Raum tshem tawm
Kev tshem tawm lub raum, lossis nephrectomy, tau raug phais kom tshem tawm tag nrho lossis ib feem ntawm lub raum. Tej zaum nws yuav koom nrog:
- Ib feem ntawm ib lub raum tau muab tshem tawm (ib feem ntawm nephrectomy).
- Txhua lub raum tau muab tshem tawm (cov yooj yim nephrectomy).
- Kev tshem tawm ntawm tag nrho ib lub raum, cov rog ib puag ncig, thiab lub qog adrenal (radical nephrectomy). Hauv cov xwm txheej no, cov qog ntshav nyob sib ze qee zaum tshem tawm.
Qhov kev phais mob no tau ua nyob hauv tsev kho mob thaum koj tsaug zog thiab tsis hnov mob (tsis nco qab lwm yam). Cov txheej txheem tuaj yeem siv sijhawm 3 lossis ntau teev.
Yooj yim nephrectomy lossis tshem tawm lub raum:
- Koj yuav tau pw ntawm koj ib sab. Koj tus kws phais yuav txiav phais (txiav) txog 12 nti lossis 30 centimeters (ntev). Qhov kev txiav no yuav nyob ntawm koj sab, hauv qab ntawm lub tav lossis txoj cai hla tus nqaj qis tshaj.
- Mob nqaij, rog, thiab cov nqaij yog txiav thiab txav mus los. Koj tus kws phais yuav tsum tshem ib tug tav los ua qhov txheej txheem.
- Txoj hlab uas tso zis tawm ntawm lub raum mus rau lub zais zis (tso zis) thiab cov hlab ntshav tau txiav tawm ntawm lub raum. Lub raum yog tshem tawm.
- Qee zaum, tsuas yog qee ntu ntawm lub raum yuav raug tshem tawm (qee ntu ntawm nephrectomy).
- Qhov kev txiav yog tom qab kaw nrog stitches lossis staples.
Cov roj nephrectomy dhau los yog qhib lub raum:
- Koj tus kws phais yuav txiav ib pliag li 8 txog 12 ntiv (20 txog 30 cm) ntev. Qhov kev txiav no yog nyob ntawm koj lub plab xub ntiag, hauv qab koj lub cij. Nws kuj tseem yuav ua tiav los ntawm koj sab.
- Mob nqaij, rog, thiab cov nqaij yog txiav thiab txav mus los. Txoj hlab uas tso zis tawm ntawm lub raum mus rau lub zais zis (tso zis) thiab cov hlab ntshav tau txiav tawm ntawm lub raum. Lub raum yog tshem tawm.
- Koj cov kws phais yuav kuj yuav tshem tawm cov rog ncig, thiab qee zaum adrenal caj pas thiab qee qhov qog ntshav.
- Qhov kev txiav yog tom qab kaw nrog stitches lossis staples.
Laparoscopic lub raum tshem tawm:
- Koj tus kws phais yuav txiav 3 lossis 4 me me, feem ntau tsis tshaj 1 nti (2.5 cm) txhua qhov, hauv koj lub plab thiab sab. Tus kws phais yuav siv cov khoom me me thiab lub koob thaij duab los ua qhov phais.
- Rau qhov kawg ntawm tus txheej txheem, koj tus kws phais yuav ua ib qho kev txiav loj dua (li 4 ntiv tes los yog 10 cm) nqa tawm ntawm lub raum.
- Tus kws phais yuav txiav cov zis, tso ib lub hnab ncig ntawm lub raum, thiab rub nws los ntawm qhov txiav loj.
- Txoj kev phais no yuav siv sijhawm ntev dua li txoj kev tshem tawm lub raum. Txawm li cas los xij, feem ntau ntawm cov tib neeg kom rov zoo dua thiab hnov mob tsawg dua tom qab kev phais mob no thaum piv rau qhov mob thiab mob rov qab tom qab qhib kev phais.
Qee zaum, koj tus kws phais yuav txiav me ntsis hauv qhov chaw sib txawv dua li tau piav saud.
Qee lub tsev kho mob thiab chaw kho mob tau ua qhov kev phais mob no uas siv cov cuab yeej robotic.
Kev pom zoo rau lub raum tej zaum yuav raug pom zoo rau:
- Qee leej neeg pab lub raum
- Kev yug los ua neeg tsis huv
- Mob raum lossis xav tias mob cancer raum
- Lub raum puas tsuaj los ntawm kev kis kab mob, raum pob zeb, lossis lwm yam teeb meem
- Txhawm rau pab tswj cov ntshav siab hauv ib tus neeg uas muaj teeb meem nrog ntshav mus rau lawv lub raum
- Kev raug mob (mob) rau lub raum uas kho tsis tau
Kev phom sij ntawm kev phais yog:
- Cov ntshav txhaws nyob hauv ob txhais ceg uas tuaj yeem mus ncig rau lub ntsws
- Cov teeb meem ua pa
- Kev kis mob, suav nrog kev phais mob, mob ntsws (mob ntsws), zais zis, lossis raum
- Ntshav poob
- Plawv nres lossis mob stroke thaum phais mob
- Kev tshuaj tiv thaiv
Kev phom sij ntawm cov txheej txheem no yog:
- Kev raug mob rau lwm cov plab hnyuv siab raum lossis kev teeb tsa
- Lub raum tsis ua haujlwm nyob rau hauv lub raum ntxiv
- Tom qab tshem ib lub raum, koj lwm lub raum yuav tsis ua hauj lwm zoo ib yam li ib pliag
- Hernia ntawm koj qhov mob mob
Qhia koj tus kws kho mob:
- Yog koj xeeb tub
- Cov tshuaj twg koj noj, txawm tias yog tshuaj, tshuaj ntxiv, vitamins, lossis tshuaj ntsuab uas koj yuav yam tsis muaj daim ntawv yuav tshuaj
Thaum lub hnub ua ntej kev phais mob:
- Koj yuav muaj kev kuaj ntshav rau koj yog koj xav tau cov ntshav ntxiv.
- Tej zaum yuav kom koj tsum tsis txhob noj cov tshuaj aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), Clopidogrel (Plavix), warfarin (Coumadin), thiab lwm cov ntshav ua kom ntshav khov.
- Nug koj tus kws kho mob saib koj yuav siv cov tshuaj twg hnub phais mob.
- Tsis txhob haus luam yeeb. Qhov no yuav pab koj kom rov zoo dua.
Hnub ntawm kev phais:
- Koj yuav kom feem ntau tsis txhob haus dej los yog noj dab tsi tom qab ib tag hmo hmo ua ntej qhov kev phais mob.
- Siv cov tshuaj raws li koj tau qhia, nrog me me hauv dej.
- Luag yuav qhia rau koj paub thaum mus txog hauv tsev kho mob.
Koj yuav nyob hauv tsev kho mob ntev txog 1 txog 7 hnub, nyob ntawm kev phais koj tau txais. Lub sijhawm nyob hauv tsev khomob, koj yuav:
- Yuav kom koj zaum ntawm sab txaj thiab taug kev tib hnub ntawm koj phais
- Muaj lub raj, lossis txoj raj yas, uas los ntawm koj lub zais zis
- Muaj qhov dej uas tawm los ntawm koj qhov kev phais mob
- Tsis tuaj yeem noj thawj 1 mus rau 3 hnub, thiab tom qab ntawd koj yuav pib haus dej
- Txhawb nqa kom ua kev tawm dag zog
- Hnav cov khoom siv tshwj xeeb, ntim cov khau khiab, lossis ob qho tib si los tiv thaiv cov ntshav txhaws
- Tau txais kev txhaj tshuaj hauv qab koj cov tawv nqaij kom tiv thaiv cov ntshav txhaws
- Txais tshuaj mob rau hauv koj cov leeg ntshav los yog tshuaj
Rov zoo los ntawm qhib kev phais tuaj yeem mob vim tias qhov chaw phais mob nyob rau. Txoj kev rov qab los tom qab txheej txheem laparoscopic feem ntau ua kom nrawm dua, nrog kev mob tsawg.
Qhov tshwm sim tau feem ntau zoo thaum ib lub raum tshem tawm. Yog tias ob lub raum raug tshem tawm, lossis lub raum seem ua tsis tau zoo txaus, koj yuav xav tau hemodialysis lossis hloov raum.
Nees Xes Qaus; Yooj yim nephrectomy; Tshaj dhau nephrectomy; Qhib cov nephrectomy; Laparoscopic nephrectomy; Ib feem ntawm nephrectomy
- Chav dej nyab xeeb rau cov neeg laus
- Lub raum tshem tawm - tawm
- Tiv thaiv kev poob
- Kev phais mob kho mob - qhib
- Raum
- Kev tshem tawm lub raum (nephrectomy) - koob
Babaian KN, Delacroix SE, Wood CG, Jonasch E. Mob raum. Hauv: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. Brenner thiab Rector's RaumCov. 10 tus ed. Philadelphia, PA: Elsevier; 2016: chaaj 41.
Olumi AF, Preston MA, Blute ML. Qhib kev phais ntawm lub raum. Hauv: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh UrologyCov. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 60.
Schwartz MJ, Rais-Bahrami S, Kavoussi LR. Laparoscopic thiab kev kho mob robotic ntawm lub raum. Hauv: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh UrologyCov. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 61.