Ureral reimplantation ịwa ahụ - ụmụaka

Ureters bụ akpa na-esite na akụrụ ebuga na eriri afo. Ureteral reimplantation bụ ịwa ahụ iji gbanwee ọnọdụ nke tubes ndị a ebe ha banyere mgbidi eriri afo.

Usoro a na-agbanwe ụzọ ureter dị na eriri afo.

Wa ahụ na-ewere ọnọdụ n'ụlọ ọgwụ mgbe nwa gị na-ehi ụra na enweghị ihe mgbu. Surgerywa ahụ na-ewe 2 ruo awa 3.

N'oge ịwa ahụ, dọkịta na-awa ahụ:

• Wepu ureter si na eriri afo.
• Mepụta ọwara ọhụụ n'etiti mgbidi eriri afọ na akwara n'ọnọdụ ka mma na eriri afo.
• Ebe ureter ke ọhụrụ ọwara.
• Debe ureter na ebe ma mechie eriri afo ya.
• Ọ bụrụ na ọ dị mkpa, a ga-eme nke ọzọ ureter.
• Mechie egbutu ọ bụla emere na afọ nwa gị na ntanye ma ọ bụ staples.

Enwere ike ịwa ahụ ahụ n'ụzọ 3. Usoro eji eme ihe ga-adabere na ọnọdụ nwa gị yana otu esi etinye ureters na eriri afọ ya.

• N'ime ịwa ahụ na-emeghe, dọkịta ga-eme obere mbepụ n'ime afọ ala site na ahụ ike na abụba.
• N'ime ịwa ahụ laparoscopic, dọkịta ga-eme usoro ahụ site na iji igwefoto na obere ngwaọrụ ịwa ahụ site na 3 ma ọ bụ 4 obere ọnya na afọ.
• Surgerywa ahụ robot yiri ịwa ahụ laparoscopic, belụsọ na robot na-ejide ihe ndị a. Dọkịta na-awa ahụ na-achịkwa robot.

Nwa gị ga-ahapụrịrị ụbọchị 1 ruo 2 ka ịwachara ahụ.

Nke ịwa ahụ na-mere iji gbochie mmamịrị si asọpụta azụ si eriri afo na akụrụ. A na-akpọ ya reflux, ọ nwere ike ibute ọrịa urinary tract ugboro ugboro ma mebie akụrụ.

Ofdị ịwa ahụ a na-ahụkarị ụmụaka maka reflux n'ihi ntụpọ ọmụmụ nke usoro urinary. N'ime ụmụaka toro eto, enwere ike ịme ya iji gwọọ reflux n'ihi mmerụ ahụ ma ọ bụ ọrịa.

Ihe ize ndụ maka ịwa ahụ ọ bụla bụ:

• Ọbara na-ehicha mmadụ n’ụkwụ nke nwere ike ịga ngụgụ
• Nsogbu iku ume
• Ofufe Ọrịa, gụnyere n'ime ọnya ịwa ahụ, ngụgụ (oyi baa), eriri afo, ma ọ bụ akụrụ
• Ọnwụ ọbara
• Mmeghachi omume na ọgwụ

Ihe ize ndụ maka usoro a bụ:

• Mmamịrị na-apụ banye na oghere gburugburu eriri afo
• Ọbara na mmamịrị
• Akụrụ ọrịa
• Akpịrịkpa spa
• Ihe mgbochi nke ureters
• O nwere ike ọ gaghị edozi nsogbu ahụ

Ogologo oge dị ize ndụ gụnyere:

• Na-adịgide adịgide mmamịrị nke mmamịrị n'ime akụrụ
• Urinary fistula

A ga-enye gị usoro iri nri na ị drinkingụ ihe ọ specificụ specificụ dabere na afọ nwa gị. Dọkịta nwa gị nwere ike ịkwado gị:

• Enyekwala nwa gị ezigbo nri siri ike ma ọ bụ mmiri mmiri na-enweghị mmiri, dị ka mmiri ara ehi na mmanya oroma, malite n’etiti abalị tupu ịwa ahụ.
• Nye naanị ụmụaka mmiri doro anya, dị ka mkpụrụ osisi apụl, ka ụmụaka toro eto gaa elekere abụọ tupu ịwa ahụ.
• Childrenmụaka na-enye ara ara ruru elekere 4 tupu ịwa ahụ. Babiesmụ ọhụrụ a na-enye nri n'ụkpụrụ nwere ike inye ihe ruru awa isii tupu ịwa ahụ.
• Enyela nwa gị ihe ọ bụla ka ọ drinkụọ ruo awa 2 tupu ịwa ahụ.
• Naanị nye nwa gị ọgwụ ka dọkịta tụụrụ ya aro.
  
  

Mgbe ịwachara ahụ, nwa gị ga-enweta mmiri mmiri n’ahụ akwara (IV). Tinyere nke a, enwere ike inye nwa gị ọgwụ iji belata ihe mgbu ma mee ka spasms adị na-ajụ oyi.

Nwa gị nwere ike ịnwe catheter, ọkpọkọ nke ga-abịa site na eriri nwa gị iji kpochapụ mamịrị. Enwekwara ike ịnweta drain na afọ nwa gị iji mee ka mmiri mmiri gbapụ mgbe ịwachara ahụ. Enwere ike wepu ha tupu ha agbapụta nwa gị. Ọ bụrụ na ọ bụghị, dọkịta ga-agwa gị otu esi elekọta ha na oge ị ga-alọghachi iji wepụ ha.

Mgbe nwatakiri gị si na nsị na-akụnwụ ahụ, nwa gị nwere ike ịkwa ákwá, na-eme mkpọtụ ma ọ bụ na-enwe mgbagwoju anya, na-arịa ọrịa ma ọ bụ na-agbọ agbọ. Mmeghachi omume ndị a dị mma ma ga-apụ oge.

Nwa gị ga-anọ n’ụlọ ọgwụ ụbọchị 1 ruo ụbọchị 2, dabere n ’ụdị ịwa ahụ nwa gị mere.

Surgerywa ahụ na-aga nke ọma n'ọtụtụ ụmụaka.

Ureteroneocystostomy - ụmụaka; Ureteral reimplant ịwa ahụ - ụmụaka; Ureta mmiri; Reflux na umuaka - ureral reimplantation

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Khoury AE, Bägli DJ. Vesicoureteral mgbapụta. Na: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Ulology nke Campbell-Walsh. Nke 11. Philadelphia, PA; Onye ozo; 2016: isi 137.

Pope JC. Ureteroneocystostomy. Na: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, eds. Atlas nke Ugwu Urologic nke Hinman. Agba nke anọ. Philadelphia, PA: Elsevier; 2018: isi 33.

Richstone L, Scherr DS. Robotic na ịwa ahụ eriri afo. Na: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Ulology nke Campbell-Walsh. Nke 11. Philadelphia, PA; Onye ozo; 2016: isi 96.