Kodi dokotala wanu wakuuzani kapena munthu wina amene mumamudziwa kuti muyenera kuchitidwa opaleshoni yotchedwa "Nephroureterectomy"? Mutamva dzina limenelo, munachita mantha pang'ono, simunathe kudziwa kuti ndi chiyani, eti? Ndi zachilendo kwambiri. Tikamva mawu ngati awa, timakhala ndi mafunso ambiri. Lero, tiyeni tikambirane za opaleshoni iyi, mwachidule, mwanjira yomwe mungamvetse, monga kulankhula ndi mnzanu.
Choyamba, kodi Nephroureterectomy ndi chiyani?
Chabwino, ili ndi liwu lalitali komanso lachilendo, sichoncho? Tiyeni tilifotokoze mwachidule? Ndiye zimakhala zosavuta kumvetsa.
- Nephro- (nephros): Liwu limeneli limachokera ku liwu lachi Greek lakuti "nephros." Tanthauzo lake losavuta ndi "impso" kapena chinthu chogwirizana ndi impso.
- Ureter: Iyi ndi "ureter" yathu. Kunena zoona, ndi chubu chopyapyala chomwe chimatenga mkodzo wopangidwa mu impso kupita ku chikhodzodzo.
- -ectomy (-ektomi): Ili ndi liwu lachigiriki. Limatanthauza "kudula." Ndiko kuti, kuchotsa kudzera mu opaleshoni.
Tsopano, tiyeni tiwone tanthauzo lake lonse. Kuchotsa impso ndi ureter ndi njira yochotsera impso ndi ureter yonse. Chinthu china chimachotsedwa panthawi ya opaleshoniyi. Imeneyo ndi kachidutswa kakang'ono ka minofu komwe ureter imalumikizana ndi chikhodzodzo. Imatchedwa chikhodzodzo .
Mwachidule, opaleshoni iyi imachotsa ziwalo zitatu za thupi lanu:
1. Impso imodzi
2. Njira yonse ya mkodzo yolumikizidwa ndi impso imeneyo
3. Chikhodzodzo chotchinga, chidutswa chaching'ono cha minofu komwe urethra imakumana ndi chikhodzodzo
N’chifukwa chiyani muyenera kuchitidwa opaleshoni yamtunduwu?
Kawirikawiri, dokotala amalangiza opaleshoni iyi ngati muli ndi khansa ya transitional cell, yomwe imadziwikanso kuti khansa ya urothelial .
Khansa iyi imayamba m'maselo omwe ali mkati mwa dongosolo lathu la mkodzo. Izi zikutanthauza kuti, imatha kufalikira mu impso, mkodzo, ndi chikhodzodzo. Makamaka ngati khansa iyi iyamba kumtunda kwa dongosolo la mkodzo, ndiko kuti, mu impso kapena mkodzo, pali mwayi waukulu kuti maselo a khansa afalikire m'chikhodzodzo.
Kuti athetse vutoli, impso yokhala ndi khansa, mkodzo wonse wolumikizidwa nawo, ndi chidutswa chaching'ono cha chikhodzodzo zonse zimachotsedwa nthawi imodzi. Zili ngati kuchotsa vutoli kaye.
Iyi ndi opaleshoni "yamphamvu".Amachizidwa choncho. Opaleshoni yoopsa imaphatikizapo kuchotsa osati khansa yokha komanso minofu kapena ziwalo zilizonse zozungulira komwe khansayo ikuganiziridwa kuti yafalikira. Mwachitsanzo, ngati khansayo yafalikira ku ma lymph node apafupi, dokotalayo adzachotsa ma lymph node pamodzi ndi impso ndi ureter. Izi zimatchedwa metastasis .
Kodi ndiyenera kukonzekera bwanji opaleshoni isanachitike?
Chabwino, tiyeni tinene kuti dokotala wakuuzani kuti muyenera kuchitidwa opaleshoni iyi. Kodi muyenera kuchita chiyani ndiye? Musadandaule, gulu lachipatala lidzakufotokozerani zonse. Koma ndikofunikira kwambiri kuti inunso mudziwe zinthu izi.
Musanachite opaleshoni, muyenera kuonana ndi dokotala wanu. Iye adzalemba mbiri yanu yonse ya thanzi lanu ndikuyang'ana kutalika kwanu, kulemera kwanu, kuthamanga kwa magazi, ndi kutentha kwa thupi lanu kuti atsimikizire kuti muli ndi thanzi labwino lokwanira opaleshoniyo.
Pali zinthu zofunika zomwe muyenera kudziwa ndikuuza dokotala wanu .
| Zomwe muyenera kudziwa | N’chifukwa chiyani n’kofunika? |
|---|---|
| Mundiuze za mankhwala onse omwe mumamwa. | Izi zikuphatikizapo mankhwala olembedwa ndi dokotala, mankhwala ochepetsa ululu omwe amagulitsidwa kunja kwa ofesi, mavitamini, komanso zowonjezera zitsamba. Mankhwala ena, monga aspirin, amatha kuwonjezera chiopsezo cha kutuluka magazi. Choncho musayambe kapena kusiya kumwa mankhwala aliwonse musanapite kwa dokotala wanu. |
| Tiuzeni za ziwengo zilizonse zomwe muli nazo. | Zitha kukhala ziwengo ku mankhwala, zotsukira khungu monga ayodini, zakudya, kapena latex. Izi ndizofunikira kwambiri. |
| Tsatirani malangizo okhudza chakudya ndi zakumwa. | Mudzapemphedwa kuti mudye zakudya zamadzimadzi zokha kwa maola 24 musanachite opaleshoni. Simuyenera kudya kapena kumwa chilichonse kwa maola osachepera 8 musanachite opaleshoni. Ngati mukufuna kumwa mankhwala ofunikira, imwani ndi madzi pang'ono. Ndikofunikira kwambiri kuti mukhale otetezeka kutsatira malangizo awa molondola. |
Kodi njira zochitira opaleshoni iyi ndi ziti?
Pali njira ziwiri makamaka zochitira opaleshoni iyi.
1. Opaleshoni yotseguka (Kutsegula nephroureterectomy)
2. Kuchotsa opaleshoni ya laparoscopic nephroureterectomy pogwiritsa ntchito robotic-assisted laparoscopic
Opaleshoni Yotseguka
Iyi ndi njira yachikhalidwe. Apa, dokotala wa opaleshoni amaduladula mimba yanu kamodzi kapena kawiri. Dulani limeneli likhoza kukhala lalitali pafupifupi mainchesi 8-12. Nthawi zina nthiti ingafunikenso kuchotsedwa. Njira iyi ingagwiritsidwe ntchito ngati khansa ndi yayikulu kwambiri kapena yafalikira mkati.
Opaleshoni ya Laparoscopic yothandizidwa ndi Robotic
Iyi ndi njira yomwe imagwiritsidwa ntchito kwambiri masiku ano. Izi ndi zomwe zimachitika:
Dokotala adzaduladula pang'ono katatu kapena kasanu, pafupifupi theka la inchi, m'mimba mwanu. Kenako, kudzera m'madula amodzi, adzalowetsa chubu chopyapyala chokhala ndi kamera ( laparoscope ). Opaleshoniyo imachitika poyang'ana zithunzi zazikulu kuchokera ku kamera iyi pa kompyuta.
Zipangizo zopangira opaleshoni zimayikidwa kudzera m'mabala ena ang'onoang'ono. Zipangizozi zimagwiritsidwa ntchito ndi loboti yochita opaleshoni . Koma musadandaule, lobotiyo sichita chilichonse yokha. Dokotalayo amakhala pa console ndipo amalamulira lobotiyo mokwanira. Mwanjira imeneyi, n'zotheka kufikira ngakhale mbali zakuya za thupi molondola kwambiri, popanda kulakwitsa kulikonse. Zili ngati manja a dokotalayo akuyamba kufooka komanso kulondola.
Kodi chimachitika ndi chiyani tsiku la opaleshoni?
Dokotala wogonetsa anthu ogonetsa adzabwera kaye ndikukupatsani mankhwala ogonetsa anthu ogonetsa . Izi zikutanthauza kuti mudzakhala mukugona mokwanira mpaka opaleshoniyo itatha. Simudzamva kupweteka kulikonse ndipo simudzakumbukira chilichonse. Kenako mimba yanu idzadzazidwa ndi mpweya wa carbon dioxide kuti dokotalayo azitha kugwira ntchito.
Kenako dokotalayo amaduladula ziwalozo ndikuyamba opaleshoniyo.
- Pa opaleshoni yotseguka, amacheka kwambiri ndipo ziwalo zomwe zakhudzidwazo zimachotsedwa.
- Njira ya laparoscopic imaphatikizapo kudula ming'alu yaying'ono ndikuchotsa impso ndi ureter pogwiritsa ntchito laparoscope ndi zida za robotic.
Pomaliza, dokotalayo amatseka mabala ndi kusoka. Nthawi zina machubu otulutsira madzi amagwiritsidwa ntchito kutulutsa magazi ndi madzi ochokera m'mabala.Mukhoza kuyika chubu chaching'ono cha silicone chotchedwa ".
Funso lomwe limabwera m'maganizo mwanu ndi lakuti, chimachitika n'chiyani impso imodzi ikachotsedwa? Munthu wathanzi akhoza kukhala moyo wabwinobwino ndi impso imodzi popanda vuto lililonse. Impso inayo imatenga udindo wake ndikugwira ntchito zonse ziwiri.
Opaleshoni imeneyi nthawi zambiri imatenga maola awiri kapena anayi.
Kodi mungayembekezere chiyani mutachita opaleshoni?
Opaleshoni ikatha, dokotala wogonetsa adzasiya kukupatsani mankhwala ogonetsa. Pang'onopang'ono mudzayamba kudzuka. Kenako mudzatengedwera ku chipinda chochiritsira . Kumeneko, ogwira ntchito zachipatala adzayang'anira thanzi lanu mosamala.
- Ululu: Ukamva ululu, umapatsidwa mankhwala.
- Kusanza: Anthu ena amamva nseru chifukwa cha mankhwala oletsa ululu. Ngati ndi choncho, amapatsidwanso mankhwala a zimenezo.
- Chakudya: Pa tsiku loyamba kapena awiri, amapatsidwa chakudya chamadzimadzi. Kenako pang'onopang'ono amayamba kudya chakudya chanthawi zonse.
- Kuyenda: Mudzafunsidwa kuti mudzuke pabedi ndikuyenda pang'ono kuyambira tsiku lotsatira opaleshoni. Izi ndizofunikira kwambiri. Kuyenda kumachepetsa chiopsezo cha magazi kuundana m'miyendo ndikupewa matenda monga chibayo.
Mukatsimikiza kuti vuto lanu lili bwino, mudzaloledwa kupita kunyumba. Muyenera kutsagana ndi wachibale wanu kapena mnzanu mukapita kunyumba. Ndi bwinonso kukhala ndi munthu woti akusamalireni masiku oyamba.
Ubwino ndi zoopsa zomwe zimachitika chifukwa cha opaleshoni ya robotic
Tiyeni tiwone zonsezi padera.
| Ubwino wa opaleshoni ya robotic (poyerekeza ndi opaleshoni yotseguka) | |
|---|---|
| Mukhale bwino msanga | Nthawi yochepa kuchipatala |
| Kupweteka kochepa pambuyo pa opaleshoni | Kufunika kochepa kwa mankhwala ochepetsa ululu |
| Mudzachira posachedwa. | Mukhoza kubwerera ku zochita zanu zachizolowezi ndikugwira ntchito mwachangu. |
| Mabalawo ndi ang'onoang'ono kwambiri. | Zilonda zochepa |
Monga opaleshoni iliyonse, opaleshoni iyi ili ndi zoopsa zina.
- Zoopsa zokhudzana ndi mankhwala oletsa ululu
- Mavuto ochiritsa mabala
- Mwina akufunika kupereka magazi
- Matenda a bakiteriya
- Kutupa kwa magazi (hematoma)
- Kusonkhanitsa madzi pafupi ndi mabala (seroma)
Musaope zoopsa izi. Gulu lanu lachipatala lidzachita zonse zomwe lingathe kuti lizipewe ndipo ngati zitachitika, lizithetse.
Ndiyenera kusamala ndi chiyani ndikabwerera kunyumba?
Nthawi yochira imasiyana malinga ndi munthu, koma nthawi zambiri, muyenera kupuma kwa milungu isanu ndi umodzi.
- Kuyendetsa Galimoto: Musayendetse galimoto kwa milungu iwiri kapena kuposerapo mutachita opaleshoni.
- Kunyamula zolemera: Musanyamule zolemera zopitirira 9-10 kg (pafupifupi malita 10 a madzi). Musachite masewera olimbitsa thupi okhwima monga kuthamanga. Izi zitha kuwononga misomali ndikuyambitsa matenda monga hernia.
- Kuyenda: Kuyenda ndi bwino kwambiri. Kumathandiza pakuchira.
- Kubwerera kuntchito: Ngati ntchito yanu si yovuta kwambiri, muyenera kubwerera kuntchito pakatha milungu inayi. Komabe, ngati ntchito yanu ikuphatikizapo kunyamula zinthu zolemera kapena ntchito yolemetsa, zingakhale bwino kutenga nthawi yayitali.
Kodi mukufunika kukaonananso ndi dokotala? Kodi ndi zinthu ziti zomwe muyenera kulankhula nazo mwachangu?
Inde, ndithudi. Dokotala adzakupatsani tsiku loti mubwererenso. Tsiku limenelo, adzayang'ana mabala anu ndi ma stitches anu. Ngati pali ma stitches omwe sasungunuka, adzadulidwa ndikuchotsedwa pakatha sabata imodzi kapena ziwiri. Ngati pali ma drain, adzachotsedwanso.
Komanso, mayeso adzachitika kuti atsimikizire kuti opaleshoniyo yachotsa khansa yonse. Ngati khansayo yafalikira kapena ndi yoopsa kwambiri, dokotala wanu adzakufotokozerani njira zotsatila zochiritsira (monga chemotherapy).
Ngati muli ndi zizindikiro izi, musazengereze, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala.
- Kutuluka magazi ambiri chifukwa cha mabala
- Madzi otuwa ngati mafinya onunkhira bwino amatuluka m'mabala
- Malungo (oposa madigiri Celsius 38 / madigiri Fahrenheit 100)
- Misomali ikusweka
- Ululu ukukulirakulira.
Ngati mukuona chinthu chonga ichi, musakhale panyumba. Funsani upangiri wa dokotala nthawi yomweyo.
Pomaliza, ndi zachilendo kukhala ndi mantha, nkhawa, ndi kukayikira musanachite opaleshoni yotereyi. Mafunso monga "Nanga bwanji ngati opaleshoniyo italakwika?", "Kodi khansayo idzafalikira ku ziwalo zina za thupi?", "Kodi kuchira kudzakhala kovuta?" angabwere m'maganizo mwanga.
Ndizachibadwa kukhala ndi malingaliro amenewo. Koma nthawi yomweyo, ganizirani za ubwino womwe mungapeze kuchokera ku opaleshoniyi. Ikhoza kupulumutsa moyo wanu, ingathandize kuti moyo wanu ukhale wabwino. Lankhulani ndi dokotala wanu ndi gulu lachipatala za nkhawa zanu zonse ndi mantha anu. Ali pano kuti akuthandizeni osati kukusiyani nokha paulendowu.
Uthenga Wopita Nawo Kunyumba
- Nephroureterectomy ndi opaleshoni yomwe imachitika makamaka pa khansa ya m'mimba yomwe imapezeka kumtunda kwa mkodzo.
- Opaleshoni iyi imachotsa impso zomwe zakhudzidwa, mkodzo wonse, ndi gawo laling'ono la chikhodzodzo.
- Opaleshoni ya laparoscopic, yomwe imagwiritsa ntchito ukadaulo wa robotic, nthawi zambiri imakhala yosapweteka kwambiri ndipo imachira mwachangu.
- Ndikofunikira kwambiri kutsatira malangizo a dokotala musanayambe opaleshoni komanso mutachita opaleshoni.
- Ngati mukukumana ndi zizindikiro zachilendo mutachita opaleshoni, monga kutentha thupi, kutuluka magazi ambiri, kapena kutuluka mafinya pachilonda, dziwitsani dokotala wanu nthawi yomweyo.
- Munthu wathanzi akhoza kukhala moyo wabwinobwino ndi impso imodzi.
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