Ureteral reimplantation kuvhiyiwa - vana

Iyo ureters ndiwo machubhu anotakura weti kubva kuitsvo kuenda kudundira. Ureteral reimplantation kuvhiya kushandura chinzvimbo chemachubhu aya kwaanopinda mudhuri redundira.

Maitiro aya anochinja nzira iyo iyo ureter yakasungirirwa padundira.

Kuvhiya kunoitika muchipatara mwana wako akarara uye asingarwadziwe. Kuvhiya kunotora maawa maviri kusvika matatu.

Panguva yekuvhiyiwa, chiremba anovhiya acha:

• Tambanudza iyo ureter kubva mudundira.
• Gadzira mugero mutsva pakati pechidziro chedundira uye mhasuru munzvimbo iri nani mudundira.
• Isa ureter mumugero mutsva.
• Sungira ureter munzvimbo uye vhara dundira nezvisungo.
• Kana zvichidikanwa, izvi zvichaitwa kune imwe ureter.
• Vhara chero akachekwa akagadzirwa mudumbu remwana wako nemastitches kana staples.

Kuvhiya kwacho kunogona kuitwa nenzira nhatu. Maitiro anoshandiswa anoenderana nemamiriro emwana wako uye kuti ureters anoda kusunganidzwa sei kune dundira.

• Mukuvhiya kwakashama, chiremba achaita incision mudumbu rezasi kuburikidza nemhasuru nemafuta.
• Mukuvhiya kweparoscopic, chiremba achaita maitiro achishandisa kamera uye maturusi madiki ekuvhiya kuburikidza nematatu kana mana akacheka mudumbu.
• Kuvhiya kweRobotic kwakafanana nekuvhiya kweparoscopic, kunze kwekuti zviridzwa zvinobatwa munzvimbo ne robhoti. Chiremba anovhiya anotonga robhoti.

Mwana wako achaburitswa 1 kusvika 2 mazuva mushure mekuvhiyiwa.

Kuvhiyiwa kunoitwa kudzivirira weti kubva kuyerera neshure kubva ku dundira kuenda kuitsvo. Izvi zvinonzi reflux, uye zvinogona kukonzeresa kuita weti turakiti hutachiona uye nekukuvadza itsvo.

Rudzi rwekuvhiya rwakajairika muvana veflux nekuda kwekuremara kwekuberekwa kweiyo urinary system. Muvana vakura, zvinogona kuitirwa kubata reflux nekuda kwekukuvara kana chirwere.

Ngozi dzekuvhiyiwa chero ndeidzi:

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

Ngozi dzeiyi maitiro ndeiyi:

• Weti irikudonhera kunze munzvimbo yakapoterera dundira
• Ropa mune weti
• Utachiona hweitsvo
• Dundira spasms
• Kuvharwa kweiyo ureters
• Zvinogona kusagadzirisa dambudziko

Ngozi dzenguva refu dzinosanganisira:

• Kuramba uchidzoka kuyerera weti muitsvo
• Urinary fistula

Iwe unozopihwa yakatarwa yekudya uye yekumwa mirau zvichienderana nezera remwana wako. Chiremba wemwana wako anogona kukurudzira kuti iwe:

• Usape mwana wako chero chikafu chakasimba kana zvisina kujeka mvura, senge mukaka uye jisi reorenji, kutanga pakati pehusiku pamberi pekuvhiyiwa.
• Ipai chete zvinwiwa zvakajeka, senge muto wemaapuro, kuvana vakura kusvika maawa maviri vasati vavhiyiwa.
• Kuyamwisa vana kusvika maawa mana vasati vavhiyiwa. Vacheche-vakadyarwa mafomura vanogona kudya kusvika maawa matanhatu vasati vavhiyiwa.
• Usape mwana wako chero chinhu chekunwa kwemaawa maviri asati avhiyiwa.
• Ingopa mwana wako mishonga inokurudzirwa nachiremba.
  
  

Mushure mekuvhiyiwa, mwana wako anogashira zvinwiwa mutsinga (IV). Pamwe chete neizvi, mwana wako anogona zvakare kupihwa mushonga wekudzora marwadzo uye kudzikamisa spasms spasms.

Mwana wako anogona kunge aine catheter, chubhu inouya ichibva mudundira remwana wako kubvisa weti. Ikoko zvakare kunogona kuve nekudonha mudumbu remwana wako kurega zvinwiwa zvichidonha mushure mekuvhiyiwa. Izvi zvinogona kubviswa mwana wako asati aburitswa. Kana zvisiri, chiremba anokuudza kuti ungavatarisira sei uye kuti unodzoka riini kuti vabviswe.

Kana mwana wako abuda muanesthesia, mwana wako anogona kuchema, kuita fussy kana kuvhiringidzika, uye kunzwa kurwara kana kurutsa. Aya maitiro akajairika uye anozoenda nekufamba kwenguva.

Mwana wako achada kugara muchipatara kwemazuva 1 kusvika maviri, zvinoenderana nerudzi rwekuvhiyiwa kwaive nemwana wako.

Kuvhiyiwa kuri kubudirira muvana vazhinji.

Ureteroneocystostomy - vana; Ureteral reimplant kuvhiya - vana; Ureteral reimplant; Reflux muvana - ureteral reimplantation

Mukuru JS. Vesicoureteral Reflux. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 554.

Khoury AE, Bägli DJ. Vesicoureteral Reflux. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA; Elsevier; 2016: chits. 137.

Papa JC. Ureteroneocystostomy. Mune: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, eds. Hinman's Atlas yeUrologic Kuvhiya. 4th ed. Philadelphia, PA: Elsevier; 2018: chits. 33.

Richstone L, Scherr DS. Robotic uye laparoscopic bladder kuvhiyiwa. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA; Elsevier; 2016: chits. 96.