Matenda osokoneza bongo

Lithotripsy ndi njira yomwe imagwiritsa ntchito mafunde osokoneza bongo kuti athyole miyala mu impso ndi ziwalo za ureter (chubu chomwe chimanyamula mkodzo kuchokera ku impso zanu kupita ku chikhodzodzo). Pambuyo pochita izi, timiyala tating'onoting'ono timatuluka mthupi lanu mumkodzo wanu.

Extracorporeal shock wave lithotripsy (ESWL) ndiye mtundu wofala kwambiri wa lithotripsy. "Extracorporeal" amatanthauza kunja kwa thupi.

Kukonzekera ndondomekoyi, muvala chovala cha kuchipatala ndikugona patebulo loyesa pamwamba pa khushoni wofewa, wodzaza madzi. Simudzanyowa.

Mupatsidwa mankhwala azowawa kapena okuthandizani kupumula musanayambike. Mudzapatsidwanso maantibayotiki.

Mukakhala ndi ndondomekoyi, mungapatsidwe mankhwala oletsa ululu pazochitikazo. Mudzakhala mukugona komanso opanda ululu.

Mafunde amphamvu, omwe amatchedwanso mafunde amawu, otsogozedwa ndi x-ray kapena ultrasound, adzadutsa mthupi lanu mpaka adzafika pamiyala ya impso. Ngati muli ogalamuka, mutha kumva kuti mukumva kugunda izi zikayamba. Mafundewo amang'amba miyala ija kukhala tizidutswa tating'onoting'ono.

Ndondomeko ya lithotripsy iyenera kutenga pafupifupi mphindi 45 mpaka ola limodzi.

Chubu chotchedwa stent chitha kuyikidwa kupyola msana kapena chikhodzodzo mu impso zanu. Chubu ichi chimatulutsa mkodzo kuchokera mu impso zanu mpaka miyala ikuluikulu yonse ituluke mthupi lanu. Izi zitha kuchitika musanalandire chithandizo cha lithotripsy.

Lithotripsy imagwiritsidwa ntchito kuchotsa miyala ya impso yomwe ikuyambitsa:

• Magazi
• Kuwonongeka kwa impso zanu
• Ululu
• Matenda a mkodzo

Si miyala yonse ya impso yomwe ingachotsedwe pogwiritsa ntchito lithotripsy. Mwalawo ukhoza kuchotsedwanso ndi:

• Chubu (endoscope) cholowetsedwa mu impso kudzera pochekera pang'ono kumbuyo.
• Chubu chaching'ono chowunikira (ureteroscope) cholowetsedwa kudzera mu chikhodzodzo mu ureters. Ureters ndi machubu omwe amalumikiza impso ndi chikhodzodzo.
• Opaleshoni yotseguka (yosafunika kwenikweni).

Lithotripsy imakhala yotetezeka nthawi zambiri. Lankhulani ndi wothandizira zaumoyo wanu za zovuta zomwe zingachitike monga:

• Kuthira magazi kuzungulira impso zanu, zomwe zingafune kuti mulandire magazi.
• Matenda a impso.
• Zidutswa za mkodzo wamiyala zimachokera ku impso zanu (izi zimatha kupweteka kwambiri kapena kuwononga impso zanu). Izi zikachitika, mungafunike njira zina.
• Zidutswa zamiyala zimatsalira mthupi lanu (mungafunike mankhwala ena).
• Zilonda m'mimba mwanu kapena m'matumbo ang'onoang'ono.
• Mavuto ndi ntchito ya impso mutatha ndondomekoyi.

Nthawi zonse muuzeni omwe akukuthandizani:

• Ngati muli ndi pakati kapena mutha kukhala ndi pakati
• Ndi mankhwala ati omwe mukumwa, ngakhale mankhwala, zowonjezera, kapena zitsamba zomwe mwagula popanda mankhwala

M'masiku asanachitike opareshoni:

• Mudzafunsidwa kuti musiye kumwa zochotsa magazi monga aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), ndi mankhwala ena aliwonse omwe amalepheretsa magazi anu kuphimba. Funsani omwe akukuthandizani kuti musiye kuwatenga.
• Funsani omwe akukuthandizani mankhwala omwe mukuyenera kumwa patsiku la opareshoni.

Patsiku lanu:

• Simungaloledwe kumwa kapena kudya chilichonse kwa maola angapo musanachite izi.
• Tengani mankhwala omwe adauzidwa kuti mumwe pang'ono pokha madzi.
• Mudzauzidwa nthawi yobwera kuchipatala.

Pambuyo pochita izi, mudzakhala mchipinda chobwezeretsa kwa maola pafupifupi 2. Anthu ambiri amatha kupita kwawo tsiku lomwe amachita. Mudzapatsidwa chopondera mkodzo kuti mugwire miyala ikadutsa mkodzo wanu.

Momwe mumakhalira bwino zimatengera kuchuluka kwa miyala yomwe muli nayo, kukula kwake, komanso komwe ali mumkodzo wanu. Nthawi zambiri, lithotripsy imachotsa miyala yonse.

Zowonjezera zochititsa mantha zozungulira lithotripsy; Kugwedezeka kwazithunzithunzi; Laser lithotripsy; Mphamvu ya lithotripsy; Endoscopic lithotripsy; ESWL; Impso calculi-lithotripsy

• Impso miyala ndi lithotripsy - kumaliseche
• Impso miyala - kudzisamalira
• Impso miyala - zomwe mungafunse dokotala wanu
• Njira zowongolera kwamikodzo - zotulutsa

• Matenda a impso
• Nephrolithiasis
• Mitsempha yotchedwa pyelogram (IVP)
• Ndondomeko ya Lithotripsy

Bushinsky DA. Nephrolithiasis. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2016: chap 117.

Matlaga BR, Krambeck AE, Lingeman JE. Kusamalira maopaleshoni kumtunda kwamkodzo kwamatenda calculi. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 54.

Zumstein V, Betschart P, Abt D, Schmid HP, Panje CM, Putora PM. Kuwongolera maopareshoni a urolithiasis - kuwunika mwatsatanetsatane malangizo omwe alipo. BMC Urol. 2018; 18 (1): 25. PMID: 29636048 www.ncbi.nlm.nih.gov/pubmed/29636048. (Adasankhidwa)