Kodi mukuopa opaleshoni ya impso (nephrectomy)? Tiyeni tikambirane mwachidule.

Ndizachilendo kumva mantha pang'ono komanso mantha dokotala wanu akakuuzani kapena munthu amene mumamudziwa kuti akufunika opaleshoni yochotsa impso. Mukamva mawu akuti 'nephrectomy', mafunso ambiri amabwera m'maganizo mwanu. "Kodi mungakhale ndi impso imodzi?", "Kodi iyi ndi opaleshoni yayikulu?", "Zitenga nthawi yayitali bwanji kuti muchire?"... Lero, tikambirana za Nephrectomy, opaleshoni yochotsa impso, m'njira yosavuta yomwe mungamvetse.

Kodi Nephrectomy ndi chiyani?

Mwachidule, Nephrectomy ndi opaleshoni yomwe imachotsa gawo limodzi kapena lonse la impso zanu. Tonsefe timabadwa ndi impso ziwiri. Koma mutha kukhala ndi moyo wathanzi ndi impso imodzi yokha. Komabe, impso yotsalayo iyenera kuti ikugwira ntchito bwino.

Pali mitundu iwiri ikuluikulu ya opaleshoni ya nephrectomy:

• Kuchotsa ziwalo za impso pang'ono: Mu njira iyi, dokotalayo amachotsa gawo lokhalo la impso yanu lomwe ladwala kapena lowonongeka. Impso yonse sichotsedwa.
• Kuchotsa impso zonse m'thupi (radical nephrectomy): Izi zimaphatikizapo kuchotsa impso yonse. Nthawi zina, dokotala amathanso kuchotsa ureter—chubu chomwe chimatenga mkodzo kuchokera ku impso kupita ku chikhodzodzo—mbali yomweyo. Ngati pakufunika, adrenal gland ndi ma lymph nodes ozungulira angachotsedwenso.

N’chifukwa chiyani muyenera kuchotsa impso?

Chifukwa chachikulu chochotsera impso ndi chotupa chomwe chimayamba mu impso. Chotupachi chingakhale khansa (yoopsa) kapena yosakhala khansa (yoipa).

Kuphatikiza apo, dokotala wanu angakulangizeninso kuti muchotse nephrectomy m'milandu yotsatirayi:

• Ngati muli ndi matenda a impso obwerezabwereza (pyelonephritis) .
• Ngati impso yanu imodzi yasiya kugwira ntchito kwathunthu ndipo mukukumana ndi mavuto ena. (Komabe, ngati palibe vuto, mutha kusunga impso yosagwira ntchito m'thupi lanu).
• Monga chithandizo cha matenda ena a impso (monga matenda a impso a polycystic ).
• Ngati mupereka impso yathanzi kwa wina .

Kodi mumakonzekera bwanji musanachite opaleshoni?

Dokotala asanachite opaleshoni, adzayang'ana thanzi lanu lonse. Adzayang'ana kutentha kwa thupi lanu, kugunda kwa mtima wanu, ndi kuthamanga kwa magazi. Adzayesanso magazi kuti adziwe mtundu wa magazi anu. Izi zili choncho chifukwa ayenera kukhala okonzeka ngati mungafunike kupereka magazi panthawi ya opaleshoni.

Ndikofunikanso kutiuza za ziwengo zilizonse zomwe muli nazo. Mwachitsanzo:

• Mankhwala
• Madzi oyeretsera khungu (monga chlorhexidine, ayodini)
• Za latex
• Zakudya zina

Dokotala wanu adzakulangizani kuti musadye kapena kumwa chilichonse usiku usanachitike opaleshoni yanu (kusala kudya). Izi zili choncho chifukwa ngati muli ndi chakudya kapena madzi m'mimba mwanu panthawi ya opaleshoni, akhoza kusanza ndi kulowa m'mapapo, zomwe zingayambitse mavuto oopsa monga chibayo.

Kodi njira zochitira opaleshoni ndi ziti?

Pali njira ziwiri zazikulu zochotsera minyewa ya m'mimba. Tiyeni tiwone kusiyana pakati pa ziwirizi.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?

Pambuyo pa opaleshoni, mudzasungidwa m'chipinda chochiritsira odwala ndipo mudzayang'aniridwa mosamala mpaka mutadzuka. Mutha kumva tulo komanso nseru kwa kanthawi chifukwa cha mankhwala oletsa ululu. Izi ndi zachilendo. Mudzapatsidwa mankhwala oletsa ululu.

Kawirikawiri, zakudya zolimba siziperekedwa kwa tsiku limodzi kapena awiri. Zakudya zamadzimadzi zimaperekedwa. Tsiku lotsatira opaleshoni, mumalimbikitsidwa kuti mudzuke pabedi ndikuyenda pang'ono. Kuyenda kumathandizira kuti magazi aziyenda bwino, kumakuthandizani kuchira mwachangu, komanso kumaletsa magazi kuundana m'miyendo yanu (deep vein thrombosis).

Nthawi zambiri mumayenera kukhala m'chipatala kwa masiku pakati pa 1 ndi 5. Izi zimasiyana malinga ndi mtundu wa opaleshoni yomwe mudachita. Ngakhale mutapita kunyumba, sikulimbikitsidwa kuchita chilichonse cholemera (monga kunyamula katundu woposa 4.5 kg) kwa milungu pafupifupi 6.

Kodi moyo uli bwanji ndi impso imodzi?

Ili ndiye vuto lalikulu lomwe anthu ambiri ali nalo. Musadandaule. Mutha kukhala moyo wabwinobwino ndi impso imodzi yathanzi.

Pambuyo pa opaleshoni, impso yanu yotsalayo idzakula pang'ono mkati mwa masiku ochepa ndikuyamba kugwira ntchito yowirikiza kawiri ya thupi lanu. Izi zikutanthauza kuti impso imodzi ikusintha kuti igwire ntchito ya ziwiri.

Komabe, muyenera kuteteza impso zanu zamtengo wapatali. Chifukwa chake, ndi bwino kupewa masewera omwe amakhudza kwambiri thupi monga hockey, rugby, ndi wrestling. Komanso, ndikofunikira kuti muyesedwe nthawi zonse mayeso a impso (monga `creatinine clearance`, `eGFR`) monga momwe dokotala wanu walangizira.

Nthawi yoti mukaonane ndi dokotala nthawi yomweyo

Dokotala wanu adzakupatsani masiku oti mutsatire. Komabe, ngati mukukumana ndi zizindikiro zotsatirazi, pitani kuchipatala nthawi yomweyo:

• Kuvuta kupuma (kupuma movutikira)
• Kusintha kwa mkodzo (kukodza pafupipafupi, kusintha kwa mtundu)
• Kutupa kwa miyendo, matako, kapena nkhope (edema)
• Kupweteka kwa mwendo
• Kuwonjezeka mwadzidzidzi kwa kuthamanga kwa magazi (kuthamanga kwa magazi)
• Kusanza kapena kusanza
• Ubongo wa ubongo

Izi zitha kukhala zizindikiro za vuto ndi impso yotsala, choncho musanyalanyaze.