Kuika impso

Kuika impso ndiko kuchita opaleshoni kuti muike impso yathanzi mwa munthu amene walephera impso.

Kuika kwa impso ndi imodzi mwazomwe zimachitika ku United States.

Impso imodzi yoperekedwa imafunika kuti m'malo mwa ntchito yomwe inkagwiridwa kale ndi impso zanu.

Impso zoperekedwa zitha kukhala kuchokera:

• Wopereka zokhudzana ndi moyo - zokhudzana ndi munthu amene akulandilidwa, monga kholo, m'bale, kapena mwana
• Kukhala wopereka wosagwirizana - monga mnzanu kapena wokwatirana naye
• Wopereka womwalira - munthu yemwe wamwalira posachedwapa ndipo alibe matenda a impso

Impso zathanzi zimanyamulidwa mu yankho lapadera lomwe limasunga limba mpaka maola 48. Izi zimapatsa opereka chithandizo chaumoyo nthawi yochita mayeso kuti awonetsetse kuti magazi ndi minyewa ya woperekayo ndi wolandirayo zikufanana.

NJIRA YOPEREKA TSOGOLO LAMOYO

Ngati mukupereka impso, mudzaikidwa pansi pa anesthesia musanachite opareshoni. Izi zikutanthauza kuti mudzakhala mukugona komanso wopanda ululu. Madokotala masiku ano amatha kugwiritsa ntchito njira zochepetsera pochotsa impso.

NJIRA YOTHANDIZA MUNTHU WOLANDIRA NKHONDO (RECIPIENT)

Anthu omwe amalandila impso amapatsidwa mankhwala oletsa ululu asanafike opaleshoni.

• Dokotalayo amadula pamimba.
• Dokotala wanu amaika impso zatsopano m'mimba mwanu. Mitsempha ndi mitsempha ya impso zatsopano zimagwirizanitsidwa ndi mitsempha ndi mitsempha m'chiuno mwanu. Magazi anu amayenderera mu impso zatsopano, zomwe zimapanga mkodzo monga impso zanu zomwe zidalili mukakhala athanzi. Chubu chomwe chimanyamula mkodzo (ureter) chimaphatikizidwa pachikhodzodzo chanu.
• Impso zanu zimasiyidwa pokhapokha zitayambitsa vuto la zamankhwala. Chilondacho chimatsekedwa.

Opaleshoni ya impso imatenga pafupifupi maola atatu. Anthu omwe ali ndi matenda ashuga amathanso kupanga michere panthawi imodzimodzi. Izi zitha kuwonjezera maola ena atatu ku opaleshoniyi.

Mungafunike kumuika impso ngati mukudwala matenda a impso. Chifukwa chodziwika kwambiri cha matenda a impso kumapeto kwa US ndi matenda ashuga. Komabe, pali zifukwa zina zambiri.

Kumuika kwa impso Sizingachitike ngati muli ndi:

• Matenda ena, monga TB kapena mafupa
• Mavuto akumwa mankhwala kangapo tsiku lililonse kwa moyo wanu wonse
• Matenda a mtima, mapapo, kapena chiwindi
• Matenda ena owopsa
• Mbiri yaposachedwa ya khansa
• Matenda, monga matenda a chiwindi
• Makhalidwe apano monga kusuta, kumwa mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo, kapena zizolowezi zina pamoyo wanu

Zowopsa zokhudzana ndi njirayi ndi monga:

• Magazi a magazi (venous thrombosis)
• Matenda a mtima kapena sitiroko
• Matenda opweteka
• Zotsatira zoyipa za mankhwala omwe amagwiritsidwa ntchito popewera kukanidwa
• Kutayika kwa impso zosungidwa

Mudzayesedwa ndi gulu pamalo opatsirana. Afuna kuwonetsetsa kuti ndinu woyenera kupatsirana impso. Mukhala ndi maulendo angapo kwa milungu ingapo kapena miyezi ingapo. Muyenera kukoka magazi ndikujambula ma x-ray.

Kuyesedwa komwe kunachitika ndondomekoyi isanachitike:

• Minofu ndi kalembedwe ka magazi kuti zitsimikizire kuti thupi lanu silingakane impsozo
• Kuyezetsa magazi kapena kuyezetsa khungu kuti muwone ngati alibe matenda
• Mayeso amtima monga EKG, echocardiogram, kapena catheterization yamtima
• Kuyesera kuyang'ana khansa yoyambirira

Mudzafunikanso kuganizira malo amodzi kapena angapo kuti mumvetse zomwe zingakuthandizeni.

• Funsani malowa kuti ndi zingati zomwe amapanga chaka chilichonse komanso momwe amapulumukira. Yerekezerani manambalawa ndi malo ena okuzira.
• Funsani za magulu othandizira omwe ali nawo komanso mtundu wanji wa mayendedwe ndi nyumba zomwe amapereka.

Ngati gulu lakuchotsa likukhulupirira kuti ndinu woyenera kupatsirana impso, mudzaikidwa pamndandanda wodikirira.

Malo anu pamndandanda wodikira amatengera zinthu zingapo. Zinthu zazikuluzikulu zimaphatikizapo mtundu wamatenda amphongo omwe muli nawo, momwe matenda anu amtima aliri owopsa, komanso mwayi wopatsirana.

Kwa achikulire, nthawi yomwe mumathera pamndandanda wodikirira sindiye yofunika kwambiri kapena yofunika kwambiri kuti mupezere impso posachedwa. Anthu ambiri omwe akuyembekezera impso kuti akhale ndi dialysis. Pamene mukudikirira impso:

• Tsatirani zakudya zilizonse zomwe gulu lanu limakulimbikitsani.
• Osamwa mowa.
• Osasuta.
• Sungani kulemera kwanu pamiyeso yomwe yakulimbikitsani. Tsatirani pulogalamu iliyonse yolimbitsa thupi.
• Tengani mankhwala onse monga adakulamulirani. Nenani zosintha zilizonse zamankhwala anu komanso mavuto azachipatala atsopano kapena akukula.
• Pitani ku maulendo onse pafupipafupi ndi gulu lanu lanthawi zonse lazachipatala. Onetsetsani kuti gulu losanjikiza liri ndi manambala olondola kuti athe kulumikizana nanu nthawi yomweyo ngati impso ipezeka. Nthawi zonse onetsetsani kuti mutha kulumikizidwa mwachangu komanso mosavuta.
• Khalani ndi zonse zokonzekera pasadakhale kuti mupite kuchipatala.

Ngati mwalandira impso zoperekedwa, muyenera kukhala mchipatala kwa masiku atatu kapena 7. Muyenera kutsatira mwatsatanetsatane kwa dokotala komanso kumuyezetsa magazi pafupipafupi kwa miyezi 1 mpaka 2.

Nthawi yobwezeretsa ili pafupi miyezi isanu ndi umodzi. Nthawi zambiri, gulu lanu lakuika limakufunsani kuti mukhale pafupi ndi chipatala kwa miyezi itatu yoyambirira. Muyenera kuyesedwa pafupipafupi ndi kuyesa magazi ndi ma x-ray kwazaka zambiri.

Pafupifupi aliyense amamva kuti ali ndi moyo wabwino pambuyo pa kumuika. Iwo omwe amalandira impso kuchokera kwa wopereka wothandizana ndi moyo amachita bwino kuposa omwe amalandira impso kuchokera kwa wopereka yemwe wamwalira. Ngati mupereka impso, nthawi zambiri mumakhala motetezeka popanda zovuta ndi impso yanu yotsalayo.

Anthu omwe alandila impso zokaikidwa akhoza kukana chiwalo chatsopanocho. Izi zikutanthauza kuti chitetezo chamthupi chawo chimawona impso zatsopano ngati chinthu chachilendo ndikuyesera kuziwononga.

Pofuna kupewa kukanidwa, pafupifupi onse omwe amalandira impso ayenera kumwa mankhwala omwe amaletsa chitetezo chawo chamthupi m'moyo wawo wonse. Izi zimatchedwa mankhwala a immunosuppressive. Ngakhale mankhwalawa amathandiza kupewa kukanidwa kwa ziwalo, zimawayikiranso odwala pachiwopsezo chachikulu chotenga matenda ndi khansa. Mukalandira mankhwalawa, muyenera kuyesedwa ngati muli ndi khansa. Mankhwalawa amathanso kuyambitsa kuthamanga kwa magazi ndi cholesterol yochulukirapo ndikuwonjezera chiopsezo cha matenda ashuga.

Kukhazikitsa impso bwino kumafunikira kutsatira kwa dokotala wanu ndipo muyenera kumwa mankhwala anu nthawi zonse.

Kuika kwaimpso; Kuika - impso

• Kuchotsa impso - kutulutsa

• Matenda a impso
• Impso - kutuluka magazi ndi mkodzo
• Impso
• Kuika impso - mndandanda

Barlow AD, Nicholson ML. Kuchita opaleshoni ya impso. Mu: Feehally J, Floege J, Tonelli M, Johnson RJ, olemba. Chachikulu Chachipatala Nephrology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2019: chap 103.

Becker Y, Witkowski P. Impso ndi kuphatikizira kapamba. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 26.

Gritsch HA, Blumberg JM. Kuika kwaimpso. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 47.