Wake waba nobuhlungu obungazelelwe, obungabekezeleleki obuqala ohlangothini lomhlane wakho bese buyehlela esiswini sakho esingezansi? Ngezinye izikhathi lobu buhlungu buhambisana nesicanucanu kanye negazi emchameni wakho. Noma ubani oke wabhekana nalokhu uyazi ukuthi kunzima kangakanani. Isikhathi esiningi, lobu buhlungu obukhulu bubangelwa amatshe ezinso noma amatshe emgudwini womchamo. Esikhathini esidlule, kwakudingeka ukuhlinzwa okukhulu ukuze kususwe la matshe. Kodwa manje, isayensi yezokwelapha isithuthukile. Namuhla, sizokhuluma nge-Ureteroscopy, indlela ephumelela kakhulu futhi elula esetshenziswa ukususa amatshe anjalo.
Iyini ngempela i-Ureteroscopy?
Kalula nje, i-Ureteroscopy inqubo esebenzisa ipayipi elincane kakhulu, elide, eliguquguqukayo elinekhamera (ureteroscope) ukuze yehle nge-urethra yakho bese isusa noma ihlola amatshe kuma-ureter akho nezinso. Ayikhiphi noma yikuphi ukusikeka emzimbeni wakho, ngakho-ke uyaphola ngokushesha.
Cabanga nje, unemibhobho emibili emincane kakhulu ethwala umchamo usuka ezinso zakho uye kwesinye. Sibiza lokhu ngokuthi ama-ureter. Ngezinye izikhathi, lapho amatshe ezinso ehla kula mapayipi, kuvela lobo buhlungu obukhulu. I-ureteroscopy iyindlela ephumelela kakhulu yokususa la matshe anamathele. Lokhu kuvame ukuba inqubo yokulaliswa esibhedlela engenziwa ngosuku olufanayo, ngaphandle kokuhlala esibhedlela.
Lokhu kuhilela ukufaka ikhamera encane ngembobo yemvelo emzimbeni wakho (i-urethra). Ngakho-ke, akukho ukugoba okwenziwa ngaphandle.
Kwenziwa kanjani lokhu kwelashwa?
Uzophelelwa yingqondo ngokuphelele (uphethwe yi-anesthesia) phakathi nale nqubo. Ngakho-ke ngeke uzwe ubuhlungu. Udokotela uzofaka ipayipi elincane elibizwa ngokuthi i-ureteroscope nge-urethra yakho, ngesinyi sakho, bese ekhuphukela phezulu kwe-ureter lapho kukhona khona itshe. Lokhu kwenziwa ngokubuka izithombe ezivela kukhamera epayipini ngesikrini.
Uma indawo eqondile yetshe isinqunyiwe, indlela yokususa itshe incike kubukhulu balo. Kunezindlela ezimbili eziyinhloko.
| Usayizi wetshe | Indlela yokwelapha |
|---|---|
| Amatshe Amancane | Uma itshe lincane, udokotela uzodlulisa olunye ucingo oluncane nge-ureteroscope. Ucingo lunebhasikidi elincane ekugcineni. Itshe libe selisuswa kancane ebhasikidini. |
| Amatshe Amakhulu | Uma itshe likhulu, kunzima ukulisusa ku-ureter. Ezimweni ezinjalo, kudluliswa i-fiber encane nge-ureteroscope bese kuthi umsebe we-laser uqondiswe etsheni. Amandla alo msebe we-laser aphula itshe elikhulu libe yizicucu ezincane (ezifana nezinhlayiya zesihlabathi). Izingcezu ezichotshoziwe zibe sezigezwa kalula ngomchamo. |
Udokotela wakho uzonquma indlela engcono kakhulu kuwe ngokusekelwe endaweni, ubukhulu, kanye nohlobo lwetshe lakho.
Ubani odinga ukwelashwa nge-ureteroscopy?
Udokotela angase ancoma lokhu kwelashwa ezimweni ezilandelayo:
- Igazi emchameni: Igazi emchameni lingabonisa ukulimala, ukutheleleka, noma enye inkinga endaweni ethile ohlelweni lomchamo. Le ndlela ingasiza ekutholeni imbangela.
- Ukuvaleka kwe-ureter noma izinso: Amatshe noma ezinye izimila zingavimba ukugeleza komchamo. Lokhu kungabangela ukuvuvukala kwezinso, kubangele ubuhlungu obukhulu, ngisho nomonakalo wezinso. I-ureteroscopy isetshenziselwa ukuthola imbangela yalokhu kuvaleka bese ikususa.
Ubani ofaneleka kakhulu kulokhu?
Lokhu kuyindlela yokwelapha ephumelela kakhulu yamatshe asemgudwini womchamo ongezansi, ikakhulukazi eduze kwesinyi. Futhi kuyindlela enhle kulabo abangafaneleki kwezinye izindlela zokwelapha. Isibonelo:
- Kwabomama abakhulelwe
- Kulabo abakhuluphele ngokweqile (abakhuluphele ngokweqile)
- Kulabo abanezinkinga zokujiya kwegazi
Njengoba ingozi yokuhlinzwa okuvulekile iphezulu kulaba bantu, indlela efana nalena engenasike iphephile.
Kufanele ngilungiselele kanjani ngaphambi kokuhlinzwa?
Lokhu ngokuvamile akudingi ukulungiselela okuningi, kodwa kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho.
- Ukuzila Ukudla: Ngenxa yokuthi uzobe ungaphansi kwe-anesthesia, uzotshelwa ukuthi ungadli noma uphuze lutho amahora angu-6-8 ngaphambi kokuhlinzwa.
- Isampula yomchamo: Ungase ucelwe ukuthi unikeze isampula yomchamo ukuze uhlole ukutheleleka komgudu womchamo ngaphambi kokuhlinzwa. Ngakho-ke lungela ukulinda ihora noma ngaphezulu ngaphambi kokuba uye esibhedlela.
- Ngitshele ngemithi oyiphuzayo: Ingabe uthatha imithi yokunciphisa igazi?Uma uthatha noma yimiphi imithi ekhethekile, njengemithi yokunciphisa igazi, qiniseka ukuthi utshela udokotela wakho kusenesikhathi. Ungase ucelwe ukuthi uyeke ukuyithatha ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
Yini ongayilindela ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzobhekwa amahora ambalwa futhi, uma kungekho zinkinga ezinkulu, uzovunyelwa ukuya ekhaya ngalolo suku.
- Ukuya ekhaya: Ngenxa yokuthi awukho mqondo, awukwazi ukushayela imoto noma ukugibela ibhasi wedwa. Ngakho-ke qiniseka ukuthi uletha othile ozokuthatha akuyise ekhaya.
- Ukuvimbela Ukutheleleka: Uzonikezwa umuthi wokulwa namagciwane ozowuthatha izinsuku ezimbili kuya kwezintathu ukuvimbela ukutheleleka. Uma uba nezimpawu ezifana nomkhuhlane, ukubanda, noma ubuhlungu obukhulu, lezi zingase zibe izimpawu zokutheleleka. Uma lokhu kwenzeka , shayela udokotela wakho ngokushesha.
- Ubuhlungu: Kuvamile ukuba nobuhlungu izinsuku ezimbalwa ngemva kokuhlinzwa. Ungase uzizwe umuzwa wokucasuka esiswini sakho esingezansi kanye nasesinqeni. Udokotela wakho uzokunikeza imithi yobuhlungu ukusiza ukulawula lobu buhlungu.
Lezi zinto zingasiza ekunciphiseni ubuhlungu nokungakhululeki ekhaya:
- Phuza amanzi amaningi: Phakathi namahora amabili okuqala ngemva kokuhlinzwa, phuza okungenani izingilazi ezimbili zamanzi njalo ngehora. Ukuphuza amanzi amaningi kuzosiza ekukhipheni izinhlayiya zamatshe kanye negazi ngokushesha.
- Ukugeza ngamanzi ashisayo: Ngemvume kadokotela wakho, ukugeza ngamanzi ashisayo kungasiza ekunciphiseni ubuhlungu nokuqina.
- Ukucindezela okufudumele: Ukufaka indwangu ehlanzekile ecwiliswe emanzini afudumele kuyi-urethra kungasiza ekunciphiseni ukuvuvukala. Ukufaka isikhwama samanzi ashisayo endaweni lapho izinso zitholakala khona kungasiza ekunciphiseni ubuhlungu.
- Umbala womchamo: Kujwayelekile ukuthi umchamo wakho ube pinki noma ubomvu ezinsukwini zokuqala. Lokhu kusho ukuthi udinga ukuphuza amanzi amaningi.
Kuthiwani uma kufakwa i-stent?
Ngezinye izikhathi, ngemva kokususwa kwetshe, i-urethra ingavuvukala. Uma lokhu kwenzeka, indlela yomchamo ingavimbeka futhi. Ukuze kuvinjelwe lokhu futhi kusizwe i-urethra ukuthi iphole ngokushesha, udokotela angase afake ipayipi elincane kakhulu neliguquguqukayo elibizwa ngokuthi i-stent ngaphakathi kwe-urethra.
I-stent akuyona into okufanele uyesabe. Kuyinto yesikhashana. Ngemva kwesonto noma amabili, iyasuswa futhi ngenqubo encane. Ngesikhathi isendaweni yayo, ungase uzizwe ungakhululekile futhi udinga ukuchama kaningi.
Ziyini izingozi zalokhu kwelashwa?
Njenganoma iyiphi inqubo yezokwelapha, i-Ureteroscopy inengozi encane, kodwa amathuba okuba lokhu kwenzeke mancane kakhulu.
- Ukutheleleka
- Ukopha
- Ukulimala kwe-ureter
Akuvamile kakhulu (cishe ukuhlinzwa okukodwa kwabayi-1,000), i-urethra ingonakala kakhulu. Uma lokhu kwenzeka, ungadinga olunye ukuhlinzwa ukuze uyilungise. Kodwa khumbula ukuthi lezi yizimo ezingavamile kakhulu. Udokotela wakho uzothatha zonke izinyathelo ezidingekayo ukuze anciphise lezi zingozi.
Umlayezo Wokuya Nawe Ekhaya
- I-ureteroscopy iyindlela yokwelapha yesimanje ephephile kakhulu futhi ephumelelayo engabandakanyi ukusikwa emzimbeni futhi isetshenziselwa ukususa amatshe ezinso nasema-ureter.
- Lokhu kwenziwa ukungazi lutho nhlobo, ngakho ngeke uzizwe ubuhlungu ngesikhathi sokwelashwa.
- Ubuhlungu nokungakhululeki okwenzeka ngemva kokuhlinzwa kuvame ukuphela zingakapheli izinsuku ezimbalwa. Sebenzisa umuthi njengoba nje uyalelwe.
- Ukuphuza amanzi amaningi ngemva kokuhlinzwa kubaluleke kakhulu ukuze ululame ngokushesha.
- Uma uba nomkhuhlane omkhulu, ubuhlungu obungalawuleki, noma ezinye izimpawu ezingavamile, yazisa udokotela wakho ngokushesha.
- Esikhundleni sokuhlushwa amatshe ezinso ngenxa yokwesaba, khuluma nodokotela wakho mayelana nokwelashwa kwesimanje okufana nalokhu bese uthola ikhambi elifanele.
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