Kana chiremba wako akakuudza kuti unofanira kubvisa itsvo yako yese, unganzwa kutya kukuru uye kuvhunduka. "Chii chichaitika kwandiri kana ndikava neitsvo mbiri imwe yobviswa?" "Uku kuvhiyiwa kukuru here?" Ungave uine mibvunzo yakawanda mupfungwa dzako. Izvozvo zvakajairika. Saka nhasi, ngatitaurei nezvekuvhiyiwa uku kunonzi Radical Nephrectomy, uye tiwane mhinduro dzemibvunzo yese yauri kufunga nezvayo.
Chii chinonzi Radical Nephrectomy?
Zvichitaurwa zviri nyore, uku kuvhiyiwa kubvisa itsvo yako zvachose . Mukurapa, "nephr" zvinoreva "itsvo." "kuvhiyiwa" zvinoreva "kubviswa." Saka, kuvhiyiwa kwetsvo kubviswa kweitsvo.
Mukuvhiyiwa uku, chiremba anobvisa itsvo yako yese, pamwe chete nemafuta akaipoteredza. Dzimwe nguva, adrenal gland iri pamusoro peitsvo uye lymph nodes dzakakomberedza itsvo zvingadawo kubviswa.
Asi yeuka izvi: Kunyangwe tese tine itsvo mbiri, tinogona kurarama hupenyu hwakajairika pasina matambudziko neitsvo imwe ine hutano. Imwe itsvo inotora basa reitsvo yakabviswa yova hombe zvishoma uye inoshanda nesimba.
Sei uchifanira kuvhiyiwa kwerudzi urwu?
Chikonzero chikuru chekuvhiyiwa uku kazhinji kubvisa bundu reitsvo rine kenza. Zvisinei, chiremba wako anogona kukurudzira kuvhiyiwa uku nekuda kwezvimwe zvikonzero zvakawanda.
- Kuva nekenza yeitsvo: Kunyanya kana kenza yacho yakakura kana kuti paine njodzi yekupararira kunze kweitsvo.
- Kutapukirwa neitsvo kakawanda: Kana itsvo dzikakuvara nekuda kwekutapukirwa kunoramba kuripo uko kusingagone kudzorwa nekurapwa.
- Kutadza kushanda kweitsvo: Kana itsvo imwe isina kushanda zvakanaka nekuda kwetsaona, chirwere, kana chimwe chikonzero.
- Kupa Itsvo: Kana uri kupa itsvo kune waunoda.
Uku kuvhiyiwa kunowanzoitwa uye kunoitwa kazhinji, saka usatya zvisina kufanira.
Ungagadzirira sei kuvhiyiwa?
Sezvo uku kuri kuvhiyiwa kukuru, uchagadzirira zvakanaka usati waita.
1. Kuongororwa kwechiremba:Chiremba wako achatanga aita bvunzo dzeropa. Izvi zvichabatsira kuona mashandiro eitsvo dzako uye rudzi rweropa rako. Izvi zvichabatsira kuwana pfungwa yekuti itsvo yako yasara ichaita sei mushure mekuvhiyiwa. Zvakakoshawo kuziva rudzi rweropa rako kana uchida kupa ropa, kunyangwe kana iri emergency. Vachaongororawo hutano hwako, hwakadai setembiricha yako, kurova kwemoyo, uye BP.
2. Kuzivisa chiremba nezvemishonga yauri kutora: Zvakakosha kuzivisa chiremba nezvemishonga yese yauri kutora, ingave yakanyorerwa nachiremba, mishonga inorapa marwadzo isingatengeswi nechiremba (yakadai seNSAIDs), mishonga inodzikisa ropa (yakadai semishonga inorwisa ropa kupwanya ropa), mavhitamini, mishonga yeAyurvedic kana yemishonga yemishonga. Mimwe mishonga inogona kuwedzera njodzi yekubuda ropa panguva yekuvhiyiwa.
3. Tiudzei nezve allergies dzenyu: Kana muine allergies dzemimwe mishonga, latex, kana iodine inoshandiswa kuchenesa ganda renyu, munofanira kutiudza nezvazvo.
4. Zvekudya Nekunwa: Uchapiwa mirairo yakajeka yekuti unofanira kutsanya maawa mangani usati wavhiyiwa uye kuti unofanira kurega kunwa mvura riini. Kana uine chikafu mudumbu rako paunenge uchinwa mushonga weanesthesia, unogona kurutsa uye chikafu chinogona kupinda mumapapu ako. Izvi zvine njodzi. Saka tevera mirairo yacho nemazvo.
Ndedzipi nzira dzekuita kuvhiyiwa uku?
Kune nzira nhatu huru dzekubvisa tsinga dzemuzongoza. Chiremba wako ndiye achasarudza kuti ndeipi nzira yakakunakira zvichienderana nemamiriro ako ezvinhu.
| Nzira yekuvhiya | Tsananguro |
|---|---|
| Kuvhiyiwa kweOpen Radical Nephrectomy | Mukuita uku, chiremba anochekwa kamwe kakuru kane urefu hwemasendimita makumi matatu nemana (3.5 inches) uye anoita oparesheni iyi. Nzira iyi inoshandiswa kana kenza yeitsvo yakakura zvikuru kana kuti paine ma lymph nodes akawanda akapoteredza achifanira kubviswa. |
| Kuvhiyiwa kweLaparoscopic Radical Nephrectomy | Muizvi, panzvimbo pekucheka kukuru kumwe chete, kunochekwa kadiki kakati wandei, kane saizi inosvika sendimita imwe chete. Chishandiso chitete chine kamera (laparoscope) chinopinzwa kuburikidza nekucheka kumwe chete, choonekwa pamonitor, uye zvidimbu zvidiki zvinopinzwa kuburikidza nemamwe machekwa kubvisa itsvo. Iyi ndiyo nzira inonyanya kushandiswa pari zvino. |
| Kuvhiyiwa kweRobotic Radical Nephrectomy | Izvi zvakafanana nekuvhiyiwa kwe laparoscopic, asi pano zvishandiso zvekuvhiya zvinoshandiswa nemaoko erobhoti anodzorwa nachiremba. Izvi zvinoita kuti kuvhiyiwa kuitwe zvinyoro nyoro uye nemazvo. |
Chii chinoitika panguva yekuvhiyiwa?
Mushure mekunge maendeswa kuchipatara, chiremba weanotisi achakupai anesthesia. Izvi zvinoreva kuti hamuzonzwi kurwadziwa uye mucharara zvakanaka kusvika kuvhiyiwa kwapera.
Mushure maizvozvo,
- Uchapihwa catheter yekubvisa weti kubva mudundira rako.
- Kana uchivhiyiwa ne laparoscopic kana kuti nerobhoti, kucheka kudiki kunoitwa uye dumbu rinozadzwa negasi diki re carbon dioxide kuti pave nenzvimbo pakati penhengo dzemuviri.
- Chiremba anocheka zvakanaka tsinga dzeropa dzakabatana neitsvo uye anobvisa itsvo, nyama yakaipoteredza, nezvimwe zvikamu kana zvichidikanwa.
- Mushure mekuvhiyiwa, chubhu diki (surgical drain) inogona kuiswa kubvisa mvura yakawandisa neropa rinoungana mukati.
- Pakupedzisira, maburi anovharwa nemasitichi kana kuti staples.
Maitiro ese aya anogona kutora maawa matatu kana kupfuura.
Chii chinoitika mushure mekuvhiyiwa?
Kana kuvhiyiwa kwapera, uchaendeswa kukamuri revanopora. Chikwata chevanachiremba chichakutarisira zvakanaka kusvika wapora uye mamiriro ako agadzikana.
- Kudzora marwadzo: Paunonzwa kurwadziwa, unopiwa mushonga unodiwa.
- Chikafu: Chikafu chemvura chete ndicho chinopiwa pazuva rekutanga kana maviri. Wobva watanga kudya nguva nenguva zvishoma nezvishoma.
- Kufamba Netsoka: Uchakurudzirwa kufamba zvishoma kubva pazuva raunotevera kuvhiyiwa. Kufamba netsoka kunovandudza kutenderera kweropa uye kunobatsira maronda kupora nekukurumidza. Zvakakoshawo kudzivirira matambudziko akadai sekugwamba kweropa mumakumbo uye pneumonia.
- Kudzokera kumba: Kana chikwata chevanachiremba chaona kuti wapora, uchabvumirwa kuenda kumba. Sezvo usingazokwanisi kutyaira, kumbira nhengo yemhuri kana shamwari kuti ikuperekedze. Zvakakosha kuva nemumwe munhu anokutarisira kwemazuva mashoma ekutanga mushure mekuenda kumba.
Zvinotora nguva yakareba sei kuti munhu apore? Uye zvinokwanisika here kudzokera shure?
Nguva yaunotora kuti unyatsopora inoenderana nerudzi rwekuvhiyiwa kwawakaitwa. Kunyange zvazvo kuvhiyiwa kwakavhurika kuchitora mavhiki angangoita 8-12, kupora mushure mekuvhiyiwa kwe laparoscopic kunokurumidza zvikuru. Ungangoda kudzivirira kusimudza zvinhu zvinorema uye kuita mabasa anorema kwenguva yakati.
Kazhinji unogona kudzokera kubasa mushure memavhiki mana. Zvisinei, kana uine basa rinokunetsa, ungangoda kuzorora kwenguva yakareba. Taura nachiremba wako nezvenyaya iyi uye uwane mazano.
Kana ukavhiyiwa kenza yeitsvo, hazviwanzoitiki kuti kenza idzoke mune imwe nhengo yemuviri kana pedyo nenzvimbo yekuvhiyiwa. Ndosaka zvichikosha kuti ugare uchiongororwa mushure mekuvhiyiwa.
Nguva yekuona chiremba
Mushure mekuvhiyiwa, ucharongerwa kuongororwa maronda ako uye kubviswa machira. Kana wakavhiyiwa kenza, uchafanirwa kuongororwa zvakaita seCT scans , ropa uye weti nguva nenguva kuti uone kana chirwere chako chichidzoka zvakare.
Uyewo, kana ukaona chimwe chezviratidzo zvinotevera, fonera chiremba wako nekukasika kana kuenda kuchipatara chiri pedyo neEmergency Department (ETU) .
| Zviratidzo zvekunyevera zvekutarisira | |
|---|---|
| Kubuda ropa rakawanda kubva paronda | Kana paine kubuda ropa kunoramba kuchienderera mberi nekuda kwemaronda. |
| Zviratidzo zvehutachiona | Ronda racho rakazvimba, rakatsvuka, richibuda mvura yakaita sematumbu inonhuwa, kana kuti rine fivha inopfuura 37.8 Celsius (100 Fahrenheit). |
| Ropa muweti (Hematuria) | Kana uine ropa muweti yako. |
| Kurwadziwa kwakanyanya | Kurwadziwa kwakanyanya kwakakomberedza ronda kana mudumbu uko kusingagone kudzorwa kunyangwe nemishonga. |
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kwetsvo kwakakura kunobvisa itsvo imwe chete zvachose. Kunowanzoitwa pakurapa kenza yeitsvo.
- Kana wasara neitsvo imwe ine hutano, unogona kurarama hupenyu hwakazara nayo. Itsvo yasara icharamba yakasimba nekufamba kwenguva.
- Usati wavhiyiwa, zvakakosha zvikuru kuudza chiremba wako nezvemishonga yese yauri kutora uye chero allergies yaunayo.
- Kupora mushure mekuvhiyiwa kwe laparoscopic uye robotic kunokurumidza.
- Kana ukaona zviratidzo zvekunyevera mushure mekuvhiyiwa, zvakaita sefivha, kubuda ropa rakawanda, kana kuti urwa kubva paronda, tsvaga rubatsiro rwechiremba nekukasika.
- Kutevera mararamiro ane hutano uye kuenda kunoongororwa nachiremba mushure mekuvhiyiwa kwakakosha kuti uve neutano hwakanaka kwenguva refu.
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