Njira zowongolera kwamikodzo - zotulutsa

Munali ndi njira yothetsera mkodzo mu impso zanu kapena kuchotsa miyala ya impso. Nkhaniyi ikukupatsani upangiri pazomwe mungayembekezere mukamachita izi komanso zomwe muyenera kuchita kuti mudzisamalire.

Munali ndi njira zowunikira (kudzera pakhungu) zamikodzo zothandizira kukhetsa mkodzo kuchokera ku impso zanu ndikuchotsa miyala ya impso.

Mukadakhala ndi nephrostomy yodzidzimutsa, wothandizira zaumoyo amalowetsa catheter yaying'ono, yosinthasintha kudzera pakhungu lanu kulowa mu impso kuti muthe mkodzo wanu.

Mukadakhala ndi nephrostolithotomy (kapena nephrolithotomy) yokhayokha, wothandizirayo adadutsa kachilombo kakang'ono kudzera pakhungu lanu mpaka mu impso zanu. Izi zinkachitidwa kuti athyole kapena kuchotsa miyala ya impso.

Mutha kukhala ndi ululu kumbuyo kwanu kwa sabata yoyamba catheter italowetsedwa mu impso. Mankhwala opweteka kwambiri monga Tylenol angathandize ndi ululu. Mankhwala ena opweteka, monga aspirin kapena ibuprofen (Advil) amathanso kuthandizira, koma omwe amakupatsani sangakulimbikitseni kuti mutenge mankhwalawa chifukwa amatha kuonjezera magazi.

Mutha kukhala ndi ngalande zowoneka bwino zachikaso mozungulira tsamba loyikapo catheter masiku 1 mpaka 3 oyamba. Izi si zachilendo.

Chitubu chomwe chimachokera ku impso zanu chimadutsa pakhungu lanu kumbuyo. Izi zimathandiza mkodzo kutuluka mu impso zanu kupita m'thumba lomwe laphatikizidwa ndi mwendo wanu. Mutha kuwona magazi m'thumba poyamba. Izi ndi zachilendo ndipo ziyenera kuwonekera pakapita nthawi.

Kusamalira bwino catheter yanu ya nephrostomy ndikofunikira kuti musatenge matenda.

• Masana, mungagwiritse ntchito chikwama chaching'ono chomwe chimamangirizidwa mwendo wanu.
• Gwiritsani ntchito thumba lalikulu usiku ngati mwalangizidwa ndi dokotala.
• Nthawi zonse sungani chikwama cha mkodzo pamunsi pa impso zanu.
• Tulutsani chikwama chisanadzaze kwathunthu.
• Sambani thumba lanu lokwanira kamodzi pa sabata pogwiritsa ntchito yankho la theka la viniga woyera ndi theka la madzi. Muzimutsuka bwino ndi madzi ndi kulola kuti mpweya uume.

Imwani zakumwa zambiri (2 mpaka 3 malita) tsiku lililonse, pokhapokha ngati omwe akukupatsani akukuuzani kuti musamamwe.

Pewani zochitika zilizonse zomwe zimayambitsa kukoka, kupweteka mozungulira catheter, kapena kinking mu catheter. Osasambira mukakhala ndi catheter iyi.

Wopezayo amakulimbikitsani kuti musambe masiponji kuti mavalidwe anu akhale owuma. Mutha kusamba ngati mutakulunga ndi zokutira ndi pulasitiki ndikusintha mavalidwewo ngati anyowa. Osalowerera mu bafa kapena kabati yotentha.

Wopereka wanu akuwonetsani momwe mungavalire zovala zatsopano. Mungafunike kuthandizidwa popeza mavalidwewo azikhala kumbuyo kwanu.

Sinthani mavalidwe anu masiku awiri kapena atatu sabata yoyamba. Sinthani nthawi zambiri ikakhala yakuda, yonyowa, kapena ikasuluka. Pambuyo pa sabata yoyamba, sinthani mavalidwe anu kamodzi pa sabata, kapena pafupipafupi momwe zingafunikire.

Mufunikira zinthu zina mukasintha mavalidwe anu. Izi ndi monga: Telfa (zovala), Tegaderm (tepi yoyera bwino ya pulasitiki), lumo, masiponji opyapyala, masiponji a gauze 4-inchi (10 cm x 10 cm), tepi, chubu yolumikiza, hydrogen peroxide, ndi madzi ofunda (kuphatikiza chidebe choyera kuti muwasakanize), ndi thumba lotayira (ngati kuli kofunikira).

Nthawi zonse muzisamba m'manja ndi sopo musanachotseko kale. Asambitseninso musanavale chovala chatsopano.

Samalani mukamavula zovala zakale:

• Osakoka ngalande yotulutsa ngalande.
• Ngati pali mphete ya pulasitiki musunge pakhungu lanu.
• Onetsetsani kuti sutures (ulusi) kapena chida chomwe chimagwira catheter yanu pakhungu lanu ndichotetezeka.

Mavalidwe akale akatha, tsukani khungu lanu mozungulira catheter. Gwiritsani ntchito swab ya thonje yothiridwa ndi yankho la theka la hydrogen peroxide ndi theka la madzi ofunda. Pat ndi youma ndi nsalu yoyera.

Yang'anani khungu mozungulira catheter yanu kuti muwonjezere kufiira, kukoma mtima, kapena ngalande. Itanani omwe akukuthandizani mukawona zosinthazi.

Ikani mavalidwe oyera momweomwe amakupangirani.

Ngati ndi kotheka, khalani ndi banja kapena mnzanu kuti akusinthireni. Izi zimapangitsa njirayi kukhala yosavuta.

Itanani omwe akukuthandizani ngati muli ndi izi:

• Zowawa kumbuyo kwanu kapena mbali yanu zomwe sizingathe kapena kukulira
• Magazi mkodzo wanu atatha masiku angapo oyamba
• Malungo ndi kuzizira
• Kusanza
• Mkodzo womwe umanunkha kapena wowoneka ngati mitambo
• Kufiira kofutukuka kapena kupweteka kwa khungu mozungulira chubu

Komanso itanani ngati:

• Mphete ya pulasitiki ikukoka pakhungu lanu.
• Catheter yatulutsa.
• Catheter imasiya kutulutsa mkodzo m'thumba.
• The catheter ndi kinked.
• Khungu lanu pansi pa tepi limakwiyitsidwa.
• Mkodzo ukuyenda mozungulira catheter kapena mphete ya pulasitiki.
• Muli ndi kufiira, kutupa, kapena kupweteka komwe catheter imatuluka pakhungu lanu.
• Pali ma drainage ambiri kuposa masiku onse pamavalidwe anu.
• Ngalande ndi yamagazi kapena imakhala ndi mafinya.

Percutaneous nephrostomy - kumaliseche; Percutaneous nephrostolithotomy - kumaliseche; PCNL - kutulutsa; Nephrolithotomy - kumaliseche; Zotumphukira zamagetsi - kutulutsa; Endoscopic lithotripsy - kumaliseche; Impso - kutuluka; Ureteric stent - kutulutsa; Aimpso calculi - nephrostomy; Nephrolithiasis - nephrostomy; Miyala ndi impso - kudzisamalira; Miyala calcium - nephrostomy; Miyala oxalate - nephrostomy; Uric acid miyala - nephrostomy

Bushinsky DA. Nephrolithiasis. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 117.

Matlaga BR, Krambeck AE. Kuwongolera maopareshoni kumtunda kwamikodzo kwam'mimba calculi. Mu: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, olemba. Campbell-Walsh-Wein Urology. Wolemba 12. Philadelphia, PA: Elsevier; 2021: mutu 94.

• Miyala ya chikhodzodzo
• Cystinuria
• Gout
• Miyala ya impso
• Matenda osokoneza bongo
• Njira zowononga impso
• Kulimba

• Impso miyala ndi lithotripsy - kumaliseche
• Impso miyala - kudzisamalira
• Impso miyala - zomwe mungafunse dokotala wanu

• Miyala ya Impso