Ngamanye amaxesha kufuneka sijongane nezinto esingenakuzicinga, akunjalo? Ngaba ugqirha ukuxelele ukuba kufuneka ufake ityhubhu kwizintso zakho? Okanye ngaba kukho umntu kusapho lwakho oye wakwenza oko? Kuqhelekile ukuba uzive usoyika kwaye ukhathazekile xa usiva oku. Kodwa ungoyiki. Namhlanje, siza kuthetha ngokuba yintoni iNephrostomy Tube, kutheni ifakwe, kunye nendlela yokuphila ngokuqhelekileyo nayo ngolwimi olulula noluqondakalayo.
Ngamafutshane, yintoni le Nephrostomy tube?
Khawucinge nje ukuba umbhobho wokukhupha amanzi endlwini yethu uvalekile. Emva koko amanzi aza kugcwala kwindawo enye aze angene egumbini, akunjalo? Kunjalo ke ngezintso zethu.
Ngokwesiqhelo, izintso zethu zenza umchamo, ohamba nge-ureters uze uqokeleleke kwisinyi. Xa isinyi sigcwele, siziva sifuna ukuchama.
Kodwa ukuba ngesizathu esithile ukuhamba komchamo ukusuka kwizintso kuyeka, oko kukuthi, ukuba kukho ukuvaleka kwenye indawo, umchamo uqala ukuqokelelana ngaphakathi kwizintso. Oku kuyingozi kakhulu kwizintso.
Kulapho oogqirha basebenzisa khona le Nephrostomy tube . Okwenzekayo kukuba, benze umngxuma emqolo wakho, baze bafake ityhubhu encinci ngqo kwizintso zakho. Elinye icala lale tube liqhagamshelwe kwingxowa yokukhupha amanzi engaphandle komzimba wakho. Ngoko ke, umchamo ungena ngqo kule tube, uphephe ukuvaleka, ungene kwingxowa. Kufana nokunika i-bypass entsha kumbhobho wamanzi ovalekileyo.
Esi sisisombululo sexeshana. Ugqirha wakho uya kuyisusa le tube xa ingxaki yakho yezintso iphelile. Nangona kunjalo, abanye abantu banokufuna ukuyigcina ixesha elide.
Kutheni kufuneka sibeke umbhobho onje?
Kunokubakho izizathu ezininzi zokuba umchamo uyeke ukuphuma kwizintso. Oku kuqokelelana komchamo ngokwezonyango kwaziwa ngokuba yiHydronephrosis . Oku kubangela ukuba izintso zidumbe kwaye ziqale ukonakala. Ke ngoko, kubalulekile ukuba umchamo uphume ngokukhawuleza.
Makhe sijonge ezinye zezizathu eziphambili zokuba kutheni kufuneka ityhubhu ye-nephrostomy.
| Isizathu | Ingcaciso elula |
|---|---|
| Amatye ezintso | Amatye ezintso anokuvala i-urethra. Le yeyona nto ixhaphakileyo. |
| Iintsholongwane | Ezinye izifo ezinzulu zinokubangela ukuba izintso zidumbe kwaye zivale umchamo. |
| Iithumba okanye umhlaza | Umhlaza kwiindawo ezifana nezintso, isinyi, kunye neprostate unokubangela ukuba umchamo uqine kwaye uvaleke. |
| Isiva | Ukuvaleka ngenxa yotyando lwangaphambili okanye usulelo kunokubangela ukuba ityhubhu ivaleke. |
| Ukudumba emva kotyando | Ukudumba okwethutyana emva kotyando lwezintso kunokubangela ukuvaleka kwendlela yomchamo. |
| Iimeko zokuzalwa | Abanye abantu banokuzalwa beneziphene ezithile kwinkqubo yabo yomchamo. |
Ifakwa njani le tube? Ingaba ngumsebenzi omkhulu?
Hayi, olu asilotyando olukhulu oluvulelekileyo. Olu lutyando olungenasithintelo kangako oludla ngokuthatha malunga neyure. Lwenziwa yi-Interventional Radiologist.
Nantsi indlela eyenzeka ngayo oku:
- Ukulungiselela: Uza kunikwa ilokhwe yesibhedlele oza kuyinxiba. Emva koko uza kucelwa ukuba ulale etafileni umqolo wakho ujonge phezulu, oko kukuthi, ujonge phantsi.
- I-Anesthesia: Ukuze le nkqubo ingabi buhlungu kwaye ikugcine uzolile, uza kunikwa i-intravenous sedation . Ukongeza, i -anesthetic yendawo iya kufakwa kwindawo apho ityhubhu iza kufakwa khona. Kubantwana abancinci nakubantu abadala abathile, oku kungenziwa phantsi kwe-anesthesia eqhelekileyo .
- Ukufunyanwa kwendawo:Ugqirha uza kusebenzisa umatshini we-ultrasound okanye we-X-ray ukuze afumane indawo echanekileyo ekuyo izintso zakho.
- Ukufakwa kombhobho: Emva koko, ngononophelo olukhulu, kufakwa inaliti encinci eluswini iye kwizintso. Kudluliselwa ucingo kwinaliti, kwaye umbhobho we-nephrostomy ufakwa kwizintso ecaleni kombhobho. Ngamanye amaxesha ulwelo olukhethekileyo (idayi engafaniyo) lunokunikwa kwaye uvavanyo lwe-fluoroscopy lunokwenziwa ukujonga ukuba umbhobho ukhona na.
- Isiphelo: Emva kokuba ityhubhu ifakiwe, ibotshelelwa eluswini ngomthungo omncinci okanye ibhandeji ukuze ingashukumi. Isiphelo sangaphandle setyhubhu siqhagamshelwe kwingxowa yomchamo.
Emva koku, uza kuhlolwa iiyure ezimbalwa kwaye ukuba yonke into ihamba kakuhle, uza kuvunyelwa ukuba uye ekhaya. Abanye abantu banokugcinwa esibhedlele usuku olunye.
Uyinyamekela njani le mbhobho ekhaya?
Le yeyona nxalenye ibalulekileyo. Ukuba ityhubhu ayikhathalelwanga kakuhle, kukho amathuba aphezulu osulelo. Ngoko ke kufuneka ulumke kakhulu malunga nococeko. Ugqirha wakho okanye abasebenzi bakho bomongikazi baza kukuchazela kakuhle oku.
Jonga ityhubhu rhoqo.
- Jonga ukuba ityhubhu igobile okanye inamathele naphi na. Ukuba igobile, umchamo awuyi kungena ebhegini.
- Jonga ukuba akukho bomvu, ukudumba, okanye ububomvu apho umbhobho udibana khona nolusu.
- Jonga ukuba kukho utshintsho na kumbala womchamo kwingxowa yomchamo.
- Jonga rhoqo i-dressing ejikeleze ityhubhu ukuze ubone ukuba imanzi, ingcolile, okanye ayikhululekanga . Kufuneka ihlale icocekile kwaye yomile.
Ukukhupha ingxowa yomchamo
- Soloko ugcina ingxowa yomchamo isezantsi kunezintso . Oku kuya kuvumela umchamo ukuba uphume lula ngenxa yomxhuzulane.
- Khupha ibhegi xa sele igcwele isiqingatha . Musa ukulinda ide igcwale ngokupheleleyo.
- Ukuba ubona umngxuma okanye ukuvuza ebhegini, yitshintshe ngentsha ngoko nangoko.
Ukutshintsha impahla kunye nococeko
- Ilokhwe ejikeleze ityhubhu kufuneka itshintshwe ubuncinane kabini ngeveki . Kufuneka itshintshwe kwangoko emva kokuhlamba, ukuba imanzi, okanye ukuba ingcolile.
- Ungalibali ukuhlamba izandla zakho kakuhle ngesepha ngaphambi nasemva kokwenza ezi zinto.
- Ngelixa ityhubhu ikwindawo yayo, musa ukuhlamba okanye ukudada. Nangona kunjalo, ungahlamba emva kweeyure ezingama-48. Nangona kunjalo, kufuneka utshintshe ilokhwe yakho emva kokuhlamba.
Sifanele simfowunele nini ugqirha ngoko nangoko?
Kuqhelekile ukuba nentlungu ethile kunye nombala womchamo opinki kancinci (njengejusi yeorenji) kangangeentsuku ezimbini ukuya kwezintathu emva kokufakwa kwetyhubhu. Nangona kunjalo, ukuba ufumana naziphi na ezi mpawu zilandelayo, kufuneka wazise ugqirha wakho ngokukhawuleza . Ukuba kuyimfuneko, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
| Isilumkiso omele usiqaphele |
|---|
| Ukuba umchamo ubomvu obumnyama (njenge-beetroot) kwaye unegazi. |
| Ukuba ulwelo olumthubi, olufana nobovu luphuma apho ityhubhu ifakwe khona. |
| Ukuba umchamo uvuza ujikeleze ityhubhu uze ungene eluswini. |
| Ukuba unomkhuhlane (ongaphezulu kwe-101°F okanye i-38.3°C) ngaphezulu kweeyure ezingama-24. |
| Ukuba unentlungu enzima enganyamezelekiyo nokuba sele usele amayeza okudambisa iintlungu. |
| Ukuba umchamo ubonakala ngathi awusaqokeleli kwingxowa yomchamo. |
Ukuphila nombhobho onje kunokuba yinto engathandekiyo nehlazisayo ekuqaleni. Kodwa khumbula, le yinto oyenzayo ukukhusela izintso zakho nokusindisa ubomi bakho. Ngoko ke ungakhathazeki ngayo. Cela uncedo kusapho lwakho, kubahlobo, nakwiqela lezonyango. Ungoyiki ukuthetha nogqirha wakho ngayo nayiphi na ingxaki okanye ukungakhululeki onako.
Umyalezo Wokuya Ekhaya
- Ityhubhu ye-nephrostomy sisixhobo esibalulekileyo nesisindisa ubomi esithintela ukonakala kwezintso zakho.
- Ixesha elininzi, oku kwenzeka okwexeshana. Ugqirha wakho uya kuyisusa xa ingxaki yakho yezintso isonjululwe.
- Ukuthintela usulelo, kubalulekile ukugcina umbhobho kunye nendawo ejikelezileyo icocekile kakhulu .
- Soloko ugcina ingxowa yomchamo ngaphantsi kwezintso zakho. Khupha ingxowa xa igcwele isiqingatha.
- Ukuba ubona naziphi na iimpawu ezilumkisayo ezinje ngokopha okubomvu okuqaqambileyo, umkhuhlane, iintlungu eziqatha, okanye ukuvuza komchamo kwityhubhu , yazisa ugqirha ngoko nangoko.
- Kuqhelekile ukuba uzive uxinezelekile ngokweemvakalelo yile meko. Thetha ngokukhululekileyo ngayo nabantu obathandayo kunye neqela lezonyango.
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