Njira zowononga impso

Zowonjezera (kudzera pakhungu) njira zamikodzo zimathandizira kukodza mkodzo mu impso zanu ndikuchotsa miyala ya impso.

Nephrostomy yokhayokha ndiyo kuyika kachubu kakang'ono kosasinthasintha (catheter) kudzera pakhungu lanu kulowa mu impso zanu kukhetsa mkodzo wanu. Imayikidwa kudzera kumbuyo kwanu kapena pambali pake.

Percutaneous nephrostolithotomy (kapena nephrolithotomy) ndikudutsa kwa chida chapadera chazachipatala kudzera pakhungu lanu kulowa mu impso zanu. Izi zachitika kuchotsa miyala ya impso.

Miyala yambiri imatuluka m'thupi mwa iyo yokha kudzera mumkodzo. Akapanda kutero, wothandizira zaumoyo wanu angavomereze njirazi.

Pochita izi, mumagona pamimba patebulo. Mumapatsidwa mankhwala a lidocaine. Imeneyi ndi mankhwala omwewo omwe dokotala wanu amagwiritsa ntchito kuti atseke pakamwa panu. Woperekayo akhoza kukupatsani mankhwala oti akuthandizeni kupumula ndikuchepetsa ululu.

Ngati muli ndi nephrostomy kokha:

• Dokotala amalowetsa singano pakhungu lanu. Kenako catheter ya nephrostomy imadutsa mu singanoyo ku impso yanu.
• Mutha kumva kupsinjika ndi kusasangalala pamene catheter imayikidwa.
• Mtundu wapadera wa x-ray umagwiritsidwa ntchito kuwonetsetsa kuti catheter ili pamalo oyenera.

Ngati muli ndi nephrostolithotomy yokhazikika (kapena nephrolithotomy):

• Mulandila mankhwala ochititsa dzanzi kuti mukhale mukugona osamva kupweteka.
• Dotolo amadula pang'ono pamisana panu. Singano imadutsa pakhungu kupita mu impso zanu. Kenako thirakitilo limakulitsidwa ndipo chotsalira cha pulasitiki chimatsalira m'malo chopatsa thirakiti kudutsa zida.
• Zida zapaderazi zimadutsa mchimake. Dokotala wanu amagwiritsa ntchito izi kuti achotse mwalawo kapena kuwuphwanya.
• Pambuyo pa ndondomekoyi, chubu imayikidwa mu impso (nephrostomy chubu). Chubu china, chotchedwa stent, chimayikidwa mu ureter kukhetsa mkodzo kuchokera mu impso zanu. Izi zimalola impso zanu kuchira.

Malo omwe nephrostomy catheter adayikapo ndikuphimba. Catheter imagwirizanitsidwa ndi thumba lamadzi.

Zifukwa zokhala ndi nephrostomy kapena nephrostolithotomy

• Kutuluka kwanu kwamkodzo kutsekedwa.
• Mukumva kuwawa kwambiri, ngakhale mutalandira mankhwala a impso.
• Ma X-ray amasonyeza kuti mwala wa impso ndi waukulu kwambiri kuti ungadutse wokha kapena kuti ungachiritsidwe kudzera mu chikhodzodzo kupita ku impso.
• Mkodzo ukutuluka mkati mthupi lanu.
• Mwala wa impso ukuyambitsa matenda amkodzo.
• Mwala wa impso ukuwononga impso zanu.
• Mkodzo wokhudzidwa umayenera kutulutsidwa kuchokera ku impso.

Percutaneous nephrostomy ndi nephrostolithotomy nthawi zambiri amakhala otetezeka. Funsani dokotala wanu za zovuta izi:

• Zidutswa zamiyala zotsalira mthupi lanu (mungafunike mankhwala ena)
• Kuthira magazi mozungulira impso zanu
• Mavuto ndi ntchito ya impso, kapena impso zomwe zimasiya kugwira ntchito
• Zidutswa za mwala wotsekereza mkodzo kutuluka mu impso zanu, zomwe zimatha kupweteka kwambiri kapena kuwonongeka kwa impso
• Matenda a impso

Uzani wothandizira wanu:

• Ngati muli ndi pakati kapena mutha kukhala ndi pakati.
• Ndi mankhwala ati omwe mukumwa. Izi zimaphatikizapo mankhwala, zowonjezera, kapena zitsamba zomwe mudagula popanda mankhwala.
• Ngati mwakhala mukumwa mowa wambiri.
• Ndiwe wotsutsana ndi utoto wosiyanitsa womwe umagwiritsidwa ntchito pa x-ray.

Patsiku la opaleshoniyi:

• Mutha kupemphedwa kuti musamwe kapena kudya chilichonse kwa maola 6 musanachitike.
• Tengani mankhwala omwe mwauzidwa kuti mumwe ndikumwa madzi pang'ono.
• Mudzauzidwa nthawi yobwera kuchipatala. Onetsetsani kuti mwafika nthawi.

Mumatengeredwa kuchipinda kuchira. Mutha kudya posachedwa ngati mulibe vuto m'mimba.

Mutha kupita kwanu pasanathe maola 24. Ngati pali zovuta, dokotala akhoza kukusungani kuchipatala nthawi yayitali.

Adotolo amatulutsa machubu ngati ma x-ray akuwonetsa kuti miyala ya impso yapita ndipo impso yanu yapola. Ngati miyala idakalipo, mutha kukhalanso ndi machitidwe omwewo posachedwa.

Percutaneous nephrostolithotomy kapena nephrolithotomy nthawi zonse zimathandiza kuchepetsa zizindikilo za miyala ya impso. Nthawi zambiri, adotolo amatha kuchotsa kwathunthu impso zanu. Nthawi zina mumayenera kukhala ndi njira zina zochotsera miyala.

Anthu ambiri omwe amathandizidwa ndi miyala ya impso amafunika kusintha moyo wawo kuti matupi awo asapangitse impso. Zosinthazi zikuphatikizapo kupewa zakudya zina komanso kusamwa mavitamini. Anthu ena amafunikanso kumwa mankhwala kuti miyala yatsopano isapangike.

Nephrostomy yodziwika; Percutaneous nephrostolithotomy; PCNL; Nephrolithotomy

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

Georgescu D, Jecu M, Geavlete PA, Geavlete B. Zowonjezera nephrostomy. Mu: Geavlete PA, mkonzi. Opaleshoni Yapadera Yapamtunda Wa Urinary Tract. Cambridge, MA: Atolankhani a Elsevier Academic; 2016: mutu 8.

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.

Zagoria RJ, Dyer R, Brady C. Zowonjezera ma genitourinary radiology. Mu: Zagoria RJ, Dyer R, Brady C, olemba., Eds. Kujambula Pamtundu: Zofunikira. Wachitatu ed. Philadelphia, PA: Elsevier; 2016: mutu 10.