Nephrectomy: hais txog, postoperative, kev ncaj ncees, kev noj haus, siv

Muaj ib tug xov tooj ntawm cov kab mob nyob rau hauv uas lub raum tshem tawm - qhov kev xaiv xwb txuag tus neeg mob lub neej. Qhov no yog ib qho huab ntsuas, tab sis yog tias koj tsis tau ua tsis tau nws, ces koj yuav tau txais ntau li ntau ntaub ntawv hais txog dab tsi yuav tshwm sim. Thiab nws yog ntshaw xwb tsis paub yuav ua li cas nws yuav tsum tau nqa tawm phais, tab sis kuj yuav nrhiav tau tag nrho txog lub sij hawm ntawm kev ncaj ncees tom qab nws.

raum muaj nuj nqi

Nyob rau hauv tib neeg lub cev tsis muaj txheej nruab nrog cev. Txhua yog nws txoj hauj lwm, rau cov neeg mob nyob rau hauv feem ntau. Lub ob lub raum ua ob peb zog, uas yog Attendance tseem ceeb:

• tu cov ntshav ntawm nitrogenous metabolic kua thiab lwm yam co toxins;
• tswj tsim nyog qib ntawm ntsha;
• kua tshuav nyiaj li cas nyob rau hauv lub cev nqaij;
• txij nkawm thiab cov ntshav siab tswj;
• xaiv ntawm lub cell ntaub so ntswg ntawm biologically active Cheebtsam, xws li renin thiab erythropoietin.

Lub secretion ntawm renin thiab erythropoietin yuav tsum tau ib tug neeg los pab txhawb cov ntshav siab ntau ntau thiab cov ntshav tag.

Indications rau kev tshem tawm ntawm qhov hloov

Tshem tawm ntawm lub raum yog cov kev kho mob lub npe - nephrectomy. Ua ntej muab ib lub lag luam, cov kws kho mob sim kom lub cev nrog rau tag nrho cov muaj txhais tau tias. Qhov tseeb yog hais tias yog lub raum yog tau ua rau tsawg kawg 20%, ces nws yog muaj peev xwm mus tiv nrog lub workload. Tab sis ib co pathologies hauj lwm yuav tsis yuav zam tau. Yog hais tias lub sij hawm yog tsis nqa tawm qhov kev tshem tawm ntawm ob lub raum, lub txim uas yuav tsum tau dire.

Nephrectomy yog kws kho rau hloov khoom nruab nrog kev poob plig, malignant qog, congenital anomalies, hydronephrosis thiab polycystic. Nyob rau hauv cov ntaub ntawv ntawm kev nrhiav kom tau ntawm malignancy ncua qhov kev txiav txim tsis yooj yim sua. Rau mob cancer tsiag ntawv los ntawm ceev ceev kis ntawm metastasis nyob rau hauv ib txwm ntaub so ntswg.

kev ua tau zoo cov txheej txheem

Tshem tawm ntawm lub raum yog tsis tsa tsis muaj ib tug kev soj ntsuam ntawm cov neeg mob. Yuav kom ntsuam xyuas lub hauj lwm ntawm lwm cov hloov khoom nruab nrog muab X-rays nrog zoo MRI thiab lwm yam kev kuaj. Nyob rau hauv huab lub functionality yog soj ntsuam thaum lub sij hawm kev lag luam los ntawm qhia ib tug tshwj xeeb cov xim uas yuav tsum tso zis rau hauv cov zis.

Lub lag luam yog ua nyob rau hauv ib tug lub tsev kho mob. Tus neeg mob yog nyob rau hauv lub tsev kho mob ntawm 1 mus rau 3 lub lis piam. Qhov no mob yog nyob rau hauv lub complexity thiab hom ntawm cov lag luam. Nephrectomy yog ua opencast los yog laparoscopically.

Cov neeg phais xav nephrectomy laparoscopically. Cov neeg mob raug kev txom nyem zoo li yooj yim tshem tawm ntawm lub raum. Xyuas ntawm laparoscopy feem ntau dej siab:

• Lub cev tsis yog loj loj thiab dab tuag caws pliav;
• lag luam yog kev ruaj ntseg;
• tsawg yuav muaj teeb meem;
• yooj yim rau undergo kev ncaj ncees;
• kev tsis taus yuav tsum tau zam.

Lub fact tias cov manipulation yog ua los ntawm ib tug me me incision nyob rau hauv lub lumbar cheeb tsam. Lawv qhia ib tug laparoscope, thiab cov kev tswj ntawm kev kawm yuav siv sij hawm qhov chaw nyob rau ib saab saib.

tau teeb meem

Tshem tawm ntawm lub raum tej zaum yuav tsum tau nrog los ntawm uas tsis yog-kev mob, uas yog nyob rau ntawm concomitant kab mob thiab lub caij nyoog immobility. Qhov no tej zaum yuav teev mob ntsws los yog pulmonary embolism. Nyob rau hauv tej rooj plaub, tsim thrombophlebitis, heart attack myocardial infarction los yog stroke. Tej teeb meem nyob rau hauv kev kho mob xyaum tshwm sim ncaw, vim hais tias cov kws kho mob noj kev ntsuas kom tiv thaiv tau lawv.

Tus neeg mob yuav tsum to taub hais tias qhov kev tshem tawm ntawm ob lub raum - lub txim ntawm kev tshaj tus kab mob, uas yuav ua rau raug mob loj. Phais pab nyob rau hauv cov ntaub ntawv no yog inevitable. Tab sis cia li postoperative teeb meem yuav zam tau. Ntau nyob ntawm lub preoperative npaj thiab xav sai sai rov qab mus rau ib tug active lub neej. Nws yog ib qho tseem ceeb ua raws li tag nrho cov kev kho mob raws li kev cai thiab cov tswv yim.

Lub postoperative lub sij hawm. lub cev ua si

Yog hais tias nqa tawm ib lub raum tshem tawm, postoperative lub sij hawm yuav tsum tau ua kom tiav so. Thawj hnub, tus neeg mob cov lus dag rau nws rov qab, ntse taw thiab puv nws rau ntawm nws sab yog txhob vim hais tias lawv muaj peev xwm npleem pob qij txha raum pedicle. Los ntawm kawg ntawm thawj hnub los yog tom ntej no thaum sawv ntxov, cov kev kho mob cov neeg ua haujlwm yuav pab kom cov maj mam yob tshaj rau ntawm nws sab. Pub mus zaum nyob rau hauv lub txaj rau 2-3 teev, yog hais tias tsis khees teeb meem. Koj yuav tau tawm ntawm txaj nyob rau lub plaub hnub.

Tus neeg mob yog pom zoo kom nqa tawm ua tsis taus pa ce, txav mus rau koj txhais tes thiab ob txhais ceg ntseeg nkaws. Koj muaj peev xwm tsis nyob ntev nyob rau hauv lub stillness, tab sis ntau dhau zealous, phem heev. Tsis ua raws li cov tswv yim pom zoo, tej zaum koj yuav tau txais ib tug hernia los yog adhesions.

Qhov tseem ceeb tshaj mob - kev siv cov dej huv

Nyob rau hauv kev twb kev txuas nrog malnutrition thiab kev siv cov kev kho mob preparations nyob rau hauv tib neeg lub cev yog lub tsim ntawm toxins. Lawv tas nyob hauv cov quav thiab zis, tab sis tsis yeej ib txwm ob lub raum yuav tau zoo ua lawv ua. Ntau siab muaj nyob rau hauv cov ntaub ntawv ntawm qhov kev tshem tawm ntawm lub paired hloov khoom nruab nrog, yog li nws tseem ceeb heev kom pab txhawb lub chaw ua hauj lwm ntawm qhov seem uas raum.

Thawj, tus neeg mob xav tau kev pab rau accustom nws tus kheej rau haus xwb purified dej uas twb dhau lub lim. Nws kuj pom zoo kom haus dej haus lub melted dej. Lub sij hawm noj cov zaub mov yog tsim nyog los muaj xws li tsis tsawg tshaj li 30 ml ntawm cov dej ntshiab ib 1 kg ntawm lub cev hnyav los yog yaj dej 7 ml, ntsig txog.

Cov neeg kev txom nyem los ntawm rog, koj yuav tsum tau kom cov tshuaj dej noj ntawm no muab xam:

• Lim dej - yam tsawg kawg 40 ml ib 1 kg lub cev hnyav;
• meltwater - 10 ml ib 1 kg lub cev hnyav.

Qhov no tus nqi ntawm cov dej yuav tsum tau rau kev siv, ntxiv rau qhov tag nrho tus neeg mob yuav tsum tau txais qhov kev kua, uas yog pom nyob rau hauv cov zaub, txiv hmab txiv ntoo, kua zaub thiab thiaj li nyob. D.

Tau ntawm dej nyob rau hauv txaus ntau muab ib tug mos mos lub rooj zaum, whereas cov zis yuav tsis yog li ntawd feeb meej.

noj cov zaub mov

Tus thawj noj mov yog tau tso cai yuav luag ib hnub tom qab phais, tab sis cov dej siv los tsim. Ib txhia neeg tsis txaus siab ntawm tsis plab hnyuv kom thiab muaj zog flatulence.

Tom qab tus neeg mob tau ib lub raum tshem tawm, khoom noj khoom haus yuav tsum hloov dramatically. Lub ob xyoos tom ntej yuav tsim nyog los ua raws li ib tug khoom noj: kiag li tshem tawm los ntawm cov khoom noj ntawm las, marinated, smoked thiab ntsim zaub mov txo protein tsawg thiab khoom qab zib, txhob muaj kev tsim txom ntawm kas fes thiab tshuaj yej.

Lub sij hawm ntawv qhia zaub mov yuav tsum muaj xws li txiv hmab txiv ntoo thiab zaub. Cov khoom noj yog tsim nyog mus rau hauv lub taub dag thiab watermelon. Nqaij los yog cov tais nqaij yuav tsum tau steamed los yog boiled, kib vim hais tias lub sij hawm no yog teeb meem. Qee zaus koj yuav noj yogurt los yog mis nyuj cov khoom, tab sis lawv yuav tsum tau tshiab thiab muaj ib tug me me txee lub neej. Tus neeg ntawm preservatives yog zoo dua los txo kom tsawg li tsawg.

kev ncaj ncees

Yog hais tias tus neeg mob tau ntse nqa tawm ib lub raum kev tshem tawm, kev ncaj ncees yuav coj mus rau ib tug thiab ib tug ib nrab xyoo. Maj mam, lub tshuav raum yog accustomed mus rau siab loads thiab compensates rau hauv lub qhaj ntawv ntawm ib tug khub hloov khoom nruab nrog.

Tus thawj lub sij hawm nws yog tsim nyog los tshem tawm heavy lifting thiab khiav exercise. Thaum sawv ntxov thiab yav tsaus ntuj, nws yog ntshaw kom ua taug heev pab rau so nrog ib tug phuam ntub thiab douches. Kev mloog yuav tsum tau them rau daim tawv nqaij kom huv si, raws li nws ua excretory muaj nuj nqi, nrog rau cov seem raum.

Tom qab tshem qhov yuav tsum tau ua tib zoo saib xyuas hauv lub xeev ntawm kev kho mob ntawm ob lub raum. Koj muaj peev xwm tsis supercool, khiav mob, rau nws tus kheej-medicate. Tsis tu ncua pej urologist yuav pab objectively soj ntsuam lawv tus mob. Saib xyuas ntawm koj tus kheej, raws li ib tug thib peb lub raum nyob rau hauv lub cev yog tsis muab.