Byose ku bijyanye na Nephroscopi, uburyo bworoshye bwo kuvura impyiko

Ese nawe utinya kubagwa bikomeye kugira ngo ukureho amabuye y'impyiko? Wari uzi ko aho kubagwa bikomeye nk'uko byasabaga gucibwamo cyane, ubu ushobora gukuramo amabuye y'impyiko ukoresheje kamera yashyizwemo unyuze mu kato gato? Ni byo twita uburyo bugezweho bwo kuvura bwitwa 'Nephroscopi.' Uyu munsi, tuzabiganiraho mu buryo burambuye kandi bworoshye.

Nephroskopiya ni iki?

Muri make, ubu ni uburyo bukoreshwa mu gusuzuma imbere mu mpyiko no kuvura indwara zimwe na zimwe. Ntabwo busaba gukata cyane nk'uko byahoze.

Ibi bikorwa hakoreshejwe igikoresho cyihariye kandi gito cyitwa nephroscope. Ni umuyoboro muremure, uruta ikaramu gato. Hakorwa akantu gato cyane ku ruhu ruri ku mugongo wawe, maze uyu muyoboro ushyirwa mu mpyiko. Imbere muri uyu muyoboro hari urumuri, kamera (nk'iy'ikoranabuhanga rya telesikope), n'uburyo bwo kuhira bwo koza aho kubagwa bikorerwa. Muganga akora ubu buvuzi areba amashusho y'iyi kamera kuri ecran nini.

Tekereza ko ukeneye gukuraho ibuye ry’impyiko. Ushobora gukoresha ultrasound cyangwa urumuri rwa laser kugira ngo uce ibuye ukoresheje iyi nephroscope. Nyuma yo kuricamo ibice, ibice bikurwamo unyuze muri uyu muyoboro. Akamaro kanini k’ibi ni uko udakenera kubagwa cyane nkuko wabikoraga mbere. Kugira ngo ukire vuba.

Ni izihe ngaruka za Nephroskopiya?

Ubu buryo bwo kuvura bukoreshwa cyane cyane mu bihe bitandukanye. Reka turebe ibyo ari byo.

Ni gute nakwitegura ubu buryo bwo kubaga?

Hari ibintu byinshi ugomba kwitegura mbere yo kuvurwa muri ubu buryo.

• Ibizamini: Hazakorwa ikizamini cy'inkari kugira ngo harebwe niba hari ubwandu mu nkari zawe. Niba hari ubwandu, uzakenera gufata imiti yica udukoko.
• Amakuru ku miti: Niba ufata imiti igabanya amaraso nka aspirine cyangwa warfarin (Coumadin®), ugomba kubimenyesha muganga wawe. Azakugira inama yo guhagarika gufata iyi miti icyumweru kimwe mbere yo kubagwa.
• Ibiryo n'ibinyobwa: Muri rusange ntushobora kurya cyangwa kunywa ikintu icyo ari cyo cyose mu masaha 8 mbere yo kubagwa.
• Inama z'abaganga: Icy'ingenzi ni ukuganira na muganga wawe kuri ibi byose no gukurikiza amabwiriza ye neza.

Kubagwa bikorwa gute?

Noneho reka turebe intambwe zikenewe kuri ubu buryo bwo kuvura.

Ubwa mbere, muganga wawe azasuzuma witonze ibizamini byose wakorewe (nk'ibizamini bya CT cyangwa urogram) hanyuma agategura uburyo bwo kubagwa. Uzahabwa ikinya rusange, bityo ntuzumva ububabare ubwo aribwo bwose, nk'aho usinziriye.

Hanyuma uzashyirwa ku meza yo kubaga, inda yawe ireba hasi. Ubwa mbere, umuyoboro muto (catheter) uzashyirwa mu mpyiko yawe unyuze mu muyoboro w'inkari. Irangi ryihariye rizanyuzwa muri uwo muyoboro hanyuma hagafatwa X-ray kugira ngo harebwe neza imbere mu mpyiko yawe.

Hanyuma, nk'uko biteganyijwe, urushinge rushyirwa mu ruhu ruri ku mugongo wawe rugana mu mpyiko. Aho hantu hagakorwa hanini gato, hanyuma hagashyirwamo umuyoboro (agatambaro). Ibi bikorwa binyuze mu gukata gato kangana n'igice cy'ifeza. Ubu, binyuze muri uyu muyoboro, nephroscope n'ibindi bikoresho byo kubaga bishobora koherezwa mu mpyiko mu buryo butaziguye.

Noneho, umuganga areba muri kamera maze akamenagura ibuye ry’impyiko, cyangwa niba ari ikintu cyabuze, akarikuraho, hanyuma akarikuramo ibice binyuze muri nephroscope.

Amaherezo, ikintu cyitwa stent yo mu muyoboro w'inkari gishyirwa mu muyoboro uva mu mpyiko ujya mu ruhago (ureter). Uyu ni umuyoboro wa pulasitiki ufite ubugari bwa santimetero 10-12. Ibi bifasha inkari gutembera byoroshye kandi bigafasha impyiko gukira vuba. Stent ikunze gukurwaho iyo ugiye kwa muganga mu cyumweru kimwe.

Ni ibihe bintu ugomba kwitaho nyuma yo gutaha?

Nyuma yo kubagwa, uzajyanwa mu cyumba cyo gukira. Iyo byose bimaze kwemezwa ko bimeze neza, ubusanzwe uzabasha gutaha umunsi ukurikiyeho. Wite cyane kuri ibi bintu nyuma yo gutaha.

• Niba ugize umuriro, ukumva ubukonje kandi ugahinda umushyitsi, cyangwa ufite ububabare bukabije budashobora gukemurwa n'imiti igabanya ububabare yanditswe na muganga wawe, hamagara muganga wawe ako kanya.
• Ni ibisanzwe kugira amaraso make mu nkari zawe nyuma yo kubagwa. Ariko...

• Keretse muganga wawe agugiriye inama itandukanye, irinde guterura ibyuma cyangwa gukora imyitozo ngororamubiri ikomeye mu gihe cy'ibyumweru bibiri kugeza kuri bine.

Ni izihe nyungu n'ingaruka z'ubu buvuzi?

Akamaro gakomeye k'ibi ni uko ari uburyo bwizewe cyane kandi budasaba kubagwa cyane (kubagwa gakondo). Kubwibyo, igihe cyo gukira kiba gito kandi ibyago byo kwandura nabyo bikaba bike.

Ariko, nk'uko bigenda mu kubagwa kose, hashobora kubaho ingaruka ntoya.

• Kuva amaraso mu gihe cyo kubagwa cyangwa nyuma yaho (guterwa amaraso bishobora kuba ngombwa muri ibyo bihe).
• Ubwinshi bw'amazi mu bihaha.
• Indwara ikomeye nka sepsis.
• Indwara yo mu nzira y'inkari.
• Kwangirika kw'impyiko cyangwa inzira y'inkari.

Izi ngaruka ni nke cyane. Muganga wawe azagusobanurira neza ibi byose mbere yo kubagwa, bityo nta mpungenge ugomba kugira.