I-Ureteroscopy

I-Ureteroscopy isebenzisa isilinganiso esincane sokubuka ukukhanyisa ama-ureters. Ama-Ureters ayizigaxa ezixhumanisa izinso nesinye. Le nqubo ingasiza ukuxilonga nokwelapha izinkinga emkhakheni we-urinary, njengamatshe ezinso.

I-Ureteroscopy yenziwa nge-ureteroscope. Leli ithubhu elincane (eliqinile noma eliguquguqukayo) elinokukhanya okuncane nekhamera ekugcineni.

• Inqubo ivame ukuthatha ihora eli-1.
• Unikezwa i-anesthesia ejwayelekile. Lo muthi okuvumela ukuthi ulale.
• I-groin yakho ne-urethra zigeziwe. Ububanzi bufakwa nge-urethra, buye esinyeni, bese buya phezulu ku-ureter.

Izinyathelo ezilandelayo zichazwe ngezansi.

Ngesikhathi senqubo, udokotela wakho anga:

• Sebenzisa izinsimbi ezincane ezithunyelwa esikalini ukuze ubambe futhi ususe amatshe ezinso noma uwaqhekeze usebenzisa i-laser.
• Faka i-stent ku-ureter ukuvumela umchamo nezicucu ezincane zamatshe ezinso ukuthi zidlule. Uma une-stent, uzodinga ukubuya ukuze ususwe ngeviki elilodwa noma amabili. Lokhu ngokuvamile kungenziwa ehhovisi likadokotela ngaphandle kwe-anesthesia.
• Hlola umdlavuza.
• Hlola noma ususe ukukhula noma isimila.
• Hlola izindawo zama-ureters asenciphile.
• Xilonga izifo eziphindaphindayo zomgudu womchamo nezinye izinkinga.

Izingozi zokuhlinzwa kanye ne-anesthesia ngokujwayelekile yilezi:

• Izinkinga ukuphefumula
• Ukusabela emithini
• Ukopha, amahlule egazi, ukutheleleka

Izingozi zale nqubo zifaka:

• Ukulimala kwe-ureter noma izinso
• Ukutheleleka ngomgudu womchamo
• Ukunciphisa noma ukusikeka kwe-ureter

Tshela umhlinzeki wakho wezokunakekelwa kwempilo ukuthi yimiphi imithi oyisebenzisayo, kufaka phakathi leyo oyithenge ngaphandle kwemithi kadokotela. Tshela nomhlinzeki wakho uma ukhulelwe noma ucabanga ukuthi ungakhulelwa.

Hlela ukuthi othile azokuyisa ekhaya ngemuva kwenqubo.

Landela imiyalo yokuthi ungayilungiselela kanjani inqubo. Lokhu kungafaka:

• Ukungadli noma ukuphuza noma yini ngemuva kwamabili ngaphambi kwenqubo yakho.
• Ukumisa okwesikhashana imithi ethile, efana ne-aspirin noma ezinye izinciphisi zegazi. Ungayeki ukuthatha noma yimiphi imithi kadokotela ngaphandle kokuthi udokotela wakho akuyekele.
• Buza udokotela wakho ukuthi yimiphi imishanguzo okufanele usayiphuza ngosuku lokuhlinzwa kwakho.

Uzophaphama egumbini lokutakula. Ungaya ekhaya uma usuvukile futhi ungachama.

Ekhaya, landela noma imiphi imiyalelo oyinikezwayo. Lokhu kungafaka okulandelayo:

• Uzodinga ukuphumula amahora angama-24. Kufanele ube nomuntu ozohlala nawe ngaleso sikhathi.
• Udokotela wakho kungenzeka akunikeze imithi okufanele uyiphuze ekhaya. Lokhu kungafaka umuthi wezinhlungu kanye ne-antibiotic yokuvikela ukutheleleka. Thatha lokhu njengokuyalelwa.
• Phuza izingilazi zamanzi ezi-4 kuya kwezi-6 ngosuku ukuze unciphise umchamo wakho futhi usize ukukhipha umgudu wakho wokuchama.
• Uzobona igazi emchameni wakho izinsuku ezimbalwa. Lokhu kujwayelekile.
• Ungase uzwe ubuhlungu esinyeni futhi uvuthe lapho uchama. Uma udokotela wakho ethi kulungile, ukuhlala kubhavu ofudumele kungasiza ekunciphiseni ukungakhululeki. Ukusebenzisa iphedi yokushisa ebekwe phansi nayo ingasiza.
• Uma udokotela wakho ebeka i-stent, ungazizwa ubuhlungu ohlangothini lwakho, ikakhulukazi ngesikhathi nangemva kokuchama.
• Ungashayela ngemuva kokuyeka ukuthatha noma yikuphi ukudambisa izinhlungu kwe-narcotic.

Cishe uzozizwa ungcono cishe ezinsukwini ezinhlanu kuya kweziyi-7. Uma une-stent, kungathatha isikhathi eside ukuzizwa ufana nawe futhi.

Ukwelapha amatshe ezinso usebenzisa i-ureteroscopy kuvame ukuba nomphumela omuhle.

Ukuhlinzwa kwetshe lesibeletho; Itshe lezinso - ureteroscopy; Ukususwa kwamatshe okudala - ureteroscopy; I-Calculi - i-ureteroscopy

Ukuhlafuna BH, Harriman DI. I-instrumentation ye-Ureteroscopic. Ku: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, ama-eds. IHinman’s Atlas of Urologic Surgery. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 40.

Umsebenzi BD, uConlin MJ. Izimiso ze-endoscopy ye-urologic. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 7.