Pyeloplasty ke eng, e etsetsoa eng le hore na e hlaphoheloa joang

Litaba

• E etselitsoe eng
• E etsoa joang
• Ho hlaphoheloa ho tloha pyeloplasty

Pyeloplasty ke ts'ebetso ea ho buoa e bonts'itsoeng ha ho na le liphetoho lipakeng tsa ureter le liphio, tse ka lebisang, qetellong, ho se sebetse le ho hloleha ha liphio. Kahoo, ts'ebetso ena e ikemiselitse ho khutlisa khokahano ena, ho thibela ponahalo ea mathata.

Pyeloplasty e batla e le bonolo, ho hlokahala feela hore motho a lule sepetlele matsatsi a 'maloa hore a lateloe, ebe o lokolloa hae,' me kalafo e tlameha ho ntšetsoa pele hae ka phomolo le ts'ebeliso ea lithibela-mafu tse bontšitsoeng ke ngaka ea meno.

E etselitsoe eng

Pyeloplasty ke ts'ebetso ea ho buoa e bonts'itsoeng maemong a stenosis ea mateano a "uretero-pelvic", a lumellanang le kopano ea liphio le ureter. Ka mantsoe a mang, maemong ana ho fokotseha ha khokahano ena ho netefalitsoe, ho ka khothalletsang phallo ea ho ntša metsi le ho baka tšenyo ea liphio le tahlehelo ea ts'ebetso e tsoelang pele. Kahoo, pyeloplasty e ikemiselitse ho khutlisa khokahano ena, ho khutlisa phallo ea moroto le ho fokotsa kotsi ea mathata a liphio.

Kahoo, pyeloplasty e bonts'oa ha motho a e-na le matšoao a amanang le stenosis ea mateano a uretero-pelvic le liphetoho litekong tsa laboratori, joalo ka litekanyo tsa urea, tumello ea creatinine le creatinine, le liteko tsa ho nka litšoantšo, tse kang mpa ea ultrasound le computed tomography.

E etsoa joang

Pele o etsa pyeloplasty, ho kgothaletswa hore motho a itime lijo ka lihora tse ka bang 8, a lumelloa feela ho noa maro, joalo ka metsi le metsi a coconut. Mofuta oa ho buoa o latela lilemo tsa motho eo le bophelo bo botle ba hae, 'me ho ka buelloa tse latelang:

• Opereishene e bulehileng: moo ho etsoang khaola sebakeng sa mpa e le ho lokisa khokahano lipakeng tsa ureter le liphio;
• Laparoscopy pyeloplasty: Tsamaiso ea mofuta ona ha e hlasele hakaalo, hobane e etsoa ka makhetlo a mararo ka mpeng, mme e khothaletsa motho ho hlaphoheloa kapele.

Ho sa tsotelehe mofuta oa opereishene, ho etsoa khaello khokahanong pakeng tsa ureter le liphio ebe ho khutlisetsoa khokahano eo. Nakong ea ts'ebetso, catheter e boetse e beoa ho tsoa liphio le ho fokotsa menyetla ea mathata, e lokelang ho tlosoa ke ngaka e entseng ts'ebetso ea ho buoa.

Ho hlaphoheloa ho tloha pyeloplasty

Kamora ho etsa pieloplasty, ho tloaelehile hore motho a lule matsatsi a 1 ho isa ho a mabeli sepetlele ho fola ho tloha ho anesthesia le ho lekola nts'etsopele ea matšoao afe kapa afe, ka hona a thibele mathata. Maemong ao catheter e kentsoeng, ho kgothaletswa hore motho a kgutlele ngakeng ho ya e tlosa.

Lapeng, ho bohlokoa hore motho a lule a phomotse, a qoba boiteko ba matsatsi a ka bang 30 mme a noe maro a mangata, ntle le ho sebelisa meriana e bontšitsoeng ke ngaka. Hangata, ts'ebeliso ea lithibela-mafu e khothaletsoa ke ngaka ho thibela ketsahalo ea ts'oaetso.

Pholiso e tsoang ho pyeloplasty e batla e le bonolo, mme ho hlokahala feela hore kamora nako ea ho hlaphoheloa e boletsoeng ke ngaka, motho eo o khutlela ho boeletsi e le hore litlhahlobo tsa litšoantšo li ka etsoa ho netefatsa hore na opereishene e lekane ho lokisa phetoho.

Haeba nakong ea pholiso motho o na le feberu e matla, ho tsoa mali a mangata, bohloko ha a ntša metsi kapa a hlatsa, ho bohlokoa hore o khutlele ho ngaka bakeng sa tlhahlobo mme kalafo e nepahetseng ka ho fetisisa e ka qalisoa.