Ureteroscopy

Ureteroscopy inoshandisa diki yakavhenekerwa yekuona chiyero kuti iongorore ureters. Ureters ndiwo machubhu anobatanidza itsvo kune dundira. Maitiro aya anogona kubatsira kuongorora uye kurapa matambudziko ari muurinary turakiti, senge itsvo matombo.

Ureteroscopy inoitwa pamwe ureteroscope. Iyi diki chubhu (yakaoma kana inoshanduka) ine diki mwenje uye kamera kumagumo.

• Maitiro acho anotora 1 awa.
• Iwe unopihwa general anesthesia. Uyu ndiwo mushonga unobvumidza iwe kurara.
• Kugomera kwako uye urethra zvinoshambidzwa. Iyo chiyero chinozoiswa kuburikidza neiyo urethra, kupinda mudundira, uyezve kumusoro mukati meiyo ureter.

Matanho anotevera anotsanangurwa pazasi.

Munguva yekuita, chiremba wako anogona:

• Shandisa zviridzwa zvidiki zvinotumirwa kuburikidza nechiyero kubata nekubvisa matombo eitsvo kana kupwanya uchishandisa laser.
• Isa stent mureterter kubvumira weti uye zvidimbu zvidiki zveitsvo kupfuura. Kana iwe uine stent, iwe uchafanirwa kudzoka kuti ubviswe mu1 kana maviri mavhiki. Izvi zvinogona kazhinji kuitwa muhofisi yechiremba pasina anesthesia.
• Tarisa uone cancer.
• Ongorora kana kubvisa kukura kana bundu.
• Wongorora nzvimbo dzemakoto dzave dzakamanikana.
• Tsvaga kuongororwa kwakadzokororwa kweurinary turakiti uye mamwe matambudziko.

Ngozi dzekuvhiyiwa uye anesthesia kazhinji ndeiyi:

• Matambudziko kufema
• Kuita kumishonga
• Kubuda ropa, kugwamba kweropa, hutachiona

Ngozi dzeiyi nzira dzinosanganisira:

• Kukuvadza kwewetera kana itsvo
• Urinary turakiti hutachiona
• Kuderedza kana kupora kweiyo ureter

Udza mupi wako wezvehutano kuti ndeapi mishonga yauri kutora, kusanganisira ayo awakatenga pasina mushonga. Uyezve udza mupi wako kana iwe uri nepamuviri kana kufunga kuti iwe unogona kunge uri.

Ronga kuti mumwe munhu akuendese kumba mushure mekuita.

Tevedzera rairo nezvekuti ungagadzirira sei maitiro. Izvi zvinogona kusanganisira:

• Kusadya kana kunwa chero chinhu mushure mepakati pehusiku usati waita maitiro ako.
• Kumbomira kwenguva pfupi mimwe mishonga, yakadai seaspirin kana zvimwe zvinopinza ropa. Usarega kutora chero mishonga yekunwa kunze kwekunge chiremba wako akuudza kuti mira.
• Kumbira chiremba wako kuti ndeapi madhiragi aunofanira kutora pazuva rekuvhiyiwa kwako.

Iwe unomukira mune yekudyira imba. Unogona kuenda kumba kana wamuka uye uchigona kuita weti.

Kumba, tevera chero rairo iwe yaunopihwa. Izvi zvinogona kusanganisira zvinotevera:

• Iwe unozofanirwa kuzorora kwemaawa makumi maviri nemana. Iwe unofanirwa kunge uine mumwe munhu anogara newe panguva iyoyo.
• Chiremba wako anogona kukupa mishonga yekuti utore kumba. Izvi zvinogona kusanganisira mushonga wemarwadzo uye mushonga wekudzivirira hutachiona. Tora izvi sekurairwa.
• Inwa magirazi mana kusvika kumatanhatu emvura pazuva kusanganisa weti yako uye nekubatsira kuburitsa urinani.
• Iwe uchaona ropa mumurini rako kwemazuva akati wandei. Izvi zvakajairika.
• Iwe unogona kunzwa kurwadziwa muhombodo yako uye kupisa paunenge uchiita weti. Kana chiremba wako akati zvakanaka, kugara mubhati inodziya kunogona kubatsira kubvisa kusagadzikana. Kushandisa pombi yekupisa yakaiswa pasi inogona zvakare kubatsira.
• Kana chiremba wako akaisa stent, unogona kunzwa kurwadziwa parutivi rwako, kunyanya panguva uye chaipo mushure mekuita weti.
• Iwe unogona kutyaira mushure mekunge wamira kutora chero marwadzo ekurwadziwa.

Iwe ungangodaro unzwe zvirinani mumazuva mashanu kusvika manomwe. Kana iwe uine stent, zvinogona kutora nguva yakareba kuti unzwe senge iwe zvakare.

Kurapa itsvo matombo uchishandisa ureteroscopy kazhinji kune mhedzisiro yakanaka.

Ureteral dombo kuvhiyiwa; Itsvo ibwe - ureteroscopy; Ureteral dombo kubviswa - ureteroscopy; Calculi - ureteroscopy

Tsvaga BH, Harriman DI. Ureteroscopic chiridzwa. Mune: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, eds. Hinman's Atlas yeUrologic Kuvhiya. 4th ed. Philadelphia, PA: Elsevier; 2018: chits. 40.

Basa BD, Conlin MJ. Nheyo dzeurologic endoscopy. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chits.