Mhlawumbi ugqirha wakho ukuxelele ukuba unelitye lezintso. Okanye mhlawumbi uziva ungakhululekanga ngenxa yokuvaleka kwendlela yakho yomchamo. Ngexesha elinje, kuyinto eqhelekileyo ukuziva usoyika kwaye unexhala xa ugqirha wakho ekuxelela ukuba kufuneka ufake i-stent. Kodwa ungakhathazeki, namhlanje siza kuthetha ngokuba yintoni i-stent ye-ureteral, yintoni eyenzayo, kwaye ivakala njani xa unayo.
Yintoni i-Ureteral Stent?
Ngamafutshane, le yityhubhu ebhityileyo kakhulu, eguquguqukayo eyenziwe nge-silicone okanye iplastiki. Umzimba wethu unemibhobho emibini emincinci ethwala umchamo ukusuka kwizintso ukuya kwisinyi, esizibiza ngokuba zii-ureters. Le stent isetyenziselwa ukuyigcina ivulekile xa kukho ukuvaleka okanye ukuvaleka kwenye yezo ureters.
Njengokuba umbhobho wamanzi uvalekile ngothuli, amanzi ayayeka ukuhamba. Xa i-urethra yethu ivalekile, umchamo awukwazi ukudlula ukusuka kwizintso uye kwisinyi. Into eyenziwa yile stent kukufaka le tube incinci ngaphakathi kwendlela evalekileyo, kudala indlela yokuba umchamo udlule ngaphandle kokuphazamiseka.
Le stent imalunga ne-intshi ezili-10 ukuya kwezili-15 ubude. Ugqirha uyayifaka ukuze i-coil ekwisiphelo esiphezulu ibe ngaphakathi kwezintso kwaye i-coil ekwisiphelo esisezantsi ibe ngaphakathi kwesinyi. Ezi coil zimbini zigcina i-stent isendaweni yayo ngaphandle kokujikeleza. Abanye abantu babiza le 'stent ephindwe kabini'.
Kutheni kufuneka ufake le stent?
Eyona sizathu siphambili kukuphepha naluphi na uthintelo ekuphumeni komchamo kunye nokuthutha umchamo uye esinyini ngaphandle kokonakalisa izintso. Kunokubakho izizathu ezininzi zoku.
| Isizathu sokubeka i-stent | Icacisiwe ngokulula |
|---|---|
| Amatye Ezintso | Amatye ezintso (i-renal calculi) anokungena kwi-ureter, ethintela ukuhamba komchamo. I-stent idala indlela eyahlukileyo yokuhamba komchamo ngelixa ilitye lisekho. Ikwabekwa ukuthintela umbhobho ekudumbeni emva kokuba ilitye linyangiwe. |
| Iithumba | Ngamanye amaxesha, umhlaza okanye ezinye iithumba zinokucinezela ngaphandle kwe-urethra, nto leyo ebangela ukuba ivaleke. I-stent inceda ukugcina ityhubhu ivulekile nxamnye noxinzelelo. |
| Emva kotyando | Emva kotyando kwinkqubo yomchamo, indawo inokuvuvukala ize ivaleke okwethutyana. Kubekwa i-stent ukunceda umchamo uphume de ukudumba kwehle. |
| Isiva | Ukuvaleka kwe-urethra kunokubangela ukuvaleka ngenxa yosulelo lwangaphambili, utyando, okanye iimeko ezifana ne-endometriosis. I-stent inokunceda ukugcina indawo evalekileyo ivulekile. |
Eyona nto ibalulekileyo kukuba ukuba umchamo uyeka ukusebenza ngenxa yesizathu esithile, oko kunokubangela umonakalo omkhulu kwizintso, kubangele usulelo, mhlawumbi nokungasebenzi kakuhle kwezintso. Oko kwenziwa yi-stent kukuthintela ezo meko zinzima.
Ngawaphi amalungiselelo ekufuneka enziwe ngaphambi kokuba i-stent ibekwe?
Ekubeni olu lutyando, ugqirha wakho uza kukunika imiyalelo ethile ngaphambi kwalo. Kubaluleke kakhulu ukulandela le miyalelo ngokuchanekileyo.
- Imbali yakho epheleleyo yempilo: Xelela ugqirha wakho yonke into onayo, kuquka nezinye izifo oye wazifumana, kunye notyando olwenzekileyo ngaphambili.
- Amayeza owasebenzisayo: Kubaluleke kakhulu ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka iivithamini kunye namayeza esintu. Amanye amayeza (afana ne-blood thinners) anokunyusa umngcipheko wokopha ngexesha lotyando.
- Ii-Allergy: Ukuba une-allergies kuyo nayiphi na imithi okanye ukutya, qiniseka ukuba uyayikhankanya loo nto.
- Uvavanyo lwegazi: Usenokucelwa ukuba wenze uvavanyo lwegazi, olufana ne-eGFR, ukuze ubone ukuba izintso zakho zisebenza kakuhle na.
- Ukuzila Ukutya: Uza kucelwa ukuba uyeke ukutya okanye ukusela kangangeeyure ezisi-8 ngaphambi kotyando. Nangona kunjalo, ukuba unawo nawaphi na amayeza abalulekileyo, buza ugqirha wakho ukuba angathathwa namanzi.
Ingaba lo ngumsebenzi omkhulu?
Hayi, uninzi lwexesha olu lutyando olulula, olungenamikrwelo mikhulu okanye amanxeba. Oogqirha bathi 'luyingxuma encinci'. Oko kuthetha ukuba akukho monakalo mkhulu emzimbeni. Ungaya ekhaya rhoqo ngokuhlwa. Kodwa kuba uphantsi kwe-anesthesia, kubalulekile ukuba umntu eze kukuthatha akuse ekhaya.
Kwenzeka ntoni xa kufakwa i-stent?
Olu tyando lwenziwa yingcali yotyando lomchamo. Lonke olu tyando lwenziwa phantsi kwe-anesthesia eqhelekileyo, ngoko awuyi kuva nto kwaye uza kulala ubuthongo obunzulu.
1. Ukuskena: Okokuqala, ugqirha usebenzisa uhlobo lwe-X-ray (fluoroscopy) okanye i-ultrasound scan ukuze afumane kanye apho kuvaliwe khona kwi-urethra.
2. Ukufakwa kwe-cystoscope: Okulandelayo, kufakwa ityhubhu encinci, ende enekhamera eqhotyoshelweyo (i-'cystoscope') nge-urethra yakho nakwisinyi sakho.
3. Ukufakwa kwe-stent: Okulandelayo, ucingo oluncinci kakhulu (`ucingo oluyisikhokelo`) ludluliselwa kwi-`cystoscope` ukuya kwi-urethra evaliweyo. Emva koko i-stent ikhokelwa kuloo cingo ukuya kwindawo efanelekileyo.
4. Ukugqitywa: Nje ukuba i-stent ibekwe kakuhle, ucingo kunye ne-cystoscope ziyasuswa. Kusala i-stent kuphela ngaphakathi.
Lonke olu tyando luthatha ngaphantsi kwemizuzu engama-30, kodwa kuya kufuneka uhlale esibhedlele iiyure ezininzi, kuquka nexesha lokulungiselela utyando, ukuchacha emva kotyando, nokuqinisekisa ukuba uphilile.
Yintoni onokuyilindela emva kokufakwa kwe-stent?
Xa uvuka emva kokusebenzisa i-anesthesia, uza kuziva udiniwe kwaye ulele kancinci. Uza kunikwa amayeza okulawula iintlungu.
- Igazi kumchamo (i-hematuria): Kuqhelekile ukuba negazi elincinci kumchamo kunye nokubomvu okubomvu kwiintsuku ezimbalwa zokuqala. Ungakhathazeki ngayo. Iya kuncipha kancinci emva kweentsuku ezimbalwa. Nangona kunjalo, usenokubona igazi elincinci de i-stent isuswe.
- Ukungakhululeki nentlungu: Usenokuziva utsha kancinci okanye intlungu (`dysuria`) xa uchama. Usenokuziva ufuna ukuchama rhoqo.
- Sela amanzi amaninzi: Ugqirha wakho uza kukuxelela ukuba usele amanzi amaninzi kangangeentsuku ezimbalwa. Oku kuya kunceda izintso zakho kunye nesinyi sakho sisebenze kakuhle.
I-stent kufuneka ishiywe ixesha elingakanani endaweni yayo? Ndingayisusa njani?
Uninzi lwexesha, i-stent iba yeyokwexeshana . Ugqirha wakho uya kuyisusa emva kokuba ingxaki kwi-urethra yakho (umz., ilitye lisusiwe, ukudumba kuyehla). Ihlala ishiywa endaweni yayo kangangeentsuku ezimbalwa ukuya kwiiveki ezimbalwa.
Kodwa kwabanye abantu, umzekelo, ukuba i-urethra ivalwe sisimila, kusenokufuneka ishiywe endaweni yayo kangangeenyanga, okanye iminyaka. Kwabo bantu, i-stent endala iyasuswa kwaye kufakwa entsha rhoqo emva kweenyanga ezi-3-6 ukuthintela usulelo (UTIs).
Ngaba kubuhlungu ukususwa kwe-stent?
Kukho iindlela ezimbini zokususa i-stent.
1. I-Stent enentambo: Ezinye ii-stent zexesha elifutshane zinentambo encinci ekupheleni. Iphuma kwi-urethra. Ugqirha utsala intambo kancinci aze ayisuse i-stent. Le yinkqubo ekhawulezayo.
2. Ii-stents ezingenantambo: Ii-stents ebezikho kangangeeveki ezininzi okanye ngaphezulu azinantambo. Zisuswa kwinkqubo encinci eyenziwa eofisini kagqirha. Okokuqala, kufakwa isisombululo sokuxilonga kwindawo leyo, kufakwa i-cystoscope, kwaye i-stent isuswe nge-forceps encinci. Ukuxilonga akubangeli ntlungu ingako. Nangona kunjalo, kunokubakho ukungakhululeki kunye nentlungu kangangeentsuku ezimbalwa emva kokuba ukuxilonga kuphelile.
Yintoni enokwenziwa ngeengxaki kunye nentlungu ezenzekayo xa une-stent?
Ngelishwa, malunga ne-80% yabantu abane-stent baya kuba neengxaki ezincinci. Ezi azisoloko zimbi kangako.
- Ukucaphuka kwesinyi
- Ukudinga rhoqo ukuchama
- Intlungu okanye ukutsha xa uchama
- Igazi elincinci kumchamo
- Umngcipheko okhulayo wosulelo lwendlela yomchamo (ii-UTI)
Kutheni kubuhlungu kangaka xa ndine-stent endaweni yam?
Oku akufani kuye wonke umntu. Abanye abantu banokuziva bengakhululekanga kangako, ngelixa abanye banokuziva iintlungu ezingaphezulu. Isizathu esiphambili kukuba xa uchama, isinyi siyafinyela. Emva koko i-coil engaphakathi kwi-stent igudla udonga lwesinyi. Yiyo loo nto abanye abantu beva iintlungu.
Yintoni enokwenziwa ukunciphisa iintlungu?
- Iipilisi zokunciphisa iintlungu: Ungasebenzisa i-paracetamol okanye iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal (NSAIDs) (umz. i-ibuprofen). Kodwa ungaze uthathe naziphi na iintlungu ngaphandle kokubonisana nogqirha wakho .
- Amayeza akhethekileyo: Ngamanye amaxesha ugqirha wakho uya kukunika amayeza afana ne-tamsulosin. Nangona la ngamayeza anikwa amadoda ngenxa yeengxaki ze-prostate, anokunceda kakhulu kwiintlungu kunye nokungonwabi okubangelwa yi-stent.
Ufanele umfowunele nini ugqirha?
Nangona ukungakhululeki okuncinci kuyinto eqhelekileyo xa une-stent, ukuba ufumana naziphi na iimpawu ezilandelayo, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
| Iimpawu zesilumkiso ekufuneka uziqaphele | |
|---|---|
| Intlungu ebuhlungu | Intlungu esiswini okanye kwizintso ezingenakulawulwa okanye ezinganyamezelwa nokuba usebenzisa amayeza okudambisa iintlungu. |
| Iimpawu zosulelo | Ukuba nomkhuhlane ophezulu, ukungcangcazela nokuziva ubanda. |
| Utshintsho kumchamo | Amahlwili egazi kumchamo, umchamo onevumba elibi kakhulu okanye omnyama kakhulu okanye onombala omdaka. |
| Ukungakwazi ukuchama | Isidingo sokuchama kodwa akukho mchamo uphumayo. Oku kuthetha ukuba i-stent isenokubambeka. |
| Ukuhlanza kunye nesicaphucaphu | Ukucaphuka nokuhlanza okungapheliyo. |
Umyalezo Wokuya Ekhaya
- I-stent yokucoca ureteral yindlela ekhuselekileyo nephumelelayo yokunceda ukuhambisa umchamo ukusuka kwizintso ukuya kwisinyi.
- Emva kokufakwa i-stent, kuyinto eqhelekileyo ukuba negazi elithile kumchamo wakho, kufuneka uchame rhoqo, kwaye uve iintlungu. Musa ukoyika loo nto.
- Kubantu abaninzi, le yinkqubo yexeshana. Ugqirha uza kuyisusa xa ingxaki yakho isonjululwe.
- Yeka ukwenza umsebenzi onzima okanye umthambo onzima kangangeentsuku ezimbalwa. Sela amanzi amaninzi.
- Ukuba ufumana naziphi na iimpawu ezifana nentlungu enganyamezelekiyo, umkhuhlane, okanye igazi kumchamo wakho, musa ukuzityeshela kwaye wazise ugqirha wakho ngoko nangoko . Musa ukuthandabuza ukuthetha nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo.
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