Wakambova nedombo reitsvo ukanzwa kurwadziwa kwakanyanya kwarinokonzera here? Kana kuti wakaona nhengo yemhuri kana shamwari ichirwadziwa nekurwadziwa uku here? Kurwadziwa kwakaoma kutsungirira. Saka, nhasi kune nzira dzekurapa dzepamusoro-soro dzekubvisa matombo anoumba muhurongwa hweweti. Imwe nzira yekurapa iyo vanhu vazhinji vanotaura nezvayo, uye inobudirira zvikuru, ndeyekushandisa laser beams kupwanya nekubvisa matombo aya. Ngatitaurei nezvazvo zvakadzama nhasi.
Zvichitaurwa zviri nyore, chii chinonzi Laser Lithotripsy?
Laser Lithotripsy inzira yekurapa inoshandisa laser ine simba guru kupwanya nekubvisa matombo ari muweti yako. Izvi zvinoreva nzira yako yese yeweti, inosanganisira itsvo dzako, machubhu anotakura weti kubva muitsvo kuenda kudundira (ureters), dundira, uye chubhu inotakura weti kubva kudundira kuenda kunze kwemuviri (urethra) . Maitiro aya anogona kubvisa matombo chero kupi zvako munzira.
Fungidzira danda relaser richitumirwa nepachubhu yakatsetseka, isingakure kupfuura bvudzi, kusvika parinenge riri dombo racho woripwanya. Izvi zvinowanzoitwa nachiremba wezvedundira. Anoisa chubhu yakatetepa, inochinjika uye ine kamera yakabatanidzwa mairi, achidzika muurethra yako, obva awana dombo racho. Ipapo anotumira fiber yelaser nepachubhu, openya danda relaser padombo, oripwanya kuita zvidimbu zvidiki, sejecha. Pakupedzisira, dombo rinobviswa nechinhu chidiki chakaita sedengu.
Chimwe chezvakanakira zvikuru zvenzira iyi ndechekuti haidi kucheka kukuru chero kupi zvako mumuviri. Zvese zvinoitika zvega munzira yeweti.
Dzimwe nguva, kubvisa matombo makuru eitsvo, kuvhiyiwa kunonzi ``percutaneous nephrolithotomy`` kunoitwa kuburikidza nekucheka kudiki kumusana. Kunyangwe zvakadaro, pane dzimwe nguva nzira iyi yelaser inoshandiswa kupwanya dombo kana raiswa.
Uku kuvhiya kukuru here?
Kwete. Laser Lithotripsy inowanzoonekwa senzira isinganyanyi kukuvadza ganda . Saka, hatiioni sekuvhiyiwa kukuru uye kwakakomba.
Ndeupi musiyano uripo pakati peLaser Lithotripsy neShock Wave Lithotripsy?
Pamwe wakambonzwa nezvenzira mbiri idzi. Kunyangwe chinangwa chedzose dziri mbiri chiri chekupwanya matombo, pane musiyano mukuru pamaitiro adzinoitwa. Kuti unzwisise musiyano uyu, tarisa tafura iri pazasi.
| Hunhu | Laser Lithotripsy | Kushock Wave Lithotripsy (ESWL) |
|---|---|---|
| Mashandiro azvinoita | Inopinda mukati memuviri uye inoshandisa danda relaser kurova dombo zvakananga nekuripwanya. | Kubva kunze kwemuviri, mafungu ane simba guru anotumirwa nepaganda obva apwanya dombo. |
| Kubudirira | Yakakwirira kwazvo. Inoshanda zvikuru kunyangwe pamatombo makuru, akaomarara. | Kubudirira, asi kubudirira kunogona kunge kushoma zvichienderana nehukuru, nzvimbo, uye kuoma kwedombo. |
| Anesthesia | Kazhinji mushonga weanesthesia unowanzo dikanwa. | Kazhinji, mishonga inoderedza marwadzo uye inonyaradza zvishoma zvakakwana. |
| Njodzi | Pane njodzi diki (semuenzaniso, kukuvara kweurethra) nekuti zvishandiso zvinopinzwa mumuviri. | Njodzi yekukuvadzwa kwemukati memuviri yakaderera, asi panogona kunge paine kukuvara kudiki kune nyama dzakapoteredza. |
Zvichitaurwa zviri nyore, Laser Lithotripsy ndiyo nzira inoshanda zvikuru yematombo akakura zvakanyanya, akaomarara, kana ari munzvimbo yakaoma zvishoma zvekuti haakwanise kuputswa neshock wave.
Chii chinoitika usati wavhiyiwa uye panguva yekuvhiyiwa?
Kugadzirira usati warapwa
Chiremba wako achakupa mirairo yakajeka usati watanga kurapwa. Zvakakosha kutevedzera mirairo iyi nemazvo kuti uderedze matambudziko.
- Uchakumbirwa kusadya kana kunwa chero chinhu kwemaawa masere usati wavhiyiwa (kutsanya).
- Mimwe mishonga yaunotora, kunyanya mishonga inobvisa ropa rakawandaVachakuudza kuti urege kuvatora kwemazuva mashoma. Usakanganwa kuudza chiremba wako nezvemishonga yese yaunotora, kunyangwe mavhitamini.
- Mushure mekuvhiyiwa, muchakumbirwa kuuya nemumwe munhu kuti akutorei aende nemi kumba nekuti hamuzokwanisi kutyaira mota nekuda kweanesthesia.
Dzimwe nguva, kana ureter yako yakatetepa zvishoma, zvinogona kuoma kuisa zvishandiso ipapo ipapo. Muzviitiko zvakadaro, chiremba anotanga aisa chubhu yenguva pfupi ('ureteral stent') kuti iwedzere chubhu, uye ozoronga zuva rekurapwa ne laser mushure memavhiki maviri kusvika matatu.
Chii chinoitika panguva yekurapwa
- Kutanga, ucharapwa zvachose woradzikwa kuti usazonzwa kurwadziwa.
- Tevere, chiremba anoisa chubhu tete (scope) ine kamera yakasungirirwa kuburikidza neurethra.
- Kuburikidza nechubhu iyoyo, fiber yelaser inotumirwa pedyo nedombo.
- Matanda eLaser anopwanya dombo kuita zvidimbu zvidiki.
- Zvidimbu zvematombo izvozvo zvinounganidzwa mudengu rakapfava zvoendeswa kunze.
- Pakupedzisira, chubhu yenguva pfupi (stent inopinza ureteral) inoiswa kuti zvidimbu zvematombo zvakasara neweti zvifambe zviri nyore pasi peuretera. Izvi zvinobviswa nachiremba kukiriniki mushure memazuva mashoma kana mavhiki.
- Zvadaro scope yakapinda inobviswa.
Maitiro ese aya anowanzo tora awa imwe kana maviri .
Chii chinoitika mushure mekurapwa? Ndezvipi zvakanakira uye njodzi dzacho?
Mushure mekurapwa, muchachengetwa muwadhi yekutarisa kwenguva yakati, uye mozobvumirwa kudzokera kumba mushure mekunge mamuka kubva muanesthesia. Muchapihwa mishonga yekurwadziwa, mishonga yekurwadziwa kunokonzerwa nestent, uye mishonga inorwisa mabhakitiriya kwemazuva mashoma kudzivirira hutachiona.
| Zvakanakira | Migumisiro Yezvimwe Zvinetso & Njodzi |
|---|---|
| Kuva nekubudirira kwakanyanya. | Kurwadziwa uye kusagadzikana panguva yekuzviitira weti. |
| Kuderedzwa kwenjodzi yekubatwa nematombo (`steinstrasse`). | Ropa diki muweti (hematuria). |
| Saizi, kuoma, uye nzvimbo yedombo hazvina zvazvinobatsira. | Kusvotwa uye kuneta kunokonzerwa nekushandisa mushonga unopedza simba. |
| Kukwanisa kubvisa matombo akawanda panguva imwe chete. | Matambudziko asingawanzoitiki: kukuvara kweurethra (ureter), hutachiona hwenzira yeweti (UTI). |
| Zvinogona kuitwa kunyange nevaya vanotora mishonga inobvisa ropa rakawanda kana vakadzi vane pamuviri. | Matambudziko asingawanzoitiki: Zvidimbu zvematombo zvinonamira muweti. |
Zvinotora nguva yakareba sei kuti upore?
Vanhu vazhinji vanogona kudzokera kumabasa avo enguva dzose mushure mevhiki imwe chete . Zvisinei, kana uine stent, unogona kurwadziwa paunenge uchirovedza muviri, uchisimudza zvinhu zvinorema, kana kuisa ropa muweti yako. Bvunza chiremba wako nezveizvi.
Unofanira kuona chiremba rini?
Kana ukaona zviratidzo zvinofungirwa mushure mekunge wadzokera kumba kubva kunorapwa, fonera chiremba wako nekukasika. Nyatsocherechedza zvinotevera:
- Kana uine fivha yakanyanya (inopfuura 101°F).
- Kana uchinzwa kupisa paunenge uchiita weti kwemazuva anopfuura maviri .
- Kana uine ropa dzvuku rakasvibira muweti yako, kana kuti wave neropa repingi kwemazuva anopfuura maviri kana matatu.
- Kana uri kunzwa kurwadziwa kusingatsungiririki.
- Kana uchinzwa sekunge wabatwa uye usingakwanise kuita weti .
Kana zvakadaro, fonera chiremba akakurapa nekukasika. Kana kuti enda kuEmergency Department (ETU) yechipatara chiri pedyo.
Mharidzo Yekuenda Nayo Kumba
- Laser Lithotripsy inzira inoshanda zvikuru, yemazuva ano, uye yakachengeteka inoshandiswa kubvisa matombo kubva munhengo dzeweti.
- Uku hakusi kuvhiyiwa kukuru. Kuvhiyiwa kudiki kunoitwa pasina kucheka muviri.
- Zvakakosha zvikuru kutevedzera mirairo yachiremba usati watanga kurapwa uye mushure mekurapwa.
- Zvakakosha kunwa mvura yakawanda panguva yekupora mushure mekurapwa.
- Kana uine matambudziko, kusagadzikana, kana kusava nechokwadi, usatya kubvunza chiremba wako.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
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Vanhu vazhinji vanofunga kuti vane gasi vanogona kunge vari kurwara nemoyo! Njodzi huru! Kana, pamwe chete nekusagadzikana kwekugaya chikafu, uine 1) 'dikita rinotonhora' uye ganda rakasviba, 2) kunzwa kupisa muchipfuva chako 'kunopenya kuruoko rweruboshwe kana shaya', 3) uri kurutsa ropa uye ropa 'rakasviba setara (melena)' netsvina yako, unofanira kuenda kuchipatara (emergency department) nekukurumidza!
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