Ukuhlinzwa kabusha kwesibeletho - izingane

Ama-ureters yimibhobho ethwala umchamo kusuka ezinso kuya esinyeni. Ukufakelwa kabusha kwesibeletho kungukuhlinzwa ukuze kushintshwe ukuma kwalawa mashubhu lapho angena khona odongeni lwesinye.

Le nqubo ishintsha indlela i-ureter enamathiselwe ngayo esinyeni.

Ukuhlinzwa kwenzeka esibhedlela ngenkathi ingane yakho ilele futhi ingenazinhlungu. Ukuhlinzwa kuthatha amahora amabili kuya kwamathathu.

Ngesikhathi sokuhlinzwa, udokotela ohlinzayo uzo:

• Khipha i-ureter esinyeni.
• Dala umhubhe omusha phakathi kodonga lwesinye nomsipha endaweni engcono esinyeni.
• Beka i-ureter emhubheni omusha.
• Hlanganisa i-ureter endaweni bese uvale isinye ngeziqu.
• Uma kudingeka, lokhu kuzokwenziwa kwenye i-ureter.
• Vala noma yikuphi ukusika okwenziwe esiswini sengane yakho ngemithungo noma okuyisisekelo.

Ukuhlinzwa kungenziwa ngezindlela ezi-3. Indlela esetshenzisiwe izoncika esimweni sengane yakho nokuthi ama-ureters adinga ukunamathiselwa kanjani esinyeni.

• Ekuhlinzeni okuvulekile, udokotela uzokwenza imbobo encane esiswini esingezansi ngemisipha nangamafutha.
• Ekuhlinzeni kwe-laparoscopic, udokotela uzokwenza inqubo esebenzisa ikhamera namathuluzi amancane okuhlinza ngokusikeka okuncane oku-3 noma kwe-4 esiswini.
• Ukuhlinzwa kwe-Robotic kufana nokuhlinzwa kwe-laparoscopic, ngaphandle kokuthi izinsimbi zibanjwa irobhothi endaweni yazo. Udokotela ohlinzayo ulawula irobhothi.

Ingane yakho izokhishwa ezinsukwini ezi-1 kuya kwezi-2 ngemuva kokuhlinzwa.

Ukuhlinzwa kwenzelwa ukuvimbela umchamo ukuthi ungageleki emuva ubuya esinyeni uye ezinso. Lokhu kubizwa ngokuthi yi-reflux, futhi kungadala ukuphindaphindeka kwezifo zomgudu womchamo futhi kulimaze izinso.

Lolu hlobo lokuhlinzwa luvamile ezinganeni ze-reflux ngenxa yokukhubazeka kokuzalwa kohlelo lokuchama. Ezinganeni ezindadlana, kungenziwa ukwelapha i-reflux ngenxa yokulimala noma isifo.

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
• Ukusabela emithini

Izingozi zale nqubo yilezi:

• Umchamo uphumela ngaphandle uzungeze isinye
• Igazi emchameni
• Ukutheleleka kwezinso
• Ukuqaqamba kwesinye
• Ukuvinjelwa kwama-ureters
• Kungenzeka kungalungisi inkinga

Izingozi zesikhathi eside zifaka:

• Ukugeleza okuqhubekayo emuva komchamo ungene ezinso
• I-fistula yomchamo

Uzonikezwa imiyalo ethile yokudla nokuphuza ngokuya ngeminyaka yengane yakho. Udokotela wengane yakho angancoma ukuthi:

• Unganiki ingane yakho noma yikuphi ukudla okuqinile noma iziphuzo ezingacacile, njengobisi nejusi lewolintshi, ukuqala phakathi kwamabili ngaphambi kokuhlinzwa.
• Nikeza iziphuzo ezicacile kuphela, njengejusi le-apula, ezinganeni ezindadlana kuze kufike emahoreni amabili ngaphambi kokuhlinzwa.
• Ukuncelisa izingane ibele kufika emahoreni amane ngaphambi kokuhlinzwa. Izingane ezondliwe ngamafomula zingondla kuze kufike emahoreni ayisithupha ngaphambi kokuhlinzwa.
• Unganiki ingane yakho noma yini ukuphuza amahora amabili ngaphambi kokuhlinzwa.
• Nikeza ingane yakho imithi udokotela ayincomayo.
  
  

Ngemuva kokuhlinzwa, ingane yakho izothola uketshezi emthanjeni (IV). Ngokuhambisana nalokhu, ingane yakho nayo inganikezwa umuthi wokudambisa izinhlungu nokuzola kokuqaqamba kwesinye.

Ingane yakho ingaba nepayipi, ithubhu elizoqhamuka esinyeni sengane yakho ukukhipha umchamo. Kungenzeka futhi kube nokukhipha esiswini sengane yakho ukuvumela uketshezi luphume ngemuva kokuhlinzwa. Lezi zingasuswa ngaphambi kokuthi ingane yakho ikhishwe. Uma kungenjalo, udokotela uzokutshela ukuthi ungabanakekela kanjani nokuthi uzobuya nini ukuzosuswa.

Lapho ingane yakho iphuma ku-anesthesia, ingane yakho ingakhala, idideke noma idideke, futhi izizwe igula noma ihlanza. Lokhu kusabela kujwayelekile futhi kuzophela ngokuhamba kwesikhathi.

Ingane yakho izodinga ukuhlala esibhedlela izinsuku ezi-1 kuya kwezi-2, kuya ngohlobo lokuhlinzwa ingane yakho ebinalo.

Ukuhlinzwa kuphumelele ezinganeni eziningi.

Ureteroneocystostomy - izingane; Ukuhlinzwa kabusha kwesibeletho - izingane; Ukufakelwa kabusha kwesibeletho; I-Reflux ezinganeni - ukufakelwa kabusha kwe-ureteral

Umdala JS. I-reflux ye-Vesicoureteral. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 554.

Khoury AE, Bägli DJ. I-reflux ye-Vesicoureteral. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. I-Philadelphia, PA; Elsevier; 2016: isahluko 137.

UPapa JC. I-Ureteroneocystostomy. 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 33.

URichstone L, uSherr DS. Ukuhlinzwa kwesikhumba kweRobotic ne-laparoscopic. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. I-Philadelphia, PA; Elsevier; 2016: isahluko 96.