Kuqhelekile ukuziva usoyika kwaye uxhalabile xa ugqirha ekuxelela okanye umntu omaziyo ukuba udinga utyando lwezintso. Akumangalisi, ingakumbi kuba izintso ziyinxalenye ebalulekileyo emizimbeni yethu. Kodwa ugqirha wakho uyaziqonda iimvakalelo zakho. Yiyo loo nto eza kukuchazela ngotyando, iziphumo ezilindelekileyo, kunye nexesha lokuchacha kuwe.
Ngamafutshane, yintoni i-Heminephrectomy?
I-Heminephrectomy (i-hemi-nephrec-to-me) yinkqubo yotyando esusa kuphela inxalenye engasebenzi kakuhle yezintso zakho. Yonke izintso ayisuswa, kodwa isuswa inxalenye engasebenzi kakuhle.
Olu tyando ludla ngokwenziwa kubantu abanemeko ebizwa ngokuba yiDuplex Kidney . Ngoku usenokuba uyazibuza ukuba yintoni leyo.
Khawucinge nje, sonke sinezintso ezimbini emizimbeni yethu. Ngokwesiqhelo, kukho i-ureter enye kuphela ethwala umchamo ukusuka kwintso enye ukuya kwisinyi. Kodwa abanye abantu bazalwa bene-ureter ezimbini kwintso enye ngenxa yemeko yokuzalwa. Yiyo loo nto siyibiza ngokuba yi-"Duplex Kidney".
Kodwa ayinguye wonke umntu one-"Duplex Kidney" oza kuba neengxaki. Abanye abantu baphila bengazi nokuba banale meko. Kodwa ngamanye amaxesha inokubangela iingxaki ezithile.
Ziziphi iingxaki ezinokubakho ngenxa ye-Duplex Kidney?
Kukho iingxaki ezintathu eziphambili ezinokubakho ngenxa ye-'Duplex Kidney'. Masibone ukuba zithini.
| Ingxaki (Imeko) | Kalula nje... |
|---|---|
| I-Vesicoureteral Reflux (VUR) | Oku kubangela ukuba umchamo kwisinyi ubuyele kwizintso. Ekuhambeni kwexesha, oku kungonakalisa izintso. |
| I-Ectopic Ureter | Okwenzekayo apha kukuba i-urethra eyongezelelweyo ayidibani nesinye isinyi, kodwa idibaniswe nelinye ilungu elikufutshane. Oku kunokubangela umonakalo kuloo malungu. |
| I-Ureterocele | I-urethra, apho ingena khona kwisinyi, idumba njengebhaluni, ithintele ukuhamba komchamo. Oku kunokunyusa uxinzelelo ngaphakathi kwizintso kwaye kubangele umonakalo. |
Nangona kukho ezi ngxaki, uninzi lwexesha, ugqirha wakho uza kukujonga nje. Nangona kunjalo, ukuba unezifo zomchamo ezixhaphakileyo , okanye ukuba inxalenye yezintso zakho ayisebenzi kakuhle ngenxa yezizathu ezikhankanyiweyo apha ngasentla, ugqirha wakho unokucebisa ukuba ususwe i-heminephrectomy.
Ufanele uzilungiselele njani ngaphambi kotyando?
Ngaphambi kotyando, ugqirha wakho wotyando (ugqirha womchamo) uza kukuchazela kakuhle ngotyando aze afumane imvume yakho. Ukongeza, baza kwenza uvavanyo oluninzi ukuqinisekisa ukuba usempilweni kakuhle xa utyando lugqityiwe. Ngokuqinisekileyo baza kukubuza ngale nto ilandelayo:
- Imbali yakho epheleleyo yempilo .
- Ufanele uxelele ugqirha wakho ngayo nayiphi na imithi oyithathayo. Oku kuquka amayeza kagqirha, amayeza athengiswa ngaphandle kwemvume kagqirha, iimveliso zezityalo, kwaneevithamini. Amanye amayeza, anjengezinto ezinciphisa igazi, anokunyusa umngcipheko wokopha ngexesha lotyando.
- Malunga nayo nayiphi na i-allergies onokuba nayo.
Kwiintsuku ezimbalwa ngaphambi kotyando, uya kwaziswa ukuba zeziphi amayeza ekufuneka uwathathe, ukuba akhona, kwaye nini na ekufuneka uyeke ukuwasebenzisa. Uya kwaziswa nokuba nini na kanye apho kufuneka uyeke ukutya nokusela (ukuzila ukutya) ngaphambi kotyando.
Lwenziwa njani olu tyando?
Olu tyando lunokwenziwa ngeendlela ezintathu eziphambili: utyando oluvulekileyo, utyando lwe-laparoscopic, kunye notyando lwerobhothi.
| Uhlobo lotyando | Indlela yokwenza oku kunye neenzuzo |
|---|---|
| I-Open Heminephrectomy | Ugqirha uza kwenza utyando oluyi-intshi ezili-12 esiswini sakho, phakathi kweembambo zakho kunye nesinqe sakho. Oku kuya kuvumela ugqirha ukuba abone kakuhle izintso. Indawo engasebenziyo ingasuswa ngesandla. |
| Utyando lweLaparoscopic | Oku kuquka ukwenza imingxunya embalwa esiswini endaweni yokusika enye enkulu. Isixhobo esincinci esinekhamera (i-laparoscope) sifakwa ngemingxunya enye ukuze kubonwe izintso. Izixhobo zotyando zifakwa ngezinye izingxunya ukuze kususwe indawo engasebenzi kakuhle. Inzuzo yoku kukuba isilonda sincinci kwaye ukuphola kuyakhawuleza. |
| Utyando lweRobhothi | Oku kufana notyando lwe-laparoscopic, kodwa apha ugqirha ulawula izixhobo zotyando esebenzisa izandla zomatshini werobhothi. Oku kuvumela utyando olunobunono kakhulu noluchanekileyo. |
Ngaphambi kokuba utyando luqale, ingcali yokubulala iintlungu iza kukunika i-anesthesia eqhelekileyo (`i-General Anesthesia`). Ngoko awuyi kuva ntlungu, uza kube ulele. Emva koko kuza kufakwa i-catheter ye-Foley ukuze kukhutshwe isinyi sakho. Utyando ludla ngokuthatha malunga neeyure ezimbini ukuya kwezintathu .
Kwenzeka ntoni emva kotyando? Kwaye kuthatha ixesha elingakanani ukuba umntu aphile?
Emva kotyando, uza kuhlolwa kwigumbi lokuchacha ude uvuke kwaye impilo yakho izinzile. Uza kunikwa amayeza okulawula iintlungu zakho.
Ixesha lokuchacha liya kwahluka ngokuxhomekeke kuhlobo lotyando olwenzileyo.
- Emva kotyando lwe-laparoscopic okanye lwerobhothi, unokubuyela kwimisebenzi yakho yesiqhelo kwiiveki ezi-4-6 .
- Kungathatha malunga neeveki ezisi-8 ukuya kwezili-12 ukuphola ngokupheleleyo emva kotyando oluvulekileyo .
Ugqirha wakho uza kukukhuthaza ukuba uhambe kancinci ngexesha lokuchacha kwakho. Ukuhamba kulungele umzimba wakho kwaye kunokunceda ekuthinteleni izinto ezifana nokuqhekeka kwegazi kunye ne-pneumonia. Kodwa kufuneka uphephe ukuphakamisa nantoni na enzima ngaphezu kweekhilogram ezili-10 (malunga nobunzima begaloni yamanzi).
Ngaba kufuneka ulumke ngokutya nokusela?
Ewe. Kwiiveki ezine zokuqala emva kotyando, uya kucetyiswa ukuba usele iiglasi zamanzi ezi-6-8 ngosuku kwaye utye ukutya okuthambileyo nokulula ukugayeka. Uya kucetyiswa nokuba ungatyi ukutya okuthile de amathumbu akho abuyele esiqhelweni.
| Izinto ezimnandi zokutya | Izinto ekufuneka uziphephe |
|---|---|
|
Ukuba unale mpawu, bonana nogqirha ngokukhawuleza!
Ukuba ufumana naziphi na iimpawu ezingezantsi emva kotyando, kufuneka ufowunele ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (i-ETU) lesibhedlele esikufutshane.
- Ubunzima bokuphefumla
- Ukopha okugqithisileyo kwindawo yokuthungwa
- Ukwahlulwa kolusu ngokusebenzisa izititshi
- Iimpawu zosulelo: Oku kuquka ukubomvu, umbala omfusa, omdaka, okanye omnyama ojikeleze inxeba, umkhuhlane, ukuphuma kobovu enxebeni, okanye ivumba elibi.
- Ukwanda kwentlungu enganyamezelekiyo
- Intlungu yomlenze
- Igazi kumchamo
Kuqhelekile ukoyika utyando. Kuqhelekile ukuba nemibuzo efana nale, "Kuthekani ukuba utyando aluhambi kakuhle?" okanye "Kuthekani ukuba iimpawu zam ziya zisiba mandundu?" Kodwa cinga ngezinto ezilungileyo. "Luza kuyenza lula kangakanani le nkqubo yobomi bam?" okanye "Ndiza kukwazi na ukuphelisa usulelo endinalo?" Ukucinga ngale ndlela kunokukunceda uzive ungcono kakhulu.
Umyalezo Wokuya Ekhaya
- I-Heminephrectomy lutyando olususa kuphela inxalenye engasebenzi kakuhle yezintso. Intso yonke ayisuswa.
- Olu tyando ludla ngokwenziwa xa kukho iingxaki ezibangelwa yimeko yokuzalwa ebizwa ngokuba yiDuplex Kidney.
- Utyando lungenziwa ngokuvulelekileyo, nge-laparoscopically, okanye nge-robotically. Ixesha lokuchacha lixhomekeke kwindlela esetyenziswa ngayo.
- Landela imiyalelo kagqirha wakho ngononophelo emva kotyando, ingakumbi malunga nokutya okufanelekileyo kunye nokuphakamisa iintsimbi.
- Ukuba ubona iimpawu ezilumkisayo ezinjengobunzima bokuphefumla, ukopha kakhulu, okanye iimpawu zosulelo, funa ingcebiso kagqirha ngokukhawuleza.
- Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye uloyiko onalo.
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