I-lithotripsy ezikude zibhekisela kwiindlela ezingekho iindlela zokunyanga kwe-urolithiasis. Le nkqubo iye yaziwa kakhulu ngenxa yokusebenza kwayo. Masiqwalasele le ndlela yokwelapha ngokubanzi, sizahlula iintlobo zayo.
I-Lithotripsy - yintoni na?
Ukubhekiselele koogqirha ukuncedwa, izigulane azikwazi ukuba yiyiphi i-lithotripsy ezikude, ucinga ukusebenza olubi. Le ndlela yokwelapha ye-urolithiasis inceda ukukhawuleza ukuphelisa ukubonakaliswa kwesifo - iziphumo. Kule meko, ziyakwazi ukuhlala kwindawo yangaphandle, zombini kwi-ureter, kunye nasesikhweni kunye nakwezintso. Ingundoqo yesicatshulwa kukutshatyalaliswa okude kwamatye. Isixhobo esikhethekileyo sivelisa ukutshatyalaliswa kokutshatyalaliswa, apho ugqirha ekukhokela kwindawo eyiyo ye-calculi. Ngenxa yoko, ukugaya kwabo kancane kancane kwenzeka.
Izilwanyana - izibonakaliso
Ukutshitshiswa kwamanzi kwintsholongwane kufuneke ukuhlolwa ngokucophelela nokuhlolwa kwimeko yesigulane. Oogqirha bachaneke ngokuchanekileyo indawo yendawo yamatye, ukuseka iimpawu zabo zesakhiwo, ubukhulu, bala inani lenani. Izibonakaliso zokuphathwa okunjalo, njengamahlumela asekuhlaleni ama-thotripsy:
- amatye angenasifo okanye iimpso, ububanzi obungaphantsi kwama-2.5 cm;
- ukuhlaselwa kwecolic coal ;
- Ukutsalwa kwexesha elide kunye nexesha eliqhelekileyo le-urrogenital;
- akukho mpembelelo efanelekileyo yonyango olulondolozayo;
- ubukho bamatye kwi-ureters kunye ne-bladder kanyekanye.
Ukongezelela kwezi zibonakaliso, oogqirha banika umntu ngamnye. Ngoko ilitye e-ureter lingabangela ukuphuhliswa kwebhloko leentso ezinzima, ngokubunjwa kwe-hydronephrosis. Ngaphandle kokungenjalo kwonyango, njenge-lithotripsy ezikude, le meko inokukhokelela ekuphuhliseni ukungaphumeleli komntu. Esi sifo sidinga unyango lwexesha elide, ukujonga rhoqo iingcali.
Izilwanyana zamatye
Iiltripsy eziqhelekileyo zamatye eentso ziquka ukutyunjwa kwee-concrements ngoncedo lwe-wave wave. Kule meko, ummandla we-lumbar uchaphazeleka ngesikhumba. Kuxhomekeke kukuphi uhlobo lwamandla asetyenzisiweyo ngexesha le nkqubo, ezi zilandelayo zeentlobo ze-lithotriptors (izixhobo zokuchithwa) ziyahluka:
- i-electro-hydraulic;
- i-piezo-electric;
- electro-magnetic.
Ukulawula phezu kwendawo yokuchasana, ukuxinwa kwe-wave wave, xa i-thotripsy i-remote-wave thotripsy eyenziwa, yenziwa yi-ultrasound. Olu hlobo longenelelo olungasebenziyo lwenziwa phantsi kwe-anesthesia jikelele. Oku akwenzeki ngokupheleleyo. Le ndlela ithetha ukuba oogqirha basebenzise amatye amancinci, ububanzi obungaphantsi kwe-2 cm. Ngenxa yenkqubo, iinqununu zentlabathi zihlala ezintsheni, ezihamba ngokukhululekile ngaphandle komchamo ngaphandle.
I-Lithotripsy yamatye kwi-gallbladder
I-lithotripsy ye gallbladder iyafana nenkqubo echazwe ngasentla. Umehluko kukuba umphumo ujoliswe kwi-bile calculi. Zinesakhiwo esincinane, esoloko sincinci ngobukhulu, kodwa sinamandla kuneentso. Ukunikezelwa kwezi zixhobo, oogqirha basebenzisa ezinye izicwangciso zedivayisi ngexesha le nkqubo. Oku kunceda ukufezekisa umphumo oyifunayo.
Umbonisi we-parabolic ulungisa ukutshitshiswa kwekrityi. Ngenxa yoko, ekugxinineni, amandla aya kufinyelela phezulu kwaye ilitye liyawa lula. Imijelo ingena ngokukhawuleza ngeetyhuse ezithambileyo, ngokuqhelekileyo ngaphandle kokulahlekelwa amandla okuqala. Kuba inkqubo yekhonkrit inokuchaphazela ukufikelela kumaza angama-3000. Inani labo lichongiwe ngokuhambelana nokubunjwa kwamandla e-gallstones.
I-Lithotripsy yamatye kwi-ureter
Iiltripsy eziqhelekileyo zamatye angabonakali zizinto ezithile. Ngenxa yendawo encinane, i-lumen encinci ye-urethra, inkqubo iyafuna ukuchaneka. Ugqirha kufuneka amisele indawo kunye nenani lamatye, ukwenzela ukuba ngaphambi kokuba uqalise ukuphathwa, usethe uhlobo lwe-lithotriptor ezisetyenzisiweyo. Ulawulo lwenkqubo lwenziwa ngokusebenzisa umshini we-ultrasound.
Emva kokuba amatye afinyelele ubukhulu obuncinci, i-lithotripsy ekude imisiwe (i-lithotripsy esebenza kude). Ukukhuphela ngaphandle ukutshitshiswa kwezidumbu emva kokuphathwa, izigulane zichongiwe. Ngexesha elifanayo, unyango oluchasayo luyenziwa kwakhona, ukuba kunyanzelekile, iziyobisi ezichasene ne-antibacterial zimiselwe ukuba zingabandakanyi usulelo.
I-lithotripsy ezikude - iingqinisiso
Njengoko nayiphi na inkqubo yezokwelapha, i-lithotripsy ekude yamatye inqatshelwe. Ngaphambi kokuya kwisigulane sakhe kukho uviwo olude. Oogqirha baya kuthatha isigqibo sokugqibela emva kokufumana iziphumo. I-DLT, i-lithotripsy ekude, ayinakwenzeka nge:
- iinkqubo ezivuthayo, izifo (i-pyelonephritis, i-cystitis);
- ukukhulelwa kwangoku;
- ukuphulwa kwe-system coagulation system;
- ubunzima bomzimba obuninzi (ubunzima be-3 ne-4 degrees);
- izifo zesimo senhliziyo;
- iinkqubo zesondo;
- ukuthatha imishana eguqula igazi (i-Warfarin, i-Aspirin);
- Ukunciphisa i-ureters ngaphantsi kwinqanaba leendawo zokubala.
Ukulungelelanisa i-lithotripsy ekude
I-lithotripsy ezide kude zibandakanya isigaba sokulungiselela. Ngaphambi kwenkqubo, ukucocwa ngokucacileyo kwamathumbu kuyenziwa. Iintsuku ezi-5 ziqala ukulandela ukutya. Ukungabikho kokutya:
- isonka esimnyama;
- iimveliso zobisi ezivuthayo;
- ukutya okunamafutha;
- imbotyi;
- i juices;
- imifuno kunye neziqhamo.
Isigaba esingenakulinganiswa sokulungiselela siyi-laboratory studies. Banceda ukufumana imeko yomzimba. Ngaphambi kokufunyanwa kwe-electro-hydraulic lithotripsy, kuyimfuneko:
- biochemistry yegazi;
- Uhlalutyo jikelele lomchamo;
- vavanyo lwegazi;
- I-Ultrasound ukuqinisekisa ubuninzi, indawo yamatye, inombolo yabo.