Ureteroscopy

I-Ureteroscopy isebenzisa indawo encinci yokubukela ukukhanya ukuvavanya i-ureters. Ama-Ureters yimibhobho edibanisa izintso kwisinyi. Le nkqubo inokunceda ekuchongeni nasekunyangeni iingxaki kumchamo, njengamatye ezintso.

Ureteroscopy lwenziwa ureteroscope. Le yityhubhu encinci (eqinileyo okanye eguqukayo) enesibane esincinci kunye nekhamera esiphelweni.

• Inkqubo ihlala ithatha iyure e-1.
• Unikwa i-anesthesia ngokubanzi. Eli liyeza elikuvumela ukuba ulale.
• I-groin yakho kunye ne-urethra ziyahlanjwa. Ubungakanani buye bufakwe kwi-urethra, kwi-bladder, emva koko inyukele kwi-ureter.

Amanyathelo alandelayo achaziwe apha ngezantsi.

Ngexesha lenkqubo, ugqirha wakho unoku:

• Sebenzisa izixhobo ezincinci ezithunyelwa ngomda wokubamba nokususa amatye ezintso okanye uwaqhekeze usebenzisa i-laser.
• Beka i-stent kwi-ureter ukuvumela umchamo kunye namaqhekeza amancinci amatye. Ukuba une-stent, kuyakufuneka ubuye ukuze uyisuse kwiveki e-1 okanye ezi-2. Oku kunokwenziwa rhoqo kwiofisi kagqirha ngaphandle kweanesthesia.
• Khangela umhlaza.
• Vavanya okanye ususe ukukhula okanye ithumba.
• Vavanya indawo ezincitshisiweyo ezixinene.
• Xilonga usulelo oluphuma kumchamo kunye nezinye iingxaki.

Umngcipheko wotyando kunye neanesthesia ngokubanzi zezi:

• Iingxaki zokuphefumla
• Impendulo kumayeza
• Ukopha, amahlwili egazi, usulelo

Iingozi zale nkqubo zibandakanya:

• Ukwenzakala kwe-ureter okanye yezintso
• Usulelo lwe-Urinary tract
• Ukunciphisa okanye ukutyhafa kwe-ureter

Xelela umboneleli wakho wezempilo ukuba ngawaphi amayeza owasebenzisayo, kubandakanya lawo uwathengileyo ngaphandle kommiselo. Xelela umboneleli wakho ukuba ukhulelwe okanye ucinga ukuba unokuba.

Lungiselela ukuba umntu akugoduse emva kwenkqubo.

Landela imiyalelo malunga nendlela yokulungiselela inkqubo. Oku kunokubandakanya:

• Ukungatyi okanye ukusela nantoni na emva kobusuku ngaphambi kwenkqubo yakho.
• Ukuyekisa okwexeshana amayeza athile, anje nge-aspirin okanye amanye amacandelo egazi. Sukuyeka ukuthatha nawaphi na amayeza kagqirha ngaphandle kokuba ugqirha ukuxelele ukuba uyeke.
• Buza ugqirha wakho ukuba zeziphi iziyobisi omele uzithathe ngosuku lotyando lwakho.

Uya kuvuka kwigumbi lokubuyisela kwakhona. Ungagoduka xa sele uvukile kwaye ungachama.

Ekhaya, landela nayiphi na imiyalelo oyinikiweyo. Oku kunokubandakanya oku kulandelayo:

• Uya kudinga ukuphumla iiyure ezingama-24. Kufuneka ube nomntu uhlala nawe ngelo xesha.
• Ugqirha wakho uya kukunika amayeza ukuba uwathathe ekhaya. Oku kunokubandakanya iyeza lentlungu kunye neyeza lokubulala iintsholongwane ukuthintela usulelo. Thatha oku njengoko kuyalelwe.
• Sela iiglasi ezi-4 ukuya kwezi-6 zamanzi ngosuku ukungxenga umchamo wakho nokunceda ukukhupha indawo yakho yokuchama.
• Uya kulibona igazi kumchamo wakho iintsuku ezininzi. Oku kuqhelekile.
• Unokuziva iintlungu kwisinyi sakho kunye nokutsha xa uchama. Ukuba ugqirha wakho uthi kulungile, ukuhlala kwindawo yokuhlambela efudumeleyo kunokunceda ekunciphiseni ukungonwabi. Sebenzisa iphedi yokufudumeza esetiweyo esezantsi nayo inokukunceda.
• Ukuba ugqirha ubeke i-stent, unokuva iintlungu kwicala lakho, ngakumbi ngexesha kunye nasemva kokuchama.
• Ungaqhuba emva kokuba uyekile ukuthatha naziphi na iintlungu ezithomalalisayo.

Uya kuziva ungcono malunga neentsuku ezintlanu ukuya kwezi-7. Ukuba une-stent, kungathatha ixesha elide ukuziva ngathi unguye kwakhona.

Ukunyanga amatye ezintso usebenzisa ureteroscopy kuhlala kunesiphumo esihle.

Utyando lwamatye; Ilitye lentso - ureteroscopy; Ureteral ukususwa ngamatye - ureteroscopy; Ikhalori - ureteroscopy

Ukuhlafuna i-BH, i-Harriman DI. Isixhobo seUreteroscopic. Ku: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, ii-eds. I-Atlas ye-Hinman yoNyango lwe-Urologic. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 40.

Umsebenzi BD, uConlin MJ. Imigaqo ye-endoscopy ye-urologic. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 7.