Ukususwa kwezinso

Ukususwa kwezinso, noma i-nephrectomy, ukuhlinzwa ukususa konke noma ingxenye yezinso. Kungabandakanya:

• Ingxenye yesinso esisodwa isusiwe (i-nephrectomy engaphelele).
• Kususwe zonke izinso (i-nephrectomy elula).
• Ukususwa kwenso elilodwa, amafutha azungezile, ne-adrenal gland (i-nephrectomy eqinile). Kulezi zimo, ama-lymph node angomakhelwane kwesinye isikhathi asuswa.

Lokhu kuhlinzwa kwenziwa esibhedlela ngenkathi ulele futhi ungenazinhlungu (i-anesthesia ejwayelekile). Inqubo ingathatha amahora amathathu noma ngaphezulu.

I-nephrectomy elula noma ukususwa kwezinso okuvulekile:

• Uzobe ulele ngohlangothi. Udokotela wakho ohlinzayo uzosikeka (asike) aze afike kumasentimitha ayi-12 noma amasentimitha angama-30 ubude. Lokhu kusika kuzoba ngohlangothi lwakho, ngezansi nje kwezimbambo noma ngaphezulu kwezimbambo eziphansi kakhulu.
• Imisipha, amanoni nezicubu kuyasikwa futhi kuhanjiswe. Udokotela wakho ohlinzayo angadinga ukususa ubambo ukwenza inqubo.
• Ishubhu elithwala umchamo lisuka ezinso liye esinyeni (i-ureter) nemithambo yegazi inqanyulwa kude nezinso. Izinso bese ziyasuswa.
• Kwesinye isikhathi, kungasuswa ingxenye yezinso kuphela (i-nephrectomy engaphelele).
• Ukusikwa bese kuvalwa ngemithungo noma okuyisisekelo.

I-radical nephrectomy noma ukususwa kwezinso okuvulekile:

• Udokotela wakho ohlinzayo uzosika cishe amasentimitha angu-20 kuye kwayi-12 (20 kuya ku-30 ​​cm) ubude. Lokhu kusika kuzoba ngaphambili kwesisu sakho, ngaphansi nje kwezimbambo zakho. Kungenzeka futhi kwenziwe ngohlangothi lwakho.
• Imisipha, amanoni nezicubu kuyasikwa futhi kuhanjiswe. Ishubhu elithwala umchamo lisuka ezinso liye esinyeni (i-ureter) nemithambo yegazi inqanyulwa kude nezinso. Izinso bese ziyasuswa.
• Udokotela wakho ohlinzayo uzokhipha namafutha azungezile, kwesinye isikhathi indlala ye-adrenal namanye ama-lymph node.
• Ukusikwa bese kuvalwa ngemithungo noma okuyisisekelo.

Ukususwa kwezinso ze-laparoscopic:

• Udokotela wakho ohlinzayo uzosikeka kathathu noma kane, kaningi kungabi ngaphezu kwamasentimitha angu-2,5 esiswini sakho nohlangothi lwakho. Udokotela ohlinzayo uzosebenzisa ama-probes amancane nekhamera ukwenza ukuhlinzwa.
• Ngasekupheleni kwenqubo, udokotela wakho ohlinzayo uzokwenza okunye ukusikeka kube kukhulu (cishe ngamasentimitha amane noma amasentimitha ayishumi) ukukhipha izinso.
• Udokotela ohlinzayo uzosika i-ureter, abeke isikhwama esizungeze izinso, bese eyidonsa ngommese omkhulu.
• Lokhu kuhlinzwa kungathatha isikhathi eside kunokukhishwa kwezinso okuvulekile. Kodwa-ke, iningi labantu lilulama ngokushesha futhi lizwa ubuhlungu obuncane ngemuva kwalolu hlobo lokuhlinzwa uma kuqhathaniswa nobuhlungu nesikhathi sokululama ngemuva kokuhlinzwa okuvulekile.

Kwesinye isikhathi, udokotela wakho ohlinzayo angenza ukusika endaweni ehlukile kunalokho okuchazwe ngenhla.

Ezinye izibhedlela nezikhungo zezokwelapha ziyakwenza lokhu kuhlinzwa zisebenzisa amathuluzi erobhothi.

Kunganconywa ukususwa kwezinso ku:

• Umuntu onikela ngenso
• Izinkinga zokuzalwa
• Umdlavuza wezinso noma umdlavuza wezinso osolwayo
• Izinso ezilinyazwe ukutheleleka, amatshe ezinso, noma ezinye izinkinga
• Ukusiza ukulawula umfutho wegazi ophakeme kumuntu onenkinga yokuphakelwa kwegazi ezinso zakhe
• Ukulimala okubi kakhulu (ukuhlukumezeka) ezinso ezingalungiseki

Izingozi zanoma yikuphi ukuhlinzwa yilezi:

• Amahlule egazi emilenzeni angahamba aye emaphashini
• Izinkinga zokuphefumula
• Ukutheleleka, kufaka phakathi isilonda sokuhlinzwa, amaphaphu (i-pneumonia), isinye, noma izinso
• Ukwehla kwegazi
• Ukuhlaselwa yisifo senhliziyo noma ukushaywa unhlangothi ngesikhathi sokuhlinzwa
• Ukusabela emithini

Izingozi zale nqubo yilezi:

• Ukulimala kwezinye izitho noma izakhiwo
• Ukuhluleka kwezinso ezinso ezisele
• Ngemuva kokukhishwa kwesinso esisodwa, ezinye izinso zakho zingase zingasebenzi kahle okwesikhashana
• Hernia yesilonda sakho sokuhlinzwa

Njalo utshele umhlinzeki wakho wezokunakekelwa kwempilo:

• Uma ungakhulelwa
• Yiziphi izidakamizwa oziphuzayo, ngisho nezidakamizwa, izithasiselo, amavithamini, noma amakhambi owathengile ngaphandle kwencwadi kadokotela

Phakathi nezinsuku ngaphambi kokuhlinzwa:

• Uzoba namasampuli egazi athathwe uma kwenzeka udinga ukumpontshelwa igazi.
• Ungacelwa ukuthi uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), Clopidogrel (Plavix), warfarin (Coumadin), nezinye izinciphisi zegazi.
• Buza umhlinzeki wakho ukuthi yiziphi izidakamizwa okufanele usaziphuza ngosuku lokuhlinzwa.
• Ungabhemi. Lokhu kuzokusiza ukuthi ululame ngokushesha.

Ngosuku lokuhlinzwa:

• Imvamisa uzocelwa ukuthi ungaphuzi noma ungadli lutho ngemuva kwamabili ebusuku ngaphambi kokuhlinzwa.
• Thatha le mishanguzo njengoba utsheliwe, ngamanzi amancane.
• Uzotshelwa ukuthi ufika nini esibhedlela.

Uzohlala esibhedlela izinsuku ezi-1 kuya kwezi-7, kuya ngohlobo lokuhlinzwa onalo. Ngesikhathi sokuhlala esibhedlela, unga:

• Celwa ukuba uhlale eceleni kombhede uhambe ngosuku olufanayo lokuhlinzwa kwakho
• Yiba neshubhu, noma ipayipi, elivela esinyeni sakho
• Yiba nomsele ophuma ngokusika kwakho kokuhlinzwa
• Ukungakwazi ukudla usuku lokuqala kuya kwezingu-3, ​​bese uzoqala ngoketshezi
• Khuthazwa ukwenza izivivinyo zokuphefumula
• Gqoka amasokisi akhethekile, amabhuzu okucindezela, noma womabili ukuvimbela amahlule egazi
• Thola isibhamu ngaphansi kwesikhumba sakho ukuvimbela amahlule egazi
• Thola umuthi wezinhlungu emithanjeni noma kumaphilisi akho

Ukululama ekuhlinzweni okuvulekile kungaba buhlungu ngenxa yokuthi ukusika kokuhlinzwa kutholakala kuphi. Ukubuyiselwa emuva kwenqubo ye-laparoscopic kuvame ukushesha, kube nobuhlungu obuncane.

Umphumela uvame ukuba muhle kakhulu lapho kukhishwa inso elilodwa. Uma zombili izinso zisusiwe, noma izinso ezisele zingasebenzi kahle ngokwanele, uzodinga i-hemodialysis noma ukufakelwa izinso.

I-Nephrectomy; I-nephrectomy elula; I-nephrectomy enamandla; Vula i-nephrectomy; I-nephrectomy ye-Laparoscopic; I-nephrectomy engaphelele

• Ukuphepha kwamakamelo abantu abadala
• Ukususwa kwezinso - ukukhipha
• Ukuvimbela ukuwa
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile

• Izinso
• Ukususwa kwezinso (nephrectomy) - uchungechunge

I-Babaian KN, i-Delacroix SE, i-Wood CG, i-Jonasch E. umdlavuza wezinso. Ku: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, ama-eds. IBrenner neRector's The Kidney. Umhlaka 10. IPhiladelphia, PA: Elsevier; 2016: isahluko 41.

U-Olumi AF, Preston MA, Blute ML. Ukuhlinzwa okuvulekile kwezinso. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 60.

USchwartz MJ, uRais-Bahrami S, uKavoussi LR. Ukuhlinzwa kwe-laparoscopic ne-robotic yezinso. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 61.