Mhlawumbe udokotela wakho ukutshelile ukuthi unetshe lezinso. Noma mhlawumbe uzizwa ungakhululekile ngenxa yokuvaleka kwendlela yakho yomchamo. Ngesikhathi esinjengalesi, kuyinto evamile ukuzizwa wesaba futhi ukhathazekile lapho udokotela wakho ekutshela ukuthi udinga ukufakwa i-stent. Kodwa ungakhathazeki, namuhla sizoxoxa ngokuthi iyini i-stent ephuma e-ureteral, ukuthi yenzani, nokuthi izizwa kanjani uma uyifake endaweni yayo.
Iyini i-Ureteral Stent?
Kalula nje, leli yipayipi elincane kakhulu, eliguquguqukayo elenziwe nge-silicone noma ipulasitiki. Umzimba wethu unemibhobho emibili emincane ethwala umchamo usuka ezinso uye kwesinye, esiwubiza ngokuthi ama-ureter. Le stent isetshenziselwa ukuwugcina uvulekile uma kukhona ukuvaleka noma ukuvaleka kwenye yalezo zipayipi.
Njengoba nje ipayipi lamanzi livalekile ngothuli, amanzi ayayeka ukugeleza. Lapho i-urethra yethu ivalekile, umchamo awukwazi ukudlula usuka ezinso uye esinyeni. Lokhu okwenziwa yilesi stent ukufaka leli payipi elincane ngaphakathi kwendlela evalekile, kudala indlela yokuthi umchamo ugeleze ngayo ngaphandle kokuvinjelwa.
Le stent ingamamitha ayi-10 kuya kwangu-15 ubude. Udokotela uyayifaka ukuze i-coil ekugcineni okuphezulu ibe ngaphakathi kwezinso kanti i-coil ekugcineni okuphansi ibe ngaphakathi kwesinye. La ma-coil amabili agcina i-stent isendaweni yayo ngaphandle kokuhambahamba. Abanye abantu babiza lokhu ngokuthi 'i-stent ye-Double-J.'
Kungani udinga ukufaka lesi stent?
Isizathu esiyinhloko ukugwema noma yikuphi ukuvimba ukugeleza komchamo nokuthutha umchamo uye esinyeni ngaphandle kokulimaza izinso. Kungaba nezizathu eziningana zalokhu.
| Isizathu sokubeka i-stent | Kuchazwe kalula |
|---|---|
| Amatshe Ezinso | Amatshe ezinso (i-renal calculi) angahlala ku-ureter, avimbele ukugeleza komchamo. I-stent idala indlela ehlukile yokugeleza komchamo ngenkathi itshe lisekhona. Iphinde ibekwe ukuvimbela ipayipi ukuthi lingavuvukali ngemva kokuba itshe selilungisiwe. |
| Amathumba | Ngezinye izikhathi, umdlavuza noma ezinye izimila zingacindezela ngaphandle kwe-urethra, okubangela ukuthi ivaleke. I-stent isiza ukugcina ipayipi livulekile ngokumelene nalolo ngcindezi. |
| Ngemva kokuhlinzwa | Ngemva kokuhlinzwa ohlelweni lomchamo, indawo ingavuvukala futhi ivaleke okwesikhashana. Kubekwa i-stent ukusiza umchamo ukuthi ugeleze kuze kube yilapho ukuvuvukala kwehle. |
| Izicubu Zesilonda | Ukuvaleka kwe-urethra kungabangela ukuvaleka ngenxa yokutheleleka kwangaphambilini, ukuhlinzwa, noma izimo ezifana ne-endometriosis. I-stent ingasiza futhi ekugcineni indawo evalekile ivulekile. |
Into ebaluleke kakhulu ukuthi uma ukugeleza komchamo kunqamuka nganoma yisiphi isizathu, kungabangela umonakalo omkhulu ezinso, kuholele ekuthelelekeni, futhi mhlawumbe ngisho nokwehluleka kwezinso. Lokho okwenziwa yi-stent ukuvimbela lezo zimo ezimbi kakhulu.
Yimaphi amalungiselelo okudingeka enziwe ngaphambi kokuba kufakwe i-stent?
Njengoba lokhu kuwukuhlinzwa, udokotela wakho uzokunikeza imiyalelo ethile ngaphambi kwakho. Kubaluleke kakhulu ukulandela le miyalelo ngqo.
- Umlando wakho wezempilo ophelele: Tshela udokotela wakho konke onakho, okuhlanganisa nanoma yiziphi ezinye izifo oke waba nazo, kanye nanoma yikuphi ukuhlinzwa oke wakwenza ngaphambilini.
- Imithi oyithathayo: Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini kanye nemithi yamakhambi. Eminye imithi (njengemithi yokunciphisa igazi) ingandisa ingozi yokopha ngesikhathi sokuhlinzwa.
- Ukungezwani komzimba: Uma une-allergies kunoma yimuphi umuthi noma ukudla, qiniseka ukuthi uyakhuluma ngakho.
- Ukuhlolwa kwegazi: Ungase ucelwe ukuthi wenze ukuhlolwa kwegazi, njenge-eGFR, ukuze ubone ukuthi izinso zakho zisebenza kahle yini.
- Ukuzila Ukudla: Uzocelwa ukuthi uyeke ukudla noma ukuphuza cishe amahora angu-8 ngaphambi kokuhlinzwa. Kodwa-ke, uma unemithi ebalulekile, buza udokotela wakho ukuthi ingathathwa yini kanye namanzi.
Ingabe lokhu kuwumsebenzi omkhulu?
Cha, isikhathi esiningi lokhu kuwukuhlinzwa okulula, ngaphandle kokusikwa okukhulu noma ukusikeka. Odokotela bakubiza ngokuthi 'okungavamile kakhulu'. Lokho kusho ukuthi kunomonakalo omncane emzimbeni. Ungaya ekhaya kusihlwa esifanayo. Kodwa ngoba ungaphansi kwe-anesthesia, kubalulekile ukuthi othile eze azokuthatha akuyise ekhaya.
Kwenzekani uma kufakwa i-stent?
Lokhu kuhlinzwa kwenziwa udokotela wezifo zomchamo. Yonke inqubo yenziwa ngaphansi kwe-anesthesia ejwayelekile, ngakho ngeke uzwe lutho futhi uzolala kahle.
1. Ukuskena: Okokuqala, udokotela usebenzisa uhlobo lwe-X-ray (fluoroscopy) noma ukuskena kwe-ultrasound ukuthola ngqo ukuthi ukuvinjelwa kukuphi e-urethra.
2. Ukufakwa kwe-cystoscope: Okulandelayo, kufakwa ithubhu elincane, elide elinekhamera enamathiselwe (i-'cystoscope') nge-urethra yakho bese ingena esinyeni sakho.
3. Ukufakwa kwe-stent: Okulandelayo, intambo encane kakhulu (`ucingo oluqondisayo`) idluliselwa nge-`cystoscope` iye ku-urethra evinjiwe. I-stent ibe isiqondiswa ngaleyo ntambo iye endaweni efanele.
4. Ukuqeda: Uma i-stent isibekwe kahle, ucingo kanye ne-cystoscope kuyasuswa. Kusala i-stent kuphela ngaphakathi.
Yonke inqubo ithatha isikhathi esingaphansi kwemizuzu engama-30, kodwa kuzodingeka uhlale esibhedlela amahora amaningana, okuhlanganisa nesikhathi sokulungiselela ukuhlinzwa, ukululama ngemva kokuhlinzwa, nokuqinisekisa ukuthi uphilile.
Yini engingayilindela ngemva kokufakwa kwe-stent?
Uma uvuka ngemva kokusebenzisa i-anesthesia, uzozizwa ubuthakathaka futhi ulele kancane. Uzonikezwa imithi yokulawula ubuhlungu.
- Igazi emchameni (i-hematuria): Kujwayelekile ngokuphelele ukuba negazi elincane emchameni kanye nokubomvu okubomvu ezinsukwini ezimbalwa zokuqala. Ungakhathazeki ngakho. Kuzophela kancane kancane ezinsukwini ezimbalwa. Kodwa-ke, ungase ubone igazi elincane kuze kube yilapho i-stent isusiwe.
- Ukungakhululeki nobuhlungu: Ungase uzwe ukushisa okuncane noma ubuhlungu (`dysuria`) lapho uchama. Ungase uzizwe nesidingo sokuchama kaningi.
- Phuza amanzi amaningi: Udokotela wakho uzokutshela ukuthi uphuze amanzi amaningi izinsuku ezimbalwa. Lokhu kuzosiza izinso zakho kanye nesinye sakho ukuthi sisebenze kahle.
I-stent kufanele ishiywe isikhathi esingakanani endaweni yayo? Ngiyisusa kanjani?
Esikhathini esiningi, i-stent ingeyesikhashana . Udokotela wakho uzoyisusa ngemva kokuba inkinga e-urethra yakho (isib. itshe lisusiwe, ukuvuvukala kwehle). Ngokuvamile ishiywa endaweni yayo izinsuku ezimbalwa kuya emavikini ambalwa.
Kodwa kwabanye abantu, isibonelo, uma i-urethra ivinjiwe yi-tumor, kungadingeka ishiywe endaweni yayo izinyanga, noma ngisho neminyaka. Kulabo bantu, i-stent endala iyasuswa bese kufakwa entsha njalo ezinyangeni ezi-3-6 ukuvimbela ukutheleleka (ama-UTI).
Ingabe kubuhlungu ukususwa kwe-stent?
Kunezindlela ezimbili zokususa i-stent.
1. I-Stent enentambo: Amanye ama-stents esikhashana anentambo encane ekugcineni. Iphuma e-urethra. Udokotela udonsa intambo kancane bese esusa i-stent. Lena inqubo esheshayo.
2. Ama-stents angenantambo: Ama-stents asesebenze amasonto amaningana noma ngaphezulu awanayo intambo. Asuswa ngenqubo encane eyenziwa ehhovisi likadokotela. Okokuqala, kufakwa isisombululo sokufiphaza endaweni, kufakwa i-cystoscope, bese i-stent isuswa nge-forceps encane. Ukufiphaza akubangeli ubuhlungu obukhulu. Kodwa-ke, kungase kube nokungakhululeki nobuhlungu izinsuku ezimbalwa ngemva kokuba ukufiphaza sekuphelile.
Yini engenziwa ngezinkinga nobuhlungu obuvela ngesikhathi une-stent?
Ngeshwa, cishe abantu abangu-80% abane-stent bazozwa ubuhlungu obuncane. Lokhu ngokuvamile akukubi kangako.
- Ukucasuka kwesinyi
- Isidingo sokuphuza njalo
- Ubuhlungu noma ukushisa lapho uchama
- Igazi elincane emchameni
- Ingozi eyengeziwe yokutheleleka kwe-urinary tract (UTIs)
Kungani kubuhlungu kangaka uma ngine-stent endaweni yami?
Lokhu akufani kuwo wonke umuntu. Abanye abantu bangase bazizwe bengakhululekile, kanti abanye bangase bazizwe benobuhlungu obukhulu. Isizathu esiyinhloko ukuthi uma uchama, isinyi siyafinyela. Bese kuthi i-coil engaphakathi kwe-stent ikhuhle odongeni lwesinyi. Yingakho abanye abantu bezwa ubuhlungu.
Yini engenziwa ukunciphisa ubuhlungu?
- Iziqeda-zinhlungu: Ungasebenzisa i-paracetamol noma imithi engeyona i-steroidal anti-inflammatory (NSAIDs) (isb. i-ibuprofen). Kodwa ungalokothi uthathe noma yimiphi imithi yokuqeda izinhlungu ngaphandle kokubonisana nodokotela wakho .
- Imithi ekhethekile: Ngezinye izikhathi udokotela wakho uzokunikeza imithi efana ne-tamsulosin. Nakuba lena empeleni iyimithi enikezwa amadoda ngenxa yezinkinga ze-prostate, ingasiza kakhulu ngobuhlungu nokungakhululeki okubangelwa yi-stent.
Kufanele umshayele nini udokotela ucingo?
Nakuba ukungakhululeki okuncane kuyinto evamile uma une-stent, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
| Izimpawu zesixwayiso okufanele uziqaphele | |
|---|---|
| Ubuhlungu obukhulu | Ubuhlungu esiswini noma ezinso obungenakulawuleka noma obungabekezeleleki ngisho noma kusetshenziswa imithi yobuhlungu. |
| Izimpawu zokutheleleka | Ukuba nomkhuhlane ophakeme, ukuthuthumela nokuzizwa ubanda. |
| Izinguquko emchameni | Amahlule egazi emchameni, umchamo onephunga elibi kakhulu noma omnyama kakhulu noma onombala odaka. |
| Ukungakwazi ukuchama | Isidingo sokuchama kodwa kungaphumi mchamo. Lokhu kusho ukuthi i-stent ingase ibambeke. |
| Ukuhlanza kanye nesicanucanu | Ukucanuzela nokuhlanza okuqhubekayo. |
Umlayezo Wokuya Nawe Ekhaya
- I-stent ye-ureteral iyindlela ephephile futhi evame ukuba yimpumelelo yokusiza ukuhambisa umchamo usuka ezinso uye esinyeni.
- Ngemva kokufakwa kwe-stent, kuvamile ukuba negazi emchameni wakho, udinga ukuchama kaningi, futhi uzwe ubuhlungu. Ungesabi lokho.
- Kwabaningi, lokhu kuyinqubo yesikhashana. Udokotela uzoyisusa uma inkinga yakho isixazululiwe.
- Yeka ukwenza umsebenzi onzima noma ukuzivocavoca okunzima izinsuku ezimbalwa. Phuza amanzi amaningi.
- Uma uhlangabezana nanoma yiziphi izimpawu ezifana nobuhlungu obungabekezeleleki, umkhuhlane, noma igazi emchameni wakho, ungakushayi indiva lokho futhi wazise udokotela wakho ngokushesha . Unganqikazi ukukhuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
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