Kodi munayenera kukhala ndi Ureteral Stent? Tiyeni tikambirane izi mosavuta! (Ureteral Stent)

Mwina dokotala wanu wakuuzani kuti muli ndi mwala wa impso. Kapena mwina simukumva bwino chifukwa cha kutsekeka kwa mkodzo wanu. Panthawi ngati iyi, ndi zachilendo kumva mantha pang'ono komanso mantha dokotala wanu akakuuzani kuti muyenera kuyika stent. Koma musadandaule, lero tikambirana za tanthauzo la stent ya ureteral, zomwe imachita, komanso momwe imamvera mukakhala nayo.

Kodi Stent ya Ureteral ndi chiyani?

Mwachidule, iyi ndi chubu chopyapyala kwambiri, chosinthasintha chopangidwa ndi silicone kapena pulasitiki. Thupi lathu lili ndi machubu awiri opyapyala omwe amanyamula mkodzo kuchokera ku impso kupita ku chikhodzodzo, chomwe timachitcha kuti ureters. Stent iyi imagwiritsidwa ntchito kuti isunge yotseguka pamene pali kutsekeka kapena kutsekeka mu ureters imodzi.

Monga momwe chitoliro cha madzi chimatsekeka ndi dothi, madzi amasiya kuyenda. Pamene mkodzo wathu watsekeka, mkodzo sungadutse kuchokera ku impso kupita ku chikhodzodzo. Chomwe stent iyi imachita ndikulowetsa chubu chopyapyalachi mkati mwa njira yotsekeka, ndikupanga njira yoti mkodzo udutsemo popanda chopinga chilichonse.

Stent iyi ndi yayitali pafupifupi mainchesi 10 mpaka 15. Dokotala amaiyika kuti coil yomwe ili kumapeto kwa impso ikhale mkati mwa impso ndipo coil yomwe ili kumapeto kwa chikhodzodzo ikhale mkati mwa chikhodzodzo. Ma coil awiriwa amasunga stent pamalo ake osasuntha. Anthu ena amatchanso 'Double-J stent.'

Nchifukwa chiyani muyenera kuyika stent iyi?

Chifukwa chachikulu ndi kupewa kutsekeka kulikonse kwa mkodzo komanso kunyamula mkodzo kupita ku chikhodzodzo popanda kuwononga impso. Pakhoza kukhala zifukwa zingapo zomwe zimapangitsa izi.

Kodi ndi zokonzekera ziti zomwe ziyenera kupangidwa musanayike stent?

Popeza iyi ndi opaleshoni, dokotala wanu adzakupatsani malangizo ena musanachite opaleshoniyi. Ndikofunikira kwambiri kutsatira malangizo awa molondola.

• Mbiri yanu yonse ya thanzi: Uzani dokotala wanu zonse zomwe muli nazo, kuphatikizapo matenda ena aliwonse omwe mudadwalapo, komanso opaleshoni iliyonse yomwe mudachitidwapo kale.
• Mankhwala omwe mumamwa: Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini ndi mankhwala azitsamba. Mankhwala ena (monga ochepetsa magazi) amatha kuwonjezera chiopsezo cha kutuluka magazi panthawi ya opaleshoni.
• Matenda a ziwengo: Ngati muli ndi vuto lililonse la ziwengo ku mankhwala kapena chakudya, onetsetsani kuti mwatchula.
• Kuyezetsa magazi: Mungapemphedwe kuti muyeze magazi ena, monga eGFR, kuti muwone ngati impso zanu zikugwira ntchito bwino.
• Kusala Kudya: Mudzapemphedwa kuti musiye kudya kapena kumwa kwa maola pafupifupi 8 musanachite opaleshoni. Komabe, ngati muli ndi mankhwala ofunikira, funsani dokotala wanu ngati angatengedwe ndi madzi pang'ono.

Kodi iyi ndi ntchito yaikulu?

Ayi, nthawi zambiri opaleshoni imeneyi ndi yosavuta, yopanda kuduladula kwakukulu kapena mabala. Madokotala amati ndi 'osavulaza kwambiri'. Izi zikutanthauza kuti thupi siliwonongeka kwambiri. Nthawi zambiri mukhoza kupita kunyumba madzulo omwewo. Koma chifukwa chakuti muli ndi mankhwala oletsa kupweteka, ndikofunikira kuti wina abwere kudzakutengani kunyumba.

Kodi chimachitika ndi chiyani stent ikayikidwa?

Opaleshoni iyi imachitidwa ndi dokotala wa urologist. Njira yonseyi imachitidwa pansi pa anesthesia, kotero simudzamva chilichonse ndipo mudzakhala tulo tabwino.

1. Kujambula: Choyamba, dokotala amagwiritsa ntchito mtundu wa X-ray (fluoroscopy) kapena ultrasound scan kuti apeze komwe kuli kutsekeka kwa mkodzo.

2. Kuika cystoscope: Kenako, chubu chopyapyala, chachitali chokhala ndi kamera yolumikizidwa ('cystoscope') chimayikidwa kudzera mu mkodzo wanu ndikulowa mu chikhodzodzo chanu.

3. Kuika stent: Kenako, waya woonda kwambiri (`guidewire`) umadutsa mu `cystoscope` kupita mu urethra wotsekedwa. Kenako stent imatsogozedwa pamodzi ndi wayayo kupita pamalo oyenera.

4. Kumaliza: Stent ikayikidwa bwino, waya ndi cystoscope zimachotsedwa. Stent yokha ndi yomwe imatsala mkati.

Njira yonseyi imatenga mphindi zosakwana 30, koma muyenera kukhala m'chipatala kwa maola angapo, kuphatikizapo nthawi yokonzekera opaleshoni, kuchira pambuyo pa opaleshoni, ndikutsimikiza kuti muli bwino.

Kodi ndingayembekezere chiyani ndikayika stent?

Mukadzuka kuchokera ku mankhwala oletsa ululu, mudzamva kutopa pang'ono komanso kugona. Mudzapatsidwa mankhwala oletsa ululu.

• Magazi mu mkodzo (hematuria): Ndizachibadwa kukhala ndi magazi pang'ono mu mkodzo ndi utoto wofiirira kwa masiku oyamba. Musadandaule nazo. Zidzatha pang'onopang'ono pakatha masiku angapo. Komabe, mutha kuwonabe magazi pang'ono mpaka stent itachotsedwa.
• Kusamva bwino ndi kupweteka: Mungamve kutentha pang'ono kapena kupweteka (`dysuria`) mukamakodza. Mungamvenso kufunika kukodza pafupipafupi.
• Imwani madzi ambiri: Dokotala wanu adzakuuzani kuti mumwe madzi ambiri kwa masiku angapo. Izi zithandiza impso zanu ndi chikhodzodzo kugwira ntchito bwino.

Kodi stent iyenera kukhala nthawi yayitali bwanji pamalo pake? Ndingaichotse bwanji?

Nthawi zambiri, stent imakhala yakanthawi kochepa . Dokotala wanu adzaichotsa vuto lomwe lili mu mkodzo wanu (monga mwala wachotsedwa, kutupa kwatsika) litatha. Nthawi zambiri imasiyidwa pamalopo kwa masiku angapo mpaka milungu ingapo.

Koma kwa anthu ena, mwachitsanzo, ngati mkodzo watsekedwa ndi chotupa, ungafunike kusiyidwa pamalo pake kwa miyezi ingapo, kapena zaka. Kwa anthu amenewo, stent yakale imachotsedwa ndipo yatsopano imayikidwa miyezi itatu kapena isanu ndi umodzi iliyonse kuti apewe matenda (UTIs).

Kodi zimapweteka kuchotsa stent?

Pali njira ziwiri zochotsera stent.

1. Stent yokhala ndi ulusi: Ma stenti ena a nthawi yochepa amakhala ndi ulusi waung'ono kumapeto. Umatuluka mu mkodzo. Dokotala amakoka ulusiwo pang'onopang'ono ndikuchotsa stent. Iyi ndi njira yachangu.

2. Ma stenti opanda ulusi: Ma stenti omwe akhalapo kwa milungu ingapo kapena kuposerapo alibe ulusi. Amachotsedwa pang'ono pochita opaleshoni ku ofesi ya dokotala. Choyamba, njira yothetsera vutoli imayikidwa pamalopo, cystoscope imayikidwa, ndipo stent imachotsedwa ndi forceps yaying'ono. Kusowa kwa ululu sikubweretsa ululu wambiri. Komabe, pakhoza kukhala kusasangalala ndi ululu kwa masiku angapo pambuyo poti kusapezeka kwa ululu.

Kodi chingachitike ndi chiyani pa mavuto ndi ululu womwe umachitika munthu akakhala ndi stent?

Mwatsoka, pafupifupi 80% ya anthu omwe ali ndi stent amakumana ndi mavuto pang'ono. Izi nthawi zambiri sizikhala zovuta kwambiri.

• Kukwiya kwa chikhodzodzo
• Kufunika kukodza pafupipafupi
• Ululu kapena kutentha pamene mukukodza
• Magazi ochepa mu mkodzo
• Kuwonjezeka kwa chiopsezo cha matenda opatsirana m'mitsempha ya mkodzo (UTIs)

N’chifukwa chiyani zimandipweteka kwambiri ndikakhala ndi stent m’malo mwanga?

Izi sizili chimodzimodzi kwa aliyense. Anthu ena angamve kupweteka pang'ono, pomwe ena angamve kupweteka kwambiri. Chifukwa chachikulu ndichakuti mukakodza, chikhodzodzo chimakoka. Kenako chozungulira mkati mwa stent chimakanda khoma la chikhodzodzo. Ndicho chifukwa chake anthu ena amamva kupweteka.

Kodi chingachitike n’chiyani kuti muchepetse ululu?

• Mankhwala ochepetsa ululu: Mungagwiritse ntchito paracetamol kapena mankhwala oletsa kutupa (NSAIDs) (monga ibuprofen). Koma musamwe mankhwala ochepetsa ululu popanda kufunsa dokotala .
• Mankhwala apadera: Nthawi zina dokotala wanu amakulemberani mankhwala monga tamsulosin. Ngakhale kuti awa ndi mankhwala omwe amaperekedwa kwa amuna chifukwa cha mavuto a prostate, angathandize kwambiri ndi ululu ndi kusasangalala komwe kumachitika chifukwa cha stent.

Kodi muyenera kuyimbira dokotala liti?

Ngakhale kusapeza bwino pang'ono ndi kwachibadwa mukakhala ndi stent, ngati mukukumana ndi zizindikiro zotsatirazi, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yothandizira Zadzidzidzi (ETU) ya chipatala.