Kuyini i-pyeloplasty, yenzelwe ini futhi ilulama kanjani

-Delile

• Yenzelwe ini
• Kwenziwa kanjani
• Ukubuyiselwa kusuka ku-pyeloplasty

IPyeloplasty inqubo yokuhlinza ekhonjisiwe esimweni soshintsho ekuxhumaneni phakathi kwe-ureter nezinso, okungaholela, ekugcineni, ukungasebenzi nokwehluleka kwezinso. Ngakho-ke, le nqubo ihlose ukubuyisa lokhu kuxhumana, ukuvimbela ukuvela kwezinkinga.

I-Pyeloplasty ilula nje, kuyadingeka kuphela ukuthi umuntu ahlale esibhedlela izinsuku ezimbalwa azolandelwa, bese ededelwa ekhaya, futhi ukwelashwa kufanele kuqhutshekwe ekhaya ngokuphumula nokusetshenziswa kwama-antibiotic akhonjiswe udokotela womchamo.

Yenzelwe ini

I-Pyeloplasty inqubo yokuhlinzwa ekhonjiswe ezimweni ze-stenosis ye-uretero-pelvic junction, ehambelana nokuhlangana kwezinso ne-ureter. Okungukuthi, kulesi simo ukuncishiswa kwalokhu kuxhumana kuyaqinisekiswa, okungakhuthaza ukwehla kokugeleza komchamo futhi kuholele ekulimaleni kwezinso nokulahlekelwa umsebenzi okuqhubekayo. Ngakho-ke, i-pyeloplasty ihlose ukubuyisa lokhu kuxhumana, ukubuyisa ukuhamba komchamo nokunciphisa ubungozi bezinkinga zezinso.

Ngakho-ke, i-pyeloplasty ikhonjiswa lapho umuntu enezimpawu ezihlobene ne-stenosis ye-uretero-pelvic junction kanye nezinguquko ekuhlolweni kwe-laboratory, njengamazinga e-urea, imvume ye-creatinine ne-creatinine, kanye nokuhlolwa kwe-imaging, njenge-ultrasound yesisu kanye ne-computed tomography.

Kwenziwa kanjani

Ngaphambi kokwenza i-pyeloplasty, kunconywa ukuthi umuntu azile ukudla amahora angaba ngu-8, avunyelwe kuphela ukusetshenziswa kweziphuzo, njengamanzi namanzi kakhukhunathi. Uhlobo lokuhlinzwa luxhomeke kubudala bomuntu nasempilweni ejwayelekile, futhi kunganconywa okulandelayo:

• Ukuhlinzwa okuvulekile: lapho kunqunywa khona esifundeni sesisu ukuze kulungiswe ukuxhumana phakathi kwe-ureter nezinso;
• I-Laparoscopy pyeloplasty: lolu hlobo lwenqubo alungeni kangako, ngoba lwenziwa ngemisiko emithathu esiswini, futhi lukhuthaza ukululama ngokushesha kumuntu.

Akunandaba ukuthi hlobo luni lokuhlinzwa, kuyasikwa ukuxhumana phakathi kwe-ureter nezinso bese kubuyiselwa lokho kuxhumana. Ngesikhathi senqubo, kubekwa ne-catheter ukukhipha izinso nokunciphisa ubungozi bezinkinga, okumele zisuswe ngudokotela owenza inqubo yokuhlinzwa.

Ukubuyiselwa kusuka ku-pyeloplasty

Ngemuva kokwenza i-pieloplasty, kujwayelekile ukuthi umuntu ahlale izinsuku ezi-1 kuya kwezi-2 esibhedlela elulama ku-anesthesia futhi ahlole ukukhula kwanoma yiziphi izimpawu, ngaleyo ndlela avimbele izinkinga. Ezimweni lapho kufakwe khona ipayipi, kuyanconywa ukuthi lowo muntu abuyele kudokotela ukuze asuswe.

Ekhaya, kubalulekile ukuthi umuntu ahlale ephumule, agweme imizamo cishe izinsuku ezingama-30 futhi aphuze uketshezi oluningi, ngaphezu kokusebenzisa imithi ekhonjiswe ngudokotela. Ngokuvamile, ukusetshenziswa kwama-antibiotic kunconywa udokotela ukuvimbela ukuvela kwezifo.

Ukululama okuvela ku-pyeloplasty kulula kakhulu, futhi kudingekile nje ukuthi ngemuva kwesikhathi sokululama esishiwo ngudokotela, umuntu abuyele ekubonisaneni ukuze kwenziwe izivivinyo zezithombe ukuqinisekisa ukuthi ukuhlinzwa kwanele yini ukulungisa ushintsho.

Uma ngesikhathi sokululama umuntu ephethwe umkhuhlane omkhulu, opha ngokweqile, ezwa izinhlungu lapho echama noma ehlanza, kubalulekile ukuthi ubuyele kudokotela ukuyohlola futhi kungaqalwa ukwelashwa okufanele kakhulu.