Nephrectomy te kanohi: tohu, te mahi, whakanohonoho

Te maimoatanga anake whai hua mō ngā pukupuku tākihi - he mahi, i roto i nei tango kiko pathologically rereke. I roto i tenei tākuta hou whakamahia tikanga ki tiaki whēkau, i ngā, hei utu o nephrectomy i mahi nephrectomy wāhanga, i roto i te kupu atu, i motuhia anake te wahi pakaru.

He aha te mea tenei tinana?

Tākihi - he ahua o te tātari e āwhina ki te pure i te toto. Na roto i te reira haere te ra te nui nui o te toto. Ko tenei muri atu pure e ngā e-hua o te pākia e.

E rua whatukuhu, e he tata symmetrically raro te HWM tangata hauora katoa. Tenei tinana i muri i te purenga toto hua mimi, i te mea he aerodynamics motuhake ki te tōngāmimi. kohikohi reira te hua ururua mo te tiana. taea ki te mahi tikanga ki te kotahi anake tākihi te tinana, ko te.

Tuhinga ki Hipanga

te nephrectomy wāhanga, kua whakaritea taua pokanoa mo te raruraru maha e rapua e maimoatanga i te pokanga. Ko paitanga ki te tango o te tinana anake i tona hinga oti, no te mea anake i roto i tenei take, whai e te ora oti o te manawanui i muri i te mate. Nuinga o ngā wā haere ki te resection, ka kitea te he whēwhē i roto i te tākihi puku ranei e taea whakaora ki mārere.

I tua atu, i reira e rave rahi tohu e arahina maha kaiwhakaako i te whakarite o te mahi taua:

• Ko te tupu tere o te pukupuku mārire.
• e kore e MALA'E pakaru kikokiko nui 4 cm.
• mōrea tiketike o e hōloa mārere o te kopa.
• Urolithiasis.
• Whēwhē i runga i te tākihi.
• Kohi kino okana.
• tukanga Oncologic i roto i nga whatukuhu.
• Risk o täkihi.
• Tūkino ki te whatukuhu rite ki te hua o te whara.

A, no te malignancies kawea okana resection i te tino tika, no te mea ki te te tākuta i roto i te pokanga poroporoaki kiko ki taunakitanga o e hōloa, kia puku re-tīmatanga whakawhanake. Tikanga, e kore e tākuta i roto i te wā pērā i te mōrea, me te tino nekehia te whatukuhu, ki te karo anō-takanga o te hanganga me te metastasis.

nephrectomy te kanohi: te ara matua

I roto i te maimoatanga o te tinana, kua haere tākuta ki te whakatuwhera i tafa laparoscopic ranei. I roto i te take tuatahi, excision o te wahi o te tākihi puta i roto i te kokoti i roto i te rohe lumbar. Ko atu pinepine whakamana nephrectomy wāhanga laparoscopic. Reviews o tenei tikanga o te maimoatanga he te tikanga pai. Tenei mahi taea ki a koe te karo i nga patunga nui ki runga ki te tinana o te manawanui. I roto i te mea kokoti iti, i roto i nei na roto i te te whakamahi i te ngongo motuhake ngāwari (pū tōngāmimi) Kei te whakaurua taputapu microsurgical me te kāmera pouaka whakaata.

Tīpakohia te momo o te pokanga, tei runga i te wātea i te hōhipera o taputapu, me te tohu o tākuta. O te akoranga, te nuinga o ngā tākuta hiahia laparoscopic, no te mea i muri e te whiwhi i te manawanui pai.

Contraindications ki te tango o te tākihi

e kore te Resection o te puku tākihi mahi, ki te ko te tangata i roto i te huru nui he comorbidities e whakanui i te mōrearea o pōauautanga i roto i tafa ranei.

whakamātautau tuatahi i mua i resection

I mua i a koutou kawe i excision o te wahi pānga o te tākihi, me tuatahi kia mohio ki te tūhura i te anesthesiologist te manawanui. Takanga hoki resection ko te rangahau whānui, ako whakamātautau mauhaa me te taiwhanga:

• tinana Radiography ki te kaihoko rerekē.
• Ultrasound, MRI ko CT.
• perfusion tākihi me te angiography.

Mea katoa atu i mua i pokanga ka whai i te manawanui ki te noho i roto i te fare ma'i no te rave rahi wiki. Otiia i mua i tomo i te whare hauora i te manawanui kia meatia e pouaka X-ray, me ngā whakamātautau toto mo nga mate e whai ake nei: kakā, pakewakewa me HIV. Ko te tangata tirohia hōhipera anesthesiologist me internist, a i roto i te ahiahi i mua i whakamana te resection te production werowero.

Ko te mahi

mahi nephrectomy wāhanga i raro i rehunga whānui. Ko te mea tuatahi o nga tākuta whakatika nga pokohiwi manawanui ki te tepu whakahaere, a ka whakakopakina he taha hauora te takai. I roto i te excision tikanga o te pāngia tākuta okana scalpel mahi he kokoti arcuate i roto i te tinana o te manawanui. Ko āhua i te roa o taua awaawa 10-12 cm. A, no te whakamana te excision o te wahi pakaru te laparoscopically tākihi, te roa kokoti he iti iho i te 3-4 cm.

I roto i paparanga pokanga rata noa te whakatata hoki te okana kua pā, tokomanawa hononga te waewae tākihi pūrere motuhake i hanga hei hanganga rapa. pokanga Laparoscopic te tākuta aroturuki te ahunga whakamua o mea i runga i te mata aroturuki.

Topenga i roto i te pokanga whakamahia te ki te whakaiti putanga toto ina tango i te tinana ki te scalpel - he mahi noho te tākuta i runga i te wahi pakaru o te tākihi. motuhia te kiko pā te rata rite te poro, reira whiwhi rua paki rite. ka neke ratou ratou me crosslinked ki ia atu.

Na ka tuu i te tango o te whatukuhu whangai pana wai ki te whakahaere i te tohaina i muri i tapuraa o te wai tinana. I muri i te tāuta i sutured reira kokoti i runga i te tinana.

pōauautanga

Ahakoa excision o te wahi i pangia o te tinana, ko te mahi atu ngawari, nui atu i te tango oti o te tākihi, engari ara i muri kia whai reira pānga kino e te hunga angamaheni o tetahi pokanga. Hei tauira, kia meinga ai aituā iaia roro whakapeka infarction myocardial ranei.

Ka rite ki i roto i te nuinga o te mutunga-atamira mate kohatu tākihi take puta tino maha i roto i te iwi pakeke ki nga mea katoa o te pukupuku, me te mate pukupuku etahi atamira, ka i te wa o te mahi, kua whai ratou he rota o comorbidities, rawa Cardiovascular.

titau Whakahaere tākuta wheako nui i roto i te ora o muri, rite te mea e tika e kore anake ki te whakarato i te ahua o pōauautanga, engari ano hoki i roto i te wa ki te whakatupato ia ratou.

Rehabilitation muri nephrectomy wāhanga

I muri i te pokanga, kua hiahiatia he wā whakaora roa, e taea muri hoki e pā ana ki te tau. Tino maha, amuamu tūroro o te mamae i muri nephrectomy wāhanga, taea anake e te whakakorea e te whakauru painkillers. Kia kore ai te whanaketanga o hopearaa ino i muri i te mahi kia whai etahi tūtohutanga:

• Kia nui te inu o te wai.
• toru nga marama i te uiui i muri i resection.
• Whakakore kohakoha tinana, rite i roto i te ra wawe i muri i rere mana'o te manawanui rohirohi me rohirohi kino. Me koe ki te tiki nui o okiokinga.
• A ape i te ahotea me te mānukanuka io.
• Kōrero i te tākuta e pā ana ki te āhuatanga te mana. Oia mau, i roto i ia take ona tūtohutanga, ka whakawhirinaki ai ki runga ki te pakeke o te mate, tau, me te matatini o te mahi.
• Kia karohia i muri i te whakahekenga atu o nga whatukuhu ki te kōrero ki te iwi nei e mate ana, me te hauhauaitu no te mea e kore te te tinana i tenei wa tiaki i te mate.
• I muri i te pokanga, me te aroturuki i te tangata i te huru o te hononga iho.

Dieting muri pokanga

He mea nui i roto i whakanohonoho e haapa'o ki kai tōtika tika. I roto i nga ra tuatahi i muri i tukua te tinana excision o te tangata te mana te pâmuhia. I muri i te torutoru nga ra, ka tīmata te manawanui ki te kai takitahi. Whai hua i muri i te mahi taua, te whakamahi i te kai rite korari, ko te kupu kia waiho reira käore he pänga, me ngā āhuatanga wahi me huaora.

I roto i te wā whakaora ko pai te manawanui ki te whakaiti i te kawenga i runga i te ate, me nga whatukuhu. E tūtohutia ana ki te inu tea hei utu o te tākihi mua, engari tona tono he mea e tika ana ki te whakaae ki te tākuta. Ko tētahi atu whai hua ki te inu inu hua i hanga i cranberries me karani, me te tea bearberry ranei aihere pakiaka.

I muri kia nephrectomy wāhanga kia tāpiri ki te kai o hua, kirīmi kawa, te honi, me te whānuitanga o ngā huawhenua. Meat me te ika, he minaminatia ki kohuatia reira, engari e kore e kōrori. Ko ki te huri i te kai mau peu e hiahia ana āta koe, ahakoa te nuinga o nga here tono tonu i muri i te pokanga.

I tua atu, ka whai i te manawanui ki te whakarerea kai he paowa, tote, raukikini me te hinuhinu. Kei te rāhuitia te reira ki te whakamahi i ngā hua kei roto korotutu, sweets, sodas me inu i te kava. Mai i te hupa taonga me marinades pai, rawa, ki te hoatu i te wa o te whakanohonoho.