Sungani mu ureter

Kuchiza matenda osiyanasiyana a mitsempha ndi kusintha umoyo wa wodwala, mwachipatala, nthawi zambiri amagwiritsa ntchito njira yoteroyo. Pachifukwa ichi, mpweya wapadera umayambika m'kati mwa chubuchi, mothandizidwa ndi mitsempha yomwe imakhala yotuluka mumtambo ndi zina zomwe thupi la wodwala limayambanso.

M'nkhaniyi, tidzakuuzani nthawi yomwe mbolayi imayikidwa mu ureter, panthawi yomwe ili mkati mwa thupi, ndi momwe mungachichotsere bwino.

Kodi mbola imayikidwa bwanji mu ureter ndi liti?

Kawirikawiri kufunikira kwa kupweteka kwa ureter kumachitika m'milandu yotsatirayi:

• kuuma kwa impso miyala m'malo a anatomical narrowing wa ureter;
• kutseka chubu ndi magazi;
• kukula kwa chotupa chakupha kapena chosaopsa mu ureter;
• edema yokwanira ya mkati mucosa ya ureter;
• njira zina zopatsirana ndi zotupa.

Pazifukwa zonsezi, komanso pamaso pa zizindikiro zina, mchere wodulidwa umalowa m'thupi la wodwalayo, lomwe ndi laling'ono lopangidwa ndi matabwa. Asanayambe kukonza, chipangizochi chimaikidwa pa buluni, chomwe chimayikidwa m'kakiti kamene kali ndi katswiri wapadera.

Pamene zipangizo zonsezi zimafika pamalo abwino, zomwe zimakhala zochepa kwambiri, zilembo zimakula, makoma a stent amawongoka ndipo motero amalimbikitsa kuwala kwa lumen. Pambuyo pake, buluni imachotsedwa, ndipo zotsalira zimakhalabe m'thupi ndipo zimagwira ntchito ya nyama, zomwe sizimalola kuti chiwerewere chibwezere kuyeso yake yoyambirira. Nthawi zonse opaleshoni imachitidwa kuchipatala chachipatala pogwiritsa ntchito kansalu kosakanikirana.

Stent yosalekeza ili m'thupi la wodwala mpaka phindu la kuchepa lichepa. Izi zimakhudzidwa ndi zifukwa zosiyanasiyana, kotero n'zosatheka kufotokozera nthawi yomwe idzakhala yofunika kuchotsa mbolayi kuchokera ku ureter.

Monga lamulo, chipangizo ichi chiri mkati mwa thupi ili kuyambira masabata angapo mpaka chaka. Pakalipano, kawirikawiri, nthawi yowonjezera moyo ikhoza kufunika, yomwe kafukufuku amachitika miyezi itatu iliyonse. Komabe, ngakhale m'mikhalidwe iyi, palibe malire omwe amaperekedwa pa moyo wa wodwalayo pambuyo poti mbola yayikidwa mu ureter.

Kodi ndi mavuto ati omwe amatha kupweteketsa?

Njirayi imayambitsa zovuta nthawi zambiri. Komabe, iwo ali ndi malo oti akhale, ndipo wodwala aliyense amene amafunikira kuti awonongeke akuyenera kukhala ndi chidziwitso chonse cha mavuto omwe angathe. Choncho, kawirikawiri mutatha opaleshoni mungathe kukhala ndi matenda otsatirawa:

• hematuria ndi dysuria;
• urosepsis ndi pyelonephritis;
• reflux vesicoureteral;
• hydronephrosis.

Kuonjezerapo, mutatha kugwiritsa ntchito chipangizo ichi, chikhoza kukhala chosasunthika kapena kusamukira kumalo osokoneza bongo. Zikatero, ntchito yowonjezereka ingafunikire ndi mwayi waukulu.

Kodi ndi zopweteka kuchotsa stent ku ureter?

Popeza odwala onse atatha kuikapo malowa amafunikira kuchotsedwa kwa odwala, odwala nthawi zambiri amakhala ndi chidwi ndi zomwe zimayambitsa vutoli. Ndipotu, njirayi ndi yopweteka kwambiri ndipo safuna ngakhale kugwiritsa ntchito anesthesia.

Mpweya wochokera ku ureter umachotsedwa chimodzimodzi momwe umakhalira - pogwiritsira ntchito cystoscope. Nthawi yomweyo pa nthawi ya opaleshoni, nthawi zambiri, kupweteka kwa m'mimba kumachitika, komanso kuyaka ndi kusokonezeka m'dera la suprapubic, koma zowawazi zimadutsa mwamsanga.