Nephrectomy buso: sesalathiso, ngokusebenza, kwimo

Zodwa ezilunyango olusebenzayo yamathumba kwezintso - utyando, ngexesha olususa inyama pathologically etshintshiweyo. Kule oogqirha mihla kusetyenziswa iindlela ukulondoloza amalungu, ingakumbi, endaweni nephrectomy wenza nephrectomy buso, ngamanye amazwi, kuphela isahlulo ezonakeleyo iye excised.

Yintoni na le umzimba?

Kidney - uhlobo lwe filter ukuba kuyanceda nyulu igazi. Kulo usuku idlula isixa esikhulu wegazi. Yiyo le yokugqibela ngakumbi lingadlulanga ezahlukeneyo iimveliso ze nethe.

Wonke umntu nempilo uba nezintso zombini, aba phantse symmetrically ngezantsi uvalo. Le umzimba emva kokuba nyulu igazi uvelisa umchamo, nto leyo a imibhobho eyodwa zibe lwesinye. It uqokelela imveliso zenkunkuma uchama. Umzimba uyakwazi ukusebenza ngokuqhelekileyo omnye kidney kuphela.

Ubungqina obubonakalayo buxela ukuba Inyathelo

uphazamiseko olunjalo nephrectomy buso, omiselwe iingxaki ezininzi ezifuna unyango yi uqhaqho. Kodwa sokudala ukususwa umzimba kuphela ayiphelelanga kwakhe, ngenxa yokuba kuphela kulo mzekelo, eqinisekiswe ngumntu bachache ngokupheleleyo isigulane emva kokugula. Amaninzi babhenela resection, xa cyst kwi kidney ifunyanwa okanye yamathumba ezinokuthi ubunokuzihlaziya zibe amabi.

Ukongeza, kukho izikhokelo eziliqela ukuba oogqirha abaninzi kukhokelwa ukutyunjwa msebenzi:

• Ukukhula ngokukhawuleza yamathumba ebubonisayo.
• INKUNDLA ezonakeleyo tissue ayidluli 4 cm.
• zisengozini enkulu yokuba yamehlo elinobuhlungu izicwili.
• Urolithiasis.
• Cyst phezu kwizintso.
• umonakalo zomzimba Tuberculosis.
• inkqubo Oncologic kwi nezintso.
• Umngcipheko ukusilela kwezintso.
• Umonakalo kwizintso nje ngenxa yokwenzakala.

Xa ezinezigulo ilungu resection wenziwe ngokuchanileyo kakhulu, kuba xa ugqirha ngexesha utyando lekhefu inyama kunye ubungqina ukuphela, ithumba kwakhona ekuqaleni ukuphuhlisa. Ngokuqhelekileyo, oogqirha kwiimeko ezinjalo abayi emngciphekweni kwaye lisuswe ngokupheleleyo kidney, ukuphepha, kunokwenzeka ukuba kusekwe kwaye Ukudlulela.

nephrectomy ubuso: yeendlela eziphambili

Xa unyango lomzimba, oogqirha baye babhenela ukuvula okanye uqhaqho laparoscopy. Kwimeko yokuqala, Ukusikwa inxalenye kidney yenzeka ngalo liqatywe kummandla empontshwa. Kodwa ke amaxesha amaninzi wenza nephrectomy laparoscopy buso. Izimvo yale ndlela unyango kudla positive. Lo msebenzi ikuvumela ukuba uphephe amanxeba enkulu umzimba umguli. Ngexesha ukuba liqatywe encinane, apho ngokusebenzisa ityhubhu ekhethekileyo bhetyebhetye (catheter) yaziswa izixhobo microsurgical kunye camera kamabonakude.

Khetha uhlobo lotyando kuxhomekeke ekufumanekeni esibhedlele kwezixhobo kunye nokulungela oogqirha. Kakade ke, oogqirha abaninzi bakhetha laparoscopy, kuba emva koko isigulana iba ngcono.

Izimo ukuba kususwe kidney

Akwenziwa Resection le ithumba kidney, ukuba lo mntu zikwimeko kakhulu okanye comorbidities ukuba kwandisa umngcipheko neengxaki ngethuba utyando.

Uviwo lokuqala phambi resection

Phambi kokuba ukufeza Ukusikwa isahlulo achaphazelekileyo kule kidney, isigulane kufuneka kuqala qiniseka ukuba ukuhlola anesthesiologist. Ukulungiselela resection yisaveyi jikelele, ukufunda iimviwo nezixhobo and laboratory:

• Ray umzimba nge arhente umahluko.
• Ultrasound, MRI kunye CT.
• perfusion kwezintso kunye angiography.

Yonke into phambi utyando isigulane kuya kufuneka achithe esibhedlele iiveki eziliqela. Kodwa ngaphambi kokungena kwiziko lonyango isigulane kufuneka enze esifubeni X-reyi kwaye uvavanyo igazi ngenxa zifo zilandelayo: hepatitis, ngegcushuwa kunye HIV. Umntu uhlola anesthesiologist esibhedlele kunye internist, ngokuhlwa phambi kokuba resection luyenziwa enema imveliso.

Lomsebenzi

nephrectomy inxenye kwenziwa phantsi Ukubulawa jikelele. Into yokuqala oogqirha ukulungisa ezizibeni isigulane itafile yokusebenza, kunye icala esempilweni sivale isondo. Xa Ukusikwa esiku logqirha omzimba kuphungula ochaphazelekayo wenza arcuate liqatywe emzimbeni yesigulane. Ubude vee ezinjalo nama-10-12 cm. Xa Ukusikwa isabelo ezonakeleyo lwenziwa laparoscopically kidney, ubude liqatywe lingaphantsi kwe 3-4 cm.

Ngexesha ngongqameko utyando ugqirha oqhelekileyo osondela organ ochaphazelekayo, ebezikuyo umlenze yamasango isixhobo ezizodwa kidney, njengoko isakhiwo elastic. utyando laparoscopy ugqirha liyakuhlola inkqubela lwezixhobo kwi esweni screen.

Hlanganisa ngexesha ahlinzwe kusetyenziselwa ukuzinciphisa Chicken igazi xa kususwa umzimba kunye kuphungula - isenzo ugqirha ichitha phezu isabelo umonakalo le sezintso. Inyama ochaphazelekayo excised amagqirha nje imnyama, ngaloo ndlela afumane apata ezimbini ngokulinganayo. Bona ke ngoko Bayeka kwaye crosslinked kunye nabanye.

Koko makayifake i-ukushenxiswa izintso wondla semibhobho ukulawula ezabelwe emva kotyando le incindi yomzimba. Emva ayifake sutured liqatywe kwi emzimbeni.

ukungaphili

Nangona Ukusikwa inxalenye uchaphazelekayo womGaqo umzimba ukusebenza kakuhle, kunokuba nokususwa ngokupheleleyo kidney, kodwa emva kokuba inokuba neziphumo ezimbi kuyafana na uqhaqho. Umzekelo, inokuba ingozi cerebrovascular oyingozi okanye iposi engabalulekanga.

Njengoko kwiimeko ezininzi izifo ilitye kidney ekupheleni-nqanaba kwenzeka ngokufuthi abantu abadala kunye nazo zonke iintlobo yamathumba kunye nomhlaza kwinqanaba elithile, ngoko ngexesha lo msebenzi, sele eninzi comorbidities, ingakumbi sentliziyo.

Ugqirha yokuyisebenzisa kufuna amava omkhulu kwakhona olandelayo, njengoko kuyimfuneko nje kuphela ukunika imbonakalo iingxaki, kodwa ekuhambeni kwexesha ukuba abaqononondise.

Kwimo yesiqhelo emva nephrectomy Lahlani

Emva kotyando, a sokubuyisa ixesha ekuphulukenwe elide iyafuneka, elinokuthatha malunga nonyaka. Kaninzi, izigulane ezikhala intlungu emva nephrectomy buso, leyo lupheliswe kuphela ngokungenisa ntlungu. Ukuthintela uphuhliso emibi emva kotyando kufuneka balandele ezinye iingcebiso:

• Sela amanzi amaninzi.
• Kuviwa emva resection qho kwiinyanga ezintathu.
• Aphelise amandla omzimba, njengoko kule mihla emva osenyameni isigulana uziva ukudinwa nokudinwa kakhulu. Kufuneka ufumane intabalala ukuphumla.
• Xiphephana kunye nengxabano luvo.
• Bonisana nogqirha malunga nemisebenzi ngamandla. Enyanisweni, kwimeko nganye izindululo, oko kuya kuxhomekeka ubungqongqo esi sifo, ubudala nokuntsonkotha nokusebenza.
• Kufuneka kuphetshwe emva kokuba ukususwa izintso ukunxibelelana nabantu abagulayo emzimbeni kuba nomzimba ngeli xesha okungakhuselelwanga ukususela ekusulelekeni.
• Emva kotyando, umntu kufuneka esweni imeko omzimba.

Ekudleni emva kotyando

Kubalulekile ngexesha yesiqhelo ziyahambisana isondlo esifanelekileyo. Ngemihla zokuqala emva kokuba umzimba Ukusikwa womntu amandla inikezelwa yegazi. Emva kweentsuku nje ezimbalwa, isigulane uqala ukudla ngokuzimeleyo. Iluncedo emva msebenzi, sebenzisa ukutya esandula zilungisiwe, ngaloo ndlela kumele kube lula ukutya, iziqalelo umkhondo kunye neevithamini.

Xa ixesha ekuphulukenwe nalo isigulane kubhetele ukuba kuncitshiswe umthwalo ophezu kwesibindi kunye nezintso. Kuyanconywa ukuba usele iti endaweni yesiqhelo kidney, kodwa isicelo awo kuyimfuneko ukuba uyavumelana kwagqirha. Enye luncedo ukuba basele iziselo iziqhamo ezenziwe cranberries kunye cranberry kunye neti bearberry okanye edandelion ingcambu.

Emva nephrectomy ubuso kufanele zongezwe kwizidlo kwamaqanda, cream ezimuncu, ubusi kunye neentlobo ngeentlobo zemifuno. Inyama nentlanzi, kungakuhle ukuba sethumba, kodwa musa uqhotse. Kodwa ukutshintsha otya ufuna kancinci, nangona uninzi izithintelo isicelo ngoko nangoko emva kotyando.

Ukongeza, umguli kuya kufuneka alahle ukutya yaba ngumsi yonke iphela, ezinetyuwa, okuneziqholo noneoli. Oku akuvumelekanga ukuba ukusebenzisa iimveliso eziqulathe kwisigcinakaliso, ziilekese, sodas kunye iziselo ezinxilisayo. Ukususela umhluzi izityebi marinades ngcono, kakhulu, ukuba anike ngexesha kwimeko yesiqhelo.