Hapa nephrectomy: PAaIEN, ka hana, hoʻopulapula

Ka mea wale nō ka hoʻokō lapaʻau no ka hakuʻala hikoko - ka hana, i ka wā i lawe aku oe i pathologically hoololi'aʻaʻa. Ma keia kēia kauka i hoʻohana 'ana i kūpono e mālama' ana i nā loko, i loko o pau, kahi o ka nephrectomy i hana hapa nephrectomy, i loko o nā hua'ōlelo, wale i ka poino hapa i excised.

He aha ka keia kino?

Hakuʻala - he 'ano o ka Kānana e kōkua e huikala ia i ke koko. Ma ka mea, i ka lā ae he nui nui o ke koko. He kēia hope aku huikalaʻia e likeʻole ma-nā huahana o ka pūnao.

Kela a me keia olakino kanaka na puupaa elua, a ua aneane symmetrically ma lalo o ka diaphragm. Keia kino ma hope o ke koko huikala produces mimi, i mea he kūikawā ducts i loko o ka bladder. Ua 'ohi i ka wao huahana no ka hemo o. Ke kino Ua hiki ke hana maʻamau a me ka wale kekahi hakuʻala.

Nāʻikepili e Kai

Ke 'ākeʻakeʻa ua hapa nephrectomy, ua hoakaka no ka mea e noi mai ana ma ka lapaauʻoki kino i ka nui pilikia. Akā, io ana i ka wehe 'ana o ke kino i kona pio kāpili wale nō, no ka mea, wale nō i loko o keia hihia, ua hoʻohiki ma o ka piha hou ana o ka hoʻomanawanui ma hope o ka maʻi. Loa pinepine io i ka resection, ka wā i cyst i loko o ka hakuʻala ua loaʻa paha hikoko i hiki regenerate i loko o malignant.

Eia hou kekahi, malaila i kekahi mau nāʻikepili i na kauka i alakaʻi ma ka hookohu ana o ia ka hana:

• Ke kokololio ulu o benign hikoko.
• Kahua poino'aʻaʻa 'aʻole i oi aku mamua o 4 knm.
• High kamepiula o malignant degeneration o nā'aʻaʻa.
• Urolithiasis.
• Cyst ma ka hakuʻala.
• Tuberculosis hui, ka pōʻino.
• Oncologic kaʻina hana ma nā puʻupaʻa.
• 'Ākena o kaʻaʻa puʻuwai ole.
• Poino i nā puʻupaʻa i ka hopena o ka hewa.

I ka malignancies hui, resection lawe mai loa pololei, no ka mea, ina o ka kauka iʻoki kino haalele iho'aʻaʻa me ka hoike o ka degeneration,ʻeho hou-hoʻomaka e hoʻomōhala. Nō kāu, surgeons ma na hihia i ole ma kamepiula a me ka loa weheʻia ka hakuʻala, e pale hou-hanana o ke kahua a me ka metastasis.

hapa nephrectomy: i ka papa kuhikuhiE aoao

I ka lapaau ana o ke kino, ua hele aku io kauka e wehe ai laparoscopicʻoki kino. Ma ka hihia mua, excision o ka hapa o ka hakuʻala ia lŘlŘ ma ka incision i loko o ka lumbar māhele 'āina. Akā, oi pinepine hana laparoscopic hapa nephrectomy. Reviews o keia hana o ka lapaʻau mea IeAUPIIe, IAa IO maikaʻi. Kēia hana e leie aku oe, e pale aku i ka nunui eha ma ke kino o ka hoʻomanawanui. I loko o ia meaʻuʻuku incision, ma a ma ka hoʻohana 'ana i ka hana'ōlewa Tube (catheter) ua hoʻolauna microsurgical hana, a me ka kīwī pahupaʻiwikiō.

E koho i keʻano o keʻoki kino hilinaʻi nui ma luna o ka loaʻa nui i ka haukapila o ka lako a pan a me ka makahiki paha o surgeons. O ka holo ana, ka hapanui kauka makemake laparoscopic, no ka mea, ma hope i ka mea hoʻomanawanui ua noho maikaʻi.

Contraindications i ka wehe 'ana o ka hakuʻala

Resection o ka hakuʻalaʻeho ua ole ke hana, ina ke kanaka i loko o ka nui ano paha he comorbidities e hoomahuahua i ka pilikia o complications iʻoki kino.

Ka mua ninaninau mua resection

Mua oe i lawe mai excision o ka loli ana i ka hapa o ka hakuʻala, ke hoʻomanawanui pono mua eʻoiaʻiʻo, e makaikai i ka anesthesiologist. Makaukau no ka resection o ka mea mau anamanaʻo, hoʻopaʻa haʻawina vocal a me keʻena hoʻokolohua examinations:

• Radiography kino me ka Akä naÿe hope paha.
• Ultrasound, MRI a me ka HI.
• ʻaʻa puʻuwai perfusion a me ka angiography.

Na mea a pau'ē aʻe ma muaʻoki kino o ka hoʻomanawanui, e i e pana aku au i loko o ka haukapila no kekahi mau pule. Akā, ma mua komo ana o ka 'inikua hale i ka hoʻomanawanui e hana umauma X-Ray a me ke koko e ho'āʻo ai i ka mea kēia mau maʻi: hepatitis, syphilis a me HIV. Ke kanaka nana haukapila anesthesiologist a me ka internist, a ma ke ahiahi ma mua ua hana o ka resection? Iecaianoaaiiie enema.

ka hana

hapa nephrectomy ua hanaʻia ma lalo mau anesthesia. Ka mua mea i nā kumu koho i ka hoʻomanawanui kaula a hiki i ka pae'ōnaehana papaʻaina, a me ke ola i keʻaoʻao apo ai i ka lole wili. I kaʻike mau excision o ka loli ana o hui, scalpel kauka hanaʻia he arcuate incision i loko o ka hoʻomanawanui ka kino. Ka lōʻihi o ia Groove ke kaha 10-12 knm. A hiki i ka excision o ka poino hapa ua hana laparoscopically hakuʻala, ka incision lōʻihi ka emi o 3-4 knm.

Ma maʻamauʻoki kino kauka papa hoʻokokoke mai ka hoʻohuli ai i nā hui, i kau ai i ka uha mua clamps hakuʻala kūikawā mea i hanaʻia e like me ka laholio 'ole. Laparoscopicʻoki kino i ka surgeon nā kahu nānā i ka holomua o ka mea ma luna o ke kanaka hoʻoponopono pale.

Clip iʻoki kino ua hoʻohana 'ia e ho'ēmi i ke koko mākeke ka wā wehe kino me ka scalpel - he hana i ke kauka ka hāhai ma luna o ka poino hapa o ka hakuʻala. Ka hoʻohuli ai i nā'aʻaʻa Ua excised kauka me ka auka, hiki ai loaa mau like puapua. Ka mea, laila, 'oni iki lākou a crosslinked i kekahi i kekahi.

A laila, i ka wehe 'ana o nā puʻupaʻa iiaeaaony nōkahea e kū i ka anao? Aou hopeʻoki kino o ke kino loli. Hope a hāpai ka mea, sutured incision ma luna o ke kino.

complications

Oiai excision o ka loli ana o kekahi hapa o ke kino o oi akahai ana, aole i ma mua o ka piha ana o ka hakuʻala, akā, hiki ma hope o ka mea e i hopena maikaʻi 'ole i mea typical o kekahiʻoki kino. No ka laʻana, ka mea hiki i huʻi cerebrovascular ulia a myocardial infarction.

Like i loko o ka hapanui o na hihia o ka hopena-ke kahua hakuʻala pohaku maʻi ana loa pinepine ia ma mua kanaka me kela ano keia ano o ka hikoko a me ka maʻi 'aʻai kekahi kahua, alaila, i ka manawa o ka hana, ka mea, ua i ka hailona o comorbidities, o ka oi aku mea'ōnaehana mānowai koko.

Ke hoʻohana kauka pono nui ka hoao ana i loko o ka hope ke ola, e like me ka mea i pono ai,ʻaʻole wale e hoʻolako i ka nānā aku o complications, akā, i ka manawa e ao mai ia lakou.

Hoʻopulapula ma hope hapa nephrectomy

Ma hope oʻoki kino, he lōʻihi ke ola au ua koi 'ia, i hiki mau no e pili ana i ka makahiki. Muli o kona kulana pinepine, e hoomanawanui i ohumu o ka eha ma hope hapa nephrectomy, a hiki wale ke eliminated e painkillers i hoʻolaunaʻia ma. E pale aku i ka ulu ana o ka hopena maikaʻi 'hopena ma hope o ka hana e hahai i kekahi mau koi:

• E inu nui o ka wai.
• Hookolokolo aku la ia ma hope o resection na malama ekolu.
• Hoʻopau physical exertion, e like me ia ma ka lā i kakahiaka nui ma hope o hookuuia ka hoʻomanawanui Kahalaopuna luhi a me ka loa luhi. Oe Pono e kiʻi nui o ke koena.
• Pale stress a me ko mākou hopohopo hoʻopilikia.
• Nīnau aku i ke kauka e pili ana i ka mana hiʻona. No, i loko o kēlā me kēia hihia kona koi, ka mea e hilinaʻi ma ka oolea o ka maʻi, na makahiki a me ka manaʻo pohihihi o ka hana.
• E e käpae 'ma hope o ka wehe' ana o nā puʻupaʻa, e kamaʻilio me ka kanaka i ka poe mai a me ka hypothermia no ka mea, i ke kino i keia manawa ua i palekana mai ka maʻiʻaʻai.
• Ma hope oʻoki kino, he kanaka pono kanaka hoʻoponopono i ke ano o na ami.

Eaioiuo ma hope oʻoki kino

Ua mea nui iloko o hoʻopulapula hahai ma hope i kupono no kou kino. I nā lā mua ma hope o ka excision kino o ke kanaka ka mana ua hakahaka intravenously. Ma hope o kekahi mau lā, i ka hoʻomanawanui hoʻomaka eʻai kū kaʻawale. Pono keia mau mea ma hope o ia i hana, hoʻohana freshly hoomakaukau ai, pela ka mea, e ia wale digestible, me ka kumumea oihana mua a me nā wikamina.

I ka loaa au mea maikaʻi ke hoʻomanawanui, e emi i ka haawe ana ma luna o ke ake, a puʻupaʻa. ? Aeiiaiaiaaia e inu kī kahi o ka mau hakuʻala, akā, kona noi ia mea pono, e pili ana me ke kauka. Kekahi pono e inu i ka hua kea i mai cranberries a me cranberry a me ka bearberry kī a me dandelion kumu.

Ma hope o hapa nephrectomy E e hou i kaʻai o nā hua paha, huawaina holika, ka meli a me kaʻano o kaʻai. Ai a me ka iʻa, ia mea pono e paila, akā, e mai fry. Akā, e hoʻololi aiʻano oe pono lohi, eia nae ka hapanui o na kapu haawi koke ma hope oʻoki kino.

Eia hou, i ka hoʻomanawanui, e i e haʻalele Puhi paka ai ', palemo iho, spicy a me ka oily ai. Ua ua hiki ole e hoʻohana huahana i loaʻa ka preservatives, mea ala, a me ka sodas kanakaʻona mau nā mea inu. Mai ka waiwai kai a me ka marinades maikaʻi, he, e haawi aku i ka manawa o ka hoʻopulapula.