Nephrectomy: inkomba, nasezinkingeni ezilandela ngemva kokuhlinzwa, ukuvuselelwa, umsoco, lezinyathelo

Kunezindlela eziningana izifo lapho ukususwa izinso - VO ngokusindisa ukuphila kwesiguli. Lena kakhulu, kodwa uma ungeke uyenze ngaphandle kwalo, kuyobe sekudingeka ukwenze lokho ukuthola ulwazi oluningi mayelana kuzokwenzekani. Futhi kuyinto efiselekayo hhayi kuphela ukwazi ukuthi kuyothiwa kwenziwe ukuhlinzwa, kodwa futhi ukuthola konke mayelana amalungu omzimba ngemva kwakhe.

nokusebenza kwezinso

Emzimbeni womuntu akukho izitho engabalulekile. Ngamunye wenza umsebenzi wakhe, ezithinta isimo zabantu bebonke. Izinso imisebenzi eziningana, okuyinto zibaluleke ngokulinganayo:

• ukuhlanza igazi of nitrogen uketshezi umzimba kanye nezinye ubuthi;
• nokugcina ezingeni ledzingekako electrolyte;
• ibhalansi emzimbeni umzimba;
• ukugcinwa kanye nomfutho wegazi okulawula;
• ukukhethwa iseli izicubu izingxenye eziphila abakhuthele, ezifana renin futhi erythropoietin.

I uketshezi of renin futhi erythropoietin kudinga umuntu ukusekela amazinga wegazi kanye oqondile egazi.

Izinkomba sokususwa isitho

Ukususwa izinso yigama yezokwelapha - nephrectomy. Ngaphambi ukwabela imisebenzi odokotela bazama ukugcina umzimba nazo zonke izindlela ezitholakalayo. Iqiniso liwukuthi uma izinso uyakwazi ukusebenza okungenani u-20%, bese kuba ukwazi ukubhekana kwakuzowunciphisa. Kodwa abanye pathologies imisebenzi akunakugwenywa. Uma isikhathi kwenziwe ukususwa izinso, imiphumela iyoba ebuhlungu.

Nephrectomy ezinqunyiwe isitho ukuhlukumezeka, izimila ebulalayo, anomalies azalwa naso, hydronephrosis futhi polycystic. Endabeni ka ukuthola umdlavuza alibale isinqumo engenakwenzeka. Ukuze umdlavuza libhekene ekusakazekeni ngokushesha Ukudlulela ezicutshini evamile.

ukulandelwa kwenqubo

Ukususwa izinso is hhayi oqokwe ngaphandle luhlolo olunzulu isiguli. Ukuze ukuhlola ukusebenza olunye uhlaka ezibekiwe-X-ray kanye Ngokuphambene MRI nolunye uvivinyo. Ezimweni ezimbi kakhulu ukusebenza iyenziwa ngesikhatsi operation ngokwethula udayi ekhethekile kufanele okukhipha umchamo.

Ukusebenza wenziwa esibhedlela. Isiguli esibhedlela kusukela ku-1 kuya 3 amasonto. Lesi simo incike kushuba hlobo lomsebenzi. Nephrectomy wenziwa opencast noma laparoscopically.

Odokotela Abahlinzayo uncamela nephrectomy laparoscopically. Iziguli sihlupheke ukususwa kulula izinso. Uphenyo laparoscopy elihle kunawo:

• Umzimba akuyona omkhulu futhi isibanda ugly;
• msebenzi ephephile;
• mancane amathuba okuthi ukuthuthukisa yezinkinga;
• kulula ukuba ibhekane kokuvuselela ngokwemvelo kwezindawo;
• ukukhubazeka kungagwenywa.

Iqiniso lokuthi manipulation wenziwa ngokusebenzisa imbobo encane esifundeni lumbar. Bona wasungula laparoscope, kanye nokulawula ukusebenza lwenzeka qapha ozinikele.

yezinkinga kungenzeka

Ukususwa izinso kungase kuhambisane yezinkinga ze-non-eqondile, okuyinto sincike izifo concomitant baxhashazwe isikhathi eside. Lokhu kungaba inyumoniya amile noma embolism yamaphaphu. Kwezinye izimo, ithuthukiswe thrombophlebitis, isilethikusebenza noma ukushaywa unhlangothi. yezinkinga ezinjalo zokwelapha kwenzeke njalo, ngoba odokotela bathatha izinyathelo zokuvimbela ukuba nabo.

Isiguli kumele bakuqonde ukuthi ukususwa izinso - ngemiphumela isifo eziphambili, okungase kubangele ukulimala kakhulu. kokungenela Steel kuleli cala is ngenakugwemeka. Kodwa yezinkinga nje nasezinkingeni ezilandela ngemva kokuhlinzwa kungagwenywa. Okuningi kuxhomeke ukulungiselela preoperative futhi nizondelele ngokushesha ukubuyela ukuphila okumatasa. Kubalulekile ukulandela zonke iziqondiso zezokwelapha kanye nezincomo.

Isikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa. umsebenzi ngokomzimba

Uma kwenziwe ukususwa izinso, inkathi nasezinkingeni ezilandela ngemva kokuhlinzwa kudinga lokuphumula okuphelele. Ngosuku lokuqala, isiguli amanga emuva, ukunyakaza kwakhe abukhali futhi ethanda khona ezinsikeni zawo kuthiwa contraindicated ngoba iphambana emalungeni nge pedicle kwezinso. Ekupheleni kosuku lokuqala noma ngakusasa, izisebenzi zasesibhedlela kusiza ngobumnene phenduka ezinsikeni zawo. Ivunyelwe ahlale embhedeni amahora 2-3, uma kungekhona yezinkinga sobala. Ungathola embhedeni Ngosuku lwesine.

Isiguli Kunconywa ukuba afeze ukuphefumula izivivinyo, ukunyakazisa izingalo nemilenze ngokushelela. Awukwazi ukuhlala isikhathi eside kuthule kuthé cwaka, kodwa elishisekayo kakhulu, kubi kakhulu. Ukwahluleka okuthobela nanoma izincomo, nizitholele umbhunu noma ukuvuvukala.

Isimo esibaluleke kakhulu - ukusetshenziswa kwamanzi ahlanzekile

Mayelana ukungondleki futhi ukusetshenziswa amalungiselelo wezokwelapha e umzimba womuntu owenziwe kahle ukwakheka ubuthi. Basuke excreted endleni yabantu abanaleli futhi umchamo, kodwa ngaso sonke isikhathi izinso bayakwazi ukwenza ngempumelelo ukucubungula kwabo. ingcindezi Okuningi kukhona esimweni ukususwa isitho abhanqiwe, ngakho-ke kubaluleke kakhulu ukuba lula umsebenzi izinso asele.

Okokuqala, kudingeka ukuba isiguli sibe accustom yena ukuphuza amanzi ahlanzekile kuphela okuyinto isidlulile zokuhlunga. It is ibuye Kunconywa ukuphuza amanzi kwancibilika. Ukudla nsuku zonke kuyadingeka ukufaka ezingeqile kwezingama-30 ml amanzi oluhlanzekile ngayinye 1 kg esisindo noma ancibilikise amanzi 7 ml, ngokulandelana.

Abantu abaphethwe ukukhuluphala, kufanele andise umthamo wamanzi asetshenziswa emizini yaleli sibalo:

• Amanzi ahlanzekile - okungenani 40 ml ngayinye esisindo 1 kg;
• meltwater - 10 ml ngayinye esisindo 1 kg.

Lokhu kulinganisela yamanzi adingekayo ukusetshenziswa nsuku zonke, plus yonke nesineke Kumele uthole uketshezi xaxa, okuyinto etholakala imifino, izithelo, amasobho nokunye. D.

Ukusetshenziswa kwamanzi eziningi ezanele ukunikeza esihlalweni elithambile, kanti umchamo kuba hhayi ngakho bagxila.

ukudla

Ukudla kokuqala uvunyelwe cishe ngosuku ngemva kokuhlinzwa, kodwa amanzi asetshenziselwa ukukhiqiza. Ezinye iziguli esekhala kwehle motility emathunjini bese ukubuyisa anda.

Emva isiguli ibe ukususwa izinso, ukudla kumele ushintshe kakhulu. Emibili eyalandela ezodingeka ukulandela ukudla: aluqede ngokuphelele kusukela ekudleni ukudla anosawoti, kulolo ketshezi, ngibhema futhi okubabayo ukunciphisa amaprotheni eyanele namaswidi, uyeke ukuhlukumeza netiye.

Imenyu yansuku zonke kufanele zihlanganisa izithelo nemifino. Ukudla kuyadingeka ukuze ufake ithanga ikhabe. Inyama noma inyama izitsha kufanele steamed noma abilisiwe, okuthosiwe ngoba lesi sikhathi kuyingozi. Ngezikhathi ezithile ungase udle yogurt noma nemikhiqizo yalo, kodwa kufanele kube fresh futhi ukuphila kwethu kube encane eshalofini. Ukuthathwa nezivimbelakuvunda kungcono ukunciphisa esiphansi.

nokuvuselelwa

Uma isiguli uye eyenziwa ngempumelelo ngaphandle kokususwa izinso, ukuvuselelwa kungathatha iminyaka engu-unyaka nesigamu. Kancane kancane, izinso asele ojwayele imithwalo eliphezulu kanye ivala isikhala ukungabi khona isitho abhanqiwe.

Isikhathi sokuqala kubalulekile ukuqeda ezisindayo futhi ukuzivocavoca. Ekuseni nakusihlwa, kuyinto efiselekayo ukwenza uhamba iyasiza esesula ithawula elina douches. Ngokukhethekile kuyodingeka kukhokhelwe isikhumba ehlanzekile, njengoba wenza umsebenzi excretory, kanye izinso asele.

Ngemva kokukhipha Isidingo sokugada ngokucophelela isimo sempilo nezinso. Awukwazi supercool, ukusebenzisa noma ezinezifo ezingamahlalakhona, ukuzithiba medicate. kokuthintana avamile Urologist kuzosiza elibanzi ukuhlola isimo sabo. Zinakekele, njengoba izinso lwesithathu emzimbeni singanikezwanga.