Kev phais mob raum kom rov zoo tuaj - menyuam yaus

Txoj hlab zis yog txoj hlab ntshav uas tso zis tawm ntawm lub raum mus rau lub zais zis. Kev phais ntshav kom rov zoo tuaj yog phais yuav hloov pauv chaw ntawm txoj hlab no uas lawv nkag mus rau hauv lub zais zis.

Tus txheej txheem no hloov txoj kev tso zis rau ntawm lub zais zis.

Qhov phais yuav tsum nyob hauv tsev kho mob thaum koj tus menyuam tsaug zog thiab tsis hnov ​​mob. Qhov phais yuav siv 2 mus rau 3 teev.

Thaum phais, tus kws phais yuav:

• Txuag cov zis ntawm lub zais zis.
• Tsim qhov tshiab ntawm lub zais zis ntawm phab ntsa thiab cov leeg nqaij rau hauv qhov chaw zoo dua ntawm lub zais zis.
• Tso cov zis tso rau hauv lub qhov tshiab.
• Tso txoj siv zis nyob rau hauv qhov chaw thiab kaw lub zais zis nrog plooj.
• Yog tias xav tau, qhov no yuav ua rau lwm cov zis.
• Kaw tej qhov txiav hauv koj tus menyuam lub plab uas muaj pob lossis staples.

Qhov phais yuav tuaj yeem ua 3 txoj kev. Txoj kev siv yuav nyob ntawm koj tus menyuam li kev mob thiab yuav siv li cas rau lub zais zis.

• Hauv kev phais qhib, tus kws kho mob yuav ua rau hauv plab me me hauv qab plab los ntawm cov leeg nqaij thiab rog.
• Hauv kev phais mob laparoscopic, tus kws kho mob yuav ua cov txheej txheem siv cov koob yees duab thiab cov cuab yeej phais mob me me los ntawm 3 lossis 4 qhov kev txiav me me hauv plab.
• Kev phais neeg hlau zoo ib yam li kev phais laparoscopic, tshwj tsis yog tias cov twj paj nruag tuav hauv qhov chaw los ntawm kev siv ib tug neeg hlau. Tus kws phais mob tswj cov neeg hlau.

Koj tus menyuam yuav raug tso tawm 1 mus 2 hnub tom qab phais tas.

Qhov phais yog txiav thaiv cov ntshav tawm mus rau tom qab ntawm lub zais zis mus rau ob lub raum. Qhov no hu ua reflux, thiab nws tuaj yeem ua rau mob txeeb zig thiab rov ua rau lub raum puas.

Txoj kev phais mob no tshwm sim rau cov menyuam yaus rau qhov muaj mob vim tsis muaj qhov tsis ua haujlwm ntawm lub siab mob. Hauv cov menyuam yaus hnub nyoog loj dua, nws tuaj yeem kho txhawm rau txhawm rau vim raug mob lossis kab mob.

Kev phom sij rau kev phais mob 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
• Kev tshuaj tiv thaiv

Kev phom sij rau txoj kev ua no yog:

• Tso zis tawm rau hauv qhov chaw ib ncig ntawm lub zais zis
• Cov ntshav hauv cov zis
• Mob raum
• Lub zais zis cia tuaj
• Qhov thaiv ntawm qhov ureters
• Tej zaum nws yuav tsis kho qhov teeb meem

Ntev li ntawm kev pheej hmoo muaj xws li:

• Rov qab tso zis txaus mus rau hauv lub raum
• Qhov mob fistula tso zis

Lawv yuav muab cov lus qhia kev noj haus rau koj tus menyuam raws lub hnub nyoog. Koj tus menyuam tus kws khomob yuav hais kom koj:

• Tsis txhob pub koj cov menyuam noj zaub mov tawv lossis dej tsis qab, xws li mis thiab kua txiv kab ntxwv, pib thaum ib tag hmo ua ntej txoj kev phais mob.
• Tsuas muab cov kua ntshiab xwb, xws li kua txiv apple, rau cov menyuam hnub nyoog ntev txog 2 teev ua ntej kev phais mob.
• Pub niam mis rau menyuam nyob 4 teev ua ntej phais. Cov mis mos uas noj mis tau pub mis rau 6 teev ua ntej kev phais mob.
• Tsis txhob pub koj tus menyuam haus dab tsi rau 2 teev ua ntej kev phais mob.
• Tsuas yog muab rau koj tus menyuam cov tshuaj uas kws kho mob pom zoo.
  
  

Tom qab phais tas, koj tus me nyuam yuav tau haus dej hauv txoj hlab ntshav (IV). Nrog rau qhov no, koj tus menyuam kuj tseem yuav tau muab tshuaj kom daws qhov mob thiab ua kom lub zais zis nqig mus.

Koj tus me nyuam yuav muaj txoj raj, ib txoj raj uas los ntawm koj tus menyuam lub zais zis los tso zis. Kuj tseem muaj dej hauv koj tus menyuam lub plab kom tso kua dej tawm tom qab phais tas. Cov no yuav raug tshem tawm uantej koj tus menyuam tawm mus. Yog tias tsis yog, tus kws kho mob yuav qhia koj seb yuav tu lawv li cas thiab thaum twg kom rov qab los kom lawv tau muab tshem tawm.

Thaum koj tus menyuam tawm ntawm qhov tsis nco ua haujlwm, koj tus menyuam yuav quaj, ua plhu lossis tsis meej pem, thiab hnov ​​mob lossis ntuav. Cov kev tsis haum no zoo li qub thiab yuav ploj mus nrog rau lub sijhawm.

Koj tus menyuam yuav tsum tau nyob hauv tsev kho mob ntev txog 1 rau 2 hnub, nyob ntawm kev phais koj tus menyuam tau txais ua dabtsi.

Qhov kev phais mob ua tiav rau feem ntau ntawm cov menyuam yaus.

Ureteroneocystostomy - menyuam yaus; Kev phais mob raum rov zoo tuaj - menyuam yaus; Txoj hlab raum tso kua mis; Reflux nyob rau hauv cov me nyuam - ureteral reimplantation

Txwj Laug JS. Vesicoureteral reflux. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm PediatricsCov. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 554.

Khoury AE, Bägli DJ. Vesicoureteral reflux. Hauv: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh UrologyCov. 11th ed. Philadelphia, PA; Elsevier; 2016: tshooj 137.

Pope JC. Ureteroneocystostomy. Hauv: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, eds. Hinman's Atlas ntawm Urologic phaisCov. 4 tug ed. Philadelphia, PA: Elsevier; 2018: chap 33.

Richstone L, Scherr DS. Kev phais neeg hlau thiab laparoscopic zais zis. Hauv: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh UrologyCov. 11th ed. Philadelphia, PA; Elsevier; 2016: tshooj 96.