Izinqubo zezinso ezinamandla

Izinqubo zokusebenzisa umchamo (ezingena esikhunjeni) zisiza ukukhipha umchamo ezinso lakho futhi ususe amatshe ezinso.

I-nephrostomy enqamulelayo ukubekwa kwephubhu elincane eliguquguqukayo (i-catheter) esikhunjeni sakho ezinso zakho ukukhipha umchamo wakho. Ifakwa ngomhlane noma ohlangothini lwakho.

I-nephrostolithotomy enamandla (noma i-nephrolithotomy) ukudlulisa ithuluzi lezokwelapha elikhethekile ngesikhumba sakho lingene ezinso lakho. Lokhu kwenzelwa ukususa amatshe ezinso.

Amatshe amaningi aphuma emzimbeni ngokwawo ngomchamo. Uma kungenjalo, umhlinzeki wakho wezokunakekelwa kwempilo angancoma lezi zinqubo.

Ngesikhathi senqubo, ulala ngesisu etafuleni. Unikezwa isibhamu se-lidocaine. Lona ngumuthi ofanayo owusebenzisa udokotela wamazinyo ukufeza umlomo wakho. Umhlinzeki angakunika imithi ezokusiza uphumule futhi wehlise ubuhlungu.

Uma une-nephrostomy kuphela:

• Udokotela ufaka inaliti esikhunjeni sakho. Ngemuva kwalokho i-nephrostomy catheter idluliswa ngenaliti ingene ezinso lakho.
• Ungazizwa ucindezelekile futhi ungakhululeki lapho kufakwa i-catheter.
• Uhlobo olukhethekile lwe-x-ray lusetshenziselwa ukuqinisekisa ukuthi i-catheter isendaweni efanele.

Uma une-nephrostolithotomy enqamulelayo (noma i-nephrolithotomy):

• Uzothola i-anesthesia ejwayelekile ukuze uzobe ulele ungezwa buhlungu.
• Udokotela wenza ukusika okuncane emhlane wakho. Inaliti idluliswa esikhunjeni ingene ezinso lakho. Ngemuva kwalokho ipheshana liyanwetshwa bese kushiywa umgodla wepulasitiki endaweni uvumela ipheshana ukuthi lidlulise izinsimbi.
• Lezi zinsimbi ezikhethekile bese zidluliselwa emgodleni. Udokotela wakho usebenzisa lokhu ukukhipha itshe noma ukuliphula libe yizicucu.
• Ngemuva kwenqubo, kufakwa ishubhu ezinso (nephrostomy tube). Enye ithubhu, ebizwa nge-stent, ibekwa ku-ureter ukukhipha umchamo ezinso lakho. Lokhu kuvumela izinso zakho ukuthi ziphole.

Indawo lapho kufakwe khona ipayipi le-nephrostomy imbozwe ngokugqoka. I-catheter ixhunywe esikhwameni samanzi.

Izizathu zokuba nephrostomy noma i-nephrostolithotomy enqamulelayo yilezi:

• Ukuhamba kwakho komchamo kuvinjiwe.
• Uba nezinhlungu eziningi, noma ngabe usulashelwe itshe lezinso.
• Ama-X-ray akhombisa ukuthi itshe lezinso likhulu kakhulu ukuthi lingazidlula ngokwalo noma lingelashwa ngokudlula esinyeni liye ezinso.
• Umchamo uvuza ngaphakathi emzimbeni wakho.
• Itshe lezinso lidala izifo ezithinta umchamo.
• Itshe lezinso lilimaza izinso zakho.
• Umchamo onegciwane udinga ukukhishwa ezinso.

I-nephrostomy enamandla kanye nephrostolithotomy ngokuvamile ziphephile. Buza udokotela wakho ngalezi zinkinga ezingenzeka:

• Izingcezu zamatshe ezisele emzimbeni wakho (ungadinga ukwelashwa okwengeziwe)
• Ukopha okuzungeze izinso zakho
• Izinkinga ngokusebenza kwezinso, noma izinso eziyeka ukusebenza
• Izingcezu zamatshe ezivimbela umchamo zigeleza zivela ezinso lakho, okungadala ubuhlungu obubi kakhulu noma ukulimala kwezinso
• Ukutheleleka kwezinso

Tshela umhlinzeki wakho:

• Uma ukhulelwe noma ungakhulelwa.
• Imiphi imithi oyiphuzayo. Lokhu kufaka phakathi imithi, izithasiselo, noma amakhambi owathengile ngaphandle kwemithi kadokotela.
• Uma ngabe uphuze kakhulu utshwala.
• Unemizimba engezwani nokuqhathanisa udayi osetshenziswe phakathi kwama-x-ray.

Ngosuku lokuhlinzwa:

• Ungacelwa ukuthi ungaphuzi noma ungadli noma yini okungenani amahora ayisithupha ngaphambi kwenqubo.
• Thatha imithi otshelwe ukuthi uyiphuze ngophuzo oluncane lwamanzi.
• Uzotshelwa ukuthi ufika nini esibhedlela. Qiniseka ukuthi ufika ngesikhathi.

Uyiswa egumbini lokutakula. Ungase ukwazi ukudla maduzane uma ungenaso isisu esithukuthele.

Ungakwazi ukuya ekhaya kungakapheli amahora angama-24. Uma kunezinkinga, udokotela wakho angakugcina esibhedlela isikhathi eside.

Udokotela uzokhipha amashubhu uma ama-x-ray ekhombisa ukuthi amatshe ezinso awasekho futhi izinso zakho sezipholile. Uma amatshe asekhona, ungaphinda ube nenqubo efanayo maduzane.

I-nephrostolithotomy ye-Percutaneous noma i-nephrolithotomy cishe njalo isiza ekunciphiseni izimpawu zamatshe ezinso. Imvamisa, udokotela uyakwazi ukukhipha amatshe ezinso akho ngokuphelele. Kwesinye isikhathi udinga ukuthi ube nezinye izinqubo zokususa amatshe.

Iningi labantu elilashelwa amatshe ezinso kumele lenze ushintsho endleleni yokuphila ukuze imizimba yabo ingakhi amatshe amasha ezinso. Lezi zinguquko zibandakanya ukugwema ukudla okuthile nokungathathi amavithamini athile. Abanye abantu futhi kufanele baphuze imishanguzo ukuvimba amatshe amasha ukuthi angakheki.

I-nephrostomy enamandla; I-nephrostolithotomy enamandla; PCNL; I-Nephrolithotomy

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

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