Ngaba nawe uyoyika ukwenziwa utyando olukhulu ukuze kususwe amatye ezintso? Ubusazi ukuba endaweni yokwenza utyando olukhulu olufana nolo lwalufuna ukunqunyulwa okukhulu, ngoku ungasusa amatye ezintso usebenzisa ikhamera efakwe nge-incision encinci? Yiloo nto siyibiza ngokuba yindlela yonyango yanamhlanje ebizwa ngokuba yi-'Nephroskopi.' Namhlanje, siza kuthetha ngale nto ngokweenkcukacha nangokulula.
Yintoni iNephroskopi?
Ngamafutshane, le yinkqubo esetyenziselwa ukuhlola ingaphakathi lezintso zakho kunye nokunyanga izifo ezithile. Ayibandakanyi ukusikwa okuninzi njengoko yayinjalo ngaphambili.
Oku kwenziwa kusetyenziswa isixhobo esikhethekileyo nesincinci esibizwa ngokuba yi-nephroscope. Yityhubhu ende, etyebe kancinci kunepensile. Kwenziwa umngxuma omncinci kakhulu eluswini olusemqolo wakho, kwaye le tyhubhu ifakwa kwizintso. Ngaphakathi kule tyhubhu kukho isibane, ikhamera (njengeteleskopu), kunye nenkqubo yokunkcenkceshela yokuhlamba indawo apho kwenziwa khona utyando. Ugqirha wenza unyango ngokubukela imifanekiso evela kule khamera kwisikrini esikhulu.
Khawuthelekelele ukuba kufuneka ususe ilitye lezintso. Ungasebenzisa i-ultrasound okanye i-laser light ukuqhekeza ilitye nge-nephroscope. Emva kokuliqhekeza, iziqwenga zitsalwa ngale tube. Eyona nzuzo inkulu yoku kukuba akufuneki wenze utyando olukhulu oluvulekileyo njengoko ubusenza ngaphambili. Ukuze uphile ngokukhawuleza.
Ziziphi iindlela zokusebenzisa i-Nephroscopy?
Le ndlela yonyango isetyenziswa kakhulu kwiimeko ezahlukeneyo. Makhe sibone ukuba zeziphi.
| Ithuba lonyango | Ingcaciso elula |
|---|---|
| Ukususwa kwamatye ezintso (PCNL) | Le ndlela isetyenziselwa ukususa amatye ezintso, ingakumbi lawo makhulu (angaphezulu kwe-1 cm). Igama elikhethekileyo lale nto yiPercutaneous Nephrolithotomy okanye (PCNL) . |
| Ukususa iziqwenga zamatye | Ikwasetyenziselwa ukususa amaqhekeza amatye ezintso aseleyo emva konyango oluthile. |
| Ukususwa kweethumba ezincinci | Ezinye izimila ezincinci, ezingezizo zomhlaza ezingaphakathi kwizintso zinokususwa. |
| Ukususwa kwee-kidney cysts | Le ndlela ikwasetyenziswa ukunyanga ii-cysts, eziziingxowa ezizaliswe lulwelo ezithi zibe sezintso. |
| Unyango lokuthintelwa (i-UPJ Obstruction) | Nyanga ukuvaleka kwe-ureteropelvic junction (UPJ) , oku kukuvaleka ekuqaleni kombhobho othwala umchamo ukusuka kwizintso ukuya kwisinyi. |
| Ukususa ezinye izinto | Le ndlela ingasetyenziselwa ukususa into eyayibekwe ngaphandle komzimba, njenge-stent eyayibekwe ngaphambili. |
Ndingayilungiselela njani le tyando?
Kukho izinto ezininzi ekufuneka uzilungiselele ngaphambi kokuba ufumane olu hlobo lonyango.
- Uvavanyo: Kuza kwenziwa uvavanyo lomchamo ukujonga ukuba kukho usulelo na kumchamo wakho. Ukuba kukho usulelo, kuya kufuneka uthathe amayeza okubulala iintsholongwane.
- Ulwazi Ngamayeza: Ukuba uthatha amayeza okunciphisa igazi afana ne-aspirin okanye i-warfarin (Coumadin®), ngokuqinisekileyo kufuneka uxelele ugqirha wakho. Uza kukucebisa ukuba uyeke ukuwasebenzisa la mayeza malunga neveki ngaphambi kotyando.
- Ukutya Neziselo: Ngokuqhelekileyo awukwazi ukutya okanye ukusela nantoni na kangangeeyure ezisi-8 ngaphambi kotyando.
- Ingcebiso kagqirha: Eyona nto ibalulekileyo kukuthetha nogqirha wakho ngayo yonke le nto uze ulandele imiyalelo yakhe ngokuchanekileyo.
Lwenziwa njani utyando?
Kulungile, ngoku masibone ukuba zeziphi iindlela zolu nyango.
Okokuqala, ugqirha wakho uza kujonga ngononophelo naziphi na iiskeni oye wazenza (ezifana ne-CT scan okanye i-urogram) aze acwangcise utyando lwakho. Uza kunikwa i-anesthesia eqhelekileyo, ukuze ungaziva ntlungu, ngokungathi ulele.
Emva koko uza kubekwa etafileni yotyando isisu sakho sijonge ezantsi. Okokuqala, kuza kufakwa ityhubhu encinci (i-catheter) nge-urethra yakho iye kwizintso zakho. Idayi ekhethekileyo iza kudluliselwa kwityhubhu kwaye kuza kuthathwa i-X-ray ukuze kubonwe kakuhle ingaphakathi lezintso zakho.
Emva koko, njengoko bekucwangcisiwe, kufakwa inaliti eluswini olusemqolo wakho iye kwizintso. Indawo yenziwe ibe banzi kancinci, kwaye kufakwa ityhubhu (isheya). Oku kwenziwa ngokusikwa okuncinci okunobukhulu obungange-dime. Ngoku, ngale tyhubhu, i-nephroscope kunye nezinye izixhobo zotyando zinokudluliselwa ngqo kwizintso.
Ngoku, ugqirha ujonga ngekhamera aze aphule ilitye lezintso, okanye ukuba liyingxaki, alisuse, aze akhuphe iziqwenga nge-nephroscope.
Okokugqibela, into ebizwa ngokuba yi-ureteral stent ifakwa ngaphakathi kwityhubhu ephuma kwintso iye kwisinyi (ureter). Le yityhubhu yeplastiki engenanto emalunga ne-intshi ezili-10-12 ubude. Oku kunceda umchamo ukuba uphume lula kwaye kunceda izintso ziphilise ngokukhawuleza. I-stent idla ngokususwa xa ubona ugqirha wakho malunga neveki.
Zeziphi izinto ekufuneka uzikhathalele emva kokubuyela ekhaya?
Emva kotyando, uza kusiwa kwigumbi lokuchacha. Nje ukuba yonke into iqinisekisiwe ukuba ilungile, uya kukwazi ukuya ekhaya ngosuku olulandelayo. Zikhathalele ezi zinto emva kokuba ubuyele ekhaya.
- Ukuba uqalisa ukuba nomkhuhlane, uzive ubanda kwaye uqhaqhazela, okanye unentlungu enzulu engenakulawulwa ngamayeza okudambisa iintlungu achazwe ngugqirha wakho, tsalela umnxeba ugqirha wakho ngoko nangoko.
- Kuqhelekile ukuba negazi elincinci kumchamo wakho emva kotyando. Kodwa...
Ukuba uphuma igazi elininzi emchameni wakho, okanye ukuba ubona amahlwili egazi amakhulu, yiya kwigumbi likaxakeka lesibhedlele elikufutshane (ETU) ngoko nangoko. Asikokulibazisa oku.
- Ngaphandle kokuba ugqirha wakho akucebise ngenye indlela, kuphephe ukuphakamisa iintsimbi okanye ukwenza umthambo onzima kangangeeveki ezimbini ukuya kwezine.
Ziziphi iingenelo kunye neengozi zale ndlela yonyango?
Eyona nzuzo inkulu yoku kukuba yindlela ekhuselekileyo kakhulu kwaye ayifuni utyando olukhulu (utyando lwendabuko). Ke ngoko, ixesha lokuchacha lifutshane kwaye umngcipheko wosulelo nawo uphantsi.
Nangona kunjalo, njengalo naluphi na utyando, kunokubakho iingozi ezincinci.
- Ukopha igazi ngexesha okanye emva kotyando (utofelo-gazi lunokufuneka ngamaxesha anjalo).
- Ukuqokelelana kolwelo emiphungeni.
- Usulelo olunzima olufana ne-sepsis.
- Usulelo lomchamo.
- Ukonakala kwezintso okanye kwindlela yomchamo.
Ezi ngozi azifumaneki lula. Ugqirha wakho uza kukuchazela konke oku kakuhle ngaphambi kotyando, ngoko ke akukho nto inokubangela ixhala.
Umyalezo Wokuya Ekhaya
- I-Nephroskopiyi yinkqubo yanamhlanje efaka ikhamera kwinxeba elincinci eluswini ukuze ibone kwaye inyange ingaphakathi lezintso.
- Oku kusebenza kakhulu, ingakumbi ekususeni amatye amakhulu ezintso (indlela ye-PCNL), amaqhuqhuva amancinci, kunye nokuvaleka.
- Ixesha lokuchacha emva koku lifutshane kakhulu kunasemva kokunqunyulwa kwelungu elikhulu.
- Ukuba ufumana umkhuhlane, iintlungu ezingalawulekiyo, okanye ukopha kakhulu emva kotyando, kufuneka ufune ingcebiso kagqirha ngoko nangoko.
- Ukuba unemibuzo malunga noku, ungoyiki ukubuza ugqirha wakho.
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