Ese hari inkari zisigaye mu ruhago nubwo warangiza kunyara? (Ikizamini cy'inkari zisigaye nyuma yo kunyara) Reka tumenye neza icyo ari cyo!

Ese hari igihe wumva utarasohora burundu uruhago rwawe nyuma yo kunyara ? Cyangwa wumva ukeneye kunyara inshuro nyinshi ku munsi, wenda kenshi kurusha uko ubyibwira? Niba ufite ubu burwayi buto, ntugatekereze ko ari ikintu gikwiye guhangayikisha. Hari igihe, ndetse n'iyo utekereza ko warangije kunyara , hashobora kuba hari inkari zisigaye mu ruhago rwawe. Twebwe abaganga tubyita 'Post-Void Residual' (PVR) . Mu magambo make, bivuze "inkari zisigaye nyuma yo kunyara ."

Kuki iki kizamini cya 'post-void residual' (PVR) gikorwa?

Noneho, ushobora kuba uri kwibaza uti "None se kuki dukora iki kizamini cya PVR?" Impamvu nyamukuru yo kubikora ni ukumenya neza igihe uruhago rwawe rurimo kuvamo burundu, cyangwa niba hari inkari zisigaye. Uku kubika inkari byitwa 'kubikwa inkari' . Nubwo ari ibisanzwe kugira inkari nke zisigaye, niba hari inkari nyinshi zisigaye, bishobora kuba ikimenyetso cy'ikibazo runaka cy'ubuzima.

Muganga wawe ashobora kukugira inama yo gupima PVR niba ufite kimwe muri ibi bimenyetso:

• Kwihagarika inkari kenshi: Niba ukeneye kunyara inshuro nyinshi ku munsi, wenda rimwe mu isaha.
• Kugorwa no kugenzura inkari (kunanirwa kwifata): Iyo utakaje inkari udafite uburyo bwo kuzigenzura uhagaze.
• Indwara zikunze kwandura mu nzira y'inkari (UTIs): Iyo urwaye UTI buri mezi make cyangwa kenshi.
• Kumva ufite uburemere mu nda no kumva ko uruhago rutarasohoka ndetse na nyuma yo kunyara .
• Niba warasanzwe ufite amabuye yo mu ruhago.

Tekereza, nshuti yawe, reka tumwite Supun. Supun amaze iminsi agomba kunyara kenshi. Agomba kubyuka kabiri cyangwa gatatu mu ijoro. Avuga ko amaze kunyara , yumva mu nda huzuye. Iyo agiye kwa muganga, muganga amubwira gukora iki kizamini cya PVR. Ni bwo iki kizamini kiba ingenzi.

Iki kizamini cya PVR gikorwa gite?

Noneho reka turebe uko twapima ingano y'inkari zisigaye mu ruhago, cyangwa PVR. Hari uburyo bubiri bw'ingenzi bwakoreshejwe muri ibi.

1. Gukoresha Catheterization y'inkari mu ruhago

Ubu ni bumwe mu buryo. Abaganga babyita 'catheterization y'inkari' . Dore uko bigenda:

Ubanza kujya mu bwiherero ugakuramo amazi menshi ashoboka mu ruhago rwawe. Hanyuma, umuganga cyangwa umuforomo wabyigiye azashyiramo umuyoboro muto cyane kandi woroshye – ibi tubyita 'catheter'.– Bishyirwa mu ruhago rwawe witonze cyane ku muyoboro w'inkari. Iyo bimaze gushyirwamo, inkari zose zisigaye mu ruhago zirakurwamo hanyuma ingano yazo irapimwa. Ibi bishobora gusa nkaho bitoroshye, ariko ibi bikorwa witonze cyane.

2. Gusuzuma ikoranabuhanga rya Ultrasound

Ubundi buryo bw'ingenzi ni ikizamini cya ultrasound . Ushobora kuba warigeze kubyumva. Ibi bikoresha amajwi kugira ngo harebwe imbere mu ruhago. Hariho kandi uburyo bubiri bwo kubikoresha:

• Gupima inkari: Muri ibi, gupima inkari bikorerwa ku nda yawe, aho inkari yawe iri. Muganga ashyira agakoresho gato (tubyita 'isuzuma' ) ku nda yawe, agakoresha amajwi kugira ngo afate ifoto y'inkari yawe arebe uko inkari zisigaye zingana.
• Ultrasound ya Transvaginal: Ubu ni ubwoko bw'isuzuma rikorerwa abagore. Aha, "isuzuma" rishyirwa mu gitsina kugira ngo hafatwe amafoto y'inkari. Ubu buryo rimwe na rimwe bushobora gutanga amashusho asobanutse neza.

Muganga azahitamo uburyo bukwiye muri ubu buryo bubiri bitewe n'uko umeze.

Ni gute nakwitegura iki kizamini?

Akenshi, nta myiteguro yihariye isabwa kuri iki kizamini cya PVR. Ushobora kurya no kunywa nkuko bisanzwe. Ariko, hari igihe muganga wawe ashobora kukubwira kunywa amazi make amasaha make mbere yo gupimwa no kugumana uruhago rwawe rwuzuye gato. Kubwibyo, ni byiza kubaza muganga wawe cyangwa abakozi b'abaforomo mbere yo gupimwa niba hari amabwiriza yihariye ugomba gukurikiza.

Ni iki kibaho mu gihe cyo gukoresha 'Catheterization y'inkari'?

Tuvuge ko wahisemo gupima PVR yawe ukoresheje catheter mu ruhago. Hanyuma ikintu nk'iki kibaho:

1. Gusohora amaraso mu ruhago: Ubwa mbere, uzoherezwa mu bwiherero hanyuma usabwe gukuramo amaraso mu ruhago rwawe neza kandi mu buryo bwuzuye uko bishoboka kose.

2. Kwitegura: Hanyuma, uzasabwa kuryama ku meza yo gusuzuma, upfukame amavi yawe, hanyuma urambuye amaguru yawe ku mpande. Ibi bituma ubona neza urethra yawe.

3. Gusukura no Gukoresha Ibinure: Hanyuma, muganga cyangwa umuforomo azasukura neza umwobo wawe w'inkari n'ahantu hawukikije. Hanyuma, bazashyiraho agace gato k'umuti ugabanya ububabare kugira ngo bakureho ibinure. Ibi bizagufasha kugabanya ububabare.

4. Gushyiramo catheter: Noneho, umuyoboro muto witwa 'catheter' winjizwa witonze mu ruhago rwawe unyuze mu muyoboro w'inkari.

5. Gukuraho inkari no kuzipima: Inkari zose zisigaye mu ruhago zikurwamo binyuze muri catheter kandi ingano yazo igapimwa neza.

6. Gukuraho catheter: Nyuma yo gukusanya inkari, umuyoboro wongera gukurwamo witonze.

Bizatwara iminota mike gusa kugira ngo ibi byose birangire.

Ni iki kibaho mu gihe cyo gupima PVR hifashishijwe ultrasound?

Noneho reka turebe uko bigenda iyo PVR ipimwe hakoreshejwe ultrasound. Ibi bitandukanye gato no gukoresha catheterization.

1. Gusohora amaraso mu ruhago: Muri iki gihe, uzabanza koherezwa mu bwiherero hanyuma usabwe gukuramo amaraso mu ruhago rwawe uko bishoboka kose.

2. Kwitegura: Hanyuma, uzasabwa kuryama ku buriri bwo gusuzumisha.

3. Gukoresha gel: Mu gupima uruhago, gel yihariye ishyirwa mu nda yawe, aho uruhago rwawe ruri. Iyi gel ifasha mu guhuza neza icyuma gipima n'uruhu rwawe. Ku gipimo cya ultrasound cyo mu gitsina, gel ishyirwa kuri icyuma gipima.

4. Gupima: Hanyuma, muganga ashyira icyuma gipima uruhago ku nda yawe (kugira ngo gipimwe uruhago) cyangwa mu gitsina cyawe (kugira ngo gipimwe uruhago) kugira ngo abone amashusho meza ashoboka y’uruhago rwawe. Ushobora kureba aya mashusho kuri ecran iri hafi aho.

5. Kurangiza: Nyuma yo gufata amafoto akenewe ku ruhago, agakoresho ko gupima karakurwaho. Hanyuma ushobora guhanagura gel iyo ari yo yose isigaye.

Ibi nabyo bizarangira mu minota mike.

Ni iki kigenda nyuma y'ikizamini cya PVR?

Ubusanzwe iki kizamini cya PVR ntabwo ari igikorwa kigoye cyane. Tucyita 'igikorwa cyo kwa muganga utari mu bitaro' . Ibi bivuze ko ikizamini kimaze gukorwa, ushobora gutaha cyangwa ugasubira mu kazi kawe gasanzwe. Ushobora gukomeza imirimo yawe ya buri munsi nk'uko bisanzwe.

Ariko, niba warigeze guterwa catheter mu ruhago , iyo imiti igabanya ububabare igenda ishira, ushobora kumva ubabaye cyangwa ushyushye mu muyoboro w'inkari mu gihe cy'iminsi mike. Ikintu cyiza wakora kuri ibi ni ukunywa amazi menshi no kunyara inshuro nyinshi ku munsi. Ibi bizafasha kugabanya ububabare ku rugero runini.

Ese hari ingaruka zishobora guterwa n'iki kizamini cya PVR?

Nta ngaruka zikomeye zishobora kubaho mu isuzuma rya ultrasound. Ni umutekano cyane.

Ariko, gukoresha catheter mu ruhago , nubwo bidakunze kubaho cyane, bishobora guteza ingaruka nke. Izi ni izi:

• Hari amahirwe make yo kurwara indwara yo mu nzira y'inkari (UTI). Ibi biterwa nuko hari ikintu cy'inyamahanga cyinjizwa mu muyoboro w'inkari. Ariko, ibi ni gake cyane. Hari igihe muganga wawe ashobora kuguha umuti witwa ' antibiotics ' kugira ngo agabanye ibi byago.
• Ushobora kuba ufite amaraso mu nkari zawe (hematuria). Ibi bikunze kurangira mu munsi umwe cyangwa ibiri.
• Ni gake cyane, bishobora kuba nk'igikomere gito ku muyoboro w'inkari cyangwa uruhago.

Ariko, ndabisubiramo, izi ngaruka ni nto cyane. Abaganga bakora iki kizamini bafite ubunararibonye n'ubwitonzi bwinshi. Rero ntugatinye bitari ngombwa. Niba ufite gushidikanya, vugana na muganga wawe.

Igipimo cya 'post-void residual' (PVR) gikwiye kuba kingana iki ubusanzwe?

Noneho reka turebe ibisubizo by'iki kizamini cya PVR. Ingano y'inkari zisigaye mu ruhago rwawe isanzwe ipimwa muri mililitiro (mL).

• Ku muntu mukuru ufite ubuzima bwiza, akenshi bifatwa nk'ibisanzwe ko nyuma yo kunyara inkari zitarenze mililitiro 50 (50 mL) ziguma mu ruhago.
• Niba iri hagati ya mililitiro 50 na 100 (50 mL - 100 mL), rimwe na rimwe bishobora kuba ibisanzwe, cyangwa bikaba ari ikintu gikeneye gukorwaho ubushakashatsi bwimbitse.
• Iyo hasigaye mililitiro zirenga 100 (100 mL), ubusanzwe bishobora gufatwa nk'aho ari 'uburyo inkari zibikwa'.

Ariko ibuka ibi: Muganga wawe azagusobanurira neza PVR 'isanzwe' n' 'idasanzwe' kuri wewe. Biterwa n'ibintu byinshi, harimo imyaka yawe, ubuzima bwawe, n'imiti ufata. Rero, iyo ibisubizo byawe bimaze kugaragara, ni ngombwa kuganira na muganga wawe kuri yo no gusobanukirwa icyo bivuze.

Bitwara igihe kingana iki kugira ngo umuntu amenye ibisubizo by'ikizamini cya PVR?

Iki ni ikintu ugomba kumenya. Kenshi na kenshi, ibisubizo by'ikizamini cya PVR biboneka ako kanya, hafi ya buri kanya nyuma y'uko ikizamini kirangiye. Ultrasound irashobora kukubwira ako kanya. Gukoresha catheterization bishobora kandi kukubwira ingano y'amaraso yapimwe. Ariko, ni byiza kubaza muganga wawe cyangwa umuforomo igihe muzashobora kuganira ku bisubizo.

Kuki iyi ruhago ifata inkari nyinshi cyane (Ubunini bwa PVR bwinshi)?

Hari impamvu nyinshi zishobora gutuma inkari nyinshi ziguma mu ruhago, cyangwa PVR nyinshi. Dore zimwe mu mpamvu nyamukuru zitera iyi ndwara yo 'gufata inkari':

• Kuziba ahantu runaka mu nkari zawe: Urugero, ikintu nk'ikibyimba cy'uruhago, ibuye ry'inkari, cyangwa kuziba kw'inkari.
• Prostate yagutse (BPH): Ibi bikunze kugaragara ku bagabo uko bagenda bakura. Iyo prostate ikuze, ishobora gukanda urethra, bigatuma inkari zisohoka bigorana.
• Ingaruka mbi z'imiti imwe n'imwe: Imiti imwe n'imwe igabanya ububabare, imiti igabanya ubukana bw'indwara zo mu mutwe, hamwe n'indi miti ivura indwara zo mu mutwe bishobora kugira ingaruka ku mikorere y'uruhago.
• Umunyu ngugu muke cyangwa uburebure bw'umuyoboro w'inkari: Iyo umunyu ngugu wagabanutse, byaba bitewe n'ubwandu cyangwa imvune.
• Ibibazo by'imitsi:Indwara z’imitsi nka diyabete, ibikomere by’umugongo, indwara ya Parkinson, na sclerosis nyinshi zishobora kwangiza imitsi igenzura ibyiyumvo n’imikorere y’uruhago. Iyi ndwara yitwa uruhago ruterwa n’imitsi .
• Intege nke z'imitsi yo mu ruhago.
• Kurya impatwe: Kurya impatwe cyane bishobora no gushyira igitutu ku ruhago no kubuza inkari gutembera neza.

Ni gute wavura ubwivumbure bw'inkari mu ruhago?

Niba PVR yawe igaragaye ko iri hejuru, bivuze ko inkari nyinshi zisigaye mu ruhago, muganga wawe azasuzuma impamvu nyamukuru , kuko ubuvuzi buzagenwa hashingiwe kuri iyo mpamvu.

• Iyo impamvu ari ingaruka mbi z'umuti, umuti ushobora guhindurwa cyangwa ingano yawo ikagabanuka.
• Iyo prostate yagutse, ishobora kuvurwa n'imiti cyangwa se kubagwa gato.
• Iyo hari ikibazo mu nzira y'inkari, hashobora kubagwa cyangwa gukorwa ubundi buryo bwo kuyikuraho.
• Niba ari ikibazo cy'imitsi, imiti cyangwa ubundi buryo bwo kugufasha gukuramo amaraso mu ruhago rwawe bushobora gukoreshwa mu gihe urimo kuvura . Hari abantu bashobora kugirwa inama yo kwitoza gukoresha catheter ku gihe cyangwa gukoresha katheteri.

Icy'ingenzi ni uko muganga wawe azakubwira ibi birambuye, agusobanurire amahitamo yawe, kandi niba hari ibindi bipimo bikenewe. Rero, ntutinye kubaza ibibazo byawe.

Ni ryari ngomba kujya kwa muganga?

Ibi nabyo ni ingenzi cyane.

Niba utunguranye udashobora kunyara na gato, bivuze ko inkari zawe zafunzwe burundu, ni ikibazo cyihutirwa. Ugomba kujya mu bitaro byita ku barwayi b’inkeragutabara (ETU) vuba. Ntutinde.

Byongeye kandi, niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, menya neza ko wagiye kwa muganga w’umuryango wawe cyangwa umuganga w’inkari:

• Niba ufite ububabare cyangwa kubyimba mu nda yo hasi.
• Niba ubabara cyangwa ushyushye iyo uri kunyara .
• Niba ufite umuriro.
• Iyo inkari zifite ibara ryijimye cyangwa zifite impumuro mbi.
• Niba hari amaraso mu nkari.
• Nkeneye kunyara kenshi, ariko gato rimwe na rimwe.
• Niba uruhago rwawe rucyumva rwuzuye nyuma yo kurangiza kunyara .

Ntukirengagize ibi bimenyetso. Gushaka inama kwa muganga hakiri kare bishobora gukumira indwara irushaho gukomera.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Rero, amaherezo, niba utekereza ko ufite ibimenyetso byo kugumana inkari, ni ukuvuga inkari zisigaye mu ruhago, muganga wawe ashobora kugusaba gukora iki kizamini cya 'post-void residual' (PVR). Nubwo ari ibisanzwe ko rimwe na rimwe inkari nke zisigara mu ruhago rwawe, kuzirya cyane bishobora kwangiza uruhago rwawe, bigira ingaruka ku mpyiko zawe, kandi bigatera kwandura indwara kenshi. Si ibyo gusa, ahubwo bishobora no kuba ikimenyetso cy'indwara isanzwe igomba kuvurwa.

Niba PVR yawe iri hejuru, muganga wawe azamenya impamvu kandi aguhe inama yo kuvura neza. Niba ufite ikibazo cyangwa impungenge kuri iki kizamini cyangwa ibisubizo byawe, ntutindiganye kubaza muganga wawe. Ufite uburenganzira bwo kumenyeshwa ubuzima bwawe. Komeza ugire ubuzima bwiza!

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