Ingaba umntwana wakho omncinci ufumana usulelo rhoqo kwindlela yokuchama? Makhe sithethe ngovavanyo lwe-VCUG (Voiding Cystourethrogram)!

Ngaba wakha weva ngovavanyo lwe-VCUG? Ugqirha wakho usenokuba ukuxelele wena okanye umntwana wakho ukuba kufuneka wenze olu vavanyo. Kuqhelekile ukuba uzive usoyika kancinci xa usiva loo nto. Kodwa wakuba uyazi kakuhle ukuba yintoni na kwaye kutheni yenziwa, olo loyiko luya kuphela. Namhlanje, masithethe ngolu vavanyo lubizwa ngokuba yi-VCUG ngamazwi alula.

Ngaba uyazi ukuba yintoni i-VCUG (Voiding Cystourethrogram)?

Ngamafutshane, i-VCUG luvavanyo olukhethekileyo olujonga imo, ubungakanani, kunye nokuba isinyi sakho kunye ne-urethra zizalisa kwaye zikhupha amanzi kangakanani. Cinga ngayo njengetanki yamanzi, indawo yokuqokelela nokugcina umchamo. Uvavanyo lwe-VCUG lunokunceda oogqirha bafumanise ukuba kukho naziphi na iingxaki okanye iingxaki kule nkqubo yomchamo.

Olu vavanyo lusebenzisa ulwelo olukhethekileyo (idayi yomahluko) – ulwelo olunemibala olubonakala ngokucacileyo kwimifanekiso ye-X-ray – kunye ne -X-ray . Xa olu lwelo lufakwa kwisinyi, i-X-ray ibonisa indlela isinyi esizalisa ngayo nesikhupha ngayo amanzi, kunye nendlela umchamo ohamba ngayo. Ngokukodwa, inokubona izinto ezifana nokuvaleka kwendlela amanzi aphuma ngayo kwisinyi, okanye ukuba amanzi abuyela phezulu na.

Ngokwesiqhelo, umchamo kufuneka uphume nje usuka kwisinyi uye kwi-urethra uphume emzimbeni. Kodwa ngamanye amaxesha, umchamo ovela kwisinyi ungabuyela umva ngee-ureters uye kwizintso. Oku akulunganga. Oku kunokubangela usulelo lwezintso (pyelonephritis) , olunokonakalisa kwaye lubangele amanxeba kwizintso.

Uvavanyo lwe-VCUG ludla ngokwenziwa yingcali ye-radiologist, nokuba kuse-ofisini kagqirha wakho, esibhedlele, okanye kwiziko lokufota elingaphandle. Uza kube uvukile ngexesha lovavanyo. Usenokuziva ungakhululekanga, kodwa akukho nto ibalulekileyo. Uvavanyo lwe-VCUG luthatha ngaphantsi kweyure. Emva koko ungaqhubeka nemisebenzi yakho yesiqhelo.

Oogqirha bacebisa olu vavanyo lwe-VCUG, ingakumbi kubantwana abancinci kunye neentsana ezinezifo ezixhaphakileyo zomchamo (UTIs) , kuba izifo ezingapheliyo zinokuchaphazela izintso zabo.

Yintoni enokufunyanwa kuvavanyo lwe-VCUG?

Uvavanyo lwe-VCUG lunokunceda ugqirha wakho ukuba aqonde ngcono indlela esebenza ngayo inkqubo yakho yomchamo.

Ingxaki ephambili efunyanwa yile yi -vesicoureteral reflux okanye i-ureteral reflux. Oku kuthetha ukuba umchamo wakho ubuyela phezulu kwi-ureters uye kwizintso endaweni yokuphuma kwisinyi. Oku kunokukhokelela kwiintsholongwane zezintso kunye ne-UTIs rhoqo. Uvavanyo oluphambili lokufumanisa le meko ebantwaneni yi-VCUG.

Ayisiyiyo loo nto kuphela, ukuqina kwe-urethraIngafumanisa neemeko ezibangela ukuvaleka kwendlela yokuchama, nto leyo ethetha ukuba kunzima kuwe ukuchama.

Ifuneka nini i-VCUG?

Isizathu esiphambili sokwenza uvavanyo lwe-VCUG kukufumanisa imeko ekhankanyiweyo ye-ureteral reflux. Le meko inokwenzeka ngenxa yezi zizathu zilandelayo:

• Ukuba unezifo zomchamo ezingapheliyo (ii-UTI) .
• Ukuba kukho imeko yokuzalwa okanye ingxaki kwinkqubo yomchamo.
• Kwiimeko ezinje ngokungakwazi ukuzibamba komchamo , ukucutheka kwe-urethra, okanye ukwanda kwe-prostate kumadoda.
• Ukuba ukhe wenzakala ngaphambili, wasuleleka, okanye watyandwa kwindlela yomchamo.
• Ukuba kukho umntu kusapho oye waba nale meko yokuchama (impembelelo yemfuza).

Lwenziwa njani uvavanyo lwe-VCUG?

Le yinto efuna ingcaciso encinci. Ungakhathazeki, ndiza kuyigcina ilula.

Olu vavanyo lubandakanya ukufaka ityhubhu encinci neguquguqukayo (i-catheter yomchamo) nge-urethra yakho iye kwisinyi sakho. Emva koko, idayi yomahluko esekelwe kwi-iodine ifakwa kwisinyi sakho nge-catheter. Nje ukuba isinyi sakho sizaliswe yidayi, ingcali ye-radiologist ithatha imifanekiso ye-X-ray. Emva koko i-catheter iyasuswa kwaye imifanekiso ye-X-ray ithathwe ngelixa uchama. Oku kubonisa ngqo apho idayi iya khona kwaye ukuba kukho naziphi na iingxaki.

Ngaba kufuneka uzilungiselele ngaphambi kovavanyo?

Ewe, kukho amalungiselelo amancinci.

• Ufanele uxelele ugqirha wakho kwangaphambili malunga namayeza owasebenzisayo kunye nazo naziphi na ii-allergies onokuba nazo . Usenokucelwa ukuba uyeke ukusebenzisa amayeza athile kwiintsuku ezimbalwa ngaphambi kovavanyo.
• Ukuba kukho ithuba lokuba wena (okanye umntwana wakho) nikhulelwe, qiniseka ukuba uxelele ugqirha wakho .
• Kuqhelekile ukuba novalo okanye ixhala ngaphambi kovavanyo olufana nolu, ingakumbi ekubeni uvukile. Ukuba uziva ngaloo ndlela, xelela ugqirha wakho . Baza kukwazi ukukuchazela kwaye bakuncede wenze isigqibo.
• Ukuba umntwana wenza olu vavanyo, umama okanye utata uhlala evumelekile ukuba ahlale nomntwana. Oogqirha bathi licebo elihle ukulungiselela umntwana uvavanyo ngaphambi kokuba lwenziwe. Ukuchaza ngokuthe ngqo oko kuza kwenzeka nokuba uza kuba naye kunokunceda ekunciphiseni uloyiko lwakhe. Phendula imibuzo yomntwana ngokucacileyo nangokunyanisekileyo. Ukuba umntwana uselula, licebo elihle nokuzisa into ayithandayo, njengethoyi.
• Ekubeni i-sedation ingasoloko inikwa ngenxa yoku, akufuneki uyeke ukutya okanye ukusela ngaphambi kovavanyo.

Kwenzeka ntoni ngexesha lovavanyo?

Nokuba uvavanyo lwe-VCUG lwenziwa kumntu omdala okanye umntwana, la manyathelo alandelwa ngokubanzi:

1. Kuya kufuneka ukhulule umzimba wakho ongezantsi.Oko kuthetha impahla yangaphantsi, njengebhulukhwe neziketi. Baza kukunika ilokhwe okanye ilaphu lokugquma umzimba wakho.

2. Uza kucelwa ukuba ulale etafileni ulule iingalo zakho. Ukuba uyindoda, imilenze yakho iya kuthe tye, kwaye ukuba ungumfazi, imilenze yakho iya kusasazeka njengamaphiko ebhabhathane (amadolo agobile kunye neenyawo zidibene). Oku kuya kuvumela ukufikelela lula kwi-urethra.

3. Ugqirha okanye umongikazi uza kuhlamba kakuhle indawo yakho yangasese ngesepha namanzi. Ngamanye amaxesha ijeli yokudambisa iintlungu ingafakwa kwi-urethra.

4. Emva koko, kufakwa ityhubhu encinci kakhulu, ethambileyo (i-catheter) ngesinyi sakho nge-urethra (umngxuma apho uchama khona ). Oku kusenokuvakala kungathandeki, kodwa akubuhlungu. Le tyhubhu ibotshelelwa ethangeni lakho ngeplasta.

5. Umatshini we-X-reyi ubekwe phezu kwendawo yakho yesinqe. Awubetheki emzimbeni wakho.

6. Ngoku, ugqirha uza kuzalisa isinyi sakho ngolwelo olukhethekileyo (izinto ezichaseneyo) ngetyhubhu. Olu lwelo lulwelo oluyenza inkqubo yomchamo ibonakale ngokucacileyo kwimifanekiso ye-X-ray.

7. Ingcali ye-radiology iza kuthatha imifanekiso ye-X-reyi yesinyi sakho njengoko sizaliseka. Usenokuziva unqwenela ukuchama ngeli xesha. Kodwa kufuneka uchame kuphela xa isinyi sakho sigcwele ngokupheleleyo kwaye xa ugqirha wakho ekuxelele ukuba wenze njalo. Oku kunokuba nzima kubantwana abancinci.

8. Xa isinyi sakho sigcwele, i-catheter iya kususwa kwaye ingcali ye-radiology iya kukucela ukuba uchame .

• Abantwana banokuvunyelwa ukuba bachamele kwikomityi, epanini, okanye etafileni egqunywe ngetawuli. Ingcali ye-radiology isaza kuthatha imifanekiso ye-X-reyi xa isenza oku.
• Ukuba ungumntu omdala , uza kucelwa ukuba uchamele epanini okanye kwindawo yokuchama xa isinyi sakho sigcwele. Imifanekiso ye-X-ray iya kuthathwa ude ukhuphe yonke into kwisinyi sakho.

Khumbula, i-X-ray ithathwa zombini xa isinyi sigcwele kwaye xa singenanto, kuba i-reflux inokwenzeka kuzo zombini iimeko. Ingcali ye-radiology ikhona ukukunceda, ngoko ke mamela ngononophelo oko akutshoyo. Ukuba unomntwana, yiba nobubele ngakumbi kwaye umthuthuzele ngeli xesha. Izinto ezifana nokubamba isandla sakho, ukumnika ithoyizi ayithandayo, kunye nokuncuma nokuthetha naye kunokunceda.

Uvavanyo lwe-VCUG luthatha ixesha elingakanani?

Olu vavanyo lonke luthatha imizuzu engama-30 ukuya kwengama-45 kuphela.

Ngaba kuyimfuneko ukuthomalalisa i-VCUG?

Ngokwesiqhelo, akufuneki ukuba umntwana athomalaliswe xa kusenziwa uvavanyo lwe-VCUG. Nangona kunjalo, abanye abantwana banokufuna ukuba bathomalaliswe. Ukuba ugqirha wakho ucinga ukuba kungcono ukuba umntwana wakho athomalaliswe, uza kukuxelela indlela yokuzilungiselela.

Kwenzeka ntoni emva kovavanyo lwe-VCUG?

Ungaya ekhaya uze wenze imisebenzi yakho yesiqhelo emva nje kovavanyo lwe-VCUG.

• Kwiiyure ezingama-24 ukuya kuma-48 ezilandelayo, ungaziva utshile okanye urhawuzelelwa kancinci xa uchama .
• Sela amanzi amaninzi. Yiya kwigumbi lokuhlambela ngokukhawuleza xa uziva ufuna ukuchama . Oku kunokunceda ekuthinteleni usulelo lomchamo (UTI).
• Kuqhelekile nokuchama ngaphezu kwesiqhelo kangangeentsuku ezimbalwa emva kwe-VCUG.
• Umbala womchamo wakho usenokuba pinki, kodwa akufuneki ube bomvu obumnyama.

Ukuba naziphi na kwezi mpawu zihlala ixesha elingaphezulu kweeyure ezingama-48, okanye ukuba umchamo wakho ubomvu, bona ugqirha.

Zithini iingenelo zovavanyo lwe-VCUG?

Eyona nzuzo inkulu yovavanyo lwe-VCUG kukuba ivumela ugqirha wakho ukuba abone ngokucacileyo indlela ulwelo oluhamba ngayo kwinkqubo yakho yomchamo. Oku kunokunceda ekufumaneni kwangethuba iimeko ezinokwenzakalisa izintso zakho ukuba azinyangwa.

Ngaba kukho naziphi na iingozi kuvavanyo lwe-VCUG?

I-VCUG luvavanyo olukhuselekileyo kakhulu, kodwa alunazo iingozi ezithile.

• Abanye abantu banokuba ne-allergy kwidayi , kodwa oku kunqabile kakhulu, ingakumbi ukuba idayi ingena egazini endaweni yesinyi.
• Uza kuvezwa kwimitha yelanga. Kodwa oogqirha baza kukukhusela ngesixhobo sokukhusela esikhethekileyo ukunciphisa le ngozi. Le ngozi idla ngokuba ncinci xa ithelekiswa nenzuzo yokubona isifo ngokuchanekileyo. Ukuba ukhulelwe, kufuneka ubaxelele ngaphambi kovavanyo.

Ezinye zeziphumo ebezingalindelekanga ezincinci zovavanyo lwe-VCUG zezi:

• Ubushushu obugqithisileyo.
• Isicaphucaphu okanye ukuhlanza.
• Ukutsha xa uchama (malunga neeyure ezingama-24-48).
• Ukuhlaselwa yintsholongwane yomchamo (UTI) ngenxa ye-catheter (oku nako kunqabile kakhulu).

Iziphumo ebezingalindelekanga eziphawulekayo (kodwa ezi azixhaphakanga kakhulu):

• Ubunzima bokuphefumla.
• Uxinzelelo lwegazi oluphantsi.
• Ukudumba komqala okanye umlomo.

Lubuhlungu kangakanani uvavanyo lwe-VCUG?

Kuqhelekile ukuziva ungakhululekanga ngexesha le-VCUG, ingakumbi xa kufakwa i-catheter. Usenokuziva uxinezelekile kwisinyi sakho xa sigcwele, kwaye ungaziva ngathi kufuneka uchame . Abanye abantu baziva besoyika kakhulu kwaye besoyika ngaphambi kwe-VCUG. Oku kuqhelekile. Zama ukuphefumla nzulu kwaye kancinci. Ngamanye amaxesha, ukucinezela ibhola encinci okanye ukujonga umfanekiso womntu omthandayo kunokukunceda uzole.

Kumntwana, uvavanyo lwe-VCUG lunokuba luxinzelelo kancinci.Yenza konke okusemandleni akho ukumthuthuzela, kwaye umenze aqonde ukuba olu vavanyo luluncedo kuye. Ukuba awuqinisekanga ngendlela yokujongana nale meko, buza ugqirha wakho.

Zithetha ukuthini iziphumo zeVCUG?

Olu vavanyo lunokuxelela ugqirha wakho ukuba une-urethral reflux okanye akunjalo. Lunokuxelela nokuba iindawo zenkqubo yakho yomchamo ziqhelekile, okanye ukuba zibanzi okanye zincinci kuneziqhelekileyo.

Ukuba umntwana wakho ukhe wavavanywa i-VCUG kwaza kwafunyaniswa ukuba une-reflux, ingcali ye-radiologist iya kumnika amanqaku . Oku kudla ukusuka kwi-1 ukuya kwi-5. 1 incinci kwaye 5 inzima. Unyango luya kuxhomekeka ekubeni i-reflux inzima kangakanani na kwaye ingaba ichaphazele izintso okanye umchamo. Ugqirha wakho uya kuthetha nawe malunga neendlela zonyango ngokusekelwe kwiziphumo zakho.

Kuthatha ixesha elingakanani ukufumana iziphumo?

Ingcali ye-X-ray iza kujonga imifanekiso ye-X-ray, ibhale ingxelo, ize ithumele iziphumo kugqirha wakho. Oku kungathatha ukuya kuthi ga kwiintsuku ezimbini. Buza ugqirha wakho ukuba kuza kuthatha ixesha elingakanani ukufumana iziphumo.

Yintoni omawuyenze emva koko ukuba iziphumo aziqhelekanga?

Ngokuxhomekeke kwinto efunyenwe ngugqirha, okwenzekileyo emva koko kuya kwahluka. Abanye abantu baya kufuna unyango ngamayeza okanye utyando ukulungisa iingxaki kwisinyi okanye kwi-urethra. Ngamanye amaxesha, ugqirha wakho unokukuxelela ukuba wenze utshintsho kwindlela yokuphila ukunceda.

Ufanele ubuye nini ugqirha kwakhona?

Kuqhelekile ukuchama rhoqo emva kwe-VCUG, ube nombala womchamo opinki kancinci, kwaye uzive uvutha xa uchama . Ukuba naziphi na kwezi mpawu ziyaqhubeka ixesha elingaphezu kweeyure ezingama-48, bona ugqirha.

Ukuba umchamo wakho ubomvu, unomkhuhlane, okanye unentlungu kwindawo yakho yesinqe, oko kungaba luphawu lwengxaki. Ukuba oku kwenzeka kwiintsuku ezimbalwa emva kwe-VCUG yakho, qiniseka ukuba ubona ugqirha wakho.

Ngaba i-VCUG kunye ne-Voiding Cystogram ziyafana?

I-VCUG kunye ne-Voiding Cystogram ngamagama amabini ovavanyo olufanayo. Akukho mahluko phakathi kwala mabini.

Umyalezo Wokuya Ekhaya

I-VCUG luvavanyo lokuxilonga olusebenzisa ii-X-ray kunye nolwelo olukhethekileyo (idayi yokwahlula). Kuqhelekile ukuba novalo kunye nexhala kwiintsuku nakwiiyure ngaphambi kovavanyo. Ukuba umntwana wakho wenza olu vavanyo, usenokuziva ngendlela efanayo, kuba akazi ukuba kuza kwenzeka ntoni. Iziphumo zakho zovavanyo ziya kumisela ukuba kuza kwenzeka ntoni emva koko.Ngaphambi kovavanyo, thetha nogqirha wakho ngayo nayiphi na inkxalabo okanye imibuzo onokuba nayo. Uza kukuchazela uvavanyo kunye noko unokukulindela. Ungakhathazeki, konke oku kwenzelwe ukunceda wena nomntwana wakho nihlale nisempilweni.

Inkqubo yomchamo, isinyi, urethra, i-VCUG, i-Voiding Cystourethrogram, usulelo lwezintso, usulelo lomchamo, impilo yabantwana