Kungokwemvelo ngokuphelele ukuzizwa ukhathazekile noma ukhathazekile lapho udokotela encoma ukuhlinzwa kwezinso kuwe noma kothandekayo wakho. Njengoba izinso ziyizitho ezibalulekile, ukukhathazeka okunjalo kuyaqondakala ngokuphelele. Sicela uqiniseke ukuthi ithimba lakho lezokwelapha liyaqonda imizwa yakho futhi lilapha ukuzokusekela. Bazochaza inqubo, imiphumela elindelekile, kanye nenqubo yokululama ngokuningiliziwe ukuze ukhululeke.
Kuyini i-Heminephrectomy?
Ukuhlinzwa kwe-heminephrectomy inqubo yokuhlinzwa lapho kususwa khona ingxenye engasebenzi yezinso kuphela. Udokotela wakho ohlinzayo ngeke asuse sonke isitho, kodwa uzosusa ingxenye engasasebenzi kahle.
Le nqubo ivame ukwenziwa ezimweni ze- Duplex Kidney . Ungase uzibuze ukuthi lokho kusho ukuthini.
Ngokuvamile, ngamunye wethu unezinso ezimbili. Ngokuvamile, izinso ngayinye ine-ureter eyodwa (ipayipi elithwala umchamo liye esinyeni). Kodwa-ke, abanye abantu banesimo sokuzalwa lapho inso eyodwa ihlotshaniswa nama-ureter amabili; lokhu kwaziwa ngokuthi yi- Duplex Kidney .
Sicela uqaphele ukuthi akubona bonke abantu abane- Duplex Kidney ababhekana nezinkinga. Abantu abaningi baphila impilo yabo yonke bengazi nokuthi banalesi simo. Kodwa-ke, ngezinye izikhathi kungaholela ezinkingeni ezithile ezidinga ukunakekelwa kwezokwelapha.
Yiziphi izinkinga ezingabangelwa yi-Duplex Kidney?
I- Duplex Kidney ingaholela ezinkingeni ezintathu eziyinhloko. Ake sibheke ukuthi ziyini.
| Isimo | Ngamagama Alula… |
|---|---|
| I-Vesicoureteral Reflux (VUR) | Lokhu kwenzeka lapho umchamo ugeleza usuka kwesinyeni uye ezinso. Ngokuhamba kwesikhathi, lokhu kungaholela ekulimaleni kwezinso unomphela. |
| I-Ectopic Ureter | Lokhu kwenzeka uma i-ureter ixhuma kwesinye isitho ngaphandle kwesinyi. Lokhu kungasebenzi kahle kungabangela umonakalo kuleyo sitho esizungezile. |
| I-Ureterocele | Ingxenye engezansi ye-ureter ivuvukala njengebhaluni ngaphakathi kwesinye, okuvimbela ukuhamba komchamo okuvamile. Lokhu kubangela ukucindezeleka okwandayo, okungalimaza izinso. |
Nakuba lezi zimo zikhona, uchwepheshe wakho waseNirogi Lanka uzoqala ngokuqapha intuthuko yakho. Kodwa-ke, uma uhlangabezana nokutheleleka njalo komgudu womchamo noma uma izinkinga ezibalwe ngenhla zibangele ukulahlekelwa umsebenzi ngokuphelele engxenyeni yezinso zakho , udokotela wakho angase akuncome ukuthi kususwe i-heminephrectomy.
Kufanele uzilungiselele kanjani ukuhlinzwa?
Ngaphambi kokuhlinzwa kwakho, udokotela wakho womchamo uzochaza ukuhlinzwa ngokuningiliziwe futhi athole imvume yakho enolwazi. Uzophinde uhlolwe ngaphambi kokuhlinzwa ukuqinisekisa ukuthi uphilile ngokwanele ngenqubo. Ithimba lakho lezokwelapha lizoxoxa ngqo ngalokhu:
- Umlando wakho ogcwele wezokwelapha .
- Yonke imithi oyithathayo njengamanje. Lokhu kufaka phakathi imithi kadokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, izithasiselo zamakhambi, kanye namavithamini. Eminye imithi, ikakhulukazi imithi yokunciphisa igazi, kumele imiswe njengoba yandisa izingozi zokopha.
- Noma yikuphi ukungezwani komzimba okwaziwayo onakho.
Uzothola imiyalelo ecacile yokuthi kufanele uyeke nini imithi ethile nokuthi kufanele uqale nini ukuzila ukudla (ukugwema ukudla nokuphuza) ngaphambi kokuhlinzwa kwakho.
Ukuhlinzwa kwenziwa kanjani?
Kunezindlela ezintathu eziyinhloko: ukuhlinzwa okuvulekile, ukuhlinzwa kwe-laparoscopic, kanye nokuhlinzwa okusizwa yirobhothi.
| Indlela Yokuhlinzwa | Indlela kanye Nezinzuzo |
|---|---|
| Vula i-Heminephrectomy | Udokotela ohlinzayo wenza ukusika okungamasentimitha angu-12 ohlangothini oluphakathi kwezimbambo kanye nesinqe, okuvumela ukufinyelela ngqo ezinso ukuze kususwe ingxenye engasebenzi. |
| Ukuhlinzwa kwe-Laparoscopic | Esikhundleni sokusika okukodwa okukhulu, kwenziwa ukubhoboza okuncane okuningana. Kufakwa ikhamera (i-laparoscope) kanye namathuluzi akhethekile ukuze kususwe. Lokhu kuphumela ezibazini ezincane kanye nokululama okusheshayo. |
| Ukuhlinzwa Kwerobhothi | Kufana ne-laparoscopy, kodwa udokotela wakho ohlinzayo ulawula izingalo zerobhothi ngokunemba okuphezulu, okuvumela ukunemba okuthuthukisiwe ngesikhathi senqubo. |
Ngaphambi kokuba kuqale ukuhlinzwa, udokotela wezinzwa uzokunikeza umuthi wokubulala izinzwa ojwayelekile , aqinisekise ukuthi ulele futhi awuzwa ubuhlungu. I-catheter yomchamo (i-catheter ye-Foley) nayo izobekwa ukuze isinye sigcine singenalutho. Inqubo ivame ukuthatha amahora amabili kuya kwamathathu .
Kwenzekani ngemva kokuhlinzwa, futhi isikhathi sokululama singakanani?
Uzoqashwa egumbini lokululama uze uvuke futhi impilo yakho izinzile. Imithi yokulawula ubuhlungu izonikezwa uma kudingeka.
Isikhathi sokululama sincike endleleni yokuhlinzwa:
- Ngemva kokuhlinzwa kwe-laparoscopic noma kwe-robotic , ungabuyela emisebenzini evamile zingakapheli amasonto angu-4-6 .
- Ngemva kokuhlinzwa okuvulekile , ukululama okuphelele kungathatha amasonto angu-8-12 .
Ngesikhathi sokululama, udokotela wakho uzokukhuthaza ukuhamba kancane ukuze kuthuthukiswe ukujikeleza kwegazi futhi kuvimbele izinkinga ezifana nokuqhekeka kwegazi noma i-pneumonia. Kodwa-ke, kumelwe ugweme ukuphakamisa noma yini esinda ngaphezu kuka-4.5kg (cishe isisindo segaloni lamanzi) .
Izinto okufanele uzicabangele ngokudla
Yebo. Emasontweni amane okuqala, hlose ukuphuza izingilazi zamanzi ezingu-6-8 nsuku zonke futhi ugxile ekudleni okulula nokugayeka kalula. Ungase welulekwe ukuthi ugweme ukudla okuthile kuze kube yilapho ukuhamba kwakho kwamathumbu kubuyela esimweni esijwayelekile.
| Ukudla Okunconyiwe | Ukudla Okufanele Ukugweme |
|---|---|
|
Isikhathi Sokuxhumana Nodokotela Wakho Ngokushesha
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuhlinzwa kwakho, sicela uxhumane nodokotela wakho ngokushesha noma uvakashele uMnyango Wezimo Eziphuthumayo oseduze.
- Ubunzima bokuphefumula
- Ukopha ngokweqile endaweni yokusikwa
- Ukuhlukaniswa kwemiphetho yenxeba
- Izimpawu zokutheleleka: Lokhu kufaka phakathi ukubomvu, ukuvuvukala, ukushintsha kombala onsomi/onsundu/omnyama endaweni, umkhuhlane, noma ukuphuma kwegazi okunephunga elibi.
- Ubuhlungu obungabekezeleleki noma obubi kakhulu
- Ubuhlungu emilenzeni
- Igazi emchameni wakho
Kujwayelekile ukuzizwa ukhathazekile ngokuhlinzwa. Imibuzo efana nokuthi, "Ingabe ukuhlinzwa kuzophumelela?" noma "Kuthiwani uma izimpawu zami ziba zimbi kakhulu?" ingokwemvelo. Zama ukugxila emiphumeleni emihle: "Impilo yami izoba ngcono kangakanani ngemva kwalokhu?" noma "Ingabe lokhu kuzoqeda lezo zifo eziphindaphindayo?" Ukushintsha umbono wakho kungakusiza uzizwe ukhululekile ngesikhathi sokululama kwakho.
Izinto Ezibalulekile Ezithathwayo ezivela eNirogi Lanka
- Ukususwa kwe-heminephrectomy inqubo esusa kuphela ingxenye engasebenzi yezinso, ilondoloze ingxenye enempilo.
- Lokhu kuhlinzwa kuvame ukwenziwa ukuze kuxazululwe izinkinga ezivela esimweni sokuzalwa esaziwa ngokuthi yi-Duplex Kidney.
- Kuye ngesimo sakho esithile, ukuhlinzwa kungenziwa njengenqubo evulekile, ye-laparoscopic, noma yerobhothi. Isikhathi sakho sokululama sizohluka ngokuya ngendlela esetshenzisiwe.
- Landela imiyalelo kadokotela wakho ngemva kokuhlinzwa ngokunembile, ikakhulukazi mayelana nokudla kwakho kanye nemikhawulo yokuphakamisa izinto ezisindayo.
- Funa usizo lwezokwelapha oluphuthumayo uma ubona izimpawu eziyisixwayiso ezifana nobunzima bokuphefumula, ukopha okukhulu, noma izimpawu zokutheleleka.
- Njalo zizwe ukhululekile ukukhuluma ngokukhululekile nethimba lakho lezokwelapha nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho; silapha ukuzokusekela ukululama kwakho.
Ukuhlinzwa Kwe-Heminephrectomy, Ukuhlinzwa Kwezinso, Izinso Ezimbili, Isifo Sezinso, Izinqubo Zokuhlinzwa, I-Vesicoureteral Reflux, I-Ureterocele
