Ngaba nawe unengxaki yokuchama? Masithethe ngovavanyo lwe-urodynamic!

Usenokuba neengxaki ezahlukeneyo kunye neengxaki zokuchama , oko kukuthi, ukuchama, ngamanye amaxesha, akunjalo? Cinga ngayo, mhlawumbi uziva ngathi unamandla amancinci kwindlela yakho yokuchama , okanye usenokuba nesifiso esinamandla sokuchama ngequbuliso, okanye unokufuna ukuchama rhoqo. Abanye abantu banokuziva ngathi kusekho umchamo kwisinyi sabo nasemva kokuba begqibile ukuchama . Namhlanje, siza kuthetha ngendlela ekhethekileyo yovavanyo enokukunceda ufumane unobangela ochanekileyo wezi ngxaki zibonakala zincinci, kodwa zicaphukisa ngokwenene.

Zithini ezi mvavanyo ze-urodynamic?

Ngamafutshane, uvavanyo lwe-urodynamic luluvavanyo olujonga ukuba isinyi sakho (ilungu elifana nebhegi eliqokelela kwaye ligcine umchamo ), i-urethra (umsipha ophakathi kwesinyi kunye nendlela apho umchamo uphuma khona - njengempompo), kunye ne-urethra (ityhubhu ekhupha umchamo ) zisebenza kakuhle kangakanani. La malungu akwabizwa ngokuba yindlela esezantsi yomchamo .

Olu vavanyo lujonga ikakhulu indlela umzimba wakho oqokelela kwaye ugcina ngayo umchamo, kunye nendlela owukhupha ngayo. Ngokukodwa, olu vavanyo lunokulinganisa:

• Indlela esebenza kakuhle ngayo imithambo-luvo kunye nemisipha kwisinyi sakho .
• Injani uxinzelelo ngaphakathi nangaphandle kwesinyi?
• Xa uchama , ingakanani imichamo ephumayo kwaye ikhawuleza kangakanani ukuphuma.

Ngokusekelwe kwiziphumo zolu vavanyo, ugqirha wakho unokugqiba isicwangciso sonyango esifanelekileyo kwiimpawu zakho.

Zenziwa nini ezi vavanyo ze-urodynamic?

Olu vavanyo lunokunceda oogqirha ukuba babone iingxaki kwindlela yakho esezantsi yomchamo. Khumbula, indlela yomchamo ifana nenkqubo yokukhupha amanzi esusa inkunkuma kunye nolwelo olugqithisileyo emizimbeni yethu.

Uninzi lovavanyo lwe-urodynamic lujolise ekufumaneni ukuba isinyi sakho sigcina kakuhle kangakanani umchamo kunye nokuba siwukhupha kakuhle kangakanani na. Isinyi esisempilweni kufuneka sikhuphe umchamo rhoqo, rhoqo, nangokupheleleyo.

Ugqirha wakho unokuyalela ezi mvavanyo ukuba uneempawu ezifana nezi:

• Ukungakwazi ukuzibamba komchamo yiyo nayiphi na indlela yokungakwazi ukulawula ukuchama (oko kukuthi, ukulahleka komchamo ngokungazi).
• Ukuba ngequbuliso unomdla wokuchama , okanye ukuba kufuneka uchame rhoqo .
• Ukuba uziva iintlungu xa uchama.
• Ukuba ufumana usulelo oluphindaphindayo lwendlela yomchamo (UTIs).
• Ukuba unengxaki yokuqalisa ukuchama.
• Ukuba unengxaki apho ungakwazi ukukhupha yonke into kwisinyi sakho (Ukugcinwa komchamo).
• Ukuba umchamo ucotha kakhulu , ubuthathaka , okanye ungenaxesha .

Khawucinge nje, uNilanthi Akka uvuza umchamo omncinci xa ehleka okanye ekhohlela. Oku kuyambangela iintloni kakhulu. Ugqirha uthe makenze uvavanyo lwe-urodynamic ukuze kufunyanwe unobangela ochanekileyo woku.

Iimpawu ezinje ngezi zibonisa ukuba kunokubakho ingxaki ethile kwindlela yakho esezantsi yomchamo.

Zenziwa njani ezi mvavanyo ze-urodynamic?

Kukho iintlobo ezahlukeneyo zovavanyo lwe-urodynamic, nganye isebenza ngokwahlukileyo kancinci. Ngamanye amaxesha ugqirha wakho unokwenza uvavanyo oluninzi ngaxeshanye ukuze aqonde ngcono indlela esebenza ngayo inkqubo yakho yomchamo.

Makhe sijonge ezinye zezona ntlobo ziphambili zovavanyo.

Uvavanyo lweCystometry

Uvavanyo lwe-cystometry, okanye i-cystometrogram, luvavanyo olusebenzisa ii-catheters ( iityhubhu ezincinci neziguquguqukayo) ukulinganisa uxinzelelo ngaphakathi kwesinyi sakho. Olu vavanyo lunokukuxelela oku:

• Ubungakanani bomchamo onokugcinwa sisinyi sakho .
• Uxinzelelo olungaphakathi kwisinyi xa sigcina umchamo, kunye nokuba olo xinzelelo lukhula ngokukhawuleza kangakanani njengoko isinyi sizala.
• Ukuba isinyi sakho sigcwele kangakanani xa uziva ufuna ukuchama.

Olu vavanyo lunokulinganisa ukushwabana okanye ukuqaqamba okwenzeka eludongeni lwesinyi xa isinyi sizalisa.

Uvavanyo lwe-cystometry luqala ngesinyi esingenanto. Ugqirha wakho uza kufaka i-catheter encinci nge-urethra yakho kwisinyi sakho. Le catheter ine-sensor ebizwa ngokuba yi-manometer kuyo, enokulinganisa uxinzelelo kwisinyi sakho kulo lonke uvavanyo. Ugqirha wakho unokufaka enye i-catheter kwisini sakho okanye kwi-rectum ukulinganisa uxinzelelo ngaphakathi kwesisu sakho.

Emva koko, baya kuzalisa kancinci isinyi sakho ngolwelo olufudumeleyo nolungenazintsholongwane. Njengoko isinyi sakho sizala, unokucelwa ukuba ukhohlele okanye utsale. Oku kubizwa ngokuba yi-"Leak Point Pressure"`, apho umchamo uvuza khona ngenxa yoxinzelelo. Ekupheleni kwe-cystometrogram, uya kucelwa ukuba ukhuphe isinyi sakho. I-manometer iya kulinganisa uxinzelelo kwisinyi sakho kunye nesantya umchamo ohamba ngaso (``Pressure Flow Measurement``).

Abanye abantu banokuba nobunzima bokukhupha i-bladder yabo, ingakumbi xa bene-catheter endaweni okanye xa kukho omnye umntu egumbini. Ukuba oku kuyenzeka, musa ukuba neentloni, kuyinto eqhelekileyo. Nangona ungaziva ungakhululekanga xa ugqirha efaka i-catheter kwi-urethra yakho, uvavanyo alubuhlungu .

Kumadoda, iziphumo zolu vavanyo zinokunika umbono wokuba ingaba i-prostate gland ikhulisiwe na (i-prostate ekhulisiweyo), imeko ebangela ubunzima bokuchama.

Uvavanyo lwe-Electromyography

I-Electromyography ilinganisa umsebenzi wombane wesinyi sakho kunye nemisipha kunye nemithambo-luvo ejikeleze sona. Babeka amabala e-electrode (njengezitikha ezincinci) kufutshane ne-urethra yakho kunye ne-anus kwaye barekhode amaza ombane ayenzeka xa izihlunu zakho zomgangatho we-pelvic zifinyela.

Uvavanyo lwe-Uroflowmetry

Olunye uvavanyo olulinganisa ukuba uchama kangakanani kwaye ukhawuleza kangakanani lubizwa ngokuba yi-uroflowmetry. Xa ungena kolu vavanyo, ugqirha wakho uya kukucela ukuba uzalise isinyi sakho . Uza kuchamela kumatshini okhethekileyo (njengendlu yangasese ye-elektroniki). Ilinganisa ngokuzenzekelayo ubungakanani kunye nesantya sokuhamba komchamo wakho kwaye yenze igrafu ebonisa utshintsho. Iziphumo zinokubonisa ukuba izihlunu zesinyi sakho zibuthathaka okanye ukuba ukuhamba komchamo wakho kubuthathaka okanye kuphazamisekile ngenxa yohlobo oluthile lokuvaleka.

Umlinganiselo wentsalela emva kokungasebenzi

Olu vavanyo lwe-``Postvoid Residual Measurement`` lulinganisa ubungakanani bomchamo oseleyo kwisinyi sakho emva kokuba ugqibile ukuchama. Oku kubizwa ngokuba yi -postvoid residual. Wonke umntu unentwana eseleyo. Ugqirha wakho uhlala esebenzisa uvavanyo lwe-ultrasound (silubiza ngokuba yi-``Bladder Scanner```) ukuthatha umfanekiso wesinyi sakho.

Abanye abantu abaneengxaki ezithile zempilo basenokungakwazi ukwenza olu vavanyo lwesinyi. Kwiimeko ezinjalo, kufakwa i-catheter kwisinyi nge-urethra kwaye umchamo owongezelelweyo ukhutshwa ukuze kubonwe ukuba uqhelekile na. Ngokwesiqhelo, kushiyeka ii-ounces ezi-5-6 (malunga ne-150-180 ml) okanye ngaphezulu komchamo, nto leyo ebonisa ukuba isinyi asiphumi ngokupheleleyo. Nangona kunjalo, oku kunokwahluka kumntu nomntu. Ugqirha wakho uza kuxoxa nawe ngeziphumo.

Iividiyo zovavanyo lwe-Urodynamic

Uvavanyo lwevidiyo lwe-urodynamic ludibaniso lwe-cystometry, i-uroflowmetry, kunye ne-X-ray cystography. Izixhobo zedijithali ezisetyenzisiweyo kolu vavanyo zisebenzisa i-X-ray ukulinganisa uxinzelelo kwisinyi kunye ne-rectum kunye nokuhamba komchamo. Ezi zixhobo zithatha imifanekiso yesinyi njengoko sizalisa kwaye sikhupha. Ezi vavanyo zibonelela ngolwazi oluxabisekileyo malunga nomsebenzi wesinyi kunye ne-urethra, kunye nokubonisa ubungakanani kunye nokuma kwesinyi.

Ukuba uthatha i-X-ray, isinyi sakho siza kuzaliswa lulwelo olukhethekileyo olubizwa ngokuba yi-"Contrast Dye".Oku kuvumela imifanekiso ukuba ibonakale ngokucacileyo. Olu hlobo lwe-`(Contrast Dye)` aludli ngokufunxwa ngumzimba. Nangona kunjalo, ukuba umntu une-`(Allergy)` kwezi ntlobo zolwelo (okanye naluphi na olunye uhlobo lwe-allergies), kufuneka axelele ugqirha ngaphambi kokuba enze naluphi na uvavanyo.

Ngaba kufuneka ndilungiselele ngokukodwa ngaphambi kokuba ndivavanywe?

Uninzi lwexesha, ezi mvavanyo azidingi lungiselelo likhethekileyo. Kwezinye iimvavanyo, ugqirha wakho uya kukuxelela ukuba usele amanzi amaninzi kwaye uzalise isinyi ngaphambi kovavanyo. Qiniseka ukuba ubuza ugqirha wakho nayiphi na imibuzo onayo ngaphambi kovavanyo. Kwakhona, buza ukuba ufuna ukuyeka ukuthatha nawaphi na amayeza ngaphambi kovavanyo.

Kwenzeka ntoni emva kovavanyo?

Usenokuziva ungakhululekanga okanye utshile xa uchama . Oku kufanele kuphele kwiiyure ezimbalwa. Usenokubona amathontsi ambalwa egazi kumchamo wakho . Ukusela ii-ounces ezi-8-16 (iiglasi ezi-1-2) zamanzi ngeyure kangangeeyure ezimbini kunokunceda ekunciphiseni ezi mpawu.

Ugqirha wakho angacebisa ukuba uhlambe ngamanzi afudumeleyo okanye ubeke ilaphu elifudumeleyo nelimanzi phezu komchamo wakho. Ukuba kuyimfuneko, angacebisa nokuba uthathe amayeza entlungu athengiswa ngaphandle kwekhawuntara (OTC).

Kwezinye iimeko, ugqirha wakho unokukunika i-antibiotic ukuthintela usulelo, kodwa oku akusoloko kuyimfuneko. Ukuba uneempawu zosulelo, ezinje ngomkhuhlane, ukugodola, okanye iintlungu eziqatha, xelela ugqirha wakho ngoko nangoko.

Zithatha ixesha elingakanani ezi mvavanyo?

Nangona kunzima ukutsho ngokuthe ngqo ukuba uvavanyo luza kuthatha ixesha elingakanani, ungalindela ukuba luthathe phakathi kwemizuzu engama-30 ukuya kwengama-45 .

Ngaba kukho naziphi na iingozi ngezilingo ze-urodynamic?

Uvavanyo lwe-Urodynamic luvavanyo olukhuselekileyo noluthembekileyo . Nangona kunjalo, ngenxa yokuba kufakwa i-catheter kwi-urethra, kukho ithuba elincinci kakhulu lokufumana usulelo lwendlela yomchamo .

Ngaba ezi mvavanyo zibuhlungu?

Uvavanyo lwe-Urodynamic alufanele lube buhlungu . Ungaziva ukutshisa okuncinci okanye ukungakhululeki kangangeeyure ezingama-24 emva kovavanyo, kodwa akufuneki kubekho ntlungu ingako.

Ngaba uza kunikwa amayeza okuzola ngaphambi kovavanyo? Okanye uza kunikwa i-anesthesia?

Abantu abadala abadli ngokufuna ukuthomalalisa okanye ukuthomalalisa ngaphambi kovavanyo lwe-urodynamic. Nangona kunjalo, ukuba umntwana omncinci wenza olu vavanyo, unokunikwa isithomalalisi esithambileyo ukuze ahlale ezolile . Ukuba unemibuzo malunga noku, kungcono ukuthetha nogqirha wakho.

Ndiza kuzifumana nini iziphumo zovavanyo lwam?

Iziphumo zovavanyo olufana ne-cystometry kunye ne-uroflowmetryUfanele ukwazi ngaloo mini inye. Kungathatha iintsuku ezimbalwa ukuba iziphumo zovavanyo ezifana ne-electromyogram kunye ne-video urodynamics zibuye. Nje ukuba iziphumo zifike, ugqirha wakho uza kuthetha nawe ngazo. Kusenokufuneka uphinde ubonane nogqirha wakho ukuze kuxoxwe ngamanyathelo alandelayo kunye nonyango.

Ngaba i-Urodynamics kunye ne-Urology ziyafana?

Ewe, ezi zimbini zahlukile kancinci. I-Urology licandelo lezonyango elifunda izifo ezichaphazela inkqubo yakho yomchamo. I-Urodynamics luvavanyo olulinganisa indlela esebenza ngayo indlela esezantsi yomchamo wakho. Olu vavanyo lunokunceda ekuchongeni naziphi na iingxaki ezinokubakho.

Okokugqibela, izinto ezimbalwa ekufuneka uzikhumbule

Uvavanyo lwe-Urodynamic luvavanyo olunceda ekuchongeni iimeko ezichaphazela isinyi sakho, i-sphincter yesinyi sakho, kunye ne-urethra yakho. Olu luvavanyo olukhuselekileyo nolulula olunika ugqirha wakho ulwazi olubalulekileyo malunga nendlela isinyi sakho esigcina kwaye sikhupha ngayo umchamo.

Ungalibali, ukuba unemibuzo malunga nolu vavanyo okanye iziphumo zakho, ungabi nazintloni zokubuza ugqirha wakho. Bakho ukukunceda!

Ukuba ufumana iimpawu zosulelo emva kwezi mvavanyo, ezinje ngomkhuhlane, ukubanda , okanye ukuba usenentlungu engaphezulu kuneqhelekileyo emva kweeyure ezimbalwa, bona ugqirha ngoko nangoko.

Inkqubo yomchamo , isinyi, uvavanyo lwe-urodynamic, ukungakwazi ukuzibamba komchamo, uvavanyo lokugcina umchamo, i-cystometry, i-uroflowmetry