Amatye ezintso yingxaki yempilo abantu abaninzi kwilizwe lethu abajongene nayo. Ngamanye amaxesha la matye mancinci kakhulu, ngoko ke anokususwa emzimbeni ngokuthatha amayeza nokusela amanzi amaninzi. Kodwa ngamanye amaxesha, la matye anokukhula abe makhulu kancinci. Xa ekhula abe makhulu kangako, awaphumi ngokwawo, kwaye kunzima nokuwasusa ngezinye iindlela ezilula zonyango. Kwiimeko ezinjalo, namhlanje siza kuthetha ngotyando olukhethekileyo olucetyiswa ngoogqirha. Oku kubizwa ngokuba yi-'Percutaneous Nephrolithotomy' okanye i-PCNL ngamafutshane.
Yintoni utyando lwe-PCNL? Masiqonde ngokulula
Nangona igama lisenokuvakala liyinkimbinkimbi kancinci, le nkqubo ilula kakhulu. Igama elithi "Percutaneous" lithetha "ngolusu ." Igama elithi "Nephrolithotomy" lithetha "ukususa ilitye kwintso." Ngoko ke, ukuyibeka ngokulula, i-PCNL lutyando apho kwenziwa khona umngxuma omncinci eluswini kwaye kufakwa isixhobo ngalo ukususa ilitye elikhulu kwintso.
Olu luhlobo lotyando olubizwa ngokuba yi- "minimally invasive." Oko kukuthi, endaweni yokwenza umsikelo omkhulu esiswini njengangaphambili, olu tyando lwenziwa ngomsikelo omncinci kakhulu. Kufana "notyando lwe-keyhole."
Nangona oku kwenziwa ngokusikwa okuncinci, akufanele kuthathwe lula. I-PCNL ithathwa njengotyando olukhulu . Kodwa inzuzo kukuba ineengxaki ezimbalwa kuneendlela zakudala kwaye inokuphola ngokukhawuleza.
Ngubani ngokwenene odinga olu tyando?
Olu tyando alwenziwanga kubo bonke abantu abanelitye lezintso. Ngokwesiqhelo, ugqirha uya kucebisa olu tyando kwiimeko ezilandelayo:
- Ukuba ilitye lakho lezintso likhulu kakhulu (umzekelo, likhulu kuneesentimitha ezi-2).
- Ukuba ilitye alinakususwa ngezinye iindlela zonyango, ezifana ne-shock wave lithotripsy okanye i-laser ureteroscopy,
- Ukuba ilitye lezintso libangela umonakalo okanye libangela iintlungu eziqatha.
Izinga lempumelelo yolu tyando liphezulu ukuya kuthi ga kwi-75% ukuya kwi-98%. Oku kuthetha ukuba lunokwenziwa ngempumelelo kwiimeko ezininzi.
Lwenziwa njani utyando?
Olu tyando lwenziwa ngugqirha ogxile kwizifo kunye notyando lwenkqubo yomchamo. Simbiza ngokuba yi-Urologist . Makhe sijonge indlela olu tyando lwenziwa ngayo inyathelo ngenyathelo.
1. I-Anesthesia: Okokuqala, uza kufakwa phantsi kwe-anesthesia eqhelekileyo yi-anesthesiologist. Oku kuthetha ukuba awuyi kuva ntlungu kwaye uza kulala ubuthongo ngokupheleleyo.
2. Sika:Okulandelayo, ingcali iza kwenza umngxuma omncinci kakhulu (malunga ne-1 cm) emqolo okanye emqolo wakho, apho ikhoyo intso yakho.
3. Ukufakwa kombhobho: Umbhobho okhuselayo (isingxobo) ufakwa ngesingxobo esingena kwizintso.
4. Ukufumana ilitye: Emva koko, kufakwa isixhobo esincinci kakhulu esinekhamera (i-nephroscopy) ngetyhubhu ukuze kufunyanwe ilitye elingaphakathi kwintso.
5. Ukususa ilitye: Ukuba ilitye lincinci, likhutshwa ngqo. Ukuba ilitye likhulu, liqhekeka libe ziingceba ezincinci kusetyenziswa umqadi welaser okanye isixhobo esikhethekileyo sokuhambisa isandi (lithotripter).
6. Ukunceda ekuphilisweni: Emva kokuba ilitye lisusiwe, ityhubhu encinci ('ityhubhu yokukhupha amanzi') okanye i-ureteral stent ngamanye amaxesha ifakwa ngaphakathi ukunceda umchamo uphume kakuhle kwaye inxeba liphole ngokukhawuleza. Ekugqibeleni, ulusu olusikiweyo luvalwa ngemithungo.
Ngokwesiqhelo, yonke le nkqubo ithatha malunga neeyure ezimbini ukuya kwezine.
Izinto ekufuneka uzazi ngaphambi nasemva kotyando
Kufuneka kubekho amalungiselelo athile ngaphambi nasemva kotyando. Makhe sijonge loo nto.
| Amathuba | Oko kufuneka ukwenze |
|---|---|
| Ngaphambi kotyando |
|
| Emva kotyando |
Ngaba kukho naziphi na iingozi kolu tyando?
Njengakwezinye iintlobo zotyando, kukho iingozi ezithile ezibandakanyekileyo. Ezi azixhaphakanga kakhulu, kodwa kubalulekile ukuba uzazi.
- Iingozi ezinxulumene ne-anesthesia.
- Usulelo kwindawo yotyando.
- Ukopha kakhulu okanye ukuqhekeka kwegazi (i-hematoma).
- Umonakalo othile kwizintso.
- Usulelo olunzima lomchamo (olufana ne-sepsis).
- Kunqabile ukuba ilitye lisuswe ngokupheleleyo.
Ungakhathazeki ngezi ngozi. Ugqirha wakho uza kuyicwangcisa indlela eza kulawula zonke ezi ngozi.
Ixesha lokufuna ingcebiso yezonyango ngokukhawuleza
Xa ufika ekhaya emva kotyando, nikela ingqalelo engakumbi emzimbeni wakho. Ukuba ubona into engaqhelekanga, kufuneka ufowunele ugqirha wakho ngoko nangoko. Qaphela ngakumbi ezi mpawu:
- Ukuba inxeba liphuma igazi elininzi.
- Ukuba uphuma amahlwili egazi angqindilili njengesosi yetumato kunye nomchamo wakho.
- Ukuba umchamo ujika ube bomvu okanye ube mdaka.
- Ukuba unomkhuhlane ongaphezulu kwama-38 Celsius (100 Fahrenheit) .
- Ukuba uziva ubanda kwaye uqhaqhazela.
- Ukuba intlungu iya isiba mandundu.
Ukuba ufumana iimpawu ezinzima ezinje, ungathandabuzi ukuya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele.
Umyalezo Wokuya Ekhaya
- I-PCNL lutyando oluphumelele kakhulu nolukhuselekileyo olusetyenziselwa ukususa amatye amakhulu ezintso.
- Nangona olu lutyando olukhulu, inxeba lincinci kakhulu, ngoko ke ixesha lokuchacha lifutshane.
- Kubalulekile ukuze umntu aphile ngokukhawuleza ukulandela imiyalelo kagqirha ngononophelo ngaphambi nasemva kotyando.
- Ukuba unemibuzo malunga notyando, ungoyiki ukubuza ugqirha wakho.
- Ukuba kukho naziphi na iimpawu ezingaqhelekanga ezenzekayo ngexesha lokuchacha, funa ingcebiso kagqirha ngoko nangoko.
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