Zviratidzo zvekureruka zvinoreva nzira dzisiri dzokuvhiya dzokurapa kweurolithiasis. Iyi nzira yakakurumbira zvikuru nekuda kwekubudirira kwayo. Ngationgororei nzira iyi yekurapa muchidimbu, tichasiyanisa maitiro ayo.
Zvinyorwa - chii ichocho?
Kutaura kuna vanachiremba kuti vabatsirwe, kazhinji varwere havazivi chii chiri kure, uye vanofungidzira kushanda kukuru. Iyi nzira yehutano yehutano hweurolithiasis inobatsira kukurumidzira kubvisa zviratidzo zvechirwere - mhedziso. Muchiitiko ichi, vanogona kunzvimbo yepamunharaunda, zvose mumushure, uye mumukaka uye kunyange muinso. Chinokosha chechigadzirwa ndiko kuparadzwa kwemajeri kure. Chimwe chigadzirwa chinokosha chinokonzera kushamisa, izvo chiremba anotungamirira kunzvimbo chaiyo ye calculi. Somugumisiro, kukuya kwavo zvishoma kunowanikwa.
Zvinyorwa - zviratidzo
Kushandurwa kwemashure kunonzi thotripsy kunoda kutanga kutarisisa kunyatsoongorora nekuongororwa kwemamiriro emurwere. Vanachiremba vanonyatsotsanangura nzvimbo yenzvimbo yematombo, vanogadzirisa maitiro avo, ukuru, kuverenga nhamba yose. Zviratidzo zvekunyengedzwa kwakadaro, sekudengenyeka kwekutevedza kunowanikwa:
- unreteral or kidney stones, in diameter less than 2.5 cm;
- kurwisa kwe renal colic ;
- kuramba kwenguva refu uye kuputika kwenguva refu kwehuroti urogenital;
- hapana hunobudirira hwehutano hwakanaka;
- kuvapo kwematombo mumuchiri uye chidzara pamwe chete.
Mukuwedzera kune zviratidzo izvi, vanachiremba vanopawo munhu mumwe nomumwe. Saka ibwe riri murereter rinogona kukonzera kukura kwehuputi mutsvuku, nekuumbwa kwe hydronephrosis. Kana kusina kubatwa kwakadaro, sechidiki chekudzivirira, izvi zvinogona kutungamirira kukurudzirwa kwekushaya simba. Ichi chirwere chinoda kurapwa kwenguva refu, kuongororwa kwevadzidzisi nguva dzose.
Lithotripsy yeinso mabwe
Zvinyorwa zvekutsvaira kwemakumbo eminzwa zvinosanganisira kupwanyiswa kwezvipfeko kuburikidza nekubatsira kwekutyisa wave. Muchiitiko ichi, nzvimbo yekomba inoshandiswa kuburikidza neganda. Zvichienderana nemhando ipi yemasimba inoshandiswa panguva inoitwa, maitiro anotevera e lithotriptors (makamuri okupwanya) anosiyaniswa:
- electro-hydraulic;
- piezo-magetsi;
- electro-magnetic.
Kudzora pamusoro penzvimbo yekudzivirirwa, kuiswa kwekutyisidzira, iyo yakareba-wave lithotripsy inoitwa, inoitwa ne ultrasound. Iko rudzi rwekusapindira kusingabatsiri runoitwa pasi pese anesthesia. Izvi zvinorega zvachose kusuruvara. Nzira iyi vanachiremba vanoshandisa kuputsa mabwe maduku, akaenzana kwete 2 cm. Sezvo mugumisiro wacho, zviduku zvejecha zvinoramba zviri muitsvo, izvo zvinosununguka kubva mumugini kunze.
Zvinyorwa zvematombo mumatombo
Zvinyorwa zvemugungwa zvinofanana neyo nzira inotsanangurwa pamusoro apa. Misiyano ndeyokuti migumisiro inotungamirirwa kune bile calculi. Vane sarudzo yakasiyana-siyana, kazhinji kachidiki muhukuru, asi yakasimba kudarika itsvo. Zvichiitwa izvi, vanachiremba vanoshandisa zvimwe zvirongwa zvekushandisa panguva iyo nzira. Izvi zvinobatsira kuti zvibudirire zvaunoda.
Muchengeterwo wemagetsi anogadzirisa kutyisidzira kwemukati. Somugumisiro, pakuisa pfungwa, simba rinosvika pakakwirira uye ibwe rinowira nyore nyore. Mafungu anokurumidza kupinda mukati mezvipfeko zvinonyorera, zvichida pasina kurasikirwa nesimba. Nokuti nzira yekrete inogona kukanganisa kusvika kumafree 3000. Nhamba yavo yakagadzirirwa maererano nehuwandu uye simba rematombo.
Zvinyorwa zvematombo mumusere
Zvinyorwa zvekure kwemarevereredal akave nezvimwe zvisikwa. Nemhaka yenzvimbo shoma, lumen yakanyanyisa yemukati, nzira inoda kunyatso. Chiremba anofanira kusarudza nzvimbo uye nhamba yematombo, kuitira kuti usati watanga kushandura, gadzirisa rudzi rwetachitriptor inoshandiswa. Kudzora kweyo nzira inoitwa kuburikidza uchishandisa machine ultrasound.
Mushure mematombo kusvika paduku duku, maitiro akare ari kurega (kure kurechera chiptripsy). Kuchengetedza kushandiswa kwemashure pashure pokugadzirisa, varwere vanorayirwa kuti vawane diuretics. Panguva imwe chete, chirwere chinopesana nekuputika chinoshandiswawo, kana zvichidikanwa, zvinodhaka zve antibacterial zvinorayirwa kuti zvisabvise utachiona.
Remote lithotripsy - zvinopesana
Kungofanana nedzimwe nzira dzezvehutano, hutachiona hwematombo huri kure hunopesana. Asati aenda kumurwere wake pane kuongorora kwenguva refu. Vanachiremba vanotora chisarudzo chekupedzisira mushure mokugamuchira mhinduro. DLT, yakasununguka ichitripsy, haigoneki ne:
- zvakanyanya kupisa zvinokonzera, zvirwere (pyelonephritis, cystitis);
- ikozvino pamuviri;
- kuputsa kweropa coagulation system;
- kuwedzera muviri muviri (kurema kwema 3 uye 4 degrees);
- zvirwere zvemwoyo yematambudziko;
- tsvina yemitemo;
- kutora mishonga inonatsa ropa (Warfarin, Aspirin);
- kupfupisa kwevechiremba pasi pehutano hwekuwana nzvimbo ye calculus.
Kugadzirira kune chikwata chekunze
Remote ultrasonic lithotripsy inosanganisira kugadzirira gadziriro. Pamberi penzira, kucheneswa kwakakwana kwemukati kunoitwa. Kwemazuva mashanu anotanga kutevera kudya. Bvisa pane zvekudya:
- chingwa chinotema;
- yakabikwa mukaka michina;
- mafuta anodya;
- nyemba;
- juices;
- mitsva itsva nemichero.
Chikamu chisingagoni kuparadzaniswa chekugadzirira ndedzidzo dzebhakato. Vanobatsira kuziva chimiro chemuviri. Pamberi pe electro-hydraulic lithotripsy inoitwa, zvinodiwa:
- biochemistry yeropa;
- general analysis of urine;
- ropa coagulation test;
- Ultrasound kugona ukuru, nzvimbo yematombo, nhamba yavo.