Kodi kuchotsa mwala mu ureter?

Nkhani yaikulu kwa odwala omwe ali ndi mwala mu ureter ndi momwe angachotsere ku dongosolo loyambitsa matenda. Zikatero, pamene chisakasa sichimasokoneza mkodzo wamtundu, i.e. ndimeyi idasungidwa pang'ono, madokotala amatsatira njira zomwe akuyembekezera. Pachifukwa ichi, mankhwalawa ndi ochepa chabe poika mankhwala osokoneza bongo komanso kuwonjezeka kwa madzi omwe amamwa tsiku lililonse (pafupifupi malita awiri). Ngati mwala wochokera ku ureter sukuchoka kwa nthawi yayitali, madokotala amayamba kupanga ndondomeko momwe angachotsere kunja. Mwa kuyankhula kwina, ngati mkati mwa masabata awiri chisindikizo sichikutuluka, iwo amayamba kugwira ntchito yogwira ntchito.

Kodi mankhwalawa amachiritsidwa motani?

Ngakhale asanatuluke mwala umene uli mu ureter, madokotala amakhazikitsa malo enieniwo. Pachifukwa ichi, ultrasound ikuyendetsedwa. Kusankha njira ya chithandizo molunjika kumadalira mtundu wa mwala ndi malo.

Kotero, pakati pa njira zowathandiza kuchotsa mwalawo, nkofunikira kusiyanitsa:

• zipangizo zakutali;
• nephrolithotomy;
• ureteroscopy;
• kupititsa patsogolo.

Choncho, ndi ziwalo zakutali, mwala umaphwanyidwa mothandizidwa ndi zipangizo zapadera. Ntchito ya chipangizo ichi imachokera ku chiwonongeko cha maginito ndi mafunde omwe akupanga pangidwe la mwalawo, chifukwa chaichi chimakhala zidutswa zing'onozing'ono.

Pamene mwala umakhala woposa 2 masentimita m'mimba mwake, amagwiritsa ntchito nephrolithotomy. Amayendetsedwa ndi anesthesia. Pachifukwa ichi, kudzera mu urethra ndi chikhodzodzo, chubu imayikidwa mu ureter palokha, kupyolera mwachitsulo chomwe chimagwiritsidwa ntchito, chomwe chimayipitsa mwalawo. Ku dera la lumbar, makina opangidwa ndi incision amapangidwa ndipo nephroscope imayambitsidwa, yomwe imayendetsa malo a calculus. Kenako mwalawo umakhudzidwa ndi mafunde akupanga.

Ureteroscopy imaphatikizapo kuchotsedwa kwa calculus kuchokera ku ureter ndi ureteroscope, chitsulo kapena chubu chosakaniza chokhala ndi diode yowala ndi kamera. Pambuyo popeza mwalawo, dokotalayo akugwiritsa ntchito mbendera yomwe ili pampando, akugwedeza mwalawo ndi zolemba kunja.

Kutsegulira opaleshoni mu nthawi ya lero sikungatheke. Njirayi imagwiritsidwa ntchito pokhapokha ngati kukula kwa mwalawo ndi kwakukulu ndipo ndimasentimita 4 m'mimba mwake.

Momwe mungayendetse mwala kunja kwa ureter ndi mankhwala amtundu?

Kawirikawiri, amayi omwe akukumana ndi vutoli, funso limayambira ngati zingatheke kuchotsa mwala womwe uli mu ureter ndi mankhwala a anthu, ndi momwe angachitire.

Ndikoyenera kuzindikira kuti zochita zoterezi zimachitika, koma ziyenera kuvomerezedwa ndi dokotala. Zina mwa maphikidwe ogwira bwino ndi oyenera kutchula zotsatirazi: mu zigawo zofanana zimatenga mbewu za katsabola, bearberry, mahatchi ndi kuphika decoction kuchokera kwa iwo. Tengani masana m'malo mwa kumwa.