Ese umwana wawe akunze kurwara indwara zo mu nzira y'inkari? Reka tuvuge ku ikizamini cya VCUG (Voiding Cystourethrogram)!

Ese wigeze wumva ikizamini cya VCUG? Muganga wawe ashobora kuba yarakubwiye cyangwa yarakubwiye ko ugomba gukora iki kizamini. Ni ibisanzwe kumva ugize ubwoba gato iyo ubyumvise. Ariko umaze kumenya neza icyo ari cyo n'impamvu kirimo gukorwa, ubwo bwoba buzashira. Uyu munsi, reka tuganire kuri iki kizamini cyitwa VCUG mu magambo yoroheje.

Ese uzi icyo VCUG (Voiding Cystourethrogram) ari cyo?

Mu magambo make, VCUG ni ikizamini cyihariye kireba imiterere, ingano, n'uburyo uruhago rwawe n'umuyoboro w'inkari byuzuza neza kandi bigasohora ubusa. Tekereza nk'ikigega cy'amazi, ahantu ho gukusanya no kubika inkari. Ikizamini cya VCUG gishobora gufasha abaganga kumenya niba hari ibitagenda neza cyangwa ibibazo muri uru rwego rw'inkari.

Iki kizamini gikoresha amazi yihariye (irangi ritandukanye) - amazi y'amabara agaragara neza ku mashusho ya X-ray - na X-ray . Iyo aya mazi ashyizwe mu ruhago, X-ray igaragaza uburyo uruhago rwuzuye kandi rugasohoka, hamwe n'icyerekezo cy'inkari zitemberamo. By'umwihariko, ishobora kumenya ibintu nk'ibiziba mu buryo amazi atembera mu ruhago rw'inkari, cyangwa niba amazi atemba asubira hejuru.

Ubusanzwe, inkari zigomba kuva mu ruhago zijya mu muyoboro w'inkari hanyuma zigasohoka mu mubiri. Ariko hari igihe inkari ziva mu ruhago zishobora kuzamuka zinyuze mu miyoboro y'inkari zijya mu mpyiko. Ibi si byiza. Ibi bishobora gutera indwara y'impyiko (pyelonephritis) , ishobora kwangiza impyiko no kuzitera inkovu.

Ikizamini cya VCUG gikunze gukorwa n'inzobere mu by'imirasire, haba kwa muganga wawe, mu bitaro, cyangwa mu kigo cy'isuzuma cyo hanze. Uzaba uri maso mu gihe cy'ikizamini. Ushobora kumva utameze neza, ariko nta mpungenge ufite. Ikizamini cya VCUG kimara igihe kitarenze isaha. Hanyuma ushobora gukora imirimo yawe isanzwe.

Abaganga basaba iki kizamini cya VCUG, cyane cyane ku bana bato n'impinja bakunze kugira indwara zo mu nzira y'inkari (UTIs) , kuko indwara zidakira zishobora kugira ingaruka ku mpyiko zabo.

Ni iki gishobora kuboneka mu ikizamini cya VCUG?

Ikizamini cya VCUG gishobora gufasha muganga wawe gusobanukirwa neza uburyo inkari zawe zikora.

Indwara nyamukuru ibi bivumbura ni vesicoureteral reflux cyangwa ureteral reflux. Ibi bivuze ko inkari zawe zisubira mu miyoboro y'inkari zijya mu mpyiko aho kuva mu ruhago. Ibi bishobora gutera indwara z'impyiko no kurwara UTI kenshi. Ikizamini nyamukuru cyo kumenya iyi ndwara ku bana ni VCUG.

Si ibyo gusa, uburyo bwo kugabanya imiyoboro y'inkariIshobora kandi kumenya indwara zitera kuziba inzira y'inkari, bivuze ko bigoye ko unyara.

Ni ryari VCUG iba ikenewe?

Impamvu nyamukuru yo gukora ikizamini cya VCUG ni ukumenya ikibazo cyavuzwe haruguru cyo kugabanuka k'umuyoboro w'inkari. Iyi ndwara ishobora kubaho kubera impamvu zikurikira:

• Niba ufite indwara zidakira zo mu nzira y'inkari (UTIs) .
• Iyo hari ikibazo cy’imyororokere cyangwa ikibazo cy’inkari.
• Mu ndwara nko kunanirwa kwifata mu nkari , kugabanuka k'umuyoboro w'inkari, cyangwa prostate yagutse ku bagabo.
• Niba warigeze kugira imvune, ubwandu, cyangwa kubagwa inzira y'inkari mbere.
• Niba hari umuntu wo mu muryango wagize iyi ndwara yo kuzura inkari (ingaruka za genetiki).

Ikizamini cya VCUG gikorwa gute?

Iki ni ikintu gikeneye ibisobanuro bito. Ntugahangayike, ndagikomeza kucyoroshya.

Ikizamini kigamije gushyira umuyoboro muto kandi woroshye (catheter y'inkari) unyuze mu muyoboro wawe w'inkari mu ruhago rwawe. Hanyuma, irangi ryo kugereranya rishingiye kuri iyode rishyirwa mu ruhago rwawe binyuze muri catheter. Iyo uruhago rwawe rwuzuye irangi, umuganga w'imirasire afata amashusho ya X-ray. Hanyuma catheter irakurwaho hanyuma amashusho ya X-ray agafatwa mu gihe uri kunyara. Ibi bigaragaza neza aho irangi rijya n'uko hari ikibazo.

Ese ugomba kwitegura mbere yo gukora ikizamini?

Yego, hari imyiteguro mike.

• Ugomba kubwira muganga wawe mbere y'igihe ibijyanye n'imiti ufata ndetse n'ibindi byose bishobora gutuma urwara . Ushobora gusabwa guhagarika gufata imiti imwe n'imwe iminsi mike mbere yo kwipimisha.
• Niba hari amahirwe ko wowe (cyangwa umwana wawe) ushobora kuba utwite, menya neza ko wabibwiye muganga wawe .
• Ni ibisanzwe kumva ufite ubwoba cyangwa uhangayitse mbere yo gukora ikizamini nk'iki, cyane cyane ko uri maso. Niba ubyumva utyo, bwira muganga wawe . Azashobora kubigusobanurira kandi agufashe gufata umwanzuro.
• Iyo umwana arimo gukora iki kizamini, umubyeyi cyangwa se wemerewe kugumana n'umwana. Abaganga bavuga ko ari byiza gutegura umwana mbere yuko apimwa. Gusobanura neza ibizakurikiraho no kuba uri kumwe na we bishobora kugabanya ubwoba bwe. Subiza ibibazo by'umwana mu buryo bwumvikana kandi buzira amakemwa. Niba umwana akiri muto, ni byiza kandi kuzana ikintu akunda, nk'igikinisho.
• Kubera ko ubusanzwe imiti igabanya ububabare idatangwa kuri ibi, ntugomba guhagarika kurya cyangwa kunywa mbere yo kwipimisha.

Ni iki kibaho mu gihe cy'ikizamini?

Ikizamini cya VCUG cyaba gikorerwa umuntu mukuru cyangwa umwana, muri rusange izi ntambwe zirakurikizwa:

1. Uzagomba kwiyambura imyambaro yo hasi y'umubiri wawe.Ibyo bivuze imyenda y'imbere, nk'ipantalo n'amajipo. Bazaguha ikanzu cyangwa igitambaro cyo gupfuka umubiri wawe.

2. Uzasabwa kuryama ku meza urambuye amaboko. Niba uri umugabo, amaguru yawe azaba agororotse, kandi niba uri umugore, amaguru yawe azaba arambuye nk'amababa y'ikinyugunyugu (amavi apfukamye n'ibirenge bifatanye). Ibi bizatuma byoroha kugera kuri urethra.

3. Muganga cyangwa umuforomo azagukaraba neza mu gitsina cyawe akoresheje isabune n'amazi. Hari igihe ushobora gusigwa gel igabanya ububabare ku muyoboro w'inkari.

4. Hanyuma, umuyoboro muto cyane woroshye (catheter) unyura mu muyoboro wawe w'inkari (umwobo aho unyara ) winjizwa mu ruhago rwawe. Ibi bishobora kugorana gato, ariko ntibibabaza. Uyu muyoboro ushyirwa ku itako ryawe ukoresheje plaster.

5. Imashini ya X-ray ishyirwa hejuru y'agace k'ikibuno cyawe. Ntiyikora ku mubiri wawe.

6. Ubu, muganga azuzuza uruhago rwawe amazi yihariye (ibintu bitandukanya) binyuze mu muyoboro. Aya mazi ni yo atuma inkari zigaragara neza ku mashusho ya X-ray.

7. Umuganga w’inzobere mu by’imirasire azafata amashusho ya X-ray y’inkari yawe uko yuzuye. Ushobora kumva ushaka kunyara muri iki gihe. Ariko ugomba kunyara gusa iyo inkari yawe yuzuye kandi muganga akakubwira. Ibi bishobora kugorana ku bana bato.

8. Iyo uruhago rwawe rwuzuye, katheteri izakurwaho maze umuganga w’imirasire azagusaba konka .

• Abana bashobora kwemererwa kunyara mu gikombe, mu isafuriya, cyangwa no ku meza apfutse igitambaro. Umuganga w’imirasire azakomeza gufata amafoto ya X-ray igihe abikoze.
• Niba uri umuntu mukuru , uzasabwa kunyara mu isafuriya cyangwa mu nkari igihe uruhago rwawe rwuzuye. Amashusho ya X-ray azafatwa kugeza igihe uvanyemo burundu uruhago rwawe.

Wibuke ko X-ray ifatwa haba iyo uruhago rwuzuye ndetse n'iyo rurimo ubusa, kuko reflux ishobora kubaho muri ibyo bihe byombi. Umuganga w'imiti arahari kugira ngo agufashe, bityo rero tega amatwi witonze ibyo avuga. Niba uri kumwe n'umwana, mugaragarize urukundo rwinshi kandi umuhumurize muri iki gihe. Ibintu nko gufata ukuboko kwawe, kumuha igikinisho akunda, no kumwenyura no kumuganiriza bishobora gufasha.

Ikizamini cya VCUG kimara igihe kingana iki?

Iki kizamini cyose kimara hagati y'iminota 30 na 45 gusa.

Ese ni ngombwa ko umuntu anywa VCUG anywa agace gato k'umuti?

Ubusanzwe, kugabanya ububabare ntibisabwa mu isuzuma rya VCUG. Ariko, hari abana bashobora gukenera kugabanya ububabare. Niba muganga wawe abona ko byaba byiza umwana wawe agabanya ububabare, azakubwira uko wabyitegura.

Ni iki kibaho nyuma y'ikizamini cya VCUG?

Ushobora gutaha ugakora imirimo yawe isanzwe ako kanya nyuma yo gupimwa VCUG.

• Mu masaha 24 kugeza kuri 48 ari imbere, ushobora kumva ushyushye cyangwa urimo kubabara igihe uri kunyara .
• Nywa amazi menshi. Jya mu bwiherero ako kanya ukimara kumva ukeneye kunyara . Ibi bishobora gufasha kwirinda indwara ya UTI.
• Ni ibisanzwe kandi koga cyane kuruta uko bisanzwe mu minsi mike nyuma yo gukora VCUG.
• Ibara ry'inkari zawe rishobora kuba umutuku wijimye, ariko ntirigomba kuba umutuku wijimye.

Niba kimwe muri ibi bimenyetso kimaze amasaha arenga 48, cyangwa inkari zawe zitukura, gana muganga.

Ni izihe nyungu zo gupima VCUG?

Akamaro gakomeye ko gupima VCUG ni uko bituma muganga wawe abona neza uburyo amazi atembera mu nkari zawe. Ibi bishobora gufasha kumenya hakiri kare indwara zishobora kwangiza impyiko zawe mu gihe zitavuwe.

Ese hari ingaruka zishobora guterwa no gupima VCUG?

VCUG ni ikizamini cyizewe cyane, ariko hari ingaruka zimwe na zimwe gishobora gutera.

• Hari abantu bashobora kugira ubwivumbure kuri iryo rangi , ariko ibi ntibikunze kubaho cyane, cyane cyane iyo irangi ryinjiye mu maraso aho kwinjira mu ruhago.
• Uzaba uhura n'imirasire. Ariko abaganga bazagukingira n'uburinzi bwihariye kugira ngo bagabanye ubu burwayi. Ubusanzwe ubusanzwe ibi byago ni bike ugereranije n'inyungu zo kumenya neza indwara. Niba utwite, ugomba kubibwira mbere yo gupimwa.

Zimwe mu ngaruka nto z’ikizamini cya VCUG ni izi:

• Ubwinshi bw'ibishyuhe.
• Isesemi cyangwa kuruka.
• Gushya iyo uri kunyara (hafi amasaha 24-48).
• Guterwa n'indwara yo mu nzira y'inkari (UTI) bitewe na catheter (ibi nabyo ni gake cyane).

Ingaruka mbi zigaragara (ariko izi ni gake cyane):

• Kugorwa no guhumeka.
• Umuvuduko w'amaraso uri hasi.
• Kubyimba umuhogo cyangwa umunwa.

Ikizamini cya VCUG kibabaza gute?

Ni ibisanzwe kumva umerewe nabi mu gihe cyo gukoresha VCUG, cyane cyane iyo ushyizemo katheteri. Ushobora kandi kumva ufunganye mu ruhago rwawe iyo rwuzuye, kandi ushobora kumva ugomba kunyara . Hari abantu bumva bafite ubwoba bwinshi kandi bafite ubwoba mbere yo gukoresha VCUG. Ibi ni ibisanzwe. Gerageza guhumeka cyane kandi buhoro. Hari igihe gukanda agapira gato cyangwa kureba ifoto y'umuntu ukunda bishobora kugufasha gutuza.

Ku mwana, ikizamini cya VCUG gishobora kumuhangayikisha gato.Kora uko ushoboye kose kugira ngo umuhumurize, kandi umwumvishe ko iki kizamini ari ingirakamaro kuri we. Niba utazi uko wakwitwara muri iki kibazo, baza muganga wawe.

Ibisubizo bya VCUG bivuze iki?

Iki kizamini gishobora kubwira muganga wawe niba ufite ikibazo cyo kugabanuka k'inkari mu miyoboro y'inkari cyangwa udafite. Kishobora kandi kukubwira niba ibice by'inkari zawe ari ibisanzwe, cyangwa niba ari binini cyangwa bito kuruta ibisanzwe.

Niba umwana wawe yarigeze kugira VCUG maze bigagaragara ko afite reflux, umuganga w’imiti azamuha amanota . Ibi akenshi biva kuri 1 kugeza kuri 5. 1 ni yoroshye naho 5 ni ikomeye. Ubuvuzi buzaterwa n’uburemere bw’ireflux ndetse niba yaragize ingaruka ku mpyiko cyangwa inzira y’inkari. Muganga wawe azakubwira uburyo bwo kuvura hashingiwe ku bisubizo byawe.

Bifata igihe kingana iki kugira ngo ubone ibisubizo?

Umuganga w’indwara zo mu bwoko bwa radiyo azareba amashusho ya X-ray, yandike raporo, hanyuma yoherereze muganga wawe ibisubizo. Ibi bishobora gufata iminsi ibiri. Baza muganga wawe igihe bizatwara kugira ngo ahabwe ibisubizo.

Ni iki cyakorwa nyuma y'aho ibisubizo bitameze neza?

Bitewe n'ibyo muganga azabona, ibikurikiraho bizatandukana. Hari abantu bazakenera kuvurwa hakoreshejwe imiti cyangwa kubagwa kugira ngo bakemure ibibazo biri mu ruhago cyangwa mu muyoboro w'inkari. Hari n'igihe muganga wawe ashobora kukubwira guhindura imibereho kugira ngo bigufashe.

Ni ryari ukwiye kongera kubonana na muganga?

Ni ibisanzwe koga kenshi nyuma yo gukora VCUG, kugira ibara ry'inkari risa n'umutuku, no kumva ubushye iyo uri kunyara . Niba kimwe muri ibi bimenyetso kimaze amasaha arenga 48, gana muganga.

Niba inkari zawe zitukura, ufite umuriro, cyangwa ufite ububabare mu kibuno cyawe, bishobora kuba ikimenyetso cy'ikibazo. Ibi nibibaho mu minsi mike nyuma yo kwa muganga, menya neza ko wabonye muganga wawe.

Ese VCUG na Voiding Cystogram ni bimwe?

VCUG na Voiding Cystogram ni amazina abiri y'ikizamini kimwe. Nta tandukaniro riri hagati y'ayo abiri.

Ubutumwa bwo kujyana mu rugo

VCUG ni ikizamini cyo gusuzuma indwara gikoresha X-rays n'amazi yihariye (irangi ritandukanye). Ni ibisanzwe kumva ufite ubwoba no guhangayika mu minsi n'amasaha mbere y'ikizamini. Niba umwana wawe arimo gukora iki kizamini, ashobora kumva ameze kimwe, kuko atazi ibizakurikiraho. Ibisubizo by'ikizamini cyawe ni byo bizagena ikizakurikiraho.Mbere yo gupimwa, ganira na muganga wawe ku mpungenge cyangwa ibibazo ushobora kuba ufite. Azagusobanurira ikizamini n'icyo ushobora kwitega. Ntugahangayike, ibi byose bikorwa kugira ngo bigufashe wowe n'umwana wawe kugira ubuzima bwiza.

Uduce tw'inkari, uruhago, urethra, VCUG, ikoreshwa rya Cystourethrogram mu kuva amaraso, indwara z'impyiko, indwara z'inkari, ubuzima bw'abana