Percutaneous itsvo maitiro

Percutaneous (kuburikidza neganda) nzira dzekuvhenekesa dzinobatsira kudurura weti kubva kuitsvo yako uye kubvisa mabwe eitsvo.

A percutaneous nephrostomy ndiko kuiswa kwediki, inoshanduka yerabha chubhu (catheter) kuburikidza neganda rako muitsvo yako kudhonza weti yako. Inoiswa kuburikidza nemusana kana parutivi.

Percutaneous nephrostolithotomy (kana nephrolithotomy) ndiko kupfuudza kwechiridzwa chakakosha kuburikidza neganda rako muitsvo yako. Izvi zvinoitwa kubvisa mabwe eitsvo.

Matombo mazhinji anopfuura muviri kunze kwawo kuburikidza neweti. Kana vakasadaro, mupi wezvehutano anogona kukurudzira maitiro aya.

Munguva yekuita, iwe unorara nedumbu rako patafura. Iwe unopihwa pfuti ye lidocaine. Uyu ndiwo mushonga mumwe chete unoshandiswa nachiremba wako wemazino kuita chiveve muromo wako. Iye mupi anogona kukupa mishonga kuti ikubatsire kuzorora uye kuderedza marwadzo.

Kana iwe uine nephrostomy chete:

• Chiremba anoisa tsono mukati meganda rako. Ipapo iyo nephrostomy catheter inopfuudzwa nepano tsono muitsvo yako.
• Iwe unogona kunzwa kumanikidzwa uye kusagadzikana kana iyo catheter ichiiswa.
• Rudzi rwakakosha rwe x-ray inoshandiswa kuve nechokwadi kuti catheter iri munzvimbo chaiyo.

Kana iwe uine percutaneous nephrostolithotomy (kana nephrolithotomy):

• Iwe unozogashira general anesthesia kuitira kuti uve unorara uye usinganzwe kurwadziwa.
• Chiremba anogadzira kamucheka kadiki (incision) kumusana kwako. Tsono inopfuudzwa nepakati peganda muitsvo yako. Ipapo turakiti yacho yakakwenenzverwa uye shekhe yepurasitiki inosara iri panzvimbo ichibvumira kuti turakiti ipfuure zviridzwa.
• Izvi zviridzwa zvakasarudzika zvino zvinopfuudzwa nemu sheath. Chiremba wako anoshandisa izvi kutora ibwe kana kurityora.
• Mushure maitiro, chubhu anoiswa itsvo (nephrostomy chubhu). Imwe pombi, inonzi stent, inoiswa mureterter kuti ubudise weti kubva kuitsvo yako. Izvi zvinobvumira itsvo yako kupora.

Iyo nzvimbo yakaiswa iyo nephrostomy catheter yakafukidzwa nekupfeka. Iyo catheter inosunganidzwa nebhegi rekudonha.

Zvikonzero zvekuve necutrophomy nephrostomy kana nephrostolithotomy

• Kuyerera kwako kwetiini kwakavharwa.
• Iwe uri kurwadziwa zvakanyanya, kunyangwe mushure mekurapwa kune itsvo dombo.
• MaX-ray anoratidza kuti ibwe reitsvo rakanyanya kukura kupfuudza roga kana kurapwa nekupfuura nepadundira kuenda kuitsvo.
• Weti irikuyerera mukati memuviri wako.
• Iro itsvo riri kukonzera weti nzira dzekutapukirwa.
• Iro itsvo riri kukuvadza itsvo yako.
• Weti yakatapukira inoda kubviswa kubva muitsvo.

Percutaneous nephrostomy uye nephrostolithotomy inowanzo chengeteka. Kumbira chiremba wako nezve izvi zvinogona kunetsa:

• Zvidimbu zvebwe zvakasara mumuviri wako (ungangoda mamwe marapirwo)
• Kubuda ropa kutenderedza itsvo yako
• Zvinetso nebasa reitsvo, kana itsvo (s) dzinomira kushanda
• Zvidimbu zvebwe rinovhara weti kuyerera kubva kuitsvo yako, izvo zvinogona kukonzera kurwadziwa kwakanyanya kana kukuvara kweitsvo
• Utachiona hweitsvo

Udza mupiki wako:

• Kana iwe uri kana uchigona kuve nepamuviri.
• Ndeipi mishonga yauri kutora. Izvi zvinosanganisira mishonga, zvinowedzera, kana mahebhu awakatenga pasina mushonga.
• Kana wanga uchinwa doro rakawanda.
• Iwe uri weergoria kusiyanisa dhayi rinoshandiswa panguva ye-ray.

Pazuva rekuvhiyiwa:

• Iwe unogona kukumbirwa kuti usanwa kana kudya chero chinhu kwemaawa matanhatu zvisati zvaitwa.
• Tora mishonga yawakaudzwa kunwa nekamwe kamvura.
• Unozoudzwa nguva yekuuya kuchipatara. Iva nechokwadi chekusvika nenguva.

Unoendeswa kuimba yekudzorera. Unogona kukwanisa kudya nekukurumidza kana usina dumbu rakatsamwa.

Iwe unogona kukwanisa kuenda kumba mukati maawa makumi maviri nemana. Kana paine matambudziko, chiremba wako anogona kukuchengetedza muchipatara kwenguva yakareba.

Chiremba anozoburitsa machubhu kana ma-ray aratidza kuti matombo etsvo aenda uye itsvo yako yapora. Kana matombo achiripo, unogona kuita maitiro akafanana zvakare munguva pfupi.

Percutaneous nephrostolithotomy kana nephrolithotomy ingangoita nguva dzose inobatsira kurerutsa zviratidzo zveitsvo matombo. Kazhinji, chiremba anokwanisa kubvisa ako itsvo matombo zvachose. Iwe dzimwe nguva iwe unoda kuve nedzimwe nzira dzekubvisa matombo.

Vanhu vazhinji vanorapwa itsvo dzinofanirwa kuchinja mararamiro avo kuitira kuti miviri yavo isagadzire itsvo. Shanduko idzi dzinosanganisira kunzvenga zvimwe zvekudya uye kusatora mamwe mavitamini. Vamwe vanhu vanofanirawo kutora mishonga kuti matombo matsva asaumbike.

Percutaneous nephrostomy; Percutaneous nephrostolithotomy; PCNL; Nephrolithotomy

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

Georgescu D, Jecu M, Geavlete PA, Geavlete B. Percutaneous nephrostomy. Mune: Geavlete PA, ed. Percutaneous Kuvhiya kweiyo Kumusoro Urinary Tract. Cambridge, MA: Elsevier Dzidzo Press; 2016: chits. 8.

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.

Zagoria RJ, Dyer R, Brady C. Inopindirana genitourinary radiology. Mune: Zagoria RJ, Dyer R, Brady C, eds. Genitourinary Kufananidza: Izvo Zvinodiwa. 3rd ed. Philadelphia, PA: Elsevier; 2016: chits.