Ese ufite ibibazo mu nzira yawe y'inkari? Reka tuvuge ku ikizamini cya Retrograde Urethrogram (RUG)!

Hari igihe tugorwa no kunyara, cyangwa dushobora kugira amaraso mu nkari zacu. Cyangwa iyo habaye impanuka mu nda yo hasi, ni ukuvuga mu gituza, tugomba kureba niba hari icyangiritse imbere. Cyane cyane iyo ikintu nk'iki kibaye ku mugabo, ikizamini cyihariye cyitwa `(Retrograde Urethrogram)` kugira ngo tumenye impamvu nyayo. Hari igihe tucyita `(RUG)` mu magambo ahinnye. Rero, ugomba kuba ufite amatsiko yo kumenya ibi nabyo. Ese twavuga kuri iki kizamini cya `(RUG)` mu buryo burambuye, mu buryo bworoshye, uyu munsi?

Iki kizamini (Retrograde Urethrogram) ni iki? Mu magambo make...

Reka tubanze turebe icyo Retrograde Urethrogram (RUG) ari cyo. Iki ni ikizamini cyihariye abaganga bakoresha. Kireba niba urethra yawe (umuyoboro w’inkari unyuramo ) yangiritse cyangwa niba inkovu zuzuye kandi zigafunga inzira y’inkari . Tekereza nk'umuyoboro w'amazi ufunganye n'umwanda ugahagarika amazi gutemba.

Iki kizamini gikorerwa abagabo cyane cyane . Niba waragize imvune cyangwa impanuka mu nda yawe yo hasi cyangwa mu kibuno, cyangwa niba muganga wawe atekereza ko ufite inkovu mu muyoboro w'inkari, iki kizamini cya "(RUG)" gishobora gukorwa.

Ikizamini cya RUG gikorwa ryari?

Noneho ushobora kuba uri gutekereza uti "Sawa, ni ibihe bihe wakora ibi?" Reba:

Muganga ashobora gutegeka ko urethrogram (RUG) isubira inyuma mu gihe cy’impanuka (urugero, nyuma y’impanuka). Cyangwa bishobora gukorwa kugira ngo harebwe ibimenyetso bikomeje. Ushobora gukenera RUG niba ufite igikomere mu nda yawe yo hepfo cyangwa mu kibuno kandi:

• Niba ufite amaraso ava mu mwenge w'igitsina cyawe (ni ukuvuga aho inkari zisohokera).
• Niba udashobora kunyara .

Si ibyo gusa, umuganga ashobora gukora iki kizamini cya "RUG" kubera izindi mpamvu nyinshi:

• Niba batekereza ko urethra yawe yagabanutse ('stricture') bitewe n'uburwayi, kuziba cyangwa gukomereka.
• Niba bafite ikibazo cyo kwinjiza catheter (umuyoboro woroshye ugufasha kunyara ).
• Hari igihe biba ngombwa gushyiramo katheteri ijya mu ruhago (catheterization y'uruhago rwa transurethral). Ariko, mbere yo kubikora, niba muganga akeka ko hari ikibazo mu nzira yawe y'inkari, azakoresha iki kizamini cya "RUG" kugira ngo arebe ko gishobora gukorwa mu mutekano.

Ni iki gishobora kuboneka muri iki kizamini cya RUG?

Iki kizamini cya "Retrograde Urethrogram" gifasha umuganga kubona ibintu nk'ibi:

• Uburyo bwo kugabanya umuyoboro w'inkari : Ibi bivuze ko umuyoboro w'inkari ufunze.
• Hari aho inzira y'inkari yawe ifunganye .
• Kwangirika k'inzira y'inkari zawe: Urugero, haba hari icyacitse, umwenge mushya cyangwa umwobo (fistula), cyangwa imiterere mito isa n'agafuka (diverticula).

Ese iki ni ikizamini kibabaza? Nta cyo ugomba gutinya!

Ikibazo abantu benshi bagira ni iki: "Ese ibi birababaza?" Oya, "Retrograde Urethrogram" ntabwo ikwiye kubabaza cyane. Ariko, ushobora kumva umerewe nabi gato, bidasanzwe, mu gihe cyo kwipimisha no nyuma yo kunyara . Ibi ni ibisanzwe. Ariko niba wumva ububabare ubwo aribwo bwose, ni byiza kubibwira muganga wawe ako kanya.

Ibi (Retrograde Urethrogram) bikora bite?

Biroroshye cyane. Muri "Retrograde Urethrogram", umuganga ashyiramo amazi yihariye (yitwa "contrast") mu muyoboro wawe w'inkari. Ibi bikorwa ashyiramo umuyoboro muto cyangwa umutwe w'urushinge rudasobanutse anyuze mu mwobo (``urethral meatus'') uri ku mpera y'igitsina cyawe, aho inkari zisohokera. Uko aya mazi atemba mu ruhago rwawe (agafuka inkari ziteraniramo), umuganga afata amashusho ya "X-ray". Aya mashusho akoreshwa mu kumenya ibibazo biri mu muyoboro wawe w'inkari.

Mu by’ukuri, aya mazi ya 'contrast' atuma urethra igaragara neza kuri 'X-ray'. Icyo gihe ni bwo dushobora kubona neza niba hari ikibazo kirimo imbere.

Hari icyo ngomba gutegura mbere y'uko umupira utangira?

Iki ni cyo cyiza kurusha ibindi! Ntabwo ari ngombwa gukora ikintu kidasanzwe kugira ngo witegure mbere yo gusiganwa ku maguru. Ushobora kuba umuntu usanzwe gusa.

Ni iki kibaho mu gihe cy'ikizamini? Reka turebe?

Noneho reka turebe uko bigenda iyo ukoze `(Retrograde Urethrogram)`. Ntutinye, ndakubwira mu buryo bworoshye.

• Ubwa mbere, uzahindurirwa uruhande rumwe ku meza munsi y'icyuma gikoresha X-ray. Uzasabwa kandi kunamira amaguru yawe ku ruhande. Muganga cyangwa umufasha wawe azagufasha kwihagararaho neza.
• Hanyuma, muganga azasukura agace gakikije umwobo w'igitsina cyawe hanyuma ashyiremo umuti wica udukoko (nk'iyode) .
• Hari igihe amavuta yo kwisiga imbere mu gitsina cyawe ashobora gushyirwa mu mwanya wacyo kugira ngo atume urethra yawe ikora nabi . Bifata iminota mike kugira ngo ikore.
• Hanyuma, muganga azashyiramo umuyoboro muto unyuze mu mwobo uri ku isonga ry'igitsina cyawe . Umuyoboro uzagezwa buhoro buhoro mu muyoboro wawe w'inkari hafi gato. Muri iki gihe, bashobora kwimura igitsina cyawe buhoro buhoro bakakubaza niba wumva umerewe nabi. Ibi ntibikwiye kubababaza - niba bikubabaza, ugomba kubabwira rwose.
• Noneho, amazi ya `contrast` yavuzwe haruguru ashyirwa mu muyoboro w'inkari hakoreshejwe seringe. Aya mazi ni yo atuma umuyoboro wawe w'inkari ugaragara neza ku mashusho ya `X-ray`.
• Uko amazi yo mu bwoko bwa contrast agenda mu muyoboro w'inkari ajya mu ruhago, muganga afata amafoto akoresheje imashini ya X-ray.
• Hari igihe ushobora gusabwa kunyara mu gikoresho kugira ngo urebe uburyo aya mazi yo mu bwoko bwa contrast asohoka mu mubiri wawe, kandi ushobora gusabwa gufata amafoto ya X-ray.

Ibyo ni byo byose bibaho. Nta kintu cyo gutinya nk'uko ushobora kubitekereza, si byo?

Ni iki wakwitega nyuma y'ikizamini?

Nyuma yo gupimwa, ushobora kumva umerewe nabi gato iyo uri kunyara . Ushobora no kubona amaraso make iyo uri kunyara . Ibi ni ibisanzwe, ntugahangayike. Uku kubabara kuzashira nyuma y'umunsi umwe . Icy'ingenzi ni ukunywa amazi menshi . Ibi bizafasha gukuramo amazi yose asigaye ya contrast.

Ese hari ingaruka cyangwa ingaruka mbi kuri iki kizamini cya RUG?

Gukoresha urethrogramu ya retrograde mu by'ukuri ni uburyo budatera ingaruka nyinshi . Ariko, hari ingaruka mbi nke cyane zishobora kubaho:

• Kwandura indwara.
• Uburyo bwo kugira ubwivumbure ku mazi anyuranyije n'imiterere y'umubiri.
• Kwangirika kose ku nzira y'inkari cyangwa uruhago.

Ibi ni ibintu bidasanzwe cyane, ariko ni byiza kubimenya.

Ibisubizo by'ikizamini cya RUG ni ibihe? Bisobanura iki?

Niba ibisubizo by'ibizamini byawe ari "ibisanzwe," bivuze ko amazi arimo gutemba mu muyoboro w'inkari nta kibazo na kimwe cyabiteye . Niba ari uko bimeze, ibimenyetso byawe bishobora guterwa n'ikindi kintu.

Ibindi bisubizo bishobora kugaragaza ko urethra yawe yangiritse, yagabanutse, cyangwa yazibye.

Hari igihe, iyo ikizamini cya RUG cyonyine kidatanga amakuru ahagije, muganga wawe ashobora no gushaka gukora cystoscopy , ikubiyemo gushyira kamera nto mu muyoboro wawe w'inkari.

Bitwara igihe kingana iki kugira ngo umenye ibisubizo?

Igihe bifata kugira ngo umenye ibisubizo biterwa n'impamvu urimo gukora iki kizamini.

• Niba ufite imvune kandi ukeneye kuvurwa byihutirwa , muganga ahita abona ibisubizo by'ibizamini , kugira ngo bagufashe vuba.
• Keretse niba ari ikibazo cyihutirwa , ugomba kumenya ibisubizo mu minsi mike .

Niba ibisubizo bidasanzwe, ni iki ukurikizaho?

Noneho ushobora kuba urimo kwibaza uti "Sawa, niba ibisubizo bivuga ko hari ikibazo, twakora iki nyuma?"

Intambwe zikurikiraho uzatera zizaterwa n'icyaguteye ikibazo. Muganga wawe azakubwira uburyo bwo kuvura. Izi zishobora kuba zirimo:

• Uburyo bwo kwagura urethra yawe (nk'uburyo urethra yagutse) .
• Kubagwa ( nk'uburibwe bw'umura) .

Ntugahangayike, muganga azagusobanurira uburyo bwo kuvura bukubereye.

Ni ryari ngomba kongera kubonana na muganga?

Niba ufite kimwe muri ibi bikurikira nyuma yo gupimwa, ugomba kujya kwa muganga wawe nta kabuza:

• Niba ubabara iyo uri kunyara cyangwa ntushobora kunyara na gato.
• Niba ufite ububabare cyangwa kuva amaraso mu gihe kirenze umunsi umwe nyuma yo gupimwa.
• Iyo hari ibimenyetso by'ubwandu (urugero: igitsina cyabyimbye, umuriro).
• Niba ufite ibibazo ku bisubizo by'ibizamini byawe.

Ni byiza kudatekereza kabiri ku bijyanye no kuvugana na muganga ku kintu nk'iki, si byo se?

None se, reka turebe ibintu bimwe na bimwe byo kwibuka muri ibi? (Ubutumwa bwo kujyana mu rugo)

Sawa, twaganiriye cyane kuri iki kizamini cya `(Retrograde Urethrogram)` cyangwa `(RUG)`, si byo se? Amaherezo, ibuka ibi bintu:

Isuzuma rya retrograde urethrogram ni ikizamini cyoroshye kandi gifite ibyago bike.

Ibi bizatwara iminota mike gusa.

Ariko, ibi biha abaganga amakuru menshi y'ingenzi ku bibazo bishobora kubaho mu nzira yawe y'inkari.

Iki kizamini gikoreshwa no mu bihe byihutirwa cyangwa nyuma y'imvune kugira ngo hamenyekane niba hari icyangiritse kitagaragara inyuma .

Rero, niba muganga agusabye gukora iki kizamini, ntukitinye bitari ngombwa. Gifate nk'ikintu kizagufasha kubungabunga ubuzima bwawe. Niba ufite ikindi kibazo, menya neza ko wavuganye na muganga wawe.

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