Ungase ukhathazeke kancane lapho udokotela wakho ekutshela ukuthi udinga i-stent ye-ureteral. Lapho iningi lethu licabanga nge-stent, sicabanga nge-stent efakwa enhliziyweni. Kodwa lokhu kuyinto ehluke ngokuphelele. Yithuluzi elincane elisiza uhlelo lwakho lwezinso ukuthi lusebenze kahle. Ngakho-ke asikho isidingo sokwesaba. Namuhla, sizokhuluma ngalokhu ngendlela elula kakhulu ongayiqonda.
Kalula nje, iyini i-stent ye-ureteral?
Cabanga ngezinso ezimbili emzimbeni wethu njengezihlungi ezimbili zamanzi. Lezi zihlungi zinemibhobho emibili emincane ethwala umchamo (umchamo) ohlanzwa yilezi zihlungi ezimbili uye esinyeni. Lawa mapayipi amabili yilokho esikubiza ngokuthi 'ama-ureter' noma umgudu womchamo.
I-ureteral stent iyipayipi elincane kakhulu, eliguquguqukayo elenziwe nge-silicone noma i-polyurethane. Ifakwa ngaphakathi kwe-ureter, ipayipi elithwala umchamo, ukusiza ukuthi ihlale ivulekile futhi ivulekile. Kufana nokufaka ipayipi elincane ngepayipi lamanzi elivaliwe ukusiza ukuvula indlela.
Le stent ingaba amasentimitha angu-10-15 ubude. Yakhelwe ngendlela yokuthi ingxenye yayo eyodwa ihlale ngaphakathi kwezinso kanti enye ingxenye ihlale ngaphakathi kwesinye. Lokhu kubizwa nangokuthi 'i-stent ye-Double-J'.
Kungani sidinga ukufaka lesi stent?
Isizathu esiyinhloko ukuthi i-ureter ivalekile ngesizathu esithile (ukuvinjelwa kwe-ureteral). Uma lokhu kwenzeka, umchamo awugelezi usuka ezinso uye kwesinye. Lokhu kungabangela umonakalo ezinso futhi kuholele ekuthelelekeni. I-stent isebenza ngokugwema ukuvinjelwa nokudala indlela yokugeleza komchamo.
Bheka ithebula elingezansi ukuze uthole izizathu eziyinhloko zokubeka le stent.
| Isizathu | Incazelo |
|---|---|
| Amatshe Ezinso | Lena yimbangela evame kakhulu. Uma itshe lezinso libhajwa ku-ureter futhi livimba ukugeleza komchamo, kufakwa i-stent ukuze idlule itshe futhi idale indlela yokugeleza komchamo. Isetshenziswa ngemva kokuba itshe selilungisiwe futhi kuvinjelwe ipayipi ukuthi lingavuvukali. |
| Ngemva kokuhlinzwa | Ngemva kokuhlinzwa ohlelweni lomchamo, indawo ingavuvukala futhi ivale i-urethra. Kufakwa i-stent yesikhashana ukuvimbela lokhu. |
| Amathumba | Uma isimila esinomdlavuza noma esingesona umdlavuza siphumela ngaphandle futhi sivimba i-urethra, kudingeka i-stent ukuze ihlale ivulekile. |
| Ezinye izizathu | Zisetshenziswa futhi ezimweni zokuqhekeka kwegazi, izibazi ezibangelwa yizimo ezifana ne-endometriosis, noma ukuncishiswa kwe-urethra okuzalwe nakho. |
Ingabe ukufakwa kwe-stent kuyindlela enkulu yokuhlinzwa? Ngikulungiselela kanjani?
Cha, lokhu akuvamile ukuba ukuhlinzwa okukhulu . Lokhu kungukuhlinzwa okungangenisi kakhulu. Lokho kusho ukuthi kwenziwa ngembobo yemvelo, ngaphandle kokwenza i-incision enkulu. Ezimweni eziningi, ungaya ekhaya ngalolo suku. Kodwa-ke, ngoba ungaphansi kwe-anesthesia, uzodinga umuntu ozokuthatha akuyise ekhaya.
Ngaphambi kokuhlinzwa, udokotela uzokutshela okulandelayo:
- Sitshele ngomlando wakho wezokwelapha ophelele kanye nanoma yikuphi ukungezwani komzimba okungenzeka ukuthi unakho.
- Tshela udokotela wakho ngayo yonke imithi oyiphuzayo (kufaka phakathi amavithamini) . Eminye imithi ingandisa ukopha.
- Bathi kufanele kwenziwe ukuhlolwa kwegazi (eGFR) ukuhlola ukusebenza kwezinso.
- Uzocelwa ukuthi ungadli noma uphuze lutho cishe amahora angu-8 ngaphambi kokuhlinzwa. Uma kukhona imithi ebalulekile, uzovunyelwa ukuyiphuza kanye namanzi.
Isebenza kanjani inqubo yokufaka i-stent?
Lokhu kuvame ukwenziwa udokotela wezifo zomchamo. Uzonikezwa i-anesthesia ejwayelekile, ngakho ngeke uzizwe lutho futhi uzolala.
Ngemva kokulala, udokotela uzolandela lezi zinyathelo:
1. Okokuqala, kusetshenziswa i-scan (i-fluoroscopy noma i-kidney ultrasound) ukuthola indawo eqondile yokuvaleka.
2. Bese kuthi, kudluliselwe ithuluzi elincane, elide elinekhamera (i-'cystoscope') nge-urethra yakho bese lingena esinyeni sakho.
3. Ngale `cystoscope`, idivayisi efana nentambo encane kakhulu (`ucingo oluqondisayo`) idluliselwa ku-urethra evalekile.
4. I-stent ifakwa endaweni efanele kulolo cingo lokuqondisa.
5. Uma i-stent isikhona, ucingo oluqondisayo kanye ne-cystoscope kuyasuswa ngokucophelela. I-stent ihlala ngaphakathi emzimbeni.
Yonke inqubo ithatha isikhathi esingaphansi kwemizuzu engama-30, kodwa kuzodingeka uhlale esibhedlela amahora ambalwa ukuze ulungiselele ukuhlinzwa bese uqapha isimo sakho.
Kwenzekani ngemva kokufakwa kwe-stent? Yini ongayilindela?
Ngemva kokuhlinzwa, uzozizwa ubuthakathaka kancane uma uvuka. Uzonikezwa imithi yokulawula ubuhlungu. Udokotela uzokutshela ukuthi uphuze amanzi amaningi . Lokhu kuzosiza ukukhipha izinso kanye nesinye.
Lezi zinto zivamile ezinsukwini ezimbalwa zokuqala:
- Igazi elincane emchameni (i-hematuria): Lokhu kuzoncipha kancane kancane.
- Ukungakhululeki okuncane noma umuzwa wokushisa lapho uchama: Lokhu kuzophela futhi ezinsukwini ezimbalwa.
- Ukudinga ukuchama njalo: Lokhu kungenzeka ngoba i-stent ivuselela isinyi.
- Ukuzwa ubuhlungu obuncane endaweni lapho kukhona khona izinso (ezinhlangothini zombili zomhlane ongezansi) lapho uchama: Lokhu kungenzeka nakwabanye abantu.
Lokhu kungakhululeki kungaqhubeka isikhathi eside uma nje i-stent isekhona. Kodwa-ke, uma uzwa ubuhlungu obungabekezeleleki noma ukopha ngokweqile , yazisa udokotela wakho ngokushesha.
Kudingeka isikhathi esingakanani i-stent ibe khona?
Kuya ngesimo sakho. Esikhathini esiningi, lezi zingokwesikhashana . Zingashiywa endaweni yazo izinsuku ezimbalwa kuya emavikini ambalwa. Udokotela wakho uzozisusa uma isimo sakho sithuthuka.
Kodwa-ke, abanye abantu (isibonelo, labo abanemithambo yabo evalwe yi-tumor) badinga ukuba ne-stent isikhathi eside. Kubantu abanjalo, i-stent endala iyasuswa bese kufakwa entsha njalo ezinyangeni ezi-3-6 ukuvimbela ukutheleleka.
Uyisusa kanjani i-stent? Ingabe ibuhlungu?
Ukususa i-stent kulula kakhulu.
- I-Stent enentambo: Amanye ama-stents esikhashana anentambo ebonakalayo eshiywe endaweni yayo. Udokotela ukhipha i-stent ngokuyidonsa.
- Ama-stents angenantambo: Lawa asuswa kusetshenziswa i-cystoscope njengoba efakwa. Ijeli yokudambisa izinhlungu ifakwa endaweni, ukuze ungazizwa ubuhlungu obukhulu. Ungase uzizwe ungakhululekile kancane.
Kungase kube nokusha okuncane noma ukungakhululeki usuku olulodwa noma ezimbili ngemva kokususwa. Lokhu kuvamile.
Yiziphi izinzuzo kanye nezinkinga ezingaba khona?
Njenganoma iyiphi inqubo yezokwelapha, kunezinzuzo kanye nezinkinga ezincane/izinkinga.
| ✅ Izinzuzo | ⚠️ Izinkinga Ezingaba Khona |
|---|---|
| Kwenza umchamo ugeleze kangcono. | Ukucasuka kwesinyi. |
| Kuvimbela ukulimala kwezinso. | Ukudinga njalo ukuchama. |
| Kusiza ekuhlanzeni umchamo onegciwane. | Ukushisa noma ubuhlungu lapho uchama (i-dysuria). |
| Ivumela ipayipi ukuthi liphole ngemva kokuhlinzwa. | Ukutheleleka komgudu womchamo (UTIs). |
| Kusiza ukususa amatshe ezinso. | Igazi elincane emchameni. |
Unganciphisa kanjani ubuhlungu obubangelwa yi-stent?
Lokhu kungakhululeki ngokuvamile kungalawulwa ngamaphilisi okudambisa izinhlungu. Kodwa-ke, ungaphuzi noma yimaphi amaphilisi okudambisa izinhlungu (njenge-'NSAID') ngaphandle kokubuza udokotela wakho. Ngezinye izikhathi udokotela wakho angase akunike umuthi okhethekile njenge-'tamsulosin' ukuze unciphise lokhu kungakhululeki.
Uma unalezi zimpawu, xhumana nodokotela ngokushesha!
Uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo ngenkathi une-stent endaweni yayo, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
- Umkhuhlane noma ukubanda okukhulu (kungaba uphawu lokutheleleka).
- Ubuhlungu obukhulu obungabekezeleleki, endaweni yezinso, esiswini esingezansi, noma lapho uchama.
- Igazi elibomvu elimnyama noma amahlule egazi emchameni.
- Ukungakwazi ukuchama noma ukwehla kokukhishwa komchamo.
- Umchamo onsundu omnyama, iphunga elibi .
- Isicanucanu nokuhlanza .
Umlayezo Wokuya Nawe Ekhaya
- I-stent ye-ureteral iyithuluzi eliphephile nelesikhashana elisetshenziselwa ukuqeda ukuvaleka kwendlela yakho yomchamo. Lokhu kuhluke ngokuphelele kune-stent efakwe enhliziyweni yakho.
- Kujwayelekile ukuzwa ukopha okuncane, ukusha, kanye nokungakhululeki ngokuchama ngemva kokufakwa kwe-stent. Lokhu kuzophela ezinsukwini ezimbalwa.
- Landela imiyalelo kadokotela wakho ngqo, ikakhulukazi iseluleko sokuphuza amanzi amaningi.
- Uma uhlangabezana nezimpawu ezinkulu njengobuhlungu obungabekezeleleki, umkhuhlane, noma ukopha ngokweqile, ungangabazi ukufuna iseluleko sezokwelapha ngokushesha.
- Ungesabi! Lokhu kuyindlela yokwelapha evamile kakhulu futhi ephumelelayo. Khuluma nodokotela wakho ngokukhululekile ngezinto ezikukhathazayo kanye nokwesaba kwakho.
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