Kodi inuyo kapena munthu wina amene mumamudziwa adauzidwa ndi dokotala kuti impso iyenera kuchotsedwa kwathunthu? Ndizachilendo kumva mantha pang'ono komanso mantha mukamva mawu amenewo. Mafunso ngati "Ndidzakhala bwanji popanda impso?" mwina amabwera m'maganizo mwanga. Koma musadandaule. Tiyeni tikambirane za opaleshoni iyi, yotchedwa 'Radical Nephrectomy', mwachidule ndikupeza mayankho a mafunso onse omwe muli nawo.
Kodi Radical Nephrectomy ndi chiyani?
Mwachidule, iyi ndi opaleshoni. Pankhaniyi, impso yanu yonse imachotsedwa. Mu mawu azachipatala, "nephro" amatanthauza "impso" ndipo "octoma" amatanthauza "kuchotsa." Kotero dzinalo limatanthauza zimenezo, eti?
Opaleshoni iyi siichotsa impso yokha komanso minofu yamafuta yozungulira impsoyo. Nthawi zina, adrenal gland ndi ma lymph nodes ozungulira impsoyo angafunikenso kuchotsedwa.
Ngakhale anthu ambiri ali ndi impso ziwiri, amatha kukhala bwino ndi impso imodzi yokha yathanzi popanda vuto lililonse. Pakapita nthawi, impso yotsalayo imakula pang'ono ndikukhala yamphamvu, ndikuyamba kugwira ntchito ngati impso ziwiri.
N’chifukwa chiyani mukufunikira opaleshoni iyi?
Kawirikawiri, chifukwa chachikulu cha opaleshoniyi ndi kuchotsa chotupa cha khansa mu impso . Komabe, dokotala wanu angakulimbikitseni opaleshoniyi pazifukwa zina.
- Matenda a impso obwerezabwereza: Anthu ena amadwala matenda a impso obwerezabwereza.
- Kulephera kwa impso: Impso ikasiya kugwira ntchito chifukwa cha matenda kapena ngozi.
- Matenda ena a impso kapena kuwonongeka: Chifukwa cha matenda ena omwe sangathe kuthetsedwa.
- Kupereka impso: Opaleshoni iyi imachitikanso munthu akapereka impso yake yathanzi kwa munthu wina.
Kodi mumakonzekera bwanji musanachite opaleshoni?
Popeza iyi ndi opaleshoni yaikulu, mudzakonzekera bwino pasadakhale.
- Mayeso azachipatala: Mayeso a magazi ndi mkodzo adzachitika kuti aone momwe impso zanu zikuyendera panopa. Mtundu wa magazi anu udzawunikidwanso ngati mukufunika kupereka magazi panthawi ya opaleshoni. Thanzi lanu lonse, monga kutentha thupi, kugunda kwa mtima, ndi kuthamanga kwa magazi, zidzawunikidwanso.
- Chidziwitso cha Mankhwala: Ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa (omwe mwapatsidwa ndi dokotala komanso omwe simunawagule), kuphatikizapo mavitamini ndi zowonjezera zitsamba . Mankhwala ena ochepetsa ululu (NSAIDs) ndi ochepetsa magazi (anticoagulants) amatha kuwonjezera chiopsezo cha kutuluka magazi panthawi ya opaleshoni.
- Ziwengo: Tiuzeni za ziwengo zilizonse zomwe muli nazo. Mwachitsanzo, ziwengo za mankhwala enaake, latex, kapena ayodini zomwe zimagwiritsidwa ntchito kuyeretsa khungu.
- Pewani kudya kapena kumwa: Simudzaloledwa kudya kapena kumwa chilichonse kwa maola angapo opaleshoni isanachitike. Izi zili choncho chifukwa ngati muli ndi chakudya m'mimba mwanu pamene mukulandira mankhwala oletsa ululu, pali chiopsezo choti mudzachisanza ndipo chidzalowa m'mapapu mwanu. Izi zitha kukhala zoopsa.
Kodi njira zochitira opaleshoni ndi ziti?
Opaleshoni ya Radical Nephrectomy imachitika m'njira zitatu zazikulu. Dokotala wanu adzasankha njira yoyenera kwambiri pa vuto lanu.
| Njira yopangira opaleshoni | Kufotokozera |
|---|---|
| Kutsegula kwa Nephrectomy Yosatha | Mu njira imeneyi, dokotalayo amaduladula mbolo imodzi yaikulu, pafupifupi mainchesi 3. Njira imeneyi imagwiritsidwa ntchito ngati chotupa mu impso chili chachikulu kwambiri kapena ngati pali ma lymph nodes ambiri ozungulira omwe akufunika kuchotsedwa. |
| Kuchotsa Mitsempha Yaikulu ya Laparoscopic | Iyi ndiyo njira yomwe imagwiritsidwa ntchito kwambiri masiku ano. M'malo mwa kudula kwakukulu kamodzi, kudula pang'ono pang'ono (pafupifupi sentimita imodzi) kumachitika m'mimba kapena m'mimba. Kudzera m'kucheka kumeneku, chipangizo chopyapyala chokhala ndi kamera (laparoscope) ndi zida zina zochitira opaleshoni chimayikidwa ndipo opaleshoniyo imachitika. |
| Kuchotsa Magazi Osalekeza a Robotic Radical Nephrectomy | Izi zikufanana ndi njira ya laparoscopic, koma apa zida zochitira opaleshoni zimayendetsedwa ndi mkono wa robotic womwe umayendetsedwa ndi dokotala. Izi zimathandiza kuti opaleshoniyo ikhale yovuta komanso yolondola. |
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Opaleshoni nthawi zambiri imatenga maola atatu kapena kuposerapo. Opaleshoni ikatha, dokotala wogonetsa adzakudzutsani. Koma mudzamva tulo kwakanthawi.
Mudzatengedwera ku chipinda chochiritsira, komwe thanzi lanu lidzayang'aniridwa ndipo mudzapatsidwa mankhwala oletsa ululu.
- Chakudya: Chakudya chamadzimadzi chokha ndi chomwe chimaperekedwa patsiku loyamba. Pambuyo pake, pang'onopang'ono mutha kudya chakudya chokhazikika.
- Kuyenda: Mukulimbikitsidwa kuyenda pang'ono kuyambira tsiku lomwe opaleshoni inachitika. Kuyenda kumathandiza kuti magazi aziyenda bwino, kumakuthandizani kuchira msanga, komanso kungathandize kupewa mavuto monga magazi kuundana m'miyendo yanu.
- Katheta ya mkodzo: Katheta ya mkodzo yomwe imayikidwa panthawi ya opaleshoni nthawi zambiri imachotsedwa m'mawa wotsatira.
- Kutuluka m'chipatala: Mudzaloledwa kupita kunyumba matenda anu akayamba kuyenda bwino. Ngati munachitidwa opaleshoni yotseguka, muyenera kukhala m'chipatala kwa masiku angapo. Mukachitidwa opaleshoni ya laparoscopic, mutha kupita kunyumba posachedwa. Ndikofunikira kuti wina akuperekezeni kunyumba.
Zimatenga nthawi yayitali bwanji kuti munthu achire?
Nthawi yochira imadalira mtundu wa opaleshoni yomwe mudachita. Opaleshoni yotseguka imatenga nthawi yayitali kuti ichiritse. Nthawi zambiri, zimatenga pakati pa masabata 8 ndi 12 kuti munthu achire mokwanira ndikuyambiranso ntchito monga kunyamula zolemera.
Mukhoza kubwerera kuntchito yopepuka, monga ku ofesi , pakatha milungu pafupifupi 4. Komabe, ngati muli ndi ntchito yotopetsa thupi, ingatenge nthawi yayitali. Lankhulani ndi dokotala wanu za izi ndipo funsani upangiri woyenera.
Nthawi zina muyenera kupita kwa dokotala nthawi yomweyo
Ndikofunikira kwambiri kuyang'anira momwe mulili mutapita kunyumba. Ngati muli ndi zizindikiro zotsatirazi, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) ya chipatala.
- Kutuluka magazi ambiri kuchokera pachilonda cha opaleshoni.
- Kutupa, kufiira, madzi onunkhira ngati mafinya ozungulira bala, kapena kutentha thupi kopitirira madigiri 37.8 Celsius (100 Fahrenheit) kungakhale zizindikiro za matenda.
- Magazi mu mkodzo (hematuria).
Ngati mwachitidwa opaleshoni ya khansa, dokotala wanu adzakulamulani kuti muyesedwe ngati muli ndi khansa ya CT scan komanso magazi ndi mkodzo nthawi ndi nthawi kuti muwone ngati khansayo yabwereranso. Ndikofunikira kwambiri kuti muyesedwe nthawi zonse popanda kuisiya.
Uthenga Wopita Nawo Kunyumba
- Kuchotsa impso kwathunthu ndi opaleshoni yaikulu yomwe imachotsa impso kwathunthu.
- Izi zimachitika makamaka pofuna kuchiza matenda aakulu monga khansa ya impso.
- Opaleshoni ya laparoscopic (opaleshoni yochitidwa kudzera m'mabala ang'onoang'ono) tsopano ikugwiritsidwa ntchito kwambiri ndipo imalola kuti munthu achire mwachangu.
- Ndizotheka kukhala ndi moyo wabwinobwino komanso wathanzi ndi impso imodzi yathanzi.
- Kambiranani momasuka ndi dokotala wanu za mantha, kukayikira, kapena mafunso aliwonse omwe mungakhale nawo okhudza opaleshoniyi. Izi zikupatsani mtendere wamumtima.

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