I-Lithotripsy

I-Lithotripsy inqubo esebenzisa amaza ashaqisayo ukuqhekeza amatshe ezinso nasezingxenyeni ze-ureter (ishubhu elithwala umchamo kusuka ezinso zakho uye esinyeni sakho). Ngemuva kwenqubo, izingcezu ezincane zamatshe zidlula emzimbeni wakho emchameni wakho.

I-extracorporeal shock wave lithotripsy (ESWL) uhlobo oluvame kakhulu lwe-lithotripsy. "I-Extracorporeal" isho ngaphandle komzimba.

Ukulungela inqubo, uzogqoka ingubo yasesibhedlela bese ulala etafuleni lezivivinyo ngaphezulu komcamelo othambile ogcwele amanzi. Ngeke umanzi.

Uzonikezwa umuthi wezinhlungu noma wokukusiza uphumule ngaphambi kokuba kuqale inqubo. Uzonikezwa nama-antibiotic.

Uma unenqubo, unganikezwa i-anesthesia ejwayelekile yenqubo. Uzobe ulele futhi ungenazinhlungu.

Amagagasi ashaqeka ngamandla, abizwa nangokuthi amaza omsindo, aholwa yi-x-ray noma i-ultrasound, azodlula emzimbeni wakho aze ashaye amatshe ezinso. Uma uvukile, ungazizwa uthinta umuzwa lapho lokhu kuqala. Amagagasi aqhekeza amatshe abe yizicucu ezincane.

Inqubo ye-lithotripsy kufanele ithathe cishe imizuzu engama-45 kuya ehoreni eli-1.

Ishubhu elibizwa ngokuthi i-stent lingabekwa emhlane wakho noma esinyeni ezinso zakho. Le tube izokhipha umchamo ezinso zakho kuze kuphume zonke izingcezu zamatshe emzimbeni wakho. Lokhu kungenziwa ngaphambi noma ngemuva kokwelashwa kwe-lithotripsy.

I-Lithotripsy isetshenziselwa ukususa amatshe ezinso abangela:

• Ukopha
• Ukulimala kwezinso zakho
• Ubuhlungu
• Ukutheleleka ngomgudu womchamo

Akuwona wonke amatshe ezinso angasuswa kusetshenziswa i-lithotripsy. Itshe lingasuswa futhi nge:

• Ishubhu (i-endoscope) efakwe ezinso ngokusika okuncane okuhlinza ngemuva.
• Ishubhu elincane elikhanyisiwe (ureteroscope) elifakwa esinyeni langena kuma-ureters. Ama-Ureters ayizigaxa ezixhumanisa izinso nesinye.
• Ukuhlinzwa okuvulekile (okungadingeki kakhulu).

I-Lithotripsy iphephile isikhathi esiningi. Khuluma nomhlinzeki wakho wezokunakekelwa kwezempilo mayelana nezinkinga ezinjengezi:

• Ukopha okuzungeze izinso zakho, okungadinga ukuthi uthole ukumpontshelwa igazi.
• Ukutheleleka kwezinso.
• Izingcezu zomchamo wamatshe ovimba ukugeleza zisuka ezinso lakho (lokhu kungadala ubuhlungu obukhulu noma kulimaze izinso zakho). Uma lokhu kwenzeka, ungadinga izinqubo ezingeziwe.
• Izingcezu zamatshe zisele emzimbeni wakho (ungadinga ukwelashwa okwengeziwe).
• Izilonda esiswini sakho noma emathunjini amancane.
• Izinkinga ngokusebenza kwezinso ngemuva kwenqubo.

Njalo utshele umhlinzeki wakho:

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

Phakathi nezinsuku ngaphambi kokuhlinzwa:

• Uzocelwa ukuthi uyeke ukuthatha izinciphisi zegazi ezifana ne-aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), kanye nanoma iziphi ezinye izidakamizwa ezenza kube nzima ngegazi lakho ukuminyana. Buza umhlinzeki wakho ukuthi uyeka nini ukuzithatha.
• Buza umhlinzeki wakho ukuthi yiziphi izidakamizwa okufanele usaziphuza ngosuku lokuhlinzwa.

Ngosuku lwenqubo yakho:

• Awuvumelekile ukuphuza noma ukudla noma yini amahora amaningi ngaphambi kwenqubo.
• Thatha imishanguzo otshelwe ukuthi uyiphuze ngamanzi amancane.
• Uzotshelwa ukuthi ufika nini esibhedlela.

Ngemuva kwenqubo, uzohlala egumbini lokutakula kuze kube cishe amahora amabili. Iningi labantu liyakwazi ukuya emakhaya ngosuku lwenqubo yabo. Uzonikezwa isihlungi somchamo ukuze ubambe izingcezu zamatshe ezidluliswe emchameni wakho.

Wenza kahle kangakanani kuncike enanini lamatshe onawo, usayizi wawo, nokuthi akuphi kuhlelo lwakho lomchamo. Isikhathi esiningi, i-lithotripsy isusa wonke amatshe.

I-extotracorporeal wave wave lithotripsy; I-wave wave ye-lithotripsy; I-laser lithotripsy; I-lithotripsy enamandla; I-endoscopic lithotripsy; ESWL; I-renal calculi-lithotripsy

• Izinso zamatshe kanye ne-lithotripsy - ukukhishwa
• Izinso zezinso - ukuzinakekela
• Izinso zamatshe - okufanele ubuze udokotela wakho
• Izinqubo zomchamo ezinamandla - ukukhipha

• Ukwakheka kwezinso
• I-Nephrolithiasis
• I-pyelogram efakwa emithanjeni (IVP)
• Inqubo yeLithotripsy

UBushinsky DA. I-Nephrolithiasis. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2016: isahluko 117.

Amandlaga BR, Krambeck AE, Lingeman JE. Ukuphathwa okuhlinzekwayo okuphezulu kwe-urinary tract calculi. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 54.

UZumstein V, Betschart P, Abt D, Schmid HP, Panje CM, Putora PM. Ukuphathwa kokuhlinzwa kwe-urolithiasis - ukuhlaziywa okuhleliwe kwemihlahlandlela etholakalayo. BMC Urol. 2018; 18 (1): 25. I-PMID: 29636048 www.ncbi.nlm.nih.gov/pubmed/29636048.