Lithotripsy

I-Lithotripsy yinkqubo esebenzisa amaza othusayo ukuba aqhekeze amatye kwizintso kunye neendawo ze-ureter (ityhubhu ethwala umchamo kwizintso zakho uye kwisinyi sakho). Emva kwenkqubo, iziqwenga ezincinci zamatye zidlula emzimbeni wakho kumchamo wakho.

Umothuko owandisiweyo we-lithotripsy (ESWL) lolona hlobo luqhelekileyo lwe-lithotripsy. "I-Extracorporeal" ithetha ngaphandle komzimba.

Ukulungiselela le nkqubo, uya kunxiba ilokhwe yasesibhedlele kwaye ungqengqe kwitafile yoviwo ngaphezulu komqamelo othambileyo, ogcwaliswe ngamanzi. Awuyi kumanzi.

Uya kunikwa amayeza entlungu okanye akuncede uphumle ngaphambi kokuba kuqalise inkqubo. Uyakunikwa nezibulala ntsholongwane.

Xa unenkqubo, unokunikwa i-anesthesia ngokubanzi yenkqubo. Uya kuba ulele kwaye ungenazintlungu.

Amandla amaza ombane aphezulu, ekwabizwa ngokuba ngamaza esandi, akhokelwa yi-x-ray okanye i-ultrasound, aya kudlula emzimbeni wakho ade abethe amatye ezintso. Ukuba uvukile, unokuziva uthabatheka xa oku kuqala. Amaza aqhekeza amatye abe ziingceba.

Inkqubo ye-lithotripsy kufuneka ithathe malunga nemizuzu engama-45 ukuya kweyure e-1.

Umbhobho obizwa ngokuba yi-stent ungabekwa emqolo okanye kwisinyi kwizintso zakho. Le tyhubhu iya kukhupha umchamo kwizintso zakho de onke amaqhekeza amatye aphume emzimbeni wakho. Oku kunokwenziwa ngaphambi okanye emva konyango lwakho lwe-lithotripsy.

I-Lithotripsy isetyenziselwa ukususa amatye ezintso abangela:

• Ukopha
• Umonakalo kwizintso zakho
• Intlungu
• Usulelo lomjelo womchamo

Ayingawo onke amatye ezintso anokukhutshwa kusetyenziswa i-lithotripsy. Ilitye linokususwa kunye:

• Umbhobho (endoscope) ofakwe kwizintso ngokusikwa okuncinci ngasemva.
• Ityhubhu encinci ekhanyisiweyo (ureteroscope) efakwe kwisinyi kwi-ureters. Ama-Ureters yimibhobho edibanisa izintso kwisinyi.
• Utyando oluvulekileyo (kunqabile ukuba lufuneka).

I-Lithotripsy ikhuselekile ixesha elininzi. Thetha nomboneleli wakho wezempilo malunga neengxaki ezinokwenzeka:

• Ukopha malunga nezintso zakho, ezinokufuna ukuba utofelwe igazi.
• Usulelo lwezintso.
• Iziqwenga zomchamo wamatye umchamo ovela kwizintso zakho (oku kunokubangela iintlungu ezinzima okanye umonakalo kwizintso zakho). Ukuba oku kuyenzeka, unokufuna iinkqubo ezongezelelweyo.
• Iziqwenga zamatye zishiyekile emzimbeni wakho (unokufuna unyango olungaphezulu).
• Izilonda esiswini sakho okanye emathunjini amancinci.
• Iingxaki umsebenzi sezintso emva kwenkqubo.

Soloko uxelela umboneleli wakho:

• Ukuba ukhulelwe okanye unokukhulelwa
• Zeziphi iziyobisi ozithathayo, nditsho neziyobisi, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo

Ngexesha leentsuku ngaphambi kotyando:

• Uya kucelwa ukuba uyeke ukuthatha abacoci gazi abanjengo-aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), kunye nazo naziphi na ezinye iziyobisi ezenza kube nzima kwigazi lakho ukubambeka. Buza umboneleli wakho ukuba uyeke nini ukuthatha.
• Buza umboneleli wakho ukuba zeziphi iziyobisi omele uzithathe ngosuku lotyando.

Ngomhla wenkqubo yakho:

• Akuvumelekanga ukuba usele okanye utye nantoni na iiyure ezininzi ngaphambi kwenkqubo.
• Thatha la mayeza uxelelwe ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Uzakuxelelwa ukuba ufike nini esibhedlele.

Emva kwenkqubo, uya kuhlala kwigumbi lokubuyisela ukuya kuthi ga kwiiyure ezimbini. Uninzi lwabantu luyakwazi ukugoduka ngosuku lwenkqubo yabo. Uya kunikwa isihluzo somchamo ukubamba amasuntswana amatye agqithwe kumchamo wakho.

Wenza kakuhle kangakanani kuxhomekeke kwinani lamatye onawo, ubungakanani bawo, kunye nalapho akhoyo kwinkqubo yakho yokuchama. Uninzi lwexesha, i-lithotripsy isusa onke amatye.

Umothuko owandisiweyo we-lithotripsy; Umothuko we-lithotripsy; I-laser lithotripsy; I-lithotripsy esebenzayo; I-endoscopic lithotripsy; ESWL; I-calal calculi-lithotripsy

• Izintso kunye ne-lithotripsy - ukukhutshwa
• Izintso zamatye - ukuzinyamekela
• Izintso zamatye - yintoni oza kuyibuza ugqirha wakho
• Iinkqubo ezisebenzayo zokuchama-ukukhupha

• I-anatomy yezintso
• I-Nephrolithiasis
• Ipyramogram efakwa ngaphakathi (IVP)
• Inkqubo yeLithotripsy

Bushinsky DA. I-Nephrolithiasis. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2016: isahluko 117.

Matlaga BR, Krambeck AE, iLingeman JE. Ulawulo lotyando lwendlela ephezulu yokuchama. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 54.

UZumstein V, Betschart P, Abt D, Schmid HP, Panje CM, Putora PM. Ulawulo lotyando lwe-urolithiasis -uhlalutyo lwenkqubo yezikhokelo ezikhoyo. BMC Urol. 2018; 18 (1): 25. IINKCUKACHA: 29636048 www.ncbi.nlm.nih.gov/pubmed/29636048.