Opaleshoni yobwezeretsanso magazi - ana

Ureters ndi machubu omwe amanyamula mkodzo kuchokera ku impso kupita ku chikhodzodzo. Kubwezeretsanso m'mimba ndi opaleshoni kuti asinthe malo amachubu omwe amalowa mu chikhodzodzo.

Njirayi imasintha momwe ureter imagwirizanirana ndi chikhodzodzo.

Kuchita opareshoni kumachitika mchipatala mwana wanu ali mtulo komanso wopanda ululu. Kuchita opaleshoni kumatenga maola awiri kapena atatu.

Pa opaleshoni, dokotalayo:

• Chotsani ureter kuchokera mu chikhodzodzo.
• Pangani ngalande yatsopano pakati pa khoma la chikhodzodzo ndi minofu pamalo abwino mchikhodzodzo.
• Ikani ureter mumsewu watsopano.
• Dulani ureter m'malo ndi kutseka chikhodzodzo ndi zomangira.
• Ngati zingafunike, izi zichitike kwa ureter wina.
• Tsekani zodulidwa zilizonse m'mimba mwa mwana wanu ndimitengo kapena chakudya.

Opaleshoni imatha kuchitika m'njira zitatu. Njira yogwiritsidwa ntchito idzadalira momwe mwana wanu alili komanso momwe ma ureters amafunikira kulumikizanitsidwa ndi chikhodzodzo.

• Pochita opaleshoni yotseguka, adokotala amatumbula pang'ono m'mimba kudzera mu minofu ndi mafuta.
• Pochita opaleshoni ya laparoscopic, adokotala azichita izi pogwiritsa ntchito kamera ndi zida zing'onozing'ono zopangira ma 3 kapena 4 ochepera m'mimba.
• Kuchita ma Robotic ndikofanana ndi ma laparoscopic, kupatula kuti zida zimagwiridwira ndi loboti. Dokotalayo amayang'anira loboti.

Mwana wanu adzatulutsidwa pakapita masiku awiri kapena awiri atachitidwa opaleshoni.

Kuchita opareshoni kumachitika kuti mkodzo usamayende kumbuyo kuchokera chikhodzodzo kupita ku impso. Izi zimatchedwa reflux, ndipo zimatha kuyambitsa matenda opitilira mkodzo ndikuwononga impso.

Kuchita opaleshoni kotereku kumachitika mwa ana kwa reflux chifukwa cha vuto lobadwa kwamkodzo. Kwa ana okalamba, zitha kuchitidwa kuti athetse Reflux chifukwa chovulala kapena matenda.

Zowopsa za opaleshoni iliyonse ndi izi:

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

Zowopsa za njirayi ndi:

• Mkodzo ukutuluka mu danga mozungulira chikhodzodzo
• Magazi mkodzo
• Matenda a impso
• Chikhodzodzo
• Kutsekedwa kwa oreters
• Mwina sizingathetse vutolo

Zowopsa zazitali ndizo:

• Kupitilira kumbuyo kwamkodzo mu impso
• Fistula yamikodzo

Mudzapatsidwa malangizo achakudya ndi zakumwa malinga ndi msinkhu wa mwana wanu. Dokotala wa mwana wanu angakulimbikitseni kuti:

• Musamapatse mwana wanu zakudya zolimba kapena zakumwa zosadziwika bwino, monga mkaka ndi madzi a lalanje, kuyambira pakati pausiku asanafike opaleshoni.
• Apatseni zakumwa zoonekeratu, monga madzi a apulo, kwa ana okulirapo mpaka maola awiri asanamuchite opaleshoni.
• Ana oyamwitsa ana mpaka maola 4 asanachitidwe opareshoni. Makanda odyetsedwa m'makina amatha kudyetsa mpaka maola 6 asanachitike opareshoni.
• Musamapatse mwana wanu chilichonse chakumwa kwa maola 2 asanamuchite opaleshoni.
• Ingopatsani mwana wanu mankhwala omwe dokotala akufuna.
  
  

Pambuyo pa opaleshoni, mwana wanu adzalandira madzi mumtsinje (IV). Kuphatikiza apo, mwana wanu amathanso kupatsidwa mankhwala ochepetsa ululu komanso kupumula kwa chikhodzodzo.

Mwana wanu akhoza kukhala ndi catheter, chubu yomwe imachokera kuchikhodzodzo cha mwana wanu kukhetsa mkodzo. Pangakhalenso kukhetsa m'mimba mwa mwana wanu kuti madzi amwe madzi atatha opaleshoni. Izi zikhoza kuchotsedwa mwana wanu asanatuluke. Ngati sichoncho, adokotala angakuuzeni momwe mungawasamalire komanso nthawi yobwerera kuti muwachotse.

Mwana wanu akatuluka mu dzanzi, mwana wanu amatha kulira, kukangana kapena kusokonezeka, ndikumva kudwala kapena kusanza. Izi ndizabwinobwino ndipo zidzatha pakapita nthawi.

Mwana wanu azikhala mchipatala masiku 1 mpaka 2, kutengera mtundu wa opaleshoni yomwe mwana wanu anali nayo.

Kuchita opaleshoniyo kumachita bwino mwa ana ambiri.

Ureteroneocystostomy - ana; Opaleshoni yobwezeretsanso opaleshoni - ana; Kubwezeretsanso m'mimba; Reflux mwa ana - kubwezeretsanso ureteral

Mkulu JS. Reflux wamatsenga. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 554.

Khoury AE, DJ wa Bägli. Reflux wamatsenga. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA; Zowonjezera; 2016: chap 137.

Papa JC. Ureteroneocystostomy. Mu: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, olemba. Hinman’s Atlas of Urologic Surgery. Wolemba 4. Philadelphia, PA: Elsevier; 2018: mutu 33.

Richstone L, Scherr DS. Opaleshoni ya chikhodzodzo ndi laparoscopic. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA; Zowonjezera; 2016: chap 96.