Amatshe ezinso ayinkinga yezempilo abantu abaningi ezweni lethu ababhekene nayo. Ngezinye izikhathi la matshe mancane kakhulu, ngakho angasuswa emzimbeni ngokuthatha imithi nokuphuza amanzi amaningi. Kodwa ngezinye izikhathi, la matshe angaba makhulu kancane. Uma ekhula kakhulu, awaphumi ngokwawo, futhi kunzima nokuwasusa ngezinye izindlela zokwelapha ezilula. Ezimweni ezinjalo, namuhla sizokhuluma ngokuhlinzwa okukhethekile odokotela abancomayo. Lokhu kubizwa ngokuthi 'i-Percutaneous Nephrolithotomy' noma i-PCNL ngamafuphi.
Kuyini ukuhlinzwa kwe-PCNL? Masikuqonde kalula
Nakuba igama lingase lizwakale liyinkimbinkimbi kancane, inqubo empeleni ilula kakhulu. Igama elithi "Percutaneous" lisho "ngokusebenzisa isikhumba ." Igama elithi "Nephrolithotomy" lisho "ukususa itshe enso." Ngakho-ke, ukukubeka kalula, i-PCNL iwukuhlinzwa lapho kwenziwa khona ukusikwa okuncane kakhulu esikhumbeni bese kufakwa ithuluzi ngakho ukuze kususwe itshe elikhulu enso.
Lolu uhlobo lokuhlinzwa olubizwa ngokuthi "ukuhlinzwa okuncane kakhulu." Okusho ukuthi, esikhundleni sokwenza ukusika okukhulu esiswini njengakuqala, lokhu kuhlinzwa kwenziwa ngokusika okuncane kakhulu. Kufana "nokuhlinzwa kwe-keyhole."
Kodwa noma lokhu kwenziwa ngokusikwa okuncane, akufanele kuthathwe kalula. I-PCNL ibhekwa njengokuhlinzwa okukhulu . Kodwa inzuzo ukuthi inezinkinga ezimbalwa kunezindlela ezindala futhi ingaphola ngokushesha.
Ubani ngempela odinga lokhu kuhlinzwa?
Lokhu kuhlinzwa akwenziwa kuwo wonke umuntu onetshe lezinso. Ngokuvamile, udokotela uzoncoma lokhu kuhlinzwa ezimweni ezilandelayo:
- Uma itshe lakho lezinso likhulu kakhulu (isibonelo, likhulu kuno-2 cm).
- Uma itshe lingenakukwazi ukususwa ngezinye izindlela zokwelapha, njenge-shock wave lithotripsy noma i-laser ureteroscopy,
- Uma itshe lezinso libangela umonakalo noma libangela ubuhlungu obukhulu.
Izinga lempumelelo yalokhu kuhlinzwa liphezulu kakhulu lifinyelela ku-75% kuya ku-98%. Lokhu kusho ukuthi kungaqedwa ngempumelelo ezimweni eziningi.
Kwenziwa kanjani ukuhlinzwa?
Lokhu kuhlinzwa kwenziwa udokotela ogxile ezifweni nasekuhlinzeni uhlelo lomchamo. Simbiza ngokuthi yi-Urologist . Ake sibheke ukuthi ukuhlinzwa kwenziwa kanjani isinyathelo ngesinyathelo.
1. I-Anesthesia: Okokuqala, uzofakwa ngaphansi kwe-anesthesia ejwayelekile ngudokotela we-anesthesia. Lokhu kusho ukuthi ngeke uzwe ubuhlungu futhi uzolala ubuthongo obuphelele.
2. Sika:Okulandelayo, uchwepheshe uzokwenza ukusika okuncane kakhulu (cishe i-1 cm) emhlane noma embotsheni yakho, lapho kukhona khona inso yakho.
3. Ukufakwa kwepayipi: Ipayipi elivikelayo (umgoqo) lifakwa ngokusikwa enso.
4. Ukuthola itshe: Bese kufakwa ithuluzi elincane kakhulu elinekhamera (i-nephroscope) ngepayipi ukuze kutholakale itshe elingaphakathi kwenso.
5. Ukususa itshe: Uma itshe lincane, likhishwa ngqo. Uma itshe likhulu, liqhekeka libe yizicucu ezincane kusetshenziswa umsebe we-laser noma idivayisi ekhethekile yamaza omsindo (lithotripter).
6. Ukusiza ekwelapheni: Ngemva kokususwa kwetshe, ithubhu elincane ('ithubhu yokudonsa amanzi') noma i-ureteral stent ngezinye izikhathi kufakwa ngaphakathi ukuze kusize umchamo ugeleze kahle futhi inxeba liphole ngokushesha. Ekugcineni, ukusikwa esikhumbeni kuvalwa ngezitishi.
Ngokuvamile, yonke le nqubo ithatha cishe amahora amabili kuya kwamane.
Izinto okufanele uzazi ngaphambi nangemva kokuhlinzwa
Kudingeka kube nokulungiselela okuthile ngaphambi nangemva kokuhlinzwa. Ake sibheke lokho.
| Ithuba | Okudingeka ukwenze |
|---|---|
| Ngaphambi kokuhlinzwa |
|
| Ngemva kokuhlinzwa |
Ingabe zikhona izingozi kulokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile. Lezi azivamile, kodwa kubalulekile ukuziqaphela.
- Izingozi ezihambisana nokubulala izinzwa.
- Ukutheleleka endaweni yokuhlinzwa.
- Ukopha ngokweqile noma ukuqhekeka kwegazi (i-hematoma).
- Umonakalo othile ezinso.
- Ukutheleleka okukhulu kwendlela yomchamo (njenge-sepsis).
- Akuvamile ukuthi kungenzeki ukususa itshe ngokuphelele.
Ungakhathazeki ngalezi zingozi. Udokotela wakho uzohlela ukuhlinzwa ngendlela ezophatha zonke lezi zingozi.
Isikhathi sokuthola iseluleko sezokwelapha ngokushesha
Uma ufika ekhaya ngemva kokuhlinzwa, naka kakhulu umzimba wakho. Uma ubona noma yini engavamile, kufanele ushayele udokotela wakho ucingo ngokushesha. Qaphela kakhulu lezi zimpawu:
- Uma isilonda siphuma igazi kakhulu.
- Uma uphuma amahlule egazi ajiyile njengomchamo wakho.
- Uma umchamo uphenduka obomvu noma onsundu ngokumnyama.
- Uma unomkhuhlane ongaphezu kwama-38 Celsius (100 Fahrenheit) .
- Uma uzizwa ubanda futhi uthuthumela.
- Uma ubuhlungu buqhubeka buba bubi kakhulu.
Uma uzwa izimpawu ezinzima ezifana nalezi, ungangabazi ukuya e -Emergency Treatment Unit (ETU) yesibhedlela.
Umlayezo Wokuya Nawe Ekhaya
- I-PCNL iyindlela yokuhlinzwa ephumelela kakhulu futhi ephephile esetshenziselwa ukususa amatshe amakhulu ezinso.
- Nakuba lokhu kuwukuhlinzwa okukhulu, ukusikwa kuncane kakhulu, ngakho-ke isikhathi sokululama sifushane.
- Kubalulekile ukuze umuntu alulame ngokushesha ukulandela imiyalelo kadokotela ngokucophelela ngaphambi nangemva kokuhlinzwa.
- Uma unemibuzo mayelana nokuhlinzwa, ungesabi ukubuza udokotela wakho.
- Uma kuvela izimpawu ezingavamile ngesikhathi sokululama, funa iseluleko sezokwelapha ngokushesha.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho