Ngaba ugqirha wakho ukuxelele ukuba kufuneka ufake ityhubhu kwizintso zakho? Okanye ngaba ilungu losapho okanye umhlobo kuye kwafuneka enze into efana nale? Igama lisenokuvakala liyoyikisa kancinci, kodwa eneneni le yinto ebaluleke kakhulu ekufuneka yenziwe ukukhusela izintso zakho. Ungakhathazeki, siza kuthetha ngayo yonke into ngokulula: yintoni ityhubhu ye-nephrostomy, kutheni ifakwa, kwaye ungayinyamekela njani.
Ngamafutshane, yintoni le Nephrostomy tube?
Ityhubhu ye-nephrostomy yityhubhu ebhityileyo neguquguqukayo esetyenziselwa ukukhupha umchamo (umchamo) kwizintso zakho. Ugqirha ufaka le tyhubhu ngomqolo wakho, ngesikhumba, kwizintso zakho. Elinye icala letyhubhu emva koko liqhagamshelwe kwingxowa yokuqokelela umchamo (ingxowa ye-nephrostomy). Ngoko ke umchamo ovela kwizintso zakho uphuma ngqo kule ngxowa.
Ngokwesiqhelo, umchamo oveliswa zizintso uhamba nge-ureters, uqokeleleke kwisinyi, uze uphume emzimbeni nge-urethra. Kodwa ngamanye amaxesha kukho into enokuthintela olu hambo. Kulapho ke le tube ifakwa khona ukuze kudalwe enye indlela yokuphuma komchamo.
Ixesha elininzi, esi sisisombululo sexeshana . Nangona kunjalo, abanye abantu kusenokufuneka bayigcine ityhubhu endaweni yayo kangangeenyanga, okanye iminyaka. Oku kuxhomekeke kwimeko yempilo ebangele ukuba ufake ityhubhu.
Kutheni kufuneka sibeke umbhobho onje?
Kukho izizathu ezininzi zokuba umchamo ungayeki ukuphuma kwizintso. Ukuba umchamo ubambeke ngaphakathi, ungabuyela umva uze ubangele ukuba izintso zidumbe kwaye ziqale ukonakala. Le meko ibizwa ngokuba yiHydronephrosis . Kubekwa ityhubhu yeNephrostomy ukuthintela oku.
Jonga itheyibhile engezantsi ukuze ubone izizathu eziphambili zoku.
| Isizathu | Ingcaciso elula |
|---|---|
| Amatye ezintso | Amatye anokubhajwa kwindlela yokuchama aze avale indlela. |
| Iintsholongwane | Usulelo oluqatha lunokubangela ukuba izintso zidumbe kwaye zivale umchamo. |
| Iithumba okanye umhlaza | Iithumba ezinomhlaza ezikwizintso, kwisinyi, kwiprostate, okanye kwiprostate gland zinokubangela ukuba i-urethra ivaleke. |
| Isiva | Amanxeba avela kutyando lwakudala okanye usulelo anokubangela ukuba i-urethra ibe mxinwa. |
| Ukudumba emva kotyando | Ngenxa yokudumba okwethutyana emva kotyando lwezintso. |
| Iimeko ezibangelwa kukuzalwa | Abanye abantu banokuzalwa beneziphene ezithile kwinkqubo yabo yomchamo. |
Uzilungiselela njani ngaphambi kolu tyando?
Ugqirha wakho uza kukuxelela indlela yokuzilungiselela oku.
- Usenokucelwa ukuba uzile ukutya (ungatyi okanye ungaseli) kangangeeyure ezimbalwa ngaphambi kotyando.
- Ngokuqinisekileyo kufuneka uxelele ugqirha wakho malunga nawo onke amayeza owasebenzisayo, kunye nazo naziphi na izinto ezibangela ukuba umzimba wakho ungabi naso isifo sentliziyo, ingakumbi izinto ezinciphisa igazi.
Kwenzeka ntoni ngexesha lotyando?
Le yinkqubo edla ngokuthatha malunga neyure kwaye yenziwa yingcali ye-radiologist ejongene nonyango.
1. Okokuqala, uza kunikwa ilokhwe yesibhedlele uze ulale ngesisu sakho (umqolo wakho ujonge phezulu) etafileni.
2. Usenokunikwa i-intravenous sedation ukukunceda uphumle kwaye ungeva ntlungu. Ukongeza, kuya kunikwa amayeza okubulala iintlungu kwindawo apho ityhubhu iza kufakwa khona. Oku kwenziwa ngokunika abantwana abancinci kunye nabantu abadala i-anesthesia jikelele, ebenza balale ngokupheleleyo.
3. Ugqirha uza kusebenzisa umatshini we-ultrasound okanye we-X-ray ukuze afumane indawo echanekileyo ekuyo izintso zakho.
4. Emva koko, kufakwa inaliti encinci eluswini iye kwizintso, kwaye ucingo ludluliselwa kwinaliti. Emva koko ityhubhu ye-nephrostomy ibekwa phezu kwentambo ize ingene kwizintso. Ngamanye amaxesha kunikwa ulwelo olukhethekileyo (`idayi yomahluko`) kwaye kwenziwa uvavanyo lwe-X-ray (`i-Fluoroscopy`) ukuze kubonwe ukuba ityhubhu ikwindawo efanelekileyo na.
5. Okokugqibela, isiphelo esivelileyo setyhubhu sincamatheliswa kwingxowa yomchamo kwaye siqiniswe ngethunga elincinci okanye ibhandeji ukuthintela ukuba ityhubhu ingaphumi eluswini.
Yintoni endifanele ndiyilumkele emva kotyando?
Uza kuhlolwa iiyure ezimbalwa emva kotyando kwaye uza kuvunyelwa ukuba uye ekhaya ukuba yonke into ihamba kakuhle. Nangona kunjalo, abanye abantu banokufuna ukuhlala esibhedlele usuku olunye. Ziqaphele ezi zinto emva kokuba ubuyele ekhaya.
- Intlungu: Kuqhelekile ukuba uzive iintlungu kunye nokungonwabi kwindawo ebekwe kuyo ityhubhu kangangeentsuku ezimbalwa. Sela amayeza okudambisa iintlungu njengoko ugqirha wakho ekuyalele. Abanye abantu bakufumanisa kulula ukubeka isandla sabo phezu kwetyhubhu xa benyuka izinyuko okanye begoba.
- Imisebenzi: Kuphephe ukubaleka, ukutsiba, okanye ukuphakamisa izinto ezinzima kangangeentsuku ezimbalwa. Ukwenza ezi zinto kunokutsala ityhubhu okanye kubangele ukuba ibhegi ikhululeke.
- Ucoceko: Kubaluleke kakhulu ukugcina indawo apho ityhubhu ifakwe khona icocekile kwaye yomile ngamaxesha onke ukuthintela usulelo. Ngoko ke, kuphephe ukuhlamba okanye ukudada. Kulungile ukuhlamba emva kweeyure ezingama-48, kodwa ibhandeji kufuneka itshintshwe ngoko nangoko emva koko.
- Umbala womchamo: Kuqhelekile ukuba umchamo okwingxowa yomchamo ube nombala opinki kancinci (njengejusi yeorenji) kwiintsuku ezimbalwa zokuqala. Nangona kunjalo, ukuba umchamo ubomvu obumnyama (njengejusi yebeetroot) , oko kuyimbangela yokukhathazeka.
Uyinyamekela njani le mbhobho ekhaya?
Ukunyamekela ityhubhu ngokufanelekileyo kubalulekile ukuthintela usulelo. Isibhedlele siza kukunika imiyalelo ngale nto. Eyona nto ibalulekileyo kukuhlamba izandla zakho kakuhle ngesepha namanzi okanye usebenzise isicoci sezandla ngaphambi nasemva kokuchukumisa ityhubhu, ibhegi, okanye ilokhwe.
Ukuhlola ityhubhu kunye nolusu olujikelezileyo
Jonga ezi zinto yonke imihla:
- Ingaba umbhobho ugobile okanye unamathele naphi na? Ukuba kunjalo, umchamo awuyi kungena ebhegini.
- Ingaba indawo apho umbhobho udibana khona nolusu ibomvu, idumbile, okanye ibonisa iimpawu zosulelo ?
- Ingaba kukho igazi kumchamo kwingxowa yomchamo?
- Ingaba ilokhwe imanzi, ingcolile, okanye ikhululekile ? Kufuneka ihlale icocekile kwaye yomile.
Ukukhupha ingxowa yomchamo
- Ukuze umchamo uphume kakuhle, ingxowa yomchamo kufuneka ihlale ibekwe ngaphantsi kwezintso .
- Khupha ibhegi xa sele igcwele isiqingatha . Musa ukulinda ide igcwale ngokupheleleyo.
- Ukuba ubona umngxuma okanye ukuvuza ebhegini, faka ibhegi entsha.
Ukutshintsha ilokhwe
Ufanele utshintshe ilokhwe ubuncinane kabini ngeveki , okanye nanini na xa imanzi okanye ingcolile. Usenokufuna uncedo kwilungu losapho ngale nto. Isibhedlele siza kukufundisa indlela yokwenza oku kwaye sikunike izinto ezifunekayo.
Ndifanele ndimtsalele umnxeba nini ugqirha?
Ukuba kukho nayiphi na ingxaki, umzekelo, ukuba uziva ngathi umchamo awungeni ebhegini, yazisa ugqirha wakho ngoko nangoko. Ukongeza, ukuba unezinye zeempawu ezilandelayo, qiniseka ukuba ucela ingcebiso kugqirha.
| Uphawu ekufuneka luqwalaselwe | Inkcazo |
|---|---|
| Bona ugqirha ngokukhawuleza. | |
| Igazi elibomvu elimnyama | Ukuba ubona igazi elibomvu elimnyama (njengejusi yebeetroot) kwingxowa yomchamo (umbala opinki okhanyayo uqhelekile kwiintsuku zokuqala). |
| Ubomvu okanye ulwelo olumthubi | Ukuba ubona ulwelo olufana nobovu kwindawo yokufaka ityhubhu okanye kwingxowa yomchamo. |
| Ukuvuza komchamo | Ukuba umchamo uvuza ulusu olujikeleze indawo yokufaka ityhubhu. |
| Ifiva | Ukuba ubushushu bomzimba bungaphezulu kwe-101 Fahrenheit (38.3 Celsius) ngaphezulu kweeyure ezingama-24. |
| Intlungu ebuhlungu | Ukuba unentlungu ebuhlungu kwindawo yetyhubhu engapheli nangona usela amayeza. |
| Ukuba umbhobho ukhululekile | Ukuba ityhubhu ikhutshiwe ngengozi, nokuba ikhutshiwe ngokupheleleyo okanye inxalenye yayo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko. |
Ukuphila ne-nephrostomy tube kunokuba nzima kancinci ngokweemvakalelo ngamanye amaxesha. Kodwa khumbula, le yinto eyenziwayo ukukhusela izintso zakho nokusindisa ubomi bakho. Idla ngokuba yeyokwexeshana. Thetha ngokukhululekileyo nosapho lwakho kunye nogqirha wakho malunga neenkxalabo kunye neemvakalelo zakho.
Umyalezo Wokuya Ekhaya
- Ityhubhu ye-nephrostomy yindlela ekhuselekileyo yokukhusela izintso zakho xa kukho ukuphazamiseka kokuhamba komchamo.
- Ukuthintela usulelo, kubalulekile ukugcina indawo yokufaka inaliti icocekile kwaye yomile rhoqo.
- Khumbula ukuba rhoqo ubeke ingxowa yomchamo kwinqanaba elingaphantsi kunezintso zakho.
- Ukuba ubona iimpawu ezilumkisayo ezifana nentlungu eqatha, umkhuhlane, okanye igazi elibomvu elimnyama kumchamo wakho, tsalela umnxeba ugqirha wakho ngokukhawuleza.
- Kuqhelekile ukuba uzive ungakhululekanga ngokweemvakalelo xa uphila nale meko. Kodwa khumbula, oku kubalulekile kwimpilo yakho kwaye kudla ngokuba yinto yexeshana.
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