Yintoni i-Extracorporeal Shockwave Lithotripsy (ESWL)?

I-Extracorporeal Shockwave Lithotripsy (ESWL) ibhekisa kwinkqubo yokwaphula amatye ezintso abe ngamaqhekeza amancinane kusetyenziswa amaza othusayo.

I-ESWL isoloko isenziwa njengonyango lwezigulana ezingalaliswanga, nto leyo ethetha ukuba akufuneki uchithe ubusuku kwiziko lezempilo okanye esibhedlele emva kwenkqubo.

Iziqwenga zamatye ezintso eziqhekekileyo ziyakukhutshelwa ngaphandle komzimba ngendlela yomchamo. Ukuba ilitye lakho likhulu, unokufuna unyango oluninzi.

Yintoni i-EWSL?

I-ESWL yinkqubo esebenzisa umatshini obizwa ngokuba yi-lithotripter ukuhambisa ulandelelwano lwamaza othusayo. Amaza othusayo adluliselwa kwizintso ezichaphazelekayo, kwaye la maza adlula eluswini nakwithishu, egxile ekwaphuleni amatye ezintso abe ngamaqhekeza amancinci. Ezi ziqwenga ziqhekezayo zikhutshwa ngaphandle komzimba ngokudlula komchamo, kwaye oku kungathatha ukuya kwiiveki ezininzi emva konyango.

Zeziphi iimpawu ezibonisa amatye ezintso?

Nabani na ogula zintso anokuxhamla kule nkqubo. 

Iimpawu ziquka:

• Iintlungu ezibukhali emacaleni asezantsi kunye nomqolo womzimba
• Ukukhupha iintlungu kwindawo esezantsi yesisu kunye ne-groin
• Intlungu okanye ukutshisa xa ukhupha umchamo

Cela idinga kwisibhedlele saseApollo 

Fowunela ku- 1860-500-1066 ukuze ubhukishe idinga

Yeyiphi imingcipheko enxulumene ne-EWSL?

Eli qela lilandelayo labantu kufuneka lijonge ugqirha walo malunga nezinto ezinobungozi ezibandakanyekayo kwi-EWSL:

• Izigulana ezikhulelweyo
• Izigulana ezisebenzisa “izinciphisi zegazi” okanye abophayo
• Izigulane zine-ureteric blockage okanye izicubu ezibomvu ezinokuthintela amaqhekeza amatye ukuba adlule
• Izigulane ezine-cystine kunye neendlela ezithile zamatye asekelwe kwi-calcium, njengoko la matye awaqhekeza kalula
• Izigulana ezinee-pacemakers zentliziyo kufuneka zazise oogqirha bazo. Ngaphambi kotyando, qiniseka ukuba wabelana ngazo naziphi na izinto ezikuxhalabisayo nogqirha wakho
• ukutyeba inokwenza i-lithotripsy ibe nzima ngakumbi

Zeziphi iingxaki ze-EWSL?

I-ESWL inokubangela ezi ngxaki zilandelayo:

• Ukuhamba kwamaqhekeza amatye kubangela intlungu
• Njengomphumo wokuba amaqhekeza amatye afakwe kumlambo womchamo, ukuhamba komchamo kuyathintelwa. I-ureterescope ingafuneka ukususa i-shards
• Ukosulelwa kwendlela yomchamo
• Ukopha kumda wezintso

Zeziphi iingxaki ezinxulumene ne-EWSL?

I-ESWL yinkqubo ekhuselekileyo. Nangona kunjalo, kukho ezinye iingozi ekufuneka izigulane zizazi:

• Ukopha kunye noTofelo-gazi: I-hematoma (ukopha ngaphakathi najikelele kwizintso) yingxaki enqabileyo enokuthi ifune ukumpontshelwa igazi. Ngaphandle koku, amazinga otofelo-gazi lwe-ESWL akholisa ukuba ngaphantsi kwe-1%.
• Sulelo: Ngaphandle kwenyani yokuba izigulana zifumana iyeza lokubulala iintsholongwane emithanjeni kanye phambi kwe-ESWL, usulelo lokuchama lusengenzeka, olukhokelela kwifiva ephezulu kunye nokubanda. Nangona usulelo oluninzi lunokulawulwa ngamayeza okubulala iintsholongwane ngomlomo, abantu abathile kusenokufuneka babuyiselwe esibhedlele ukuze bafumane amayeza okubulala iintsholongwane emithanjeni kwiimeko ezinqabileyo.
• Izicubu okanye Ukwenzakala kweOrgan: Ukulimala kwesikhumba esijikelezileyo, izicubu, iinzwa, izihlunu, kunye nezitho (isibindi, i-spleen, amathumbu amancinci namakhulu, i-pancreas, kunye nezintso) zingenzeka emva kwe-ESWL. Uninzi lokulimala luncinci, luphilise ngokwalo, kwaye alufuni unyango olongezelelweyo.
• Ukuqhekeka kwelitye okungaphelelanga: Nangona i-ESWL ilunyango oluluncedo kwizintso kunye namatye e-ureter, ukusebenza kwayo kuxhomekeke kwizinto ezininzi, kubandakanywa ubungakanani kunye nendalo yamatye. Kusenokufuneka iiseshini ezininzi ze-EWSL.
• Uxinzelelo lwegazi kunye nesifo seswekile: U xinzelelo, ngakumbi i-diastolic hypertension, yimpembelelo enokwenzeka ye-SWL. Kuyacetyiswa ukuba udibane nogqirha wakho phambi kokuba ufumane i-EWSL.

Cela idinga kwisibhedlele saseApollo 

Uluthintela njani unyango lwe-EWSL?

Nazi iingcebiso ezimbalwa zokukunceda uthintele amatye ezintso ekuphuhliseni: 

1) Zigcine umanzi

Esona sicwangciso silungileyo sokuthintela amatye ezintso kukusela amanzi amaninzi. Ukukhutshwa komchamo wakho kuya kuthozama ukuba awuseli ngokwaneleyo. Xa uvelisa umchamo ophantsi, umchamo wakho ugxininisekile kwaye awunakwenzeka ukuba ube noxinzelelo olukhulu lweetyuwa zomchamo, ezinokukhokelela kumatye.

2) Yandisa ukutya kwakho kwe-calcium 

Ilitye le-calcium oxalate lolona hlobo luxhaphakileyo lwelitye lezintso, nto leyo ebangela ukuba abantu abaninzi bakholelwe ngokungafanelekanga ukuba bafanele bayiphephe i-calcium. Kodwa eneneni, ukutya okune-calcium encinci kunokunyusa umngcipheko wokuba namatye ezintso kunye ne -osteoporosis , ngoko ke kuyacetyiswa ukuba utye i-calcium esempilweni.

 3) Yidla ityuwa encinci

Amatye ezintso ecalcium anokwenzeka ngakumbi ukuba utya ukutya okunetyuwa eninzi. Ukuba kukho ityuwa eninzi kumchamo, icalcium ayinakukwazi ukuphinda ifunxwe yigazi. Isiphumo saloo nto kukuba amatye ezintso akwizinga eliphezulu, nto leyo enokukhokelela ekubeni kubekho amatye ezintso. Ngokutya ityuwa encinci, unganciphisa inani lecalcium kumchamo wakho.

4) Nciphisa ukutya kwakho okutyebileyo nge-oxalate

Ukugcina ukutya okutyebileyo kwe-oxalate kubuncinci kunokunceda ukuphepha ukubunjwa kwamatye.

• Ispinatshi
• Tshokolethi
• Iitapile ezimnandi
• Kofu
• Amanqatha
• Izinto ezenziwe kwi-rhubarb kunye nesoya
• I-Bran evela kwingqolowa

5) Izongezelelo ze-Vitamin C kufuneka ziphetshwe

Ukongezwa ngevithamin C (ascorbic acid) kunokukhokelela kumatye ezintso, ngakumbi emadodeni. Amadoda athathe iidosi ezinkulu zezongezelelo zevithamin C ayenamathuba aphindwe kabini okwandisa ilitye lezintso. Kodwa i-Vitamin C evela kwimithombo yokutya ayifaki ingozi efanayo.

Inqaku elivela kwizibhedlele zeApollo/Iqela leApollo

I-ESWL yindlela yonyango engangeneleliyo yokwaphula amatye amakhulu ezintso abe ngamaqhekeza amancinci, ewavumela ukuba akhutshelwe ngaphandle ngomchamo. Ukuba ukhathazwa ngamatye ezintso, kufuneka udibane nogqirha wakho we-Apollo kwaye uqinisekise ukuba imeko yakho inokunyangwa nge-ESWL.

Imibuzo ebuzwa qho

1) Ngaba i-anesthesia iyafuneka kwinkqubo ye-ESWL?

Nangona i-ESWL iyinkqubo yokugula ngaphandle, oogqirha banokucebisa ukusetyenziswa kwe-anesthesia ngokuxhomekeke kubunzima bemeko yamatye ezintso. I-anesthesia ikwanceda ekuphumleni izigulane xa inkqubo yenziwa.

2) Ngaba kuyimfuneko ukwamkela isigulana kwinkqubo ye-ESWL?

Kwiimeko ezininzi, i-ESWL yinkqubo yezigulane ezingalaliswanga, nto leyo ethetha ukuba isigulana sinokuphuma esibhedlele lwakuba lwenziwe unyango. Kodwa ukuba kuyafuneka, ugqirha wakho weApollo unokucebisa ukuba wamkelwe ukuze ujongwe kwaye ujonge ukuchacha emva kwenkqubo. 

3) Ngaba kukho nawaphi na amanyathelo okhuseleko anokuthatyathwa emva kokuba i-ESWL yenziwe?

Emva kokonyango, isigulane kufuneka sikwazi ukuhambahamba ngaphandle kwesidingo senkxaso. Uninzi lwezigulana zinokubuyela kwindlela yazo yesiqhelo kwisithuba sosuku okanye ezimbini. Ugqirha wakho we-Apollo unokucebisa ukuba usele ngokwaneleyo yonke imihla ukunceda ukudlula kwamaqhekeza amatye ezintso.