Ukulungiswa kwe-patent urachus

Ukulungiswa kwe-urent patent ukuhlinzwa ukulungisa iphutha lesinye. Ku-urachus evulekile (noma yelungelo lobunikazi), kukhona ukuvuleka phakathi kwesinye nenkinobho yesisu (inkaba). I-urachus iyishubhu phakathi kwesinye nenkinobho yesisu ekhona ngaphambi kokuzalwa. Ezimweni eziningi, ivala ngobude bayo bonke ngaphambi kokuzalwa kwengane. I-urachus evulekile yenzeka ikakhulu ezinganeni.

Izingane ezinalokhu kuhlinzwa zizoba ne-anesthesia ejwayelekile (ilele futhi ayinazinhlungu).

Udokotela ohlinzayo uzosika esiswini sangaphansi sengane. Okulandelayo, udokotela ohlinzayo uzothola ishubhu le-urachal bese elikhipha. Ukuvulwa kwesinye kuzolungiswa, futhi ukusika kuzovalwa.

Ukuhlinzwa kungenziwa futhi nge-laparoscope. Le yinsimbi enekhamera encane nokukhanya ekugcineni.

• Udokotela ohlinzayo uzokwenza ukusikeka oku-3 okuncane esiswini sengane. Udokotela ohlinzayo uzofaka i-laparoscope ngenye yalokhu kusikeka namanye amathuluzi ngokusebenzisa okunye ukusikeka.
• Udokotela ohlinzayo usebenzisa amathuluzi ukususa ishubhu le-urachal nokuvala isinye nendawo lapho ishubhu ixhuma khona enkabeni (esiswini).

Lokhu kuhlinza kungenziwa ezinganeni ezisencane njengezinyanga eziyisithupha.

Ukuhlinzwa kuyanconywa nge-patent urachus engavali ngemuva kokuzalwa. Izinkinga ezingenzeka lapho i-patent urachal tube ingalungiswa ihlanganisa:

• Ingcuphe ephezulu yokutheleleka ngomgudu womchamo
• Ingozi ephezulu yomdlavuza webhubhu le-urachal kamuva empilweni
• Ukuqhubeka kokuvuza komchamo kusuka ku-urachus

Izingozi zanoma iyiphi i-anesthesia yilezi:

• Ukusabela emithini
• Izinkinga zokuphefumula

Izingozi zanoma yikuphi ukuhlinzwa yilezi:

• Ukopha
• Ukutheleleka
• Amahlule egazi emilenzeni angahamba aye emaphashini

Izingozi ezingeziwe zalokhu kuhlinzwa yilezi:

• Ukutheleleka kwesinye.
• I-bladder fistula (ukuxhumana phakathi kwesinye nesikhumba) - uma lokhu kwenzeka, kufakwa ipayipi (ishubhu elincanyana) esinyeni ukuze kukhishwe umchamo. Ishiywe endaweni kuze kudingeke isinye siphulukise noma ukuhlinzwa okwengeziwe kungadingeka.

Udokotela ohlinzayo angacela ingane yakho ukuthi:

• Umlando ophelele wezokwelapha nokuhlolwa komzimba.
• Izinso ultrasound.
• I-Sinogram ye-urachus. Kule nqubo, idayi yomsakazo-opaque ebizwa ngokungafani ifakwa ekuvuleni kwe-urachal bese kuthathwa ama-x-ray.
• I-Ultrasound ye-urachus.
• I-VCUG (voiding cystourethrogram), i-x-ray ekhethekile yokuqinisekisa ukuthi isinye siyasebenza.
• I-CT scan noma i-MRI.

Hlala utshela umhlinzeki wezokunakekelwa kwempilo yengane yakho ukuthi:

• Iziphi izidakamizwa ingane yakho ezidlayo. Faka phakathi izidakamizwa, amakhambi, amavithamini, noma ezinye izithako ozithengile ngaphandle kwemithi kadokotela.
• Cishe noma ikuphi ukungezwani komzimba nengane yakho okungase kube nakho emuthini, i-latex, i-tape, noma isihlanza isikhumba.

Phakathi nezinsuku ngaphambi kokuhlinzwa:

• Cishe izinsuku eziyi-10 ngaphambi kokuhlinzwa, ungacelwa ukuthi uyeke ukunika ingane yakho i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), warfarin (Coumadin), kanye nanoma iziphi ezinye izidakamizwa ezenza kube nzima ngegazi ukuminyana.
• Buza ukuthi imiphi imithi ingane yakho okufanele isayiphuza ngosuku lokuhlinzwa.

Ngosuku lokuhlinzwa:

• Ingane yakho cishe ngeke ikwazi ukuphuza noma ukudla noma yini amahora amane kuya kwangu-8 ngaphambi kokuhlinzwa.
• Nikeza ingane yakho noma imiphi imishanguzo otshelwe ukuthi ingane yakho kufanele iphuze ngayo amanzi amancane.
• Umhlinzeki wengane yakho uzokutshela ukuthi ufika nini esibhedlela.
• Umhlinzeki uzoqinisekisa ukuthi ingane yakho ayinazo izimpawu zokugula ngaphambi kokuhlinzwa. Uma ingane yakho igula, ukuhlinzwa kungabambezeleka.

Iningi lezingane lihlala esibhedlela izinsuku ezimbalwa nje ngemuva kwalokhu kuhlinzwa. Iningi lilulama ngokushesha. Izingane zingadla ukudla kwazo okujwayelekile uma ziqala ukudla futhi.

Ngaphambi kokuphuma esibhedlela, uzofunda ukuthi unakekelwa kanjani isilonda noma amanxeba. Uma ngabe iSteri-Strips isetshenziselwe ukuvala isilonda, kufanele ishiywe endaweni ize iwele yodwa esikhathini esingangesonto.

Ungathola incwadi kadokotela yama-antibiotic ukuvikela ukutheleleka, kanye nomuthi ophephile ongawusebenzisela izinhlungu.

Umphumela uvame ukuba muhle kakhulu.

Ukulungiswa kwamathebhu we-urachal patent

• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile

• I-urent yobunikazi
• Ukulungiswa kwe-urent patent - uchungechunge

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UKatz A, Ukuhlinzwa kukaRichardson W. Ku: Zitelli BJ, McIntire SC, Nowalk AJ, ama-eds. UZitelli noDavis ’Atlas of Pediatric Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 18.

U-Ordon M, u-Eichel L, uLandman J. Izisekelo zokuhlinzwa kwe-laparoscopic ne-robotic. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 10.

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