Ngezinye izikhathi ungase uzibuze ukuthi izinhlelo zomzimba wethu zisebenza kahle kangakanani ngaphandle kokuthi siqaphele. Kodwa cabanga ukuthi bekuzokwenzekani uma ipayipi elincane elikhiqiza umchamo ezinso, eliya kwesinye, livalekile ndawana thize? Lolo uhlobo lokuvaleka oluvame ukubangela ubuhlungu nokuvuvukala kwezinso. Enye indlela yokwelapha lokhu ukuhlinzwa okubizwa ngokuthi 'i-Pyeloplasty'. Ungakhathazeki, sizoxoxa ngakho konke kalula nangokucacile.
Kalula nje, iyini i-Pyeloplasty?
Ukuze siqonde lokhu, ake siqale sibheke ukuthi uhlelo lwethu lomchamo lusebenza kanjani. Umchamo ukhiqizwa yizinso ezimbili emzimbeni wethu. Umchamo okhiqizwa ngale ndlela uqoqana engxenyeni efana ne-funnel ngaphakathi kwezinso. Lokhu sikubiza ngokuthi `(Renal Pelvis)`. Ngemuva kwalokho, lo mchamo wehla ngepayipi elincane bese uqoqana esinyeni. Lo mchamo ubizwa ngokuthi `(Ureter)`.
Manje ake ucabange ukuthi kukhona ukuvaleka noma ukuvinjelwa endaweni lapho i-funnel yezinso (`Renal Pelvis`) kanye nepayipi eliqala kuyo (`Ureter`) kuhlangana khona, okungukuthi, ku-`(Ureteropelvic Junction - UPJ)`. Kwenzekani-ke? Umchamo awukwazi ukwehla bese uqala ukugcwala ngaphakathi kwezinso. Njengalapho ipayipi lamanzi libhajwa phakathi, amanzi agcwala emuva. Lokhu kubangela ukuthi izinso zivuvuke , odokotela ababiza ngokuthi `(Hydronephrosis)`. Futhi , kungase kube nobuhlungu emhlane, izifo zomchamo ezivame ukwenzeka, futhi ngokuhamba kwesikhathi, izinso zingase zonakale .
I-Pyeloplasty ukususwa ngokuhlinzwa kwepayipi elivalekile, elincishisiwe bese lilungiswa kabusha ukuze umchamo ukwazi ukugeleza kahle.
Ubani ngempela odinga lokhu kuhlinzwa?
Lesi simo, esibizwa ngokuthi "ukuvinjelwa kwe-UPJ", ngezinye izikhathi sizalwa naso. Ngokwesilinganiso, cishe ingane eyodwa kweziyi-1,500 izalwa nalesi simo. Kodwa-ke, ezimweni eziningi, siphela sodwa lapho ingane isinezinyanga eziyi-18 ubudala. Uma siqhubeka, njengokuthi izinso ziyaqhubeka nokuvuvukala noma zitheleleke, odokotela bangase batuse ukuhlinzwa.
Futhi, lesi simo singase senzeke kamuva ezinganeni ezindala, kubantu abadala abasebasha, nakubantu abadala. Uma udokotela wakho ebona ukuthi izinso zakho zivuvukele (i-Hydronephrosis) ku-ultrasound noma ku-CT scan, bangase basole ukuthi imbangela iwukuvinjelwa kwe-UPJ. Lokhu kuhlinzwa kungadingeka futhi.
Lokhu kuhlinzwa kwenziwa kanjani? Ingabe wenza i-incision enkulu?
Cha. Ngobuchwepheshe obuthuthukisiwe banamuhla, lokhu kuvame ukwenziwa ngokusika okuncane kakhulu . Kodwa kunezindlela eziningana. Ake sibone ukuthi ziyini.
| Indlela yokuhlinzwa | Indlela okwenziwa ngayo |
|---|---|
| Ukuhlinzwa kwe-Laparoscopic | Lena yindlela evame ukusetshenziswa kakhulu. Lokhu kuhlinzwa kwenziwa ngokusika okuncane kakhulu esiswini bese kufakwa ikhamera namathuluzi abucayi. Lokhu kungenziwa futhi ngerobhothi. |
| Ukuhlinzwa Kwe-Endoscopic | Kulokhu, akukho ukugoba okwenziwa ngaphandle. Ukuvaleka kuxazululwa ngokufaka ithuluzi elincane eduze kwe-urethra. |
| Ukuhlinzwa Okuvulekile | Kulokhu, kwenziwa ukusika okukhulu kancane ohlangothini lapho kukhona khona izinso. Le ndlela ayisasetshenziswa kakhulu manje. |
Yini okufanele uyenze ngaphambi kokuhlinzwa?
Udokotela wakho uzokunikeza imiyalelo yokuthi ungalungiselela kanjani ukuhlinzwa kwakho, futhi kubaluleke kakhulu ukuyilandela ngqo.
- Ukuzila Ukudla: Uzocelwa ukuthi uyeke ukudla noma ukuphuza cishe amahora angu-8 ngaphambi kokuhlinzwa.
- Imithi: Uma uthatha eminye imithi, buza udokotela wakho ukuthi kufanele uyeke yini ukuyithatha noma ungayiphuza namanzi. Ungayeki ukuthatha noma yimiphi imithi ngaphandle kweseluleko sikadokotela.
- Umuntu ozokusiza: Kuzodingeka uhlale esibhedlela usuku olulodwa noma ezimbili ngemva kokuhlinzwa. Hlela kusengaphambili ukuthi othile akuphelezele uye ekhaya.
Yini ongayilindela ngemva kokuhlinzwa?
Ngokuvamile kuzodingeka uhlale esibhedlela usuku olulodwa noma ezimbili. Phakathi nalesi sikhathi:
- Ungadla futhi uphuze ngendlela evamile ngemva kokuhlinzwa.
- Ungahambahamba kancane, uzulazule kancane. Kodwa kubalulekile ukuphumula, njengoba udokotela esho.
- Ama-antibiotic anikezwa ukuvimbela ukutheleleka.
- I-catheter ye-Foley ingafakwa. Izosuswa uma usuya ekhaya.
- Ukuhlinzwa kungabangela ukuvuvukala kwe-urethra, okungabangela ubuhlungu kanye nokuqina kwesinyi. Udokotela uzonikeza imithi yokwelapha ubuhlungu edingekayo kulokhu.
Kusho ukuthini ukubeka i-stent?
Ngokuvamile, phakathi nalokhu kuhlinzwa, kufakwa ipayipi elincane kakhulu lepulasitiki ngaphakathi kwe-ureter esanda kuxhunywa ukuze liyibambe ivuleke ize iphole. Lokhu kubizwa ngokuthi `(Stent).` Lokhu kuyinto efakwa okwesikhashana. Le `(Stent)` isuswa ngemva kokuba izinso ziphole emavikini ambalwa.
Yiziphi izinzuzo nezingozi?
Njenganoma yikuphi ukuhlinzwa, kunezinzuzo nezingozi. Udokotela wakho uzokuchazela lokhu ngokuningiliziwe.
| Izinzuzo | Izingozi |
|---|---|
|
Isikhathi sokululama kanye nendlela yokunakekela ekhaya
Ngokuvamile uzoqala ukuzizwa ungcono phakathi nesonto noma amabili . Kuze kube yilapho i-stent isusiwe, ungase uzwe ubuhlungu lapho uchama kanye negazi elincane emchameni wakho. Lokhu kuvamile. Uzokwazi ukubuyela emisebenzini yakho evamile cishe emavikini amathathu kuya kwamane .
Nakekela lezi zinto ekhaya:
- Phuza amanzi amaningi. Kuhle kakhulu ukuphuza okungenani amalitha angu-2-3 amanzi ngosuku.
- Thatha imithi (ama-painkillers, ama-antibiotic) enqunywe udokotela ngesikhathi.
- Susa ibhandishi endaweni yokusikwa njengoba kuqondiswe udokotela wakho. Ligcine lihlanzekile futhi lomile.
- Gwema ukugeza esinkini. Kungabangela izifo. Kulungile ukugeza.
- Gwema ukuphakamisa izinsimbi noma ukwenza umsebenzi onzima amasonto amane kuya kwayisithupha.
Kufanele ubonane nodokotela ngokushesha nini?
Qaphela kakhulu ngalezi zimpawu. Uma unanoma yiziphi zalezi zimpawu, kufanele ukhulume nodokotela wakho ngokushesha ngaphandle kokuchitha isikhathi.
- Ukucanuzela noma ukuhlanza okuqhubekayo.
- Izimpawu zokutheleleka njengomkhuhlane , ukubomvu okuzungeze indawo eboshiwe, ukuvuvukala, kanye nokuphuma kobomvu.
- Ubuhlungu obukhulu obungenakulawuleka ngisho nangemithi.
- Uma umchamo ubomvu ngokumnyama futhi uphuma igazi eliningi kanye namahlule.
- Uma uzwa ubuhlungu esifubeni noma ubunzima bokuphefumula , hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
Lokhu kuhlinzwa kuphumelele ngaphezu kuka-95%, okusho ukuthi abantu abayisishiyagalolunye kwabayishumi. Ngakho-ke asikho isidingo sokukhathazeka ngalokhu. Kodwa uma udokotela ethi wena noma ingane yakho nidinga lokhu kuhlinzwa, khulumani naye nganoma yimiphi imibuzo, ukwesaba, noma ukungabaza eninakho ngakho. Ngaleyo ndlela, nizoba nokuqonda okungcono nokuthula kwengqondo.
Umlayezo Wokuya Nawe Ekhaya
- I-Pyeloplasty ukuhlinzwa okwenziwa ukulungisa ukuvaleka kwepayipi elithwala umchamo lisuka ezinso liye kwesinye (ukuvaleka kwe-UPJ).
- Lokhu manje kuvame ukwenziwa ngokusikwa okuncane kakhulu (okungenangozi kangako), ngakho-ke ukululama kuyashesha.
- I-stent yesikhashana ingafakwa ngemva kokuhlinzwa ukuze isize ekwelapheni.
- Lokhu kuhlinzwa kuphumelele kakhulu futhi kusiza ukuvimbela ubuhlungu, ukutheleleka, kanye nokulimala kwezinso.
- Ngaphambi kwanoma yikuphi ukuhlinzwa, khuluma ngokukhululekile nodokotela wakho ngezinzuzo, izingozi, kanye nanoma yimiphi imibuzo ongase ube nayo.
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