Lithotripsy

Lithotripsy ke ts'ebetso e sebelisang maqhubu a tšosang ho roba majoe liphio le likarolo tsa ureter (tube e tsamaisang moroto ho tsoa liphio tsa hau ho ea senya). Kamora ts'ebetso, likaroloana tse nyane tsa majoe li feta 'meleng oa hau morong oa hau.

Extracorporeal shock wave lithotripsy (ESWL) ke mofuta o tloaelehileng oa lithotripsy. "Extracorporeal" e bolela kantle ho mmele.

Ho itokisetsa ts'ebetso ena, o tla apara mose oa sepetlele ebe o robala tafoleng ea litlhahlobo holim'a mosamo o bonolo o tletseng metsi. U ke ke ua koloba.

U tla fuoa moriana oa bohloko kapa ho u thusa ho phomola pele ts'ebetso e qala. U tla fuoa le lithibela-mafu.

Ha o na le ts'ebetso, o ka fuoa anesthesia ka kakaretso bakeng sa ts'ebetso. U tla be u robetse u se na bohloko.

Maqhubu a matla a matla, a bitsoang maqhubu a molumo, a tataisoang ke x-ray kapa ultrasound, a tla feta 'meleng oa hau ho fihlela a otla majoe a liphio. Haeba u tsohile, u ka 'na ua ikutloa u tlanya maikutlo ha sena se qala. Maqhubu a roba majoe likotoana tse nyane.

Tsamaiso ea lithotripsy e lokela ho nka metsotso e 45 ho isa ho hora e le 'ngoe.

Phala e bitsoang stent e ka beoa mokokotlong kapa senya ka liphio tsa hau. Phala ena e tla ntša moroto liphio tsa hau ho fihlela likaroloana tsohle tsa majoe li feta 'meleng oa hau. Sena se ka etsoa pele kapa kamora 'kalafo ea hau ea lithotripsy.

Lithotripsy e sebelisetsoa ho tlosa majoe a liphio a bakang:

• Ho tsoa mali
• Tšenyo ea liphio tsa hau
• Bohloko
• Ts'oaetso ea mosese

Ha se majoe ohle a liphio a ka tlosoang ho sebelisoa lithotripsy. Lejoe le kanna la tlosoa ka:

• Phala (endoscope) e kenngoe ka liphio ka lehare le lenyenyane la ho buoa ka mokokotlong.
• Phala e nyane e bonesitsoeng (ureteroscope) e kentsoeng ka senya ka har'a li-ureters. LiUreters ke methapo e hokahanyang liphio le senya.
• Ho buuoa ka bolokolohi (ha ho hlokahale ka seoelo).

Lithotripsy e bolokehile hangata. Bua le mofani oa tlhokomelo ea bophelo mabapi le mathata a ka bang teng joalo ka:

• Ho tsoa mali ho pota liphio tsa hau, tse ka hlokang hore u tšeloe mali.
• Tšoaetso ea liphio.
• Likotoana tsa moroto oa lejoe li tsoa liphio tsa hau (sena se ka baka bohloko bo boholo kapa tšenyo ea liphio tsa hau). Haeba sena se etsahala, o kanna oa hloka lits'ebetso tse ling.
• Likotoana tsa majoe li setse 'meleng oa hau (o kanna oa hloka kalafo tse ling).
• Liso ka mpeng kapa mala a manyane.
• Mathata le ts'ebetso ea liphio kamora ts'ebetso.

Kamehla bolella mofani oa hau:

• Haeba u imme kapa u ka ima
• Ke lithethefatsi life tseo u li sebelisang, esita le lithethefatsi, litlatsetso, kapa litlama tseo u li rekileng ntle le lengolo la ngaka

Nakong ea matsatsi a pele ho ts'ebetso:

• U tla kopuoa ho emisa ho noa mali a kang aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), le lithethefatsi tse ling tse etsang hore ho be thata hore mali a hao a koalehe. Botsa mofani oa hau nako ea ho khaotsa ho li nka.
• Botsa mofani oa hau hore na ke lithethefatsi life tseo u lokelang ho li noa ka letsatsi la ts'ebetso.

Letsatsing la ts'ebetso ea hau:

• U kanna oa se lumelloe ho noa kapa ho ja eng kapa eng lihora tse 'maloa pele ho ts'ebetso.
• Nka lithethefatsi tseo u laetsoeng hore u li noe ka ho noa metsi hanyane.
• O tla bolellwa nako ya ho fihla sepetlele.

Kamora ts'ebetso, o tla lula ka phapusing ea phomolo ho fihlela lihora tse ka bang 2. Batho ba bangata ba khona ho khutlela hae ka letsatsi la ts'ebetso ea bona. U tla fuoa sesepa sa moroto ho ts'oara likotoana tsa majoe tse fetisitsoeng morong oa hau.

U sebetsa hantle hakae ho latela palo ea majoe ao u nang le 'ona, boholo ba' ona, le hore na a hokae mochining oa hau oa ho ntša metsi. Boholo ba nako, lithotripsy e tlosa majoe ohle.

Lithotripsy ea ts'oaetso ea extracorporeal; Makala a makala lithotripsy; Laser lithotripsy; Lithotripsy ea methapo; Endoscopic lithotripsy; ESWL; Renal calculi-lithotripsy

• Majoe a liphio le lithotripsy - ho tsoa
• Liphio tsa liphio - ho itlhokomela
• Liphio tsa liphio - seo u lokelang ho se botsa ngaka ea hau
• Mekhoa ea ho ntša metsi ka makhetlo a mangata - ho tsoa

• Anatomy ea liphio
• Nephrolithiasis
• Pyelogram e kenang ka hare (IVP)
• Tsamaiso ea Lithotripsy

Bushinsky DA. Nephrolithiasis. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2016: khaolo ea 117.

Matlaga BR, Krambeck AE, Lingeman JE. Tsamaiso ea ho buoa ea karolo e kaholimo ea mosese calculi. Ka: Wein AJ, Kavoussi LR, Partin AW, Peters CA, bahlophisi. Urology ea Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: khaolo ea 54.

Zumstein V, Betschart P, Abt D, Schmid HP, Panje CM, PM ea PM. Tsamaiso ea ho buoa ea urolithiasis - tlhahlobo e hlophisehileng ea litataiso tse fumanehang. BMC Urol. 2018; 18 (1): 25. PMID: 29636048 www.ncbi.nlm.nih.gov/pubmed/29636048. (Lebokose)