Chii chinonzi Extracorporeal Shockwave Lithotripsy (ESWL)?

Extracorporeal Shockwave Lithotripsy (ESWL) inoreva nzira yekupwanya matombo eitsvo kuita zvidimbu zvidiki uchishandisa masaisai anovhundutsa.

ESWL inowanzoitwa sekurapwa kwevari kunze, zvinoreva kuti haufanirwe kupedza husiku munzvimbo yehutano kana muchipatara mushure mekuvhiyiwa.

Zvimedu zvidimbu zvematombo eitsvo zvinozoburitswa kunze kwemuviri kuburikidza nemukoto weti. Kana dombo rako rakakura, ungangoda mamwe marapirwo.

Chii chinonzi EWSL?

ESWL inzira inoshandisa muchina unonzi lithotripter kuendesa kutevedzana kwemafungu ekuvhundutsa. Mafungu ekuvhundutsa anofambiswa akananga kuitsvo yakabatwa, uye masaisai aya anopfuura nepaganda nematishu, achitarisa pakupwanya matombo eitsvo kuita zvidimbu zvidiki, zvakatsemuka. Zvimedu zvakatsemuka izvi zvinoburitswa kunze kwemuviri kuburikidza nemuweti, uye izvi zvinogona kutora kusvika mavhiki akati wandei mushure mekurapwa.

Ndezvipi zviratidzo zvinoratidza itsvo matombo?

Chero munhu ari kurwara neitsvo matombo anobatsirwa nenzira iyi. 

Zviratidzo zvinosanganisira:

• Kurwadza kwakapinza mumativi ezasi uye kumashure kwechikamu chemuviri
• Kupisa marwadzo akananga kuzasi kwedumbu nzvimbo uye groin
• Kunzwa kurwadza kana kupisa kana uchibuda weti

Kumbira kusangana kuApollo Hospitals 

kufona 1860-500-1066 kubhuka nguva

Ndedzipi njodzi dzakabatana neEWSL?

Boka rinotevera revanhu rinoda kutarisa nachiremba wavo pane njodzi dzinosanganisirwa neEWSL:

• Varwere vane pamuviri
• Varwere vari kushandisa “zvinoderedza ropa” kana kuti vanobuda ropa
• Varwere vane ureteric blockage kana mavanga mavanga anogona kudzivirira zvidimbu zvematombo kubva
• Varwere vane cystine uye mamwe marudzi ematombo ane calcium-based, sezvo matombo aya asingatsemuke nyore nyore.
• Varwere vane moyo pacemakers vanofanira kuzivisa vanachiremba vavo. Usati wavhiyiwa, ita shuwa kugovera chero zvinokunetsa iwe nachiremba wako
• kufutisa inogona kuita kuti lithotripsy iwedzere kuoma

Ndeapi matambudziko eEWSL?

ESWL inogona kuunza matambudziko anotevera:

• Kupfuura kwezvidimbu zvematombo kunokonzera marwadzo
• Nekuda kwezvimedu zvematombo zvinogara muurinary stream, weti kubuda kunovharika. A ureteroscope inogona kudiwa kubvisa shards
• Infection yeurinary tract
• Kubuda ropa kumativi eitsvo

Ndeapi matambudziko ane chekuita neEWSL?

ESWL inzira yakachengeteka. Nekudaro, kune dzimwe njodzi dzinofanirwa kucherechedzwa nevarwere:

• Kubuda ropa uye Kuwedzerwa ropa: Hematoma (kubuda ropa mukati nekutenderedza itsvo) idambudziko risingawanzo konzeresa kuwedzerwa ropa. Zvisinei neizvi, kuisirwa ropa kweESWL kazhinji kuri pasi pe1%.
• Kurwara: Pasinei nenyaya yekuti varwere vanowana mushonga wekupinda mutsinga pamberi peESWL, zvirwere zveweti zvinogona kuitika, zvichikonzera kupisa kwakanyanya uye kutonhora. Kunyange zvazvo utachiona huzhinji huchigona kubatwa nemishonga inorwisa mabhakitiriya, vanhu vangada kudzorerwa kuchipatara kunopinzwa mutsinga nemishonga inorwisa mabhakitiriya mumamiriro ezvinhu asingawanzoitiki.
• Tissue kana Organ Injury: Kukuvadza kune ganda rakapoteredzwa, matishu, tsinga, tsandanyama, uye nhengo (chiropa, spleen, madiki uye makuru matumbu, pancreas, uye itsvo) zvinogona kuitika mushure meESWL. Kukuvara kwakawanda kudiki, kupora kwega, uye hakudi kurapwa kumwe.
• Kutsemuka kwedombo kusina kukwana: Kunyangwe ESWL iri mushonga unobatsira weitsvo nematombo eureter, kushanda kwayo kunoenderana nezvakati wandei, kusanganisira kukura uye chimiro chematombo. Zvikamu zvakawanda zveEWSL zvinogona kudiwa.
• Hypertension uye chirwere cheshuga: Hypertension, kunyanya diastolic hypertension, inogona kuitika yeSWL. Zvinokurudzirwa kutarisa nachiremba wako usati watora EWSL.

Kumbira kusangana kuApollo Hospitals 

Nzira yekudzivirira sei EWSL kurapwa?

Heano mashoma matipi ekukubatsira iwe kudzivirira itsvo matombo kubva pakukura: 

1) Zvichengete uine hydrated

Nzira yakanakisisa yekudzivirira matombo eitsvo ndeyekunwa mvura yakawanda. Weti yako inobuda ichave ine mwero kana ukasanwa zvakakwana. Paunenge uine weti yakaderera kugadzirwa, weti yako yakanyanya kunyura uye kashoma kuve nekuwanda kwehuwandu hwewati munyu, izvo zvinogona kutungamirira kumatombo.

2) Wedzera kudya kwako calcium 

Iro calcium oxalate ibwe ndiyo inowanzogara rudzi rweitsvo, zvichiita kuti vanhu vakawanda vatende zvisiri izvo kuti vanofanira kudzivisa calcium. Asi kutaura zvazviri, kudya kwakaderera-calcium kunogona kusimudza njodzi yako yekuvandudza matombo eitsvo uye osteoporosis, saka zvinokurudzirwa kushandisa chiyero chine hutano che calcium.

 3) Kudya munyu mushoma

karusiyamu kidney stones zvinowanzoitika kana iwe ukadya chikafu chine munyu wakawanda. Kana paine munyu wakawandisa muweti, calcium haigone kudzoreredzwa mukutenderera. A high calcium level muweti ndiyo mhedzisiro, iyo inogona kutungamirira kumatombo eitsvo. Nokudya munyu mushoma, unogona kuderedza kuwanda kwecalcium muweti yako. 

4) Deredza madyiro aunoita oxalate-rich food

Kuchengeta zvikafu zvine oxalate zvishoma zvinogona kubatsira kudzivirira kuumbwa kwematombo.

• sipinachi
• chokoreti
• Mbatatisi inotapira
• kofi
• Peanuts
• Zvinhu zvakagadzirwa kubva rhubarb uye soy
• Bran kubva kugorosi

5) Vitamin C supplements inofanira kudziviswa

Kuwedzera vhitamini C (ascorbic acid) kunogona kutungamirira kumatombo eitsvo, kunyanya muvarume. Varume vakatora dosage yakakura yevhitamini C yekuwedzera vaive nemukana wakapetwa kaviri wekugadzira dombo reitsvo. Asi Vitamin C kubva kune zvekudya haikonzeri njodzi imwechete.

Chiziviso kubva kuApollo Hospitals/Apollo Group

ESWL inzira isiri-invasive yekurapa yekupwanya matombo makuru eitsvo kuita zvidimbu zvidiki, zvichibvumira kuti abudiswe neweti. Kana uri kurwara neitsvo, unofanira kubvunza chiremba wako weApollo wosimbisa kana chirwere chako chichikwanisa kurapwa neESWL.

Mibvunzo Inonyanya Kubvunzwa

1) Ko anesthesia inodiwa kune iyo ESWL maitiro?

Kunyange zvazvo ESWL iri nzira yekurapwa kunze, vanachiremba vanogona kupa mazano ekushandiswa kweanesthesia zvichienderana nekuoma kwemamiriro ematombo eitsvo. Anesthesia inobatsirawo mukuzorodza varwere kana chirongwa ichi chaitwa.

2) Zvakakosha here kubvuma murwere kuti aitwe ESWL?

Nguva zhinji, ESWL inzira yekurapwa kunze, zvinoreva kuti murwere anogona kubva muchipatara kana kurapwa kwaitwa. Asi kana zvichidikanwa, chiremba wako weApollo anogona kukurudzira kuti ugamuchirwe kuti utariswe uye utarise kupora mushure mekuita. 

3) Pane here chenjedzo dzakakosha dzinofanirwa kutorwa mushure mekunge ESWL yaitwa?

Mushure mekurapwa, murwere anofanira kukwanisa kufamba-famba pasina chikonzero chekutsigirwa. Varwere vazhinji vanogona kudzokera kumaitiro avo emazuva ese mukati mezuva rimwe kana maviri. Chiremba wako weApollo anorayira kunwa zvakakwana zuva rega rega kubatsira zvidimbu zvematombo eitsvo.