Kubvisa itsvo

Kubvisa itsvo, kana nephrectomy, kuvhiya kubvisa zvese kana chikamu cheitsvo. Inogona kusanganisira:

• Chikamu cheitsvo chimwe chakabviswa (kukwana nephrectomy).
• Yese itsvo yakabviswa (yakapusa nephrectomy).
• Kubviswa kweitsvo imwe chete, yakakomberedza mafuta, uye adrenal gland (radical nephrectomy). Mune zviitiko izvi, ma lymph node akavakidzana dzimwe nguva anobviswa.

Kuvhiya uku kunoitwa muchipatara iwe wakarara uye usina kurwadziwa (general anesthesia). Maitiro acho anogona kutora matatu kana anopfuura maawa.

Yakareruka nephrectomy kana yakavhurika itsvo kubviswa:

• Unenge wakarara nedivi. Chiremba wako anovhiya (kucheka) kusvika pamasendimita gumi nemaviri kana masendimita makumi matatu pakureba. Uku kucheka kunenge kuri parutivi rwako, pazasi pembabvu kana kurudyi pamusoro pembabvu dzakaderera.
• Tsandanyama, mafuta, uye nyama zvakatemwa uye zvinofambiswa. Chiremba wako anovhiya angangoda kubvisa mbabvu kuti aite maitiro.
• Iyo chubhu inotakura weti kubva kuitsvo kuenda kuicho dundira (ureter) uye tsinga dzeropa dzinotemwa kure neitsvo. Itsvo inobva yabviswa.
• Dzimwe nguva, chingori chikamu cheitsvo chinogona kubviswa (chikamu nephrectomy).
• Iyo yekucheka inozovharwa nemastitch kana staples.

Radical nephrectomy kana yakavhurika itsvo kubviswa:

• Chiremba wako anovhara anenge masendimita makumi maviri kusvika makumi maviri pakureba. Uku kucheka kunenge kuri kumberi kwedumbu rako, pazasi pembabvu dzako chete. Izvo zvinogona zvakare kuitwa kuburikidza nerutivi rwako.
• Tsandanyama, mafuta, uye nyama zvakatemwa uye zvinofambiswa. Iyo chubhu inotakura weti kubva kuitsvo kuenda kuicho dundira (ureter) uye tsinga dzeropa dzinotemwa kure neitsvo. Itsvo inobva yabviswa.
• Muvhiyi wako anotorawo mafuta akakomberedza, uye dzimwe nguva adrenal gland uye mamwe ma lymph node.
• Iyo yekucheka inozovharwa nemastitch kana staples.

Laparoscopic itsvo kubviswa:

• Chiremba wako achaita 3 kana 4 akacheka madiki, kazhinji asingapfuure 1 masendimita (2.5 cm) imwe neimwe, mudumbu rako uye parutivi. Chiremba anovhiya anoshandisa mapikisi madiki uye kamera kuita kuvhiya.
• Kusvika kumagumo ehurongwa, chiremba wako achaita imwe yekucheka kuve yakakura (anenge 4 inches kana 10 cm) kuti atore itsvo.
• Chiremba anovhiya achatema ureter, oisa bhegi rakakomberedza itsvo, uye oikwevera kuburikidza nekucheka kukuru.
• Kuvhiya uku kunogona kutora nguva yakareba pane kubviswa kwetsvo. Nekudaro, vanhu vazhinji vanopora nekukurumidza uye vanonzwa kurwadziwa kushoma mushure merudzi urwu rwekuvhiya kana ichienzaniswa nemarwadzo uye nguva yekupora zvichitevera kuvhiya kwakavhurika.

Dzimwe nguva, chiremba wako anovhiya anogona kucheka mune imwe nzvimbo pane yakatsanangurwa pamusoro.

Zvimwe zvipatara nenzvimbo dzekurapa zviri kuita oparesheni iyi vachishandisa maturobhoti maturusi.

Kubvisa itsvo kunogona kukurudzirwa ku:

• Mumwe munhu ari kupa itsvo
• Kuremara kwekuzvarwa
• Kenza yeitsvo kana kufungidzirwa kenza yeitsvo
• Itsvo yakakuvadzwa nehutachiona, itsvo matombo, kana mamwe matambudziko
• Kubatsira kudzora kukwirira kweropa mune mumwe munhu ane matambudziko neropa rekupa kune itsvo
• Kukuvadza kwakanyanya (trauma) kune itsvo isingakwanise kugadziriswa

Ngozi dzekuvhiyiwa chero ndedzipi:

• Ropa rinovhara mumakumbo ayo anogona kuenda kumapapu
• Matambudziko ekufema
• Utachiona, kusanganisira mune yekuvhiya ronda, mapapu (pneumonia), dundira, kana itsvo
• Ropa kurasikirwa
• Kurwara kwemoyo kana sitiroko panguva yekuvhiyiwa
• Zviitiko kumishonga

Njodzi dzeiyi maitiro ndeiyi:

• Kukuvadza kune dzimwe nhengo kana zvivakwa
• Itsvo kutadza mune yakasara itsvo
• Mushure mekunge imwe itsvo yabviswa, imwe yako itsvo inogona kusashanda zvakare kwekanguva
• Hernia yeronda rako rekuvhiya

Nguva dzose udza mupi wako wehutano:

• Kana iwe uchigona kuve nepamuviri
• Ndeapi madhiragi auri kutora, kunyangwe zvinodhaka, zvinowedzera, mavitamini, kana mahebhu awakatenga pasina mushonga

Munguva yemazuva asati avhiyiwa:

• Iwe unenge uine sampuli dzeropa dzakatorwa kana iwe uchida kuwedzerwa ropa.
• Iwe unogona kukumbirwa kuti urege kutora aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), Clopidogrel (Plavix), warfarin (Coumadin), uye vamwe vatete veropa.
• Kumbira mupi wako kuti ndeapi madhiragi aunofanirwa kutora pazuva rekuvhiyiwa.
• Usapute. Izvi zvinokubatsira kuti uwanezve nekukurumidza.

Pazuva rekuvhiyiwa:

• Iwe unowanzo bvunzwa kuti usamwe kana kudya chero chinhu mushure mehusiku husiku husiku pamberi pekuvhiyiwa.
• Tora mishonga sezvawakaudzwa, nekamwe kamvura.
• Unozoudzwa nguva yekuuya kuchipatara.

Iwe uchagara muchipatara kwemazuva 1 kusvika ku7, zvinoenderana nerudzi rwekuvhiya kwauinako. Panguva yekugara muchipatara, unogona:

• Kumbira kuti ugare padivi pemubhedha uye ufambe pazuva rimwechete rekuvhiyiwa kwako
• Iva nechubhu, kana catheter, iyo inobva mudundira rako
• Iva nechidhinha chinobuda kuburikidza nekucheka kwako kwekuvhiya
• Kusakwanisa kudya kwekutanga 1 kusvika kumazuva matatu, uye ipapo unozotanga nezvinwiwa
• Kurudzirwa kuti uite kufema maekisesaizi
• Pfeka masokisi akakosha, bhutsu yekumanikidza, kana zvese zviri zviviri kudzivirira kugwamba kweropa
• Gamuchira kupfura pasi peganda rako kudzivirira kugwamba kweropa
• Gamuchira mushonga wemarwadzo mutsinga dzako kana mapiritsi

Kupora kubva pakuvhiya kwakavhurika kunogona kurwadza nekuda kwenzvimbo yekucheka kwekuvhiya kuripo. Kudzoreredza mushure me laparoscopic maitiro anowanzo kukurumidza, aine marwadzo mashoma.

Mhedzisiro yacho inowanzo kuve yakanaka kana itsvo imwe ichibviswa. Kana itsvo mbiri dzikabviswa, kana itsvo yasara isingashande zvakakwana, iwe uchazoda hemodialysis kana kuisirwa itsvo.

Nephrectomy; Nyore nephrectomy; Radical nephrectomy; Vhura nephrectomy; Laparoscopic nephrectomy; Yakasarudzika nephrectomy

• Kuchengetedzwa kwekugezera kwevakuru
• Kubvisa itsvo - kubuda
• Kudzivirira kudonha
• Kuchengeta ronda rekuvhiya - rakavhurika

• Itsvo
• Itsvo kubviswa (nephrectomy) - akatevedzana

Babaian KN, Delacroix SE, Wood CG, Jonasch E. Kenza yeitsvo. Mune: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. Brenner uye Rector Iyo Itsvo. 10th ed. Philadelphia, PA: Elsevier; 2016: chits. 41.

Olumi AF, Preston MA, Blute ML. Vhura kuvhiya kweitsvo. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chitsiko 60.

Schwartz MJ, Rais-Bahrami S, Kavoussi LR. Laparoscopic uye robotic kuvhiya itsvo. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chits. 61.