Mienzaniso nephrectomy: chiratidzo, pokuvhiyiwa, vapore

The chete inoshanda pakurapa itsvo mapundu - kuvhiyiwa, panguva iyo inobvisa pathologically zvakachinjwa tishu. In vanachiremba ichi ano vakashandisa unyanzvi kuti achengetedze nhengo, zvikurukuru, pachinzvimbo nephrectomy akaita zvishomanana nephrectomy, mune mamwe mazwi, chete mugove dzaparadzwa yakanga excised.

Chii muviri ichi?

Itsvo - kubva Sefa imwe mhando kuti zvinobatsira anatsa ropa. Kuburikidza vakariita zuva rinopfuura yakawanda ropa. Ndicho ichi yokupedzisira mberi yakaidzwa siyana ne-zvibereko muviri.

utano Munhu wese ane netsvo mbiri, izvo zvinenge symmetrically nechepazasi diaphragm. muviri ichi mushure ropa yokunatsa unobereka weti, inova chaiwo ducts kupinda dundira. It anounganidza marara chigadzirwa kuti vanhurume. The muviri anokwanisa ishande kuine itsvo imwe chete.

Zvairatidza kuti Step

chipingaidzo kwakadaro kukwana nephrectomy, iri nachiremba matambudziko akawanda kuti zvinoda kurapwa pachishandiswa kuvhiyiwa. Asi kushandisa kubviswa muviri chete panguva kukundwa ake kukwana, nokuti chete muchiitiko ichi, nebumbiro pakupora zvakakwana murwere mushure chirwere. Most vachiwanzoshandisa resection, apo chikofu ari itsvo inowanikwa kana mapundu anogona panoda kupinda nyanyisa.

Uyezve, pane zviratidzo zvinoverengeka kuti vanachiremba vakawanda vanotungamirirwa kugadzwa kuvhiyiwa kwakadaro:

• Kuwedzera kwakaita benign anomera.
• MUNDA zvakakuvadza zvinyama hakuiti kupfuudza 4 cm.
• High mukana akaipa degeneration kuti munyama.
• Urolithiasis.
• Chikofu pamusoro itsvo.
• Tiibhii nhego kukuvara.
• Oncologic kwacho neitsvo.
• Mukana renal kukundikana.
• Kukuvadzwa itsvo somugumisiro makuvaro.

Kana malignancies Nhengo resection kuitwa zvakarurama kwazvo, nekuti kana ari chiremba pakuvhiya anosiya rinenge hwokuti degeneration, bundu apiwa kutanga kutanga. Kazhinji, vanachiremba vanovhiya Muzviitiko zvakadaro havasi pangozi uye akabvisa itsvo zvachose, kudzivisa apiwa panowanikwa inotungamirwa uye metastasis.

rushoma nephrectomy: nzira huru

In kurapwa muviri, vanachiremba havana akarwawo kuvhura kana laparoscopic kuvhiyiwa. Muchiitiko chokutanga, excision ari chikamu itsvo kunoitika kuburikidza incision iri lumbar nharaunda. Asi kakawanda anoitwa laparoscopic kukwana nephrectomy. Reviews kuti nzira iyi yokurapa rinowanzova akanaka. oparesheni Izvi zvinobvumira kuti kudzivisa maronda makuru pamusoro muviri murwere. Panguva iri incision duku, umo nokushandisa chaiyo anonzwisisa chubhu (anobudisa mushonga zvishoma nezvishoma) hunosumwa microsurgical maturusi uye terevhizheni kamera.

Sarudza mhando wokuvhiya kunobva Kuwanikwa pachipatara michina uye zvinodiwa kuti vanachiremba vanovhiya. Chokwadi, vanachiremba vakawanda vanosarudza laparoscopic, nekuti pashure kuti murwere nani.

Contraindications kuti kubviswa itsvo

Resection of itsvo bundu isina kuitwa, kana munhu wacho ari chakakomba ezvinhu kana ane comorbidities kuti vawedzere mikana yematambudziko pakuvhiya.

Rokutanga kuongorora pamberi resection

Usati uite excision ari mugove sei pamusoro itsvo, murwere unofanira kutanga kuva nechokwadi kuongorora anesthesiologist. Kugadzirira resection ndiro kuongorora, kudzidza richishanda uye rabhoritari bvunzo:

• Radiography muviri ine musiyano mumiririri.
• Ultrassom, MRI uye CT.
• Renal perfusion uye angiography.

Zvose pamberi kuvhiya murwere achava kupedza muchipatara kwevhiki dzinoverengeka. Asi vasati vapinda zvokurapa chivako murwere vanofanira kuita bhokisi X-ray uye kuongorora ropa zvinotevera zvirwere: chiropa, njovhera uye HIV. Munhu anoongorora chipatara anesthesiologist uye internist, uye manheru asati resection rinoitwa kugadzirwa enema.

The oparesheni

Mienzaniso nephrectomy zvinoitwa pasi zvavo yokutindivadza. Chinhu chokutanga vanachiremba zvigadzirise murwere anosungira tafura anodawo, uye kurutivi utano komberedza ari chinotenderera. In kwakajairika excision pakati njodzi nhengo scalpel chiremba anoita chinhu arcuate incision mumuviri murwere. Kureba grooves akadaro anenge 10-12 cm. Kana excision chikamu zvaparadzwa rinoitwa laparoscopically itsvo, kuti incision pakureba idukusa 3-4 cm.

Panguva dzose Kuvhiya chiremba akaturikidzana anosvika njodzi nhengo, dzakatsigira gumbo okusungisa itsvo mudziyo chaiwo aumba sechinhu kwakavharwa nenyama marongerwo. Laparoscopic Kuvhiya chiremba monitors kufambira mberi nhumbi pamusoro Monitor chidzitiro.

Clip pakuvhiya Inoshandiswa kuderedza ropa nzira yokubudisa kana kubvisa muviri ane scalpel - chiito chiremba anopedza pamusoro mugove dzaparadzwa pamusoro itsvo. The zvakakanganisa zvinyama iri excised vanachiremba sezvo achikanganisa, nokudaro kuwana mbiri kurova-rova vakaenzana. Vakabva Akasiya dzavo uye crosslinked pamwe chete.

Zvadaro isa kubviswa itsvo zvokudya abudise kudzora dzinounzwa pashure pokuvhiyiwa muviri Urume. Pashure achiiisa sutured incision pamusoro muviri.

yematambudziko

Kunyange zvazvo excision pakati njodzi chikamu nemuviri munyoro oparesheni, pane kwakakwana kubviswa itsvo, asi kunyange pashure ringave Migumisiro kuti anowanzoramba chero kuvhiya. Somuenzaniso, zvinogona kukonzera chakasimba cerebrovascular tsaona kana myocardial infarction.

Sezvo kakawanda pakuguma pechikuva itsvo ibwe chirwere kuitika kazhinji vanhu vakura nemarudzi ose namamota uye kenza vamwe pachikuva, ipapo panguva pokuvhiyiwa, vatowana yakawanda comorbidities, kunyanya zvemwoyo.

Kushanda chiremba kunoda zvikuru ruzivo mune nekutambira kupora, sezvo zvakakodzera kwete chete kuti kupa chitarisiko yematambudziko asiwo nguva avanyevere.

Rehabilitation pashure kukwana nephrectomy

Pashure pokuvhiyiwa, mumwe kupora nguva refu kunodiwa, izvo zvinogona kugara kwerinenge gore. Kazhinji, varwere vakanyunyutira kurwadziwa pashure zvishomanana nephrectomy, izvo chete inogona kubviswa nokusuma inonyaradza marwadzo omusoro. Kudzivirira kukura zvakaipa avhiyiwa vanofanira kutevera vamwe kunenge:

• Inwa mvura.
• Amutsvaka pashure resection ose mitatu.
• Kubvisa mumuviri nesimba, sapamazuva okutanga pashure kokuyerera murwere anonzwa kuneta uye zvikuru kuneta. Unofanira kuwana zvakawanda zororo.
• Dzivisa kushushikana uye huta kukakavadzana.
• Bvunza chiremba pamusoro simba zvinhu. Zvechokwadi, mune imwe neimwe nyaya kurumbidza ayo, zvichaita kuvimba kwokuomerwa chirwere, zera uye kunzwisisa hwokushanda.
• Anofanira kudziviswa pashure kubviswa itsvo kukurukura nevanhu vanorwara uye hypothermia nokuti muviri panguva ino haina kudzivirirwa chirwere.
• Pashure pokuvhiyiwa, munhu anofanira kuongorora mamiriro mapfundo.

Kudhayeta pashure pokuvhiyiwa

Zvakakosha panguva vapore vanoomerera kudya zvinovaka muviri. Mumazuva okutanga mushure excision muviri womunhu simba riri yawapihwa nomutsinga. Pashure pemazuva mashoma, murwere anotanga kudya vakazvimiririra. Yaibatsira pashure kuvhiyiwa zvakadaro, shandisa dzichangobva akagadzira zvokudya, saizvozvo inofanira kuva nyore digestible, pamwe zvisaririra zvinhu uye mavhitaminzi.

Ari kupora nguva murwere nani kuderedza mutoro pamusoro chiropa uye neitsvo. Zvinokurudzirwa kunwa tii panzvimbo yenguva dzose itsvo, asi chikumbiro chacho zvakafanira kuti anobvumirana nachiremba. Chimwe chinobatsira kunwa zvinwiwa muchero yaigadzirwa cranberries uye cranberry uye bearberry tii kana voikukka mudzi.

Pashure kukwana nephrectomy inofanira kuwedzerwa kuti zvokudya mazai, anovava ruomba, uchi uye zvakasiyana-siyana miriwo. Meat uye hove, zviri zvinodiwa kuti kubika, asi regai Fry. Asi kushandura kudya tsika unofanira zvishoma nezvishoma, kunyange zvazvo vakawanda zvairambidzwa aishanda pakarepo pashure kuvhiyiwa.

Mukuwedzera, murwere vachafanira kusiya Smoked, wakawanda, Spicy uye jikichira chikafu. It hakubvumidzwi kushandisa zvigadzirwa ine preservatives, zvihwitsi, zvinwiwa uye doro. Kubva vapfumi muto uye marinades nani, zvakare, kuti ape panguva vapore.