Usenokuba novalo kancinci xa ugqirha wakho ekuxelela ukuba udinga i-ureteral stent. Xa uninzi lwethu sicinga nge-stent, sicinga nge-stent ebekwe entliziyweni. Kodwa le yinto eyahlukileyo ngokupheleleyo. Sisixhobo esincinci esinceda inkqubo yakho yezintso isebenze kakuhle. Ngoko ke akukho mfuneko yokoyika. Namhlanje, siza kuthetha ngale nto ngendlela elula kakhulu onokuyiqonda.
Ngamafutshane, yintoni i-ureteral stent?
Cinga ngezintso ezimbini emzimbeni wethu njengezihluzo zamanzi ezimbini. Ezi zihluzo zinemibhobho emibini emincinci ethwala umchamo (umchamo) ococwa zezi zihluzo zimbini ukuya kwisinyi. Ezi mibhobho mibini zezo sizibiza ngokuba yi-'ureters' okanye indlela yomchamo.
I-ureteral stent yityhubhu ebhityileyo neguquguqukayo eyenziwe nge-silicone okanye i-polyurethane. Ifakwa ngaphakathi kwi-ureter, ityhubhu ethwala umchamo, ukunceda ukuyigcina ivulekile kwaye ivulekile. Kufana nokufaka ityhubhu encinci kumbhobho wamanzi ovaliweyo ukunceda ukuvula indlela.
Le stent imalunga ne-10-15 intshi ubude. Yenzelwe ukuba elinye icala layo lihlale ngaphakathi kwezintso kwaye elinye icala lihlale ngaphakathi kwesinyi. Oku kukwabizwa ngokuba yi-'Double-J stent'.
Kutheni kufuneka sifake le stent?
Isizathu esiphambili kukuba i-ureter ivalekile ngesizathu esithile (ukuvaleka kwe-ureteral). Xa oku kusenzeka, umchamo awuphumi kwizintso uye kwisinyi. Oku kunokubangela umonakalo kwizintso kwaye kukhokelele kwiintsholongwane. I-stent isebenza ngokuthintela ukuvaleka kwaye idale indlela yokuba umchamo uphume.
Jonga itheyibhile engezantsi ukuze ubone izizathu eziphambili zokubeka le stent.
| Isizathu | Inkcazo |
|---|---|
| Amatye Ezintso | Le yeyona nto ixhaphakileyo. Ukuba ilitye lezintso libhajwe kwi-ureter kwaye livala ukuhamba komchamo, kufakwa i-stent ukuze idlule ilitye kwaye yenze indlela yokuba umchamo uphume. Isetyenziswa emva kokuba ilitye linyangiwe kwaye kuthintelwe ityhubhu ukuba idumbe. |
| Emva kotyando | Emva kotyando kwinkqubo yomchamo, indawo inokuvuvukala ize ivale i-urethra. Kubekwa i-stent yexeshana ukuthintela oku. |
| Iithumba | Ukuba ithumba elinomhlaza okanye elingelilo umhlaza liphuma lize livale i-urethra, kufuneka i-stent ukuze lihlale livulekile. |
| Ezinye izizathu | Zikwasetyenziswa kwiimeko zokuqhekeka kwegazi, amanxeba abangelwa zizifo ezifana ne-endometriosis, okanye ukuncitshiswa kwe-urethra yokuzalwa. |
Ngaba ukufakwa kwe-stent lutyando olukhulu? Ndingayilungiselela njani loo nto?
Hayi, olu ayilotyando lukhulu . Olu lutyando olungenabungozi kangako. Oko kuthetha ukuba lwenziwa ngomngxuma wendalo, ngaphandle kokwenza umngxuma omkhulu. Kwiimeko ezininzi, ungaya ekhaya ngaloo mini inye. Nangona kunjalo, kuba uphantsi kwe-anesthesia, uya kufuna umntu oza kukusa ekhaya.
Ngaphambi kotyando, ugqirha uza kukuxelela oku kulandelayo:
- Sixelele ngembali yakho epheleleyo yezonyango kunye nazo naziphi na izinto ezibangela ukuba ungabi namdla.
- Xelela ugqirha wakho ngazo zonke iiyeza ozisebenzisayo (kuquka neevithamini) . Amanye amayeza anokunyusa ukopha.
- Bathi makwenziwe uvavanyo lwegazi (eGFR) ukujonga ukusebenza kwezintso.
- Uza kucelwa ukuba ungatyi okanye ungaseli nto kangangeeyure ezisi-8 ngaphambi kotyando. Ukuba kukho amayeza abalulekileyo, uza kuvunyelwa ukuba uwasele kunye nesiselo samanzi.
Isebenza njani inkqubo yokufaka i-stent?
Oku kudla ngokwenziwa yingcali yomgudu womchamo. Uza kunikwa i-anesthesia eqhelekileyo, ukuze ungaziva nto kwaye uza kube ulele.
Emva kokuba ulele, ugqirha uza kulandela la manyathelo:
1. Okokuqala, kusetyenziswa iskeni (i-fluoroscopy okanye i-kidney ultrasound) ukuze kufunyanwe indawo echanekileyo yokuvaleka kwale ntsholongwane.
2. Emva koko, isixhobo esincinci, eside esinekhamera eqhotyoshelweyo (i-'cystoscope') sidluliselwa kwi-urethra yakho siye kwisinyi sakho.
3. Ngale `cystoscope`, isixhobo esincinci ngakumbi esifana nentambo (`ucingo oluqondisayo`) sidluliselwa kwi-urethra evalekileyo.
4. I-stent ifakwe kwindawo echanekileyo ecaleni kwentambo yesikhokelo.
5. Nje ukuba i-stent ibekwe endaweni yayo, i-guidewire kunye ne-cystoscope zisuswa ngononophelo. I-stent ihlala ngaphakathi emzimbeni.
Lonke olu tyando luthatha ngaphantsi kwemizuzu engama-30, kodwa kuya kufuneka uhlale esibhedlele iiyure ezimbalwa ukuze ulungiselele utyando kwaye ujonge imeko yakho emva koko.
Kwenzeka ntoni emva kokuba i-stent ifakiwe? Yintoni onokuyilindela?
Emva kotyando, uza kuziva udiniwe kancinci xa uvuka. Uza kunikwa amayeza okulawula iintlungu. Ugqirha uza kukuxelela ukuba usele amanzi amaninzi . Oku kuya kunceda ukukhupha izintso zakho kunye nesinyi.
Ezi zinto ziqhelekile kwiintsuku ezimbalwa zokuqala:
- Igazi elincinci kumchamo (i-hematuria): Oku kuya kuncipha kancinci kancinci.
- Ukungakhululeki okanye ukutsha kancinci xa uchama: Oku kuya kuphela emva kweentsuku ezimbalwa.
- Ukufuna ukuchama rhoqo: Oku kunokwenzeka kuba i-stent ivuselela isinyi.
- Ukuva intlungu encinci kwindawo apho izintso zikhona (kumacala omabini omqolo ongezantsi) xa uchama: Oku kunokwenzeka nakwabanye abantu.
Ezi ntlungu zinokuhlala ixesha elide i-stent isekho. Nangona kunjalo, ukuba ufumana iintlungu ezinganyamezelekiyo okanye ukopha kakhulu , yazisa ugqirha wakho ngoko nangoko.
I-stent kufuneka ibe kwindawo yayo ixesha elingakanani?
Kuxhomekeke kwimeko yakho. Uninzi lwexesha, ezi zezokwexeshana . Zingashiywa endaweni yazo iintsuku ezimbalwa ukuya kwiiveki ezimbalwa. Ugqirha wakho uza kuzisusa xa imeko yakho iphucukile.
Nangona kunjalo, abanye abantu (umzekelo, abo imithambo yabo ivalwe sisimila) kufuneka babe ne-stent ixesha elide. Kubantu abanjalo, i-stent endala iyasuswa kwaye kufakwa entsha rhoqo emva kweenyanga ezi-3-6 ukuthintela usulelo.
Uyisusa njani i-stent? Ngaba ibuhlungu?
Ukususa i-stent kulula kakhulu.
- I-Stent enentambo: Ezinye ii-stent zexesha elifutshane zinentambo ebonakalayo esetyenziswa ngugqirha ukususa i-stent.
- Ii-stents ezingenantambo: Ezi zisuswa kusetyenziswa i-cystoscope njengoko zifakwa. Ijeli yokufunxa ifakwa kwindawo leyo, ukuze ungaziva ntlungu ingako. Ungaziva ungakhululekanga kancinci.
Kusenokubakho ukutsha okuncinci okanye ukungakhululeki kangangeentsuku ezimbini emva kokususwa. Oku kuqhelekile.
Zithini iingenelo kunye neengxaki ezinokubakho?
Njengakwezinye iinkqubo zonyango, kukho iingenelo kunye neengxaki ezincinci/iingxaki.
| ✅ Iingenelo | ⚠️ Iingxaki Ezinokwenzeka |
|---|---|
| Yenza umchamo uhambe kakuhle. | Ukurhawuzelelwa sisinyi. |
| Ithintela ukonakala kwezintso. | Ukufuna ukuchama rhoqo. |
| Inceda ekucoceni umchamo osulelekileyo. | Ukutsha okanye intlungu xa uchama (i-dysuria). |
| Ivumela ityhubhu ukuba iphole emva kotyando. | Usulelo lwendlela yomchamo (UTIs). |
| Inceda ukususa amatye ezintso. | Igazi elincinci kumchamo. |
Ungayinciphisa njani intlungu ebangelwa yi-stent?
Ezi ntlungu zihlala zilawulwa ngeentlungu. Nangona kunjalo, musa ukuthatha naziphi na iintlungu (ezifana ne-'NSAIDs') ngaphandle kokubuza ugqirha wakho. Ngamanye amaxesha ugqirha wakho unokukunika iyeza elikhethekileyo elifana ne-'tamsulosin' ukunciphisa ezi ntlungu.
Ukuba unale mpawu, bonana nogqirha ngokukhawuleza!
Ukuba ufumana nayiphi na kwezi zinto zilandelayo ngelixa une-stent endaweni yayo, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
- Umkhuhlane ophezulu okanye ukubanda (kusenokuba luphawu losulelo).
- Intlungu enganyamezelekiyo, eqatha kwindawo yezintso, ezantsi kwesisu, okanye xa uchama.
- Igazi elibomvu elimnyama okanye amahlwili egazi kumchamo.
- Ukungakwazi ukuchama okanye ukuncipha kokuphuma komchamo.
- Umchamo omdaka omnyama, ivumba elibi .
- Isicaphucaphu nokuhlanza .
Umyalezo Wokuya Ekhaya
- I-stent ye-ureteral sisixhobo esikhuselekileyo, sexeshana esisetyenziselwa ukunciphisa ukuvaleka kwendlela yakho yomchamo. Oku kwahluke ngokupheleleyo kwi-stent ebekwe entliziyweni yakho.
- Kuqhelekile ukuba nokopha kancinci, ukutsha, kunye nokungakhululeki xa uchama emva kokufakwa kwe-stent. Oku kuya kuphela kwiintsuku ezimbalwa.
- Landela imiyalelo kagqirha wakho ngokuchanekileyo, ingakumbi icebiso lokusela amanzi amaninzi.
- Ukuba ufumana iimpawu ezinzulu ezifana nentlungu enganyamezelekiyo, umkhuhlane, okanye ukopha kakhulu, ungathandabuzi ukufuna ingcebiso kagqirha ngoko nangoko.
- Musa ukoyika! Olu lunyango oluqhelekileyo noluphumelelayo. Thetha ngokukhululekileyo nogqirha wakho malunga nezinto ezikuxhalabisayo nezoyikisayo.
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