Matombo madiki euretel anofanirwa kurapwa achigona kurapwa
Nekuda kwenzvimbo inokosha yematombo ekumusoro ekumusoro, vanogona kunge vasingawanikwe nehurongwa hwekuomarara, uye matombo anogona kukwira zviri nyore mukati medenderedzwa pelhotripsy. Percutaneous Nephrolotomory inowedzera njodzi yekubuda kweparaka kubuda ropa kana kumisikidza chiteshi.
Kukwira kweUreneble Ureteroscopy zvakabudirira kugadzirisa matambudziko ari pamusoro apa. Inopinda muUreter uye renal pelvis kuburikidza neyakajairwa orifice yemuviri wemunhu. Izvo zvakachengeteka, zvinoshanda, zvishoma, zvisingaonekwe, zvine kubuda ropa zvishoma, kurwadziwa kushoma kwemurwere, uye nedombo rakakwira-yemahara. Izvo zvino zvave nyore kushandiswa kwekuvhiya kwekuvhiya kubata kumusoro kweUretel matombo.
Kubuda kweiyoUreteral Access Sheathyakadzora zvakanyanya kuomarara kweanoshanduka-chinja ureteroscopic lithotripsy. Nekudaro, nekuwedzera kwehuwandu hwekurapa kesi, matambudziko ayo akatiza zvishoma nezvishoma. Zvinetso zvakadai seUreteral Faceteral uye Ureteral Stricture Zvakajairika. Izvi zvinotevera zvinhu zvitatu zvakakura zvinotungamira kune Ureteral Scomputer uye Ferforation.
1. Course yechirwere, dombo diameter, dombo kuita
Varwere vane nguva refu yerwere vanowanzove nematombo akakura, uye matombo akakura anoramba ari muUrete kwenguva yakareba kuti aumbe mukusungwa. Matombo ari pabasa rekuroverana anokonzeresa uretel mucosa, mucosal ischemia, kuzvimba uye zvigunwe uye zvakanyatsoenderana nekuumbwa kwerudzi rwekutyaira.
2. Ureteral kukuvara
Iyo inoshanduka inoshanduka-shanduka iri nyore kukotama, uye iyo UReteral yekuwana Sheati inoda kuiswa pamberi peLitHotripsy. Iko kuiswa kweiyo sheath sheath haina kuitwa pasi pechiratidzo chakananga, saka hazvigoneke kuti ureteral mucosa ichakuvadzwa kana yakakora nekuda kwekukotama kana iyo leven yerefu panguva yekuisa yeSheath.
Uye zvakare, kuitira kuti utsigire urer uye kuendesa iyo Firefusive Flow kuti uderedze kudzvanywa kweiyo Renal pelvis, 14 inowanzo kusarudzwa, iyo inogona kukonzera iyo sheath yekunyora madziro eureteral. Kana maitiro ekuvhiya ari kushanduka uye nguva yekuvhiya yanyatsogara, nguva yekumanikidza yekunongedzerwa kwesimbe pamadziro eureteral uchawedzera kusvika kune imwe nhanho, uye njodzi yekukanganisa kweIschemic kumadziro euretel.
3. Holmium laser kukuvara
Iro dombo rekuparadza kweHolemium laser vanonyanya kutsigira pikicha yayo, iyo inoita kuti ibwe rakanangana neiyo laser simba uye kuwedzera tembiricha yemuno kuzadzisa chinangwa chebwe. Kunyangwe iyo yekunyora radiation yakadzika mukati megirava yekupwanya ingori chete 0.5-1.0 mm, iyo yakawandisa mhedzisiro yakakonzerwa nekuenderera mberi kwechidimbu chakapwanyika chinotyisa.
Pfungwa dzinokosha dzekuisa iyoUreteral Access Sheathndizvo zvinotevera:
1. Pane pfungwa iri pachena yekubudirira kana uchiisa mukati meureter, uye inonzwa yakanyorova kana ichikwira muUreter. Kana kuiswa kwakaoma, iwe unogona kutsvaira iyo waya yehuni yekudzoka nekucherekedza kuti waya yekutungamira ichipinda uye nekuona kana kuitisa sheath, sekuti pane kurwisa kupokana, kutungamira kwesheathing kunofanirwa kugadziriswa;
Iyo yakabudirira yakaiswa sheath sheath yakagadziriswa uye haizopinda mukati nekunze kuda. Kana iyo sheath sheath ichipinda pachena, zvinoreva kuti yakanyarara mubhachi uye waya inotungamira yakawedzera kubva kune ureter uye inoda kuiswa zvakare;
3. Ureteral Channel Sheaths ane akasiyana zvirevo. Varwere vechirume vanowanzoshandisa iyo 45 cm refu modhi, uye vakadzi kana vapfupi varwere vechirume vanoshandisa makumi matatu nemashanu emamita. Kana iyo sheath sheath yakaiswa, inogona kungopfuura nekuvhura kweUreteral kana kutadza kukwira kusvika padanho repamusoro. Chinzvimbo, varwere vechirume vanogona zvakare kushandisa masendimita makumi matatu nemashanu vachiunza Sheati, kana kuchinjisa kune 14f kana kutokura nzira dzekunyepedzera sheath kuti vasingakwanise kukwira kune iyo renal pelvis;
Usaise iyo sheath sheath mune imwe nhanho. Siya gumi cm kunze kweiyo urethral orifera kuti udzivise kukuvadzwa kune uretel mucosa kana renal penenyma paiyo upj. Mushure mekuisa iyo inoshanduka scope, iyo chiteshi sheas chinzvimbo inogona kugadziriswa zvakare pasi pechiratidzo chakananga.
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Kutumira Nguva: Sep-11-2024