Nephrostomy: he aha te mea te reira, pokanga, tiaki, te ārai me te mau hopearaa

Me ki te whakarato i tetahi o nga mahi tino nui whatukuhu - kōwhiringa o nga hua utu i te tinana. Ki te kore te tenei mahi, ka taea e te tangata mate i te haurangi ake metabolites.

I roto i ētahi wā, raruraru mahi tākihi te tika ki ngā āhua pathological. I roto ia ratou - te hanganga o te mate pukupuku, urolithiasis. I roto i tenei take, te filtration toto me te absorption o ngā huānga kohuke e wahi, engari e kore ko te hua whakamutunga putanga. A ki whakapumautia te tukanga, whakapumautia nephrostomy.

He aha te mea te reira me ka te hiahiatia ai? Nephrostomy Ko te putorino (awakeri) hono ki nga papatoiake tākihi me whakapae waho. He mea tika ki te whakarite i te rere o te mimi me te ārai haurangi.

Nephrostomy - he aha te mea te reira? mahi

Ka rite ki te mea e mohiotia, i roto i te take o te mate pukupuku, he mahi tuwhena, me te ki te tiaki okana mahi e kore e mahi tonu. I te tahi taime te kiko pāngia i runga i te wāhi nui kua ki te kia nekehia atu rawa i roto i te tikanga ki te karo i te horapa o te mate pukupuku. I roto i te tahi atu te wā, i runga i te anga ke, e kore e taea te mahi tuwhena tika ki nga disorders korerotia o te tinana. Hoki tenei whakaaro, i whakaaro ai pokanga whànau. e kore e ratou arahi ki te rongoa, engari whai wāhi ki te faaho'iraa mai o ngā mahi whaiaroaro. E kawea ngā mahi whànau i roto i roto i mara katoa o matepukupuku, he kahore okotahi me te tiaki urological.

Na rite ki te whakatū i te mahi puha o te tinana, me te ki te whakaora tangata i haurangi endogenous, whakahaere nephrostomy. Kei te whakahaua reira e te ngongo pana i roto i te pūnaha tākihi pyelocaliceal. tukua te mutunga noa o nephrostomy ki te waho, e ko, te mata o te kiri. Ki tenei te hono te he ipu motuhake, me te whakamana i nga hua matamua mutunga o pākia bypassing te tōngāmimi, taiawa mimi me aerodynamics.

E pā ana tēnei mahi ki te momo o te whànau,, kia kia kia pai whakaaro te tākuta mehemea e hiahia ana nephrostomy he manawanui ngā. He aha te mea te reira, ka pehea ki te tiaki hoki reira, ka whakamārama e ia ki te manawanui i mua i pokanga. Na whakamana te tāutanga o te tākihi waikeri te anake ki te whakaae i tuhituhia o te manawanui ranei ana whanaunga. He mea tika ki te aromatawai i te huru whānui o te manawanui, me te whakatau mehemea ki te kawe i te mahi pēnei i taea.

Tuhinga mō te nephrostomy tuku

Ka rite ki ki tetahi awakeri tangata-hanga, nephrostomy i roto i nga whatukuhu te mahi he mahi faufaa. Nuinga o ngā wā, kua whakaturia te reira i roto i te mate pukupuku o te pūnaha genitourinary. I te iti rawa - i roto i te tahi atu pathologies urological nui. He tohu motuhake rite ki ai whakapumautia nephrostomy. Kei te whakamana te mahi, ki te he te tohu e whai ake nei nephrostomy:

1. Cancer o te tākihi atu whēkau o te pūnaha mimi ranei.
2. Hydronephrosis.
3. Urolithiasis ki te predominance o kohatu nunui.
4. Metastasis puku o tetahi localization, pēpēhinga nga whekau papatoiake.
5. arai Ureteral tika ki kōpeketanga o tona waho whakatūpehupehu ranei.

Nephrostomy kore anake āwhina ki te whakahoki i te matamua o te wai i te tinana, engari ano hoki ki te ārai i te takanga o te mumura. Ka rite ki te hua, karohia hēnga o ōna whatukuhu ma'i, me te whakapeka.

e kore e tenei mahi tikanga tonu e ka waiho te pana tāwhaiwhai i roto i te tinana tūturu. I roto i ētahi wā, i muri i te maimoatanga motuhake nekehia atu (pokanga, hahau) nephrostomy te. I te tahi taime te mea e tika ana ki te whakahoki i te rere o te mimi i te wa o te raveraa i ngā tukanga tātaritanga (stenting).

Contraindications ki nephrostomy

Ahakoa te hiahia akiaki mō te pokanga nephrostomy e kore he reira tonu taea ki te mahi i. Contraindications ngā taua āhua:

• toto whakararuraru;
• takawhita whakakeke;
• anticoagulation.

Hoki mate i roto i nei toto coagulation ohorere te pā reira hemophilia, hemorrhagic vasculitis, te purapura thrombocytopenic me te rite. D. I roto i enei pathologies tetahi wawaotanga whakahaere mōrearea ki te ora. Ko te taua pā ki te anticoagulants tangohanga - rongoā, thinners toto. Nephrostomy kore whakaturia me te pēhanga toto tiketike e kore he Nireaha ki te ako tarukino nei. pokanga whakahaere i roto i tenei huru contraindicated te no te mea o te mōrea o te patunga me te ru cardiogenic.

Teuteu, mo te whakanoho nephrostomy

I roto i te wā o maumaui o te matamua o te mimi, e kore e taea te whakakorea ki te awhina o rongoā, Me nephrostomy i te tākihi. Ko te mahi ki te tāuta i te reira, pera me te tikanga, e kore e tangohia roa, Heoi, titau te noho hōhipera.

I mua i puta ki te tukanga hāparapara, he mea e tika ana ki te mahi i whakamātau tātaritanga. I roto ia ratou - te whakamātautau toto whānui, me te matüora, urinalysis, coagulation. Ki te kore te mea mārama te take o anuria (maumaui o te matamua o te mimi), e hiahiatia whakamātautau mauhaa. Ko ētahi o ēnei urography puha, ultrasonography o nga whatukuhu, CT.

Technique o nephrostomy

Tūroro, o te akoranga, e hiahia ana ki te mohio te mea e hiahiatia ana te nephrostomy aha te mea te reira me pehea te whakaturia te reira. Me kï reira e te putanga o te ngongo awakeri i te tākihi ki te mata kiri mō tākuta ite whakaaro mahi ohie. i mahi ia e rua i raro i rehunga whānui, me te ki te awhina o rehunga rohe. hohoro Nephrostomy i mahi, i roto i 15-20 meneti. Heoi, i muri i te mahi kia aroturuki te manawanui. He mea tika ki te aromatawai i te ora o te mimi matamua. E 3 ngā momo o nephrostomy. I roto ia ratou:

1. Tuhinga o tuwhera pokanga.
2. tāutanga pana Laparoscopic.
3. nephrostomy Percutaneous.

Nuinga o ngā wā whakamana kōwhiringa whakamutunga. Kei te Tāuta nephrostomy poka i roto i te kiri, me te waiwai kiko pai nohotahi e tūroro. I tua atu, whakaaro pokanga percutaneous te iti ngaukino i te tuwhera pokanga. i mahi ia i raro i ultrasound X-ray ranei.

Technique o mahi ngā te poka o te kiri, ngako, uaua me te tākihi parenchyma te whakamahi i te ngira poka. I roto i te mahia o te nephrostomy tākuta mataara te aroturuki. Ko te tino nui tenei, kia rite ki te hiahia koe ki te tiki ake i roto i te pūnaha pyelocaliceal kopiro ano i nga kikokiko e karapoti ana. I muri whakaurunga o te ngira whakaturia waikeri ngongo, kua piri te taha noa o nei ki te putea kohinga mimi.

A, no te tango i hanga nephrostomy?

Ki te kawea te mahi i roto i ki te whakatinana i te maimoatanga haumanu (hahau, tākihi stenting iaia), i muri i whakaiti nephrostomy nekehia atu mimi whaiaroaro matamua.

I te tahi taime whakaturia te ngongo awakeri mō te wā tuatau. Nuinga o ngā wā mo te mate pukupuku, me te kino. I te wa ano me te reira ki te kia whakakapi ia wā nephrostomy. totonu ke fakahoko ia i roto i te ruma whakahaere. Rerekē te pokanga tuatahi, e kore te kiko poka hiahiatia, mai te whakatuwheratanga fistula i hanga.

Whakaora i muri i te pokanga

Whakaora i muri nephrostomy he nohopuku. Kua i te ra tuatahi ka taea e te manawanui neke a tawhio noa te paroita ki te ngongo waikeri. Tangohia paturopi i muri i te pokanga kia hoki ra 5-7 mo te ārai o te mate. I roto i 2-3 ra e taea te tiki i te toto ki roto ki te putea. he tika ki te oko tākihi ngaukino tenei. I muri i te 3 ra, mutu te toto. Hei whakahaere i te rere o te mimi hua ultrasound.

Nephrostomy: tiaki te kāinga anake

Mai te mea pana wai he tinana ke ki te tinana, i tetahi wa ka taea ki te mate. faaara tenei o ia manawanui, whakaturia nei te nephrostomy. kia kawea pū tōngāmimi tiaki i roto i tonu. Na roto i te tikanga o te ārai o te mate ngā:

1. Horoi ki te ngongo waikeri ki te saline me antiseptics. Hoki tenei whakaaro i te faaineineraa "Chlorhexidine" "Furatsilinom" ranei.
2. Marutuna te takai horomata i runga i te rohe o te patunga hāparapara.
3. te putu i te wā o te urinal.
4. Te aroturuki i te taha o te tākuta katoa 2 wiki.

Tūroro e whai i te nephrostomy, e kore koutou e taea e faaohipa, ara taimaha. kia hua te kōpapa o te ngongo waikeri i roto i pōauautanga, na kia te pū tōngāmimi i roto i te kotahi te tūranga.

Doctors e pā ana ki nephrostomy

E ai ki urologists, nephrostomy - ko te mehua e tika ana, kahore nei e kore e taea ki te mahi. Ahakoa te mau fifi i puta ake i te mahi, me te hiahia mō te tiaki tamau o waikeri, Me tāutanga o tūroro pū tōngāmimi ki te whakaora ia ratou i te haurangi whakamate me te mate.