Amatshe ezinso ayinkinga evamile yezempilo kubantu abaningi. Lokhu kungabangela ubuhlungu obukhulu emhlane, igazi emchameni, kanye nokutheleleka komgudu womchamo, okwenza abantu abaningi bangakhululeki. Ngakho-ke, namuhla sizokhuluma ngendlela yokwelapha engasusa amatshe ngempumelelo enkulu ngaphandle kokwenza i-incision enkulu. Lokhu kubizwa ngokuthi 'i-Ureteroscopy'.
Kalula nje, iyini i-Ureteroscopy?
I-'Ureteroscopy' inqubo elula eyenziwa egumbini lokuhlinza, kodwa ingenziwa futhi nangaphandle kwesibhedlela. Ihilela ukufaka ipayipi elincane kakhulu neliguquguqukayo nge-urethra yakho. Leli payipi linekhamera encane kanye nokukhanya kolunye uhlangothi. Sibiza leli thuluzi ngokuthi 'ureteroscope' .
Le 'ureteroscope' ifakwa nge-urethra, idlule esinyeni, kanye nama-ureter, amapayipi axhumanisa izinso nesinye, kuze kufike ezinso. Ngokubuka izithombe ezivela kule khamera esikrinini, udokotela angabona kahle ukuthi yimaphi amatshe, ukuvaleka, noma ezinye izinkinga ezingaphakathi ohlelweni lomchamo. Lokhu kokubili ukuhlolwa kanye nokwelashwa.
Ususa kanjani amatshe ezinso ngale ndlela yokwelapha?
Ukwelashwa kuncike ngobukhulu betshe lakho lezinso. Ake sibone ukuthi kusebenza kanjani.
| Usayizi Wetshe | Indlela Yokwelapha |
|---|---|
| Amatshe Amancane | Uma itshe lincane, udokotela uzolisusa ngokucophelela esebenzisa ubhasikidi omncane ofana nocingo oxhunywe ku-ureteroscope. |
| Amatshe Amakhulu | Uma itshe likhulu, kunzima ukulisusa ngokushesha. Esimweni esinjalo, umsebe we-laser okhethekile uqondiswa etsheni ngefayibha ekhethekile eguquguqukayo edlula nge-'ureteroscope'. Amandla alo msebe we-laser aphula itshe libe yizicucu ezincane. Ngemuva kwalokho, lezi zicucu ezichotshoziwe zikhishwa kalula emzimbeni kanye nomchamo. |
Ubani odinga lokhu kwelashwa?
Kunezimo eziningana lapho udokotela wakho angasikisela khona lokhu kwelashwa:
- Igazi emchameni: Uma unegazi elingachazeki emchameni.
- Ukuvaleka komgudu womchamo: Uma umgudu womchamo uvalwe ngamatshe ezinso noma mhlawumbe ezinye izimila.
Ikakhulukazi uma ungumama okhulelwe, ukhuluphele ngokweqile, noma unesifo sokujiya kwegazi , le ndlela ebizwa ngokuthi i-'Ureteroscopy' ingaba yindlela efanelekile futhi ephephile kuwe kunezinye izindlela zokwelapha.
Ngingalungiselela kanjani ngaphambi kokwelashwa?
Njengoba lokhu kuyinqubo yokuhlinzwa, udokotela wakho uzokunikeza imiyalelo ecacile yokuthi ungayilungiselela kanjani. Nansi imiyalelo ejwayelekile ozoyithola:
- Ukuzila Ukudla: Uzocelwa ukuthi ungadli noma uphuze lutho amahora ambalwa ngaphambi kokuhlinzwa. Lokhu kwenzelwa ukuvimbela ukuthi okungaphakathi esiswini kungabuyeli emphinjeni ngenkathi ungaphansi kwe-anesthesia.
- Ukunikeza isampula yomchamo: Ungase ucelwe ukuthi unikeze isampula yomchamo ngaphambi kokwelashwa ukuze uhlole ukutheleleka komgudu womchamo.
Kwenzekani ngesikhathi sokwelashwa nangemva kwalokho?
Akukho sizathu sokwesaba lokhu. Lokhu kwelashwa kwenziwa ngaphansi kwe-anesthesia ephelele, okusho ukuthi ulele. Ngakho ngeke uzwe ubuhlungu. Udokotela uzofaka i-'ureteroscope' eduze kwe-urethra bese enza ukuhlolwa nokwelashwa okudingekayo.
Uma uvuka ngemva kokwelashwa, uzobe usegumbini. Njengoba wawuhlinzwe i-anesthesia, kubalulekile ukuthi kube khona umuntu ozokuthatha akuyise ekhaya.
Cishe izinsuku ezimbili ngemva kokwelashwa, uzonikezwa umuthi wokulwa namagciwane ukuvimbela ukutheleleka. Uma uba nomkhuhlane, ukubanda, noma ubuhlungu obungabekezeleleki, lokhu kungaba izimpawu zokutheleleka. Uma lokhu kwenzeka , yazisa udokotela wakho ngokushesha.
Ungaphatha kanjani ubuhlungu nemiphumela emibi?
Ungase uzwe ubuhlungu noma ukungakhululeki izinsuku ezimbalwa ngemva kokwelashwa. Ungase uzwe ukungakhululeki endaweni yezinso noma esinyeni, noma umuzwa wokushisa lapho uchama. Udokotela wakho uzokunikeza amaphilisi obuhlungu ngalokhu. Ngaphezu kwalokho, ungenza okulandelayo ekhaya:
- Phuza amanzi amaningi: Phakathi namahora amabili okuqala ngemva kokwelashwa, phuza okungenani izingilazi ezimbili zamanzi njalo ngehora. Lokhu kuzosiza izingcezu zamatshe achotshoziwe ukuba zidlule kalula.
- Ukugeza ngamanzi ashisayo: Buza udokotela wakho bese uthola ukuthi ukugeza ngamanzi ashisayo kungadambisa ubuhlungu.
- Ukucindezela okufudumele: Faka indwangu ecwiliswe emanzini afudumele ngobumnene endaweni lapho umchamo uphuma khona.
- Umbala womchamo:Umchamo wakho ungase ube nombala obomvu opinki. Lokhu kuvamile, futhi kusho ukuthi udinga ukuphuza amanzi amaningi.
Ngezinye izikhathi, ithubhu elincane elibizwa ngokuthi i -`stent' lingafakwa ngaphakathi kwezinso ukuze lisize liphole ngokushesha futhi livumele umchamo ukuthi ugeleze kahle. Lokhu kususwa uma ubuyela emtholampilo ngemva kwesonto noma amabili.
Ziyini izingozi zalokhu?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile, kodwa zincane kakhulu.
- Ukutheleleka
- Ukopha
- Ukulimala kwe-ureter
Amathuba okulimala okukhulu kwe-urethra mancane kakhulu, cishe yi-1 kweyi-1000. Uma lokho kwenzeka, kuzodingeka uhlinzwe ngendlela ehlukile ukuze uyilungise. Udokotela wakho uzokwazisa ngakho konke lokhu. Ngakho ungesabi ngokungadingekile ngalokhu.
Umlayezo Wokuya Nawe Ekhaya
- I-ureteroscopy iyindlela yokwelapha ephumelela kakhulu futhi ephephile esetshenziswa ukususa amatshe ezinso ngaphandle kokusikwa okukhulu.
- Lokhu kwelashwa kwenziwa ngaphansi kwe-anesthesia, ngakho ngeke uzwe ubuhlungu.
- Amatshe amancane ayabanjwa futhi asuswe nge-mesh, kuyilapho amatshe amakhulu echotshozwa ngemisebe ye-laser bese ekhishwa ngomchamo.
- Kujwayelekile ukuzwa ubuhlungu obuncane kanye nomchamo obomvu ngemva kokwelashwa. Kubalulekile ukuphuza amanzi amaningi.
- Sebenzisa umuthi njengoba nje udokotela emyalile bese ulandela imiyalelo yakhe.
- Uma uba nomkhuhlane, ukubanda, noma ubuhlungu obukhulu, yazisa udokotela wakho noma isibhedlela lapho welashwe khona ngokushesha.
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