Inkqubo yezintso ezinobunzima

Unyango (ngesikhumba) iinkqubo zokuchama zinceda ukukhupha umchamo kwizintso zakho kwaye ulahle amatye ezintso.

I-nephrostomy engagungqiyo kukubekwa kwetyhubhu encinci, eguqukayo yerabha (ityhubhu) ngesikhumba sakho kwizintso zakho ukuze ukhuphe umchamo wakho. Ingeniswa ngasemva okanye kwicala.

I-nephrostolithotomy ye-Percutaneous (okanye i-nephrolithotomy) kukudlula kwesixhobo esikhethekileyo sonyango ngesikhumba sakho kwizintso zakho. Oku kwenzelwa ukususa amatye ezintso.

Uninzi lwamatye luphuma emzimbeni ngokwalo ngomchamo. Xa kungenjalo, umboneleli wakho wezempilo unokucebisa ezi nkqubo.

Ngexesha lenkqubo, ulala ngesisu etafileni. Unikwa ifoto ye-lidocaine. Eli liyeza linye nelisebenziswa ngugqirha wamazinyo ukukhathaza umlomo wakho. Umboneleli unokukunika amayeza okukunceda uphumle kwaye unciphise iintlungu.

Ukuba unephrostomy kuphela:

• Ugqirha ufaka inaliti kulusu lwakho. Emva koko i-nephrostomy catheter idlula ngenaliti kwizintso zakho.
• Unokuziva uxinzelelo kunye nokungonwabi xa kufakwa i-catheter.
• Uhlobo olukhethekileyo lwe-x-ray lusetyenziselwa ukuqinisekisa ukuba i-catheter ikwindawo elungileyo.

Ukuba une-nephrostolithotomy esecaleni (okanye nephrolithotomy):

• Uya kufumana i-anesthesia ngokubanzi ukuze ulale kwaye ungaziva zintlungu.
• Ugqirha usika kancinci (ukusika) emqolo. Inaliti idluliselwa kulusu kwizintso zakho. Emva koko iphecana liyahlanjululwa kwaye ishiyeki yeplastiki ishiywe endaweni ivumela iphecana ukuba lidlulise izixhobo.
• Ezi zixhobo zikhethekileyo ziye zigqithiswe esingxotyeni. Ugqirha wakho usebenzisa oku ukukhupha ilitye okanye ukulaphula.
• Emva kwenkqubo, ityhubhu ibekwe kwizintso (ityhubhu ye-nephrostomy). Enye ityhubhu, ebizwa ngokuba yi-stent, ibekwe kwi-ureter ukukhupha umchamo kwizintso zakho. Oku kuvumela ukuba izintso zakho ziphilise.

Indawo apho i-nephrostomy catheter yafakwa khona igutyungelwe ngokunxiba. I-catheter iqhagamshelwe kwingxowa yokuhambisa amanzi.

Izizathu zokuba nephrostomy okanye i-nephrostolithotomy engagungqiyo yile:

• Ukuhamba kwakho komchamo kuvaliwe.
• Unentlungu eninzi, nasemva kokuba unyangwe ilitye lezintso.
• IX-reyi ibonisa ukuba ilitye lezintso likhulu kakhulu ukuba lingadlula ngokwalo okanye linyangwe ngokuhamba ngesinyi ukuya kwizintso.
• Umchamo uvuza ngaphakathi komzimba wakho.
• Ilitye lezintso libangela usulelo lomchamo.
• Ilitye lezintso lonakalisa izintso zakho.
• Umchamo osulelekileyo kufuneka ukhutshwe kwizintso.

I-nephrostomy ye-Percutaneous kunye nephrostolithotomy zikhuselekile ngokubanzi. Buza ugqirha wakho malunga nezi ngxaki zinokwenzeka:

• Amacandelo amatye ashiyekileyo emzimbeni wakho (unokufuna unyango olungaphezulu)
• Ukopha malunga nezintso zakho
• Iingxaki ngokusebenza kwezintso, okanye izintso eziyeka ukusebenza
• Iziqwenga zelitye elivimba umchamo ukuba uphume kwizintso zakho, ezinokubangela iintlungu ezimbi kakhulu okanye umonakalo kwizintso
• Usulelo lwezintso

Xelela umboneleli wakho:

• Ukuba ukhulelwe okanye unokukhulelwa.
• Ngawaphi amayeza owathathayo. Oku kubandakanya amayeza, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.
• Ukuba ubusele utywala kakhulu.
• Unesifo sokungafani nedayi esetyenziswe ngexesha le-x-ray.

Ngomhla wotyando:

• Unokucelwa ukuba ungaseli okanye ungatyi nantoni na ubuncinci iiyure ezi-6 ngaphambi kwenkqubo.
• Thatha amayeza oxelelwe ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Uzakuxelelwa ukuba ufike nini esibhedlele. Qiniseka ukuba ufika ngexesha.

Usiwa kwigumbi lokuchacha. Unokwazi ukutya kungekudala ukuba awunaso isisu esibuhlungu.

Unokwazi ukuya ekhaya zingaphelanga iiyure ezingama-24. Ukuba kukho iingxaki, ugqirha wakho unokukugcina esibhedlele ixesha elide.

Ugqirha uzakukhupha iityhubhu ukuba ii-x-reyi zibonisa ukuba amatye eentso aphelile kwaye nezintso zakho ziphilile. Ukuba amatye asekhona, unokuphinda wenze inkqubo efanayo kungekudala.

I-Percutaneous nephrostolithotomy okanye i-nephrolithotomy phantse ihlala inceda ekunciphiseni iimpawu zamatye ezintso. Rhoqo, ugqirha uyakwazi ukususa amatye akho ezintso ngokupheleleyo. Ngamanye amaxesha kufuneka ube nezinye iinkqubo zokususa amatye.

Uninzi lwabantu abanyangelwe amatye ezintso kufuneka benze iinguqu kwindlela yokuphila ukuze imizimba yabo ingenzi amatye amatsha ezintso. Olu tshintsho lubandakanya ukuphepha ukutya okuthile kunye nokungathathi iivithamini ezithile. Abanye abantu kufuneka bathathe amayeza ukugcina amatye amatsha engenzeki.

Nephrostomy Percutaneous; Nephrostolithotomy ezinamagama; I-PCNL; I-Nephrolithotomy

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

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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.

UZagoria RJ, uDyer R, uBrady C.Ukungenelela kwe-genitourinary radiology. Ku: Zagoria RJ, Dyer R, Brady C, ii-eds. Ukujonga ngokuGqwesileyo: Izinto ezifunwayo. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; 2016: isahluko 10.