Nephrectomy: sesalathiso, postoperative, kwisimo, isondlo, iimpembelelo

Kukho inani lezifo apho kususwa kwezintso i - kuphela ukhetho okusindisa ubomi yesigulane. Esi Singqinisiso kakhulu, kodwa ukuba unako ukwenza ngaphandle, ngoko ke kufuneka ufumane inkcazelo eninzi ngoko kuza kwenzeka. Kwaye kunqweneleka nje wazi njani Liya kusiwa ngaphandle kwegazi, kodwa ufumanise konke malunga amalungu omzimba emva kwakhe.

umsebenzi sezintso

Xa umzimba womntu akukho amalungu engabalulekanga. Elowo wenza umsebenzi wakhe, echaphazela imeko yoluntu ngokubanzi. Izintso enze imisebenzi eziliqela, nto leyo ibaluleke ngokufanayo:

• ukucoca igazi lika netuwa nitrogen pathways kunye nezinye ubuthi;
• nokugcina inqanaba elifunekayo electrolytes;
• ukulingana fluid emzimbeni emzimbeni;
• nokugcinwa kunye nolawulo uxinzelelo lwegazi;
• Ukukhethwa kwinyama iseli ohlukileyo eziphilayo esebenzayo, ezifana renin erythropoietin.

Le secretion of renin erythropoietin kufuna umntu ukuxhasa amanqanaba uxinzelelo lwegazi kunye ukuyilwa igazi ngqo.

Ubungqina obubonakalayo buxela ukuba ukususwa welungu

Ukususwa le kidney ligama zonyango - nephrectomy. Phambi bokunikeza utyando, oogqirha zama ukugcina umzimba zonke iindlela ezikhoyo. Inyaniso yeyokuba xa kidney iyakwazi umsebenzi ubuncinane kangangeentsuku ezingama-20%, ngoko ke nako ukumelana umsebenzi. Kodwa abanye ezimbi imisebenzi akunakuphepheka. Ukuba ixesha singàphunyezwa kususwe nezintso, iziphumo ziya kuba emibi.

Nephrectomy omiselwe iziko kwentlungu, nangezilonda yingozi, mgaqweni iziphene, hydronephrosis kunye polycystic. Kwimeko efumanise yobubi ukulibaziseka ngesigqibo engenakwenzeka. Umhlaza luphawulwa ukusasazeka ngokukhawuleza Ukudlulela zomzimba eqhelekileyo.

kwenqubo

Ukususwa le kidney elingatyunjwanga ngaphandle uviwo ebanzi malunga nesigulane eso. Ukuvavanya ukusebenza omnye umbutho kwenkcazo X-reyi kunye umahluko MRI kunye nezinye iimvavanyo. Kwiimeko kakhulu ukusebenza lukhangelwe ngexesha lokusebenza ngokuthi unike idayi ekhethekile ukuze imveliso yokuchama.

Olu tyando lwenziwa esibhedlele. Isigulana esibhedlele ukususela kwiiveki 1 ukuya ku-3. Le meko kuxhomekeke kubunzima kunye nohlobo lomsebenzi. Nephrectomy lwenziwa emidala okanye laparoscopically.

Botyando bakhetha nephrectomy laparoscopically. Izigulane ubunzima ngathi ukususwa lula le sezintso. Izimvo laparoscopy kuFeliks:

• Umzimba ayikho ezinkulu amabala amabi;
• msebenzi indlela ekhuselekileyo;
• okuba ukuphuhlisa ezinobuzaza;
• lula ukuba bangenele yesiqhelo;
• ukukhubazeka uya kuziphepha.

Isibakala sokuba ukuphululwa lwenziwa nge liqatywe encinane kummandla empontshwa. Bafaka a laparoscope, kunye nolawulo yokusebenza lwenzeka kwi esweni elizinikeleyo.

iingxaki kunokwenzeka

Ukususwa le kidney usenokuphelekwa iingxaki non-ngqo, ezo ezixhomekeke izifo ezihamba kunye nokungakwazi ixesha elide. Oku kunokuba inyumoniya amileyo okanye Embolism miphungeni. , Kwezinye iimeko eziphuhliswe thrombophlebitis, iposi engabalulekanga okanye icala. iingxaki ezinjalo yezonyango kwenzeka kungafane, kuba oogqirha ngokuthatha amanyathelo okuthintela kubo.

Isigulana kufuneka baqonde ukuba ukususwa izintso - imiphumo isifo phambili, oko kunokubangela ukonzakala okukhulu. ungenelelo Surgical kule meko kunqandwa. Kodwa nje iingxaki postoperative uya kuziphepha. Kuxhomekeka ukulungiswa ipreoperative kwaye banqwenela ukuba ngokukhawuleza ukubuyela ubomi esebenzayo. Kubalulekile ukulandela zonke izikhokelo zonyango kunye neengcebiso.

Ithuba postoperative. umsebenzi ngokomzimba

Ukuba wenziwe sokususwa kidney, ixesha postoperative kufuna yokuphumla ngokupheleleyo. Eyokuqala Ngosuku, isigulane ubuxoki phezu yakhe, ezibukhali iintshukumo avule ngawo zalo ezisemacaleni Bakhona contraindicated ngenxa yokuba slip kwamalungu kunye uxabane pedicle. Ekupheleni kosuku lokuqala okanye kusasa ngengomso, abasebenzi bezempilo kunceda ngobunono mbole ecaleni layo. Ukuvunyelwa ukuba uhlale ebhedini iiyure 2-3, ukuba azicaci iingxaki. Ungafumana nokuphuma ebhedini ngomhla wesine.

Isigulane Kucetyiswa ukwenza imithambo yokuphefumla, iingalo kunye nemilenze zakho kakuhle. Awukwazi ihlale ixesha elide kuthe cwaka, kodwa anenzondelelo kakhulu, embi kakhulu. Ukusilela ukuthobela izindululo, ongazifumana Ithemba okanye azikhuli.

Le meko ibalulekileyo - ukusetyenziswa kwamanzi acocekileyo

Ngokunxulumene nokungondleki kunye nokusetyenziswa ngamalungiselelo zonyango emzimbeni womntu ukuyilwa ityhefu. Bona kwazona endleni kunye nomchamo, kodwa kusoloko izintso bayakwazi ukwenza ngempumelelo inkqubo yabo. uxinzelelo kokukhona kwimeko ekususweni welungu bafundelane ngezibini, ngoko ke kubaluleke kakhulu ukuba kube lula umsebenzi eseleyo sezintso.

Okokuqala, isigulane kufuneka accustom yena usele kuphela amanzi okuhlamba leyo iye yaluphumelela lokucoca ulwelo. Kukwacetyiswa kwakhona ukuba usele amanzi zaphela. Le mihla Ukudla kuyimfuneko ukuquka hayi ngaphantsi kwe-30 ml ecocekileyo zamanzi 1 kg yomzimba ubunzima okanye zinyibilikile amanzi 7 ml, ngokulandelelana kwazo.

Abantu abanengxaki ukutyeba, kufuneka ukwandisa ithamo amanzi kule ubalo lendlela:

• Amanzi lihlanjululwe - ubuncinane 40 ml 1 kg ubunzima bomzimba nganye;
• meltwater - ml 10 1 kg ubunzima bomzimba ngalinye.

Oku umyinge wamanzi esiyimfuneko mihla ukusetyenziswa, kunye lonke isigulane kufuneka zifumane extra fluid, ezifunyenwe imifuno, iziqhamo, isuphu njalo njalo. D.

Usebenziso lwamanzi ngokwaneleyo zinika isitulo ethambileyo, ngoxa umchamo iba akunjalo bagxila.

yokudla

Isidlo lokuqala kuvunyelwa phantse imini emva kotyando, kodwa ke amanzi asetyenziswa ukuvelisa. Ezinye izigulane ezikhala motility wamathumbu lehle kunye flatulence zanda.

Emva kokuba isiguli sokususwa kidney, ukutya kufuneka utshintshe kakhulu. Iminyaka emibini ezayo iya kuba yimfuneko ukuze ukulandela ukutya: ukuphelisa tu ukutya ukutya ityuwa, okufakwe, etshaya yaye okuneziqholo ukunciphisa iiprotini esingena kunye neelekese, uyeke kakubi ikofu neti.

Le menu ngemihla kufuneka ibandakanye iziqhamo kunye nemifuno. Ukutya kuyimfuneko ukungena ithanga ivatala. Inyama okanye inyama izitya kufuneka iyabiliswa okanye ebilisiweyo, okroqiweyo, kuba eli xesha kuyingozi. Maxa wambi udle iyogurt okanye neemveliso zobisi, kodwa kufuneka ibe nentlahla abe nobomi ezikhabhathini amancinane. Ukuthathwa kwisigcinakaliso kubhetele ukuba anciphise ukuya ubuncinane.

kwimeko yesiqhelo

Ukuba isigulane sele wenziwe ngempumelelo sokususwa kidney, kwimeko yesiqhelo singathatha ukuya kwiminyaka enye enesiqingatha. Ngokuthe ngcembe, lo kidney eliseleyo oqhele imithwalo eliphezulu kwaye ihlawula kungekho ilungu ngezibini.

Ixesha lokuqala oko kuyimfuneko ukuphelisa onzima kunye umthambo onzima. Kusasa nangokuhlwa, kungakuhle ukuba uhamba luncedo kakhulu zibhuqe itawuli emanzi kunye douches. ingqalelo ekhethekileyo kufuneka ihlawulwe eluswini ecocekileyo, njengoko lenza umsebenzi excretory, kunye eseleyo zezintso.

Emva kokususa imfuneko yokuba kubekwe iliso elibukhali imeko impilo nezintso. Awunako supercool, baleka izigulo ezondeleyo, lokuzimela medicate. uthethwano rhoqo womchamo kuya kukunceda ukuba cala ukuhlola imeko yabo. Thatha care of wena, njengokuba kidney yesithathu emzimbeni unganikezelwanga.