Kodi mkodzo wa impso yanu watsekedwa? Tiyeni tikambirane za opaleshoni iyi ya Pyeloplasty!

Nthawi zina mungadabwe kuti matupi athu amagwira ntchito bwino bwanji popanda ife kuzindikira. Koma taganizirani zomwe zingachitike ngati chubu chofewa chomwe chimatulutsa mkodzo kuchokera ku impso, chomwe chimapita ku chikhodzodzo, chitsekeka kwinakwake? Ndi mtundu wa kutsekeka komwe nthawi zambiri kumayambitsa kupweteka ndi kutupa kwa impso. Chithandizo chimodzi cha izi ndi opaleshoni yotchedwa 'Pyeloplasty'. Musadandaule, tidzakambirana chilichonse mosavuta komanso momveka bwino.

Mwachidule, kodi Pyeloplasty ndi chiyani?

Kuti timvetse izi, choyamba tiyeni tiwone momwe njira yathu ya mkodzo imagwirira ntchito. Mkodzo umapangidwa ndi impso ziwiri m'thupi lathu. Mkodzo womwe umapangidwa mwanjira imeneyi umasonkhana mu gawo lofanana ndi funnel mkati mwa impso. Timatcha izi `(Renal Pelvis)`. Kenako, mkodzo uwu umatsikira mu chubu chopyapyala ndikusonkhana mu chikhodzodzo. Chubu ichi chimatchedwa `(Ureter)`.

Tsopano tangoganizani kuti pali kutsekeka kapena kutsekeka pamalo pomwe njira ya impso (`Renal Pelvis`) ndi chubu chomwe chimayambira kuchokera pamenepo (`Ureter`) zimalumikizana, kutanthauza, pa `(Ureteropelvic Junction - UPJ)`. Kodi chimachitika ndi chiyani? Mkodzo sungatsike ndipo umayamba kudzaza mkati mwa impso. Monga momwe chitoliro chamadzi chimakakamira pakati, madzi amadzaza mmbuyo. Izi zimapangitsa impso kutupa , zomwe madokotala amatcha `(Hydronephrosis)`. Komanso , pakhoza kukhala kupweteka kumbuyo, matenda amkodzo pafupipafupi, ndipo pakapita nthawi, impso imatha kuwonongeka .

Ndani kwenikweni amene akufunikira opaleshoni iyi?

Vutoli, lotchedwa "UPJ", nthawi zina limakhala lobadwa nalo. Pa avareji, mwana m'modzi mwa ana 1,500 amabadwa ndi vutoli. Komabe, nthawi zambiri, limatha lokha mwana akakwanitsa miyezi 18. Ngati lipitirira, monga ngati impso ikupitiriza kutupa kapena kutenga matenda, madokotala angalimbikitse opaleshoni.

Komanso, vutoli likhoza kuchitika pambuyo pake kwa ana okulirapo, achinyamata, ndi akuluakulu. Ngati dokotala wanu awona kuti impso yanu yatupa (Hydronephrosis) pa ultrasound kapena CT scan, angaganize kuti chifukwa chake ndi kutsekeka kwa UPJ. Opaleshoni iyi ingafunikenso.

Kodi opaleshoniyi imachitika bwanji? Kodi mumacheka kwambiri?

Ayi. Ndi ukadaulo wapamwamba wamakono, izi nthawi zambiri zimachitika ndi kudula pang'ono kwambiri . Koma pali njira zingapo. Tiyeni tiwone zomwe zili.

Kodi muyenera kuchita chiyani musanachite opaleshoni?

Dokotala wanu adzakupatsani malangizo a momwe mungakonzekere opaleshoni yanu, ndipo ndikofunikira kwambiri kuwatsatira bwino.

• Kusala Kudya: Mudzapemphedwa kuti musadye kapena kumwa kwa maola pafupifupi 8 musanachite opaleshoni.
• Mankhwala: Ngati mukumwa mankhwala ena aliwonse, funsani dokotala wanu ngati muyenera kusiya kumwa kapena ngati mungathe kumwa ndi madzi pang'ono. Musasiye kumwa mankhwala aliwonse popanda upangiri wa dokotala.
• Munthu woti akuthandizeni: Muyenera kukhala m'chipatala kwa tsiku limodzi kapena awiri mutachita opaleshoni. Konzani pasadakhale kuti wina akuperekezeni kunyumba.

Kodi mungayembekezere chiyani mutachita opaleshoni?

Nthawi zambiri mumayenera kukhala m'chipatala kwa tsiku limodzi kapena awiri. Panthawiyi:

• Mukhoza kudya ndi kumwa mwachizolowezi mukatha opaleshoni.
• Mukhoza kuyenda pang'ono, kuyenda pang'ono. Koma ndikofunikira kupuma, monga momwe dokotala akunenera.
• Mankhwala opha tizilombo amaperekedwa kuti ateteze matenda.
• Katheta ya Foley ikhoza kuyikidwa. Idzachotsedwa mukapita kunyumba.
• Opaleshoniyi ingayambitse kutupa kwa mkodzo, zomwe zingayambitse kupweteka ndi kupweteka kwa chikhodzodzo. Dokotala adzapereka mankhwala opha ululu ofunikira pa izi.

Kodi kuyika stent kumatanthauza chiyani?

Kawirikawiri, pa opaleshoni iyi, chubu chapulasitiki chopyapyala kwambiri chimayikidwa mkati mwa ureter yatsopano yolumikizidwa kuti chitseguke mpaka chitachira. Izi zimatchedwa `(Stent).` Ichi ndi chinthu chomwe chimayikidwa kwakanthawi. `(Stent)` iyi imachotsedwa impso ikachira pakatha milungu ingapo.

Kodi ubwino ndi zoopsa zake ndi ziti?

Monga momwe zimakhalira ndi opaleshoni iliyonse, pali ubwino ndi zoopsa zake. Dokotala wanu adzakufotokozerani izi mwatsatanetsatane.

Nthawi yochira komanso momwe mungasamalire kunyumba

Nthawi zambiri mumayamba kumva bwino mkati mwa sabata imodzi kapena ziwiri . Mpaka stent itachotsedwa, mutha kumva kupweteka pang'ono mukamakodza komanso magazi pang'ono mumkodzo wanu. Izi ndizabwinobwino. Mudzatha kubwerera ku zochita zanu zachizolowezi mkati mwa masabata atatu kapena anayi .

Samalirani zinthu izi kunyumba:

• Imwani madzi ambiri. Ndi bwino kumwa malita osachepera awiri kapena atatu a madzi patsiku.
• Imwani mankhwala (mankhwala ochepetsa ululu, maantibayotiki) omwe dokotala wakupatsani panthawi yake.
• Chotsani bandeji pamalo odulidwa monga momwe dokotala wanu wanenera. Sungani yoyera komanso youma.
• Pewani kusamba mu sinki. Zingayambitse matenda. Palibe vuto kusamba.
• Pewani kunyamula zolemera kapena kugwira ntchito yolemetsa kwa milungu inayi mpaka isanu ndi umodzi.

Kodi muyenera kupita kwa dokotala nthawi yomweyo liti?

• Kusanza kapena kusanza kosalekeza.
• Zizindikiro za matenda monga kutentha thupi , kufiira kozungulira malo odulidwa, kutupa, ndi kutuluka kwa mafinya.
• Ululu waukulu womwe sungathetsedwe ngakhale ndi mankhwala.
• Ngati mkodzo uli wofiira kwambiri ndipo uli ndi magazi ambiri okhala ndi magazi oundana.
• Ngati mukumva kupweteka pachifuwa kapena kupuma movutikira , pitani ku Dipatimenti Yodzidzimutsa ya chipatala chapafupi (ETU) nthawi yomweyo.

Opaleshoni iyi yapambana ndi 95%, kutanthauza kuti anthu asanu ndi anayi mwa khumi. Choncho palibe chifukwa chodera nkhawa ndi izi. Koma ngati dokotala akunena kuti inu kapena mwana wanu mukufunika opaleshoniyi, kambiranani naye za mafunso, mantha, kapena kukayikira kulikonse komwe muli nako pa opaleshoniyi. Mwanjira imeneyi, mudzakhala ndi kumvetsetsa bwino komanso mtendere wamumtima.