanji?
Pali njira zitatu zazikulu: opaleshoni yotseguka, opaleshoni ya laparoscopic, ndi opaleshoni yothandizira robotic.
| Njira Yopangira Opaleshoni | Njira ndi Ubwino |
|---|---|
| Tsegulani Heminephrectomy | Dokotalayo amaduladula pafupifupi mainchesi 3.5 m'mbali mwa nthiti ndi chiuno, zomwe zimathandiza kuti impso ifike mwachindunji kuti ichotse gawo lomwe silikugwira ntchito. |
| Opaleshoni ya Laparoscopic | M'malo mwa kudula kamodzi kakulu, amabowola pang'ono angapo. Kamera (laparoscope) ndi zida zapadera zimayikidwa kuti zichotsedwe. Izi zimapangitsa kuti zipsera zazing'ono zibwere msanga komanso kuti munthu ayambe kuchira msanga. |
| Opaleshoni ya Robotic | Mofanana ndi laparoscopy, koma dokotala wanu amawongolera manja a robotic molondola kwambiri, zomwe zimathandiza kuti azitha kulondola bwino panthawi ya opaleshoniyi. |
Opaleshoni isanayambe, dokotala wogonetsa adzakupatsani mankhwala oletsa ululu , kuonetsetsa kuti mukugona ndipo simukumva kupweteka. Catheter ya mkodzo (Foley catheter) idzayikidwanso kuti chikhodzodzo chikhale chopanda kanthu. Nthawi zambiri njirayi imatenga maola awiri kapena atatu .
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni, ndipo nthawi yochira ndi yotani?
Mudzayang'aniridwa m'chipinda chochiritsira mpaka mutadzuka ndipo thanzi lanu likhale lolimba. Mankhwala ochepetsa ululu adzaperekedwa ngati pakufunika kutero.
Nthawi yochira imadalira njira yochitira opaleshoni:
- Pambuyo pa opaleshoni ya laparoscopic kapena robotic , nthawi zambiri mutha kubwerera ku zochita zanu zachizolowezi mkati mwa masabata 4-6 .
- Pambuyo pa opaleshoni yotseguka , kuchira kwathunthu kungatenge milungu 8-12 .
Pa nthawi yochira, dokotala wanu adzakulimbikitsani kuyenda pang'onopang'ono kuti magazi aziyenda bwino komanso kupewa mavuto monga magazi kuundana kapena chibayo. Komabe, muyenera kupewa kunyamula chilichonse cholemera kuposa 4.5kg (pafupifupi galoni imodzi ya madzi) .
Zoganizira za zakudya
Inde. Kwa milungu inayi yoyambirira, yesetsani kumwa magalasi 6-8 a madzi tsiku lililonse ndikuyang'ana kwambiri zakudya zofewa komanso zosavuta kugaya. Mungalangizidwe kupewa zakudya zina mpaka matumbo anu atabwerera mwakale.
| Zakudya Zovomerezeka | Zakudya Zopewera |
|---|---|
|
Nthawi Yoti Mulankhule ndi Dokotala Wanu Mwamsanga
Ngati mukukumana ndi zizindikiro zotsatirazi mutachita opaleshoni yanu, chonde funsani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yodzidzimutsa yapafupi.
- Kuvuta kupuma
- Kutuluka magazi kwambiri pamalo odulidwa
- Kulekanitsa m'mphepete mwa bala
- Zizindikiro za matenda: Izi zikuphatikizapo kufiira, kutupa, kusintha kwa mtundu wa pepo/bulauni/wakuda kuzungulira malo okhudzidwawo, malungo, kapena kutuluka magazi ndi fungo loipa.
- Ululu wosapiririka kapena woipiraipira
- Ululu m'miyendo
- Magazi mu mkodzo wanu
Ndi zachilendo kukhala ndi nkhawa ndi opaleshoni. Mafunso monga, "Kodi opaleshoniyi idzapambana?" kapena "Nanga bwanji ngati zizindikiro zanga zitakula?" ndi achibadwa. Yesetsani kuyang'ana pa zotsatira zabwino: "Kodi moyo wanga udzakhala wabwino bwanji pambuyo pa izi?" kapena "Kodi izi zidzathetsa matenda omwe amabwereranso?" Kusintha maganizo anu kungakuthandizeni kukhala omasuka pamene mukuchira.
Zofunika Kwambiri kuchokera ku Nirogi Lanka
- Kuchotsa impso ndi njira yochotsera gawo lokhalo la impso lomwe silikugwira ntchito, zomwe zimapangitsa kuti gawo la impso likhale lathanzi.
- Opaleshoni imeneyi nthawi zambiri imachitika pofuna kuthana ndi mavuto omwe amabwera chifukwa cha vuto lobadwa nalo lotchedwa Duplex Kidney.
- Kutengera ndi vuto lanu, opaleshoni ikhoza kuchitidwa ngati njira yotseguka, laparoscopic, kapena robotic. Nthawi yanu yochira idzasiyana kutengera njira yomwe mwagwiritsa ntchito.
- Tsatirani malangizo a dokotala wanu pambuyo pa opaleshoni molondola, makamaka pankhani ya zakudya zanu komanso malamulo oletsa kunyamula zinthu zolemera.
- Fufuzani chithandizo chamankhwala mwamsanga ngati muwona zizindikiro zochenjeza monga kupuma movutikira, kutuluka magazi ambiri, kapena zizindikiro za matenda.
- Nthawi zonse khalani omasuka kulankhula momasuka ndi gulu lanu lachipatala za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo; tili pano kuti tikuthandizeni kuchira.
Kuchotsa Heminephrectomy, Opaleshoni ya Impso, Impso ziwiri, Matenda a Impso, Njira Zopangira Opaleshoni, Kutsegula kwa Vesicoureteral, Ureterocele
