Kuchotsa impso

Kuchotsa impso, kapena nephrectomy, ndi opareshoni yochotsa zonse kapena gawo la impso. Zitha kuphatikizira:

• Gawo la impso imodzi lachotsedwa (pang'ono nephrectomy).
• Impso zonse zachotsedwa (nephrectomy yosavuta).
• Kuchotsa impso imodzi yonse, mafuta ozungulira, ndi adrenal gland (radical nephrectomy). Zikatero, ma lymph node oyandikana nawo nthawi zina amachotsedwa.

Kuchita opaleshoniyi kumachitika mchipatala pomwe muli mtulo komanso osamva ululu (anesthesia). Njirayi imatha kutenga maola atatu kapena kupitilira apo.

Nephrectomy yosavuta kapena kuchotsa impso:

• Mudzakhala mutagona chammbali. Dokotala wanu azing'amba (kudula) mpaka mainchesi 12 kapena masentimita 30 kutalika. Kudula uku kudzakhala mbali yanu, pansi pa nthiti kapena pamwamba pa nthiti zotsika kwambiri.
• Minofu, mafuta, ndi minofu zimadulidwa ndikusunthidwa. Dokotala wanu angafunike kuchotsa nthiti kuti achite izi.
• Chitubu chomwe chimanyamula mkodzo kuchokera ku impso kupita ku chikhodzodzo (ureter) ndi mitsempha ya magazi imadulidwa kuchokera ku impso. Impso imachotsedwa.
• Nthawi zina, gawo limodzi chabe la impso limatha kuchotsedwa (pang'ono nephrectomy).
• Chekacho chimatsekedwa ndi zomangirira kapena zofunikira.

Radical nephrectomy kapena kuchotsa impso:

• Dokotala wanu amadula masentimita 20 mpaka 30 kutalika. Kudula uku kudzakhala kutsogolo kwa mimba yanu, pansi pa nthiti zanu. Zitha kuchitidwanso kudzera mbali yanu.
• Minofu, mafuta, ndi minofu zimadulidwa ndikusunthidwa. Chitubu chomwe chimanyamula mkodzo kuchokera ku impso kupita ku chikhodzodzo (ureter) ndi mitsempha ya magazi imadulidwa kuchokera ku impso. Impso imachotsedwa.
• Dokotala wanu amatulutsanso mafuta ozungulira, ndipo nthawi zina adrenal gland ndi ma lymph node.
• Chekacho chimatsekedwa ndi zomangirira kapena zofunikira.

Kuchotsa impso kwa laparoscopic:

• Dokotala wanu azicheka pang'ono katatu kapena kanayi, nthawi zambiri osapitirira masentimita awiri ndi theka, m'mimba mwanu ndi mbali. Dokotalayo amagwiritsa ntchito makina ang'onoang'ono ndi kamera kuti achite opaleshoniyo.
• Chakumapeto kwa njirayi, dokotalayo amakulitsani kwambiri (pafupifupi mainchesi 4 kapena masentimita 10) kuti atenge impso.
• Dokotalayo amadula chikhodzodzo, ndikuika thumba mozungulira impso, ndikukoka poduladula.
• Kuchita opareshoni iyi kumatha kutenga nthawi yayitali kuposa kuchotsa impso. Komabe, anthu ambiri amachira mwachangu ndipo samva kuwawa pambuyo poti opareshoni yamtunduwu poyerekeza ndi nthawi yowawa komanso kuchira pambuyo pochitidwa opaleshoni.

Nthawi zina, dokotalayo amatha kudula pamalo osiyana ndi omwe tafotokozera pamwambapa.

Zipatala zina ndi malo azachipatala akuchita izi pogwiritsa ntchito zida za robotic.

Kuchotsa impso kungalimbikitsidwe kuti:

• Wina akupereka impso
• Zolepheretsa kubadwa
• Khansa ya impso kapena khansa ya impso
• Impso yowonongeka ndi matenda, impso, kapena mavuto ena
• Kuthandiza kuchepetsa kuthamanga kwa magazi kwa munthu yemwe ali ndi vuto lakupereka magazi ku impso zake
• Kuvulala koopsa (kuvulala) kwa impso komwe sikungakonzedwe

Kuopsa kwa opaleshoni iliyonse ndi:

• Magazi amatundikira m'miyendo yomwe imatha kupita kumapapu
• Mavuto opumira
• Kutenga, kuphatikizapo bala la opaleshoni, mapapo (chibayo), chikhodzodzo, kapena impso
• Kutaya magazi
• Matenda a mtima kapena sitiroko panthawi yochita opaleshoni
• Zomwe zimachitika ndi mankhwala

Kuopsa kwa njirayi ndi:

• Kuvulaza ziwalo zina kapena ziwalo
• Impso kulephera mu impso zotsalira
• Pambuyo pa impso imodzi, impso zanu zina sizingagwire ntchito kwakanthawi
• Hernia wa bala lanu lochita opaleshoni

Nthawi zonse uzani wothandizira zaumoyo wanu:

• Ngati mungakhale ndi pakati
• Ndi mankhwala ati omwe mukumwa, ngakhale mankhwala owonjezera, mavitamini, kapena zitsamba zomwe mwagula popanda mankhwala

M'masiku asanachitike opareshoni:

• Mudzalandira zitsanzo zamagazi ngati mungafune kuthiridwa magazi.
• Mutha kupemphedwa kusiya kumwa aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), Clopidogrel (Plavix), warfarin (Coumadin), ndi ena ochepetsa magazi.
• Funsani omwe akukuthandizani mankhwala omwe mukuyenera kumwa patsiku la opareshoni.
• Osasuta. Izi zidzakuthandizani kuti mupeze msanga.

Patsiku la opaleshoniyi:

• Nthawi zambiri mudzafunsidwa kuti musamwe kapena kudya kalikonse pakati pausiku usiku woti achite opaleshoni.
• Tengani mankhwalawa monga adauzidwira, ndikumwa madzi pang'ono.
• Mudzauzidwa nthawi yobwera kuchipatala.

Mudzakhala mchipatala masiku 1 mpaka 7, kutengera mtundu wa opareshoni yomwe muli nayo. Mukakhala kuchipatala, mutha:

• Afunseni kuti mukhale pambali pa kama ndikuyenda tsiku lomwelo la opareshoni yanu
• Mukhale ndi chubu, kapena catheter, yomwe imachokera m'chikhodzodzo chanu
• Khalani ndi ngalande yomwe imatuluka chifukwa chodulidwa kwanu
• Simungathe kudya masiku 1 kapena 3 oyamba, kenako mudzayamba ndi zakumwa
• Kulimbikitsidwa kuchita masewera olimbitsa thupi
• Valani masitonkeni apadera, nsapato zothinirana, kapena zonse ziwiri kuti muteteze magazi
• Landirani zipolopolo pansi pa khungu lanu kuti muchepetse magazi
• Landirani mankhwala opweteka m'mitsempha mwanu kapena mapiritsi

Kuchira kuchokera ku opareshoni yotseguka kungakhale kopweteka chifukwa chakomwe kudulidwa kwa opaleshoni kumapezeka. Kubwezeretsa pambuyo pa njira ya laparoscopic nthawi zambiri kumakhala mwachangu, osapweteka pang'ono.

Zotsatira zake nthawi zambiri zimakhala zabwino ngati impso imodzi yachotsedwa. Ngati impso zonse zichotsedwa, kapena impso zotsalazo sizigwira bwino ntchito, muyenera hemodialysis kapena impso kumuika.

Kusokoneza; Nephrectomy yosavuta; Kwakukulu nephrectomy; Tsegulani nephrectomy; Laparoscopic nephrectomy; Nphrectomy yochepa

• Chitetezo cha bafa cha akulu
• Kuchotsa impso - kutulutsa
• Kupewa kugwa
• Chisamaliro cha bala la opaleshoni - chotseguka

• Impso
• Kuchotsa impso (nephrectomy) - mndandanda

Babaian KN, Delacroix SE, Wood CG, khansa ya a Jonasch E. Impso. Mu: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, olemba. Brenner ndi Rector a Impso. 10th ed. Philadelphia, PA: Elsevier; 2016: chap 41.

Olumi AF, Preston MA, Blute ML. Open opaleshoni ya impso. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 60.

Schwartz MJ, Rais-Bahrami S, Kavoussi LR. Laparoscopic ndi robotic opaleshoni ya impso. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 61.