Ingabe udokotela wakho ukutshelile ukuthi udinga ukufakwa ipayipi ezinso zakho? Noma ingabe ilungu lomndeni noma umngane kuye kwadingeka enze into efana nale? Igama lingase lizwakale liyesabeka kancane, kodwa empeleni lokhu kuyinto ebaluleke kakhulu okufanele uyenze ukuze uvikele izinso zakho. Ungakhathazeki, sizoxoxa ngakho konke ngamagama alula: iyini ipayipi le-nephrostomy, kungani lifakwa, nokuthi ungalinakekela kanjani.
Kalula nje, iyini le Nephrostomy tube?
I-nephrostomy tube iyipayipi elincane neliguquguqukayo elisetshenziselwa ukukhipha umchamo (umchamo) ezinso zakho. Udokotela ufaka le payipi emhlane wakho, esikhumbeni, ezinso zakho. Esinye isiphetho sepayipi sibe sesixhunywa esikhwameni sokuqoqa umchamo (isikhwama se-nephrostomy). Ngakho umchamo osuka ezinso zakho uphuma ngqo kulesi sikhwama.
Ngokuvamile, umchamo okhiqizwa yizinso uhamba nge-ureter, uqoqeke esinyeni, bese uphuma emzimbeni nge-urethra. Kodwa ngezinye izikhathi kukhona okungavimba lolu hambo. Yilapho-ke leli payipi lifakwa khona ukuze kudalwe enye indlela yokuphuma komchamo.
Esikhathini esiningi, lesi yisisombululo sesikhashana . Kodwa-ke, abanye abantu kungadingeka bagcine ithubhu lisendaweni yalo izinyanga, noma ngisho neminyaka. Lokhu kuncike esimweni sezokwelapha esibangele ukuthi ufake ithubhu.
Kungani sidinga ukufaka ipayipi elinje?
Kunezizathu eziningana zokuthi kungani umchamo ungayeka ukuphuma ezinso. Uma umchamo ubhajwa ngaphakathi, ungabuyela emuva futhi ubangele ukuthi izinso zivuvuke bese ziqala ukonakala. Lesi simo sibizwa ngokuthi i-Hydronephrosis . Kubekwa ipayipi le-Nephrostomy ukuvimbela lokhu.
Bheka ithebula elingezansi ukuze uthole izizathu eziyinhloko zalokhu.
| Isizathu | Incazelo Elula |
|---|---|
| Amatshe ezinso | Amatshe angabhajwa emgudwini womchamo futhi avale indlela. |
| Izifo | Ukutheleleka okukhulu kungabangela ukuthi izinso zivuvuke futhi zivale umgudu womchamo. |
| Izimila noma Umdlavuza | Izimila ezinomdlavuza ezingaphakathi noma ezizungezile izinso, esinyeni, indlala yesinye, noma indlala yesinye zingabangela ukuthi i-urethra ivaleke. |
| Izicubu zesibazi | Izibazi ezibangelwa ukuhlinzwa okudala noma izifo zingabangela ukuthi i-urethra ibe mncane. |
| Ukuvuvukala ngemva kokuhlinzwa | Ngenxa yokuvuvukala kwesikhashana ngemva kokuhlinzwa kwezinso. |
| Izimo ezivela ekuzalweni | Abanye abantu bangazalwa benezinkinga ezithile ohlelweni lwabo lomchamo. |
Uzilungiselela kanjani ngaphambi kwalokhu kuhlinzwa?
Udokotela wakho uzokutshela ngqo ukuthi ungakulungiselela kanjani lokhu.
- Ungase ucelwe ukuba uzile ukudla (uyeke ukudla noma ukuphuza) amahora ambalwa ngaphambi kokuhlinzwa.
- Kufanele nakanjani utshele udokotela wakho ngayo yonke imithi oyithathayo, kanye nanoma yikuphi ukungezwani komzimba okungenzeka ukuthi unakho, ikakhulukazi imithi yokunciphisa igazi.
Kwenzekani ngesikhathi sokuhlinzwa?
Lena inqubo evame ukuthatha cishe ihora futhi yenziwa udokotela we-radiologist ohlinzayo.
1. Okokuqala, uzonikezwa ingubo yasesibhedlela bese ulaliswa ngesisu sakho (umhlane wakho ubheke phezulu) etafuleni.
2. Unganikezwa umuthi wokudambisa imithambo ukuze uphumule futhi ungazizwa ubuhlungu. Ngaphezu kwalokho, kuzonikezwa umuthi wokuqeda izinzwa endaweni lapho kuzofakwa khona ipayipi. Lokhu kwenziwa ngokunikeza izingane ezincane kanye nabanye abantu abadala i-anesthesia ejwayelekile, ebenza balale ngokuphelele.
3. Udokotela uzosebenzisa umshini we-ultrasound noma we-X-ray ukuthola indawo eqondile yenso yakho.
4. Ngemuva kwalokho, kufakwa inaliti encane esikhumbeni iye ezinso, bese kudluliswa intambo ngenaliti. I-nephrostomy tube ibe isibekwa phezu kwentambo bese ingena ezinso. Ngezinye izikhathi kunikezwa uketshezi olukhethekile (`udayi ohlukile`) bese kwenziwa ukuhlolwa kwe-X-ray (`i-Fluoroscopy`) ukuze kubonakale ukuthi ipayipi lisendaweni efanele yini.
5. Ekugcineni, ingxenye eveziwe yepayipi inamathele esikhwameni somchamo bese iqiniswa ngesithungo esincane noma ibhandeji ukuvimbela ipayipi ukuthi lingaphumi esikhumbeni.
Yini okufanele ngiyiqaphele ngemva kokuhlinzwa?
Uzoqashwa amahora ambalwa ngemva kokuhlinzwa futhi uzovunyelwa ukuya ekhaya uma konke kuhamba kahle. Kodwa-ke, abanye abantu kungadingeka bahlale esibhedlela usuku lonke. Qaphela lezi zinto ngemva kokubuyela ekhaya.
- Ubuhlungu: Kuvamile ukuzwa ubuhlungu nokungakhululeki endaweni yepayipi izinsuku ezimbalwa. Thatha imithi yobuhlungu njengoba udokotela wakho ekuyalele. Abanye abantu bakuthola kulula ukubeka isandla sabo phezu kwepayipi lapho bekhuphuka izitebhisi noma begoba.
- Imisebenzi: Gwema ukugijima, ukugxuma, noma ukuphakamisa izinto ezisindayo izinsuku ezimbalwa. Ukwenza lezi zinto kungadonsa ipayipi noma kubangele ukuthi isikhwama sikhululeke.
- Ukuhlanzeka: Kubaluleke kakhulu ukugcina indawo lapho ipayipi lifakwe khona ihlanzekile futhi yomile ngaso sonke isikhathi ukuze kuvinjelwe ukutheleleka. Ngakho-ke, gwema ukugeza noma ukubhukuda. Kulungile ukugeza ngemva kwamahora angu-48, kodwa i-dressing kufanele ishintshwe ngokushesha ngemva kwalokho.
- Umbala womchamo: Kujwayelekile ukuthi umchamo osesikhwameni somchamo ube nombala opinki kancane (njengojusi wewolintshi) ezinsukwini ezimbalwa zokuqala. Kodwa-ke, uma umchamo ubomvu ngokumnyama (njengojusi we-beetroot) , kuyimbangela yokukhathazeka.
Ulinakekela kanjani leli payipi ekhaya?
Ukunakekelwa kahle kwepayipi kubalulekile ukuvimbela ukutheleleka. Isibhedlela sizokunikeza imiyalelo ngalokhu. Into ebaluleke kakhulu ukugeza izandla zakho kahle ngensipho namanzi noma usebenzise i-sanitizer yezandla ngaphambi nangemva kokuthinta ipayipi, isikhwama, noma i-dressing.
Ukuhlola ipayipi kanye nesikhumba esizungezile
Hlola lezi zinto nsuku zonke:
- Ingabe ipayipi ligobile noma linamathele kuphi? Uma kunjalo, umchamo ngeke ungene esikhwameni.
- Ingabe indawo lapho ipayipi lihlangana khona nesikhumba ibomvu, ivuvukile, noma ikhombisa izimpawu zokutheleleka ?
- Ingabe kukhona igazi emchameni osesikhwameni somchamo?
- Ingabe indwangu imanzi, ingcolile, noma ikhululekile ? Kufanele ihlale ihlanzekile futhi yomile.
Ukuthulula isikhwama somchamo
- Ukuze umchamo uphume kahle, isikhwama somchamo kufanele sihlale sibekwe ngaphansi kwezinso .
- Thulula isikhwama uma sesigcwele cishe ingxenye . Ungalindi kuze kube yilapho sesigcwele ngokuphelele.
- Uma ubona imbobo noma ukuvuza esikhwameni, faka isikhwama esisha.
Ukushintsha i-dressing
Kufanele ushintshe indwangu okungenani kabili ngesonto , noma nini lapho imanzi noma ingcolile. Kungase kudingeke uthole usizo elungwini lomndeni ngalokhu. Isibhedlela sizokufundisa ukuthi ungakwenza kanjani lokhu futhi sikunikeze izinto ozidingayo.
Kufanele ngimshayele nini udokotela?
Uma kukhona inkinga, isibonelo, uma kuzwakala sengathi umchamo awungeni esikhwameni, yazisa udokotela wakho ngokushesha. Ngaphezu kwalokho, uma unezinye zezimpawu ezilandelayo, qiniseka ukuthi ufuna iseluleko sezokwelapha.
| Isici okufanele usiqaphele | Incazelo |
|---|---|
| Bonana nodokotela ngokushesha. | |
| Igazi elibomvu elimnyama | Uma ubona igazi elibomvu elimnyama (njengejusi lika-beetroot) esikhwameni somchamo (umbala opinki okhanyayo uvamile ezinsukwini zokuqala). |
| Ubomvu noma uketshezi oluphuzi | Uma ubona uketshezi olufana nobovu oluvela endaweni yokufaka ipayipi noma esikhwameni somchamo. |
| Ukuvuza komchamo | Uma umchamo uvuza esikhumbeni esizungeze indawo yokufaka ipayipi. |
| Imfiva | Uma izinga lokushisa lomzimba lingaphezu kwama-Fahrenheit angu-101 (38.3 Celsius) isikhathi esingaphezu kwamahora angu-24. |
| Ubuhlungu obukhulu | Uma ubuhlungu obukhulu endaweni yepayipi abupheli naphezu kokuthatha imithi. |
| Uma ipayipi likhululekile | Uma ipayipi likhishwe ngengozi, kungaba ngokuphelele noma ngokwengxenye, hamba uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha. |
Ukuphila ne-nephrostomy tube kungaba nzima kancane ngokomzwelo ngezinye izikhathi. Kodwa khumbula, lokhu kuyinto eyenziwa ukuvikela izinso zakho nokusindisa impilo yakho. Ngokuvamile kuyinto yesikhashana. Khuluma ngokukhululekile nomndeni wakho nodokotela mayelana nokukhathazeka kwakho nemizwa yakho.
Umlayezo Wokuya Nawe Ekhaya
- I-nephrostomy tube inqubo ephephile yokuvikela izinso zakho uma kwenzeka kuba nokuvinjelwa kokugeleza komchamo.
- Ukuze kuvinjelwe ukutheleleka, kubalulekile ukugcina indawo yokufaka ihlanzekile futhi yomile njalo.
- Khumbula njalo ukubeka isikhwama somchamo ezingeni eliphansi kunezinso zakho.
- Uma ubona izimpawu eziyisixwayiso njengobuhlungu obukhulu, umkhuhlane, noma igazi elibomvu elimnyama emchameni wakho, shayela udokotela wakho ngokushesha.
- Kuvamile ukuzwa ukungakhululeki ngokomzwelo lapho uphila nalesi simo. Kodwa khumbula, lokhu kubalulekile empilweni yakho futhi kuvame ukuba okwesikhashana.
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