Ngaba wakha waba nentlungu engathethekiyo, eqala ecaleni lomqolo wakho ize yehle iye esiswini sakho esisezantsi? Ngamanye amaxesha le ntlungu ihamba nesicaphucaphu kunye negazi kumchamo wakho. Nabani na okhe wahlangabezana nale ntlungu uyazi ukuba kunzima kangakanani. Uninzi lwexesha, le ntlungu inzima ibangelwa ngamatye ezintso okanye amatye kwindlela yomchamo. Ngaphambili, kwakufuneka utyando olukhulu ukuze kususwe la matye. Kodwa ngoku, isayensi yezonyango ihambele phambili. Namhlanje, siza kuthetha nge-Ureteroscopy, indlela esebenzayo nelula esetyenziswa ukususa amatye anjalo.
Yintoni kanye kanye i-Ureteroscopy?
Ngamafutshane, i-Ureteroscopy yinkqubo esebenzisa ityhubhu encinci kakhulu, ende, neguquguqukayo enekhamera (ureteroscope) ukuze yehle kwi-urethra yakho kwaye isuse okanye ihlole amatye kwi-ureters kunye nezintso zakho. Ayinazinxeba emzimbeni wakho, ngoko ke uyaphola ngokukhawuleza.
Khawucinge nje, unemibhobho emibini emincinci kakhulu ethwala umchamo ukusuka kwizintso zakho ukuya kwisinyi sakho. Sibiza ezi ngokuthi zii-ureters. Ngamanye amaxesha, xa amatye ezintso ehamba phantsi kwezi mibhobho, loo ntlungu imbi ifika. I-Ureteroscopy yindlela esebenzayo kakhulu yokususa la matye anamatheleyo. Le yinkqubo edla ngokuba yeyokunyanga ngaphandle enokwenziwa ngaloo mini, ngaphandle kokuhlala esibhedlele.
Oku kuquka ukufaka ikhamera encinci ngesithuba sendalo emzimbeni wakho (i-urethra). Ngoko ke, akukho zisikelo zenziwayo ngaphandle.
Lwenziwa njani olu nyango?
Uza kuba ungekho zingqondweni ngokupheleleyo (uphelelwe yi-anesthesia) ngeli xesha le nkqubo. Ngoko ke awuyi kuva ntlungu. Ugqirha uza kufaka ityhubhu encinci ebizwa ngokuba yi-ureteroscope nge-urethra yakho, ngesinyi sakho, aze anyuse i-ureter apho kukho ilitye khona. Oku kwenziwa ngokujonga imifanekiso evela kwikhamera ekwityhubhu kwisikrini.
Xa sele kufunyenwe indawo echanekileyo yelitye, indlela yokususa ilitye ixhomekeke kubukhulu balo. Kukho iindlela ezimbini eziphambili.
| Ubungakanani belitye | Indlela yonyango |
|---|---|
| Amatye Amancinci | Ukuba ilitye lincinci, ugqirha uza kudlulisa olunye ucingo olubhityileyo kwi-ureteroscope. Ucingo lunengobozi encinci ekupheleni. Emva koko ilitye lisuswa kancinci kwingobozi. |
| Amatye Amakhulu | Ukuba ilitye likhulu, kunzima ukulisusa kwi-ureter. Kwiimeko ezinjalo, i-fiber encinci idluliselwa kwi-ureteroscope kwaye umqadi we-laser ujoliswe kwilitye. Amandla alo mqadi we-laser aqhekeza ilitye elikhulu libe ziingceba ezincinci (ezifana neengceba zesanti). Iziqwenga ezityumkileyo emva koko zihlanjwa lula ngumchamo. |
Ugqirha wakho uza kukumisela eyona ndlela ifanelekileyo ngokusekwe kwindawo, ubungakanani, kunye nohlobo lwelitye lakho.
Ngubani ofuna unyango lwe-ureteroscopy?
Ugqirha unokucebisa olu nyango kwiimeko ezilandelayo:
- Igazi kumchamo: Igazi kumchamo linokubonisa ukwenzakala, usulelo, okanye enye ingxaki kwindawo ethile kwinkqubo yomchamo. Le ndlela inokunceda ekufumaneni unobangela.
- Ukuvaleka komchamo okanye i-ureter: Amatye okanye ezinye iithumba zinokuthintela ukuhamba komchamo. Oku kunokubangela ukudumba kwizintso, okubangela iintlungu eziqatha, kwanokonakala kwezintso. I-ureteroscopy isetyenziselwa ukufumana unobangela wokuvaleka nokukususa.
Ngubani ofanelekileyo koku?
Olu lolona nyango lusebenzayo kakhulu lwamatye akwindlela esezantsi yomchamo, ingakumbi kufutshane nesinyi. Lukhetho olufanelekileyo nakwabo bangafanelekanga kwezinye iindlela zonyango. Umzekelo:
- Kwabomama abakhulelweyo
- Kwabo batyebe kakhulu (abatyebe kakhulu)
- Kwabo baneengxaki zokujiya kwegazi
Ekubeni umngcipheko wotyando oluvulekileyo uphezulu kwaba bantu, indlela efana nale engenasikeko ikhuselekile.
Ndingazilungiselela njani ngaphambi kotyando?
Oku akusoloko kufuna amalungiselelo amaninzi, kodwa kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho.
- Ukuzila Ukutya: Ngenxa yokuba uza kuba phantsi kwe-anesthesia, uza kuxelelwa ukuba ungatyi okanye ungaseli nto iiyure ezi-6-8 ngaphambi kotyando.
- Isampulu yomchamo: Usenokucelwa ukuba unike isampulu yomchamo ukuze ujonge usulelo lomchamo ngaphambi kotyando. Ngoko ke lungela ukulinda iyure okanye ngaphezulu ngaphambi kokuba uye esibhedlele.
- Ndixelele ngamayeza owasebenzisayo: Ngaba uthatha amayeza okunciphisa igazi?Ukuba uthatha amayeza akhethekileyo, afana namayeza okunciphisa igazi, qiniseka ukuba uxelele ugqirha wakho kwangethuba. Ungacelwa ukuba uyeke ukuwasebenzisa kwiintsuku ezimbalwa ngaphambi kotyando.
Yintoni onokuyilindela emva kotyando?
Emva kotyando, uza kujongwa iiyure ezimbalwa, kwaye ukuba akukho ngxaki zinkulu, uza kuvunyelwa ukuba uye ekhaya ngaloo mini inye.
- Ukuya ekhaya: Ngenxa yokuba ungekho zingqondweni, awunakuqhuba imoto okanye ukukhwela ibhasi wedwa. Ngoko ke qiniseka ukuba uzisa umntu oza kukusa ekhaya.
- Ukuthintela iNtsholongwane: Uza kunikwa i-antibiotic oza kuyithatha iintsuku ezimbini ukuya kwezintathu ukuthintela intsholongwane. Ukuba ubonakalisa iimpawu ezifana nomkhuhlane, ukubanda, okanye iintlungu ezingakumbi, ezi zinokuba ziimpawu zosulelo. Ukuba oku kuyenzeka , tsalela umnxeba ugqirha wakho ngoko nangoko.
- Intlungu: Kuqhelekile ukuba nentlungu kangangeentsuku ezimbalwa emva kotyando. Usenokuziva urhawuzelelwa sisisu sakho esisezantsi nangasemqolo. Ugqirha wakho uza kukunika amayeza okuthomalalisa iintlungu ukunceda ukulawula le ntlungu.
Ezi zinto zinokunceda ukunciphisa iintlungu kunye nokungonwabi ekhaya:
- Sela amanzi amaninzi: Kwiiyure ezimbini zokuqala emva kotyando, sela ubuncinane iiglasi ezimbini zamanzi rhoqo ngeyure. Ukusela amanzi amaninzi kuya kunceda ukukhupha amasuntswana elitye kunye negazi ngokukhawuleza.
- Ukuhlamba ngamanzi ashushu: Ngemvume kagqirha wakho, ukuhlamba ngamanzi ashushu kunokunceda ukunciphisa iintlungu nokuqina.
- Ukucinezela okufudumeleyo: Ukufaka ilaphu elicocekileyo elifakwe emanzini afudumeleyo kwi-urethra kunokunceda ukunciphisa ukudumba. Ukufaka ibhegi yamanzi ashushu kwindawo apho izintso zikhoyo kunokunceda ekunciphiseni iintlungu.
- Umbala womchamo: Kuqhelekile ukuba umchamo wakho ube pinki okanye ubomvu kwiintsuku zokuqala. Oku kuthetha ukuba kufuneka usele amanzi amaninzi.
Kuthekani ukuba kufakwa i-stent?
Ngamanye amaxesha, emva kokuba ilitye lisusiwe, i-urethra inokuvuvukala. Ukuba oku kuyenzeka, indlela yomchamo ingavaleka kwakhona. Ukuthintela oku nokunceda i-urethra iphilise ngokukhawuleza, ugqirha unokubeka ityhubhu encinci kakhulu, eguquguqukayo ebizwa ngokuba yi-stent ngaphakathi kwi-urethra.
I-stent ayisiyonto omele uyoyike. Yinto yexeshana. Emva kweveki okanye ezimbini, isuswa kwakhona ngenkqubo encinci. Ngelixa ikwindawo yayo, ungaziva ungakhululekanga kwaye ufuna ukuchama rhoqo.
Zithini iingozi zolu nyango?
Njengakwezinye iinkqubo zonyango, i-Ureteroscopy inomngcipheko omncinci, kodwa amathuba okuba oku kwenzeke aphantsi kakhulu.
- Usulelo
- Ukopha
- Ukwenzakala kwi-ureter
Amaxesha ambalwa kakhulu (malunga notyando olunye kwi-1,000), i-urethra inokonakala kakhulu. Ukuba oku kuyenzeka, unokufuna olunye utyando ukuze uyilungise. Kodwa khumbula ukuba la ngamathuba angaqhelekanga. Ugqirha wakho uza kuthatha onke amanyathelo afunekayo ukunciphisa ezi ngozi.
Umyalezo Wokuya Ekhaya
- I-ureteroscopy yindlela yonyango yanamhlanje ekhuselekileyo nesebenzayo engabandakanyi ukunqunyulwa emzimbeni kwaye isetyenziselwa ukususa amatye kwizintso nakwii-ureters.
- Oku kwenziwa kukungabikho zingqondweni ngokupheleleyo, ngoko awuyi kuva ntlungu ngexesha lonyango.
- Intlungu kunye nokungonwabi okwenzeka emva kotyando kudla ngokuphela kwiintsuku ezimbalwa. Sebenzisa amayeza njengoko kuchaziwe.
- Ukusela amanzi amaninzi emva kotyando kubaluleke kakhulu ukuze uphile ngokukhawuleza.
- Ukuba uqalisa ukuba nomkhuhlane ophezulu, intlungu engalawulekiyo, okanye ezinye iimpawu ezingaqhelekanga, yazisa ugqirha wakho ngokukhawuleza.
- Endaweni yokuba uhlaselwe ngamatye ezintso ngenxa yoloyiko, thetha nogqirha wakho malunga nonyango lwanamhlanje olufana nolu uze ufumane isisombululo esifanelekileyo.
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