Percutaneous nephrolithotomy
Ibyerekeye iki kizamini
Percutaneous nephrolithotomy (per-kyoo-TAYN-ee-uhs NEF-roe-lih-THOT-uh-me) ni uburyo bwo kubaga bwakoreshejwe mu gukura amabuye mu mpyiko iyo adashobora kuva ubwayo. "Percutaneous" bisobanura binyuze mu ruhu. Ubu buryo bukorwa hakozwe inzira iva ku ruhu rw'umugongo yerekeza ku mpyiko. Umuganga w'inzobere akoresha ibikoresho byihariye binyuze mu cyuma gito cyinjijwe mu mugongo kugira ngo ashake kandi akure amabuye mu mpyiko.
Impamvu bikorwa
Percutaneous nephrolithotomy isanzwe igirwa inama mu gihe: Amabuye manini y'impyiko abuza ishami rimwe cyangwa birenga by'uburyo bwo gukusanya imyanda mu mpyiko. Aya azwi nka amabuye y'impyiko asa n'amahembe y'impongo. Amabuye y'impyiko angana cyangwa arenze 0.8 inches (centimeter 2) mu rugero. Amabuye manini ari mu muyoboro uhuza impyiko n'umutsi (ureter). Ubundi buryo bwo kuvura bwananiwe.
Ingaruka n’ibibazo
Ibyago bisanzwe bivuka mu kubaga impyiko hakoreshejwe igikoresho cyinjira mu mubiri harimo: Kuva amaraso Dukurira Imvune y'impyiko cyangwa izindi ngingo Kudakuraho ibuye rwose
Uko witegura
Mbere y'uko bagukura amabuye mu mpyiko hifashishijwe igikoresho cyinjira mu mpyiko (percutaneous nephrolithotomy), uzakorwa ibizamini bitandukanye. Ibizamini by'inkari n'amaraso bizasuzumwa kugira ngo harebwe niba hari ikimenyetso cy'indwara cyangwa ibindi bibazo, kandi ubushakashatsi bwakozwe hakoreshejwe mudasobwa (CT scan) buzerekana aho amabuye ari mu mpyiko zawe. Ushobora gutegekwa kureka kurya no kunywa nyuma ya saa sita z'ijoro ku munsi ubanziriza ubuvuzi. Menyesha itsinda ry'abaganga bakwitaho imiti, vitamine n'ibindi biribwa byongera ubushobozi bw'umubiri ukoresha. Mu bihe bimwe na bimwe, ushobora kuba ugomba guhagarika iyi miti mbere y'igihe cy'ubuvuzi. Umuganga wawe ashobora kwandika imiti igwanya udukoko kugira ngo agabanye ibyago byo kwandura nyuma y'ubuvuzi.
Gusobanukirwa ibisubizo byawe
Uzongana na muganga wawe w'abaganga mu mezi 4 cyangwa 6 nyuma y'igihe wakorewe, kugira ngo akugire isuzuma. Niba ufite umuyoboro wa nephrostomy ukoreshwa mu kurambura impyiko, ushobora kugaruka vuba. Ushobora gukorerwa isuzumwa rya ultrasound, X-ray cyangwa CT scan kugira ngo barebe niba hari amabuye asigaye kandi barebe niba inkari zirambura nk'uko bisanzwe zivamo mu mpyiko. Niba ufite umuyoboro wa nephrostomy, muganga wawe w'abaganga azawukuraho nyuma yo kukubera anesthesia y'ahantu. Muganga wawe w'abaganga cyangwa umuvuzi wawe usanzwe ashobora kugutegeka gukora ibizamini by'amaraso kugira ngo bamenye icyateye amabuye y'impyiko. Nanone mushobora kuganira ku buryo bwo kwirinda kongera kurwara amabuye y'impyiko mu gihe kizaza.
Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.