Lithotripsy

Lithotripsy maitiro anoshandisa kushamisika mafungu ekuputsa matombo muitsvo uye zvikamu zveureteri (chubhu inotakura weti kubva kuitsvo dzako kuenda kudundira rako). Mushure mekuita, zvidimbu zvidiki zvematombo zvinopfuura zvichibva mumuviri wako weti yako.

Extracorporeal shock wave lithotripsy (ESWL) ndiyo yakajairika mhando ye lithotripsy. "Extracorporeal" zvinoreva kunze kwemuviri.

Kuti ugadzirire maitiro acho, iwe uchapfeka jasi rechipatara uye wonorara patafura yekuongorora pamusoro pekopusi yakanyorovera, izere nemvura. Hauzo nyorova.

Iwe unozopihwa mushonga wekurwadziwa kana wekubatsira iwe kuzorora nzira isati yatanga. Iwe zvakare uchapihwa maantibioti.

Paunenge uine maitiro, iwe unogona kupihwa general anesthesia yemaitiro. Iwe unenge wakarara uye usina kurwadziwa.

Mafungu ekumusoro-simba, anonziwo mafungu eruzha, anotungamirwa ne x-ray kana ultrasound, achapfuura nemuviri wako kusvika varova matombo eitsvo. Kana iwe wakasvinura, iwe unganzwa kunzwa kwekubata kana izvi zvatanga. Mafungu anopwanya matombo kuita zvidimbu zvidiki.

Iyo nzira ye lithotripsy inofanira kutora maminetsi makumi mashanu nemashanu kusvika paawa imwe.

Chubhu inonzi stent inogona kuiswa kuburikidza nemusana kana dundira muitsvo yako. Iyi chubhu inodurura weti kubva kuitsvo dzako kusvikira zvidimbu zvidiki zvematombo zvapfuura kubva mumuviri wako. Izvi zvinogona kuitwa usati kana mushure mekurapa kwako kwetithotripsy.

Lithotripsy inoshandiswa kubvisa matombo eitsvo ari kukonzera:

• Kubuda ropa
• Kukuvadza kuitsvo yako
• Kurwadziwa
• Urinary turakiti hutachiona

Haasi ese mabwe eitsvo anogona kubviswa uchishandisa lithotripsy. Dombo rinogona zvakare kubviswa ne:

• Chubhu (endoscope) yakaiswa muitsvo kuburikidza nekacheka kekuvhiya kumashure.
• Iyo diki yakavhenekerwa chubhu (ureteroscope) yakaiswa kuburikidza neicho dundira mune ureters. Ureters ndiwo machubhu anobatanidza itsvo kune dundira.
• Vhura kuvhiya (kashoma kudikanwa).

Lithotripsy yakachengeteka nguva zhinji. Taura nemupi wako wezvehutano nezvezvinogona kuitika zvakadai se:

• Ropa rakatenderedza itsvo yako, izvo zvingangoda kuti iwe uwane kuwedzerwa ropa.
• Utachiona hweitsvo.
• Zvidimbu zveiyo dombo block weti inoyerera kubva kuitsvo yako (izvi zvinogona kukonzera kurwadziwa kwakanyanya kana kukuvara kuitsvo yako). Kana izvi zvikaitika, ungangoda mamwe maitiro.
• Zvidimbu zvematombo zvakasara mumuviri wako (ungangoda mamwe marapirwo).
• Maronda mudumbu mako kana mudumbu diki.
• Matambudziko neitsvo basa mushure mekuita.

Nguva dzose udza mupi wako:

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

Munguva yemazuva asati avhiyiwa:

• Iwe unozokumbirwa kuti urege kunwa ropa rakapfava senge aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), uye chero mimwe mishonga inoita kuti ropa rako rigone kugwamba. Kumbira mupiki wako nguva yekurega kuitora.
• Kumbira mupi wako kuti ndeapi madhiragi aunofanirwa kutora pazuva rekuvhiyiwa.

Pazuva rekuita kwako:

• Iwe haugone kubvumidzwa kunwa kana kudya chero chinhu kwemaawa akati wandei maitiro acho asati aitwa.
• Tora mishonga yawakaudzwa kunwa nekamwe kamvura.
• Unozoudzwa nguva yekuuya kuchipatara.

Mushure mekuita, iwe uchagara mukamuri yekudzorera kweanosvika maawa maviri. Vazhinji vanhu vanokwanisa kuenda kumba zuva remaitiro avo. Iwe unozopihwa weti strainer yekubata matombo ematombo akapfuudzwa weti yako.

Unyatsoita sei zvinoenderana nenhamba yematombo aunayo, kukura kwayo, uye kupi mune yako urinary system ivo. Kazhinji yenguva, lithotripsy inobvisa matombo ese.

Kuwedzera kwekuvhunduka wave wave lithotripsy; Kuvhunduka wave lithotripsy; Laser lithotripsy; Percutaneous lithotripsy; Endoscopic lithotripsy; ESWL; Renal calculi-lithotripsy

• Itsvo matombo uye lithotripsy - buditsa
• Itsvo matombo - kuzvitarisira
• Itsvo mabwe - chii kubvunza chiremba wako
• Percutaneous weti maitiro - kubuda

• Itsvo anatomi
• Nephrolithiasis
• Intravenous pyelogram (IVP)
• Lithotripsy maitiro

Bushinsky DA. Nephrolithiasis. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2016: chits. 117.

Matlaga BR, Krambeck AE, Lingeman JE. Kuvhiya manejimendi epamusoro urinary turakiti calculi. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chits.

Zumstein V, Betschart P, Abt D, Schmid HP, Panje CM, Putora PM. Kuvhiya manejimendi yeurolithiasis - kuongororwa kwakarongeka kwematanho aripo. BMC Urol. 2018; 18 (1): 25. PMID: 29636048 www.ncbi.nlm.nih.gov/pubmed/29636048.