Ukutshintshwa kweengso yinto eqhelekileyo yokuhlinzwa ukuguqulwa komzimba. Iyenziwa ngezinga elibi lokungaphumeleli komntu ongapheliyo, okungaba ngumphumo wezifo ezinjenge- glomerulonephritis engapheliyo, i-pyelonephritis engapheliyo, isifo sesifo sesifo senhliziyo, njl njl. Kwakhona ukutshintshwa kweengtso kunokufuneka kwisifo sikashukela xa iingxaki zesifo zibhubhisa iintso.
Ukuze ulondoloze ubomi, izigulane ezinjalo ziyeza kuthatha indawo yokwelashwa kwe-renal, equka i-hemodialysis engapheliyo ne-peritoneal. Kodwa xa kuthelekiswa nolu khetho, ukutshintshwa kweentso kunemiphumo emihle ngokubhekiselele kwimiba yokuphila.
Ukusetyenziswa kokufakelwa kweengso
Iinjongo zinokutshintshwa kwisinye isihlobo (esithintekayo sokutshintshwa kweengtso), i. Abaxhasi bangaba ngabazali, umzalwana, udade okanye abantwana bomntu ogulayo. Ukongezelela, ukufakelwa kwetyala kunokwenzeka nakweyiphi na enye umntu (kubandakanywa nomfi), ngaphandle kokuba amaqela egazi kunye neempahla zofuzo ziyahambelana. Enye imeko ebalulekileyo yokubonelela ngukungabikho kwezifo ezithile (i-HIV, i-hepatitis, ukungaphumeleli kwentliziyo, njl.). Inkqubo yokuguqulwa komzimba ilawulwa ngumthetho.
Ukutshintshwa kweentso kuqhutywa ngamanyathelo amabini:
- Umnikelo. Kule nqanaba, ukhetho lomnikeli, iimvavanyo zakhe kunye neemvavanyo ezihambelanayo. Ukukhupha iinjongo kumniki-mnikelo ophilayo, i-nefrectomy yomnikeli we-laparoscopic (ukususwa kweengtso) okanye i-nephrectomy yomniki-mvume evulekile. Umnikeli osemva kokusebenza wenza umsebenzi wokuhlola ukutshintshwa kwezintso. Ukuqhubela phambili, iinjongo ezichitshiweyo zihlanjululwa ngezisombululo ezikhethekileyo kwaye zikhutshwe ngendlela ekhethekileyo evumela ukuba kugcinwe ukusebenza kwelungu. Ixesha lokugcinwa kwe-graft lixhomekeke kuhlobo lwesisombululo sokulondoloza - ukusuka kwiiyure ezingama-24 ukuya kuma-36.
- Ummkeli. Iimpongo ezixhasayo idla ngokutshintshwa kwi-ileum. Ukongezelela, ilungu lidibaniswe ne-ureter kunye neenqanawa, i-sutures ifakwe kwisilonda. Ngethuba lokusebenza, isifo somntu wesifo sesiguli asisuswanga.
Iziphumo (iingxaki) zokufakelwa kweengso:
- ukukhishwa kweentso;
- i-thrombosis ye-artery yeentso;
- kuphuma;
- thrombosis enobuhlungu;
- i fistula;
- iingxaki ezinengxaki;
- ukusuleleka kwintsholongwane, njl
Ubomi emva kokufakelwa kwentliziyo
Ukulindela ubomi emva kokutshintshwa kweengtso kumntu ngamnye kwimeko nganye kwaye kuxhomekeke kwiimeko ezahlukeneyo (ubukho bezifo ezidibeneyo, imeko yokuzikhusela, njl). Iinjongo ziqala ukusebenza ngokupheleleyo emva kweentsuku ezimbalwa emva kokusebenza. Iintshukumo zokungaphumeleli kwindlala zanyamalala emva kweeveki ezimbalwa, malunga nokusetyenziswa kwexesha, emva kweeseshoni ezininzi ze-hemodialysis zenziwa.
Ukuthintela ukunqandwa kwamalungu (amajoni omzimba ayawabona njengento yelizwe langaphandle), isigulane kufuneka sithathe ama- immunosuppressants ngexesha elithile.
Nangona kunjalo, ukuguqulwa kweengso kukhuthaza ubomi kwaye kuphuculwe umgangatho walo, ophawulwa ngabo bonke abagulane abaye bahlinzwa. Kuyafaneleka ukuba uqaphele ukuba emva kokukhulelwa kwengqondo yokukhutshwa kwentliziyo kunokwenzeka, nangona kunjalo, ukuqwalaselwa ngokunyamekileyo ngumjobi wezinzi, i-nephrologist, ukuhlalutya rhoqo.