Kodi munanena kuti kuchotsa impso ndi ureter pa opaleshoni? Tiyeni tikambirane izi mwachidule (Nephroureterectomy)

Dokotala wanu akakuuzani inu kapena munthu amene mumamudziwa kuti muyenera kuchitidwa opaleshoni yotchedwa 'nephrureterectomy', mungamve mantha pang'ono komanso mantha mukamva dzinalo. Ndi mawu akuluakulu komanso ovuta. Ndipotu, aliyense angachite mantha pang'ono akamva dzinali. Koma musachite mantha. Lero, tiyeni tikambirane za izi m'njira yosavuta, ngati kuti mukulankhula ndi mnzanu. Tikambirana za zomwe zimachitika, chifukwa chake zimachitika, komanso momwe zimachitikira.

Kodi Nephroureterectomy ndi chiyani?

Ili ndi liwu lalitali pang'ono, choncho tiyeni tiyambe ndi kulimvetsa.

• Nephro-: Liwu ili limachokera ku liwu la Chigiriki. Limatanthauza "impso."
• Ureter: Iyi ndi chubu chomwe chimatenga mkodzo womwe umachokera mu impso zathu kupita ku chikhodzodzo.
• Ectomy (-ectomy): Izi zikutanthauza "kuchotsa opaleshoni" .

Mwachidule, opaleshoni ya nephroureterectomy ndi opaleshoni yomwe imachotsa ziwalo zingapo za thupi lanu. Izi ndi ziwalo zomwe zimachotsedwa:

• Impso imodzi kwathunthu.
• Ureter yonse yalumikizidwa ndi impso imeneyo.
• Kachidutswa kakang'ono ka minofu komwe urethra imalumikizana ndi chikhodzodzo kamatchedwa chikhodzodzo.

N’chifukwa chiyani muyenera kuchitidwa opaleshoni yamtunduwu?

Dokotala nthawi zambiri amalangiza opaleshoni iyi ngati muli ndi khansa m'njira yanu ya mkodzo, kutanthauza impso zanu kapena urethra (khansa ya urothelial kapena khansa ya transitional cell). Iyi nthawi zambiri imaonedwa ngati opaleshoni "yamphamvu" .

Kodi opaleshoni "yoopsa" ndi chiyani? Zimatanthauza kuti dokotalayo sachotsa khansa yokha, komanso minofu kapena ziwalo zilizonse zozungulira komwe khansayo ingakhale itafalikira. Mwachitsanzo, ngati khansayo yafalikira ku ma lymph node apafupi, impso ndi ureter zitha kuchotsedwa pamodzi ndi ma lymph node amenewo. Cholinga chachikulu cha izi ndikuchotsa khansa yonse m'thupi ndikuchepetsa chiopsezo choti ibwererenso.

Kodi mungakonzekere bwanji musanachite opaleshoni?

Musanachite opaleshoni, mudzakumana ndi dokotala wanu. Iye adzakambirana mbiri yanu yachipatala ndikufufuza kutalika kwanu, kulemera kwanu, ndi kuthamanga kwa magazi kuti aone ngati mwakonzeka opaleshoni. Ino ndi nthawi yofunika kwambiri kwa inu. Lankhulani ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo.

Pali zinthu zingapo zomwe muyenera kuuza dokotala wanu:

• Mankhwala onse omwe mumamwa:Ndikofunikira kulankhula za mankhwala operekedwa ndi dokotala, komanso mankhwala ogulitsidwa kunja kwa chipatala (OTC), mavitamini, mankhwala achikhalidwe, ndi mankhwala a Ayurvedic. Ndikofunikira kwambiri kulankhula za mankhwala ochepetsa magazi monga aspirin.
• Matenda a ziwengo: Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse la ziwengo chifukwa cha mankhwala enaake, mankhwala oyeretsera khungu monga ayodini, zakudya, kapena latex.

Dokotala wanu adzakupatsaninso malangizo a zomwe mungadye ndi kumwa tsiku lisanafike opaleshoni. Nthawi zambiri amakuuzani kuti mudye zakumwa zoyera zokha kwa maola 24 musanachite opaleshoni, ndipo musadye kapena kumwa chilichonse kwa maola pafupifupi 8 musanachite opaleshoni. Ndikofunikira kwambiri kuti mukhale otetezeka kutsatira malangizo awa molondola.

Kodi njira zazikulu zochitira opaleshoniyi ndi ziti?

Pali njira ziwiri zazikulu zochotsera nephroureterectomy. Tiyeni tiwone kusiyana pakati pa ziwirizi.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?

Opaleshoni nthawi zambiri imatenga maola awiri kapena anayi. Pambuyo pake, mudzatengedwera ku chipinda chochiritsira. Madokotala ndi anamwino adzakusamalirani bwino mpaka mutachira.

• Ululu: Ndi zachilendo kumva ululu mukatha opaleshoni. Mudzapatsidwa mankhwala ochepetsa ululu kuti akuthandizeni pa izi.
• Nseru: Anthu ena amatha kuvutika ndi nseru chifukwa cha mankhwala oletsa ululu. Palinso mankhwala a zimenezo.
• Chakudya: Chakudya chamadzimadzi chimaperekedwa kwa tsiku limodzi kapena awiri oyamba. Kenako, pang'onopang'ono muyambe kudya chakudya chokhazikika.
• Kuyenda: Mudzalimbikitsidwa kuyenda kuyambira tsiku lotsatira opaleshoni. Ngakhale kuti zingakhale zovuta, izi ndizofunikira kwambiri. Kuyenda kungathandize kupewa magazi kuundana m'miyendo ndi chibayo.

Nthawi zambiri mudzatha kupita kunyumba patatha masiku ochepa, koma muyenera kukhala ndi wachibale kapena mnzanu kuti akutengereni kunyumba.

Kodi nthawi yochira imakhala bwanji mukabwerera kunyumba?

Mukapita kunyumba, muyenera kupuma mokwanira. Muyenera kudzipatsa nthawi yoti muchire mokwanira, zomwe nthawi zambiri zimatenga milungu isanu ndi umodzi .

• Kuyendetsa Galimoto: Pewani kuyendetsa galimoto kwa milungu iwiri kapena kuposerapo.
• Kunyamula zinthu zolemera: Pewani kuchita zinthu zolemetsa monga kunyamula zinthu zolemera makilogalamu oposa 9 kapena kuthamanga kwa milungu pafupifupi 6. Izi zitha kuwononga zosokerazo ndikuyambitsa matenda monga hernias.
• Kuyenda: Kuyenda ndi njira yabwino yochitira masewera olimbitsa thupi.

Thupi lanu lingachiritse mosiyana ndi ena. Choncho, mverani thupi lanu. Ngati n'zovuta, pumulani.

Kodi muyenera kupita kwa dokotala nthawi yomweyo liti?

Mudzapatsidwa nthawi yokumananso ndi dokotala, kutanthauza kuti, tsiku loti mudzaonanenso ndi dokotala. Onetsetsani kuti mwapita ku masiku amenewo. Kenako zosokerazo zidzayang'aniridwa ndipo, ngati kuli kofunikira, zidzadulidwa ndikuchotsedwa. Komabe, ngati zizindikiro zotsatirazi zikuwonekera, imbani dokotala wanu nthawi yomweyo kapena pitani ku Chipatala cha Emergency Treatment Unit (ETU).

Ndizachibadwa kukhala ndi mantha, nkhawa, komanso kusatsimikiza musanachite opaleshoni. "Kodi opaleshoniyi idzapambana?", "Nanga bwanji ngati khansa yafalikira mbali zina za thupi?", "Kodi kuchira kudzakhala kovuta?", ndi zina zotero. Musamasunge malingaliro amenewa. Lankhulani ndi dokotala wanu ndi abale anu za izi. Mukadziwa zambiri za opaleshoniyi, mantha anu sangachepe.