Iwe kana mumwe munhu waunoziva akamboudzwa nachiremba kuti itsvo inofanira kubviswa zvachose here? Zvakajairika kuti unzwe kutya uye kutya zvishoma paunonzwa mashoko iwayo. Mibvunzo yakaita sekuti "Ndichararama sei ndisina itsvo?" ingangouya mupfungwa. Asi usazvidya mwoyo. Ngatitaurei nezvekuvhiyiwa uku, kunonzi 'Radical Nephrectomy', nemashoko akareruka uye tiwane mhinduro dzemibvunzo yese yauri kufunga nezvayo.
Chii chinonzi Radical Nephrectomy?
Zvichitaurwa zviri nyore, uku kuvhiyiwa. Muizvi, itsvo yako yese inobviswa. Mukurapa, "nephro" zvinoreva "itsvo" uye "kubviswa kwetsvo" zvinoreva "kubvisa." Saka zita racho rinoratidza izvozvo, handiti?
Kuvhiyiwa uku hakubvisi itsvo chete asiwo mafuta akaipoteredza. Dzimwe nguva, adrenal gland nelymph nodes dzakapoteredza zvingadawo kubviswa.
Kunyangwe vanhu vazhinji vaine itsvo mbiri, vanogona kurarama zvakanaka neitsvo imwe chete ine hutano pasina matambudziko. Nekufamba kwenguva, itsvo yasara inokura zvishoma uye yakasimba, yotanga kuita basa reitsvo mbiri.
Sei uchida kuvhiyiwa uku?
Kazhinji, chikonzero chikuru chekuvhiyiwa uku kubvisa bundu rekenza muitsvo . Zvisinei, chiremba wako anogona kukurudzira kuvhiyiwa uku nekuda kwezvimwe zvikonzero zvakare.
- Kubatwa neitsvo kakawanda: Vamwe vanhu vane hutachiona hweitsvo hunodzokororwa.
- Kutadza kushanda kweitsvo: Kana itsvo ikarega kushanda zvachose nekuda kwechirwere kana tsaona.
- Zvimwe zvirwere zveitsvo kana kukuvara: Zvinokonzerwa nezvimwe zvirwere zvisingagoni kudzorwa.
- Kupa itsvo: Kuvhiyiwa uku kunoitwawo kana munhu akapa itsvo yake ine hutano kune mumwe munhu.
Unogadzirira sei usati wavhiyiwa?
Sezvo uku kuri kuvhiyiwa kukuru, uchagadzirira zvakanaka usati waita.
- Kuongororwa kwezvekurapa: Kuongororwa kweropa neweti kuchaitwa kuti kuonekwe mashandiro eitsvo dzako pari zvino. Rudzi rweropa rako ruchaongororwawo kana uchida kupa ropa panguva yekuvhiyiwa. Hutano hwako hwese, hwakadai sefivha, kurova kwemoyo, uye BP, zvichaongororwawo.
- Ruzivo rweMishonga: Zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora (yakanyorwa nachiremba uye isingatengeswi nechiremba), kusanganisira mavhitamini nezvimwe zvinovaka muviri . Mimwe mishonga inoderedza marwadzo (NSAIDs) uye mishonga inoderedza ropa (anticoagulants) inogona kuwedzera njodzi yekubuda ropa panguva yekuvhiyiwa.
- Kurwara: Tiudzei nezve chero allergies yamunayo. Semuenzaniso, allergies yemimwe mishonga, latex, kana iodine inoshandiswa kuchenesa ganda.
- Dzivisa kudya kana kunwa: Hauzobvumirwi kudya kana kunwa chero chinhu kwemaawa mashoma usati wavhiyiwa. Izvi zvinodaro nekuti kana uine chikafu mudumbu rako paunenge uchinwa mushonga weanesthesia, pane njodzi yekuti uchachirutsa uye chichapinda mumapapu ako. Izvi zvinogona kuva nengozi.
Ndedzipi nzira dzekuvhiya?
Kuvhiyiwa kweRadical Nephrectomy kunoitwa nenzira nhatu huru. Chiremba wako ndiye achasarudza nzira inonyatsokodzera mamiriro ako.
| Nzira yekuvhiya | Tsananguro |
|---|---|
| Kuvhiyiwa kweOpen Radical Nephrectomy | Mukuita uku, chiremba anochekwa kamwe chete kakuru, kakareba masendimita makumi matatu nemana. Nzira iyi inoshandiswa kana bundu riri muitsvo rakakura zvikuru kana kuti kana paine ma lymph nodes akawanda akapoteredza achifanira kubviswa. |
| Kuvhiyiwa kweLaparoscopic Radical Nephrectomy | Iyi ndiyo nzira inonyanya kushandiswa pari zvino. Panzvimbo pekucheka kukuru kumwe chete, kucheka kudiki kunoverengeka (kunenge sendimita imwe chete) kunogadzirwa mudumbu kana muhudyu. Kuburikidza nekucheka uku, mudziyo mutete une kamera (laparoscope) nezvimwe zvinoshandiswa pakuvhiya zvinoiswa uye kuvhiyiwa kunoitwa. |
| Kuvhiyiwa kweRobotic Radical Nephrectomy | Izvi zvakafanana nenzira ye laparoscopic, asi pano zvishandiso zvekuvhiya zvinoshandiswa neruoko rwerobhoti runodzorwa nachiremba. Izvi zvinobvumira kuvhiyiwa kwakanyatsonaka uye kwakanyatsojeka. |
Chii chinoitika mushure mekuvhiyiwa?
Kuvhiyiwa kunowanzotora maawa matatu kana kupfuura. Kana kuvhiyiwa kwapera, chiremba weanotindivadza achakumutsa. Asi uchanzwa hope kwenguva yakati.
Uchaendeswa kukamuri revanopora, uko hutano hwako huchatariswa uye uchapihwa mishonga yekudzora marwadzo.
- Chikafu: Chikafu chemvura chete ndicho chinopihwa pazuva rekutanga. Gare gare, unogona kudya zvishoma nezvishoma chikafu chenguva dzose.
- Kufamba: Unokurudzirwa kufamba zvishoma kubva pazuva raunotevera kuvhiyiwa. Kufamba kunovandudza kutenderera kweropa, kunokubatsira kupora nekukurumidza, uye kunogonawo kubatsira kudzivirira matambudziko akadai sekugwamba kweropa mumakumbo ako.
- Katheta yeweti: Katheta yeweti inoiswa panguva yekuvhiyiwa inowanzo bviswa mangwanani anotevera.
- Kubuda muchipatara: Uchabvumirwa kuenda kumba kana mamiriro ako achinja. Kana wakavhiyiwa pachena, uchafanira kugara muchipatara kwemazuva mashoma. Mushure mekuvhiyiwa kwe laparoscopic, unogona kuenda kumba nekukurumidza. Zvakakosha kuti mumwe munhu akuperekedze kumba.
Zvinotora nguva yakareba sei kuti upore?
Nguva yekupora inoenderana nerudzi rwekuvhiyiwa kwawakaitwa. Kuvhiyiwa kwakavhurika kunotora nguva yakareba kuti kuporeswe. Kazhinji, zvinogona kutora pakati pemavhiki masere negumi nemaviri kuti upore zvizere uye utangezve mabasa akadai sekusimudza masimbi.
Unogona kudzokera kubasa rako diki, senge muhofisi , mumavhiki angangoita mana . Zvisinei, kana uine basa rinokunetsa nemuviri, rinogona kutora nguva yakareba. Taura nachiremba wako nezveizvi uye uwane mazano akakodzera.
Mamiriro ezvinhu apo unoda kuona chiremba nekukasika
Zvakakosha zvikuru kutarisa mamiriro ako ezvinhu mushure mekunge waenda kumba. Kana uine chimwe chezviratidzo zvinotevera, fonera chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara.
- Kubuda ropa rakawanda kubva paronda rekuvhiyiwa.
- Kuzvimba, kutsvuka, mvura inonhuwa yakaita sematumbu yakakomberedza ronda, kana fivha inodarika 37.8 Celsius (100 Fahrenheit) zvinogona kuva zviratidzo zvehutachiona.
- Ropa muweti (hematuria).
Kana wakambovhiyiwa kenza, chiremba wako achakuraira bvunzo dzakadai seCT scan uye bvunzo dzeropa neweti nguva nenguva kuti aone kana chirwere ichi chichidzoka. Zvakakosha kuti bvunzo idzi dziitwe nguva nenguva uye pasina kudzokororwa.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kwetsvo kwakakura kunobvisa itsvo zvachose.
- Izvi zvinonyanya kuitwa kurapa zvirwere zvakakomba zvakaita sekenza yeitsvo.
- Kuvhiyiwa kweLaparoscopic (kuvhiyiwa kunoitwa kuburikidza nekucheka kudiki) kwava kushandiswa zvakanyanya uye kunoita kuti munhu akwanise kupora nekukurumidza.
- Zvinokwanisika zvachose kurarama hupenyu hwakanaka uye hwakajairika neitsvo imwe chete ine hutano.
- Taura pachena nachiremba wako nezvekutya, kusava nechokwadi, kana mibvunzo yaungave nayo nezvekuvhiyiwa. Izvi zvichakupa rugare rwepfungwa.
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