Kodi inunso muli ndi vuto pokodza? Tiyeni tikambirane za mayeso a urodynamic!

Mungakumanenso ndi mavuto osiyanasiyana okhudzana ndi kukodza , kutanthauza kuti, nthawi zina kukodza, eti? Taganizirani izi, mwina mumamva ngati muli ndi mphamvu zochepa m'njira yanu ya mkodzo , kapena mwadzidzidzi mungafunike kukodza kwambiri, kapena mungafunike kukodza pafupipafupi. Anthu ena angamve ngati mkodzo udakalipobe m'chikhodzodzo chawo ngakhale atamaliza kukodza . Lero, tikambirana za njira yapadera yoyesera yomwe ingakuthandizeni kupeza chomwe chimayambitsa mavutowa omwe amawoneka ang'onoang'ono, koma okhumudwitsa kwambiri.

Kodi mayeso a urodynamic awa ndi ati?

Mwachidule, mayeso a urodynamic ndi mayeso omwe amafufuza momwe chikhodzodzo chanu (chiwalo chonga thumba chomwe chimasonkhanitsa ndikusunga mkodzo ), urethra (minofu yomwe ili pakati pa chikhodzodzo ndi njira yomwe mkodzo umatuluka - ngati pompo), ndi urethra (chubu chotulutsa mkodzo ) zikugwira ntchito. Ziwalozi zimatchedwanso njira ya mkodzo yapansi .

Mayesowa makamaka amayang'ana momwe thupi lanu limasonkhanitsira ndi kusunga mkodzo, komanso momwe umatulutsira mkodzo. Makamaka, mayesowa amatha kuyeza:

• Momwe mitsempha ndi minofu ya chikhodzodzo chanu ikugwira ntchito bwino.
• Kodi kuthamanga kwa magazi mkati ndi mozungulira chikhodzodzo kuli bwanji?
• Mukakodza , kodi mkodzo umatuluka mochuluka bwanji komanso mwachangu bwanji .

Kutengera ndi zotsatira za mayesowa, dokotala wanu akhoza kusankha njira yabwino kwambiri yothandizira zizindikiro zanu.

Kodi mayeso a urodynamic awa amachitidwa liti?

Mayeso awa angathandize madokotala kuzindikira mavuto omwe ali m'njira yanu ya mkodzo. Kumbukirani kuti njira ya mkodzo ili ngati njira yotulutsira madzi m'thupi lathu yomwe imachotsa zinyalala ndi madzi ochulukirapo.

Mayeso ambiri a urodynamic cholinga chake ndi kudziwa momwe chikhodzodzo chanu chimasungira mkodzo bwino komanso momwe chimatulutsira madzi. Chikhodzodzo chathanzi chiyenera kutulutsa madzi mkodzo mosalekeza, nthawi zonse, komanso kwathunthu.

Dokotala wanu akhoza kulamula mayeso awa ngati muli ndi zizindikiro monga izi:

• Kusadziletsa mkodzo ndi mtundu uliwonse wa kulephera kulamulira kukodza (monga kutaya mkodzo mwadala).
• Ngati mwadzidzidzi mumakhala ndi chilakolako chosaletseka chofuna kukodza , kapena ngati mukufuna kukodza pafupipafupi .
• Ngati mukumva kupweteka mukamakodza.
• Ngati mukupeza matenda a mkodzo (UTIs) nthawi zonse.
• Ngati mukuvutika kuyamba kukodza.
• Ngati muli ndi vuto loti simungathe kuchotsa mkodzo wonse (Urinary Retention).
• Ngati mkodzo ukuyenda pang'onopang'ono , mofooka , kapena mosakhazikika .

Tangoganizirani, Nilanthi Akka amatuluka mkodzo pang'ono akamaseka kapena kutsokomola. Izi zimamuchititsa manyazi kwambiri. Dokotala anati achite mayeso a urodynamic kuti adziwe chomwe chimayambitsa izi.

Zizindikiro ngati izi zimasonyeza kuti pakhoza kukhala vuto linalake m'njira yanu ya mkodzo.

Kodi mayeso a urodynamic awa amachitidwa bwanji?

Pali mitundu ingapo ya mayeso a urodynamic, omwe amagwira ntchito mosiyana pang'ono. Nthawi zina dokotala wanu angachite mayeso angapo nthawi imodzi kuti amvetse bwino momwe mkodzo wanu umagwirira ntchito.

Tiyeni tiwone mitundu ina yayikulu ya mayeso.

Mayeso a Cystometry

Kuyesa kwa cystometry, kapena cystometrogram, ndi mayeso omwe amagwiritsa ntchito ma catheter ( machubu owonda komanso osinthasintha) kuti ayesere kuthamanga kwa magazi mkati mwa chikhodzodzo chanu. Kuyesaku kungakuuzeni izi:

• Kodi chikhodzodzo chanu chingasunge mkodzo wochuluka bwanji .
• Kupanikizika mkati mwa chikhodzodzo pamene chikusunga mkodzo, ndi momwe kuthamangako kumakulira mofulumira pamene chikhodzodzo chikudzaza.
• Kodi chikhodzodzo chanu chimadzaza bwanji mukamafuna kukodza?

Mayesowa amathanso kuyeza kupweteka kapena kupindika komwe kumachitika pakhoma la chikhodzodzo pamene chikhodzodzo chikudzaza.

Kuyezetsa kwa cystometry kumayamba ndi chikhodzodzo chopanda kanthu. Dokotala wanu adzaika katheta kakang'ono kudzera mu urethra yanu mu chikhodzodzo chanu. Katheta iyi ili ndi sensa yotchedwa manometer , yomwe imatha kuyeza kuthamanga kwa chikhodzodzo chanu panthawi yonse yoyezetsa. Dokotala wanu akhozanso kuyika katheta ina mu nyini yanu kapena rectum kuti ayeze kuthamanga kwa mkati mwa mimba yanu.

Kenako, adzadzaza pang'onopang'ono chikhodzodzo chanu ndi madzi ofunda komanso osawononga. Pamene chikhodzodzo chanu chikudzaza, mungapemphedwe kuti mukhosomole kapena kufinya. Izi zimatchedwa ``Leak Point Pressure``, komwe ndi komwe mkodzo umatuluka chifukwa cha kupanikizika. Pamapeto pa cystometrogram, mudzapemphedwa kuti mutulutse mkodzo wanu. Kenako manometer idzayesa kupanikizika mu chikhodzodzo chanu ndi liwiro lomwe mkodzo umatuluka (``Pressure Flow Measurement``).

Anthu ena angavutike kutulutsa madzi m'chikhodzodzo, makamaka akakhala ndi catheter m'malo mwake kapena wina ali m'chipindamo. Ngati izi zitachitika, musachite manyazi, ndi zachilendo. Ngakhale kuti mungamve kusasangalala dokotala akaika catheter mu mkodzo wanu, mayesowo sakupweteka .

Kwa amuna, zotsatira za mayesowa zingaperekenso lingaliro la ngati prostate gland yakulitsidwa (prostate yokulirapo), yomwe ndi vuto lomwe limayambitsa vuto la kukodza.

Mayeso a Electromyography

Electromyography imayesa momwe chikodzodzo chanu chimagwirira ntchito, minofu ndi mitsempha yozungulira. Imayika ma electrode patches (monga zomata zazing'ono) pafupi ndi urethra ndi anus yanu ndikulemba mafunde amagetsi omwe amachitika minofu ya pansi pa chiuno chanu ikakokana.

Mayeso a Uroflowmetry

Mayeso ena omwe amayesa kuchuluka ndi kuthamanga kwa mkodzo amatchedwa uroflowmetry. Mukabwera kudzayesa izi, dokotala wanu adzakufunsani kuti mudzaze chikhodzodzo chanu . Mudzakodza m'makina apadera (monga chimbudzi chamagetsi). Amayesa yokha kuchuluka ndi liwiro la mkodzo wanu ndikupanga chithunzi chosonyeza kusintha. Zotsatira zake zimatha kudziwa ngati minofu ya chikhodzodzo chanu ndi yofooka kapena ngati mkodzo wanu ndi wofooka kapena wosokonezeka chifukwa cha kutsekeka kwina.

Muyeso Wotsalira wa Postvoid

Mayeso a ``Postvoid Residual Measurement`` awa amayesa kuchuluka kwa mkodzo wotsala mu chikhodzodzo chanu mukamaliza kukodza. Izi zimatchedwa postvoid residual. Aliyense amakhala ndi pang'ono potsala. Dokotala wanu nthawi zambiri amagwiritsa ntchito mayeso a ultrasound (timatcha ``Blodder Scanner``) kuti ajambule chithunzi cha chikhodzodzo chanu.

Anthu ena omwe ali ndi matenda enaake sangathe kuyesedwa chikhodzodzo. Zikatero, catheter imayikidwa mu chikhodzodzo kudzera mu urethra ndipo mkodzo wowonjezera umachotsedwa kuti muwone ngati uli bwino. Nthawi zambiri, mkodzo wokwana ma ounces 5-6 (pafupifupi 150-180 ml) kapena kuposerapo umatsala, zomwe ndi chizindikiro chakuti chikhodzodzo sichikutuluka kwathunthu. Komabe, izi zimatha kusiyana malinga ndi munthu. Dokotala wanu adzakambirana nanu zotsatira zake.

Mayeso a Urodynamic a Kanema

Mayeso a urodynamic a kanema ndi ophatikiza cystometry, uroflowmetry, ndi X-ray cystography. Zipangizo zamagetsi zomwe zimagwiritsidwa ntchito poyesa izi zimagwiritsa ntchito X-ray kuyeza kuthamanga kwa chikhodzodzo ndi rectum komanso kuyenda kwa mkodzo. Zipangizozi zimatenga zithunzi za chikhodzodzo pamene chikudzaza ndi kutulutsa madzi. Mayesowa amapereka chidziwitso chofunikira chokhudza ntchito ya chikhodzodzo ndi urethra, komanso kuwonetsa kukula ndi mawonekedwe a chikhodzodzo.

Ngati mukuchitidwa X-ray, chikhodzodzo chanu chidzadzazidwa ndi madzi apadera otchedwa ``Contrast Dye''.Izi zimathandiza kuti zithunzi ziwonekere bwino. Mitundu iyi ya `(Contrast Dye)` nthawi zambiri simayamwa ndi thupi. Komabe, ngati wina ali ndi `(Allergy)` ku mitundu iyi ya zakumwa (kapena ziwengo zina zilizonse), ayenera kuuza dokotala asanayesedwe.

Kodi ndiyenera kukonzekera makamaka mayesowa asanachitike?

Nthawi zambiri, mayesowa safuna kukonzekera kwapadera. Pa mayeso ena, dokotala wanu amakuuzani kuti mumwe madzi ambiri ndikukhala ndi chikhodzodzo chodzaza musanayese mayeso. Onetsetsani kuti mwafunsa dokotala wanu mafunso aliwonse omwe muli nawo musanayese mayeso. Komanso, funsani ngati muyenera kusiya kumwa mankhwala aliwonse musanayese mayeso.

Kodi chimachitika ndi chiyani pambuyo pa mayeso?

Mungamve kusasangalala pang'ono kapena kutentha mukamakodza . Izi ziyenera kutha pasanathe maola angapo. Muthanso kuwona madontho ochepa a magazi mumkodzo wanu . Kumwa madzi okwana magalamu 8-16 (magalasi 1-2) pa ola limodzi kwa maola pafupifupi awiri kungathandize kuthetsa zizindikirozi.

Dokotala wanu angakulangizeni kuti musamba m'madzi ofunda kapena kuyika nsalu yofunda komanso yonyowa pamwamba pa mkodzo wanu. Ngati pakufunika kutero, angakulangizeninso kuti mumwe mankhwala ochepetsa ululu omwe amagulitsidwa kunja kwa chipatala (OTC).

Nthawi zina, dokotala wanu angapereke mankhwala opha tizilombo toyambitsa matenda kuti apewe matenda, koma izi sizimakhala zofunikira nthawi zonse. Ngati muli ndi zizindikiro za matenda, monga malungo, kuzizira, kapena kupweteka kwambiri, uzani dokotala wanu nthawi yomweyo.

Kodi mayesowa amatenga nthawi yayitali bwanji?

Ngakhale kuti n'zovuta kunena nthawi yeniyeni yomwe mayesowa adzatenga, nthawi zambiri mumatha kuyembekezera kuti atenga pakati pa mphindi 30 ndi 45 .

Kodi pali zoopsa zilizonse ndi mayeso a urodynamic?

Kuyeza kwa urodynamic ndi njira yotetezeka komanso yodalirika yoyezera. Komabe, chifukwa chakuti catheter imayikidwa mu urethra, pali mwayi wochepa kwambiri woti munthu adwale matenda a mkodzo .

Kodi mayeso awa ndi opweteka?

Mayeso a urodynamic sayenera kukhala opweteka . Mutha kumva kutentha pang'ono kapena kusasangalala pang'ono kwa maola pafupifupi 24 mutatha mayeso, koma sipayenera kukhala kupweteka kwakukulu.

Kodi mudzapatsidwa mankhwala oti muchepetse nkhawa musanayesedwe? Kapena mudzapatsidwa mankhwala oletsa ululu?

Akuluakulu nthawi zambiri safunika mankhwala oletsa ululu kapena oletsa ululu asanayambe mayeso a urodynamic. Komabe, ngati mwana wamng'ono akuyesedwa, angapatsidwe mankhwala oletsa ululu ochepa kwambiri kuti akhale chete . Ngati muli ndi mafunso okhudza izi, ndi bwino kulankhula ndi dokotala wanu.

Kodi ndidzapeza liti zotsatira za mayeso anga?

Zotsatira za mayeso monga cystometry ndi uroflowmetry ndiMuyenera kudziwa tsiku lomwelo. Zingatenge masiku angapo kuti zotsatira za mayeso monga electromyogram ndi video urodynamics zibwererenso. Zotsatira zikangopezeka, dokotala wanu adzakambirana nanu za izo. Mungafunike kuonananso ndi dokotala wanu kuti mukambirane njira zina ndi chithandizo.

Kodi Urodynamics ndi Urology ndi chinthu chimodzi?

Inde, izi ziwiri ndi zosiyana pang'ono. Urology ndi gawo la zamankhwala lomwe limaphunzira matenda omwe amakhudza dongosolo lanu la mkodzo. Urodynamics ndi mayeso omwe amayesa momwe njira yanu yam'munsi ya mkodzo ikugwirira ntchito. Mayesowa angathandize kuzindikira mavuto aliwonse omwe angakhalepo.

Pomaliza, zinthu zingapo zoti muzikumbukira

Mayeso a Urodynamic ndi mayeso omwe amathandiza kuzindikira matenda omwe amakhudza chikhodzodzo chanu, sphincter ya chikhodzodzo chanu, ndi urethra yanu. Awa ndi mayeso otetezeka komanso osavuta omwe amapatsa dokotala wanu chidziwitso chofunikira cha momwe chikhodzodzo chanu chimasungira ndi kutulutsa mkodzo.

Musaiwale, ngati muli ndi mafunso okhudza mayesowa kapena zotsatira zanu, musachite manyazi kufunsa dokotala wanu. Ali pano kuti akuthandizeni!

Ngati mukupeza zizindikiro za matenda mutamaliza kuyezetsa magazi, monga kutentha thupi, kuzizira , kapena ngati mukuvutikabe kwambiri pakatha maola ochepa, pitani kuchipatala nthawi yomweyo.

Mkodzo , chikhodzodzo, mayeso a urodynamic, kusadziletsa kwa mkodzo, mayeso osunga mkodzo, cystometry, uroflowmetry