Reka twige ku ikizamini cya VCUG: Ntutinye, reka tuganire mu buryo bworoshye (VCUG)

Ese muganga wawe yaba yarakubwiye wowe cyangwa umwana wawe ko ugomba kwipimisha witwa VCUG? Ubwo wumvise iryo zina, wagize ubwoba gato kandi ntugire ikibazo, si byo se? Ni ibisanzwe cyane. Abantu benshi babyumva gutyo. Ariko si ikintu cyo gutinya. Uyu munsi, turaganira ku cyo iki kizamini cya VCUG ari cyo, impamvu gikorwa, uko gikorwa, n'uburyo bwo kugitegura mu buryo bworoshye cyane ushobora gusobanukirwa.

Mu magambo make, iki kizamini cya VCUG ni iki?

Izina ryuzuye rya VCUG ni Voiding Cystourethrogram . Sawa, sawa... izina riragoye gato. Ariko ibiba muri ibi biroroshye cyane. Iki ni ikizamini cyihariye cya X-ray. Kireba uburyo uruhago rwawe n'umuyoboro usohora inkari mu ruhago rwawe (urethra) bikora.

Tekereza ku buryo inkari zacu zifatwa nk'ikigega cy'amazi. Inkari zikorwa n'impyiko zikusanyirizwa mu kigega cyitwa uruhago, kandi iyo igihe kigeze, zigasohorwa binyuze mu muyoboro w'inkari. Uru rugendo rugomba guhora rugana icyerekezo kimwe . Ni ukuvuga kuva hejuru kugeza hasi.

Ariko rimwe na rimwe, cyane cyane ku bana bato, izi nkari zitangira gutemba inyuma, ni ukuvuga zizamuka zerekeza mu mpyiko. Iyi ndwara tuyita Vesicoureteral Reflux . Ikizamini cya VCUG ahanini kireba niba hari ibyo bibazo.

Muri iki kizamini, amazi yihariye (irangi ritandukanye) yinjira mu ruhago binyuze mu muyoboro muto (catheter), kandi hafatwa amashusho menshi ya X-ray uko uruhago rwuzuye kandi rugasohoka. Amazi yihariye agaragaza neza byose kuri X-ray. Ibi bituma muganga areba neza niba inkari zitembera mu cyerekezo gikwiye, mu cyerekezo kitari cyo, cyangwa niba hari ahantu hafunganye.

Kuki ukeneye gukora iki kizamini?

Akenshi, muganga agusaba gupimwa VCUG bitewe n'impamvu runaka. Ntabwo bakora ibi bizamini nta mpamvu. Dore zimwe mu mpamvu z'ingenzi.

• Niba urwaye indwara zifata imiyoboro y'inkari kenshi (UTIs): Iki kizamini gikorwa kugira ngo hamenyekane impamvu itera indwara zifata imiyoboro y'inkari kenshi, cyane cyane ku bana bato. Ibi biterwa nuko inkari zisubira inyuma mu mpyiko, zishobora gutera indwara impyiko (pyelonephritis), ishobora kwangiza impyiko .
• Ibibazo by'inkari bavukanye: Hari abana bashobora kuvukana impinduka zimwe na zimwe mu nganda zabo z'inkari. Muri ibyo bihe, iki kizamini ni ngombwa.
• Kugorwa no kunyara: Iki kizamini gishobora gukorwa niba ubabara mu gihe uri kunyara, niba ukeka ko hari imiyoboro y'inkari, cyangwa niba ufite ingorane zo kugenzura inkari zawe.
• Niba hari umuntu wo mu muryango wawe wagize ibi bibazo: Indwara nka Vesicoureteral Reflux rimwe na rimwe zishobora kugaragara mu miryango.

Ni iki kibaho ku munsi w'ikizamini?

Sawa. Noneho reka turebe uko wakora iki kizamini intambwe ku yindi. Kubimenya bizagabanya cyane ubwoba bwawe. Iki ni ikintu kimara iminota 30-45.

1. Guhindura imyenda: Ubwa mbere, uzasabwa gukuramo imyenda y'imbere n'ipantalo/ijipo hanyuma ukambara ikanzu yihariye yatanzwe n'ibitaro.

2. Kuryama ku meza: Hanyuma uzaryama ku meza yihariye mu cyumba kirimo imashini ya X-ray. Niba uri umugabo, uzasabwa gukomeza amaguru yawe agororotse, kandi niba uri umugore, uzasabwa gukomeza amaguru yawe ahagaze nk'ikinyugunyugu (amavi apfukamye ku mpande no ku birenge byawe hamwe). Ibi bizatuma byoroha kugera kuri urethra.

3. Gusukura: Umuforomo cyangwa umuganga azasukura witonze imyanya ndangagitsina yawe akoresheje isabune n'amazi. Hanyuma, bazashyiramo agakoresho ko gusiga ibinure aho catheter iherereye.

4. Gushyiramo katheteri: Aha niho abantu benshi bumva batameze neza. Umuyoboro mwiza cyane woroshye (catheter) winjizwa unyuze mu muyoboro w'inkari no mu ruhago. Ibi bishobora kubabaza gato, ariko ntibibabaza. Ibi birababaza cyane cyane nyuma yo gusigwa gel itera ibisebe. Hanyuma umuyoboro ushyirwa ku itako ryawe ukoresheje igitambaro.

5. Gushyira irangi ry’uruvange rw’amaraso: Ubu, muganga azashyira irangi ry’uruvange rw’amaraso mu ruhago rwawe buhoro buhoro anyuze mu muyoboro. Muri iki gihe, uzumva igitutu mu ruhago rwawe uko rwuzura.

6. Gufata amashusho ya X-ray: Mu gihe uruhago rwawe rwuzura, imashini ya X-ray ishyirwa hejuru y'inda yawe igafata amafoto menshi. Iyi mashini ntabwo ikora ku mubiri wawe.

7. Kunyara: Iyo uruhago rwawe rwuzuye, muganga azagusaba kunyara. Muri icyo gihe, katheteri izakurwamo. Niba uri umuntu mukuru, uzasabwa kunyara mu kintu cyihariye (igitanda/inkari). Niba uri umwana muto, ushobora gusabwa kunyara ku gitambaro kiri ku meza. Ibi ni ibisanzwe, rero ntugahangayike. Hazafatwa X-ray nyinshi mu gihe unyara.

Imirasire ya X-ray ifatwa iyo uruhago rwuzuye kandi rurimo ubusa, kuko rimwe na rimwe inkari zishobora gutemba zisubira inyuma muri kimwe muri ibi byiciro bibiri.

Niba ukoze iki kizamini ku mwana muto...

Iki kibazo gishobora gutera ubwoba umwana, bityo rero nk'umubyeyi cyangwa se, ufite uruhare runini.

• Gumana n'umwana: Kenshi na kenshi, umwe mu babyeyi yemerewe kugumana n'umwana mu gihe cyo gupimwa.
• Mbwira mbere y'igihe:Bisobanure mu buryo bworoshye, nka "Muganga, shyiramo umuyoboro muto, shyiramo amazi mu nda yawe, hanyuma ufate ifoto."
• Ha umwana igikinisho: Reka umwana afate igikinisho cyangwa igitabo akunda. Ibi bizafasha kugabanya ubwoba bw'umwana.
• Humura: Komeza ijwi ryawe rituje kandi ryishimye. Ibi ni inkunga ikomeye ku mwana.

Ni iki ngomba guhangayikishwa nacyo nyuma yo gupimwa?

Ushobora gutaha ikizamini kirangiye. Ushobora gukora imirimo yawe yose isanzwe. Ariko ibi bintu akenshi bibaho mu munsi umwe cyangwa ibiri ukurikira.

Ni iki twakwigira ku bisubizo byatanzwe?

Umuganga w’indwara z’imirasire usesengura amashusho ya X-ray azategura raporo akayishyikiriza muganga wawe. Ibi bishobora gufata umunsi umwe cyangwa ibiri.

Iyi raporo izakubwira neza niba ufite Vesicoureteral Reflux. Nubikora, izahabwa amanota kuva kuri 1 kugeza kuri 5 bitewe n'ubukana bwayo. Umubare wa 1 ni indwara yoroheje cyane, naho umubare wa 5 ni wo ukomeye cyane.

Ibi bisubizo bizafasha muganga wawe gufata icyemezo cy'icyo gukora nyuma yaho. Hari indwara nto zishobora kuvurwa n'imiti. Mu bihe bimwe na bimwe bikomeye, kubagwa bishobora kuba ngombwa. Muganga wawe azagusobanurira ibi byose.