Ese nawe wumva utararangiza kunyara? Reka tuvuge ku ikizamini cya PVR (Ikizamini cy'inkari zisigaye nyuma yo kubura)!

Ese wigeze wumva utetse uruhago rwawe rudasaza neza nyuma yo kujya mu bwiherero? Cyangwa wumva ukeneye kunyara kenshi, nk'isaha imwe? Ese ugomba kujya mu bwiherero inshuro eshatu cyangwa enye iyo witegura kujya mu rugendo? Nubwo ibi bishobora gusa n'ibisanzwe, rimwe na rimwe hashobora kuba hari impamvu y'uburwayi inyuma y'ibi. Niyo mpamvu tuvuga ku kizamini cy'ingenzi muganga wawe ashobora gukenera gukora muri ibyo bihe.

Iki kizamini cya PVR (Post-Void Residual) ni iki?

Nubwo izina rishobora kumvikana nk'aho rigoye, ibisobanuro byaryo biroroshye cyane. "Post-Void" bivuga "umaze kurangiza kwihagarika." "Residual" bivuga "ibisigaye." Rero, mu magambo make, ikizamini cya PVR gipima ingano y'inkari zisigaye mu ruhago rwawe nyuma yo kurangiza kwihagarika.

Ubusanzwe, iyo umuntu muzima arimo kunyara, uruhago rugomba kuba rudafite ikintu na kimwe. Ariko rimwe na rimwe hashobora kugumaho gato. Ibi ni ibisanzwe. Ariko, iyo inkari nyinshi zigumanye igihe cyose, iyi ndwara tuyita "Urinary Retention" . Iyi si indwara nziza yo kwirengagiza. Kuko igihe kirekire inkari zigumana mu ruhago bishobora gutera indwara zo mu nzira y'inkari (UTIs), amabuye mu mpyiko, no kwangirika kw'impyiko.

Kuki muganga yagira inama yo gupima PVR?

Iyo ugiye kwa muganga ukamubwira ibimenyetso bimwe na bimwe, ashobora gukeka ko nawe ufite iyi ndwara yo kubika inkari. Iki kizamini ahanini kigirwa kugira ngo cyemeze icyo cyizere. Niba ufite ibimenyetso biri hepfo, muganga ashobora kukugira inama yo kugufasha.

Iki kizamini cya PVR ugikora ute?

Hari uburyo bubiri bw'ingenzi bwo gupima ubu bunini bw'inkari zisigaye. Ubwo buryo bwombi ntibubabaza cyane, bityo nta mpamvu yo gutinya.

1. Binyuze mu gupima hakoreshejwe ultrasound

Ubu ni bwo buryo busanzwe, bworoshye kandi bworoshye. Ni nk'isuzuma ry'umubyeyi ugiye kubyara.

• Ubwa mbere, uzasabwa kunyara neza no gusohora amaraso mu ruhago rwawe.
• Hanyuma uzaryamishwa ku buriri.
• Umuganga cyangwa umutekinisiye azashyira gel yihariye mu nda yawe yo hasi hanyuma anyuzemo igikoresho gito (probe).
• Amashusho y'uruhago ashobora kurebwa kuri ecran ya mudasobwa binyuze mu majwi asohoka muri iki gikoresho.
• Iyo barebye ayo mashusho, babara neza umubare w'inkari zisigaye mu ruhago.
• Mu bihe bimwe na bimwe byihariye, ultrasound ishobora gukorwa ku bagore. Ibi nabyo bikora kimwe.

2. Gukoresha Catheterization y'inkari mu ruhago

Hari igihe ubu buryo bukoreshwa niba ushaka kubona igisubizo nyacyo kurusha gupima. Dore uko bigenda:

• Muri ubu buryo kandi, ubanza gusabwa kunyara cyane uko bishoboka kose.
• Hanyuma uzategekwa kuryama ku buriri bwo gupimisha.
• Hanyuma, umuganga cyangwa umuforomo azasukura neza agace gakikije urethra yawe hanyuma agusige umuti ugabanya ububabare , kugira ngo utazababara cyane.
• Hanyuma, umuyoboro mwiza cyane kandi woroshye (catheter) unyuzwamo witonze muri iyo nzira ijya mu ruhago.
• Inkari zose zisigaye mu ruhago zisohoka zinyuze muri uwo muyoboro zikawuteranya.
• Ingano y'inkari zakusanyijwe irapimwa.
• Iyo akazi karangiye, umuyoboro ukurwaho witonze.

Ese hari icyo nkeneye gutegura mbere y'iki kizamini?

Kenshi na kenshi, nta myiteguro yihariye ikenewe kuri iki kizamini cya PVR. Ushobora kurya no kunywa bisanzwe. Ariko, ni byiza kubaza muganga wawe mbere yo gupimwa niba hari amabwiriza yihariye.

Ni iki kibaho nyuma yo gupimwa? Ese hari ingaruka zishobora guterwa?

Ubusanzwe iki ni ikizamini cyo kwa muganga utari mu bitaro, bivuze ko ushobora gutaha cyangwa ukajya ku kazi ako kanya nyuma yo gupimwa.

Niba warakorewe isuzuma, ntuzumva umerewe nabi. Ariko, niba warashyizwemo catheter, ushobora kumva ushyushye gato cyangwa umerewe nabi iyo urimo kunyara kuko umuti utuma umuntu ababara ugenda ushira. Ibi ni ibisanzwe.

Nyuma yo kunywa amazi menshi no kunyara inshuro ebyiri cyangwa eshatu, ubu burwayi buzashira.

Ku bijyanye n'ingaruka, nta ngaruka zishobora kubaho iyo umuntu akoze ultrasound scan. Ariko, hari ingaruka nto cyane iyo umuntu ashyizemo catheter.

• Kwandura indwara yo mu nkari (UTI): Hari amahirwe make yo kwandura kuko hari ikintu gishyizwemo giturutse inyuma. Muganga wawe ashobora kukwandikira imiti igabanya ubukana bw'indwara kugira ngo hirindwe ibi.
• Amaraso make mu nkari (hematuria): Ibi bishobora guterwa no gushwanyagurika gato mu muyoboro w'inkari bitewe n'umuyoboro muto.
• Kwangirika guke ku muyoboro w'inkari cyangwa uruhago: Ibi ntibishoboka cyane kuko ibi bikorwa n'abantu bafite uburambe.

Ibisubizo by'ikizamini cya PVR bivuga iki?

Ibisubizo bizaguha agaciro ka mililitiro (mL), ari na ko ari ingano y'inkari zisigaye mu ruhago rwawe.

Muri rusange, agaciro ka PVR k'umuntu mukuru kari munsi ya mL 50 gafatwa nk'urugero rwiza cyane. Agaciro kari hagati ya mL 50 na 100 akenshi gashobora gufatwa nk'ibisanzwe. Ariko, agaciro ka PVR kari hejuru ya mL 100 kerekana ko uruhago rutarimo gusohora neza. Ibi bivuze ko ushobora kuba ufite inkari zigumana.

Ariko ibuka ko izi ndangagaciro zishobora gutandukana bitewe n'imyaka, igitsina, n'izindi ndwara.Kubwibyo, umuganga wawe ni we wenyine ushobora kugusobanurira icyo ibisubizo byawe bisobanura.

Ni izihe mpamvu zituma PVR irushaho kuba nyinshi?

Niba PVR yawe iri hejuru, muganga wawe ashobora gukora ibindi bipimo kugira ngo amenye impamvu. Impamvu nyamukuru zishobora kuba ari izi:

• Kuziba inzira y'inkari (nk'ikibyimba, ibuye ry'inkari)
• Prostate yagutse ku bagabo
• Ingaruka mbi z'imiti imwe n'imwe
• Kugabanuka k'umuyoboro w'inkari
• Ibibazo by'imitsi (imitsi itera uruhago)

Uburyo bwo kuvura buterwa n'impamvu kandi bushobora kuba burimo imiti, kubagwa, cyangwa ubundi buryo bwo kuvura.

None se, ni ibihe bihe byiza byo kujya kwa muganga?

Ibi ni ingenzi cyane.

Byongeye kandi, niba ufite ibimenyetso biri hepfo, hita ubonana na muganga wawe.

• Kubabara mu nda yo hasi cyangwa kubyimba
• Gushya cyangwa kubabara iyo uri kunyara
• Umuriro
• Inkari zifite ibara ryijimye cyangwa zifite impumuro mbi

Ntiwirengagize ibi bimenyetso. Ikizamini cya PVR ni ikizamini cy'agaciro gakomeye gishobora gufasha kumenya indwara mbere yuko iba ikibazo gikomeye.