Ingabe nawe unamatshe ezinso futhi awukwazi ukubekezelela ubuhlungu? Ngezinye izikhathi, ubuhlungu balamatshe okubhajwa abubekezeleleki, akunjalo? Ngakho-ke, uke wezwa ngokwelashwa okusebenzisa amaza okushaqeka ngaphandle komzimba ukuphula la matshe ngaphandle kokuhlinzwa? Namuhla, ake sixoxe ngalolu hlobo lokwelashwa olubizwa nge-ESWL, noma i-Extracorporeal Shock Wave Lithotripsy.
Kalula nje, iyini i-ESWL?
I-ESWL iyindlela yokwelapha evamile kakhulu, engadingi ukuhlinzwa. Isebenzisa amaza okushaqeka anamandla aphezulu avela ngaphandle komzimba ukuze iphule amatshe ezinso zakho noma ema-ureter abe yizicucu ezincane. Kufana nokushaya itshe elincane ngesando. Izicucu zamatshe eziphukile zibe seziphuma kalula emzimbeni wakho emchameni wakho, njengezinhlayiya zesihlabathi.
Amatshe ezinso akheka lapho ukugcwala kwezinto ezithile, njenge-calcium, emchameni wethu kukhula. Nakuba eqala ukwakheka ezinso, ngezinye izikhathi ayaqhuma futhi ahambe e-ureters, amapayipi athwala umchamo aye esinyeni. Amatshe amancane avame ukuphuma nomchamo. Kodwa amanye amatshe makhulu kancane. Awakwazi ukuphuma kalula kanjalo, abhajwa emapayipini. Yilapho-ke ubuhlungu obungabekezeleleki buvela khona. Ukwelashwa kwe-ESWL kusebenza ngokuphula amatshe abhajwe futhi kwenze indlela yokuphuma kwawo.
Kukuziphi izimo lapho ukwelashwa kwe-ESWL kudingeka khona?
Odokotela bavame ukuncoma ukwelashwa kwe-ESWL ezimweni ezilandelayo:
- Uma amatshe amakhulu: Amatshe avame ukuba makhulu kunamamilimitha angu-5 (cishe ngobukhulu be-pensele raser) kunzima ukuwadlulisa ngomchamo.
- Uma ukugeleza komchamo kuvimbekile: Uma itshe lihlala futhi ukugeleza komchamo kuyeka, izinso zingalimala.
- Uma kukhona ubuhlungu obukhulu: Uma ubuhlungu kunzima ukulawula.
Ngaphambi kokuncoma ukwelashwa kwakho, udokotela wakho uzocabangela ezinye izici eziningana.
| Ukucabangela | Kungani lokho kubalulekile? |
|---|---|
| Usayizi wetshe | Ukwelashwa kwe-ESWL kusebenza kakhulu ematsheni amancane. Amatshe amakhulu angadinga ezinye izindlela zokwelapha. |
| Lapho itshe likhona khona | Kuye ngokuthi itshe likuphi, kunqunywa ukuthi amagagasi okushaqeka angaqondiswa noma cha. |
| Ezinye izimo zakho zempilo kanye nemithi | Lokhu kwelashwa kungaba yingozi uma unezimo ezithile zezokwelapha noma uthatha imithi evimbela ukujiya kwegazi (isib. i-warfarin ). |
| Uhlobo lomzimba wakho | Uma ukhuluphele ngokweqile, ukwelashwa kungase kungasebenzi kahle ngoba amagagasi okushaqeka anebanga elide lokuhamba uye etsheni. |
Uzilungiselela kanjani ngaphambi kokwelashwa?
Udokotela wakho uzochaza ukuthi yini okudingeka uyenze ngaphambi kwalokhu kwelashwa. Lokhu kungafaka:
- Ukuhlolwa kwegazi nomchamo: Ungase ucelwe ukuthi wenze izivivinyo eziningana ukuhlola ukusebenza kwezinso, inani legazi, kanye nokutheleleka komgudu womchamo (UTIs).
- Ulwazi Lwemithi: Tshela udokotela wakho ngayo yonke imithi oyithathayo . Uma uthatha imithi yokunciphisa igazi, ungase ucelwe ukuthi uyeke ukuyithatha ezinsukwini ezimbalwa ngaphambi kokwelashwa kwakho. Ungalokothi uyeke ukuthatha noma yimiphi imithi ngaphandle kweseluleko sikadokotela wakho.
- Ukuzila Ukudla: Uzocelwa ukuthi uyeke ukudla nokuphuza amahora ambalwa ngaphambi kokwelashwa.
- Umuntu ozokuhambisa ekhaya: Njengoba ungeke ukwazi ukushayela ngemuva kokwelashwa, letha umuntu ozokuhambisa ekhaya.
Lokhu kwelashwa kwenziwa kanjani?
Ngaphambi kokuba ukwelashwa kuqale, uzonikezwa umuthi wokwenza kube nezinzwa (`(Anesthesia)`) ukuze uvimbele ukuthi ungezwa ubuhlungu. Ungase ulale ngokuphelele, noma ungase wenziwe uzizwe sengathi udakiwe. Ngezinye izikhathi, indawo engaphansi kwesinqe kuphela engase ibe nezinzwa.
Yilokhu okwenzekayo ngesikhathi sokwelashwa:
1. Uzolaliswa embhedeni okhethekile onomcamelo ogcwele amanzi.
2. Bese, besebenzisa i-X-ray noma i-ultrasound scan, bathola indawo eqondile itshe elikuyo.
3. Umshini nomzimba wakho kulungisiwe ngendlela yokuthi amaza okushaqeka ashaye itshe ngokunembile.
4. Okulandelayo, umshini we-ESWL uthumela amaza okushaqeka anamandla amakhulu emzimbeni aye etsheni. Uma uphapheme, ungase uzwe umsindo othi "tick-tock" ohlangothini.
5. Ngale ndlela, izinkulungwane zamagagasi okushaqeka ziyaqondiswa futhi itshe lichotshozwa libe yizicucu ezincane.
Yonke inqubo ivame ukuthatha cishe ihora , kodwa lesi sikhathi singahluka kuye ngobukhulu nenani lamatshe akho, kanye nempilo yakho.
Ungesabi. Lena akuyona inqubo yokuhlinzwa ehilela ukusika umzimba. Futhi ithimba lezokwelapha lizokwenza konke okudingekayo ukuqinisekisa ukuthi awuzizwa ubuhlungu.
Kwenzekani ngemva kokwelashwa?
I-ESWL ivame ukuba ukwelashwa kwangaphandle, kodwa kuzodingeka uhlale egumbini lokululama amahora ambalwa ngemva kokwelashwa.
Izimpawu ezinjengalezi zingase zivele izinsuku ezimbalwa ngemva kokwelashwa:
- Ubuhlungu bomzimba: Ungase uzwe imihuzuko nobuhlungu endaweni oyelashwe kuyo.
- Igazi emchameni: Kujwayelekile ukuthi umchamo uphenduke umbala opinki.
- Ubuhlungu lapho uchama: Kuvamile ukuzwa ubuhlungu obuncane lapho izingcezu zamatshe achotshoziwe ziphela.
Lezi zimpawu zivame ukuphela zingakapheli izinsuku ezimbalwa.
Kuthatha isikhathi esingakanani ukuthi izingcezu zamatshe ziphume?
Ezinsukwini ezimbalwa noma amasonto ngemva kokwelashwa, ungase ukhiphe izingcezu zamatshe emchameni wakho. Lezi zingase zibukeke njengezinhlayiya zesihlabathi noma izingcezu ezincane zamatshe. Ungase uzwe ubuhlungu lapho lezi zingcezu zidlula. Udokotela wakho angase akunike imithi efana nalokhu:
- `I-Tamsulosin`: Lokhu kukhulula isinyi kanye nomchamo, kusiza amatshe ukuba adlule kalula.
- `I-Ketorolac`: Lokhu kuyisidakamizwa sokuqeda izinhlungu.
Kubaluleke kakhulu futhi ukuphuza amanzi amaningi ukuze kusize ekudluliseni amatshe.
Isikhathi sokuthola iseluleko sezokwelapha ngokushesha
Uma kuvela noma yiziphi izimpawu ezilandelayo, hamba ngokushesha uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze noma wazise udokotela wakho.
| Izimpawu Eziphuthumayo! | |
|---|---|
| 🚨 | Ubuhlungu besisu noma bomhlane obungazelelwe, obungabekezeleleki. |
| 🚨 | Ukucanuzela noma ukuhlanza okuqhubekayo. |
| 🚨 | Umkhuhlane kanye nokubanda. |
| 🚨 | Uma ubuhlungu buba bubi nakakhulu ngisho nangemva kokuthatha imithi yokubulala izinhlungu. |
| 🚨 | Uma kukhona amahlule egazi emchameni. |
Ubani ongafaneleki kulolu hlobo lokwelashwa?
Ukwelashwa kwe-ESWL akufaneleki kwabanye abantu. Isibonelo:
- Abesifazane abakhulelwe
- Abantu abanezinkinga zokopha
- Abantu abangakwazi ukuyeka ukuthatha imithi yokunciphisa igazi
- Abantu abanomfutho wegazi ophakeme ongalawuleki
- Abantu abanezifo zezinso noma umdlavuza
- Abantu abanokukhuluphala ngokweqile
Udokotela wakho ungumuntu ongcono kakhulu ukunquma ukuthi lokhu kwelashwa kukufanele yini, ngakho-ke sicela wabelane naye ngayo yonke imininingwane yakho yezempilo.
Umlayezo Wokuya Nawe Ekhaya
- I-ESWL iyindlela yokwelapha ephephile esebenzisa amaza okwethuka avela ngaphandle komzimba ukuphula amatshe ezinso ngaphandle kokuhlinzwa.
- Lokhu kwelashwa akufanele wonke umuntu. Udokotela wakho uzokutusa kuye ngobukhulu betshe, indawo elikuyo, kanye nesimo sakho sempilo.
- Ngemva kokwelashwa, ungase uzwe ubuhlungu lapho amatshe edlula emchameni wakho. Kubaluleke kakhulu ukuphuza amanzi amaningi.
- Uma unezimpawu ezifana nobuhlungu obungabekezeleleki, umkhuhlane, noma amahlule egazi emchameni wakho, iya e-ETU yesibhedlela ngokushesha.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo noma ukukhathazeka onakho.
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