Ukwelashwa Kwetshe Lezinso

-Delile
Ukwelashwa kwetshe lezinso kunqunywa yi-nephrologist noma i-urologist ngokusho kwezici zetshe nezinga lobuhlungu obuchazwe ngumuntu, futhi kunganconywa ukuthi uphuze imishanguzo yezinhlungu eyenza ukususwa kwetshe noma, uma akwanele, ukuhlinzwa ukuze kususwe itshe.
Itshe lezinso yisimo esibuhlungu kakhulu futhi singahlobene nokudla amanzi amancane noma ukudla okungenampilo, okungadala ukuthi izinto okufanele zisuswe emchameni, ziqongelele, ziholele ekwakhiweni kwamatshe. Funda kabanzi ngezimbangela zamatshe ezinso.

Ngakho-ke, ngokusho kwezimpawu eziveziwe, indawo kanye nezici zetshe, udokotela angakhombisa ukwelashwa okufanele kakhulu, izindlela zokwelashwa eziyinhloko yilezi:
1. Imithi
Imithi ivamise ukukhonjiswa ngudokotela lapho umuntu esenkingeni, okungukuthi, ngobuhlungu obukhulu nobungapheli. Imithi ingafakwa ngomlomo noma ngqo emthanjeni, lapho ukukhululeka kushesha khona. Bona ukuthi wenzeni enkingeni yezinso.
Ngakho-ke, i-nephrologist ingakhombisa izidakamizwa ezilwa nokuvuvukala, njenge-Diclofenac ne-Ibuprofen, ama-analgesics, njengeParacetamol, noma ama-anti-spasmodics, njengeBuscopam. Ngaphezu kwalokho, udokotela angakhombisa ukuthi umuntu usebenzisa izidakamizwa ezikhuthaza ukuqedwa kwamatshe, njenge-Allopurinol, isibonelo.
2. Ukuhlinzwa
Ukuhlinzwa kuboniswa uma itshe lezinso likhulu, likhulu kune-6 mm, noma uma livimba ukudlula komchamo. Kulokhu, udokotela anganquma phakathi kwalezi zindlela ezilandelayo:
- I-lithotripsy eyengeziwe: kubangela ukuqhekeka kwamatshe ezinso ngamagagasi ashaqisayo, aze aphenduke uthuli futhi aqedwe umchamo;
- I-nephrolithotomy enamandla: isebenzisa umshini omncane we-laser ukunciphisa usayizi wetshe lezinso;
- I-Ureteroscopy: isebenzisa umshini we-laser ukwephula amatshe ezinso lapho etholakala ku-ureter noma ku-renal pelvis.
Isikhathi sokuhlala esibhedlela sizohluka ngokuya ngesimo somuntu, uma engalethi izinkinga ngemuva kwezinsuku ezintathu angaya ekhaya. Bona imininingwane eminingi ngokuhlinzwa kwamatshe ezinso.

3. Ukwelashwa nge-Laser
Ukwelashwa kwe-Laser ngamatshe ezinso, abizwa nge-ureterolithotripsy eguquguqukayo, kuhlose ukuhlukanisa nokususa amatshe ezinso futhi kwenziwa endaweni yomchamo. Le nqubo ikhonjiswa lapho itshe lingasuswa ngisho nokusetshenziswa kwemithi eyenza ukuphuma kwalo.
I-Ureterolithotripsy yenziwa ngaphansi kwe-anesthesia ejwayelekile, ihlala cishe ihora elilodwa futhi, ngoba akukho ukusikeka noma ukusikeka okudingekayo, ukululama kuyashesha, kanti isiguli sivame ukukhishwa amahora angama-24 ngemuva kwenqubo. Ekupheleni kwale nqubo yokuhlinzwa, kubekwa ipayipi elibizwa nge-double J, lapho omunye umkhawulo usesesinyeni omunye ungaphakathi ezinso futhi kuhlose ukwenza lula ukuphuma kwamatshe asekhona nokuvimbela ukuvinjelwa kwe-ureter njengoba lula inqubo yokuphulukiswa kwe-ureter, uma itshe lilimaze lo mgudu.
Kujwayelekile ukuthi ngemuva kwe-ureterolithotripsy kanye nokubekwa kwepayipi kabili lika-J, umuntu uzoba ne-probe yangaphandle emahoreni okuqala ngemuva kwenqubo yokukhipha umchamo.
4. Ukwelashwa kwemvelo
Ukwelashwa kwemvelo kwamatshe ezinso kungenziwa phakathi kokuhlaselwa lapho kungekho buhlungu futhi kubandakanya ukuphuza amalitha amathathu kuya kwamane amanzi ngosuku ukusiza ukuqeda amatshe amancane. Ngaphezu kwalokho, uma kunomlando emndenini wamatshe ezinso, kubalulekile ukudla iprotheni ephansi kanye nokudla kasawoti ngoba lokhu kungavimbela amatshe amasha ukuthi avele noma amatshe amancane angakhuli ngosayizi.
Ngaphezu kwalokho, inketho enhle eyenziwe ngamatshe amancane ezinso itiye elihlephula amatshe ngoba ngaphezu kokuba nesenzo sokukhipha isisu nokusiza ukuqedwa komchamo, kuyayekisa ama-ureters ngokwenza lula ukuphuma kwamatshe. Ukwenza itiye, vele ungeze ama-20 g amaqabunga owomile aqhekeza amatshe kuyo yonke inkomishi eyodwa yamanzi abilayo. Yima, bese uphuza lapho kufudumele, izikhathi eziningana phakathi nosuku. Bona enye inketho yekhambi lasekhaya lamatshe ezinso.
Bona imininingwane eminingi yokuphakelwa kwamatshe ezinso kule vidiyo elandelayo: