Amabuye y'impyiko ni ikibazo cy'ubuzima abantu benshi mu gihugu cyacu bahura nacyo. Hari igihe aya mabuye aba mato cyane, bityo ashobora gukurwa mu mubiri ukoresheje imiti no kunywa amazi menshi. Ariko rimwe na rimwe, aya mabuye ashobora kwiyongera gato. Iyo agize manini cyane, ntabwo ava ubwayo, kandi biragoye kuyakuraho hakoreshejwe ubundi buryo bworoshye bwo kuvura. Muri bene ibyo bihe, uyu munsi tugiye kuvuga ku kubagwa kwihariye abaganga basaba. Ibi byitwa 'Percutaneous Nephrolithotomy' cyangwa PCNL mu magambo ahinnye.
Kubaga PCNL ni iki? Reka tubisobanukirwe mu buryo bworoshye
Nubwo izina rishobora kumvikana nk'aho rigoye, mu by'ukuri inzira yoroshye cyane. "Percutaneous" bisobanura "kunyura mu ruhu ." "Nephrolithotomy" bisobanura "gukura ibuye mu mpyiko." Rero, mu magambo make, PCNL ni ukubaga aho uruhu rucibwamo gato cyane hanyuma hagashyirwamo igikoresho cyo gukuramo ibuye rinini mu mpyiko.
Ubu ni ubwoko bw'ubuganga bwitwa "minimally invasive." Ni ukuvuga ko aho gukata inda nini nk'uko byari bimeze mbere, ubu buganga bukorwa binyuze mu gukata gato cyane. Ni nk' "kubaga imyobo y'urufunguzo."
Nubwo ibi bikorwa binyuze mu gukata gato, ntibikwiye gufatwa nk'ibintu byoroshye. PCNL ifatwa nk'ukubaga gukomeye . Ariko inyungu ni uko ifite ingorane nke ugereranyije n'uburyo bwa kera kandi ishobora gukira vuba.
Ni nde koko ukeneye ubu bubagwa?
Ubu buryo bwo kubaga ntibukorerwa abantu bose bafite ibuye ry'impyiko. Ubusanzwe, muganga azasaba ko habaho ubu buryo mu bihe bikurikira:
- Niba ibuye ry'impyiko yawe ari rinini cyane (urugero, rirenze santimetero 2).
- Iyo ibuye ridashobora gukurwaho hakoreshejwe ubundi buryo bwo kuvura, nko gupima shock wave lithotripsy cyangwa laser ureteroscopy,
- Niba ibuye ry'impyiko ritera kwangirika cyangwa ritera ububabare bukomeye.
Igipimo cy'intsinzi y'ubu buvuzi kiri hagati ya 75% na 98%. Ibi bivuze ko akenshi bushobora kurangizwa neza.
Kubagwa bikorwa gute?
Ubu buvuzi bukorwa n'umuganga w'inzobere mu ndwara no kubaga inkari. Tumwita umuganga w'inkari . Reka turebe uburyo ubu buvuzi bukorwa intambwe ku yindi.
1. Anesthesia: Ubwa mbere, uzashyirwa munsi y'ikinya rusange n'umuganga w'inzobere mu gutera ikinya. Ibi bivuze ko utazumva ububabare ubwo aribwo bwose kandi uzaba usinziriye burundu.
2. Gukata:Hanyuma, inzobere izagukata gato cyane (hafi cm 1) mu mugongo wawe cyangwa mu kibuno, aho impyiko yawe iherereye.
3. Gushyiramo umuyoboro: Umuyoboro urinda (agatambaro) ushyirwamo binyuze mu gukata mu mpyiko.
4. Gushaka ibuye: Hanyuma, igikoresho gito cyane gifite kamera (nephroscope) gishyirwa mu muyoboro kugira ngo haboneke ibuye riri mu mpyiko.
5. Gukuraho ibuye: Iyo ibuye ari rito, rikurwamo ako kanya. Iyo ibuye ari rinini, ricibwamo ibice bito hakoreshejwe umuraba wa laser cyangwa igikoresho cyihariye cy’urusaku (lithotripter).
6. Gufasha mu gukira: Nyuma yo gukuraho ibuye, hari igihe umuyoboro muto (`umuyoboro w'amazi`) cyangwa stent yo mu muyoboro w'inkari ishyirwamo kugira ngo inkari zitembera neza kandi igisebe gikire vuba. Amaherezo, aho uruhu rucagagurwa hafungwa n'uduti.
Ubusanzwe, iki gikorwa cyose kimara amasaha abiri kugeza kuri ane.
Ibintu ugomba kumenya mbere na nyuma yo kubagwa
Hakenewe kwitegura mbere na nyuma yo kubagwa. Reka tubirebe.
| Amahirwe | Icyo ugomba gukora |
|---|---|
| Mbere yo kubagwa |
|
| Nyuma yo kubagwa |
Ese hari ingaruka zishobora guterwa n'ubu buvuzi?
Kimwe no kubagwa kose, hari ingaruka zimwe na zimwe zishobora kubaho. Izi ni gake cyane, ariko ni ngombwa kuzimenya.
- Ingaruka zijyanye no gusinziriza.
- Kwandura aho bakorewe.
- Kuva amaraso menshi cyangwa kubyimba kw'amaraso (hematoma).
- Kwangirika kw'impyiko.
- Indwara zikomeye zo mu nzira y'inkari (nk'indwara ya sepsis).
- Ni gake cyane, ntibishoboka gukuraho ibuye burundu.
Ntugahangayikishwe n'izi ngaruka. Muganga wawe azategura uburyo bwo kubaga mu buryo buzakemura ibi byose.
Igihe cyo gushaka inama z'abaganga byihutirwa
Ugeze mu rugo nyuma yo kubagwa, komeza witondere umubiri wawe. Niba ubonye ikintu kidasanzwe, ugomba guhita uhamagara muganga wawe. Menya neza ibi bimenyetso:
- Niba igikomere kirimo kuva amaraso menshi.
- Niba urimo kubyimba amaraso menshi nk'isosi y'inyanya mu nkari zawe.
- Iyo inkari zihindutse umutuku wijimye cyangwa umukara wijimye.
- Niba ufite umuriro urenze selisiyusi 38 (100 Fahrenheit) .
- Niba wumva ubukonje kandi uhinda umushyitsi.
- Niba ububabare burimo kwiyongera.
Niba ubonye ibimenyetso bikomeye nk'ibi, ntutindiganye kujya mu bitaro byita ku barwayi ba ETU .
Ubutumwa bwo kujyana mu rugo
- PCNL ni uburyo bwiza cyane kandi bwizewe bwo kubaga bukoreshwa mu gukuraho amabuye manini mu mpyiko.
- Nubwo iki ari igikorwa gikomeye cyo kubaga, gukata ni gato cyane, bityo igihe cyo gukira ni gito.
- Ni ngombwa gukurikiza amabwiriza ya muganga witonze mbere na nyuma yo kubagwa.
- Niba ufite ikibazo icyo ari cyo cyose kijyanye no kubagwa, ntutinye kubaza muganga wawe.
- Niba hari ibimenyetso bidasanzwe bigaragaye mu gihe cyo gukira, shaka ubufasha bwa muganga ako kanya.
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