Shingairira ureter

Kurapa zvirwere zvakasiyana-siyana zvekuvhenekera nekuvandudza hutano hwehupenyu hwemurwere, mukurapa, kazhinji kashandisa nzira yakadai seyokusimudzira ureter. Muchiitiko ichi, stent inokosha inowanikwa munharaunda iyi ye tube, nerubatsiro rwechirwere chinowanzobuda rwemuviri uye mamwe mabasa emuviri wemurwere anovandudzwa.

Muchikamu chino, tichakutaurira kuti zviitiko zvipi zvinokonzerwa nesimba, panguva iyo inenge iri mukati memuviri, uye kuti ingabvisa sei.

Nzira uye sei iyo stent inowanikwa mukati mekureta?

Kazhinji kacho kudikanwa kwekugomera kwechiremba kunowanikwa munyaya dzinotevera:

• kuoma kweiyo majozi mumatunhu ekutambisa kuderera kwechiremba;
• kuvhara tubhu neropa;
• kukurudzirwa kwechirwere chakaipa kana chinonyangadza mumushure;
• edema yakawandisa yemukati mucosa yemureter;
• mamwe maitiro anotapukira uye anopisa.

Muzviitiko zvose izvi, pamwe chete nekuvapo kwezvimwe zviratidzo, stent inokosha inoiswa mumuviri wemurwere, iyo iri duku yakagadzirwa nesimbi mesh. Usati wasvika, iyo faira inowanikwa pabhoti, iyo inowanikwa mumugwagwa wekuvhenekera nemutevedzeri chaiyo.

Apo iyo yose midziyo inosvika panzvimbo yakarurama, iyo inenge yakaderera yehutachiona yehuputi iyo inocherechedza, bhoruti rinokura, masvingo e-stent anonyoreswa uye nokudaro anowedzera lumen yakaumbwa. Pashure pacho, ibhoti rinobviswa, uye stent inoramba iri mumuviri uye inoita basa rezvitunha, izvo zvisingabvumi kuti ureter udzoke kuhupamhi hwepakutanga. Basa racho rinogara richiitwa muchipatara chiri muchipatara nzvimbo kuburikidza ne cystoscope inopindirwa muchikanda.

Iyo stent ureteral iri mumuviri wevarwere kusvikira chiyero chekudzivirira chiri kuderera. Izvi zvinokanganiswa nezvinhu zvakawanda zvakasiyana, naizvozvo hazvibviri kutaurira kuti inguva ipi ichave yakakodzera kubvisa stent kubva kune ureter.

Sezvo mutemo, chigadziri ichi chiri mukati memuviri uyu kubva masvondo akawanda kusvikira pagore. Zvichakadaro, muzviitiko zvisingawanzovi, hupenyu hurefu hunogara hunogona kudiwa, mune imwe nyanzvi inoitwa gore rimwe nerimwe mwedzi 2-3. Zvisinei, kunyange mumamiriro ezvinhu aya, hapana zvipingamupinyi zvinoshandiswa paupenyu hwomurwere mushure mekunge stent yaiswa mukati mekureta.

Ndezvipi zvipingamupinyi zvinogona kugadziriswa ne stent mu ureter?

Izvi zvinokonzera zvinetso zvisingamboiti. Kunyange zvakadaro, vane nzvimbo yekuve, uye murwere wese anoda ureteral stenting anoda kuwana ruzivo rwakakwana pamusoro pematambudziko anokwanisa. Saka, mune zviitiko zvisingaiti mushure mekuvhiya kunogona kukura zvirwere zvinotevera:

• hematuria uye dysuria;
• urosepsis uye pyelonephritis;
• vesicoureteral reflux;
• hydronephrosis.

Mukuwedzera, mushure mokuisa iyi chigadzirwa, inogona kusungirirwa kana kuenda kune imwe nzvimbo ye ureter. Mumamiriro ezvinhu akadaro, rimwe dambudziko rekuvhima rinogona kudiwa nepamusoro.

Zvinorwadza here kubvisa stent kubva kune ureter?

Sezvo varwere vose mushure mekunyanya kugadziriswa kunenge kuchida kubviswa kwaro kubva kune ureter, varwere vanowanzofarira kufungidzira kunowanikwa munyaya iyi. Kutaura zvazviri, izvi zvinenge zvisinganzwisisi uye hazvirevi kunyange kushandiswa kweaneshehesia.

Izvo tsvina inobva kune ureter inobviswa nenzira yakafanana nenzira iyo yakagadzirirwa - kushandisa cystoscope yokushanda. Pakarepo panguva yekuvhiyiwa, muzviitiko zvisingawanzoitiki, kurwadziwa kwepamuviri kunogona kuitika, pamwe nekupisa uye kunetseka munharaunda yeuprapubic, asi izvi zvinonzwa nokukurumidza zvinopfuura.