Dzimwe nguva unonzwa sekunge hauna kubvisa tsvina yese mudundira rako mushure mekuita weti here? Kana kuti unonzwa sekunge unofanira kuita weti kakawanda pazuva, pamwe kakawanda kupfuura zvaunofunga? Kana uine kusanzwa zvakanaka uku, usafunge kuti chinhu chekunetseka nacho. Dzimwe nguva, kunyangwe kana uchifunga kuti wapedza kuita weti , panogona kunge paine weti yasara mudundira rako. Isu vanachiremba tinoidaidza kuti 'Post-Void Residual' (PVR) . Zvichitaurwa zviri nyore, zvinoreva "weti yasara mushure mekuita weti ."
Sei bvunzo iyi ye'post-void residual' (PVR) yaitwa?
Zvakanaka, ikozvino ungangove uchifunga kuti, "Saka sei tichiita bvunzo iyi yePVR?" Chikonzero chikuru chekuita izvi ndechekuona kuti dundira rako riri kubuda riini zvachose, kana kuti pane weti yasara. Kuchengetwa kweweti uku kunonzi 'kuchengetwa kweweti' . Kunyange zvazvo zvakajairika kuva neweti shoma yasara, kana paine weti yakawanda yasara, zvinogona kuva chiratidzo chedambudziko rehutano.
Chiremba wako anogona kukurudzira kuti uedze PVR test kana uine chimwe chezviratidzo izvi:
- Kurasa weti kakawanda: Kana uchida kuita weti kakawanda pazuva, pamwe kamwe chete paawa.
- Kuoma kudzora weti (kusazvidzora): Kana ukarasikirwa neweti usina kudzora wakamira.
- Utachiona Hwakajairika hweWeti (UTIs): Kana uchibatwa neUTI mwedzi mishoma yega yega kana kupfuura.
- Kunzwa kurema mudumbu uye kunzwa kuti dundira harina kubuda kunyangwe mushure mekuita weti .
- Kana wakamboonekwa uine matombo mudundira.
Fungidzira shamwari yako, ngatimuti Supun. Supun anga achifanira kuita weti kakawanda mazuva ano. Anofanira kumuka kaviri kana katatu husiku. Anoti kana apedza kuita weti , anonzwa kuzara mudumbu make. Paanoenda kunoona chiremba, chiremba anomuudza kuti aite bvunzo iyi yePVR. Ndipo panotanga kukosha bvunzo iyi.
Kuongororwa kwePVR uku kunoitwa sei?
Zvakanaka, ngationei kuti tingayera sei huwandu hweweti yasara mudundira, kana kuti PVR. Pane nzira mbiri huru dzinoshandiswa pakuita izvi.
1. Kuisa Dundira muCatheterization
Iyi inzira imwe chete. Vanachiremba vanoidaidza kuti 'catheterization yedundira' . Hezvino zvinoitika:
Unotanga waenda kuchimbuzi wobvisa tsvina yakawanda padundira rako. Zvadaro, chiremba kana mukoti akadzidziswa vanoisa chubhu yakatetepa uye inochinjika - tinoidaidza kuti 'catheter'.– Inopinzwa nekungwarira mudundira rako richitevedza urethra yako. Kana yapinzwa, weti yese yasara mudundira inobviswa uye huwandu hwayo hunoyerwa. Izvi zvingaita sezvisina kunaka, asi izvi zvinoitwa nokungwarira.
2. Kuongororwa kweUltrasound
Imwe nzira huru ndeye ultrasound test. Ungave wakambonzwa nezvazvo. Izvi zvinoshandisa mafungu eruzha kutarisa mukati medundira. Kunewo nzira mbiri dzekuita izvi:
- Kuskena Dundira: Mukuita izvi, kuskena kunoitwa padumbu rako, pane dundira rako. Chiremba anoisa mudziyo mudiki (watinoti 'probe' ) padumbu rako uye anoshandisa mafungu eruzha kutora mufananidzo wedundira rako uye kuona kuti weti yasara yakawanda sei.
- Ultrasound yeTransvaginal: Iyi imhando yekuskena kunoitwa pavakadzi. Pano, 'probe' inoiswa kuburikidza nepanhengo yemukadzi kuti itore mifananidzo yedundira. Nzira iyi dzimwe nguva inogona kuburitsa mifananidzo yakajeka.
Chiremba achasarudza nzira dzakakodzera pane idzi mbiri zvichienderana nemamiriro ako ezvinhu.
Ndinofanira kugadzirira sei bvunzo iyi?
Kazhinji, hapana gadziriro yakakosha inodiwa pakuongorora uku kwePVR. Unogona kudya nekunwa semazuva ese. Zvisinei, dzimwe nguva chiremba wako anogona kukuudza kuti unwe mvura shoma maawa mashoma bvunzo isati yaitwa uye kuti dundira rako rirambe rakazara zvishoma. Saka, zvakanaka kubvunza chiremba wako kana vashandi vekuchengeta varwere usati waitwa bvunzo kana paine mirairo yakakosha yaunofanira kutevedzera.
Chii chaizvo chinoitika panguva ye 'Bladder Catheterization'?
Ngatitii wasarudza kuyera PVR yako nekuisa catheter mudundira. Zvadaro chimwe chinhu chakadai chinoitika:
1. Kudurura dundira: Kutanga, uchaendeswa kuchimbuzi wobva wakumbirwa kuti udurure dundira rako zvakakwana uye zvakakwana sezvinobvira.
2. Kugadzirira: Zvadaro, uchakumbirwa kurara pasi patafura yekuongororwa, kupfugama mabvi ako, uye kutambanudza makumbo ako kumativi. Izvi zvichaita kuti urethra yako ionekwe zviri nani.
3. Kuchenesa uye Kugadzirisa Mavanga: Tevere, chiremba kana nesi vachachenesa urethra yako zvakanaka nenzvimbo yakaipoteredza. Zvadaro, vachaisa mushonga mushoma wekuderedza marwadzo panzvimbo yacho. Izvi zvichakubatsira kuti unzwe kurwadziwa kushoma.
4. Kuisa catheter: Iye zvino, chubhu tete inonzi 'catheter' inopinzwa nokungwarira kuburikidza neurethra yako mudundira rako.
5. Kubviswa kweweti uye kuyerwa kwayo: Weti yese yasara mudundira inobviswa kuburikidza necatheter uye huwandu hwayo hunoyerwa nemazvo.
6. Kubvisa catheter: Mushure mekutora weti, chubhu inobviswazve nokungwarira.
Zvinongotora maminetsi mashoma kuti zvese izvi zvipere.
Chii chinoitika panguva yekuongorora kwePVR ne ultrasound?
Ngationei zvinoitika kana PVR ikayerwa ne ultrasound. Izvi zvakasiyana zvishoma ne catheterization.
1. Kudurura dundira: Muchiitiko ichi, uchatanga waendeswa kuchimbuzi wokumbirwa kuti udurure dundira rako zvakanyanya sezvinobvira.
2. Kugadzirira: Zvadaro, uchaitwa kuti urare pamubhedha wekuongororwa.
3. Kuisa gel: Pakuongorora dundira, gel yakakosha inoiswa padumbu rako, pane dundira rako. Gel iyi inobatsira kugadzira kubatana kwakanaka pakati pe probe neganda rako. Pakuongororwa kwe ultrasound ye transvaginal, gel inoiswa pa probe.
4. Kuskena: Tevere, chiremba anoisa ultrasound probe padumbu rako (kuti iongororwe dundira) kana mukati menhengo yako yemukadzi (kuti iongororwe transvaginal ultrasound) kuti uwane mifananidzo yakanakisisa yedundira rako. Unogona kuona mifananidzo iyi pamonitor iri pedyo.
5. Kupedzisa: Mushure mekutora mifananidzo inodiwa yedundira, purobe inobviswa. Unogona kupukuta chero gel yakawandisa.
Izvi zvichaperawo mumaminitsi mashoma.
Chii chinoitika mushure mekuongororwa kwePVR?
Kuongororwa kwePVR uku hakuwanzo kuve kwakaoma. Tinoti uku 'kuongororwa kwekunze' . Izvi zvinoreva kuti kana bvunzo yangopera, unogona kudzokera kumba kana kudzokera kubasa rako remazuva ese. Unogona kutangazve mabasa ako ezuva nezuva semazuva ese.
Zvisinei, kana wakamboiswa catheter mudundira , mushonga unoderedza kunzwa kwekusanzwa zvakanaka, unogona kunzwa kusagadzikana kana kupisa muurethra yako kwemazuva mashoma. Chinhu chakanakisa chekuita izvi kunwa mvura yakawanda uye kuita weti kakawanda pazuva. Izvi zvichabatsira kuderedza kusagadzikana zvakanyanya.
Pane njodzi here nebvunzo iyi yePVR?
Hapana njodzi huru dzinosanganisirwa ne ultrasound test. Hazvina njodzi huru.
Zvisinei, kuvharirwa kwemudumbu , kunyangwe zvisingawanzoitiki, kunogona kuva nenjodzi diki. Idzi ndedzi:
- Pane mukana mudiki wekuti munhu awane chirwere cheUTI (UTI). Izvi zvinokonzerwa nekuti chimwe chinhu chisiri chemudumbu chinopinzwa muurethra. Zvisinei, izvi hazviwanzoitiki. Dzimwe nguva chiremba wako anogona kukupa mushonga unonzi ' antibiotics ' kuderedza njodzi iyi.
- Ungave uine ropa muweti yako (hematuria). Izvi zvinowanzopera mukati mezuva rimwe kana maviri.
- Kashoma, zvinogona kunge zvakaita sekukuvadzwa kudiki kweurethra kana dundira.
Asi, ndinodzokorora, njodzi idzi diki kwazvo. Vanachiremba vanoita bvunzo iyi neruzivo rwakakura uye nehanya. Saka musatya zvisina kufanira. Kana muine kusava nechokwadi, taurai nachiremba wenyu.
Ko kukosha kwe'post-void residual' (PVR) kunofanira kunge kwakadini kazhinji?
Zvakanaka, ngatitarisei mhedzisiro yeiyi bvunzo yePVR. Huwandu hweweti yasara mudundira rako hunowanzo kuyerwa mu milliliters (mL).
- Kumunhu mukuru ane hutano hwakanaka, zvinowanzoonekwa sezvakanaka kuti weti isingasviki 50 milliliters (50 mL) irambe iri mudundira mushure mekuita weti .
- Kana iri pakati pe50 ne100 milliliters (50 mL - 100 mL), dzimwe nguva inogona kunge iri yakajairika, kana kuti ingave chinhu chinoda kuongororwa zvakanyanya.
- Kana paine anopfuura 100 milliliters (100 mL), zvinogona kuonekwa se 'kuchengetedza weti'.
Asi yeuka izvi: Chiremba wako ndiye achasarudza chaizvo kuti chii chinonzi PVR 'yakajairika' uye 'isina kujairika' kwauri. Zvinoenderana nezvinhu zvakawanda, kusanganisira zera rako, hutano hwako, uye mishonga yaunotora. Saka, kana zvabuda muongororo yako zvabuda, zvakakosha kutaura nachiremba wako nezvazvo uye kunzwisisa zvazvinoreva.
Zvinotora nguva yakareba sei kuti uzive mhedzisiro yePVR test?
Izvi ndizvo zvaunofanira kuziva. Kazhinji, mhedzisiro yekuongororwa kwePVR inowanikwa ipapo ipapo, nguva pfupi mushure mekunge bvunzo yaitwa. Ultrasound inogona kukuudza ipapo ipapo. Catheterization inogonawo kukuudza huwandu hweropa rakayerwa. Zvisinei, zvakanaka kubvunza chiremba wako kana nesi kuti muchakwanisa riini kukurukura mhedzisiro yacho.
Sei dundira iri richichengeta weti yakawandisa (High PVR Volume)?
Pane zvikonzero zvakawanda zvinoita kuti weti yakawandisa irambe iri mudundira, kana kuti PVR yakakwira. Heano mamwe ematambudziko makuru ekuti weti irambe ichichengetwa mumuviri:
- Kuvharika kwenzira yeweti: Semuenzaniso, chimwe chinhu chakaita sebundu redundira, dombo reweti, kana kuvharika kweurethra.
- Prostate yakakura (BPH): Izvi zvinowanzoitika kuvarume pavanenge vachikura. Kana prostate gland ikakura, inogona kudzvanya urethra, zvichiita kuti zviomere weti kubuda.
- Semhedzisiro yemimwe mishonga: Mimwe mishonga inoderedza marwadzo, antihistamines, uye mimwe mishonga yezvirwere zvepfungwa zvinogona kukanganisa mashandiro edundira.
- Kuvharwa kweurethra kana kuti kuvharwa kweurethra: Kana urethra yave kupfupika, kungave nekuda kwehutachiona kana kukuvara.
- Matambudziko etsinga:Zvirwere zvetsinga zvakaita sechirwere cheshuga, kukuvara kwemusana, chirwere cheParkinson, uye multiple sclerosis zvinogona kukuvadza tsinga dzinodzora kunzwa uye kushanda kwedundira. Dambudziko iri rinonzi neurogenic dundira .
- Kushaya simba kwetsandanyama dzedundira.
- Kuzvimbirwa: Kuzvimbirwa kwakanyanya kunogonawo kumanikidza dundira uye kudzivirira weti kuti isafambe zvakanaka.
Nzira yekurapa sei kuchengetwa kwedundira?
Kana PVR yako ikaonekwa kuti yakakwira, zvichireva kuti weti yakawanda yasara mudundira, chiremba wako achaongorora chikonzero chacho , sezvo kurapwa kuchaonekwa zvichienderana nechikonzero ichocho.
- Kana chikonzero chiri mhedzisiro yemushonga, mushonga unogona kuchinjwa kana kuderedzwa kwemuyero.
- Kana prostate gland yakakura, inogona kurapwa nemishonga kana kuvhiyiwa kudiki.
- Kana paine chinhu chakavharika munzira yeweti, kuvhiyiwa kana imwe nzira inogona kuitwa kuti ibviswe.
- Kana iri dambudziko retsinga, mishonga kana dzimwe nzira dzekukubatsira kubvisa tsvina mudundira rako dzinogona kushandiswa paunenge uchirapa . Vamwe vanhu vanogona kukurudzirwa kuti vadzidze kubvisa tsvina panguva yakatarwa kana kushandisa catheter.
Chinhu chinonyanya kukosha ndechekuti chiremba wako ataure newe nezvenyaya iyi zvakadzama, otsanangura zvaunogona kusarudza, uye kana paine mimwe miedzo inodiwa. Saka, usatya kubvunza mibvunzo yako.
Ndinofanira kuona chiremba rini?
Izvi zvakakoshawo zvikuru.
Kana ukangoerekana waona kuti hauchakwanisi kuita weti zvachose, zvichireva kuti weti yako yavharika zvachose, idambudziko. Unofanira kuenda kuchipatara (ETU) nekukurumidza. Usanonoka.
Uyezve, kana uine chimwe chezviratidzo izvi kana kupfuura, iva nechokwadi chekuona chiremba wemhuri yako kana chiremba wezvedundira:
- Kana uine kurwadziwa kana kuzvimba mudumbu repazasi.
- Kana uchirwadziwa kana kutsva paunenge uchiita weti .
- Kana uine fivha.
- Kana weti yacho ine ruvara rwakasviba kana kuti ine hwema hwakaipa.
- Kana ropa riri muweti.
- Ndinofanira kuita weti kakawanda, asi zvishoma nezvishoma.
- Kana dundira rako richiri kunzwa rakazara mushure mekupedza kuita weti .
Usaregeredza zviratidzo izvi. Kutsvaga rubatsiro rwechiremba nekukurumidza kunogona kudzivirira dambudziko racho kuti risanyanya kuipa.
Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)
Saka, pakupedzisira, kana uchifunga kuti une zviratidzo zvekusashanda kweweti, ndiko kuti, weti yasara mudundira, chiremba wako anogona kukukumbira kuti uite bvunzo iyi ye 'post-void residual' (PVR). Kunyange zvazvo zvakajairika kuti uve neweti shoma mudundira rako dzimwe nguva, kuva newakawanda kunogona kukuvadza dundira rako, kukanganisa itsvo dzako, uye kutungamira kuzvirwere zvakawanda. Kwete izvozvo chete, asi zvinogonawo kuva chiratidzo chechirwere chiripo chinoda kurapwa.
Kana PVR yako yakakwira, chiremba wako ndiye achaona chikonzero uye achakurudzira kurapwa kwakanakira iwe. Kana uine mibvunzo kana zvinokunetsa nezvebvunzo iyi kana zvabuda, usazeza kubvunza chiremba wako. Une kodzero yekuziviswa nezvehutano hwako. Ramba uine hutano hwakanaka!
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Chii chinonzi PVR (Post-Void Residual Weti) test?
Iyi ibvunzo inoongorora kana dundira risina chinhu zvachose mushure mekunge mapedza kuita weti, kana kuti kuchine weti yasara.
💬 Unoziva sei kana weti ichiri mudumbu mako mushure mekupedza kuita weti?
Kana wapedza kuita weti, chiremba achaisa muchina we ultrasound pamusoro pedumbu rako rezasi (sekunge scan panguva yekuzvitakura). Muchina ucharatidza huwandu hweweti hwasara muma milliliters pachiratidziro.
💬 Dambudziko rei nekusachengeta weti?
Kana dundira risina kubviswa zvachose, mabhakitiriya anogona kuramba achikura muweti yasara, zvichikonzera hutachiona hwakakomba hwemunzira yeweti. Izvi zvinogonawo kukuvadza itsvo.
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