Othile emndenini wakho, mhlawumbe ngisho nomngane wakho, unesifo sezinso. Kunzima kangakanani kuwe ukubabona beya ku-dialysis nsuku zonke? Ngakho-ke, kuthiwani uma ungamnika lowo muntu impilo entsha ngokunikela ngenye yezinso zakho? Lesi yisinqumo esikhulu ngempela. Futhi kuyinto enhle kakhulu. Ngakho-ke, namuhla sizokhuluma nje ngale nqubo emangalisayo ebizwa ngokuthi ukunikela ngezinso.
Kuyini ukunikela ngezinso ngamagama alula?
Kalula nje, ukunikela ngezinso ukususwa kwezinso ngokuhlinzwa komunye umuntu bese kufakelwa komunye umuntu izinso zakhe ezingasebenzi kahle.
Cabanga nje, umuntu ophilayo unikela ngesinye sezinso zakhe. Umuntu ofile engqondweni angathola zombili izinso. Umbuzo omkhulu ongase ube nawo uthi, "Ungaphila nenso eyodwa?" Yebo, ungakwazi! Umuntu onenso eyodwa enempilo angaphila impilo ende, enempilo ngaphandle kwezinkinga.
Yiziphi izimo ezingalapheka ngokunikela ngezinso?
Ukunikela ngenso kusiza umuntu ohlushwa ukwehluleka kwezinso . Ukwehluleka kwezinso kuyisimo lapho izinso zakho zombili zingasebenzi kahle.
Izinso zingenye yezitho eziyinhloko zesimiso somchamo emzimbeni wethu. Umsebenzi wazo ukuhlunga ukungcola kanye namanzi angadingekile egazini bese zikukhipha emzimbeni njengomchamo.
Futhi, izinso zibaluleke kakhulu ekulinganiseni ama-electrolyte afana ne-potassium ne-sodium emzimbeni kanye nokulawula umfutho wegazi.
Uma izinso zingasebenzi kahle, amanzi ayaqoqana emzimbeni, okubangela ukuvuvukala emilenzeni (i-edema). Uketshezi luyanqwabelana emaphashini (i-pleural effusion) kanye nasenhliziyweni (i-pericardial effusion). Lokhu kungabangela ukuthi inhliziyo ingasebenzi kahle, okuholela ekuhlulekeni kwenhliziyo. Amazinga e-potassium nawo angaba phezulu ngendlela eyingozi, okubangela ukushaya kwenhliziyo okungajwayelekile (i-arrhythmias) ngisho nokufa kwenhliziyo ngokuzumayo.
Yingakho ukwehluleka kwezinso kuyisifo esibulalayo ngaphandle kokwelashwa. Umuntu onalesi simo kuzodingeka ahlolwe i-dialysis impilo yakhe yonke noma afakelwe izinso.
Yiziphi izindlela zokunikela ngenso?
Kunezindlela ezimbili eziyinhloko zokunikela ngenso. Kungaba ngomuntu ophilayo, noma ngomuntu osanda kushona (ubuchopho bufile). Kunezindlela eziningana umuntu ophilayo anganikela ngazo. Ake sichaze lokhu kabanzi kuleli thebula.
| Indlela yokunikela | Incazelo elula |
|---|---|
| Kusuka esihlotsheni esiphilayo (Ohlobene Nokuphila) | Ukunikela ngenso yisihlobo segazi (abazali, izingane zakubo). |
| Kusuka kumuntu ophilayo ongahlobene (Ohlala Engahlobene) | Ukupha umngane, umlingani, noma umuntu ongahlobene naye. |
| Umnikelo Oqondisiwe | Umnikeli ukhetha ngqo ukuthi uzonika bani izinso zakhe. |
| Ukushintshaniswa Okubhangqiwe | Lokhu kuyinkimbinkimbi kancane. Ake sithi ufuna ukunikela ngenso esihlotsheni sakho, kodwa izinhlobo zegazi lakho azihambisani. Futhi ufuna ukunikela ngenso kwesinye isihlobo, kodwa azihambisani. Kodwa inso yakho ifanelana nesihlobo sesibili, kanti inso yomunye umuntu ifanelana nesihlobo sakho. Bese kuthi abanikeli ababili bashintshane ngezinso. |
| Umnikelo Wobugovu | Umnikeli akamazi umuntu ozokwamukela izinso zakhe. Banikela ngenhloso enhle yokusindisa impilo yomuntu abangamazi odinga usizo. |
Ubani ofanele ukunikela ngenso esaphila?
Ukunikela ngenso kuwumthwalo wemfanelo omkhulu. Ngakho-ke, umnikeli kumele abe nempilo enhle ngokuphelele. Kunezimfanelo eziningana okumele zihlangatshezwe.
- Ubudala: Ukuze unikele ngenso, kumele okungenani ube neminyaka eyi-18 ubudala . Ngoba umuntu ongaphansi kwaleyo minyaka akakwazi ukuvuma ngokusemthethweni isinqumo esikhulu kangaka. Kodwa-ke, akukho mkhawulo weminyaka ephezulu. Ngisho nomuntu oneminyaka engama-90 ubudala ophilile anganikela ngenso ngempumelelo.
- Impilo yomzimba:Udokotela uzohlola umzimba wakho wonke. Uzohlola izinto eziningi, njengomlando wakho wezokwelapha, ukuthi ukhona yini emndenini wakho oke waba nesifo sezinso, imithi oyiphuzayo, kanye nokusebenza kwezinso zakho nezinye izitho zomzimba. Abesifazane abakhulelwe abakwazi ukunikela ngezinso. Kudingeka futhi babe ne-body mass index (BMI) engaphansi kuka-35. Abantu ababhemayo noma abaphuza i-vape abakwazi ukunikela ngezinso. Konke lokhu kwenzelwa ukuqinisekisa ukuphepha komnikeli.
- Impilo yengqondo: Ithimba lodokotela lizohlola nempilo yakho yengqondo. Lokhu kuyindaba enkulu, ngokomzimba nangokwengqondo. Bazokhuluma ngokucindezeleka okungase kuvele ngemva kokuhlinzwa kanye nekhono lakho lokubhekana nakho. Odokotela bengqondo kanye nabasebenzi bezenhlalakahle bazobandakanyeka kulokhu. Ngezinye izikhathi, ngisho nabeluleki abakhethekile bazobandakanyeka kule nqubo ukuqinisekisa ukuthi akekho okuphoqayo .
Yiziphi izivivinyo okufanele zenziwe ngaphambi kokunikela?
Ngaphambi kokunquma ukuthi uyakufanelekela yini ukunikela ngenso, ithimba lezokwelapha lizokwenza uchungechunge lwezivivinyo.
- Ukuhlolwa kwegazi
- Ukuhlolwa kwama-antibody
- Ukuhlolwa komdlavuza okuhambisana nobudala (isib., i-colonoscopy, i-mammogram kanye ne-Pap smear yabesifazane)
- Ukuhlolwa kwezithombe njenge-X-ray kanye ne-CT scans
- Ukuhlolwa okufana ne-EKG kanye nokuhlolwa kokucindezeleka kokuzivocavoca ukuhlola impilo yenhliziyo
- Ukuhlolwa komchamo ukuze kuhlolwe ukuthi izinso ziphilile yini
- Ukuhlolwa komfutho wegazi amahora angama-24
- Ukuhlolwa kokukhulelwa
Kwenziwa kanjani ukuhlinzwa?
Ukuhlinzwa kokukhipha izinso (okubizwa ngokuthi i-'radical nephrectomy') kuvame ukuthatha cishe amahora amabili kuya kwamathathu.
Okokuqala, udokotela wezinzwa uzokulalisa ngokuphelele (i-anesthesia ejwayelekile). Ngakho ngeke uzizwe ubuhlungu noma uphaphame. Ngemuva kwalokho, kuzofakwa i-catheter ye-Foley ukuze kuqashwe ukuphuma komchamo wakho.
Ngobuchwepheshe obuthuthukisiwe banamuhla, lokhu kuhlinzwa kuvame ukwenziwa kusetshenziswa indlela ye-keyhole (indlela ye-laparoscopic) . Lokhu kusho ukuthi esikhundleni sokusika okukodwa okukhulu, kwenziwa imicu emincane emi-3-5 esiswini sakho. Ithuluzi elincane elinekhamera (i-laparoscope) lifakwa nge-incision eyodwa, libukwe kwi-monitor, bese izinso zisuswa kusetshenziswa amathuluzi amancane afakwe ngezinye izicucu. Le ndlela iholela ekuphilisweni okusheshayo kanye nokuncipha kwezibazi.
Inso esusiwe iyiswa ngokushesha esigulini esitholayo, ngokuvamile egumbini lokuhlinza eliseduze esibhedlela esifanayo, bese itshalwa kabusha.
Kwenzekani ngemva kokuhlinzwa futhi kululama kanjani?
Ngemva kokuhlinzwa, uzoyiswa ekamelweni lokululama ukuze uhlolwe. Uma uvuka ekuhlinzweni kwe-anesthesia, uzozizwa ubuthakathaka kancane. Uzonikezwa imithi yokulawula ubuhlungu. Ungaqala kancane kancane ukudla nokuphuza.Ukuvuka embhedeni nokuhamba ngokushesha okukhulu kusheshisa inqubo yokuphulukiswa.
Ngokuvamile kufanele uhlale esibhedlela izinsuku ezimbili noma ezintathu. Ngemva kokubuyela ekhaya, kubaluleke kakhulu ukuba nomuntu ozokunakekela okungenani isonto lonke.
Kuthatha phakathi kwamasonto amane kuya kwayisithupha ukululama ngokugcwele nokuqhubeka nemisebenzi evamile. Phakathi nalesi sikhathi, kufanele ugweme ukuphakamisa izinto ezisindayo (ezingaphezu kwama-5 kg) nokushayela (okungenani amasonto amabili). Uma ungowesifazane, welulekwa ukuthi ugweme ukukhulelwa okungenani unyaka wonke.
Yiziphi izinzuzo nezingozi zokunikela ngezinso?
Inzuzo enkulu yalokhu ukwaneliseka okuvela ekunikezeni omunye umuntu impilo. Futhi, lapho inso ithathwa kumuntu ophilayo, ihlala isebenza iminyaka engaba ngu-15-20 isikhathi eside kunokuba ithathwe kumuntu oshonile. Ingozi yokwenqatshwa nayo iphansi.
Njenganoma yikuphi ukuhlinzwa, lokhu kunezingozi ezithile.
- Amahlule egazi
- Ukutheleleka ngamagciwane
- I-Hernia
- Izibazi
Ngemva kokuhlinzwa, ukusebenza kwezinso zakho kuzoncipha ngezinga elithile. Lokho kungase kuzwakale kusabisa. Kodwa-ke, ngemva kwesikhashana, izinso zakho ezisele zizokhula zibe zinkulu, zibe namandla, futhi ziqale ukwenza umsebenzi wabantu ababili. Ngakho-ke, ngeke kube nezinkinga zesikhathi eside.
Eminye imibuzo embalwa ebalulekile
Ingabe ukunikela ngenso kufinyeza impilo yakho?
Cha. Ucwaningo luye lwabonisa ukuthi ukunikela ngezinso akufinyezi isikhathi sokuphila somnikeli noma kwandise ingozi yokuthola isifo sezinso esikhathini esizayo.
Kuthiwani uma ngidinga inso mina ngemva kokunikela?
Amathuba okuthi lokhu kwenzeke mancane kakhulu. Kodwa uma kwenzeka, njengomnikeli wezinso, uzonikezwa indawo yokuqala ohlwini lokulinda lokufakelwa izinso. Uzothola izinso maduze.
Kunini lapho udinga ukubonana nodokotela?
Ngemva kokuhlinzwa, uma uzwa ukopha ngokweqile ngenxa yokusikwa, izimpawu zokutheleleka (umkhuhlane, ukuphuma kwegazi okunuka kabi esilondeni), igazi emchameni wakho, noma isiyezi, yazisa udokotela wakho ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Ukunikela ngenso kuyisipho esikhulu kunazo zonke esingasindisa impilo yomuntu.
- Ngenso eyodwa enempilo, ungaphila impilo enempilo ngokuphelele nende.
- Ngaphambi kokunikela ngenso, kwenziwa uchungechunge lwezivivinyo zezokwelapha nezengqondo eziqinile ukuqinisekisa ukuphepha komnikeli.
- Kuthatha isikhathi ukululama ngemva kokuhlinzwa, futhi ukubekezela nokuphumula kubalulekile.
- Akukho emthethweni ukuthola imali yokunikela ngenso. Izindleko zezokwelapha zokuhlinzwa zivame ukumbozwa umshwalense womtholi.
- Uma ucabanga ngalokhu, khuluma nodokotela wakho ngaphambi kokwenza isinqumo futhi uthole ulwazi oluphelele ngalo lonke ulwazi kanye nezingozi.
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