Tiyatar sake dashen tiyata - yara

Ureters sune bututun da ke daukar fitsari daga koda zuwa mafitsara. Saka fitowar fitsari shine tiyata don canza matsayin waɗannan tubunan inda suka shiga bangon mafitsara.

Wannan aikin yana canza yadda ureter ke manne da mafitsara.

Yin aikin yana faruwa a asibiti yayin da yaronku yake barci kuma ba tare da jin zafi ba. Yin aikin yana ɗaukar awanni 2 zuwa 3.

Yayin tiyata, likitan zai:

• Cire fitsarin daga mafitsara.
• Irƙiri sabon rami tsakanin bangon mafitsara da tsoka a wuri mafi kyau a cikin mafitsara.
• Sanya fitsarin cikin sabon ramin.
• Sanya fitsarin a wuri kuma rufe mafitsara da dinki.
• Idan ana buƙata, wannan za a yi wa ɗayan ureter.
• Rufe duk wani abin yanka da aka yi a cikin cikin ɗanka tare da dinkuna ko matsakaita.

Ana iya yin aikin tiyata a hanyoyi 3. Hanyar da aka yi amfani da ita za ta dogara ne da yanayin ɗanka da yadda ureters suke buƙatar sake haɗawa da mafitsara.

• A aikin tiyata a bude, likita zai yi karamin ciko a cikin cikin ta cikin tsoka da mai.
• A cikin tiyatar laparoscopic, likita zai yi aikin ta amfani da kyamara da ƙananan kayan aikin tiyata ta hanyar ƙananan cutuka 3 ko 4 a cikin ciki.
• Yin aikin tiyata a jiki yana kama da tiyatar laparoscopic, sai dai kawai wani mutum-mutumi ne yake riƙe kayan aikin. Likitan likita ne ke sarrafa mutum-mutumin.

Za a sallami yaronka kwana 1 zuwa 2 bayan tiyatar.

Ana yin aikin tiyatar ne don hana fitsari zuwa baya daga mafitsara zuwa kodan. Wannan ana kiransa reflux, kuma yana iya haifar da maimaita cututtukan fitsari da lalata koda.

Irin wannan tiyatar ta zama ruwan dare gama gari ga yara saboda raunin ciki saboda matsalar haihuwar tsarin fitsari. A cikin yaran da suka manyanta, ana iya yi masa don magance kumburin ciki saboda rauni ko cuta.

Hadarin ga 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
• Amsawa ga magunguna

Hadarin ga wannan hanya sune:

• Fitsarin fitsari zuwa cikin kewayen mafitsara
• Jini a cikin fitsari
• Ciwon koda
• Mara lafiyar mafitsara
• Toshewar fitsarin
• Yana iya ba gyara matsalar

Haɗarin lokaci mai tsawo ya haɗa da:

• Yawan fitsari mai dorewa a koda
• Fitsarin fitsari

Za a ba ku takamaiman umarnin ci da sha dangane da shekarun yaranku. Likitan likitanku na iya ba da shawarar ku:

• Kar a ba yaro wani abinci mai ƙarfi ko ruwa mara tsabta, kamar su madara da ruwan lemu, farawa a tsakar dare kafin a yi aikin.
• Bada ruwa mai tsabta, kamar ruwan apple, ga manyan yara har zuwa awanni 2 kafin tiyata.
• Yara masu shayarwa har zuwa awanni 4 kafin aikin tiyata. Yaran da aka ba da abinci na yau da kullun na iya ciyarwa har zuwa awanni 6 kafin a yi musu tiyata.
• Kada a ba yaro abin sha har tsawon awanni 2 kafin tiyatar.
• Kawai bawa yaranka magunguna da likita ya basu shawara.
  
  

Bayan tiyata, ɗanka zai karɓi ruwa a jijiya (IV). Tare da wannan, ana iya ba ɗanka magani don sauƙaƙa ciwo da kwantar da cututtukan mafitsara na mafitsara.

Yaron ka na iya samun bututun bututu, bututu wanda zai fito daga mafitsarar danka don zubar da fitsari. Hakanan akwai iya zama magudana a cikin cikin yaron don barin ruwaye su zubo bayan tiyata. Ana iya cire waɗannan kafin a sallami ɗanka. Idan ba haka ba, likita zai gaya muku yadda za ku kula da su da kuma lokacin da za ku dawo don a cire su.

Lokacin da yaronka ya fito daga maganin sa barci, ɗanka na iya yin kuka, ya kasance cikin damuwa ko rikicewa, kuma ya ji ciwo ko amai. Wadannan halayen na al'ada ne kuma zasu tafi tare da lokaci.

Yaronku zai buƙaci zama a asibiti na tsawon kwanaki 1 zuwa 2, ya danganta da irin aikin tiyatar da yaronku ya yi.

Tiyatar ta yi nasara a cikin yawancin yara.

Ureteroneocystostomy - yara; Tiyata reimplant tiyata - yara; Retearamar fitsari; Reflux a cikin yara - sakewa na urethral

Dattijo JS. Harshen gyaran kafa na Vesicoureteral. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 554.

Khoury AE, Bägli DJ. Harshen gyaran kafa na Vesicoureteral. A cikin: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA; Elsevier; 2016: babi na 137.

Paparoma JC. Ureteroneocystostomy. A cikin: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, eds. Atlas na Yin aikin Urologic na Hinman. 4th ed. Philadelphia, PA: Elsevier; 2018: babi na 33.

Richstone L, Scherr DS. Robotic da tiyatar mafitsara ta tiyata. A cikin: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA; Elsevier; 2016: babi na 96.