Yintoni i-pyeloplasty, yenzelwe ntoni kwaye ichacha njani

Umxholo

• Yenzelwe ntoni
• Kwenziwa njani
• Ukufunyanwa kwakhona kwi-pyeloplasty

IPyeloplasty yinkqubo yotyando eboniswe kwimeko yotshintsho kunxibelelwano phakathi kwe-ureter kunye nezintso, ezinokuthi zikhokelele ekuhambeni kwexesha, ukungasebenzi kunye nokusilela kwezintso. Ke, le nkqubo ijolise ekubuyiseleni olu nxibelelwano, kuthintela ukuvela kweengxaki.

I-Pyeloplasty ilula noko, kufuneka kuphela ukuba umntu alale esibhedlele iintsuku ezimbalwa azolandelwa, emva koko akhululwe ekhaya, kwaye unyango kufuneka luqhubeke ekhaya ngokuphumla kunye nokusetyenziswa kwee-antibiotics ezichazwe womchamo.

Yenzelwe ntoni

I-Pyeloplasty yinkqubo yoqhaqho eboniswe kwimeko ye-stenosis ye-uretero-pelvic junction, ehambelana nokudibana kwezintso kunye ne-ureter. Oko kukuthi, kule meko ukuncipha kolu nxibelelwano kuyaqinisekiswa, okunokukhuthaza ukwehla kokuhamba komchamo kwaye kukhokelele ekonakaleni kwezintso kunye nokuphulukana nomsebenzi okuqhubekayo. Ke, ipyeloplasty ijonge ukubuyisela olu nxibelelwano, ukubuyisela ukuhamba komchamo kunye nokunciphisa umngcipheko weengxaki zezintso.

Yiyo loo nto, i-pyeloplasty iboniswa xa umntu eneempawu ezinxulumene ne-stenosis ye-uretero-pelvic junction kunye notshintsho kwiimvavanyo zaselebhu, ezinje ngamanqanaba e-urea, i-creatinine kunye ne-creatinine clearance, kunye novavanyo lwe-imaging, olunje ngesisu se-ultrasound kunye ne-computed tomography.

Kwenziwa njani

Phambi kokwenza i-pyeloplasty, kuyacetyiswa ukuba umntu azile ukutya malunga neeyure ezi-8, evunyelwe kuphela ukusebenzisa ulwelo, njengamanzi kunye namanzi ecoconut. Uhlobo lotyando luxhomekeke kubudala bomntu nakwimpilo ngokubanzi, kwaye kunokucetyiswa oku kulandelayo:

• Utyando oluvulekileyo: apho kunqunyulwe khona kummandla wesisu ukuze kulungiswe unxibelelwano phakathi kwe-ureter kunye nezintso;
• Laparoscopy pyeloplasty: Olu hlobo lwenkqubo alungeni kangako, kuba lwenziwa ngokusikwa oku-3 kwisisu, kwaye lukhuthaza ukubuyela ngokukhawuleza emntwini.

Nokuba kungaluphi na uhlobo lotyando, kunqunyulwa kunxibelelwano phakathi kwe-ureter kunye nezintso kunye nokubuyiselwa konxibelelwano. Ngexesha lenkqubo, i-catheter ikwacwangciswa ukukhupha izintso kunye nokunciphisa umngcipheko weengxaki, ekufuneka zisuswe ngugqirha owenza inkqubo yotyando.

Ukufunyanwa kwakhona kwi-pyeloplasty

Emva kokwenza i-pieloplasty, kuqhelekile ukuba umntu ahlale iintsuku ezi-1 ukuya kwezi-2 esibhedlele ukuze achache kwi-anesthesia kwaye ajonge ukukhula kwazo naziphi na iimpawu, oko kuthintela iingxaki. Kwiimeko apho kufakwe i-catheter, kuyacetyiswa ukuba umntu lowo abuyele kwagqirha ukuze ayisuse.

Ekhaya kubalulekile ukuba umntu aphumle, ephepha iinzame kangangeentsuku ezingama-30 kwaye asele iziselo ezininzi, ukongeza ekusebenziseni amayeza aboniswe ngugqirha. Ngokwesiqhelo, ukusetyenziswa kwee-antibiotics kuyacetyiswa ngugqirha ukunqanda ukubakho kosulelo.

Ukuchacha kwi-pyeloplasty kulula, kwaye kufuneka kuphela ukuba emva kwexesha lokubuyisela elichazwe ngugqirha, umntu abuyele kudliwanondlebe ukuze kwenziwe iimviwo zemifanekiso ukuqinisekisa ukuba utyando lwalwanele ukulungisa utshintsho.

Ukuba ngexesha lokuchacha umntu unefiva ephezulu, ukopha kakhulu, iintlungu xa uchama okanye ukugabha, kubalulekile ukuba ubuyele kugqirha ukuze kuvavanywe kwaye unyango olufanelekileyo lunokuqaliswa.