Ngaba wakha waba nelitye lezintso waza waziva iintlungu ezibuhlungu ezibangelwa lilo? Okanye ngaba wakha wabona ilungu losapho okanye umhlobo ehlushwa yile ntlungu? Yintlungu enzima kakhulu ukuyinyamezela. Ke, namhlanje kukho iindlela zonyango eziphambili kakhulu zokususa amatye abumba kwinkqubo yomchamo. Enye indlela yonyango abantu abaninzi abathetha ngayo, kwaye ephumelela kakhulu, kukusebenzisa imisebe yelaser ukutyumza nokususa la matye. Makhe sithethe ngale nto ngokweenkcukacha namhlanje.
Ngamafutshane, yintoni iLaser Lithotripsy?
I-Laser Lithotripsy yinkqubo yezonyango esebenzisa i-laser enamandla amakhulu ukuqhekeza nokususa amatye kwindlela yakho yomchamo. Oku kubhekisa kwindlela yakho yonke yomchamo, equka izintso zakho, iityhubhu ezithwala umchamo ukusuka kwizintso ukuya kwisinyi (ureters), isinyi, kunye nombhobho othwala umchamo ukusuka kwisinyi ukuya ngaphandle komzimba (urethra) . Le nkqubo inokususa amatye naphi na endleleni.
Khawucinge ngomqadi welaser uthunyelwa ngetyhubhu ethambileyo kakhulu, engangenwele nkulu, ukuya ngqo apho ilitye likhoyo aze aliqhekeze. Oku kudla ngokwenziwa yingcali yezifo zomchamo. Ufaka ityhubhu ethambileyo nebhityileyo (scope) enekhamera eqhotyoshelwe kuyo, ezantsi kwi-urethra yakho, aze afumane ilitye. Emva koko uthumela i-laser fiber ngetyhubhu, akhanyise umqadi welaser phezu kwelitye, aliqhekeze libe ziingceba ezincinci, njengeentlabathi. Ekugqibeleni, ilitye lisuswa ngesixhobo esincinci kakhulu esifana nebhasikithi.
Enye yezona nzuzo zinkulu zale ndlela kukuba ayifuni kuhlinzwa okukhulu naphi na emzimbeni. Yonke into yenzeka ngokwendalo kwindlela yomchamo.
Ngamanye amaxesha, ukuze kususwe amatye amakhulu ezintso, kwenziwa utyando olubizwa ngokuba yi-"percutaneous nephrolithotomy" ngokusikwa okuncinci emqolo. Nangona kunjalo, kukho amaxesha apho le ndlela yelaser isetyenziswa ukuqhekeza ilitye emva kokuba lifakiwe.
Ingaba lo ngumsebenzi omkhulu?
Hayi. I-Laser Lithotripsy idla ngokuthathwa njengenkqubo engaphantsi kakhulu . Ke ngoko, asiyithathi njengotyando olukhulu nolunzima.
Yintoni umahluko phakathi kweLaser Lithotripsy kunye neShock Wave Lithotripsy?
Mhlawumbi ukhe weva ngazo zombini ezi ndlela. Nangona injongo yazo zombini kukutyumza amatye, kukho umahluko omkhulu kwindlela ezenziwa ngayo. Ukuze uqonde lo mahluko, jonga le theyibhile ingezantsi.
| Uphawu | I-Laser Lithotripsy | I-Shock Wave Lithotripsy (ESWL) |
|---|---|---|
| Ingaba isebenza kanjani | Ingena nzulu emzimbeni ize isebenzise umqadi welaser ukuze ibethe ngqo ilitye ize ilityumze. | Ukusuka ngaphandle komzimba, amaza othuko anamandla aphezulu athunyelwa eluswini aze aqhekeze ilitye. |
| Impumelelo | Iphezulu kakhulu. Isebenza kakuhle nakwilitye elikhulu neliqinileyo. | Impumelelo, kodwa impumelelo isenokuba ncinci kuxhomekeke kubukhulu, indawo, kunye nobunzima belitye. |
| I-Anesthesia | I-anesthesia eqhelekileyo idla ngokufuneka. | Amaxesha amaninzi, amayeza okudambisa iintlungu kunye nokuthomalalisa kancinci kuyanele. |
| Umngcipheko | Kukho umngcipheko omncinci (umz., ukwenzakala kwi-urethra) kuba ezi zixhobo zifakwa emzimbeni. | Umngcipheko wokonakala kwangaphakathi emzimbeni uphantsi, kodwa kunokubakho umonakalo omncinci kwizicwili ezingqongileyo. |
Ngamafutshane, iLaser Lithotripsy yeyona ndlela isebenzayo kumatye amakhulu kakhulu, aqinileyo, okanye akwindawo enzima ngakumbi ukuba angaqhekeka yi-shock wave.
Kwenzeka ntoni ngaphambi nangexesha lotyando?
Ukulungiselela ngaphambi konyango
Ugqirha wakho uza kukunika imiyalelo ecacileyo ngaphambi kolu nyango. Kubaluleke kakhulu ukulandela le miyalelo ngokuchanekileyo ukuze unciphise iingxaki.
- Uza kucelwa ukuba ungatyi okanye ungaseli nto kangangeeyure ezisi-8 ngaphambi kotyando (ukuzila ukutya).
- Amanye amayeza owasebenzisayo, ingakumbi amayeza okunciphisa igaziBaza kukuxelela ukuba uyeke ukuzisebenzisa kangangeentsuku ezimbalwa. Ungalibali ukuxelela ugqirha wakho ngayo yonke imithi oyithathayo, kuquka neevithamini.
- Emva kotyando, uza kucelwa ukuba uzise umntu oza kukuthatha akuse ekhaya kuba awuzukwazi ukuqhuba ngenxa ye-anesthesia.
Ngamanye amaxesha, ukuba i-ureter yakho incinci kancinci, kunokuba nzima ukufaka izixhobo ngoko nangoko. Kwiimeko ezinjalo, ugqirha uya kuqala abeke ityhubhu yexeshana (i-'ureteral stent') ukuze yandise ityhubhu, aze emva koko acwangcise usuku lonyango lwe-laser emva kweeveki ezimbini ukuya kwezintathu.
Kwenzeka ntoni ngexesha lonyango
- Okokuqala, uza kufakwa i-anesthesia epheleleyo uze ulale ukuze ungeva ntlungu.
- Okulandelayo, ugqirha ufaka ityhubhu encinci (i-scope) enekhamera eqhotyoshelwe kwi-urethra.
- Ngaloo mbhobho, i-laser fiber ithunyelwa kufutshane nelitye.
- Imiqadi yelaser iqhekeza ilitye libe ziingceba ezincinci.
- Ezo ziqwenga zamatye ziqokelelwa kwingobozi ethambileyo zize zikhutshwe.
- Okokugqibela, kufakwa ityhubhu yexeshana (i-ureteral stent) ukuvumela amaqhekeza amatye aseleyo kunye nomchamo ukuba ahambe ngokulula kwi-ureter. Le nto isuswa ngugqirha ekliniki emva kweentsuku okanye iiveki ezimbalwa.
- Emva koko i-scope efakiweyo iyasuswa.
Le nkqubo yonke idla ngokuthatha malunga neyure okanye ezimbini .
Kwenzeka ntoni emva konyango? Zithini iingenelo kunye neengozi?
Emva konyango, uza kugcinwa kwigumbi lokujonga okwethutyana, uze uvunyelwe ukuba ugoduke emva kokuba uvukile ngokupheleleyo kwi-anesthesia. Uza kunikwa amayeza eentlungu, amayeza okunyanga nakuphi na ukungonwabi okubangelwa yi-stent, kunye nee-antibiotics kangangeentsuku ezimbalwa ukuthintela usulelo.
| Iingenelo | Iziphumo Ezingalindelekanga kunye Neengozi |
|---|---|
| Ukuba nezinga eliphezulu kakhulu lempumelelo. | Intlungu kunye nokungakhululeki ngexesha lokuchama. |
| Umngcipheko oncitshisiweyo weetships zamatye (`steinstrasse`). | Igazi elincinci kumchamo (i-hematuria). |
| Ubungakanani, ubulukhuni, kunye nendawo elikuyo ilitye azinampembelelo ingako. | Isicaphucaphu nokudinwa okubangelwa kukungasebenzi kakuhle kwe-anesthesia. |
| Ukwazi ukususa amatye amaninzi ngaxeshanye. | Iingxaki ezingaqhelekanga: ukonakala kwe-urethra (ureter), usulelo lwendlela yomchamo (UTI). |
| Ingenziwa nangabantu abasebenzisa amayeza okunciphisa igazi okanye abafazi abakhulelweyo. | Iingxaki ezingaqhelekanga: Iziqwenga zamatye ezinamathelayo kwindlela yokuchama. |
Kuthatha ixesha elingakanani ukuphiliswa?
Uninzi lwabantu lunokubuyela kwimisebenzi yalo yesiqhelo emva kweveki . Nangona kunjalo, ukuba une-stent, unokufumana iintlungu xa uzilolonga, uphakamisa izinto ezinzima, okanye ukhupha igazi kumchamo wakho. Buza ugqirha wakho ngale nto.
Ufanele uye nini kugqirha?
Ukuba ufumana naziphi na iimpawu ezikrokrisayo emva kokuba ubuyele ekhaya uvela kunyango, fowunela ugqirha wakho ngoko nangoko. Qaphela oku kulandelayo:
- Ukuba unomkhuhlane ophezulu (ngaphezulu kwe-101°F).
- Ukuba unemvakalelo yokutsha xa uchama kangangeentsuku ezingaphezu kwembini .
- Ukuba unegazi elibomvu elimnyama kumchamo wakho, okanye ukuba ubusele ukhupha igazi elipinki kangangeentsuku ezingaphezu kwembini okanye ezintathu.
- Ukuba uva intlungu enganyamezelekiyo.
- Ukuba uziva ngathi ubambekile kwaye awukwazi ukuchama .
Kwimeko enjalo, fowunela ugqirha okunyangileyo ngoko nangoko. Okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
Umyalezo Wokuya Ekhaya
- I-Laser Lithotripsy yindlela esebenzayo kakhulu, yanamhlanje, kwaye ikhuselekileyo esetyenziselwa ukususa amatye kwinkqubo yomchamo.
- Olu asilotyando olukhulu. Lutyando oluncinci olwenziwa ngaphandle kokwenza nakuphi na ukusikeka emzimbeni.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha ngqo ngaphambi nasemva konyango.
- Kubalulekile ukusela amanzi amaninzi ngexesha lokuchacha emva konyango.
- Ukuba uneengxaki, ukungakhululeki, okanye amathandabuzo, ungoyiki ukubuza ugqirha wakho.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
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Abantu abaninzi abacinga ukuba banegesi basenokuba banesifo sentliziyo! Eyona ngozi inkulu! Ukuba, kunye nokungagaywa kakuhle kokutya, 1) 'ukubila okubandayo' kunye nolusu olumnyama, 2) imvakalelo yokutshisa esifubeni sakho 'ephuma engalweni okanye emhlathini wasekhohlo', 3) uhlanza igazi kwaye igazi 'limnyama njengetha (melena)' kunye nendle yakho, kufuneka uye kwicandelo likaxakeka lesibhedlele (ukuya kufumana i-ECG) ngokukhawuleza!
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