Wake waba netshe lezinso futhi wazizwa ubuhlungu obukhulu obubangelwa yilo? Noma wake wabona ilungu lomndeni noma umngane ehlushwa yilobuhlungu? Kunzima kakhulu ngempela ukubuthwala. Ngakho-ke, namuhla kunezindlela zokwelapha ezithuthukisiwe kakhulu zokususa amatshe akheka ohlelweni lomchamo. Enye indlela yokwelapha abantu abaningi abakhuluma ngayo, futhi ephumelela kakhulu, ukusebenzisa imisebe ye-laser ukuchoboza nokususa la matshe. Ake sixoxe ngalokhu ngokuningiliziwe namuhla.
Kalula nje, iyini i-Laser Lithotripsy?
I-Laser Lithotripsy inqubo yezokwelapha esebenzisa i-laser enamandla amakhulu ukuphula nokususa amatshe emgudwini wakho womchamo. Lokhu kubhekisela emgudwini wakho womchamo wonke, okuhlanganisa izinso zakho, amapayipi athwala umchamo usuka ezinso uye kwesinye (ureters), esinyeni, kanye nepayipi elithwala umchamo usuka kwesinyeni uye ngaphandle komzimba (urethra) . Le nqubo ingasusa amatshe noma kuphi endleleni.
Cabanga ngomsebe we-laser uthunyelwa ngepayipi elincane kakhulu, elingadluli unwele, uye ngqo lapho itshe likhona bese uliphula. Lokhu kuvame ukwenziwa udokotela wezifo zomchamo. Ufaka ipayipi elincane kakhulu neliguquguqukayo elinekhamera enamathiselwe kulo, phansi komchamo wakho, bese ethola itshe. Ngemuva kwalokho uthumela i-laser fiber ngepayipi, akhanyise umsebe we-laser etsheni, aliphule libe yizicucu ezincane, njengezinhlayiya zesihlabathi. Ekugcineni, itshe lisuswa ngedivayisi encane kakhulu efana nebhasikidi.
Enye yezinzuzo ezinkulu zale ndlela ukuthi ayidingi ukusikwa okukhulu noma kuphi emzimbeni. Konke kwenzeka ngokwemvelo endleleni yomchamo.
Ngezinye izikhathi, ukuze kususwe amatshe ezinso amakhulu kakhulu, kwenziwa ukuhlinzwa okubizwa ngokuthi ``percutaneous nephrolithotomy`` ngokusikwa okuncane emhlane. Ngisho nalapho, kunezikhathi lapho le ndlela ye-laser isetshenziswa khona ukuphula itshe uma selifakiwe.
Ingabe lokhu kuwumsebenzi omkhulu?
Cha. I-Laser Lithotripsy ngokuvamile ibhekwa njengenqubo engangenisi kakhulu . Ngakho-ke, asiyibheki njengokuhlinzwa okukhulu nokungathi sína.
Uyini umehluko phakathi kwe-Laser Lithotripsy ne-Shock Wave Lithotripsy?
Cishe uke wezwa ngazo zombili lezi zindlela. Nakuba umgomo wazo zombili uwukuchoboza amatshe, kunomehluko omkhulu endleleni ezenziwa ngayo. Ukuze uqonde lo mehluko, bheka ithebula elingezansi.
| Isici | I-Laser Lithotripsy | I-Shock Wave Lithotripsy (ESWL) |
|---|---|---|
| Indlela esebenza ngayo | Ingena ngaphakathi emzimbeni bese isebenzisa umsebe we-laser ukuze ishaye itshe ngqo bese ilichoboza. | Ngaphandle komzimba, amaza okushaqeka anamandla amakhulu athunyelwa esikhumbeni bese ephula itshe. |
| Impumelelo | Kuphezulu kakhulu. Kusebenza kahle kakhulu ngisho nasematsheni amakhulu, aqinile. | Impumelelo, kodwa impumelelo ingase ibe ncane kuye ngobukhulu, indawo, kanye nobunzima betshe. |
| Ukubulala izinzwa | Ngokuvamile kudingeka i-anesthesia ejwayelekile. | Ngokuvamile, imithi yobuhlungu kanye neyokudambisa ubuhlungu kancane kwanele. |
| Ingozi | Kukhona ingozi encane (isib., ukulimala kwe-urethra) ngoba amadivayisi afakwa emzimbeni. | Ingozi yokulimala kwangaphakathi emzimbeni iphansi, kodwa kungase kube nomonakalo omncane ezicutshini ezizungezile. |
Kalula nje, i-Laser Lithotripsy iyindlela ephumelela kakhulu yamatshe amakhulu kakhulu, aqinile, noma asendaweni eyinkimbinkimbi kancane ukuthi angaqhekeka yi-shock wave.
Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?
Ukulungiselela ngaphambi kokwelashwa
Udokotela wakho uzokunikeza imiyalelo ecacile ngaphambi kwalokhu kwelashwa. Kubaluleke kakhulu ukulandela le miyalelo ngqo ukuze unciphise izinkinga.
- Uzocelwa ukuthi ungadli noma uphuze lutho amahora angu-8 ngaphambi kokuhlinzwa (ukuzila ukudla).
- Eminye imithi oyithathayo, ikakhulukazi imithi yokunciphisa igaziBazokutshela ukuthi uyeke ukuzithatha izinsuku ezimbalwa. Ungakhohlwa ukutshela udokotela wakho ngayo yonke imithi oyithathayo, ngisho namavithamini.
- Ngemva kokuhlinzwa, uzocelwa ukuthi ulethe umuntu ozokuthatha akuyise ekhaya ngoba ngeke ukwazi ukushayela ngenxa yokuhlinzwa.
Ngezinye izikhathi, uma i-ureter yakho incane kancane, kungaba nzima ukufaka amathuluzi ngokushesha. Ezimweni ezinjalo, udokotela uzoqala ngokubeka ithubhu yesikhashana (i-'ureteral stent') ukuze andise ithubhu, bese ehlela usuku lokwelashwa nge-laser emavikini amabili kuya kwamathathu kamuva.
Kwenzekani ngesikhathi sokwelashwa
- Okokuqala, uzolaliswa ngokuphelele ukuze ungezwa ubuhlungu.
- Okulandelayo, udokotela ufaka ipayipi elincane (i-scope) elinekhamera exhunywe nge-urethra.
- Ngalelo payipi, i-laser fiber ithunyelwa eduze kwetshe.
- Imisebe ye-laser iphula itshe libe yizicucu ezincane.
- Lezo zingcezu zamatshe ziqoqwa ebhasikidini elithambile bese zikhishwa.
- Ekugcineni, kufakwa ithubhu yesikhashana (i-ureteral stent) ukuze kuvunyelwe izinhlayiya zamatshe ezisele kanye nomchamo ukuthi kugeleze kalula ngaphansi kwe-ureter. Lokhu kususwa udokotela emtholampilo ngemva kwezinsuku noma amasonto ambalwa.
- Bese kuthi isikophu esifakiwe sisuswe.
Lonke lolu hlelo luvame ukuthatha cishe ihora noma amabili .
Kwenzekani ngemva kokwelashwa? Yiziphi izinzuzo nezingozi?
Ngemva kokwelashwa, uzogcinwa ewadini lokuqapha isikhashana, bese uvunyelwa ukuya ekhaya ngemva kokuvuka ngokuphelele ekubulaweni yizinzwa. Uzonikezwa imithi yobuhlungu, imithi yanoma yikuphi ukungakhululeki okubangelwa yi-stent, kanye nama-antibiotic izinsuku ezimbalwa ukuvimbela ukutheleleka.
| Izinzuzo | Imiphumela Engemihle Nezingozi |
|---|---|
| Ukuba nesilinganiso sempumelelo esiphezulu kakhulu. | Ubuhlungu nokungakhululeki ngesikhathi sokuchama. |
| Ingozi encishisiwe yokuminyana kothuli lwamatshe (`steinstrasse`). | Igazi elincane emchameni (i-hematuria). |
| Ubukhulu, ubulukhuni, kanye nendawo yetshe akunawo umphumela omkhulu. | Isicanucanu nokukhathala okubangelwa ukubulala izinzwa. |
| Ikhono lokususa amatshe amaningana ngesikhathi esisodwa. | Izinkinga ezingavamile: ukulimala kwe-urethra (ureter), ukutheleleka komgudu womchamo (UTI). |
| Kungenziwa ngisho nangalabo abasebenzisa imithi yokunciphisa igazi noma abesifazane abakhulelwe. | Izinkinga ezingavamile: Izingcezu zamatshe ezibhajwa emgudwini womchamo. |
Kuthatha isikhathi esingakanani ukuphulukiswa?
Iningi labantu lingabuyela emisebenzini yalo evamile ngemva kwesonto . Kodwa-ke, uma une-stent, ungase uzwe ubuhlungu lapho uzivocavoca, uphakamisa izinto ezisindayo, noma ukhipha igazi emchameni wakho. Buza udokotela wakho ngalokhu.
Kufanele ubonane nini nodokotela?
Uma uhlangabezana nanoma yiziphi izimpawu ezisolisayo ngemuva kokubuyela ekhaya usuka ekwelashweni, shayela udokotela wakho ngokushesha. Qaphela kakhulu okulandelayo:
- Uma unomkhuhlane ophezulu (ngaphezu kuka-101°F).
- Uma unomuzwa wokushisa lapho uchama isikhathi esingaphezu kwezinsuku ezimbili .
- Uma unegazi elibomvu elimnyama emchameni wakho, noma uma usudlulise igazi elipinki izinsuku ezingaphezu kwezimbili noma ezintathu.
- Uma uzwa ubuhlungu obungabekezeleleki.
- Uma uzizwa sengathi ubambekile futhi awukwazi ukuchama .
Esimweni esinjalo, shayela ngokushesha udokotela okuphathe. Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Umlayezo Wokuya Nawe Ekhaya
- I-Laser Lithotripsy iyindlela ephumelela kakhulu, yesimanje, futhi ephephile esetshenziswa ukususa amatshe ohlelweni lomchamo.
- Lokhu akusilo ukuhlinzwa okukhulu. Kuwukuhlinzwa okuncane okwenziwa ngaphandle kokwenza noma yikuphi ukusikeka emzimbeni.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela ngaphambi nangemva kokwelashwa.
- Kubalulekile ukuphuza amanzi amaningi ngesikhathi sokululama ngemva kokwelashwa.
- Uma unezinkinga, ukungakhululeki, noma ukungabaza, ungesabi ukubuza udokotela wakho.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Kuyini ukugayeka kokudla/i-Dyspepsia?
Yilokhu abantu abaningi abakubiza ngokuthi igesi (i-Gastritis)! 'Ukungagayi kahle ukudla' ukusha/ukuvuvukala nokuqunjelwa okungabekezeleleki okubangelwa yi-asidi yesisu ekhuphuka isuka engxenyeni engenhla yesisu (ngaphezu kwenkaba) iye esifubeni (Isishiso Senhliziyo / GERD) ngemva kokudla noma uma ulambile. Kodwa ngezinye izikhathi ubuhlungu balo 'gesi' bungafana ngokuphelele nobuhlungu bokuhlaselwa yinhliziyo!
💬 Yiziphi izizathu eziyinhloko zobuhlungu besisu nesifuba/ukungagayeki kokudla, ngisho noma udla njalo?
Izimbangela eziyinhloko zalokhu yilezi: 1) 'I-Gastritis / Peptic Ulcer/GERD' - ngenxa yokungadli ngesikhathi / i-acid reflux, isisu kanye nomminzo kuyavuvukala (futhi ngenxa yamagciwane e-H. pylori). 2) Ukudla okungenamsoco, utshwala / ukubhema kanye nokuphuza ikhofi ngokweqile. 3) Ukucindezeleka kwengqondo kanye nokusebenzisa ngokweqile ama-painkillers (ama-Painkillers/NSAIDs - hhayi i-Panadol, kodwa eminye).
💬 Yiziphi 'izimo ezibulalayo/eziphuthumayo' lapho kufanele ugijimele khona ngokushesha esibhedlela (uma unesifo sokungagayi kahle ukudla) esikhundleni sokuthatha umuthi wegesi?
Abantu abaningi abacabanga ukuthi banegesi kungenzeka ukuthi bahlaselwa yinhliziyo! Ingozi enkulu kunazo zonke! Uma, kanye nokungagayeki kahle kokudla, une-1) 'ukujuluka okubandayo' kanye nebala elimnyama, 2) umuzwa oshisayo esifubeni sakho 'okhanya engalweni noma emhlathini wesobunxele', 3) uhlanza igazi futhi igazi 'limnyama njengetha (melena)' ngendle yakho, kufanele uye esibhedlela esiphuthumayo (ukuze uthole i-ECG) ngokushesha!
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