Nephrolithotomy percutaneous
Mō tēnei whakamātautau
Ko te nephrolitotomi percutaneous (per-kyoo-TAYN-ee-uhs NEF-roe-lih-THOT-uh-me) he tukanga hei tango i nga kōhatu whatukuhu mai i te tinana ina kore e taea e rātou te haere ma rātou anō. Ko te tikanga o te 'Percutaneous' ko te neke atu i te kiri. Ka hangaia e te tukanga he huarahi mai i te kiri o muri ki te whatukuhu. Ka whakamahia e te taote nga taputapu motuhake e tukuna ana i roto i te pūkaha iti kei ō muri hei kimi me te tango i nga kōhatu mai i te whatukuhu.
He aha ai i mahia ai
Ko te tikanga ka tūtohutia te nephrolitotomi percutaneous ina: He nui ngā kōhatu whatukuhu e aukati ana i tetahi atu peka o te pūnaha kohikohi o te whatukuhu. E mohiotia ana enei ko ngā kōhatu whatukuhu staghorn. He nui ake i te 0.8 inihi (2 henimita) te rahi o ngā kōhatu whatukuhu. Kei roto i te tūpū e hono ana i te whatukuhu me te pūngāwerewere (ureter) ngā kōhatu nui. Kua kore e mahi ētahi atu rongoā.
Ngā tūraru me ngā raruraru
Ko nga tūponotanga tino noa o te nephrolitotomi percutaneous e whai ake nei: Te toto Te mate Te whara ki te whatukuhu, ki ētahi atu rānei o ngā kōpū Te kore e tangohia katoatia te kōhatu
Me pēhea te whakarite
I mua i te nephrolitotomi percutaneous, ka whakahaerehia etahi whakamātautau ki a koe. Ka tirotirohia e ngā whakamātautau mimi me te toto te tohu o te mate pāwera, te raruraru rānei, ā, ka whakaatu te tātaritanga tomography rorohiko (CT) te wāhi o ngā kōhatu kei roto i tō whatukuhu. Ka āhei pea te whakahau kia mutu te kai me te inu i muri i te po i te po i mua i tō mahi. Kia mohio tō rōpū tiaki ki ngā rongoā, ngā huaora me ngā taapiri kai katoa e inu ana koe. I ētahi wā, ka hiahiatia pea te mutu i ēnei rongoā i mua i tō tātaritanga. Ka taea e tō taote te whakahau i ngā rongoā antibiotic hei whakaiti i tō tupono ki te whanake i te mate pāwera i muri i te mahi.
Te mārama ki ō hua
Ka kite pea koe i tō tākuta pokanga i te 4 ki te 6 wiki i muri i te pokanga mō te tirotiro whai muri. Ki te whai koe i te pūnaha nephrostomy hei whakaheke i te whatukuhu, ka hoki mai pea koe i mua atu. Ka taea e koe te whakamahi ultrasound, X-ray, te CT scan rānei hei tirotiro mena kei te toe etahi kōhatu, ā, hei whakarite kē atu te mimi e rere ana i te whatukuhu. Ki te whai koe i te pūnaha nephrostomy, ka tangohia e tō tākuta pokanga i muri i te hoatu i te anesthetic rohe. Ka taea e tō tākuta pokanga, te kaiwhakarato rongoā matua rānei te tūtohutia ngā whakamātautau toto hei ako i ngā take i puta ai ngā kōhatu whatukuhu. Ka taea hoki e koe te kōrero mō ngā huarahi hei aukati i te whiwhi atu i ngā kōhatu whatukuhu i muri mai.
Whakakape: He tūāpapa pārongo hauora a Ākuhata ā, ehara ōna whakautu i te tohutohu rongoā. Me kōrero tonu ki tētahi rata whai raihana e pātata ana ki a koe i mua i tētahi whakarerekētanga.
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