I-Nephrectomy (okuyingxenye noma okuphelele) ukususwa kwezinso. Izinso zethu, ezimbili ngesibalo, zisebenza njengesiteshi sokuhlanza igazi somzimba, sikhipha imfucuza ngendlela yomchamo. Enye yezinso ingasuswa ngamathumba, noma ngokunikela ngomzimba. Ungaphila kahle kakhulu ngenso eyodwa nje.

I-Nephrectomy ukusebenza kokuhlinzwa kokukhishwa okuphelele noma okuyingxenye eyodwa kwe- isikhumba. 

Indima yezinso

Izinso zibalulekile ekusebenzeni kahle komzimba. Ngempela, badlala indima yokuhlunga imfucuza. Bahlala bethola igazi futhi bakhiphe izakhi ezingafuneki kulo, ezizoqedwa ngendlela yomchamo. Aphinde akhiqize i-hormone, i-erythropoietin, esetshenziselwa ukwakha amangqamuzana abomvu egazi. Umsebenzi wabo ubandakanya nokulawulwa kwengcindezi yegazi, nokukhiqizwa kukavithamini D ukuqinisa amathambo.

Zitholakala emhlane ongezansi, nhlangothi zombili zomgogodla. 

Izinso zakhiwe imithambo yegazi, i-renal parenchyma (ekhipha umchamo), namashubhu okuphuma komchamo emzimbeni.

Ingqikithi noma ingxenye?

AmaNephrectomi angaba ngezinhlobo ezahlukahlukene, kuya ngenombolo nosayizi wokuvunwa kwezinso.

• Iziphambeko ingqikithi susa sonke izinso. Uma ama-lymph node azungezile esuswa ezinso, yi-nephrectomy ephelele. enwetshiwe, esimweni somdlavuza wezinso osuqubukile.
• Iziphambeko okuyingxenye, isibonelo ukususa isimila noma ukwelapha isifo, ukwenza kube nokwenzeka gcina izinso. Ingxenye ye-parenchyma yezinso ivame ukususwa kanye nendlela ehambisanayo ehambisanayo.
• Iziphambeko amazwe amabili (noma ama-binephrectomies) ukukhishwa kwazo zombili izinso, ezimweni ezinzima kakhulu (isiguli sibe sesilaliswa esibhedlela kusetshenziswa izinso zokwenziwa).

  Lolu hlobo lwe-nephrectomy lusetshenziswa kubanikeli bezitho ezifile ngokufa kobuchopho. Kulokhu, izinso zingadluliselwa esigulini esihambisanayo. Lolu hlobo lomnikelo lusindisa izinkulungwane zeziguli ezihluleka izinso minyaka yonke.

Ukulungiselela i-nephrectomy

Njengangaphambi kokuhlinzwa, kunconywa ukuthi ungabhemi noma uphuze ezinsukwini ezidlule. Ukuhlolwa kwangaphambi kokubulala izinhlungu kuzokwenziwa.

Ukulaliswa esibhedlela okumaphakathi

I-Nephrectomy idinga ukuhlinzwa okunzima nokuphumula kwesiguli / umnikeli. Ngakho-ke isikhathi sokulaliswa esibhedlela siphakathi 4 nezinsuku ezi-15 kuye ngesiguli, ngezinye izikhathi kufika emavikini angu-4 ezimweni ezingavamile (njengamathumba). I-convalescence ithatha cishe amasonto ama-3.

Isibuyekezo ngokuningiliziwe

Ukuhlinzwa kungaphansi kwe-anesthesia ejwayelekile, futhi kuthatha isilinganiso samahora amabili (isikhathi esiguquguqukayo). Kunezindlela ezahlukahlukene ngokuya ngenhloso.

• I-Celioscopie

  Endabeni ye-nephrectomy eyingxenye, njengokususwa kwe-tumor yezinso, udokotela ohlinzayo ufaka izinsimbi ngaphandle "kokuvula" isiguli, esebenzisa imicu emihle ohlangothini lwe-hip. Lokhu kwenza kube lula ukukhawulela usayizi wezibazi ngakho-ke izingozi.

• I-Laparotomy

  Uma izinso kufanele zisuswe ngokuphelele (inani eliphelele le-nephrectomy), khona-ke udokotela ohlinzayo wenza i-laparotomy: esebenzisa isikhumba sokuklaba wenza ukusika kube kukhulu ngokwanele ohlangothini lwesinqe ukuze akwazi ukukhipha izinso ezibandakanyeka kulo msebenzi. .

• Usizo lwe-Robotic

  Kuwumkhuba omusha, ongakasakazeki kakhulu kodwa uyasebenza: umsebenzi osizwa ngamarobhothi. Udokotela ohlinzayo ulawula irobhothi ukude, okuthi ezimeni ezithile lenze kube nokwenzeka ukuthi linganyakazi noma lithuthukise ukunemba kokuhlinza.

Kuye ngenjongo yokuhlinzwa, ngakho-ke udokotela ohlinzayo ususa izinso, noma ingxenye yayo, bese “evala” imbobo ayenzile, esebenzisa imishudo.

Isiguli bese silaliswa embhedeni, kwesinye isikhathi kuphakanyiswe imilenze ukukhuthaza ukujikeleza kwegazi.

Izingozi ngesikhathi sokuhlinzwa

Noma yikuphi ukuhlinzwa kuletha izingozi: ukopha, izifo, noma ukuphulukiswa okungekuhle.

Izinkinga zangemva kokusebenza

I-nephrectomy kungukusebenza okunzima, okuvame ukulandelwa yizinkinga. Siphawula phakathi kwabanye:

• Ukopha
• I-Fistula ye-Urinary
• Izibazi ezibomvu

Kunoma yikuphi, xoxa ngakho ngaphambi nangemva kokuhlinzwa nodokotela wakho womchamo.

Ngemuva kokuhlinzwa

Ezinsukwini nasemavikini alandelayo, ngokujwayelekile siyeluleka ngokulwa nomsebenzi omningi kakhulu nokuzikhandla.

Ukwelashwa kwe-anti-coagulant kuthathwa ukuze kuthuthukiswe ukuphulukiswa.

Umnikelo ohlanganyelwe

Lesi yisizathu “esaziwa kakhulu” se-nephrectomy, okungenani esikweni elidumile. Umnikelo wezinso kungenzeka kusuka kumnikeli ophilayo, imvamisa kusuka emndenini osondele ukukhulisa ukuhambisana kokufakelwa. Ungaphila nenso eyodwa nje, usebenzisa i-dialysis evamile futhi uvumelanise nendlela yakho yokuphila.

Le minikelo ngezinye izikhathi yenziwa ngabanikela ngezitho ezifile ngenxa yokufa kobuchopho (ngakho-ke izinso zisasesimweni esihle).

Umdlavuza, izimila nokutheleleka okukhulu kwezinso

Umdlavuza wezinso ungenye imbangela enkulu ye-nephrectomy. Uma izimila zincane, kungenzeka ukuzisusa ngaphandle kokukhipha yonke izinso (ingxenye ye-nephrectomy). Ngakolunye uhlangothi, isimila esiyobe sesisakazekele kuyo yonke inso sibangela ukukhishwa kwayo ngokuphelele.