Ureteroscopy

Ureteroscopy imagwiritsa ntchito mawonekedwe ochepa owunikira kuti ayang'ane ureters. Ureters ndi machubu omwe amalumikiza impso ndi chikhodzodzo. Njirayi imatha kuthandizira kuzindikira ndi kuthana ndi mavuto mumitsinje, monga miyala ya impso.

Ureteroscopy imagwiritsidwa ntchito ndi ureteroscope. Ichi ndi chubu chaching'ono (cholimba kapena chosinthika) chokhala ndi kuwala kochepa ndi kamera kumapeto.

• Njirayi imatenga ola limodzi.
• Mumapatsidwa mankhwala oletsa ululu. Awa ndi mankhwala omwe amakulolani kugona.
• Kubuula kwanu ndi mkodzo zimatsukidwa. Kukulirako kumalowetsedwa kudzera mu mtsempha, mu chikhodzodzo, kenako ndikutulutsa ureter.

Masitepe otsatirawa afotokozedwa pansipa.

Pochita izi, dokotala akhoza:

• Gwiritsani ntchito zida zing'onozing'ono zomwe zimatumizidwa kudutsa kuti zigwire ndikuchotsa miyala ya impso kapena kuziphwanya pogwiritsa ntchito laser.
• Ikani stent mu ureter kuti mkodzo ndi timiyala ting'onoting'ono ta impso tidutse. Ngati muli ndi stent, muyenera kubwerera kuti muchotsedwe mu sabata limodzi kapena awiri. Izi nthawi zambiri zimachitika muofesi ya dokotala popanda mankhwala oletsa ululu.
• Fufuzani ngati muli ndi khansa.
• Yesani kapena chotsani chotupa kapena chotupa.
• Onaninso madera a ureters omwe achepetsedwa.
• Dziwani zamatenda obwera mkodzo ndi mavuto ena.

Kuopsa kochita opareshoni ndi anesthesia ambiri ndi awa:

• Mavuto kupuma
• Kusintha kwa mankhwala
• Kukhetsa magazi, magazi kuundana, matenda

Zowopsa za njirayi ndi monga:

• Kuvulala kwa ureter kapena impso
• Matenda a mkodzo
• Kupondereza kapena kufooka kwa ureter

Uzani wothandizira zaumoyo wanu mankhwala omwe mukumwa, kuphatikiza omwe mwagula popanda mankhwala. Komanso uuzeni omwe amakupatsani ngati muli ndi pakati kapena mukuganiza kuti mungakhale.

Konzani kuti wina adzakutengereni kunyumba mutatha.

Tsatirani malangizo amomwe mungakonzekerere ndondomekoyi. Izi zingaphatikizepo:

• Osadya kapena kumwa chilichonse pakati pausiku musanachitike.
• Kuyimitsa kwakanthawi mankhwala ena, monga aspirin kapena othandizira magazi ena. Osasiya kumwa mankhwala akuchipatala pokhapokha dokotala atakuwuzani kuti musiye.
• Funsani dokotala wanu mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.

Mudzuka m'chipinda chobwezeretsa. Mutha kupita kwanu mukadzuka ndikukakodza.

Kunyumba, tsatirani malangizo aliwonse amene mwapatsidwa. Izi zingaphatikizepo izi:

• Muyenera kupumula kwa maola 24. Muyenera kuti wina azikhala nanu nthawi imeneyo.
• Dokotala wanu angakulembereni mankhwala oti mukamwe kunyumba. Izi zitha kuphatikizira mankhwala opweteka komanso maantibayotiki opewera matenda. Tengani izi monga mwalangizidwa.
• Imwani magalasi amadzi 4 mpaka 6 patsiku kuti muchepetse mkodzo wanu ndikuthandizani kutulutsa mkodzo wanu.
• Mudzawona magazi mumkodzo wanu masiku angapo. Izi si zachilendo.
• Mutha kumva kupweteka mu chikhodzodzo ndikuyaka mukakodza. Ngati dokotala wanena kuti zili bwino, kukhala m'malo osambira ofunda kumatha kuthetsa vutoli. Kugwiritsa ntchito pedi yotenthetsera pansi ingathandizenso.
• Ngati dokotala wanu adayika stent, mutha kumva kupweteka mbali yanu, makamaka munthawi komanso mukangokodza.
• Mutha kuyendetsa galimoto mutasiya kumwa mankhwala osokoneza bongo.

Mutha kumva bwino pakadutsa masiku 5 kapena 7. Ngati muli ndi stent, zingatenge nthawi kuti mumve ngati inunso.

Kuchiza miyala ya impso pogwiritsa ntchito ureteroscopy nthawi zambiri kumakhala ndi zotsatira zabwino.

Opaleshoni mwala wamwala; Impso mwala - ureteroscopy; Ureteral mwala kuchotsa - ureteroscopy; Khalidwe - ureteroscopy

Kutafuna BH, Harriman DI. Zida zopangira Ureteroscopic. Mu: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, olemba. Hinman’s Atlas of Urologic Surgery. Wolemba 4. Philadelphia, PA: Elsevier; 2018: mutu 40.

Ntchito BD, Conlin MJ. Mfundo za endoscopy ya urologic. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: mutu 7.