Izinqubo zomchamo ezinamandla - ukukhipha

Ubunenqubo yokukhipha umchamo ezinso zakho noma ukususa amatshe ezinso. Le ndatshana ikunikeza iseluleko sokuthi yini ongayilindela ngemuva kwenqubo nezinyathelo okufanele uzithathe ukuze uzinakekele.

Ubunezinqubo ze-urinary percutaneous (ngesikhumba) zokusiza ukukhipha umchamo ezinso zakho futhi ususe amatshe ezinso.

Uma ngabe une-nephrostomy enqamulelayo, umhlinzeki wezokunakekelwa kwezempilo ufake ipayipi elincane eliguquguqukayo (ithubhu) esikhunjeni sakho ezinso zakho ukukhipha umchamo wakho.

Uma ubuye waba nephrostolithotomy (noma nephrolithotomy) engaphenduliwe, umhlinzeki udlulise ithuluzi elincane lezokwelapha esikhunjeni sakho ezinso zakho. Lokhu kwakwenzelwa ukuphula noma ukususa amatshe ezinso.

Ungaba nobuhlungu obuthile emhlane wakho ngesonto lokuqala ngemuva kokufakwa kwe-catheter ezinso. Imithi yezinhlungu ezithengiswa ekhawunteni efana neTylenol ingasiza ngobuhlungu. Eminye imithi yezinhlungu, efana ne-aspirin noma ibuprofen (Advil) nayo ingasiza, kepha umhlinzeki wakho kungenzeka angakuncomi ukuthi uthathe le mithi ngoba ingakhuphula ubungozi bokuphuma kwegazi.

Ungaba nemisele ethile ecacile yokukhanyisa ezungeze indawo yokufaka i-catheter izinsuku zokuqala ezi-1 ukuya kwezi-3. Lokhu kujwayelekile.

Ishubhu elivela ezinso lakho lizodlula esikhunjeni emhlane wakho. Lokhu kusiza ukugeleza komchamo kusuka ezinso zakho ungene esikhwameni esifakwe emlenzeni wakho. Ungabona igazi esikhwameni ekuqaleni. Lokhu kujwayelekile futhi kufanele kucace ngokuhamba kwesikhathi.

Ukunakekelwa okufanele kwe-nephrostomy catheter yakho kubalulekile ukuze ungatholi ukutheleleka.

• Phakathi nosuku, ungasebenzisa isikhwama esincane somchamo esifakwe emlenzeni wakho.
• Sebenzisa isikhwama esikhulu samanzi ebusuku uma unconywa udokotela wakho.
• Njalo gcina isikhwama somchamo singaphansi kwezinga lezinso zakho.
• Thulula isikhwama ngaphambi kokuba sigcwale ngokuphelele.
• Geza isikhwama sakho sokukhipha amanzi kanye ngesonto usebenzisa isisombululo seviniga emhlophe nengxenye yamanzi. Yihlanze kahle ngamanzi bese uyivumela ukuthi yome.

Phuza iziphuzo eziningi (amalitha amabili kuya kwamathathu) nsuku zonke, ngaphandle uma umhlinzeki wakho ekutshela ukuthi ungenzi njalo.

Gwema noma yimuphi umsebenzi obangela ukuzwa okudonsa, ubuhlungu obuzungeze i-catheter, noma i-kinking ku-catheter. Musa ukubhukuda uma unalesi sibili.

Umhlinzeki wakho uzoncoma ukuthi uthathe izipanji ukuze ukugqoka kwakho kuhlale komile. Ungageza uma ugoqa ukugqokwa ngeplastiki bese ushintsha ukugqoka uma kuthamba. Ungafaki kubhavu noma kubhavu oshisayo.

Umhlinzeki wakho uzokukhombisa ukuthi ungabeka kanjani ukugqoka okusha. Ungadinga usizo ngoba ukugqoka kuzoba semhlane wakho.

Shintsha ukugqoka kwakho njalo ezinsukwini ezimbili kuya kwezintathu evikini lokuqala. Shintsha kaningi uma kungcola, kumanzi, noma kukhululeka. Ngemuva kwesonto lokuqala, shintsha ukugqoka kwakho kanye ngesonto, noma kaningi uma kudingeka.

Uzodinga izinto ezithile lapho ushintsha ukugqoka kwakho. Lokhu kufaka phakathi: iTelfa (okokugqoka), iTegaderm (itheyiphu epulasitiki ecacile), izikele, izipanji ezihlukaniswe nge-gauze, izipanji ze-gauze ezi-4-intshi x 4-intshi (10 cm x 10 cm), itheyipu, ithubhu yokuxhuma, i-hydrogen peroxide, kanye amanzi afudumele (kanye nesitsha esicocekile ukuwaxuba), kanye nesikhwama sokuhambisa amanzi (uma kudingeka).

Hlanza izandla zakho njalo ngensipho namanzi ngaphambi kokukhipha okokugqoka okudala. Zigeze futhi ngaphambi kokugqoka okokugqoka okusha.

Qaphela lapho ukhumula okokugqoka okudala:

• Ungadonsi ipayipi le-drainage.
• Uma kukhona iringi epulasitiki yigcine esikhumbeni sakho.
• Hlola ukubona ukuthi ama-sutures (imithungo) noma idivaysi ebambe ipayipi lakho esikhumbeni sakho ivikelekile.

Lapho ukugqoka okudala kucishiwe, hlanza ngobumnene isikhumba esiseduze ne-catheter yakho. Sebenzisa uswidi okotini ofakwe ngesisombululo sehhafu ye-hydrogen peroxide namanzi afudumele uhhafu. Yiphathe ngomile ngendwangu ehlanzekile.

Bheka isikhumba esizungeze i-catheter yakho nganoma yikuphi ukwanda kokubomvu, ubumnene, noma amanzi. Shayela umhlinzeki wakho uma ubona lezi zinguquko.

Beka ukugqoka okuhlanzekile ngendlela umhlinzeki wakho akubonise ngayo.

Uma kungenzeka, yiba nomndeni noma umngane okushintshela okokugqoka. Lokhu kwenza inqubo ibe lula.

Shayela umhlinzeki wakho uma unezinye zalezi zimpawu:

• Ubuhlungu emhlane noma ohlangothini lwakho obungasuki noma buya ngokuya bubi
• Igazi emchameni wakho ngemuva kwezinsuku ezimbalwa zokuqala
• Umkhuhlane namakhaza
• Ukuhlanza
• Umchamo onuka kabi noma obukeka unamafu
• Ukubomvu okubomvu noma ubuhlungu besikhumba ezungeze ithubhu

Fonela futhi uma:

• Indandatho yepulasitiki isuka esikhunjeni sakho.
• Ipayipi likhishwe.
• Ipayipi liyeka ukukhipha umchamo esikhwameni.
• Ipayipi likhishwe ngomshini.
• Isikhumba sakho ngaphansi kwetape sicasukile.
• Umchamo uvuza uzungeze ipayipi noma iringi epulasitiki.
• Unobomvu, ukuvuvukala, noma ubuhlungu lapho ipayipi le-catheter liphuma khona esikhunjeni sakho.
• Kukhona amanzi amaningi kunokujwayelekile kokugqoka kwakho.
• I-drainage inegazi noma iqukethe ubomvu.

I-nephrostomy enamandla - ukukhishwa; I-nephrostolithotomy enamandla - ukukhishwa; I-PCNL - ukukhishwa; I-Nephrolithotomy - ukukhishwa; I-lithotripsy enamandla - ukukhishwa; Ukukhishwa kwe-endoscopic - ukukhishwa; Izinso - ukukhipha; Ureteric stent - ukukhishwa; I-renal calculi - nephrostomy; I-Nephrolithiasis - nephrostomy; Amatshe nezinso - ukuzinakekela; Amatshe e-calcium - nephrostomy; Amatshe e-oxalate - nephrostomy; Amatshe e-uric acid - nephrostomy

UBushinsky DA. I-Nephrolithiasis. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 117.

Matlaga BR, Krambeck AE. Ukuphathwa kokuhlinzwa kwendlela ephezulu yomchamo i-calculi. Ku: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, ama-eds. ICampbell-Walsh-Wein Urology. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 94.

• Amatshe esinye
• ICystinuria
• Gout
• Amatshe ezinso
• I-Lithotripsy
• Izinqubo zezinso ezinamandla
• Stent

• Izinso zamatshe kanye ne-lithotripsy - ukukhishwa
• Izinso zezinso - ukuzinakekela
• Izinso zamatshe - okufanele ubuze udokotela wakho

• Amatshe Ezinso