I-stent in ureter

Ukwelapha izifo ezihlukahlukene zesistimu ye-urinary nokuthuthukisa ikhwalithi yokuphila kwesiguli, kwezokwelapha, kuvame ukusebenzisa indlela enjengokugcizelela umlenze. Kulesi simo, i-stent ekhethekile ithuliswa emgodini walesi tube, ngosizo lapho ukuphuma komchamo okwejwayelekile neminye imisebenzi yomzimba wesiguli kuvuselelwe.

Kulesi sihloko, sizokutshela ukuthi yiziphi izimo ezitholakala kwi-stere, lapho kutholakala khona ngaphakathi emzimbeni, nokuthi ungayisusa kanjani kahle.

I-stent ifakwe nini futhi nini?

Ngokuvamile kunesidingo sokwenza umfutho we-ureter kwenzeka ezinkambeni ezilandelayo:

• ukuqina kwezinso zamatshe ezindaweni zokunciphisa umzimba;
• ukumboza ithubhu ngezindwangu zegazi;
• ukuthuthukiswa kwesisu esibi noma esinobungozi emzimbeni;
• edema ngokweqile ye-mucosa yangaphakathi ye-ureter;
• ezinye izinqubo ezithathelwanayo nokuvuvukala.

Kuzo zonke lezi zimo, kanye nakweminye imibonakaliso, i-stent ekhethekile idluliselwa emzimbeni wesiguli, okuyi-cylinder encane eyenziwe ngensimbi yensimbi. Ngaphambi kokufakwa, le divayisi ifakwa ibhaluni, efakwe emgodini we-urinary nomqhubi okhethekile.

Lapho konke lokhu kusebenza kufinyelela endaweni efanele, lapho kugcizelelwa khona ukugcizelela kwegazi, ibhaluni ivuleka, izindonga ze-stent ziqondiswe futhi ngaleyo ndlela zandisa isibani esakhiwe. Ngemuva kwalokho, ibhaluni isusiwe, kanti i-stent ihlala emzimbeni futhi yenza umsebenzi wesidumbu, esingavumeli umlenze ukuba abuyele ebukhulu bawo bokuqala. Ukusebenza njalo kwenziwa esikhungweni sesibhedlela esibhedlela ngesifo se-cystoscope esifakwe kulesi sifo.

I-stent engavamile ikhona emzimbeni wesiguli kuze kube yilapho izinga lokuvimbela linciphisa. Lokhu kuthinteka ngezici eziningi ezihlukene, ngakho-ke akunakwenzeka ukubikezela ukuthi kuzodingeka nini isikhathi sokususa i-stent kusukela ku-ureter.

Njengomthetho, le divayisi itholakala ngaphakathi kulo mzimba kusuka emavikini ambalwa kuya ngonyaka. Phakathi naleso sikhathi, ezimweni ezingavamile, kungase kudingeke ukuthi kube nokuphila okude isikhathi eside, lapho kuhlolwa khona izinyanga zonke izinyanga ezingu-2-3. Kodwa-ke, ngisho nakule nkinga, akukho mingcele ekhishwa empilweni yesiguli ngemuva kokuba i-stent efakwe ku-ureter.

Iziphi izixazululo ezingase zithuthukise i-stent in the ureter?

Le nqubo ibangela izinkinga ngokungajwayelekile. Noma kunjalo, banendawo yokuhlala, futhi zonke iziguli ezidinga ukuthungula okudingekayo zibe nolwazi olugcwele mayelana nezinkinga ezingenzeka. Ngakho-ke, ezimweni ezingavamile ngemuva kokusebenza kungakha izifo ezilandelayo:

• i-hematuria ne-dysuria;
• i-urosepsis ne-pyelonephritis;
• reflux vesicoureteral;
• i-hydronephrosis.

Ngaphezu kwalokho, emva kokufaka le divayisi, ingabanjwa noma iguquke emgodini wokugcoba. Esimweni esinjalo, ukuhlinzwa okuphuthumayo okungadingeka kungadingeka ngezinga eliphakeme.

Ingabe kubuhlungu ukukhipha i-stent kusuka ku-ureter?

Njengoba zonke iziguli emva kokubekwa kwe-stent kuzodinga ngempela ukususwa kwayo, iziguli zivame ukuba nesithakazelo kulokho okuvelayo kulesi simo. Eqinisweni, le nqubo ingenabuhlungu futhi ayifuni ngisho nokusetshenziswa kwe-anesthesia jikelele.

I-stent esuka ku-ureter isusiwe ngendlela efanayo njengoba isethiwe - usebenzisa i-cystoscope yokusebenza. Masinyane ngesikhathi sokuhlinzwa, ezimweni ezingavamile, ubuhlungu besisu kungenzeka, kanye nokushisa nokungahambi kahle esifundeni se-suprapubic, kodwa lezi zizwa zidlula ngokushesha.