Yini i-Extracorporeal Shockwave Lithotripsy (ESWL)?

I-Extracorporeal Shockwave Lithotripsy (ESWL) ibhekisela enkambweni yokuhlephula amatshe ezinso abe yizicucu ezincane kusetshenziswa amagagasi okwethuka.

I-ESWL ivamise ukwenziwa njengokwelashwa kweziguli ezingalalisiwe, okusho ukuthi akudingekile ukuba uchithe ubusuku esikhungweni sezempilo noma esibhedlela ngemva kwenqubo.

Izingcezu zamatshe ezinso ezihlukene zizobe sezikhishwa emzimbeni ngomgudu womchamo. Uma itshe lakho likhulu, ungase udinge ukwelashwa okwengeziwe.

Iyini i-EWSL?

I-ESWL inqubo esebenzisa umshini obizwa ngokuthi i-lithotripter ukuletha ukulandelana kwamagagasi okwethuka. Amagagasi okwethuka adluliselwa ezinso ezithintekile, futhi la magagasi adlula esikhunjeni nasezicubu, agxile ekuhlukaniseni amatshe ezinso abe yizicucu ezincane, ezihlukene. Lezi zicucu ezihlukene zikhishwa emzimbeni ngokusebenzisa umchamo, futhi lokhu kungathatha amasonto ambalwa ngemva kokwelashwa.

Yiziphi izimpawu ezibonisa amatshe ezinso?

Noma yimuphi umuntu ohlushwa amatshe ezinso angazuza kule nqubo. 

Izimpawu zihlanganisa:

• Ubuhlungu obubukhali ezinhlangothini ezingezansi nasengxenyeni engemuva yomzimba
• Ubuhlungu obukhazimulayo bubheke endaweni engezansi yesisu kanye ne-groin
• Ukuzwa ubuhlungu noma ukuvutha lapho uphuma umchamo

Cela isikhathi sokuhlangana e-Apollo Hospitals 

Shayela ku- 1860-500-1066 ukuze ubhukhe i-aphoyintimenti

Yiziphi izici zobungozi ezihlobene ne-EWSL?

Iqembu elilandelayo labantu lidinga ukubheka nodokotela wabo ngezinto eziyingozi ezihilelekile ku-EWSL:

• Iziguli ezikhulelwe
• Iziguli ezisebenzisa “izidakamizwa ezinciphisa igazi” noma ezinesimo sokopha
• Iziguli zinokuvaleka kwe-ureter noma izicubu ezibomvu ezingase zivimbele izingcezu zamatshe ukuthi zingadluli
• Iziguli ezine-cystine nezinye izinhlobo zamatshe asekelwe ku-calcium, njengoba lawa matshe awaqhekeki kalula.
• Iziguli ezinama-pacemakers enhliziyo kufanele zazise odokotela bazo. Ngaphambi kokuhlinzwa, qiniseka ukuthi wabelana nanoma yikuphi ukukhathazeka onakho nodokotela wakho
• Ukukhuluphala ingenza i-lithotripsy ibe nzima kakhulu

Yiziphi izinkinga ze-EWSL?

I-ESWL ingadala izinkinga ezilandelayo:

• Ukudlula kwezingcezu zamatshe kubangela ubuhlungu
• Ngenxa yokuthi izinhlayiya zamatshe zingena emgudwini womchamo, ukugeleza komchamo kuyaphazamiseka. Kungase kudingeke i-ureteroscope ukususa ama-shards
• Ukutheleleka komgudu womchamo
• Ukopha endaweni ezungeze izinso

Yiziphi izinkinga ezihlobene ne-EWSL?

I-ESWL iyinqubo ephephile. Kodwa-ke, kunezingozi ezithile okufanele iziguli zizazi:

• Ukopha Nokumpontshelwa: I-hematoma (ukopha ngaphakathi naseduze nezinso) kuyisimo esiyivelakancane esingase sidinge ukumpontshelwa igazi. Ngaphandle kwalokhu, amazinga okumpontshelwa kwe-ESWL ngokuvamile angaphansi kuka-1%.
• Ukutheleleka: Naphezu kweqiniso lokuthi iziguli zithola isibulala-magciwane esifakwa emthanjeni ngaphambi nje kwe-ESWL, izifo zomchamo zisengenzeka, okubangela ukushisa okukhulu nokubanda. Nakuba izifo eziningi zingase zilawulwe ngama-antibiotic omlomo, abantu bangadinga ukubuyiselwa esibhedlela ukuze bathole ama-antibiotic afakwe emthanjeni ezimeni ezingavamile.
• Izicubu noma Ukulimala Kwezitho: Ukulimala kwesikhumba esizungezile, izicubu, imizwa, imisipha, nezitho (isibindi, ubende, amathumbu amancane namakhulu, amanyikwe, nezinso) kungenzeka ngemva kwe-ESWL. Iningi lokulimala lincane, liziphilisa ngokwalo, futhi alidingi ukwelashwa okwengeziwe.
• Ukuhlukaniswa Kwetshe Okungaphelele: Nakuba i-ESWL iwukwelapha okuwusizo ezinso kanye namatshe e-urethra, ukusebenza kwayo kuncike ezintweni ezimbalwa, okuhlanganisa usayizi kanye nemvelo yamatshe. Kungase kudingeke izikhathi eziningi ze-EWSL.
• Umfutho wegazi ophezulu kanye nesifo sikashukela: umfutho ophakeme wegazi, ikakhulukazi i-diastolic hypertension, iwumphumela ongase ube nawo we-SWL. Kutuseka kakhulu ukuthi uhlole nodokotela wakho ngaphambi kokuthola i-EWSL.

Cela isikhathi sokuhlangana e-Apollo Hospitals 

Ungakuvimbela kanjani ukwelashwa kwe-EWSL?

Nawa amathiphu ambalwa angakusiza ukuthi uvimbele ukukhula kwamatshe ezinso: 

1) Zigcine unamanzi amaningi

Isu elingcono kakhulu lokugwema amatshe ezinso ukuphuza amanzi amaningi. Ukukhipha umchamo wakho kuzoba okunesizotha uma ungaphuzi ngokwanele. Uma ukhiqiza umchamo omncane, umchamo wakho ugxile kakhulu futhi mancane amathuba okuba nosawoti omningi womchamo, okungaholela ematsheni.

2) Khulisa ukudla kwakho kwe-calcium 

Itshe le-calcium oxalate liwuhlobo oluvame kakhulu lwetshe lezinso, okwenza abantu abaningi bakholelwe ngokungeyikho ukuthi kufanele bagweme i-calcium. Kodwa empeleni, ukudla okune-calcium ephansi kungandisa ingozi yakho yokuthola amatshe ezinso kanye ne -osteoporosis , ngakho-ke kunconywa ukuthi udle izinga elifanele le-calcium.

 3) Sebenzisa usawoti omncane

Amatshe ezinso e -calcium angenzeka kakhulu uma udla ukudla okunosawoti omningi. Uma kunosawoti omningi emchameni, i-calcium ayikwazi ukumuncwa kabusha ekujikelezeni kwegazi. Izinga eliphezulu le-calcium emchameni liwumphumela, okungase kuholele ematsheni ezinso. Ngokudla usawoti omncane, unganciphisa inani le-calcium emchameni wakho.

4) Yehlisa ukudla kwakho okunothe nge-oxalate

Ukugcina ukudla okunothe nge-oxalate okungenani kungasiza ukugwema ukwakheka kwamatshe.

• Isipinashi
• chocolate
• Ubhatata
• Ikhofi
• amantongomane
• Izinto ezenziwe nge-rhubarb ne-soy
• Igatsha likakolweni

5) Izithako ze-Vitamin C kufanele zigwenywe

Ukwengeza uvithamini C (ascorbic acid) kungaholela ezinso, ikakhulukazi emadodeni. Amadoda athatha imithamo emikhulu yezithako ze-vitamin C abe namathuba aphindwe kabili okuthuthukisa itshe lezinso. Kodwa i-Vitamin C evela emithonjeni yokudla ayifaki ingozi efanayo.

Isaziso esivela ku-Apollo Hospitals/Apollo Group

I-ESWL iyindlela yokwelapha engahlaseli ukuhlephula amatshe ezinso ezinkulu abe izingcezu ezincane, okuwavumela ukuthi akhishwe ngomchamo. Uma uhlushwa amatshe ezinso, kufanele uthintane nodokotela wakho we-Apollo futhi uqinisekise ukuthi isimo sakho singelashwa yini nge-ESWL.

imibuzo ejwayelekile ukubuzwa

1) Ingabe i-anesthesia iyadingeka ngenqubo ye-ESWL?

Ngisho noma i-ESWL iyinqubo yokulaliswa ngaphandle, odokotela bangase baphakamise ukusetshenziswa kwe-anesthesia kuye ngobunzima besimo setshe lezinso. I-anesthesia isiza futhi ekuphumuzeni iziguli lapho inqubo yenziwa.

2) Ingabe kuyadingeka ukwamukela isiguli ngenqubo ye-ESWL?

Ezimweni eziningi, i-ESWL inqubo yokulaliswa ngaphandle, okusho ukuthi isiguli singaphuma esibhedlela uma ukwelashwa sekuqediwe. Kodwa uma kudingeka, udokotela wakho we-Apollo angase asikisele ukuthi ungeniswe ukuze ubhekwe futhi uqaphe ukululama ngemva kwenqubo. 

3) Ingabe zikhona izinyathelo zokuphepha ezikhethekile okufanele zithathwe ngemva kokukhishwa kwe-ESWL?

Ngemuva kokwelashwa, isiguli kufanele sikwazi ukuhambahamba ngaphandle kwesidingo sokusekelwa. Iziguli eziningi zingabuyela endleleni yazo evamile phakathi nosuku noma ezimbili. Udokotela wakho we-Apollo angakweluleka ukuthi uphuze ngokwanele nsuku zonke ukusiza ukudlula izingcezu zamatshe ezinso.