Cire koda

Cire koda, ko nephrectomy, shine aikin tiyata don cire duka ko ɓangaren koda. Yana iya unsa:

• Wani ɓangare na koda ɗaya cire (ɓangaren nephrectomy).
• Duk cire koda daya (sauki nephrectomy).
• Cire koda guda daya, mai mai kewaye, da kuma glandar adrenal (radical nephrectomy). A waɗannan yanayin, wasu lokuta ana cire ƙwayoyin lymph da ke kusa da su.

Ana yin wannan aikin tiyata a asibiti yayin da kuke barci kuma ba tare da ciwo ba (maganin rigakafi na kowa). Hanyar na iya ɗaukar awanni 3 ko fiye.

Nephrectomy mai sauƙi ko cire koda:

• Za ku kwance a gefenku. Likitan likitan ku zai yanke jiki zuwa inci 12 ko inci 30 inci. Wannan yankan zai kasance a gefenku, a kasa da hakarkarinsa ko dama akan ƙananan haƙarƙarin.
• An yanke tsoka, kitse, da nama. Kwararren likitan ku na iya buƙatar cire haƙarƙarin don yin aikin.
• Bututun da ke ɗaukar fitsari daga koda zuwa mafitsara (ureter) da jijiyoyin jini an yanke su daga koda. Ana cire koda.
• Wani lokaci, ana iya cire wani ɓangaren koda (ɓangaren nephrectomy).
• Sannan an rufe abun tare da dinkuna ko matsakaitansu.

Nephrectomy mai tsattsauran ra'ayi ko cire koda:

• Likitan likitan ku zai yanke inci 8 zuwa 12 (inci 20 zuwa 30). Wannan yankan zai kasance a gaban ciki, a kasa da hakarkarin ku. Hakanan za'a iya yin ta gefenku.
• An yanke tsoka, kitse, da nama. Bututun da ke ɗaukar fitsari daga koda zuwa mafitsara (ureter) da jijiyoyin jini an yanke su daga koda. Ana cire koda.
• Likitan likitan ku zai fitar da kitse mai kewaye, wani lokacin kuma adrenal gland da wasu ƙwayoyin lymph.
• Sannan an rufe abun tare da dinkuna ko matsakaitansu.

Cire koda na laparoscopic:

• Likitanka zai yi ƙananan yanka guda 3 ko 4, galibi ba zai wuce inci 1 (cm biyu da rabi) kowannensu ba, a cikin ciki da gefen. Dikitan zai yi amfani da ƙananan bincike da kyamara don yin aikin.
• Zuwa ƙarshen aikin, likitan ku zaiyi ɗayan cuts ɗin babba (kimanin inci 4 ko 10 cm) don cire koda.
• Likita zai yanka fitsarin, sanya jaka a kusa da kodar, sannan ya ja ta ta hanyar da ya fi girma.
• Wannan tiyatar na iya ɗaukar lokaci fiye da buɗe koda. Koyaya, yawancin mutane suna murmurewa cikin sauri kuma suna jin ƙarancin ciwo bayan wannan nau'in tiyatar idan aka kwatanta da ciwo da lokacin dawowa bayan tiyatar buɗe ido.

Wani lokaci, likitan ku na iya yin yanka a wani wuri daban da yadda aka bayyana a sama.

Wasu asibitoci da cibiyoyin kiwon lafiya suna yin wannan tiyatar ta amfani da kayan aikin robotic.

Ana iya bada shawarar cire koda don:

• Wani ya bada koda
• Launin haihuwa
• Ciwon koda ko wanda ake zargi da cutar kansa
• Kodar da cutar ta lalace, tsakuwar koda, ko wasu matsaloli
• Don taimakawa sarrafa hawan jini a cikin wanda ke da matsala game da wadatar jini a kodarsu
• Mummunan rauni (rauni) ga koda wanda ba za a iya gyara shi ba

Hadarin kowane tiyata shine:

• Jinin jini a kafafu wanda na iya tafiya zuwa huhu
• Matsalar numfashi
• Kamuwa da cuta, gami da ciwon tiyata, huhu (ciwon huhu), mafitsara, ko koda
• Rashin jini
• Ciwon zuciya ko bugun jini yayin aikin tiyata
• Amsawa ga magunguna

Hadarin wannan hanyar sune:

• Rauni ga wasu gabobi ko sifofin
• Rashin koda a cikin sauran koda
• Bayan an cire koda daya, dayan koda bazai yi aiki ba na wani lokaci
• Hernia na rauni na tiyata

Koyaushe gaya wa mai ba da lafiyar ku:

• Idan kanada ciki
• Waɗanne ƙwayoyi kuke sha, har ma da ƙwayoyi, ƙarin, bitamin, ko ganye da kuka siya ba tare da takardar sayan magani ba

A lokacin kwanakin kafin aikin:

• Za a dauki samfurin jini idan kana bukatar karin jini.
• Ana iya tambayarka ka daina shan aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), Clopidogrel (Plavix), warfarin (Coumadin), da sauran masu rage jini.
• Tambayi mai ba ku magani wadanne kwayoyi ne ya kamata ku sha a ranar tiyatar.
• Kar a sha taba. Wannan zai taimaka maka dawo da sauri.

A ranar tiyata:

• Sau da yawa za a umarce ku kada ku sha ko ku ci wani abu bayan tsakar dare daren aikin.
• Theauki magungunan kamar yadda aka gaya muku, tare da ɗan shan ruwa.
• Za a gaya muku lokacin da za ku isa asibiti.

Za ku zauna a asibiti na kwana 1 zuwa 7, ya danganta da nau'in tiyatar da kuka yi. Yayin zaman asibiti, zaka iya:

• Za a umarce ka da ka zauna a gefen gado ka yi tafiya a ranar da za a yi maka aikin tiyata
• Ka sami bututu, ko bututun ruwa, wanda ke fitowa daga mafitsara
• Yi magudanar ruwa wanda ke fitowa ta hanyar yankewar tiyata
• Ba za ku iya cin abinci na farko 1 zuwa 3 ba, sannan za ku fara da ruwa
• Ka ƙarfafa yin motsa jiki
• Sanya safa ta musamman, takalmin matsewa, ko duka biyun don hana daskarewar jini
• Karbi hotuna a karkashin fatarka don hana daskarewar jini
• Karɓi maganin ciwo a cikin jijiyoyinku ko kwayoyi

Murmurewa daga buɗe tiyata na iya zama mai raɗaɗi saboda wurin da aka yanke tiyatar. Saukewa bayan laparoscopic hanya ya fi sauri sauri, tare da ƙananan ciwo.

Sakamakon ya fi kyau sau da yawa idan aka cire koda ɗaya. Idan aka cire duka kodojin, ko sauran kodar bai yi aiki yadda ya kamata ba, za a bukaci hemodialysis ko dashen koda.

Ciwon ciki; Nephrectomy mai sauki; Tsari nephrectomy; Bude nephrectomy; Laparoscopic nephrectomy; Neangaren nephrectomy

• Tsaron gidan wanka don manya
• Cire koda - fitarwa
• Hana faduwa
• Kula da rauni na tiyata - a buɗe

• Kodan
• Cire koda (nephrectomy) - jerin

Babaian KN, Delacroix SE, Wood CG, Jonasch E. Ciwon koda. A cikin: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. Brenner da Rector na Koda. 10 ed. Philadelphia, PA: Elsevier; 2016: babi na 41.

Olumi AF, Preston MA, Blute ML. Bude tiyata na koda. A cikin: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: babi na 60.

Schwartz MJ, Rais-Bahrami S, Kavoussi LR. Laparoscopic da robotic tiyata na koda. A cikin: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: babi na 61.