Amatye amancinci omzimba anokunyangwa ngokulondolozwa okanye owomileyo wothusa wave wave wave lithotripripy, kodwa amatye amakhulu eedayala, afuna ungenelelo oluthintelo.
Ngenxa yendawo ekhethekileyo yamatye omzimba aphezulu, basenokungafikeleleki kwi-rigid urenteroscope, kwaye amatye anokuhamba ngokulula kwi-tenal pelvispes ngexesha le-lithotripripty. I-Percutaneous neProlingotomy inyusa umngcipheko wokutsala i-renal xa useke ijelo.
Ukunyuka kwe-ureteroscopy eguqukayo kusombulule ngempumelelo ezi ngxaki zingasentla. Ingena kwi-ureter kunye ne-renal pelvis nge-orifice eqhelekileyo yomzimba womntu. Kukhuselekile, kuyasebenza, ukuphanga kakhulu, ukungaphangeli okungakumbi, iintlungu ezincinci kwisigulana, kunye nenqanaba elikhulu eliphezulu. Ngoku sele iyindlela esetyenziswayo esetyenziswayo yokunyanga amatye omzimba aphezulu.
Ukuvela kweUkufikelela kwe-sundelUnciphise kakhulu ubunzima be-Ureteroscopic iLithotripripty. Nangona kunjalo, ngokunyuka kwenani lamatyala onyango, iingxaki zayo ziye zatsala kancinci kancinci. Iingxaki ezinje ngezityholo kunye nobunzima be-orteral zixhaphakile. Ezi zinto zilandelayo zezona zinto zintathu ziphambili ezikhokelela kwi-corestrals kunye nokungafezeki.
1. Ikhosi, ububanzi bamatye, ukubethwa ngamatye
Izigulana ezinendlela ende yesifo zidla ngokuba namatye amakhulu, kwaye amatye amakhulu ahlala kwi-ureter ixesha elide ukuba enze ivarsorence. Amatye kwisiza esichaphazelekayo
I-2. Ukonzakala kwe-orteral
I-Ureteroscope eguqukayo kulula ukugoba, kwaye isithuba sokufikelela se-sherteral kufuneka sifakwe phambi kweLithotricky. Ukufakwa kwesitishi akwenziweyo phantsi kombono ocacileyo, ke akunakufikeleleka ukuba i-Uresteral Mucore iya konakala okanye ifakwe ngenxa yokugoba kwe-ureter okanye i-lumen emxinwa ngexesha lokufakwa kwe-sheath.
Ukongeza, ukwenzela ukuxhasa i-ureter kwaye uqhube i-terfusion fluid ukunciphisa uxinzelelo kwi-relivis ye-renal, isitayile sejelo nge-F12 / 14 ihlala ikhethiwe ngokuthe ngqo udonga lodonga. Ukuba ubuchwephesha be-utyan utyando yinto yokusebenza kwaye ixesha lokusebenza luhlala ixesha elide, ixesha lokucinezelwa kwesitali kudonga oluthile liya kwandiswa ukuya kuthi ga kwinqanaba elithile, kwaye umngcipheko we-ISCHECUC kudonga lodonga luya kuba nkulu.
I-3. Holmium Laser
Ilitye lokuhlaselwa kwelitye leHolmium Laser ikakhulu lixhomekeke kwifuthe le-thothermal yayo, ebangela ukuba ilitye lithathe ngokuthe ngqo amandla e-laser kwaye lonyuse ubushushu bendawo yokufezekisa injongo yokuqhekeka kwamatye. Nangona ubunzulu bemitha ye-thermal ngexesha lokutyumka kwe-Gravel Burcang yi-0.5-1.0 mm, isiphumo sokugquma esibangelwa kukungasebenzi kakuhle kwe-Gravel ayinakufikeleleka.
Amanqaku aphambili okufaka iUkufikelela kwe-sundelngolu hlobo lulandelayo:
1. Kukho umbono ocacileyo wokuphulukana nokufakwa kwi-ureter, kwaye uziva egudileyo xa enyuka kwi-ureter. Ukuba ukufakelwa kunzima, unokutshintsha isikhokelo wire ngasemva nangaphandle ukuze iqwalasele ukuba i-wire yewindows ihamba ngendlela enjalo i-wire ye-wire, njengokunganyangeki, umkhombandlela wokuqiqa kufuneka uhlengahlengiswe;
I-Sheati ye-Sheath ebekelwe ngempumelelo ilungiswe kwaye ayizukungena kwaye iphume. Ukuba itshaneli i-sheath pops ngaphandle, oko kuthetha ukuba ihlanganiswe kwi-bladder kwaye icingo yesikhokelo iqhubekile kwi-ureter kwaye kufuneka ibekwe kwakhona;
I-3. I-Horeteral Chaings ineenkcukacha ezahlukeneyo. Izigulana ezingamadoda zisebenzisa imodeli engama-45 cm, kunye nabasetyhini okanye abaguli abafutshane basebenzisa imodeli engama-35 cm. Ukuba i-chaath sheath ifakiwe, inokudlula kuphela ekuvulekeni kwe-orteral okanye akunakunyuka ukuya kwinqanaba eliphezulu. Isikhundla, abaguli abangamadoda banokusebenzisa i-35 cm ukuba bangenise i-Sheath, okanye batshintshele kwi-14f okanye ukutshintshwa kokukhula kwe-14f okanye ukuphinda-phinda ubuchwephesha bokukhula kwe-underteroscope ukungakwazi ukunyuka kwi-renal pelvis;
Musa ukubeka i-shernel sheath kwinyathelo elinye. Shiya i-10 cm ngaphandle kwe-irethral ye-urethral yokuthintela ukonakaliswa kwe-mucom ye-mucore okanye i-renal panchyyma kwi-UPJ. Emva kokufaka umda oguqukayo, isikhundla se-Chalnel Sheath sinokuhlengahlengiswa kwakhona phantsi kombono othe ngqo.
Thina, iJiangxi Zhuoruhiuuuuuuuhui-biopsy godps, i-hemoclip, I-Polyp gorare, Inaliti ye-sclerotherapy, ukutshiza i-catheter, Ibrashi ye-cytology, isikhokelo, Ibhasikithi yokubuyisa ilitye, I-Nasal Biling Drasheter Casheter catheternjl.Ems, Esd, I-ERCP. KwayeUthotho lwe-Urology, njengeI-Nitinel Grekhti, I-biopsy biopsy ye-biopsy, kwayeUkufikelela kwe-sundelkwayeIsikhokelo se-Urology. Iimveliso zethu kufuneka ziqinisekiswe, kwaye izityalo zethu ziqinisekisiwe. Impahla yethu ithunyelwe eYurophu, iMntla Melika, eMbindi Mpuma kunye nenxalenye yeAsia, kwaye ifumana umthengi wokuqonda kunye nokudumisa!
I-Post Time: Sep-11 ukuya ku-2424