Ngamanye amaxesha ungazibuza ukuba iinkqubo zomzimba wethu zisebenza kakuhle kangakanani ngaphandle kokuba thina siqaphele. Kodwa khawucinge ukuba bekuya kwenzeka ntoni ukuba umbhobho omncinci ovelisa umchamo kwizintso, ohla uye kwisinyi, uvalwe ndaweni ithile? Olu hlobo lokuvaleka oludla ngokubangela iintlungu zezintso nokudumba. Olunye unyango loku lutyando olubizwa ngokuba yi-'Pyeloplasty'. Ungakhathazeki, siza kuthetha ngayo yonke into ngokulula nangokucacileyo.
Ngamafutshane, yintoni iPyeloplasty?
Ukuze siqonde oku, masiqale sijonge indlela esebenza ngayo inkqubo yethu yomchamo. Umchamo uveliswa zizintso ezimbini emzimbeni wethu. Umchamo oveliswa ngale ndlela uqokelelana kwindawo efana ne-funnel ngaphakathi kwezintso. Oku sikubiza ngokuba yi-'(Renal Pelvis)'. Emva koko, lo mchamo wehla ngetyhubhu encinci uze uqokelele kwisinyi. Lo mchamo ubizwa ngokuba yi-'(Ureter)'.
Ngoku khawucinge ukuba kukho ukuvaleka okanye ukuvaleka kwindawo apho i-funnel yezintso (`Renal Pelvis`) kunye nombhobho oqala kuyo (`Ureter`) kudibana khona, oko kukuthi, kwi-`(Ureteropelvic Junction - UPJ)`. Kwenzeka ntoni emva koko? Umchamo awukwazi ukwehla kwaye uqale ukuzalisa ngaphakathi kwizintso. Njengaxa umbhobho wamanzi ubambeka embindini, amanzi azalisa ngasemva. Oku kubangela ukuba izintso zidumbe , nto leyo oogqirha abayibiza ngokuba yi-`(Hydronephrosis)`. Kwakhona , kunokubakho iintlungu emqolo, usulelo oluqhelekileyo lwendlela yomchamo, kwaye ngokuhamba kwexesha, izintso zinokonakala .
I-Pyeloplasty kukususwa kombhobho ovalekileyo nonciphileyo ngotyando kunye nokulungiswa kwakhona kwawo ukuze umchamo ukwazi ukuhamba kakuhle.
Ngubani ngokwenene odinga olu tyando?
Le meko, ebizwa ngokuba yi-"UPJ obstruction", ngamanye amaxesha izalwa nayo. Ngokwesiqhelo, malunga nomnye kubantwana abayi-1,500 uzalwa nale meko. Nangona kunjalo, kwiimeko ezininzi, iyaziphelela xa umntwana eneenyanga ezili-18 ubudala. Ukuba iyaqhubeka, njengokuba izintso ziqhubeka zidumba okanye zisuleleka, oogqirha banokucebisa utyando.
Kwakhona, le meko inokwenzeka kamva kubantwana abadala, kubantu abadala abaselula, nakubantu abadala. Ukuba ugqirha wakho ubona ukuba izintso zakho zidumbile (iHydronephrosis) kwi-ultrasound okanye kwi-CT scan, banokukrokrela ukuba unobangela kukuvaleka kwe-UPJ. Olu tyando lunokufuneka.
Lwenziwa njani olu tyando? Ngaba wenza i-incision enkulu?
Hayi. Ngenxa yeteknoloji yanamhlanje ephucukileyo, oku kudla ngokwenziwa ngokusika okuncinci kakhulu . Kodwa kukho iindlela ezahlukeneyo. Masibone ukuba zeziphi.
| Indlela yotyando | Indlela eyenziwa ngayo |
|---|---|
| Utyando lweLaparoscopic | Le yindlela esetyenziswa kakhulu. Olu tyando lwenziwa ngokwenza imingxunya embalwa kakhulu esiswini kunye nokufaka ikhamera kunye nezixhobo ezithambileyo. Oku kungenziwa ngerobhothi. |
| Utyando lwe-Endoscopic | Kule meko, akukho mingxunya yenziwayo ngaphandle. Ukuvaleka kusonjululwa ngokufaka isixhobo esincinci ecaleni kwe-urethra. |
| Utyando Oluvulekileyo | Kule meko, kwenziwa umsikelo omkhulu kancinci ecaleni apho kukho khona izintso. Le ndlela ayisetyenziswa rhoqo ngoku. |
Yintoni omele uyenze ngaphambi kotyando?
Ugqirha wakho uza kukunika imiyalelo yendlela yokulungiselela utyando lwakho, kwaye kubaluleke kakhulu ukuyilandela ngokuchanekileyo.
- Ukuzila Ukutya: Uza kucelwa ukuba uyeke ukutya okanye ukusela malunga neeyure ezisi-8 ngaphambi kotyando.
- Amayeza: Ukuba usebenzisa amanye amayeza, buza ugqirha wakho ukuba kufuneka uyeke ukuwasebenzisa okanye ungawasela na ngamanzi. Musa ukuyeka ukusebenzisa amayeza ngaphandle kwengcebiso kagqirha.
- Umntu oza kukunceda: Kuya kufuneka uhlale esibhedlele usuku okanye ezimbini emva kotyando. Lungiselela kwangaphambili ukuba umntu akukhaphe uye ekhaya.
Yintoni onokuyilindela emva kotyando?
Ngokwesiqhelo kuya kufuneka uhlale esibhedlele usuku olunye okanye ezimbini. Ngeli xesha:
- Ungatya kwaye usele ngokwesiqhelo emva kotyando.
- Ungahambahamba kancinci, ujikeleze kancinci. Kodwa kubalulekile ukuphumla, njengoko ugqirha esitsho.
- Ii-antibiotics zinikwa ukuthintela usulelo.
- I-catheter yeFoley ingafakwa. Iya kususwa xa ubuyela ekhaya.
- Olu tyando lunokubangela ukudumba kwe-urethra, nto leyo enokubangela iintlungu kunye nokuqaqamba kwesinyi. Ugqirha uza kunika amayeza okudambisa iintlungu afunekayo koku.
Kuthetha ukuthini ukubeka i-stent?
Amaxesha amaninzi, ngexesha lotyando, kufakwa ityhubhu yeplastiki ebhityileyo ngaphakathi kwi-ureter entsha eqhagamshelweyo ukuze ivuleke ide iphole. Oku kubizwa ngokuba yi-`(Stent).` Le yinto ebekwa okwethutyana. Le `(Stent)` isuswa emva kokuba izintso ziphilile kwiiveki ezimbalwa.
Zithini iingenelo kunye neengozi?
Njengakwezinye iindlela zotyando, kukho iingenelo kunye neengozi ezibandakanyekileyo. Ugqirha wakho uza kukuchazela ngokweenkcukacha ezi zinto.
| Iinzuzo | Iingozi |
|---|---|
|
Ixesha lokuchacha kunye nendlela yokunyamekela ekhaya
Uza kuqala ukuziva ungcono kwiveki enye okanye ezimbini . Ide isuswe i-stent, unokufumana iintlungu xa uchama kunye negazi elincinci kumchamo wakho. Oku kuqhelekile. Uya kukwazi ukubuyela kwimisebenzi yakho yesiqhelo kwiiveki ezintathu ukuya kwezine .
Zikhathalele ezi zinto ekhaya:
- Sela amanzi amaninzi. Kulungile kakhulu ukusela ubuncinane iilitha ezi-2-3 zamanzi ngosuku.
- Sela amayeza (iintlungu, ii-antibiotics) achazwe ngugqirha ngexesha.
- Susa ibhandishi kwindawo yokusikwa njengoko ugqirha wakho eyalele. Yigcine icocekile kwaye yomile.
- Kuphephe ukuhlamba esinkini. Kungabangela usulelo. Kulungile ukuhlamba.
- Kuphephe ukuphakamisa iintsimbi okanye ukwenza umsebenzi onzima kangangeeveki ezine ukuya kwezintandathu.
Ufanele uye nini kugqirha ngoko nangoko?
Lumka kakhulu ngezi mpawu. Ukuba unayo nayiphi na kwezi, kufuneka uthethe nogqirha wakho ngokukhawuleza ngaphandle kokuchitha ixesha.
- Ukucaphuka okanye ukuhlanza okungapheliyo.
- Iimpawu zosulelo ezifana nomkhuhlane , ukubomvu okujikeleze indawo etyumkileyo, ukudumba, kunye nokuphuma kobofu.
- Intlungu ebuhlungu engenakulawuleka nokuba ngamayeza.
- Ukuba umchamo ubomvu kakhulu kwaye uphuma igazi elininzi kunye namahlwili.
- Ukuba ufumana iintlungu esifubeni okanye ubunzima bokuphefumla , yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko.
Olu tyando luphumelele ngaphezu kwe-95%, oko kuthetha ukuba abantu abalithoba kwabalishumi. Ngoko ke akukho mfuneko yokukhathazeka ngale nto. Kodwa ukuba ugqirha uthi wena okanye umntwana wakho uyaludinga olu tyando, thetha naye ngayo nayiphi na imibuzo, uloyiko, okanye amathandabuzo onawo ngalo. Ngale ndlela, uya kuba nokuqonda okungcono kunye noxolo lwengqondo.
Umyalezo Wokuya Ekhaya
- I-Pyeloplasty lutyando olwenziwayo ukulungisa ukuvaleka kombhobho othwala umchamo ukusuka kwizintso ukuya kwisinyi (ukuvaleka kwe-UPJ).
- Oku ngoku kudla ngokwenziwa ngokusikwa okuncinci kakhulu (okungenabungozi kangako), ngoko ke ukuchacha kuyakhawuleza.
- I-stent yexeshana ingafakwa emva kotyando ukunceda ekuphilisweni.
- Olu tyando luphumelele kakhulu kwaye lunceda ekuthinteleni iintlungu, usulelo, kunye nomonakalo kwizintso.
- Ngaphambi kokuba wenze naluphi na utyando, thetha ngokukhululekileyo nogqirha wakho malunga neenzuzo, iingozi, kunye nayo nayiphi na imibuzo onokuba nayo.
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