Wakambofanira kuva neUreteral Stent here? Ngatitaurei nezvazvo zviri nyore! (Ureteral Stent)

Pamwe chiremba wako akakuudza kuti une dombo reitsvo. Kana kuti pamwe uri kunzwa kusagadzikana nekuda kwekuvharika kwenzira yako yeweti. Panguva yakaita seiyi, zvakajairika kunzwa kutya uye kutya apo chiremba wako anokuudza kuti unofanira kuiswa stent. Asi usazvidya moyo, nhasi tichataura nezve kuti stent iri muuretera chii, inoita sei, uye kuti inonzwa sei kana waiisa panzvimbo yayo.

Chii chinonzi Ureteral Stent?

Zvichitaurwa zviri nyore, iyi ichubhu yakatetepa uye inochinjika yakagadzirwa nesilicone kana purasitiki. Muviri wedu une machubhu maviri matete anotakura weti kubva muitsvo kuenda kudundira, ayo atinodaidza kuti ureters. Iyi stent inoshandiswa kuichengeta yakavhurika kana paine kuvharika kana kuvharika mune imwe yechubhu idzodzo.

Kungofanana nepanenge pavharwa pombi yemvura nevhu, mvura inomira kuyerera. Kana urethra yedu yavharwa, weti haigone kupfuura kubva muitsvo ichienda kudundira. Chinoita stent iyi kuisa chubhu iyi yakatetepa mukati menzira yakavharwa, zvichiita kuti weti ifambe isina chinoivhara.

Stent iyi yakareba masendimita angangoita 10 kusvika 15. Chiremba anoiisa kuitira kuti coil iri kumusoro ive mukati meitsvo uye coil iri pasi iri mukati medundira. Ma coil maviri aya anochengetedza stent iri panzvimbo yayo pasina kufamba-famba. Vamwe vanhu vanodanawo kuti 'Double-J stent.'

Sei uchifanira kuisa stent iyi?

Chikonzero chikuru ndechekudzivirira chero chipi zvacho chinotadzisa weti kufamba uye kutakura weti kuenda kudundira pasina kukuvadza itsvo. Panogona kuva nezvikonzero zvakawanda zveizvi.

Ndezvipi gadziriro dzinofanira kuitwa stent isati yaiswa?

Sezvo uku kuri kuvhiyiwa, chiremba wako achakupa mimwe mirayiridzo usati wavhiyiwa. Zvakakosha kutevedzera mirairo iyi nemazvo.

• Nhoroondo yako yese yehutano: Udza chiremba wako zvese zvaunazvo, kusanganisira zvimwe zvirwere zvawakamborwara nazvo, uye chero kuvhiyiwa kwawakamboita kare.
• Mishonga yaunotora: Zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora, kusanganisira mavhitamini nemishonga yemishonga. Mimwe mishonga (yakadai semishonga inobvisa ropa) inogona kuwedzera njodzi yekubuda ropa panguva yekuvhiyiwa.
• Kurwara: Kana uine allergies kune chero mushonga kana chikafu, iva nechokwadi chekuzvitaura.
• Kuongororwa kweropa: Ungangokumbirwa kuti uite mamwe maedzo eropa, akadai se eGFR, kuti uone kana itsvo dzako dziri kushanda zvakanaka.
• Kutsanya: Uchakumbirwa kurega kudya kana kunwa kwemaawa masere usati wavhiyiwa. Zvisinei, kana uine mushonga unokosha, bvunza chiremba wako kana uchigona kunwiwa nemvura shoma.

Uku kuvhiya kukuru here?

Kwete, kazhinji kacho uku kuvhiyiwa kuri nyore, pasina mavanga makuru kana mavanga. Vanachiremba vanoti 'zvishoma zvinokuvadza'. Izvi zvinoreva kuti muviri haukuvadzi zvakanyanya. Unogona kuenda kumba manheru iwayo. Asi nekuti unenge wakarara pasi peanesthesia, zvakakosha kuti mumwe munhu auye kuzokutora kumba.

Chii chinoitika kana stent ikaiswa?

Kuvhiyiwa uku kunoitwa nachiremba wezvedundira. Maitiro ese anoitwa pasi peanesthesia, saka hauzonzwi chero chinhu uye uchava nehope dzakakwana.

1. Kuskena: Kutanga, chiremba anoshandisa rudzi rweX-ray (fluoroscopy) kana kuti ultrasound scan kuti aone kuti pakavharwa here muurethra.

2. Kuiswa kwecystoscope: Tevere, chubhu yakatetepa, yakareba ine kamera yakabatana ('cystoscope') inopinzwa kuburikidza neurethra yako uye mudundira rako.

3. Kuiswa kwestent: Tevere, waya yakatetepa kwazvo (`guidewire`) inopfuudzwa ne'cystoscope' ichipinda muurethra yakavharika. Stent yacho inozotungamirirwa newaya iyoyo kuenda kunzvimbo chaiyo.

4. Kupedzisa: Kana stent yaiswa zvakanaka, waya ne cystoscope zvinobviswa. Stent chete ndiyo inosara mukati.

Maitiro ese anotora maminetsi asingasviki makumi matatu, asi uchafanirwa kugara muchipatara kwemaawa akati wandei, kusanganisira nguva yekugadzirira kuvhiyiwa, kupora mushure mekuvhiyiwa, uye kuve nechokwadi chekuti uri mushe.

Chii chaungatarisira mushure mekuiswa stent?

Paunomuka kubva pakunzwa kuneta, uchanzwa kunonoka uye hope. Uchapihwa mushonga wekudzora marwadzo.

• Ropa muweti (hematuria): Zvakajairika kuva neropa shoma muweti uye ruvara rwepinki kwemazuva mashoma ekutanga. Usazvidya mwoyo nazvo. Rinozodzikira zvishoma nezvishoma mumazuva mashoma. Zvisinei, unogona kuramba uchiona ropa shoma kusvika stent yabviswa.
• Kusagadzikana uye kurwadziwa: Unganzwa kupisa zvishoma kana kurwadziwa (`dysuria`) paunenge uchiita weti. Unganzwawo kuda kuita weti kakawanda.
• Inwa mvura yakawanda: Chiremba wako achakuudza kuti unwe mvura yakawanda kwemazuva mashoma. Izvi zvichabatsira itsvo dzako nedundira kushanda zvakanaka.

Stent inofanira kusara kwenguva yakareba sei iri panzvimbo yayo? Ndingaibvisa sei?

Kazhinji, stent inongoitika kwenguva pfupi . Chiremba wako anoibvisa mushure mekunge dambudziko riri muurethra yako (semuenzaniso, dombo rabviswa, kuzvimba kwadzikira) rapera. Inowanzosiyiwa panzvimbo yayo kwemazuva mashoma kusvika kumavhiki mashoma.

Asi kune vamwe vanhu, semuenzaniso, kana urethra yakavharwa nebundu, ingangoda kusiiwa panzvimbo yayo kwemwedzi, kana kutoti makore. Kune vanhu ivavo, stent yekare inobviswa uye itsva inoiswa mwedzi mitatu kusvika mitanhatu yega yega kudzivirira hutachiona (UTIs).

Zvinorwadza here kubviswa stent?

Kune nzira mbiri dzekubvisa stent.

1. Stent ine shinda: Mamwe ma stents enguva pfupi ane shinda diki kumagumo. Inobuda muurethra. Chiremba anodhonza shinda zvinyoro nyoro obvisa stent. Iyi inzira inokurumidza.

2. Ma stenti asina shinda: Ma stenti anenge aripo kwemavhiki akati wandei kana kupfuura haana shinda. Anobviswa nenzira diki inoitirwa kuhofisi yachiremba. Kutanga, mushonga wekuisa mavanga unoiswa panzvimbo yacho, cystoscope inoiswa, uye stent inobviswa ne forceps diki. Kuisa mavanga hakukonzeri kurwadziwa kwakanyanya. Zvisinei, panogona kunge paine kusagadzikana nekurwadziwa kwemazuva mashoma mushure mekunge kusanzwa mavanga kwapera.

Chii chingaitwa nezvematambudziko nemarwadzo anoitika panguva yekuva nestent?

Zvinosuwisa kuti vanhu vanosvika 80% vane stent vanonzwa kusanzwa zvakanaka zvishoma. Izvi hazviwanzo kuva zvakakomba.

• Kutsamwisa dundira
• Kuda kuita weti kakawanda
• Kurwadziwa kana kupisa kana uchiita weti
• Ropa diki muweti
• Kuwanda kwenjodzi yezvirwere zvemunzira yeweti (UTIs)

Sei zvichirwadza zvakanyanya kana ndine stent panzvimbo pangu?

Izvi hazvina kufanana kune wese munhu. Vamwe vanhu vanogona kungonzwa kusagadzikana zvishoma, vamwe vanogona kunzwa kurwadziwa kwakanyanya. Chikonzero chikuru ndechekuti paunoita weti, dundira rinogumburwa. Ipapo stent iri mukati me stent inokwesha pamadziro edundira. Ndosaka vamwe vanhu vachinzwa kurwadziwa.

Chii chingaitwe kuderedza marwadzo?

• Mishonga inouraya marwadzo: Unogona kushandisa paracetamol kana mishonga isingarwisi kuzvimba (NSAIDs) (semuenzaniso ibuprofen). Asi usambofa wakatora mishonga inouraya marwadzo usina kubvunza chiremba wako .
• Mishonga yakakosha: Dzimwe nguva chiremba wako anokupa mushonga wakaita setamsulosin. Kunyangwe iyi iri mishonga inopiwa varume yezvinetso zveprostate, inogona kubatsira zvikuru nekurwadziwa nekusagadzikana kunokonzerwa nestent.

Unofanira kufonera chiremba rini?

Kunyange zvazvo kusagadzikana kudiki kuri kwakajairika kana uine stent, kana ukaona chimwe chezviratidzo zvinotevera, fonera chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara.