Zinjani izintso zakho? Masifumanise ngokuskena kwezintso.

Ngaba wakha weva nge-kidney scan, eyaziwa ngokuba yi-renal scan? Mhlawumbi ugqirha ukuxelele ukuba wenze oku. Okanye mhlawumbi unomdla wokukwazi. Yintoni i-renal scan? Kutheni isenziwa? Ngaba yinto yokoyika? Siza kuthetha ngayo yonke le nto namhlanje, ngokungathi uthetha nomhlobo.

Yintoni kanye kanye i-renal scan?

Ngamafutshane, iskeni yezintso luvavanyo olukhethekileyo olujonga ukuba izintso zakho zisebenza kakuhle kangakanani na. Luvavanyo lomfanekiso olukwicandelo lezonyango zenyukliya. Cinga ngokuthatha ifoto yezintso zakho, kodwa alunakubona kuphela imilo yezintso zakho, kodwa nendlela ezisebenza ngayo.

Nantsi into eyenzekayo: Umboneleli wezempilo, nokuba ngugqirha okanye ingcali eqeqeshiweyo, ufaka inani elincinci lento ene-radioactive (ekwabizwa ngokuba yi-'radioisotope' okanye 'radiotracer') emthanjeni osesandleni sakho okanye esandleni sakho. Eli linani elincinci kakhulu elingenabungozi emzimbeni. Le nto ihamba ngegazi lakho iye kwizintso zakho. Emva koko uthunyelwa kwisikena esikhethekileyo. Umatshini usebenzisa le nto ene-radioactive ukufumana indawo ezikuyo izintso kwaye uthumela idatha, ebonakala njengemifanekiso, kwikhompyutha.

Olu vavanyo lwezintso lunceda ekufumaneni izifo zezintso kunye neengxaki kwasekuqaleni . Lukwasetyenziselwa ukubona ukuba umntu uphile kakuhle kangakanani na ukufakelwa izintso.

Oku kubizwa ngokuba yinto eyahlukileyo, mhlawumbi ukhe weva ngayo:

• Uvavanyo lwezintso
• Ukuhlolwa kwezintso ngamayeza enyukliya
• Ukuhlolwa kwezintso ngamayeza enyukliya
• I-Renogram

Yintoni kanye kanye enokuhlolwa nge-renal scan?

Olu vavanyo lujonga ikakhulu indlela ezisebenza ngayo izintso zakho. Ukongeza, izintso zakho:

• Imilo
• Ubungakanani
• Indawo ngaphakathi emzimbeni

Ungafumana nomfanekiso ocacileyo wezinto ezinjalo.

Kutheni uthunyelwa kwi-renal scan?

Ukuba ugqirha ukrokrela ukuba izintso zakho azisebenzi kakuhle, uza ku-odola olu vavanyo lwezintso. Basenokuodola nezinye iimvavanyo, umzekelo:

• Uvavanyo lwegazi
• Uhlalutyo lomchamo
• Ii-X-reyi

Ezi zisenokuba ziimpawu zokusebenza kwezintso okuphantsi.

Kwakhona, kukho ezinye izizathu ezininzi zokuba ugqirha angayiyalela le scan:

• Ukuba une-allergy kwiidayi ezisetyenziswa kwi-X-ray, ngoko ke ukuskena kwezintso lukhetho olukhuselekileyo.
• Ukuba ungumntu ofakelwa izintso.
• Eya kuweUkuba unesifo soxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu).
• Ukuba kunzima okanye akunakwenzeka ukuchama ngenxa yokuvaleka kwezintso .

Zeziphi iimeko zempilo ezinokuchongwa nge-renal scan?

Olu vavanyo lunokunceda ekuxilongeni izifo ezininzi. Nazi imizekelo embalwa:

• Uxinzelelo lwegazi oluphezulu kwimithambo ephambili enika igazi kwizintso zakho (olubizwa ngokuba yi-'Renal Hypertension').
• Ukudumba kwezintso (iHydronephrosis) ngenxa yokuvaleka okuthile.
• Iintsholongwane zezintso, iithumba zezintso, okanye amathumba.
• Ukuncitshiswa okanye ukuvaleka kwemithambo yegazi ethwala igazi ukuya ezintsoni (`Renal artery stenosis`).
• Ukungasebenzi kakuhle kwezintso emva kotyando okanye ukufakelwa izintso.
• Umchamo ubuyela umva usuka kwisinyi uye kwizintso (i-Vesicoureteral reflux).

Isebenza njani i-renal scan?

Ngexesha lokuhlolwa kwezintso, ingcali yezonyango zenyukliya (ugqirha oqeqeshwe ngokukodwa ukusebenzisa amayeza ane-radioactive kunye noomatshini bokufota) ithatha imifanekiso yezintso zakho. Le mifanekiso ibonisa indlela igazi elihamba ngayo lingena liphuma kwizintso zakho. Ikwabonisa nezinye izitho zomzimba kwinkqubo yakho yomchamo, kuquka:

• Izintso
• Ii-Ureters
• Isinyi

Ikwabonisa indlela umchamo ohamba ngayo phakathi kwezi zinto.

Iziphumo zolu vavanyo lwenyukliya zinokunceda ugqirha wakho abone ukuba izintso zakho azisebenzi kakuhle okanye ukuba kukho naluphi na uvalelo.

Ziziphi iintlobo zeeskeni zezintso ezikhoyo?

Iingcali zobugcisa benyukliya zisebenzisa iintlobo ezine ze-renal scans:

1. I-ACE inhibitor renal scintigraphy: Olu vavanyo lujonga ukuncitshiswa kwemithambo yegazi ehambisa igazi kwizintso, nto leyo ebangela uxinzelelo lwegazi oluphezulu. Imifanekiso yezintso zakho ithathwa ngaphambi nasemva kokuba unikwe amayeza oxinzelelo lwegazi (i-ACE inhibitor).

2. I-Diuretic renal scintigraphy: Olu vavanyo lujonga ukuvaleka kwezintso okanye iingxaki zokuhamba komchamo. Imifanekiso ithathwa ngaphambi nasemva kokuba unikwe ipilisi yamanzi (ebizwa ngokuba yi-diuretic) ukujonga indlela umchamo ohamba ngayo kwizintso.

3. I-Renal cortical scintigraphy: Oku kuvavanya indlela esebenza ngayo izicubu ezingaphandle kwezintso (i-renal cortical tissue). Unikwa into ene-radioactive nge-IV uze emva koko ikhamera ithathe imifanekiso yaloo nto malunga neeyure ezimbini kamva.

4. Ukukhupha igazi kwizintso: Olu vavanyo lweyeza lenyukliya lujonga ubungakanani begazi elihamba liye kwizintso zakho. Olu vavanyo lulinganisa ububanzi bemithambo yakho yezintso kunye nendlela ezisebenza kakuhle ngayo izintso zakho. Ikhamera ithatha imifanekiso rhoqo imizuzu engama-20 ukuya kwengama-30.

Ndingazilungiselela njani i-renal scan?

Ngaphambi kokuhlolwa kwezintso, kufuneka wenze uluhlu olupheleleyo lwamayeza owasebenzisayo. Oku kufuneka kuquke iivithamini kunye nezongezo zezityalo. Amanye amayeza anokufuneka amiswe kwiintsuku ezimbalwa ngaphambi kokuhlolwa. Umzekelo, amayeza angengo-steroidal anti-inflammatory (NSAIDs), afana ne -ibuprofen (umz., i-Advil®, i-Motrin®) kunye ne-aspirin (umz., i-Bayer®, i-St Joseph®) , anokuchaphazela iziphumo zokuhlolwa kwezintso zakho.

Kubaluleke kakhulu ukuxelela ababoneleli bakho bezempilo ngezi zinto:

• Ingaba unayo nayiphi na i-allergies (njengamayeza athile, i-latex).
• Ngaba une -claustrophobia? Kuba ikhamera isenokuba kufutshane nomzimba wakho ngexesha lokuskena.
• Ngaba uyoyika iinaliti ('i-trypanophobia')? Ukuba kunjalo, baya kukufundisa iindlela zokujongana nayo.
• Ngaba okwangoku uyancancisa? Kuba izinto ezisebenzisa i-radioactive zinokungena kubisi lwakho.
• Ukuba ukhulelwe okanye ucinga ukuba ukhulelwe , njengoko iskeni inokuba yingozi kumntwana ongekazalwa.

Oogqirha banokukucela ukuba usele amanzi angakumbi ngaphambi kokuba uskene. Kusenokufuneka ukhuphe isinyi sakho (oko kukuthi, umchamo ) ngaphambi kokuba uskene uqale.

Enye into, khetha iimpahla ezikhululekileyo ukuzinxiba . Kungcono ukushiya izinto zesinyithi ezifana neeglasi kunye nobucwebe ekhaya. Zinokuphazamisana nokuskena.

Yintoni onokuyilindela ngexesha lokuskena?

Ngokwesiqhelo, oku kwenzeka xa kwenziwa iskeni yezintso:

• Ingcali yezonyango zenyukliya iza kubeka umgca we-IV emthanjeni engalweni okanye esandleni sakho. Emva koko, into ebizwa ngokuba yi-radioisotope okanye i-radiotracer iza kufakwa kuyo.
• Uza kuphoswa etafileni yovavanyo okanye ufakwe ityhubhu. Izinto ezisebenzisa i-radioactive ziza kukhupha amandla (abizwa ngokuba yi-gamma rays). Ikhamera ye-gamma iza kuthatha le mitha ize yenze imifanekiso yezintso zakho. Ingcali iza kujonga le mifanekiso kwiscreen sekhompyutha.
• Ngokuxhomekeke kwisizathu sokuba wenze i-kidney scan, ungacelwa ukuba uhlale ungashukumi okanye uye kwiindawo ezahlukeneyo .

Kuthatha ixesha elingakanani ukuskena kwezintso?

Ixesha elithathwayo koku liyahluka ngokuxhomekeke kuhlobo lweskeni yezintso. Ngokwesiqhelo kunokuthatha naphi na ukusuka kwimizuzu engama-30 ukuya kwiiyure ezimbini . Umboneleli wakho wezempilo uza kukwazisa oku kwangaphambili.

Kwenzeka ntoni emva kokuskena?

Emva kokuba ingcali yezonyango zenyukliya isuse i-IV line yakho, ungagoduka uqalise imisebenzi yakho yesiqhelo ngaphandle kweengxaki.

Loo nto inemitha ye-radioactive iphuma njani emzimbeni?

Le nto ibizwa ngokuba yi-``radiotracer`` okanye ``radioisotope`` iyaphuma emzimbeni wakho xa uchama. Awuyi kuva ntlungu okanye intlungu ngenxa yayo.

Zithini iingozi zokuhlolwa kwezintso?

Enyanisweni, iingozi zokuhlolwa kwezintso ziphantsi kakhulu. Kusebenzisa imitha encinci kune-X-ray.

Nangona kunjalo, kukho izinto ezimbalwa ezinokwenzeka ngokungaqhelekanga:

• Iimpendulo ze-allergy (oku kwenzeka rhoqo).
• Ukutshintsha kombala (obomvu, omfusa, omdaka, okanye omnyama), ukudumba, okanye intlungu kwindawo ene-IV. Ukuba oku kungakhululeki akupheli kwiintsuku ezimbalwa, xelela ugqirha.

Enye into, kungcono ukuphepha ukusondelana nabantwana abancinci kunye nabasetyhini abakhulelweyo kangangeeyure ezimbalwa emva kokuhlolwa.

Ndiza kuzifumana nini iziphumo zeskeni?

Ingcali yezonyango zenyukliya okanye ingcali ye-radiology iza kuhlola iziphumo zeskeni yakho yezintso. Emva koko iza kuthumela ingxelo kugqirha wakho. Ugqirha wakho uza kukubiza ukuze axoxe ngeziphumo aze akuxelele into omawuyenze ngokulandelayo.

Ukuba iziphumo aziqhelekanga, yintoni oyenzayo emva koko?

Khumbula, ngamanye amaxesha iziphumo aziphumi njengoko bekulindelwe. Kodwa ungakhathazeki ngaloo nto.

Ukuba iziphumo zakho aziqhelekanga, ugqirha wakho unokuyalela iimvavanyo ezongezelelweyo ukuze enze uxilongo olusemthethweni. Ezi mvavanyo zingabandakanya:

• Uvavanyo olongezelelweyo lokucinga ngemifanekiso, olufana ne -ultrasound, i-MRI, kunye/okanye i-CT scan .
• Uvavanyo olongezelelweyo lokusebenza kwezintso.
• Uvavanyo lwezintso (olubandakanya ukuthatha iqhekeza elincinci lesicwili esisezintsoni lize lihlolwe).

Ndifanele ndimtsalele umnxeba nini ugqirha?

Thetha nogqirha wakho ukuba unemibuzo malunga neskeni yakho yezintso. Umzekelo:

• Izinto ezinje ngendlela yokulungiselela iskeni kunye nendlela yokwenza uvavanyo lube lula kuwe .
• Ungazilindela nini iziphumo zakho ?
• Yintoni omawuyenze ukuba iziphumo aziqhelekanga .
• Yintoni inyathelo lakho elilandelayo ?

Kwakhona, qiniseka ukuba uxelela ugqirha ukuba unayo nayiphi na kwezi mpawu:

• Iimpawu zosulelo, ezinje ngomkhuhlane, ukutshintsha kombala kwindawo ene-IV, ukudumba, okanye intloko ebuhlungu.
• Ukuba uziva ngathi une-allergy.

Okokugqibela, khumbula oku.

Ababoneleli ngeenkonzo zonyango basebenzisa izikrweqe zezintso ukuze bafumanise iingxaki ezithile zezintso. Ngokuqhelekileyo zikhuselekile kakhulu, kwaye azinabungozi bungako beengxaki.Emva kovavanyo, ungabuyela kwimisebenzi yakho yesiqhelo ngoko nangoko.

Kodwa, kuqhelekile ukuba nexhala okanye uxhalabele ukuba novavanyo olufana nolu. Ungakhathazeki. Ababoneleli bakho bezempilo baqeqeshwe kakuhle kwaye banamava okwenza olu vavanyo lube lula kangangoko kunokwenzeka kuwe. Ukuba usenemibuzo okanye iinkxalabo, ungathandabuzi ukubabuza. Impilo yezintso zakho ibaluleke kakhulu!

` Ukuhlolwa kwezintso, ukuvavanywa kwezintso, uvavanyo lwezintso, isifo sezintso, amayeza enyukliya, izinto ezinemisebe, inkqubo yomchamo