Nephrectomy: chiratidzo, postoperative, vapore, kudya kunovaka, nechirevo

Kune vakawanda zvirwere umo itsvo kubviswa - chete nzira rokuponesa upenyu murwere. Ichi chinhu zvakanyanyisa nechiyero, asi kana iwe usingagoni kuita pasina izvozvo, unofanira kuwana mashoko akawanda pamusoro chii chichaitika. Uye chinodiwa kwete chete kuziva sei chichaitwa kuvhiyiwa, asi kuti uzive zvose pamusoro nguva vapore inomutevera.

itsvo basa

Mumuviri womunhu hapana haakoshi nhengo. Mumwe anoita basa rake, kukanganisa mamiriro ezvinhu evanhu vakawanda. Itsvo vanoita zvakawanda kushanda, izvo zvakaenzana inokosha:

• rokuchenesa ropa pamusoro nitrogenous excretions muviri uye nedzimwe muchetura;
• tiine zvakakodzera nenhanho electrolyte;
• Urume takatsiga mune nyama dzomuviri;
• kuvariritira uye BP masimba;
• pakusarudza muchitokisi nyama pakati pakugadzira vanoshingaira zvinoriumba, akadai renin uye erythropoietin.

The secretion pamusoro renin uye erythropoietin kunoda munhu kutsigira BP mumatunhu uye yakananga ropa inotungamirwa.

Zvairatidza kuti nokubviswa nhengo

Nokubviswa itsvo ndiro zvokurapa zita - nephrectomy. Asati kupa kuvhiyiwa, vanachiremba vanoedza kuchengeta muviri pamwe iripo nzira dzose. Chokwadi ndechokuti kana itsvo anokwanisa kushanda nokuti dzinenge 20%, saka anogona kurarama Batsiranai mabasa. Asi vamwe pathologies amabasa hazvingadziviswi. Kana nguva haina kunze kubviswa netsvo, zvichaitika vakaomerwa.

Nephrectomy iri nachiremba nhengo mupfungwa, nyanyisa namamota, vachiberekwa anomalies, hydronephrosis uye polycystic. Kana kuziva miedzo malignancy kunonoka kusarudza zvisingabviri. Nokuti kenza dzinoratidzwa kukurumidza kupararira metastasis chaiye munyama.

achiita maitiro

Nokubviswa itsvo harigadzwi pasina misoro kuzviongorora murwere. Kuongorora kushanda mamwe nhengo taurira maekisirei pamwe musiyano MRI uye nemimwe miedzo. Muzviitiko ari functionality iri achiongorora panguva kushanda nokusuma dhayi chaiyo kuti anofanira goho racho weti.

The oparesheni rinoitwa muchipatara. The murwere muchipatara kubva 1 kusvika 3 mavhiki. Ichi kunobva kunzwisisa uye mhando kushanda. Nephrectomy rinoitwa opencast kana laparoscopically.

Vanachiremba vanosarudza nephrectomy laparoscopically. Varwere vanotambura akafanana nyore nokubviswa itsvo. Reviews ose laparoscopy kupfuura zvakanaka;

• Muviri hakusi guru uye dzakashata vanga;
• oparesheni nani;
• kashoma kuti kuva zvakaoma kunzwisisa;
• nyore narwo vapore;
• urema zvinogona kudziviswa.

Chokwadi chokuti kuchinja rinoitwa kuburikidza incision diki iri lumbar nharaunda. Ivo akatanga laparoscope, uye kudzora kuita paruchaitika akazvitsaurira Monitor.

zvinogoneka yematambudziko

Nokubviswa itsvo angaperekedzwa dzisiri dzakananga matambudziko, izvo novimba concomitant zvirwere uye kwenguva refu kutadza kufamba. Izvi zvingava mira nemabayo kana pulmonary embolism. Mune zvimwe zviitiko, yakatanga thrombophlebitis, myocardial infarction kana nevanga. yematambudziko zvakadaro okurapa zviitike Kazhinji nekuti vanachiremba vari matanho kwakavatadzisa.

Murwere anofanira kunzwisisa kuti kubviswa itsvo - zvakaipira yepamusoro chirwere, izvo zvinogona kukonzera kukuvara. Kuvhiya Kupindira muchiitiko ichi hakudzivisiki. Asi chete postoperative yematambudziko zvinogona kudziviswa. Zvakawanda zvinoenderana nokuti preoperative gadziriro uye chido nekukurumidza ngarudzokere chinoshingaira upenyu. Zvakakosha kutevera zvose dzokurapa mirayiridzo uye kutevedzera.

The postoperative kumwedzi. kurovedza muviri

Kana vakaita itsvo nokubviswa, postoperative nguva zvinoda rokuzorora. Zuva rokutanga, murwere riri shure kwake, unopinza kufamba uye anotendeuka naro kurutivi yayo contraindicated nokuti vanogona vapedzisire majoini chete renal pedicle. Pakazosvika rokutanga kana mangwanani, vanachiremba netsvimbo unobatsira zvinyoronyoro rwakapetwa pamusoro wayo divi. Kubvumirwa kugara pamubhedha kwemaawa 2-3, kana kwete pachena matambudziko. Unokwanisa kubuda mumagumbezi pazuva rechina.

Murwere inokurudzirwa kuita kurovedza kufema, kufambisa maoko ako uye makumbo zvakanaka. Haukwanisi kugara kwenguva yakareba Kuchakati zii, asi akanyanya vanoshingaira, maiwe. Kutadza kutevedza kunenge, unogona kuwana heniya kana adhesions.

Chinonyanya kukosha mugariro - kushandiswa mvura yakachena

Nezvokumutswa zvokudya zvinovaka muviri uye kushandisa gadziriro vezvokurapa mumuviri womunhu ndiye paumbwe muchetura. Ivo yabudiswa muna mutsvina yadzo weti uye, asi kwete nguva dzose itsvo vanokwanisa zvinobudirira kuita kugadzira yavo. More kumanikidzwa pane panyaya kubviswa aiwanzopiwa wokushanda nhengo, saka zvakakosha chaizvo kuti zviite basa yasara itsvo.

Chokutanga, murwere anofanira accustom pachake kunwa chete mvura Yakanatswa iyo vakapfuura firita. Zvinonzi Dzakamukurudzirawo kunwa yakarukutika mvura. The daily Kudya zvakafanira ngotauri asingasviki 30 ml mvura yakachena paminiti 1 kg kurema muviri kana akanyauka mvura 7 Rine mamiririta, ukuwo.

Vanhu vanenge kufutisa, unofanira kuwedzera dose mvura kudyiwa kukarukureta ichi:

• Yakanatswa Water - ml dzinenge 40 paminiti 1 kg muviri uremu;
• meltwater - 10 Rine mamiririta paminiti 1 kg muviri.

Izvi mwero mvura inodiwa kushandiswa nezuva, uye ndinoiitawo murwere yose inofanira kugamuchira imwe mvura, iyo inowanikwa miriwo, michero, soups uye zvichingodaro. D.

Kunwa mvura yakakwana akawanda vanopa nyoro cheya, asi weti anova asina kudaro dzichiitika.

dhayeti

Upfu chokutanga anobvumirwa anenge zuva pashure pokuvhiyiwa, asi mvura inoshandiswa kubereka. Vamwe varwere chokunyunyuta pamusoro yadzikira intestinal motility uye kwakawedzera flatulence.

Mushure murwere aiva itsvo nokubviswa, zvokudya zvinofanira zvachinja. zvichaita The maviri akatevera kudiwa kutevera zvokudya: kubvisa zvachose zvokudya zvakarungwa nomunyu, Marinated, aisvuta uye Spicy zvokudya kuderedza mapuroteni yaunodya uye zvihwitsi, kusaita zvisina kufanira kofi netii.

The daily Muterere inofanira kusanganisira michero nemiriwo. The Kudya zvakafanira kupinda nhanga uye visi. Meat kana nyama madhishi zvinofanira steamed kana yakabikwa zvakakangwa nekuti ichi nguva kunokuvadza. Apo neapo unogona kudya yogati kana nomukaka zvigadzirwa, asi vanofanira kuva itsva uye duku pasherufu upenyu. The yaunodya pamusoro preservatives nani kuderedza kushoma.

vapore

Kana murwere abudirira munhu itsvo nokubviswa, vapore anogona kutora makore rimwe nehafu. Zvishoma nezvishoma, itsvo vasara akajaira yakakwirira zvinorema uye compensates kuti kusavapo aiwanzopiwa wokushanda nenyere.

Nguva yokutanga zvakafanira kubvisa rinorema kusimuka uye rinonetesa muviri. Morning uye manheru, zviri chinodiwa kuti kufamba anobatsira kwazvo kuparadza ane nyoro tauro uye douches. Cherechedzai zvichabviswa rwakabhadharwa kuna ganda yakachena, sezvo anoita excretory basa, pamwe vasara itsvo.

Shure kwokunge abvisa kudiwa kunyatsoongorora kuongorora mamiriro eutano neitsvo. Haugoni supercool, kumhanya zvirwere, kuzvinzwira medicate. Kugara yokubvunza chiremba wezvedundira kuchabatsira kuti chinangwa kuyera avo ezvinhu. Zvichengetedze, sezvinoita itsvo wechitatu muviri hauna inopiwa.