Skip to main content

Unotya kuvhiyiwa itsvo (kubviswa kwetsinga) here? Ngatitaurei nezvazvo zviri nyore.

Unotya kuvhiyiwa itsvo (kubviswa kwetsinga) here? Ngatitaurei nezvazvo zviri nyore.

Zvakajairika kunzwa kutya uye kutya zvishoma kana chiremba wako akakuudza kana mumwe munhu waunoziva kuti vanoda kuvhiyiwa kubviswa kweitsvo. Paunonzwa izwi rekuti 'nephrectomy', mibvunzo yakawanda ingangouya mupfungwa. "Unogona kurarama neitsvo imwe here?", "Uku kuvhiyiwa kukuru here?", "Zvinotora nguva yakareba sei kuti upore?"... Saka nhasi, tichataura nezveNephrectomy, kuvhiyiwa kubvisa itsvo, nenzira iri nyore yaunogona kunzwisisa.

Chii chinonzi Nephrectomy?

Zvichitaurwa zviri nyore, kuvhiyiwa kweNephrectomy inzira yekuvhiya inobvisa chikamu cheitsvo yako imwe kana yese. Tose tinozvarwa tiine itsvo mbiri. Asi unogona kurarama hupenyu hwakanaka neitsvo imwe chete. Zvisinei, itsvo yasara inofanira kunge ichishanda zvakanaka.

Kune mhando mbiri huru dzekuvhiyiwa kwe nephrectomy:

  • Kubviswa kwetsvo: Mukuita uku, chiremba anobvisa chete chikamu cheitsvo yako chine chirwere kana chakakuvara. Itsvo yese haibviswi.
  • Kubviswa kwetsvo yese neropa: Izvi zvinosanganisira kubviswa kweitsvo yese. Dzimwe nguva, chiremba anogonawo kubvisa ureter—chubhu inotakura weti kubva muitsvo kuenda kudundira—kudivi rimwe chete. Kana zvichidikanwa, adrenal gland nelymph nodes dzakapoteredza zvinogonawo kubviswa.

Sei uchifanira kubvisa itsvo?

Chikonzero chikuru chekubvisa itsvo bundu rinokura muitsvo. Bundu iri rinogona kuva rekenza (rinokuvadza) kana kuti risiri rekenza (risina kuipa).

Pamusoro pezvo, chiremba wako anogonawo kukurudzira kubviswa kwe nephrectomy muzviitiko zvinotevera:

  • Kana uine hutachiona hweitsvo hunodzokororwa (pyelonephritis) .
  • Kana imwe yeitsvo dzako ikarega kushanda zvachose uye uri kusangana nemamwe matambudziko. (Zvisinei, kana pasina matambudziko, unogona kuchengetedza itsvo isiri kushanda mumuviri wako).
  • Sekurapa mamwe matambudziko eitsvo (akadai sechirwere cheitsvo chinonzi polycystic ).
  • Kana ukapa mumwe munhu itsvo ine hutano .

Unogadzirira sei usati wavhiyiwa?

Chiremba asati avhiyiwa, achaongorora hutano hwako hwese. Achaongorora tembiricha yako, kurova kwemoyo, uye BP. Vachaongororawo ropa rako kuti vaone kuti rudzii rweropa rako. Izvi zvinodaro nekuti vanofanira kugadzirira kana uchida kupa ropa panguva yekuvhiyiwa.

Zvakakosha kuudza chiremba wako nezvezvirwere zvako uye chero mishonga yauri kutora (yakanyorerwa nachiremba, isina kunyorerwa chiremba, mishonga yechivanhu, kunyangwe mavhitamini). Mimwe mishonga inoderedza marwadzo (NSAIDs) uye mishonga inodzikisa ropa (anticoagulants) inogona kuwedzera njodzi yekubuda ropa panguva yekuvhiyiwa.

Zvakakoshawo kutiudza nezve allergies dzaunadzo. Semuenzaniso:

  • Mishonga
  • Zvinonwiwa zvinochenesa ganda (semuenzaniso chlorhexidine, iodine)
  • Ye latex
  • Kune zvimwe zvekudya

Chiremba wako achakukurudzira kuti usadye kana kunwa chero chinhu husiku hwakatangira kuvhiyiwa kwako (kutsanya). Izvi zvinodaro nekuti kana uine chikafu kana mvura mudumbu rako panguva yekuvhiyiwa, zvinogona kurutswa zvopinda mumapapu ako, izvo zvinogona kukonzera matambudziko ane njodzi senge pneumonia.

Ndedzipi nzira dzekuvhiya?

Kune nzira mbiri huru dzekubvisa tsinga dzemudumbu. Ngatitarisei musiyano uripo pakati pezviviri izvi.

Nzira yekuvhiya Maitikiro azvo
Kuvhiyiwa kwe nephrectomy kwakavhurika Mukuita uku, chiremba anochera divi rako kana dumbu rako ne 12 inches. Chiremba anogona kuona zvakananga mukati meitsvo asina kamera uye oita kuvhiya. Nzira iyi inoshandiswa kana bundu reitsvo rakakura kwazvo.
Kuvhiyiwa kweLaparoscopic (Laparoscopic/Robotic-assisted nephrectomy) Izvi zvinonzi "kuvhiyiwa kwekiyi." Panzvimbo pekucheka kukuru kumwe chete, kunochekwa kadiki kakati wandei, kane saizi inosvika 1 cm, kunogadzirwa. Chishandiso chitete chine kamera (laparoscope) chinoiswa kuburikidza nekucheka kumwe chete uye kuvhiyiwa kunoitwa pasi peziso remonitor. Kucheka kamwe chete kunogadzirwa kwakakura zvishoma kubvisa itsvo. Maitiro aya anopfupisa nguva yekupora uye anoderedza marwadzo.

Chii chinoitika mushure mekuvhiyiwa?

Mushure mekuvhiyiwa, uchachengetwa muRecovery Room uye uchanyatsotariswa kusvika wamuka. Unganzwa hope uye kuda kurutsa kwenguva yakati nekuda kweanesthesia. Izvi zvakajairika. Uchapihwa mushonga wekudzora marwadzo.

Kazhinji, chikafu chakasimba hachipiwi kwezuva rimwe kana maviri. Chinwiwa chinopihwa. Zuva rakatevera kuvhiyiwa, unokurudzirwa kumuka pamubhedha wofamba-famba zvishoma. Kufamba kunovandudza kutenderera kweropa, kunokubatsira kupora nekukurumidza, uye kunodzivirira kuumbwa kweropa mumakumbo ako (deep vein thrombosis).

Kazhinji uchafanira kugara muchipatara kwemazuva ari pakati pe1 ne5. Izvi zvinosiyana zvichienderana nerudzi rwekuvhiyiwa kwawakaitwa. Kunyangwe waenda kumba, hazvikurudzirwi kuita chero chinhu chinorema (sekusimudza zvinhu zvinodarika 4.5 kg) kwemavhiki matanhatu.

Hupenyu hunoita sei neitsvo imwe?

Iri ndiro dambudziko guru rine vanhu vazhinji. Musazvidya moyo. Munogona kurarama hupenyu hwakajairika neitsvo imwe chete ine hutano.

Mushure mekuvhiyiwa, itsvo yako yasara ichakura zvishoma mukati memazuva mashoma yotanga kuita basa remuviri wako kaviri. Izvi zvinoreva kuti itsvo imwe iri kuchinjika kuti iite basa revanhu vaviri.

Yeuka kuti kuva neitsvo imwe chete ine hutano panzvimbo peitsvo mbiri dzine hutano hakuzove nemhedzisiro yakakura pahupenyu hwako. Unogona kurarama hupenyu hwakajairika, hwakazara!

Zvisinei, unofanira kuchengetedza itsvo dzako dzinokosha. Saka, kuchenjera kusaita mitambo ine simba guru senge hockey, rugby, uye wrestling. Zvakare, zvakakosha kuti ugare uchiongororwa mashandiro eitsvo (sekuti `creatinine clearance`, `eGFR`) sezvakarairwa nachiremba wako.

Nguva yekuona chiremba nekukasika

Chiremba wako achakupa mazuva ekutevera. Zvisinei, kana ukaona chimwe chezviratidzo zvinotevera, enda kuna chiremba kana kuti enda kuchipatara nekukasika:

  • Kuoma kufema (dyspnea)
  • Kuchinja kweweti (kunyanya kuita weti, kuchinja kweruvara)
  • Kuzvimba kwemakumbo, magaro, kana kumeso (edema)
  • Kurwadziwa kwegumbo
  • Kukwira kamwe kamwe kweBP (BP)
  • Kusvotwa kana kurutsa
  • Utsi hwehuropi

Izvi zvinogona kuva zviratidzo zvedambudziko neitsvo yasara, saka usazviregeredza.

Mharidzo Yekuenda Nayo Kumba

  • Kuvhiyiwa kwetsvo neropa (Nephrectomy) kuvhiyiwa kwekubvisa itsvo. Asi unogona kurarama hupenyu hwakazara, hunofadza neitsvo imwe ine hutano.
  • Kuvhiyiwa uku kunoitwa nezvikonzero zvakakomba zvakaita sekenza, pamwe nezvikonzero zvakanaka zvakaita sekupa itsvo.
  • Zvinotora nguva kuti munhu apore. Munguva iyoyo, kutevedzera mirairo yachiremba kwakakosha kuti munhu akurumidze kupora.
  • Chengetedza itsvo yako yasara segoridhe. Dzivisa zvinhu zvinogona kuikuvadza uye enda kunoongororwa nguva nenguva.
  • Usambozeza kukurukura pachena chero kutya kana kusava nechokwadi kwaungave nako nachiremba wako.

Kuvhiyiwa kwetsvo, kubviswa kwetsvo, kuvhiyiwa kwe laparoscopic, kurarama netsvo imwe chete, kenza yetsvo, kupa itsvo
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

💬 Comments (0)

No comments yet. Be the first to share your thoughts here.

Add Your Comment

Please calculate: 6 + 4 =