Mekhoa ea ho ntša metsi ka makhetlo a mangata - ho tsoa

U ne u e-na le ts'ebetso ea ho ntša moroto liphio tsa hau kapa ho tlosa majoe a liphio. Sengoliloeng sena se u fa likeletso mabapi le seo u ka se lebellang kamora ts'ebetso le mehato eo u lokelang ho e nka ho itlhokomela.

U ne u e-na le mekhoa ea ho ntša metsi ka nako e le 'ngoe (ka letlalo) ho thusa ho ntša moroto liphio tsa hau le ho tlosa majoe a liphio.

Haeba u ne u e-na le nephrostomy e sa khaotseng, mofani oa tlhokomelo ea bophelo o kentse catheter (tube) e nyane e tenyetsehang letlalong la hao ho ea ntšoa moroto.

Haeba u ne u boetse u e-na le nephrostolithotomy (kapa nephrolithotomy), mofani oa thepa o fetisitse sesebelisoa se senyenyane sa bongaka letlalong la hao ho kena liphio. Sena se ne se etsoa ho qhaqha kapa ho tlosa majoe a liphio.

U kanna oa ba le bohloko bo itseng mokokotlong oa hau bekeng ea pele kamora hore catheter e kentsoe ka liphio. Meriana ea bohloko e fetang tekanyetso e kang Tylenol e ka thusa ho utloa bohloko. Meriana e meng ea bohloko, e kang aspirin kapa ibuprofen (Advil) le eona e ka thusa, empa mofani oa hau a kanna a se khothaletse hore u noe meriana ena hobane e ka eketsa menyetla ea ho tsoa mali.

U kanna oa ba le drainage e hlakileng e hlakileng e khanyang ho potoloha sebaka sa ho kenya catheter matsatsing a 1 ho isa ho a mararo a pele. Sena se tloaelehile.

Phala e tsoang liphio tsa hau e tla feta letlalong la mokokotlo oa hau. Sena se thusa ho tsoa ha moroto ho tsoa liphio tsa hau ho ea ka mokotleng o hokeletsoeng leotong la hao. Qalong u ka bona mali ka mokotleng. Sena se tloaelehile 'me se lokela ho hlaka ha nako e ntse e tsamaea.

Tlhokomelo e nepahetseng ea catheter ea nephrostomy e bohlokoa hore o se ke oa fumana tšoaetso.

• Motšehare, u ka sebelisa mokotlana o monyane oa ho ntša metsi o hokeletsoeng leotong la hao.
• Sebelisa mokotla o moholo oa drainage bosiu haeba u khothaletsoa ke ngaka ea hau.
• Kamehla boloka mokotla oa ho ntša metsi ka tlase ho liphio tsa hau.
• Hlakola mokotla pele o tlala ka botlalo.
• Hlatsoa mokotla oa hau oa ho ntša metsi hang ka beke u sebelisa tharollo ea asene e tšoeu e halofo le halofo ea metsi. E hlatsoe hantle ka metsi 'me u e lumelle hore e ome.

Noa lino tse ngata (lilithara tse 2 ho isa ho tse 3) letsatsi le letsatsi, ntle le haeba mofani oa hau a u joetsa hore u se ke ua etsa joalo.

Qoba ketsahalo efe kapa efe e bakang maikutlo a ho hula, bohloko bo potileng catheter, kapa ho kinking ka catheter. Se ke oa sesa ha o na le catheter ena.

Mofani oa hau o tla khothaletsa hore o hlape seponche e le hore moaparo oa hau o lule o omme. U ka hlapa ha u thatela moaparo ka polasetiki ebe u apara moaparo o mong haeba o le mongobo. U se ke ua inela ka bateng kapa bate e chesang.

Mofani oa hau o tla u bontša mokhoa oa ho beha moaparo o mocha. U kanna oa hloka thuso hobane moaparo o tla be o le mokokotlong oa hau.

Fetola moaparo oa hau matsatsing a mang le a mang a mabeli ho isa ho a mararo bekeng ea pele. E fetole khafetsa haeba e ka ba litšila, ea kolobisa kapa ea hlepha. Kamora beke ea pele, fetola moaparo oa hau hang ka beke, kapa hangata ha ho hlokahala.

O tla hloka lisebelisoa ha o fetola moaparo oa hau. Tsena li kenyelletsa: Telfa (thepa ea ho roala), Tegaderm (theipi e hlakileng ea polasetiki), likere, liponche tse arotsoeng tsa gauze, liponche tsa gauze tse 4-inch x 4-cm (10 cm x 10 cm), theipi, tube e kopanyang, hydrogen peroxide metsi a futhumetseng (hammoho le setshelo se hloekileng ho li kopanya), le mokotla oa drainage (haeba ho hlokahala).

Kamehla hlatsoa matsoho hantle ka sesepa le metsi pele o tlosa moaparo oa khale. Li hlatsoe hape pele u apara liaparo tse ncha.

Hlokomela ha o hlobola moaparo oa khale.

• Se ke oa hula catheter ea drainage.
• Haeba ho na le reng ea polasetiki e boloke khahlanong le letlalo.
• Hlahloba ho bona hore sutures (stitches) kapa sesebelisoa se tšoereng catheter ea hau letlalong la hau se sireletsehile.

Ha moaparo oa khale o tima, ka bonolo hloekisa letlalo ho pota catheter ea hau. Sebelisa swab ea k'hothone e kolobisitsoeng ka tharollo ea halofo ea hydrogen peroxide le halofo ea metsi a futhumetseng. E omelle ka lesela le hloekileng.

Sheba letlalo le potileng catheter ea hau bakeng sa keketseho efe kapa efe ea bofubelu, bonolo, kapa drainage. Bitsa mofani oa hau haeba u hlokomela liphetoho tsena.

Beha moaparo o hloekileng ka tsela eo mofani oa hau au bonts'itseng ka eona.

Haeba ho khonahala, kopa ba lelapa kapa motsoalle hore ba u fapanyetse moaparo. Sena se etsa hore ts'ebetso e be bonolo.

Bitsa mofani oa hau haeba u na le matšoao ana:

• Bohloko bo mokokotlong kapa lehlakoreng la hau bo ke keng ba fela kapa bo ntse bo mpefala
• Mali ka morong oa hau ka mor'a matsatsi a seng makae a pele
• Feberu le ho bata
• Ho hlatsa
• Moroto o nkgang hampe kapa o shebahalang o le maru
• Bofubelu bo ntseng bo mpefala kapa bohloko ba letlalo le potileng tube

Hape letsetsa haeba:

• Lesale la polasetiki le ikhula letlalong la hao.
• Catheter e ntšitse ka ntle.
• Catheter e emisa ho tšela moroto ka mokotleng.
• Catheter e kinked.
• Letlalo la hau tlasa theipi le halefisitsoe.
• Moroto o dutla ho potoloha catheter kapa lesale la polasetiki.
• U na le bofubelu, ho ruruha kapa bohloko moo catheter e tsoang letlalong la hao.
• Ho na le drainage e fetang ea mehleng ea ha u apara.
• Metsi a na le mali kapa a na le boladu.

Percutaneous nephrostomy - ho tsoa; Percutaneous nephrostolithotomy - ho tsoa; PCNL - ho tsoa; Nephrolithotomy - ho tsoa; Lithotripsy tse nang le metsoako - ho ntša metsi; Endoscopic lithotripsy - ho tsoa; Liphio tsa liphio - ho tsoa; Ureteric stent - ho tsoa; Renal calculi - nephrostomy; Nephrolithiasis - nephrostomy; Majoe le liphio - ho itlhokomela; Majoe a calcium - nephrostomy; Majoe a oxalate - nephrostomy; Majoe a uric acid - nephrostomy

Bushinsky DA. Nephrolithiasis. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 117.

Matlaga BR, Krambeck AE. Tsamaiso ea ho buoa bakeng sa karolo e kaholimo ea mosese calculi. Ka: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, bahlophisi. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021: khaolo ea 94.

• Majoe a senya
• Cystinuria
• Gout
• Majoe a liphio
• Lithotripsy
• Mekhoa ea liphio e sebetsang
• Bohale

• Majoe a liphio le lithotripsy - ho tsoa
• Liphio tsa liphio - ho itlhokomela
• Liphio tsa liphio - seo u lokelang ho se botsa ngaka ea hau

• Majoe a Liphio