Nephrostomy: chii, kuvhiyiwa, hanya, dziviriro nemigumisiro

Itsvo vanofanira kupa mumwe anokosha anoitwa - pakusarudza exchange zvigadzirwa kubva mumuviri. Kana ichi haina kuitwa, munhu anogona kufa kubva kudhaka pachavo metabolites.

Mune zvimwe zviitiko, renal basa riri kudziviswa nokuda siyana pathological inoti. Pakati pavo - paumbwe kenza, urolithiasis. Panyaya iyi, ropa filtration uye Absorção de Água pamusoro chicherwa zvinhu kuitika, asi yokupedzisira chigadzirwa haisi goho. Uye kusimbisa muitiro, yakasimbiswa nephrostomy.

Chii uye kana zvichidikanwa? Nephrostomy iri nyere (zvaimutambisira) kwakabatana kuti itsvo chiuno uye vaziva kunze. Zvakakodzera nechokwadi aibuda weti uye kudzivisa kudhaka.

Nephrostomy - chii? mabasa

Sezvo chikazozikamwa, iri nyaya kenza, yakakura kuvhiyiwa uye kuchengetedza nhengo basa hakuwanzoshandi. Dzimwe njodzi zvinyama munzvimbo huru inofanira kubviswa chose kuti vadzivise kupararira kenza. Mune zvimwe zviitiko, nekusiyana, iyo yakakura oparesheni hazvibviri nokuda akazivisa zvinetso muviri. Chinangwa ichi, yakanga yakagadzirwa palliative kuvhiyiwa. Havadi kuita kuti mushonga, asi kuita kuti kudzorerwa vasiri mabasa. Palliative akavhiyiwa yaitwa muminda yose oncology, hapana chakasara uye Urological hanya.

Kuti asimbise excretory kushanda muviri uye kuti aponese vanhu kubva endogenous kudhaka, kuitisa nephrostomy. Zvinonzi neDare abudise chubhu iri pyelocaliceal itsvo hurongwa. Vakasununguka kuguma nephrostomy asunungurwa kuti kunze, kuti ndiye, pechiso ganda. To ichi kwakabatana chaiyo mudziyo uye water drainage kuguma zvibereko muviri anoitwa pavaigona kutora chikepe chaienda dundira, urethra uye ducts.

oparesheni ichi chinoenderana mhando palliative hanya, saka chiremba anofanira zvakanaka kufunga kana imwe murwere vanoda nephrostomy. Chii uye sei kuti arichengete, acharondedzera murwere pamberi kuvhiya. Uye kugadzwa itsvo abudise rinoitwa chete rakanyorwa mvumo murwere kana hama dzake. Zvakakodzera kuongorora zvinonyatsorehwa ezvinhu omurwere uye kuona kana kuti tiite kuvhiyiwa yakadai zvichibvira.

Zvairatidza pakukurukura nephrostomy

Kungofanana drains the nevanhu, nephrostomy mu itsvo kuita rinokosha zvakanyanya. Kakawanda, zviri panzvimbo nekenza genitourinary hurongwa. Kanenge - mune mamwe makuru Urological pathologies. Pane dzakananga zviratidzo maererano iyo yakasimbiswa nephrostomy. Mukushanda rinoitwa, kana nephrostomy ane zvinotevera zvairatidza:

1. Kenza itsvo kana dzimwe nhengo nezvezvimwe zvinetso zvedundira.
2. Hydronephrosis.
3. Urolithiasis ane predominance matombo makuru.
4. Metastasis bundu upi localization, kudzvinya ari pelvic zvomukati.
5. Ureteral mhingaidzo nokuda compression zvayo kunze kana strictures.

Nephrostomy kwete chete inobatsira kudzorera water drainage kuti mvura kubva muviri, asi kudzivirira panowanikwa chokutsva. Somugumisiro, vaidzivisa chisingaperi uye rikwanise itsvo kukundikana.

oparesheni ichi nguva dzose harirevi kuti hazvizivi abudise uchava muviri zvachose. Mune zvimwe zviitiko, pashure chaiwo kurapwa (pokuvhiyiwa, mishonga) nephrostomy chinobviswa. Dzimwe zvakafanira kudzorera aibuda weti panguva kuita chirwere kurapa (stenting).

Contraindications kuti nephrostomy

Pasinei kudiwa kuvhiyiwa nephrostomy hakusi nguva zvinogoneka kuita. Contraindications zvinosanganisira rinoti dzakadaro:

• ropa nyonganyonga;
• kusingadzoreki neBP;
• anticoagulation.

For zvirwere umo ropa coagulation akashatirwa rinorondedzera hemophilia, Hemorrhagic vasculitis, thrombocytopenic purpura uye zvakafanana. D. In pathologies izvi chero operative kupindira ngozi kuupenyu. Izvi zvinoshandawo kugamuchirwa anticoagulants - mishonga, ropa thinners. Nephrostomy kuisa uye BP zvisina amenable kuti zvinodhaka kururamiswa. Mufambiro Kuvhiya mune ichi ari contraindicated nokuda njodzi sitiroko uye cardiogenic kuvhunduka.

Kugadzirira pakururamisa nephrostomy

Muzviitiko kutyorwa kuri water drainage ose weti, zvisingagone kubviswa tichibatsirwa mishonga, vanoda nephrostomy ari itsvo. The oparesheni yokugadza nayo, sezvo mutemo, haatori nguva, zvisinei, zvinoda muchipatara pokugara.

Asati achipfuura kune kuvhiya, zvinokosha kuita chirwere miedzo. Pakati pavo - mukuru uye nokukanganisika ropa nemiedzo, urinalysis, coagulation. Kana mhaka anuria (kutyorwa kuri water drainage kuti weti) haisi pachena, richishanda bvunzo zvinodiwa. Izvi zvinosanganisira excretory urography, ultrasonography etsvo, CT.

Chidobi kuti nephrostomy

Varwere, Chokwadi, vanoda kuziva zvinodiwa nephrostomy chii uye sei yakaiswa. Zvinofanira kucherechedzwa kuti goho yacho zvaimutambisira chubhu kubva itsvo kuti ganda pamusoro kuti ruzivo vanovhiya vaiona nyore kushanda. Akaita zvose pasi vakawanda yokutindivadza uye achibatsirwa vomunharaunda yokutindivadza. Nephrostomy aita nokukurumidza, mukati maminitsi 15-20. Zvisinei, avhiyiwa murwere anofanira kuongororwa. Zvakakodzera rokuongorora kuzoita weti water drainage. Kune 3 mhando nephrostomy. Pakati pavo:

1. Achipa rakavhurika kuvhiyiwa.
2. Laparoscopic abudise installation.
3. Percutaneous nephrostomy.

Most kazhinji akaita rokupedzisira chisarudzo. Kugadzwa nephrostomy ponji kuburikidza ganda uye inotsigira zvinyama zviri nani akashivirira nevarwere. Uyezve, percutaneous kuvhiya anoonekwa zvishoma zvinorwadza pane rakavhurika kuvhiyiwa. Akaita pasi Ultrasound kana X-ray.

Chidobi kushanda kunosanganisira ponji ganda, mafuta, tsandanyama uye itsvo parenchyma kushandisa tsono ponji. Munguva aurayiwe nephrostomy chiremba anovandira Monitor. Izvi zvinokosha zvikuru, sezvo unofanira kusimuka munyika pyelocaliceal ino pasina kukuvadza akapoteredza tishu. Pashure kupinza of tsono akaisa abudise chubhu, vakasununguka kudivi iro wanamatira imwe weti muunganidzwa bhegi.

Kana dzichibvisa kuti nephrostomy?

Kana oparesheni rinoitwa kuti pave kuchirapa kurapa (mishonga, renal vascular stenting), pashure rutapudzo akabvisa nephrostomy vasiri weti water drainage.

Dzimwe nguva zvaimutambisira chubhu vakaratidza kuti isingazivikanwi nguva. Kakawanda kuti kenza uye kwazvo. Panguva iyoyo rinoda kutsiviwa nguva nephrostomy. Zvinofanira kuitwa uchishandisa mukamuri. Kusiyana kwokutanga kuvhiyiwa, zvinyama ponji usiri mutemo, sezvo aumba fistula yokutanga.

Recovery pashure pokuvhiyiwa

Recovery pashure nephrostomy ndiko kutsanya. Nechekare pazuva rokutanga murwere anogona kufamba vakakomba wadhi ane abudise chubhu. Tora mishonga pashure pokuvhiyiwa kunofanira kwemazuva 5-7 kuti kudzivirira chirwere. Mumazuva 2-3 ropa anogona kupinda muhomwe. Izvi imhaka zvinorwadza renal midziyo. Pashure 3 Mazuva, kubuda kweropa rinomira. Kudzora aibuda weti yakabereka Ultrasound.

Nephrostomy: musha kuchengetwa chete

Sezvo abudise chinhu muviri vatorwa kuna muviri, chero nguva zvinokwanisika chirwere. Izvi anonyevera mumwe murwere, inosidzikwa nephrostomy. Anobudisa mushonga zvishoma nezvishoma Kutarisirwa yaifanira dzose. By dzokudzidzisa kudzivirira chirwere dzinosanganisira:

1. Kuwacha aine abudise chubhu ine sesaline uye antiseptics. Nokuti ichi chinangwa imwe gadziriro "Chlorhexidine" kana "Furatsilinom".
2. Nokugura chena bhandeji pamusoro nzvimbo yacho kuvhiya ronda.
3. Panguva Chaiyo Kuburitswa mu of secondary.
4. Monitoring nachiremba ose 2 weeks.

Varwere vane nephrostomy, haugoni kushandisa, kusimudza masimbi. The inzwi raJehovha abudise chubhu kungaita matambudziko, saka anobudisa mushonga zvishoma nezvishoma anofanira kuva chimwe chinzvimbo.

Doctors pamusoro nephrostomy

Maererano urologists, nephrostomy - chinhu chinodiwa nechiyero, pasina iro hazvibviri kuita. Pasinei nezvinetso kunobva oparesheni, uye kudiwa kugara kuchengeta abudise, kuisa anobudisa mushonga zvishoma nezvishoma varwere vanofanira vaivarwira zvinouraya kudhaka uye chirwere.