Ese nawe ufite ikibazo cyo kunyara? Reka tuvuge ku bipimo by'uburodinamike!

Ushobora kandi guhura n'ingorane zitandukanye mu bijyanye no kunyara , ni ukuvuga kunyara, rimwe na rimwe, sibyo? Tekereza nawe, wenda wumva ufite imbaraga nke mu nzira yawe y'inkari , cyangwa ushobora kuba ukeneye cyane kunyara mu buryo butunguranye, cyangwa ushobora kuba ukeneye kunyara kenshi. Hari abantu bashobora no kumva ko inkari zikiri mu ruhago rwabo nubwo barangije kunyara . Uyu munsi, tugiye kuvuga ku buryo bwihariye bwo gupima bushobora kugufasha kubona impamvu nyayo y'ibi bibazo bisa n'ibito, ariko bikubangamiye cyane.

Ibi bizamini bya urodynamic ni ibihe?

Mu magambo make, ibizamini bya urodynamic ni itsinda ry'ibizamini bigenzura uburyo uruhago rwawe (urugingo rumeze nk'umufuka rukusanya kandi rukabika inkari ), urethra (imitsi iri hagati y'uruhago n'inzira inkari zisohokeramo - nk'amazi), na urethra (umuyoboro usohora inkari ) bikora neza. Izi ngingo kandi zitwa inzira yo hasi y'inkari .

Ibi bizamini bireba ahanini uburyo umubiri wawe wikusanya kandi ubika inkari neza, n'uburyo zisohoka neza . By'umwihariko, ibi bizamini bishobora gupima:

• Uburyo imitsi n'imitsi yo mu ruhago rwawe bikora neza.
• Umuvuduko w'inkari mu ruhago no mu nkengero zarwo umeze ute?
• Iyo urimo kunyara , inkari zigera ku rugero rungana iki n'uko zisohoka vuba.

Hashingiwe ku bisubizo by'ibi bizamini, muganga wawe ashobora kugena gahunda nziza yo kuvura ibimenyetso byawe.

Ibi bizamini bya urodynamic bikorerwa ryari?

Ibi bizamini bishobora gufasha abaganga kubona ibibazo biri mu nzira yawe yo hasi y'inkari. Wibuke ko inzira y'inkari ari nk'uburyo bwo gusohora imyanda n'amazi menshi mu mibiri yacu.

Ibizamini byinshi bya urodynamic bigamije kumenya uburyo uruhago rwawe rufata neza inkari n'uburyo zisohora neza. Uruhago ruzima rugomba kuvamo inkari buri gihe, buri gihe kandi rwose.

Muganga wawe ashobora gutegeka ibi bipimo niba ufite ibimenyetso nk'ibi:

• Kunanirwa kwihagarika inkari ni ubwoko ubwo aribwo bwose bwo kudashobora kugenzura inkari (ni ukuvuga kubura inkari ku bushake).
• Niba ugize ubushake butunguranye bwo kunyara , cyangwa niba ukeneye kunyara kenshi .
• Niba wumva ububabare igihe uri kunyara.
• Niba urwaye indwara zo mu nzira y'inkari zigaruka kenshi (UTIs).
• Niba ufite ikibazo cyo gutangira kunyara.
• Niba ufite ikibazo aho udashobora gukuramo burundu uruhago rwawe (Urinary Retention).
• Iyo inkari zigenda buhoro cyane , zidakora neza , cyangwa zigahagarara .

Tekereza, Nilanthi Akka ava inkari nke iyo aseka cyangwa akoroye. Ibi biramuteye isoni cyane. Muganga yavuze ko agomba gukora ikizamini cya urodynamic kugira ngo amenye impamvu nyayo y'ibi.

Ibimenyetso nk'ibi bigaragaza ko hashobora kuba hari ikibazo mu nzira yawe yo hasi y'inkari.

Ibi bizamini bya urodynamic bikorwa bite?

Hari ubwoko butandukanye bw'ibizamini bya urodynamic, buri kimwe muri byo gikora mu buryo butandukanye gato. Hari igihe muganga wawe ashobora gukora ibizamini byinshi icyarimwe kugira ngo asobanukirwe neza uburyo inkari zawe zikora.

Reka turebe ubwoko bumwe na bumwe bw'ingenzi bw'ibizamini.

Ikizamini cya Cystometry

Ikizamini cya cystometry, cyangwa cystometrogram, ni ikizamini gikoresha catheters ( imiyoboro mito kandi yoroshye) kugira ngo gipime umuvuduko uri mu ruhago rwawe. Iki kizamini gishobora kukubwira ibi bikurikira:

• Ingano y'inkari uruhago rwawe rushobora kubika .
• Umuvuduko uri mu ruhago iyo ruri kubika inkari, n'uburyo uwo muvuduko wiyongera vuba uko uruhago rwuzuye.
• Uko uruhago rwawe rwuzuye iyo wumva ukeneye kunyara.

Iki kizamini gishobora kandi gupima kubyimba cyangwa gucika intege biba mu rukuta rw'uruhago iyo uruhago rwuzuye.

Ikizamini cya cystometry gitangirana n'inkari irimo ubusa. Muganga wawe azashyiramo katheteri ntoya mu muyoboro w'inkari mu ruhago rwawe. Iyi katheteri ifite sensor yitwa manometer , ishobora gupima umuvuduko mu ruhago rwawe mu gihe cyose cy'ikizamini. Muganga wawe ashobora kandi gushyiramo indi katheteri mu gitsina cyawe cyangwa mu nda kugira ngo apime umuvuduko uri mu nda yawe.

Hanyuma, zizuzuza buhoro buhoro uruhago rwawe n'amazi ashyushye kandi adahumanye. Uko uruhago rwawe rwuzuye, ushobora gusabwa gukorora cyangwa kunyunyuza. Ibi byitwa "Umuvuduko w'Ingingo Isohoka" (Leak Point Pressure), ari na ho inkari zisohoka bitewe n'umuvuduko. Ku mpera ya cystometrogram, uzasabwa gukuramo uruhago rwawe. Hanyuma icyuma gipima umuvuduko mu ruhago rwawe n'umuvuduko w'inkari (``Igipimo cy'Umuvuduko``).

Hari abantu bashobora kugorwa no gukuramo katheteri mu ruhago rwabo, cyane cyane iyo bafite katheteri mu mwanya wayo cyangwa iyo hari undi muntu uri mu cyumba. Ibi nibibaho, ntugatinye, ni ibisanzwe. Nubwo ushobora kumva utameze neza iyo muganga ashyize katheteri mu muyoboro wawe w'inkari, ikizamini ntabwo kibababaza .

Ku bagabo, ibisubizo by'iki kizamini bishobora no gutanga igitekerezo cy'uko prostate gland yagutse (prostate yagutse), ikaba ari indwara ituma bigorana kunyara.

Ikizamini cya Electromyography

Electromyography ipima imikorere y'amashanyarazi y'uruhago rwawe, imitsi n'imitsi birukikije. Bashyira uduce duto tw'amashanyarazi (nk'uduti duto) hafi y'umuyoboro w'inkari n'ikibuno, maze bakandika imiraba y'amashanyarazi ibaho iyo imitsi yo hasi y'ikibuno ikorakora.

Ikizamini cya Uroflowmetry

Ikindi kizamini gipima ingano n'umuvuduko w'inkari witwa uroflowmetry. Iyo uje muri iki kizamini, muganga wawe azagusaba kuzuza uruhago rwawe . Uzajya unyara mu mashini yihariye (nk'ubwiherero bw'ikoranabuhanga). Ipima ingano n'umuvuduko w'inkari zawe kandi igashyiraho imbonerahamwe igaragaza impinduka. Ibisubizo bishobora kugaragaza niba imitsi y'inkari zawe idakomeye, cyangwa niba inkari zawe zidakora neza cyangwa zarahagaze bitewe n'uburyo runaka bwo kuziba.

Igipimo cy'ibisigaye nyuma yo kuva mu kazi

Iki kizamini cya ``Postvoid Residual Measurement`` gipima ingano y'inkari zisigaye mu ruhago rwawe nyuma yo kurangiza kunyara. Ibi byitwa postvoid residual. Buri wese aba asigaranye gato. Mu bisanzwe muganga wawe azakoresha ikizamini cya ultrasound (tucyita ``Bladder Scanner``) kugira ngo afate ifoto y'uruhago rwawe.

Hari abantu bafite indwara zimwe na zimwe bashobora kutabasha gupimwa ubu buryo bwo gupima uruhago. Muri ibyo bihe, catheter ishyirwa mu ruhago inyuze mu muyoboro w'inkari hanyuma inkari zigakurwamo. Ubusanzwe, inkari zingana na 150-180 ml cyangwa zirenga zirasigara, ibyo bikaba ari ikimenyetso cy'uko uruhago rutarimo kuvamo burundu. Ariko, ibi bishobora gutandukana bitewe n'umuntu ku wundi. Muganga wawe azakubwira ibisubizo.

Videwo zo gupima urodynamic

Ibipimo bya videwo bya urodynamic ni uruvange rwa cystometry, uroflowmetry, na X-ray cystography. Ibikoresho bya elegitoroniki byakoreshejwe muri iki kizamini bikoresha X-rays kugira ngo bipime umuvuduko mu ruhago no mu nda y'uruhago ndetse n'inzira y'inkari. Ibi bikoresho bifotora uruhago uko rwuzura kandi rugasohoka. Ibi bizamini bitanga amakuru y'ingirakamaro ku mikorere y'uruhago n'umuyoboro w'inkari, ndetse no kwerekana ingano n'imiterere y'uruhago.

Niba uri gupimwa X-ray, uruhago rwawe ruzaba rwuzuyemo amazi yihariye yitwa "Contrast Irangi".Ibi bituma amashusho agaragara neza. Ubu bwoko bwa `(Irangi ritandukanye)` ntabwo akenshi bwinjizwa n'umubiri. Ariko, niba umuntu afite `(Allergie)` kuri ubwo bwoko bw'ibinyobwa (cyangwa ubundi bwoko bw'allergie), agomba kubimenyesha muganga mbere yo gupimwa.

Ese ngomba kwitegura by'umwihariko mbere y'ibi bizamini?

Akenshi, ibi bizamini ntibisaba imyiteguro yihariye. Ku bipimo bimwe na bimwe, muganga wawe azakubwira kunywa amazi menshi no kuzura uruhago mbere yo gupimwa. Menya neza ko ubaza muganga wawe ibibazo byose ufite mbere yo gupimwa. Nanone, mubaze niba ukeneye guhagarika gufata imiti iyo ari yo yose mbere yo gupimwa.

Bigenda bite nyuma y'ikizamini?

Ushobora kumva ubabaye gato cyangwa ushyushye iyo uri kunyara . Ibi bigomba kugabanuka mu masaha make. Ushobora kandi kubona ibitonyanga bike by'amaraso mu nkari zawe . Kunywa amazi angana na garama 1-2 ku isaha mu gihe cy'amasaha abiri bishobora gufasha kugabanya ibi bimenyetso.

Muganga wawe ashobora kukugira inama yo kwiyuhagira mu buryo bushyushye cyangwa gushyira igitambaro gishyushye kandi gitose ku muyoboro wawe w'inkari. Iyo bibaye ngombwa, ashobora no kukugira inama yo gufata umuti w'ububabare utangwa na muganga (OTC).

Hari igihe muganga wawe ashobora kukwandikira umuti urwanya indwara kugira ngo wirinde kwandura, ariko ibi si ngombwa buri gihe. Niba ufite ibimenyetso by'indwara, nk'umuriro, ubukonje, cyangwa ububabare bukabije, bimenyeshe muganga wawe ako kanya.

Ibi bizamini bifata igihe kingana iki?

Nubwo bigoye kuvuga neza igihe ikizamini kizamara, ubusanzwe ushobora kwitega ko kizamara iminota iri hagati ya 30 na 45 .

Ese hari ingaruka zishobora guterwa n'ibizamini bya urodynamic?

Gupima urodynamic ni ikizamini cyizewe kandi cyizewe . Ariko, kubera ko catheter ishyirwa mu muyoboro w'inkari, hari amahirwe make cyane yo kwandura indwara zo mu nzira y'inkari .

Ese ibi bizamini birababaza?

Ibipimo by'uburibwe bw'imitsi ntibigomba kubabaza . Ushobora kumva ubushye buke cyangwa kutamererwa neza mu gihe cy'amasaha 24 nyuma yo gupimwa, ariko nta bubabare bukabije bugomba kubaho.

Ese uzahabwa imiti yo kugutuza mbere yo gupimwa? Cyangwa uzahabwa ikinya?

Abantu bakuru akenshi ntibakenera gusinziriza cyangwa gusinziriza mbere yo gupimwa indwara y’uruhu. Ariko, niba umwana muto arimo gukora iki kizamini, ashobora guhabwa umuti woroshye cyane wo gusinziriza kugira ngo umufashe gutuza . Niba ufite ikibazo kuri ibi, ni byiza kuvugana na muganga wawe.

Ni ryari nzabona ibisubizo by'ibizamini byanjye?

Ibisubizo by'ibizamini nka cystometry na uroflowmetry niUgomba kumenya uwo munsi. Bishobora gufata iminsi mike kugira ngo ibisubizo by'ibizamini nka electromyogram na videwo urodynamics bigaruke. Ibisubizo bimaze kuboneka, muganga wawe azakubwira ibyabyo. Ushobora kongera kubonana na muganga wawe kugira ngo muganire ku ntambwe zikurikiraho n'uburyo bwo kuvura.

Ese Urodynamics na Urology ni kimwe?

Yego, ibi byombi biratandukanye gato. Urology ni ishami ry'ubuvuzi ryiga indwara zigira ingaruka ku mikorere y'inkari zawe. Urodynamics ni ikizamini gipima uburyo inzira y'inkari yo hasi ikora. Ibi bizamini bishobora gufasha kumenya ibibazo byose bishobora kubaho.

Hanyuma, hari ibintu bike byo kwibuka

Ibipimo bya Urodynamic ni ibizamini bifasha gusuzuma indwara zigira ingaruka ku ruhago rwawe, ku gice cy'uruhago rwawe, no ku muyoboro w'inkari yawe. Ibi ni ibizamini byizewe kandi byoroshye biha muganga wawe ubumenyi bw'ingirakamaro ku buryo uruhago rwawe rufata kandi rurekura inkari.

Wibuke ko niba ufite ikibazo ku bijyanye n'iki kizamini cyangwa ibisubizo byawe, ntugatinye kubaza muganga wawe. Barahari kugira ngo bagufashe!

Niba ugaragaje ibimenyetso by'ubwandu nyuma y'ibi bipimo, nk'umuriro, ubukonje , cyangwa niba ugifite ububabare burenze ubusanzwe nyuma y'amasaha make, hita ubonana na muganga.

Imiterere y'inkari, uruhago, ibizamini by'urodynamic, kudakora neza kw'inkari, ibizamini byo kugumana inkari, cystometry, uroflowmetry