Nthenda ya impso ndiyo njira yomwe chimagwiritsira ntchito singano yapadera. Iyi ndiyo njira yokhayo yodalirika yomwe imakuthandizani kuti muzindikire bwinobwino, ndikuyang'ana mozama za matendawa ndikusankha chithandizo, kupeĊµa zotsatira zoyipa komanso zovuta.
Zizindikiro za matenda a impso
Chizindikiro cha impso (retroperitoneoscopic) cha impso chikhoza kulembedwa kuti:
- matenda a impso (mawonekedwe ovuta kapena osatha);
- akuganiza kuti ndi nephrotic syndrome kapena khansara;
- kuwonjezeka kwa slags zamadzimadzi m'magazi;
- matenda oyambitsa ukodzo;
- Kuphwanya impso zokha.
Njira yodziwiritsira ntchitoyi ikuchitika komanso pambuyo pofufuza mkodzo, ngati ipezeka magazi kapena mapuloteni. Komanso chiwonetsero cha chiwindi chimasonyezedwa ndi kukula kwa glomerulonephritis .
Contraindications kwa impso zovuta
Ngati wodwalayo ali ndi vuto la impso, muyenera kuonetsetsa kuti alibe chotsutsana naye, ndipo pokhapokha chitani. Zaletsedwa kwa anthu omwe:
- pali impso imodzi yokha yogwira ntchito;
- palinso vuto la novocaine;
- Kuphwanya magazi coagulability, mpweya wamagetsi odwala kapena hydronephrosis .
Zotsutsana zokhudzana ndi matenda a impso zikuphatikizapo matenda oopsa a diastolic, nephroptosis, ndi myeloma.
Kodi malingaliro a impso amachita motani?
Kujambula kwa impso kumachitidwa kuchipatala komanso kuchipatala chokhalitsa. Kuwongolera matenda opatsirana akuwonetseredwa kwa odwala omwe sangathe kusokoneza kulandira ma antiticoagulants, popeza pali chiopsezo chokhala ndi mavuto a mtima. Musanayambe kumwa kapena kudya kwa maola 8, ndipo musamatsutse chikhodzodzo. Masiku angapo isanafike phunziro la CT kapena ultrasound kuti liwone bwino malo omwe akuwombera.
Kujambula kwa impso kumachitika motere:
- Wodwala amagona pa tebulo lapadera.
- Malo opangira jekeseni amachiritsidwa ndi antiseptic.
- Anesthesia wamba akuchitidwa.
- Poyang'aniridwa ndi ultrasound, nsalu yayitali yaying'ono imayikidwa.
- Mankhwala ochepa amachotsedwa ku impso.
- Nthano imatuluka.
Nthawi zina, amafunika kuti papepala 2 zikhale ndi mankhwala okwanira kuti mudziwe bwinobwino.
Pambuyo pomaliza njira yopewera magazi, wodwalayo akulimbikitsidwa kugona kumbuyo kwake masana.