Zilonda zakutali zikutanthauza njira zopanda opaleshoni zothandizira orolithiasis. Njira imeneyi yakhala yotchuka kwambiri chifukwa cha mphamvu zake. Tiyeni tione njira imeneyi yothandizira mwatsatanetsatane, tidzasiyanitsa mitundu yake.
Mapulotripsy - ndi chiyani?
Ponena za madokotala kuti athandizidwe, nthawi zambiri odwala sadziwa chomwe chiri kutali kwambiri, akuganiza kuti ndi opaleshoni yaikulu. Njira imeneyi yothandizira orolithiasis imathandiza kuthetsa mwamsanga mawonetseredwe a matendawa. Pankhaniyi, amatha kukhala ammudzi, onse amtendere, ndi chikhodzodzo komanso ngakhale impso. Chofunika cha njirayi ndi kuwonongeka kwa miyala. Chipangizo chapaderadera chimapangitsa mantha kwambiri, omwe dokotala amatsogolera kumalo enieni a calculi. Chotsatira chake, kusamba kwawo pang'ono kumapezeka.
Zizindikiro za zizindikiro
Kuwopsya kwapadera kwa mafunde kumasowa kuyang'anitsitsa mosamalitsa ndi kuyesa mkhalidwe wa wodwalayo. Madokotala amadziŵa molondola malo a malo amwala, kukhazikitsa zida zawo, kukula, kuwerengera nambala yonse. Zisonyezo za kugwiritsidwa ntchito koteroko, monga zizindikiro zakutali zozizwitsa ndizo:
- mitsempha yosalala kapena impso, yocheperapo 2.5 cm;
- chiwonongeko cha colic yachinyengo ;
- Kuthamanga kwanthawi yaitali ndi kawirikawiri ka tsamba la urogenital;
- palibe chithandizo chabwino cha mankhwala othandizira;
- Kukhalapo kwa miyala mu ureters ndi chikhodzodzo panthawi imodzi.
Kuwonjezera pa zizindikiro izi, madokotala amaperekanso munthu aliyense. Choncho mwala umene umakhala nawo mu ureter ukhoza kuyambitsa chithunzithunzi chachikulu cha impso, pogwiritsa ntchito hydronephrosis. Ngati palibe mankhwala oterewa, ngati kutalika kwa thupi, matendawa angapangitse kuti chitukuko chisayambe. Matendawa amafunika chithandizo cha nthawi yaitali, kuyang'ana kwa akatswiri nthawi zonse.
Mapira a impso
Zilonda zapsogolo zapsogolo zimaphatikizapo kusweka kwazingwe ndi kuthandizira mantha. Pachifukwa ichi, dera la Lumbar limakhudzidwa kudzera pakhungu. Malinga ndi mphamvu zamtundu wanji zomwe zimagwiritsidwa ntchito panthawiyi, mitundu iwiri ya lithotriptors (zida zowonongeka) zimasiyanasiyana:
- electro-hydraulic;
- piezo-magetsi;
- electro-magnetic.
Kulamulira pa malo otsekemera, kutentha kwakukulu, pamene mawonekedwe a kutalika, akuchitidwa ndi ultrasound. Mtundu uwu wosagwiritsidwa ntchito mopanda chithandizo ukuchitika pansi pa anesthesia wamba. Izi zimalepheretsa kupweteka kwambiri. Madokotala amatha kugwiritsa ntchito miyalayi yaing'ono, osachepera 2 masentimita. Chifukwa cha ndondomekoyi, mchenga waung'ono umakhalabe mu impso, womwe umachokera kunja kwa mkodzo kunja.
Mapuloteni a miyala mu ndulu
Mapuloteni a gallbladder ali ofanana ndi momwe tafotokozera pamwambapa. Kusiyanitsa ndiko kuti zotsatira zimayikidwa ku bile calculi. Iwo ali ndi mawonekedwe osiyana pang'ono, kawirikawiri ang'onoang'ono kukula, koma amphamvu kuposa impso. Chifukwa cha izi, madokotala amagwiritsa ntchito makina ena panthawiyi. Izi zimathandiza kukwaniritsa zotsatira zofunikira.
Wonyezimiritsa wophiphiritsira amakonza kusokonezeka kwavomereza. Chotsatira chake, poyang'ana, mphamvuyo ikufika pamtunda ndipo mwala umagwa mosavuta. Mafunde amayenderera mofulumira kudzera m'zigawo zofewa, mopanda kutaya mphamvu. Pakuti ndondomeko ya konkire ingakhudzire mafunde 3000. Nambala yawo yatsimikiziridwa molingana ndi momwe zimakhalira ndi mphamvu ya ndondomeko zamakono.
Mitsuko ya miyala mu ureter
Kupeza kutali kwa miyala yamakono kuli ndi zochitika zinazake. Chifukwa cha malo ocheperapo, chiwonetsero chochepa cha urethra, njirayi imafuna kulondola. Dokotala ayenera kudziwa malo ndi chiwerengero cha miyala, kotero kuti musanayambe kuchitapo kanthu, perekani mtundu wa lithotriptor wogwiritsidwa ntchito. Kugwiritsa ntchito njirayi kumachitika pogwiritsira ntchito makina a ultrasound.
Pambuyo pa miyalayi kufika pamtunda waung'ono, ziwalo zakutali zimayimitsidwa (mbali yotalika yotchedwa lithotripsy). Kuti asalowetse mitsempha yowonongeka pambuyo pake, odwala amalembedwa kuti aziwotchedwa diuretics. Panthawi imodzimodziyo, mankhwala oletsa kupweteka amachitanso, ngati n'koyenera, mankhwala ophera antibacterial akulamulidwa kuti asatengere matendawa.
Zilonda zakutali - zotsutsana
Mofanana ndi njira iliyonse yachipatala, mbali yotalikirana ya miyala ili ndi zotsutsana. Musanapite kwa wodwala wake muli kafukufuku wautali. Madokotala atenga chisankho chomaliza atalandira zotsatira. DLT, ziwalo za kutali, sizingatheke ndi:
- njira zopweteka kwambiri, matenda (pyelonephritis, cystitis);
- mimba yamakono;
- Kuphwanya dongosolo la magazi coagulation;
- kulemera kwa thupi (kunenepa kwambiri kwa madigiri 3 ndi 4);
- matenda a mtima;
- njira zonyansa;
- kutenga mankhwala omwe amatsitsa magazi (Warfarin, Aspirin);
- orereta ochepa omwe ali pansi pa msinkhu wa kuwerengera kwa calculus.
Kukonzekera kumtunda wamtundu wakutali
Kutalika kwa ultrasonic lithotripsy kumaphatikizapo kukonzekera gawo. Musanayambe ndondomekoyi, kuyeretsa kwathunthu m'matumbo kumachitika. Kwa masiku asanu amayamba kudya zakudya. Pewani zakudya:
- mkate wakuda;
- mankhwala opangira mkaka;
- chakudya champhongo;
- nyemba;
- timadziti;
- masamba atsopano ndi zipatso.
Gawo losawerengeka la kukonzekera ndi maphunziro a labotale. Amathandizira kudziwa momwe thupi limakhalira. Musanayambe kugwiritsira ntchito makina oyambitsa magetsi, m'pofunika:
- biochemistry ya magazi;
- kukonzanso kwa mkodzo;
- mayesero a magazi coagulation;
- Ultrasound kudziwa kukula, malo amwala, chiwerengero chawo.