Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane lapho udokotela ekutshela noma othile omaziyo ukuthi udinga ukuhlinzwa kwezinso. Akumangazi, ikakhulukazi njengoba izinso ziyisitho esibaluleke kakhulu emizimbeni yethu. Kodwa udokotela wakho uyaqonda imizwa yakho. Yingakho ezochaza ukuhlinzwa, imiphumela elindelekile, kanye nesikhathi sokululama kuwe.
Kalula nje, kuyini i-Heminephrectomy?
I-Heminephrectomy (i-hemi-nephrec-to-me) inqubo yokuhlinzwa esusa kuphela ingxenye engasebenzi kahle yezinso zakho. Yonke inso ayisuswa, kodwa ingxenye engasebenzi kahle kuphela.
Lokhu kuhlinzwa kuvame ukwenziwa kubantu abanesifo esibizwa ngokuthi i-Duplex Kidney . Manje ungase uzibuze ukuthi kuyini lokho.
Cabanga nje, sonke sinezinso ezimbili emizimbeni yethu. Ngokuvamile, kune-ureter eyodwa kuphela yokuthwala umchamo usuka enso eyodwa uye esinyeni. Kodwa abanye abantu bazalwa benama-ureter amabili enso eyodwa ngenxa yesimo sokuzalwa. Yingakho siyibiza ngokuthi ``Izinso Ezimbili``.
Kodwa akubona bonke abantu abane-"Duplex Kidney" abazoba nezinkinga. Abanye abantu baphila bengazi nokuthi banalesi simo. Kodwa ngezinye izikhathi kungabangela izinkinga ezithile.
Yiziphi izinkinga ezingaba khona ngenxa ye-Duplex Kidney?
Kunezinkinga ezintathu eziyinhloko ezingabangelwa yi-'Duplex Kidney'. Ake sibone ukuthi ziyini.
| Inkinga (Isimo) | Kalula nje... |
|---|---|
| I-Vesicoureteral Reflux (VUR) | Lokhu kubangela ukuthi umchamo esinyeni ugeleze ubuyele ezinso. Ngokuhamba kwesikhathi, lokhu kungalimaza izinso. |
| I-Ectopic Ureter | Okwenzekayo lapha ukuthi i-urethra eyengeziwe ayixhumene nesinye, kodwa ixhunywe kwesinye isitho esiseduze. Lokhu kungabangela nomonakalo kuleyo sitho. |
| I-Ureterocele | I-urethra, lapho ingena khona esinyeni, ivuvukala njengebhaluni, ivimbele ukugeleza komchamo. Lokhu kungandisa ingcindezi ngaphakathi kwezinso futhi kubangele umonakalo. |
Ngisho noma unalezi zinkinga, isikhathi esiningi, udokotela wakho uzokuqapha nje. Kodwa-ke, uma unezifo zomchamo ezivame ukwenzeka , noma uma ingxenye yezinso zakho ilahlekelwe ukusebenza ngokuphelele ngenxa yezizathu ezibalwe ngenhla, udokotela wakho angase akuncome ukuthi uhlinzwe nge-heminephrectomy.
Kufanele uzilungiselele kanjani ngaphambi kokuhlinzwa?
Ngaphambi kokuhlinzwa, udokotela wakho ohlinzayo (udokotela wezifo zomchamo) uzokuchazela kahle ngokuhlinzwa futhi athole imvume yakho. Ngaphezu kwalokho, bazokwenza izivivinyo eziningana ukuqinisekisa ukuthi usesimweni esihle sokuhlinzwa. Bazokubuza nakanjani ngalokhu okulandelayo:
- Umlando wakho wezempilo ophelele .
- Kufanele utshele udokotela wakho nganoma yimiphi imithi oyithathayo. Lokhu kufaka phakathi imithi kadokotela, imithi etholakala ngaphandle kwemithi kadokotela, imikhiqizo yamakhambi, ngisho namavithamini. Eminye imithi, njengemithi yokunciphisa igazi, ingandisa ingozi yokopha ngesikhathi sokuhlinzwa.
- Mayelana nanoma yikuphi ukungezwani komzimba okungenzeka ukuthi unakho.
Ezinsukwini ezimbalwa ngaphambi kokuhlinzwa, uzokwaziswa ukuthi yimiphi imithi, uma ikhona, okufanele uyithathe nokuthi kufanele uyeke nini ukuyithatha. Uzokwaziswa nokuthi kufanele uyeke nini ukudla nokuphuza (ukuzila ukudla) ngaphambi kokuhlinzwa.
Ukuhlinzwa kwenziwa kanjani?
Lokhu kuhlinzwa kungenziwa ngezindlela ezintathu eziyinhloko: ukuhlinzwa okuvulekile, ukuhlinzwa kwe-laparoscopic, kanye nokuhlinzwa kwerobhothi.
| Uhlobo lokuhlinzwa | Indlela yokwenza lokhu kanye nezinzuzo |
|---|---|
| Vula i-Heminephrectomy | Udokotela uzokwenza ukusika okungamasentimitha angu-12 esiswini sakho, phakathi kwezimbambo zakho kanye nenqulu yakho. Lokhu kuzokwenza udokotela abone kangcono izinso. Ingxenye engasebenzi ingasuswa ngesandla. |
| Ukuhlinzwa kwe-Laparoscopic | Lokhu kuhilela ukwenza izimbobo eziningana ezincane esiswini esikhundleni sokusika okukodwa okukhulu. Kufakwa ithuluzi elincane elinekhamera (i-laparoscope) ngokusika okukodwa ukuze kubonwe izinso. Izinsimbi zokuhlinza zifakwa ngezinye izimbobo ukuze kususwe ingxenye engasebenzi kahle. Inzuzo yalokhu ukuthi isilonda sincane futhi ukuphola kuyashesha. |
| Ukuhlinzwa Kwerobhothi | Lokhu kufana nokuhlinzwa kwe-laparoscopic, kodwa lapha udokotela ulawula izinsimbi zokuhlinza esebenzisa izandla zomshini werobhothi. Lokhu kuvumela ukuhlinzwa okubucayi kakhulu nokunembile. |
Ngaphambi kokuba kuqale ukuhlinzwa, udokotela wezinzwa uzokunikeza i-anesthesia ejwayelekile (`I-Anesthesia Ejwayelekile`). Ngakho-ke ngeke uzizwe ubuhlungu, uzobe ulele. Ngemuva kwalokho kuzofakwa i-catheter ye-Foley ukuze kukhishwe isinye sakho. Ukuhlinzwa ngokuvamile kungathatha cishe amahora amabili kuya kwamathathu .
Kwenzekani ngemva kokuhlinzwa? Futhi kuthatha isikhathi esingakanani ukululama?
Ngemva kokuhlinzwa, uzoqashwa egumbini lokululama uze uvuke futhi impilo yakho isizinzile. Uzonikezwa imithi yokulawula ubuhlungu bakho.
Isikhathi sokululama sizohluka kuye ngohlobo lokuhlinzwa okwenzile.
- Ngemva kokuhlinzwa kwe-laparoscopic noma kwe-robotic, ungabuyela emisebenzini evamile zingakapheli amasonto angu-4-6 .
- Kungathatha cishe amasonto angu-8-12 ukuphulukiswa ngokuphelele ngemva kokuhlinzwa okuvulekile .
Udokotela wakho uzokukhuthaza ukuthi uhambe kancane ngesikhathi ululama. Ukuhamba kuhle emzimbeni wakho futhi kungasiza ekuvimbeleni izinto ezifana nokuqhekeka kwegazi kanye ne-pneumonia. Kodwa kufanele ugweme ukuphakamisa noma yini esinda ngaphezu kwamakhilogremu angu-10 (cishe isisindo segaloni lamanzi).
Ingabe udinga ukuqaphela ngokudla nokuphuza?
Yebo. Emasontweni amane okuqala ngemva kokuhlinzwa, uzokwelulekwa ukuthi uphuze izingilazi zamanzi ezingu-6-8 ngosuku futhi udle ukudla okuthambile, okulula ukukugaya. Uzokwelulekwa futhi ukuthi ugweme ukudla okuthile kuze kube yilapho ukuhamba kwakho kwamathumbu kubuyela esimweni esijwayelekile.
| Izinto ezinhle zokudla | Izinto okufanele uzigweme |
|---|---|
|
Uma unalezi zimpawu, xhumana nodokotela ngokushesha!
Uma uhlangabezana nanoma yiziphi izimpawu ezingezansi ngemva kokuhlinzwa, kufanele ushayele udokotela wakho ucingo ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Ubunzima bokuphefumula
- Ukopha ngokweqile okuvela endaweni yokuthunga
- Ukuhlukaniswa kwesikhumba ngezitishi
- Izimpawu zokutheleleka: Lokhu kufaka phakathi ukubomvu, ukufiphala kombala onsomi, onsundu, noma omnyama eduze kwesilonda, umkhuhlane, ukuphuma kobomvu esilondeni, noma iphunga elibi.
- Ubuhlungu obungabekezeleleki obandayo
- Ubuhlungu bomlenze
- Igazi emchameni
Kuvamile ukwesaba ukuhlinzwa. Kungokwemvelo ukuba nemibuzo efana nokuthi, "Kuthiwani uma ukuhlinzwa kungahambi kahle?" noma "Kuthiwani uma izimpawu zami ziba zimbi kakhulu?" Kodwa cabanga nangezinto ezinhle. "Lokhu kuhlinzwa kuzoyenza impilo yami ibe lula kangakanani?" noma "Ngizokwazi yini ukuqeda izifo ebenginazo?" Ukucabanga ngale ndlela kungakusiza uzizwe ungcono kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- I-Heminephrectomy iwukuhlinzwa okususa kuphela ingxenye engasebenzi kahle yenso. Inso yonke ayisuswa.
- Lokhu kuhlinzwa kuvame ukwenziwa ngenxa yezinkinga ezibangelwa yisimo sokuzalwa esibizwa ngokuthi i-Duplex Kidney.
- Ukuhlinzwa kungenziwa ngokuvuleka, nge-laparoscopically, noma nge-robotically. Isikhathi sokululama sincike endleleni.
- Landela imiyalelo kadokotela wakho ngokucophelela ngemva kokuhlinzwa, ikakhulukazi mayelana nokudla kanye nokuphakamisa izinsimbi.
- Uma ubona izimpawu eziyisixwayiso ezifana nobunzima bokuphefumula, ukopha ngokweqile, noma izimpawu zokutheleleka, funa iseluleko sezokwelapha ngokushesha.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo noma ukwesaba onakho.
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