Tiyeni tiphunzire za opaleshoni yochotsa impso kwathunthu (Radical Nephrectomy)?

Dokotala wanu akakuuzani kuti muyenera kuchotsa impso yanu yonse, mungamve mantha kwambiri komanso kudabwa. "Ndingatani ngati ndili ndi impso ziwiri ndipo imodzi yachotsedwa?" "Kodi iyi ndi opaleshoni yaikulu?" Mungakhale ndi mafunso ambiri m'maganizo mwanu. Zimenezo ndi zachilendo. Lero, tiyeni tikambirane za opaleshoni iyi yotchedwa Radical Nephrectomy, ndikupeza mayankho a mafunso onse omwe muli nawo m'maganizo.

Kodi Radical Nephrectomy ndi chiyani?

Mwachidule, iyi ndi opaleshoni yochotseratu impso imodzi. Mu mawu azachipatala, "nephr" amatanthauza "impso." "octopus" amatanthauza "kuchotsa." Chifukwa chake, nephrectomy ndi kuchotsa impso.

Pa opaleshoni iyi, dokotalayo amachotsa impso yanu yonse, pamodzi ndi minofu yamafuta yozungulira impsoyo. Nthawi zina, adrenal gland pamwamba pa impso ndi ma lymph nodes ozungulira impso angafunikenso kuchotsedwa.

N’chifukwa chiyani muyenera kuchitidwa opaleshoni yamtunduwu?

Chifukwa chachikulu cha opaleshoniyi nthawi zambiri chimakhala kuchotsa chotupa cha impso chomwe chili ndi khansa. Komabe, dokotala wanu angakulimbikitseni opaleshoniyi pazifukwa zina zingapo.

• Kukhala ndi khansa ya impso: Makamaka ngati khansayo ndi yayikulu kwambiri kapena pali chiopsezo chofalikira kunja kwa impso.
• Matenda a impso obwera pafupipafupi: Ngati impso zawonongeka chifukwa cha matenda osatha omwe sangathe kuthetsedwa ndi chithandizo.
• Kulephera kwa impso: Ngati impso imodzi yalephera kugwira ntchito chifukwa cha ngozi, matenda, kapena chifukwa china.
• Kupereka Impso: Ngati mukupereka impso kwa wokondedwa wanu.

Iyi ndi opaleshoni yofala komanso yochitidwa kawirikawiri, choncho musachite mantha nayo mopanda chifukwa.

Kodi mungakonzekere bwanji opaleshoni?

Popeza iyi ndi opaleshoni yaikulu, mudzakonzekera bwino pasadakhale.

1. Mayeso azachipatala:Dokotala wanu adzachita kaye mayeso a magazi. Izi zithandiza kudziwa momwe impso yanu imagwirira ntchito komanso mtundu wa magazi anu. Izi zithandiza kudziwa momwe impso yanu yotsalayo idzagwirira ntchito mutachitidwa opaleshoni. Ndikofunikanso kudziwa mtundu wa magazi anu ngati mungafunike kupereka magazi, ngakhale zitakhala zadzidzidzi. Adzafufuzanso thanzi lanu lonse, monga kutentha kwa thupi lanu, kugunda kwa mtima wanu, ndi kuthamanga kwa magazi.

2. Kudziwitsa dokotala za mankhwala omwe mukumwa: Ndikofunikira kudziwitsa dokotala za mankhwala onse omwe mukumwa, kaya alembedwa ndi dokotala , mankhwala ochepetsa ululu omwe amaperekedwa ndi dokotala (monga NSAIDs), mankhwala ochepetsa magazi (monga mankhwala oletsa magazi kuundana), mavitamini, mankhwala a Ayurvedic kapena azitsamba. Mankhwala ena amatha kuwonjezera chiopsezo cha kutuluka magazi panthawi ya opaleshoni.

3. Tiuzeni za ziwengo zanu: Ngati muli ndi ziwengo zilizonse za mankhwala enaake, latex, kapena ayodini zomwe zimagwiritsidwa ntchito kuyeretsa khungu lanu, muyenera kutiuza za izo.

4. Chakudya ndi Zakumwa: Mudzapatsidwa malangizo omveka bwino okhudza maola angati omwe muyenera kusala musanachite opaleshoni komanso nthawi yomwe muyenera kusiya kumwa madzi. Ngati muli ndi chakudya m'mimba mwanu pamene mukulandira mankhwala oletsa ululu, mutha kusanza ndipo chakudyacho chingalowe m'mapapo mwanu. Izi ndi zoopsa. Choncho tsatirani malangizowo molondola.

Kodi njira zochitira opaleshoni iyi ndi ziti?

Pali njira zitatu zazikulu zochotsera nephrectomy. Dokotala wanu adzasankha njira yoyenera kwa inu kutengera vuto lanu.

Kodi chimachitika ndi chiyani panthawi ya opaleshoni?

Mukapita ku chipinda chochitira opaleshoni, dokotala wogonetsa adzakupatsani mankhwala oletsa ululu. Izi zikutanthauza kuti simudzamva ululu uliwonse ndipo mudzakhala tulo tabwino mpaka opaleshoniyo itatha.

Pambuyo pake,

• Mudzapatsidwa catheter yotulutsira mkodzo kuti muchotse mkodzo wanu.
• Pa opaleshoni ya laparoscopic kapena robotic, amacheka pang'ono pang'ono ndipo mimba imadzazidwa ndi mpweya wochepa wa carbon dioxide kuti pakhale malo pakati pa ziwalo.
• Dokotalayo amadula mosamala mitsempha yamagazi yolumikizidwa ndi impso ndikuchotsa impso, minofu yozungulira impsoyo, ndi ziwalo zina ngati pakufunika kutero.
• Pambuyo pa opaleshoni, chubu chaching'ono (njira yodulira opaleshoni) chingaikidwe kuti chichotse madzi ochulukirapo ndi magazi omwe amasonkhana mkati.
• Pomaliza, mabalawo amatsekedwa ndi ma stitches kapena staples.

Ntchito yonseyi ingatenge maola atatu kapena kuposerapo.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?

Opaleshoni ikatha, mudzasamutsidwira ku chipinda chochiritsira odwala. Gulu lachipatala lidzakusamalirani bwino mpaka mutachira ndipo vuto lanu lidzakhazikika.

• Kuletsa ululu: Mukamva ululu, mumapatsidwa mankhwala ofunikira.
• Chakudya: Chakudya chamadzimadzi chokha ndi chomwe chimaperekedwa kwa tsiku loyamba kapena awiri. Kenako pang'onopang'ono muyambe kudya chakudya chanthawi zonse.
• Kuyenda: Mudzalimbikitsidwa kuyenda pang'ono kuyambira tsiku lotsatira opaleshoni. Kuyenda kumathandizira kuti magazi aziyenda bwino ndipo kumathandiza kuti mabala azichira msanga. Ndikofunikanso kupewa mavuto monga magazi kuundana m'miyendo ndi chibayo.
• Kubwerera kunyumba: Gulu la azachipatala likangoganiza kuti muli bwino, mudzaloledwa kupita kunyumba. Popeza simungathe kuyendetsa galimoto, pemphani wachibale wanu kapena mnzanu kuti abwere nanu. Ndikofunikira kukhala ndi munthu woti akusamalireni masiku oyamba mukabwerera kunyumba.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire? Ndipo kodi n'zotheka kubwereranso?

Nthawi yomwe imatenga kuti muchire mokwanira imadalira mtundu wa opaleshoni yomwe mudachita. Ngakhale opaleshoni yotseguka imatenga pafupifupi milungu 8-12, kuchira mukatha opaleshoni ya laparoscopic kumakhala kofulumira kwambiri. Mungafunike kupewa kunyamula zinthu zolemera komanso kuchita zinthu zolemetsa kwa kanthawi.

Nthawi zambiri mungabwerere kuntchito pakatha milungu inayi. Komabe, ngati muli ndi ntchito yotopetsa, mungafunike kupuma nthawi yayitali. Lankhulani ndi dokotala wanu za izi ndipo funsani upangiri.

Ngati mwachitidwa opaleshoni ya khansa ya impso, nthawi zambiri khansayo imabwereranso mbali ina ya thupi kapena pafupi ndi malo ochitira opaleshoni. Ichi ndichifukwa chake ndikofunikira kwambiri kupita kuchipatala nthawi zonse mukatha opaleshoni.

Nthawi yoti mukaonane ndi dokotala

Mukachita opaleshoni, mudzakonzedwa kuti mufufuze mabala anu ndikuchotsa zosokera. Ngati mudachita opaleshoni ya khansa, muyenera kuyesedwa magazi ndi mkodzo nthawi ndi nthawi kuti muwone ngati khansayo ibwereranso.

Komanso, ngati mukukumana ndi zizindikiro zotsatirazi, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi.