Nephrostomy: He aha ia mea,ʻoki kino, malama, Kāohiʻana a me ka hopena

Puʻupaʻa Pono e hōʻike i kekahi o ka mea nui mana - koho o ka launa like huahana mai ke kino. Inā keia ua ole ke hana, i ke kanaka ke make mai intoxication iho metabolites.

I kekahi manawa,ʻaʻa puʻuwai hana ua hampered ma muli o ia mau pathological Hawaii. Iwaena o lakou - i ke kahua o ka maʻi 'aʻai, urolithiasis. Ma keia hihia, i ke koko kānana a me ka omo o ka mea pōhaku kumu mua i wahi, akā, i ka huina hoonui hope mea ole ia auoiaea. A e hookupaa i ke kaʻina hana, hookupaa nephrostomy.

He aha ka mea, a ia ia ua pono ai? Nephrostomy mea he paipu (moni loa) i pili i ka hakuʻala pelvis, a ho oholo wae mawaho. He mea pono e hoʻopaʻa i ke kahe o ka mimi a me ka pale intoxication.

Nephrostomy - He aha ka mea? oihana

E like me uaʻike, ma ka hihia o ka maʻi 'aʻai, he'ano'ē ana a me ka mālama' ana i hui, kēia hana, aole ia e mau hana. I kekahi manawa, ua ka hoʻohuli ai i nā'aʻaʻa ma kekahi wahi nui ia e wehe loa i mea e pale aku i ka laha o ka maʻi 'aʻai. Ma nā hihia, ma ka mea ku ole, ka'ano'ē hana mea e hiki no i ka'ōlelo ai kāna hana o ke kino. No keia mea, ka mea i invented palliativeʻoki kino. Ka mea, e i alakai i ka laau, akā, he hoʻonui i ka hoihoi hou ana o physiological hana. e lawe Palliative hana mai i loko o nā kula o ka oncology, mea i koe, a urological malama.

No laila, e like me ka hookupaa aku i ka excretory hana o ke kino a me ka hoola ia ke kanaka, mai endogenous intoxication, hoʻomaka nephrostomy. Ua Ua kauohaia mai au e ka nōkahea şarkı ma pyelocaliceal hakuʻala nenoaiu. Ke noa hope o ka nephrostomy hookuu i ka waho, i ka mea, o ka ili o ka ili. No keia ua pili i ka hana ipu, a hoʻokō i ka outflow hopena nā huahana o pūnao piliwaiwai ka bladder, urethra a me ducts.

Keia hana pili i ke 'ano o ka palliative malama, no laila, i ke kauka e e pono noʻonoʻo e pili i ka ua hoomanawanui e pono nephrostomy. He aha ka mea a pehea e mālama no ka mea, ka mea e wehewehe i ka hoʻomanawanui ma muaʻoki kino. A me ka mea hoʻonoho o ka hakuʻala nōkahea ua hana ia me ka 'ae' ana i kākau 'o ka hoʻomanawanui a me kona poe hoahanau wale. He mea pono e Loiloi i ka nohona ma ke ano o ke ahonui a me ka ike ai i ko, e lawe mai ia i ka hana i hiki.

Nāʻikepili no ka haawi nephrostomy

Like me kekahi kanaka-i auwai, nephrostomy i loko o nā puʻupaʻa hana he nui kuleana pili i. Loa pinepine, ka mea, ua hoʻonohoʻia i loko o Ka maʻi 'aʻai o ka genitourinary nenoaiu. Ma ka liʻiliʻi loa - i loko o nā mele urological pathologies. Aia i ho'ākāka 'ia i nāʻikepili e like me ka mea i hoʻokumu nephrostomy. Ke hana ua hana, ina nephrostomy i ka kēia nāʻikepili:

1. Cancer o ka hakuʻala 'ole' ē aʻe nā loko o ka urinary nenoaiu.
2. Hydronephrosis.
3. Urolithiasis me ka predominance o na pohaku nui.
4. Metastasisʻeho o kekahi IIeEeAIEUAA,'ōpā pū i ka pelvic nā loko.
5. Ureteral iaʻi ku i ka mīkini'opihia o kona waho paha strictures.

Nephrostomy ole wale kōkua i ka outflow o ka loli, e hoihoi mai i ke kino, akā, no hoi, e pale aku i ka hanana o ka li nui. E like me ka hopena, käpae 'maʻi a me ka huʻi hakuʻala ole.

Kēia hana 'Aʻole i mau manaʻo i kaʻimi hoʻopunipuni nōkahea e ia i loko o ke kino paʻa. Ma kekahi mau hihia, ma hope o ka hana lapaʻau (ʻoki kino, chemotherapy) nephrostomy ua wehe. I kekahi manawa, he mea pono ke hoihoi hou i ke kahe o ka mimi i ka manawa o ka hana PalekanaEND_LINK ke kaʻina hana (stenting).

Contraindications e nephrostomy

I loko nō o ka manaʻo e pono ai no kaʻoki kino nephrostomy ia mea,ʻaʻole e mau ana e hiki ke hana. Contraindications nā mea Hawaii:

• kahe ana ke koko kāna hana;
• kipi hypertension;
• anticoagulation.

No ka maʻi i loko o ke koko i coagulation ua kupikipikio mea pili hemophilia, hemorrhagic vasculitis, thrombocytopenic purpura a me ka e like. D. Ma kēia mau pathologies kekahi hana ana 'uao pilikia i ke ola. ʻO ia pili i ka loaa anticoagulants - lapaau, koko thinners. Nephrostomy i kau, a kiʻekiʻe ke koko, i mea ole amenable i ka lāʻau e hooponopono. Hanaʻoki kino i loko o keia ano ua contraindicated no ka mea, o ka pilikia o ka mapuna hoe, a cardiogenic kŰia.

Hoomakaukau no ka holo nephrostomy

Ma na hihia o ka 'aʻe' ana o ka outflow o ka mimi, i hiki ole ke eliminated me ke kōkua o ka lapaʻauʻia, pono nephrostomy i loko o ka hakuʻala. Ka hana e onoaiiaea ia, e like me ka rula, 'aʻole i lawe lōʻihi, nae, pono i ka haukapila iaʻu.

Ma mua o na lede i kaʻoki lāʻau lapaʻau kaʻina hana, ia mea pono e hana PalekanaEND_LINK ho'āʻo ma. Iwaena o lakou - i ka nui a me ka biochemical koko ho'āʻo ma, urinalysis, coagulation. Inā i ke kumu o anuria (aʻe 'ana o ka outflow o ka mimi) mea i maopopo, e koi' ia vocal examinations. Mau nā excretory urography, ultrasonography o nā puʻupaʻa, HI.

'Ana i kūpono o ka nephrostomy

Nā mea maʻi, a papa, makemake e ike i ua pono ai nephrostomy mea ia mea, a pehea ia ua hoʻonoho. It E e hoʻomaopopo i ka auoiaea o ka moni loa şarkı, mai ka hakuʻala a hiki i ka ili ili no ua hoano e surgeons noʻonoʻo mea hana. Ua hana nā lalo mau anesthesia, a me ke kōkua o kūloko anesthesia. Nephrostomy i hana koke aku, i loko o 15-20 minuke. Eia naʻe, ma hope o ka hana o ka hoʻomanawanui e e ua hoʻonānā. He mea pono e Loiloi i ka loaa o ka mimi outflow. Aia i 3 ke ano o ka nephrostomy. I waena o lākou:

1. Hooko ana i hamamaʻoki kino.
2. Laparoscopic nōkahea mea hoʻonoho.
3. Percutaneous nephrostomy.

Loa pinepine hana hope koho. A hāpai nephrostomy puncture ma kaʻili, a hp'pnphp'aʻaʻa ua maikaʻi tolerated e hoʻomanawanui iki mai. Eia hou kekahi, percutaneousʻoki kino ua noʻonoʻo emi traumatic ma mua o hamamaʻoki kino. Ua hana ma lalo o ultrasound a X-Ray.

'Ana i kūpono o ka hana ka loaʻa o ka puncture o kaʻili, momona, Muscle a me nā konāhua parenchyma ka hoʻohana' ana i ka puncture kuikele. Iloko o ka hooko ana o nephrostomy Kauka kiaʻi i ke kanaka hoʻoponopono. He mea nui, e like me kou pono e komo i loko o pyelocaliceal'ōnaehana me ā 'inoʻino kekahi i ka puni'aʻaʻa. Ma hope o hookomo o ke kuikele i nōkahea şarkı, ua pili i ka noaʻaoʻao o ka a hiki i ka mimi ohi eke.

I ka wehe e nephrostomy?

Inā ka hana ua lawe mai ia? I ka pākōlea ohe. (Chemotherapy,ʻaʻa puʻuwai vascular stenting), ma hope o ka ho'ēmiʻana wehe nephrostomy physiological mimi outflow.

I kekahi manawa, i ka moni loa şarkı i no ka indefinite wā. Loa pinepine no ka maʻi 'aʻai, a loa. I ka Ia manawa mea pono e e auou caiaiai kekahi manawa nephrostomy. It E e hana i loko o ka pae'ōnaehana lumi. Like ka loiloi muaʻoki kino,'aʻaʻa puncture ua i koi 'ia, mai ka mea i hana fistula puka.

Loaa ma hope oʻoki kino

Loaa ma hope o nephrostomy mea e hookeai ai. Ua i ka lā mua o ka hoʻomanawanui ke neʻe puni i ka hanai, me ka nōkahea Tube. E antibiotics ma hope oʻoki kino e ia no 5-7 lā no ka Kāohiʻana o ka maʻiʻaʻai. I loko 2-3 lā i ke koko ke komo i loko o kaʻeke. Kēia mea ma muli o ke traumaticʻaʻa puʻuwai moku. Ma hope o 3 mau lā, i ke kahe ana ke koko aɃe. I ka mana i ke kahe o ka mimi hua ultrasound.

Nephrostomy: hale mālama wale

No ka mea, nōkahea mea he haole kino i ke kino, i kekahi manawa ka mea, ua hiki i ka maʻiʻaʻai. Kēia ao mai no kēlā me kēia hoomanawanui, a ua hoʻonoho nephrostomy. Catheter mālama e halihaliia oia iwaho noke. Ma nā kiʻina hana o ka Kāohiʻana o ka maʻiʻaʻai nā:

1. Holoi ana me ka nōkahea şarkı me Saline a me antiseptics. No kēia mea i hoʻomākaukau "Chlorhexidine" a me "Furatsilinom".
2. Kau i ka lole wili sterile ma luna o ka wahi o kaʻoki lāʻau lapaʻau eha.
3. 'Eleu emptying o ka urinal.
4. Ka mālamaʻana ma kekahi kauka nā 2 pule.

E hoomanawanui i ka poe i ka nephrostomy, e hiki ole hana, hoʻokiʻekiʻe paona. Ke inflection o ka nōkahea şarkı i ka hopena i complications, no laila, ke catheter pono ia i loko o kekahi wahi.

Kauka e pili ana i nephrostomy

E like me ia urologists, nephrostomy - mea he pono ana, me ka a he mea hiki ole ke hana. I loko nō o ka hoopii ole mai, mai ka hana, a me ka nele i mau malama o ka nōkahea, mea hoʻonoho o catheter nā mea maʻi pono e hoopakele ia ia, mai ka make intoxication a me ka maʻiʻaʻai.