Ngezinye izikhathi kufanele sibhekane nezinto esingenakuzicabanga, akunjalo? Ingabe udokotela ukutshelile ukuthi udinga ukufakwa ipayipi ezinso zakho? Noma ingabe othile emndenini wakho kufanele enze kanjalo? Kuvamile ukuzizwa wesaba futhi ukhathazekile uma uzwa lokhu. Kodwa ungesabi. Namuhla, sizoxoxa ngokuthi iyini iNephrostomy Tube, ukuthi kungani ifakwe, nokuthi ungaphila kanjani nayo ngokujwayelekile ngolimi olulula noluqondakalayo.
Kalula nje, iyini le Nephrostomy tube?
Cabanga nje uma ipayipi lokudonsa amanzi endlini yethu livalekile. Khona-ke amanzi angagcwala endaweni eyodwa agelezele ekamelweni, akunjalo? Kunjalo nangezinso zethu.
Ngokuvamile, izinso zethu zakha umchamo, ohamba nge-ureter bese uqoqana esinyeni. Uma isinyi sigcwele, sizizwa sidinga ukuchama.
Kodwa uma ngesizathu esithile ukugeleza komchamo kusuka ezinso kuyeka, okungukuthi, uma kukhona ukuvaleka endaweni ethile, umchamo uqala ukuqongelela ngaphakathi ezinso. Lokhu kuyingozi kakhulu ezinso.
Yilapho odokotela besebenzisa khona leli payipi le-Nephrostomy . Okwenzekayo ukuthi, bavula imbobo emhlane wakho, bese befaka ipayipi elincane ngqo ezinso zakho. Esinye isiphetho salelo payipi sixhunywe esikhwameni sokukhipha amanzi esingaphandle komzimba wakho. Ngakho-ke, umchamo ungena ngqo kuleli payipi, ugweme ukuvaleka, ungene esikhwameni. Kufana nokunikeza ipayipi lamanzi elivaliwe i-bypass entsha.
Ngokuvamile lokhu kuyisixazululo sesikhashana. Udokotela wakho uzosusa ipayipi uma inkinga yakho yezinso isixazululekile. Kodwa-ke, abanye abantu kungadingeka bayigcine isikhathi eside.
Kungani sidinga ukufaka ipayipi elinje?
Kungaba nezizathu eziningana zokuthi kungani umchamo uyeke ukugeleza usuka ezinso. Lokhu kuqongelela komchamo kwaziwa ngokwezokwelapha ngokuthi i-Hydronephrosis . Lokhu kubangela ukuthi izinso zivuvuke bese ziqala ukulimala. Ngakho-ke, kubalulekile ukukhipha umchamo ngokushesha.
Ake sibheke ezinye zezizathu eziyinhloko zokuthi kungani kungadingeka ipayipi le-nephrostomy.
| Isizathu | Incazelo Elula |
|---|---|
| Amatshe ezinso | Amatshe ezinso angavimba i-urethra. Lena yimbangela evame kakhulu. |
| Izifo | Ezinye izifo ezinzima zingabangela ukuthi izinso zivuvuke futhi zivale umgudu womchamo. |
| Izimila noma Umdlavuza | Umdlavuza ezindaweni ezifana nezinso, esinyeni kanye ne-prostate ungabangela ukuthi umgudu womchamo uqine futhi uvaleke. |
| Izicubu zesibazi | Izibazi ezivela ekuhlinzweni kwangaphambilini noma ekuthelelekeni kungabangela ukuthi ipayipi livaleke. |
| Ukuvuvukala ngemva kokuhlinzwa | Ukuvuvukala kwesikhashana ngemva kokuhlinzwa kwezinso kungabangela ukuvaleka kwendlela yomchamo. |
| Izimo zokuzalwa | Abanye abantu bangazalwa benezinkinga ezithile ohlelweni lwabo lomchamo. |
Leli payipi lifakwa kanjani? Ingabe kuwumsebenzi omkhulu?
Cha, lokhu akuyona indlela enkulu yokuhlinzwa evulekile. Lena inqubo engadingi ukungenelela okuningi evame ukuthatha cishe ihora. Yenziwa yi-Interventional Radiologist.
Nakhu ukuthi lokhu kwenzeka kanjani:
- Ukulungiselela: Uzonikezwa ingubo yasesibhedlela ozoyigqoka. Ngemuva kwalokho uzocelwa ukuba ulale etafuleni umhlane wakho ubheke phezulu, okungukuthi, ubheke phansi.
- I-Anesthesia: Ukuze le nqubo ingabi buhlungu futhi ikugcine uzolile, uzonikezwa i-intravenous laxative . Ngaphezu kwalokho, kuzofakwa i-anesthetic yendawo endaweni lapho kuzofakwa khona ipayipi. Ezinganeni ezincane kanye nabanye abantu abadala, lokhu kungenziwa ngaphansi kwe-anesthesia ejwayelekile .
- Ukutholwa kwendawo:Udokotela uzosebenzisa umshini we-ultrasound noma we-X-ray ukuthola indawo eqondile yenso yakho.
- Ukufakwa kwepayipi: Ngemuva kwalokho, ngokucophelela okukhulu, inaliti encane ifakwa esikhumbeni iye enso. Intambo idluliselwa enalitini, bese ipayipi le-nephrostomy lifakwa enso eduze kwentambo. Ngezinye izikhathi uketshezi olukhethekile (udayi ohlukile) lungase lunikezwe futhi kuhlolwe i-fluoroscopy ukuze kuhlolwe ukuthi ipayipi likhona yini.
- Isiphetho: Ngemva kokufakwa kwepayipi, liboshelwa esikhumbeni ngokuthunga okuncane noma ngebhandeshi ukuze lingayinyakazi. Isiphetho sangaphandle sepayipi sixhunywe esikhwameni somchamo.
Ngemva kwalokhu, uzobhekwa amahora ambalwa futhi uma konke kuhamba kahle, uzovunyelwa ukuya ekhaya. Abanye abantu bangase bagcinwe esibhedlela usuku lonke.
Ulinakekela kanjani leli payipi ekhaya?
Lena yingxenye ebaluleke kakhulu. Uma ipayipi linganakekelwa kahle, kunethuba elikhulu lokutheleleka. Ngakho-ke kudingeka uqaphele kakhulu ngokuhlanzeka. Udokotela wakho noma abasebenzi bobuhlengikazi bazochaza lokhu kahle kakhulu.
Hlola ithubhu njalo.
- Hlola ukuthi ithubhu ligobile noma linamathele kuphi. Uma ligobile, umchamo ngeke ungene esikhwameni.
- Hlola ukuthi kukhona ukubomvu, ukuvuvukala, noma ubomvu lapho ipayipi lihlangana khona nesikhumba.
- Hlola ukuthi kukhona yini ushintsho embala womchamo esikhwameni somchamo.
- Hlola njalo i-dressing ezungeze ipayipi ukuze ubone ukuthi imanzi, ingcolile, noma ikhululekile . Kufanele ihlale ihlanzekile futhi yomile.
Ukuthulula isikhwama somchamo
- Gcina njalo isikhwama somchamo siphansi kunezinso . Lokhu kuzokwenza umchamo ugeleze kalula ngenxa yamandla adonsela phansi.
- Thulula isikhwama uma sesigcwele cishe ingxenye . Ungalindi kuze kube yilapho sesigcwele ngokuphelele.
- Uma ubona imbobo noma ukuvuza esikhwameni, faka esisha ngokushesha.
Ukushintsha izingubo nokuhlanzeka
- Indwangu ezungeze ipayipi kufanele ishintshwe okungenani kabili ngesonto . Kufanele futhi ishintshwe ngokushesha ngemva kokugeza, uma imanzi, noma uma ingcola.
- Ungakhohlwa ukugeza izandla zakho kahle ngensipho ngaphambi nangemva kokwenza lezi zinto.
- Ngesikhathi ipayipi likhona, ungagezi noma ubhukude. Kodwa-ke, ungageza ngemva kwamahora angu-48. Kodwa-ke, kufanele ushintshe ijazi lakho ngemva kokugeza.
Kunini lapho kufanele sishayele khona udokotela ngokushesha?
Kujwayelekile ukuba nobuhlungu kanye nombala womchamo opinki kancane (njengojusi wewolintshi) izinsuku ezimbili kuya kwezintathu ngemuva kokufakwa kwepayipi. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, kufanele wazise udokotela wakho ngokushesha . Uma kudingeka, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
| Isibonakaliso sesexwayiso okufanele usiqaphele |
|---|
| Uma umchamo ubomvu ngokumnyama (njengobeetroot) futhi uqukethe igazi. |
| Uma kuvela uketshezi oluphuzi olufana nobovu lapho kufakwe khona ipayipi. |
| Uma umchamo uvuza eduze kwepayipi bese ungena esikhumbeni. |
| Uma unomkhuhlane (ongaphezu kuka-101°F noma u-38.3°C) isikhathi esingaphezu kwamahora angu-24. |
| Uma uzwa ubuhlungu obukhulu obungabekezeleleki ngisho nangemva kokuthatha imithi yobuhlungu. |
| Uma umchamo ubonakala sengathi awusaqongeleli esikhwameni somchamo. |
Ukuphila nepayipi elinjengaleli kungaba yinto engakhululekile futhi ehlazisayo ekuqaleni. Kodwa khumbula, lokhu kuyinto oyenzayo ukuvikela izinso zakho nokusindisa impilo yakho. Ngakho ungakhathazeki ngakho. Cela usizo emndenini wakho, kubangani, kanye nethimba lezokwelapha. Ungesabi ukukhuluma nodokotela wakho nganoma yiziphi izinkinga noma ukungakhululeki onakho.
Umlayezo Wokuya Nawe Ekhaya
- I-nephrostomy tube iyithuluzi elibalulekile, elisindisa impilo elivimba ukulimala kwezinso zakho.
- Esikhathini esiningi, lokhu kungokwesikhashana. Udokotela wakho uzokususa uma inkinga yakho yezinso isixazululiwe.
- Ukuze kuvinjelwe ukutheleleka, kubalulekile ukugcina ipayipi nendawo ezungezile ihlanzekile kakhulu .
- Gcina njalo isikhwama somchamo ngaphansi kwezinso zakho. Thulula isikhwama uma sesigcwele ingxenye.
- Uma ubona noma yiziphi izimpawu eziyisixwayiso njengokuphuma kwegazi okubomvu okukhanyayo, umkhuhlane, ubuhlungu obukhulu, noma ukuvuza komchamo epayipini , yazisa udokotela ngokushesha.
- Kuvamile ukuzizwa ucindezelekile ngokomzwelo ngalesi simo. Khuluma ngokukhululekile ngakho nabathandekayo bakho kanye nethimba lezokwelapha.
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