Uyasaba futhi ukuhlinzwa okukhulu ukuze kususwe amatshe ezinso? Ubuwazi ukuthi esikhundleni sokuhlinzwa okukhulu njengalawo ayedinga ukusikwa okukhulu, manje usungakwazi ukususa amatshe ezinso usebenzisa ikhamera efakwe nge-incision encane? Yilokho esikubiza ngokuthi indlela yokwelapha yesimanje ebizwa ngokuthi 'i-Nephroskopia.' Namuhla, sizoxoxa ngalokhu ngokuningiliziwe nangokulula kakhulu.
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Kuyini i-Nephroskopiya?
Kalula nje, lena inqubo esetshenziselwa ukuhlola ingaphakathi lezinso zakho nokwelapha izifo ezithile. Ayibandakanyi ukusikwa okuningi njengakuqala.
Lokhu kwenziwa kusetshenziswa ithuluzi elikhethekile nelincane elibizwa ngokuthi i-nephroscope. Liyipayipi elide, elijiyile kancane kunepensela. Kwenziwa ukusika okuncane kakhulu esikhumbeni emhlane wakho, bese leli payipi lifakwa ezinso. Ngaphakathi kwaleli payipi kukhona ukukhanya, ikhamera (njengethelesikopu), kanye nohlelo lokunisela lokugeza indawo lapho kwenziwa khona ukuhlinzwa. Udokotela wenza ukwelashwa ngokubuka izithombe ezivela kule khamera esikrinini esikhulu.
Cabanga ukuthi udinga ukususa itshe lezinso. Ungasebenzisa i-ultrasound noma ukukhanya kwe-laser ukuphula itshe ngale nephroscope. Ngemva kokuliphula, izingcezu zikhishwa ngaleli payipi. Inzuzo enkulu yalokhu ukuthi akudingeki wenze ukuhlinzwa okukhulu okuvulekile njengoba wawuvame ukwenza. Ukuze ululame ngokushesha.
Yiziphi izindlela zokusebenzisa i-Nephroscopy?
Le ndlela yokwelapha isetshenziswa kakhulu ezimweni eziningana. Ake sibone ukuthi ziyini.
| Ithuba lokwelashwa | Incazelo elula |
|---|---|
| Ukususwa Kwamatshe Ezinso (PCNL) | Le ndlela isetshenziselwa ukususa amatshe ezinso, ikakhulukazi lawo amakhulu (angaphezu kuka-1 cm). Igama elikhethekile lalokhu yi- Percutaneous Nephrolithotomy noma (PCNL) . |
| Ukususa izingcezu zamatshe | Iphinde isetshenziswe ukususa izingcezu zamatshe ezinso ezisele ngemva kokunye ukwelashwa. |
| Ukususwa kwezimila ezincane | Amanye amathumba amancane angewona umdlavuza ngaphakathi kwezinso angasuswa. |
| Ukususwa kwama-cyst ezinso | Le ndlela isetshenziswa futhi ekwelapheni ama-cyst, okuyizikhwama ezigcwele uketshezi ezakheka ezinso. |
| Ukwelashwa kokuvinjelwa (Ukuvimbela kwe-UPJ) | Yelapha ukuvaleka kwe-ureteropelvic junction (UPJ) , okuwukuvaleka ekuqaleni kwepayipi elithwala umchamo lisuka ezinso liye esinyeni. |
| Ukususa ezinye izinto | Le ndlela ingasetshenziswa futhi ukususa into eyayibekwe ngaphandle komzimba, njenge-stent eyayibekwe ngaphambilini. |
Ngingakulungiselela kanjani lokhu kuhlinzwa?
Kunezinto eziningana okudingeka uzilungiselele ngaphambi kokuthola lolu hlobo lokwelashwa.
- Ukuhlolwa: Kuzokwenziwa ukuhlolwa komchamo ukuze kuhlolwe ukutheleleka emchameni wakho. Uma kukhona ukutheleleka, kuzodingeka uthathe ama-antibiotic.
- Ulwazi Lwemithi: Uma uthatha imithi yokunciphisa igazi efana ne-aspirin noma i-warfarin (Coumadin®), kufanele utshele udokotela wakho nakanjani. Uzokweluleka ukuthi uyeke ukuthatha le mithi cishe isonto ngaphambi kokuhlinzwa.
- Ukudla Nokuphuza: Ngokuvamile awukwazi ukudla noma ukuphuza noma yini amahora angu-8 ngaphambi kokuhlinzwa.
- Iseluleko sezokwelapha: Into ebaluleke kakhulu ukukhuluma nodokotela wakho ngakho konke lokhu bese ulandela imiyalelo yakhe ngqo.
Kwenziwa kanjani ukuhlinzwa?
Kulungile, manje ake sibone ukuthi yiziphi izinyathelo zalokhu kwelashwa.
Okokuqala, udokotela wakho uzobukeza ngokucophelela noma yikuphi ukuskena oke wakwenza (njenge-CT scan noma i-urogram) bese ehlela ukuhlinzwa kwakho. Uzonikezwa i-anesthesia ejwayelekile, ngakho ngeke uzwe ubuhlungu, njengokungathi ulele.
Uzobe usubekwa etafuleni lokuhlinzwa isisu sakho sibheke phansi. Okokuqala, kuzofakwa ipayipi elincane (i-catheter) nge-urethra yakho liye ezinso zakho. Kuzofakwa idayi ekhethekile ngepayipi bese kuthathwa i-X-ray ukuze kubonakale kahle ingaphakathi lezinso zakho.
Ngemuva kwalokho, njengoba kuhleliwe, inaliti ifakwa esikhumbeni esisemhlane wakho iye ezinso. Indawo yenziwa ibe banzi kancane, bese kufakwa ipayipi (umgoqo). Lokhu kwenziwa ngokusika okuncane okungange-dime. Manje, ngaleli payipi, i-nephroscope nezinye izinto zokuhlinza zingadluliselwa ngqo ezinso.
Manje, udokotela ubheka ngekhamera bese ephula itshe lezinso, noma uma kuyisithiyo, uyalisusa, bese ekhipha izingcezu nge-nephroscope.
Ekugcineni, into ebizwa ngokuthi i-ureteral stent ifakwa ngaphakathi kwepayipi elihamba lisuka ezinso liye kwesinye (ureter). Leli yipayipi lepulasitiki elingenalutho elingaba amasentimitha angu-10-12 ubude. Lokhu kusiza ukugeleza komchamo kalula futhi kusiza izinso ukuthi ziphole ngokushesha. I-stent ivame ukususwa uma ubona udokotela wakho cishe ngesonto.
Yiziphi izinto okufanele uzinakekele ngemva kokubuyela ekhaya?
Ngemva kokuhlinzwa, uzoyiswa ekamelweni lokululama. Uma konke sekuqinisekisiwe ukuthi kulungile, uzokwazi ukuya ekhaya ngosuku olulandelayo. Nakekela lezi zinto ngokukhethekile ngemva kokubuyela ekhaya.
- Uma uba nomkhuhlane, uzizwa ubanda futhi uqhaqhazela, noma uzwa ubuhlungu obukhulu obungenakulawulwa yimithi yokwelapha ubuhlungu enqunywe udokotela wakho, shayela udokotela wakho ngokushesha.
- Kujwayelekile ukuba negazi elincane emchameni wakho ngemva kokuhlinzwa. Kodwa...
Uma unesifo sokopha kakhulu emchameni wakho, noma uma ubona amahlule amakhulu egazi, hamba uye egumbini lezimo eziphuthumayo esibhedlela esiseduze (ETU) ngokushesha. Lokhu akuyona into yokulibazisa.
- Ngaphandle kokuba udokotela wakho ekweluleka ngenye indlela, gwema ukuphakamisa izinsimbi noma ukwenza ukuzivocavoca okunzima amasonto amabili kuya kwamane.
Yiziphi izinzuzo nezingozi zalokhu kwelashwa?
Inzuzo enkulu yalokhu ukuthi iyindlela ephephile kakhulu futhi ayidingi ukuhlinzwa okukhulu (ukuhlinzwa kwendabuko). Ngakho-ke, isikhathi sokululama sifushane futhi ingozi yokutheleleka nayo iphansi.
Kodwa-ke, njenganoma yikuphi ukuhlinzwa, kungase kube nezingozi ezincane.
- Ukopha ngesikhathi sokuhlinzwa noma ngemva kokuhlinzwa (ukumpontshelwa igazi kungadingeka ngezikhathi ezinjalo).
- Ukuqongelela koketshezi emaphashini.
- Ukutheleleka okukhulu njenge-sepsis.
- Ukutheleleka komgudu womchamo.
- Ukulimala kwezinso noma indlela yomchamo.
Lezi zingozi azivamile. Udokotela wakho uzokuchazela konke lokhu kahle ngaphambi kokuhlinzwa, ngakho-ke akukho okufanele ukhathazeke ngakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Nephroskopiyu inqubo yesimanje efaka ikhamera endaweni encane esikhumbeni ukuze ibone futhi yelaphe ingaphakathi lezinso.
- Lokhu kusebenza kahle kakhulu, ikakhulukazi ekususeni amatshe amakhulu ezinso (indlela ye-PCNL), ama-cyst amancane, kanye nokuvinjelwa.
- Isikhathi sokululama ngemva kwalokhu sifushane kakhulu kunesemva kokunqunywa okukhulu.
- Uma uzwa umkhuhlane, ubuhlungu obungalawuleki, noma ukopha okukhulu ngemva kokuhlinzwa, kufanele ufune iseluleko sezokwelapha ngokushesha.
- Uma unemibuzo ngalokhu, ungesabi ukubuza udokotela wakho.
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