Singathetha ngovavanyo lwe-IVP (Intravenous Pyelogram) olukunceda ufunde ngezintso zakho?

Ngamanye amaxesha oogqirha bayalela iimvavanyo ezahlukeneyo ukuze babone ukuba kukho ingxaki kwizintso zethu okanye kwinkqubo yethu yomchamo, akunjalo? Lelo lolunye uvavanyo olubizwa ngokuba yi-IVP. Nangona yayisetyenziswa kakhulu ngaphambili, ngoku ayisasetyenziswa rhoqo. Kodwa kubaluleke kakhulu ukuba uqaphele olu vavanyo olubizwa ngokuba yi-'Intravenous Pyelogram (IVP).'

Yintoni i-IVP?

Ngamafutshane, i-IVP luvavanyo olukhethekileyo lwe-X-ray olujonga ngaphakathi kwezintso zakho kunye nendlela yomchamo (indlela umchamo odlula kuyo). Ikwabizwa ngokuba yi-Intravenous Urography. Khawuthelekelele, ugqirha ufuna ukubona indlela izintso zakho kunye nesinyi ezisebenza ngayo kunye nokuba kukho into engalunganga ngazo. Kulapho ke le IVP inceda khona.

Yile nto yenzekayo. Ulwelo olukhethekileyo olubizwa ngokuba yi-"iodineated contrast material" lufakwa emzimbeni wakho, oko kukuthi, emthanjeni. Olu lwelo luhamba emzimbeni wakho wonke kunye negazi, kuquka nezintso zakho. Emva koko, njengoko olu lwelo ludlula kwizintso zakho, kwii-ureters, nakwisinye, kuthathwa uthotho lwemifanekiso ye-X-ray. Ngenxa yolwelo olukhethekileyo, la malungu abonakala emhlophe kwimifanekiso ye-X-ray. Kulapho ugqirha anokubona khona kanye okwenzekayo ngaphakathi.

Yayisetyenziselwa ntoni i-IVP ngaphambili?

Ngaphambili, ngaphambi kokufika kobuchwepheshe banamhlanje, uvavanyo lwe-IVP lwalusetyenziswa ukuxilonga izifo ezininzi. Nazi imizekelo embalwa:

• Amatye ezintso: Jonga ukuba unawo na la matye ezintso, aphuhliswa ngabantu abaninzi, kwaye aphi na.
• Ukwanda kweprostate kumadoda: Le yimeko eyenzeka nakumadoda njengoko ekhula.
• Iithumba okanye ii-cysts kwizintso, kwisinyi, okanye kwi-urethra: Ezi zisenokuba ngumhlaza okanye azinakuba ngumhlaza.
• Amanxeba avela kwisifo somchamo (UTI): Ngamanye amaxesha, isifo somchamo (UTI) sinokubangela amanxeba angaphakathi.
• Iingxaki zokuzalwa kwindlela yokuchama: Oku kukwancede ekufumaneni naziphi na iingxaki okanye iziphene zokuzalwa kwindlela yokuchama.

Yintoni ethatha indawo ye-IVP ngoku?

Kodwa njengoko benditshilo ngaphambili, oogqirha abalusebenzisi rhoqo uvavanyo lwe-IVP kule mihla, kuba kuye kwavela iindlela ezintsha ezingcono, ezicacileyo, kwaye ngamanye amaxesha ezingangenisi ntsholongwane.

Ngoku esetyenziswa kakhulu:

• I-Ultrasound: Oku kukuvumela ukuba ubone izintso kunye nenkqubo yomchamo ngaphandle kokufaka ulwelo olukhethekileyo. Olu luvavanyo lokuqala oluyenziwa rhoqo.
• I-CT Scan (i-Computed Tomography - ii-CT scans):Oku ngamanye amaxesha kwenziwa ngedayi yomahluko ene-iodine okanye ngaphandle kwayo. Oku kuvumela imifanekiso ecacileyo necacileyo yangaphakathi lomzimba.
• I-Magnetic Resonance Imaging (MRI) scans: Oku ngamanye amaxesha kusebenzisa uhlobo olwahlukileyo lwedayi ebizwa ngokuba yi-gadolinium contrast dye. I-MRI inokuvelisa imifanekiso eneenkcukacha ezingaphezulu, ezinemilinganiselo emithathu (3D).

Oogqirha ngoku bajonga le nto nge-IVP kuba ezi ndlela zintsha zinokubona iingxaki kwizintso nakwinkqubo yomchamo ngcono kakhulu kwaye ngokweenkcukacha ezithe vetshe.

Ziziphi iimpawu ugqirha anokuthi azicelele olu hlobo lovavanyo?

Ngokwesiqhelo, ukuba unezi mpawu, ugqirha unokuyalela uvavanyo lomfanekiso (uvavanyo olujonga ngaphakathi) ukujonga izintso zakho okanye inkqubo yomchamo, efana nale:

• Ukuba unegazi kumchamo wakho, le yinto ekufuneka uyixelele ugqirha.
• Ukuba umchamo ujika ube namafu.
• Ukuba unentlungu esezantsi kwesisu okanye esezantsi komqolo.
• Ukuba unentlungu ecaleni lakho.

Iimpawu ezinje ngezi zibonisa ukuba kunokubakho ingxaki kwizintso okanye kwinkqubo yomchamo. Kulapho ke kufuneka khona uvavanyo olunje ukuze kubonwe ukuba kwenzeka ntoni kanye kanye.

Ngubani owenza uvavanyo lwe-IVP?

Olu vavanyo lwe-IVP ludla ngokwenziwa ziingcali ze-X-ray kunye neengcali ze-radiology. Emva kokuba imifanekiso ithathiwe, ingcali ye-radiology iya kuhlaziya imifanekiso, iqulunqe ingxelo, ize iyithumele kugqirha wakho onyangayo.

Zenziwa njani izintso zethu kunye nenkqubo yomchamo?

Xa sithetha ngezintso kunye nenkqubo yomchamo, kukho iindawo ezintathu eziphambili. Ezi zizinto oogqirha abazijongayo nge-IVP (kodwa ngoku ngezinye iiskeni).

• Izintso: Sinezintso ezimbini. Ezi zilungu zomzimba ezihluza igazi lethu, zisuse inkunkuma, kwaye zenze umchamo. Zisebenza njengesihluzo.
• Ii-ureters: Ezi ziityhubhu ezimbini ezithwala umchamo owenziwe kwizintso ukuya kwisinyi.
• Isinyi: Le yingxowa encinci eqokelela kwaye igcine umchamo. Xa igcwele, siziva sifuna ukuchama.

Ngoko ke, olu hlobo lovavanyo lwemifanekiso lunceda ekufumaniseni ukuba kukho naziphi na iingxaki kwezi zitho, ezinje ngamatye, iithumba, okanye ii-cysts.

Indlela yokwenza uvavanyo lwe-IVP (Yenziwa njani?)

Nangona i-IVP ingasetyenziswa kakhulu kule mihla, kusengcono ukwazi indlela yokuyenza. Nantsi indlela edla ngokwenziwa ngayo:

1. Okokuqala, uza kulala ebhedini phantsi komatshini we-X-reyi. Emva koko, kuza kuthathwa umfanekiso wesisu sakho kunye ne-pelvis ngaphambi kokuba kufakwe ulwelo olukhethekileyo (idayi echaseneyo).

2. Okulandelayo, olo lwelo lukhethekileyo lufakwa emthanjeni wakho.

3. Emva kokuba ulwelo lufakwe, uza kulaliswa ebhedini kwaye imifanekiso eliqela ye-X-reyi iya kuthathwa njengoko ulwelo ludlula kwizintso luze luhle luye kwisinyi.

4. Emva koko uza kunikwa ixesha elifutshane lokukhupha isinyi sakho, oko kukuthi, ukuchama .

5. Ndiza kukwenza ulale ebhedini kwakhona uze uthathe imifanekiso embalwa.

Le yindlela olusebenza ngayo uvavanyo lwe-IVP.

Ziziphi iingxaki ezinokubakho zovavanyo lwe-IVP?

Njengakwezinye iimvavanyo zonyango, kusenokubakho ukungakhululeki okuncinci ngexesha le-IVP. Kodwa ungakhathazeki, uninzi lwexesha ezi zinto azibalulekanga kangako.

Xa ulwelo olukhethekileyo (idayi echaseneyo) lufakwa emzimbeni, abantu abaninzi banokufumana enye okanye ngaphezulu kwezi mpawu zexeshana:

• Ukutshisa kancinci kwindawo efakwe kuyo inaliti.
• Ndiziva ndishushu kancinci .
• Ukuziva urhawuzelelwa okungapheliyo .
• Incasa yesinyithi emlonyeni.

Ezi ziza kunyamalala emva kwexesha elithile.

Abanye abantu, abaphakathi kwe-3 kunye ne-13 kwi-100 , banokuba nempendulo engaqhelekanga kolu lwelo. Kwiimeko ezinjalo:

• Kunokubakho isicaphucaphu .
• Kusenokubakho ukugabha .
• Kunokwenzeka ukuba kubekho ukuziva ubomvu, nto leyo eyenza ubuso nesifuba zibe bomvu .

Ezi zihlala zizezexeshana.

Nangona kunjalo, kunqabile kakhulu ukuba kubekho iimpembelelo ezinkulu ze-allergy kolu lwelo. Ezi ziquka:

• Ubunzima bokuphefumla.
• Uxinzelelo lwegazi oluphantsi.
• Amabala abomvu okanye amaqhuqhuva eluswini.
• Ukudumba emlonyeni okanye emqaleni.
• Ukubanjwa kwe-cardiac.

Iimpendulo eziqatha ngolu hlobo azixhaphakanga, kodwa ukuba ziyenzeka, kufuneka zinyangwe ngokukhawuleza.

Usenokufumana olu hlobo lokusabela okubi ukuba unenye yezi meko zonyango ezikhoyo ngaphambili:

• Iintlobo ngeentlobo ze-allergies.
• Ukusilela kwentliziyo okubangelwa kukunganyamezelani.
• Isifo seswekile (isifo seswekile).
• Isifo sezintso esinganyangekiyo.

Yiyo loo nto ugqirha ekubuza yonke le mibuzo ngaphambi kokuba enze uvavanyo olufana nolu. Kwakhona, uvavanyo olutsha, olungangenisi kakhulu luye lwanciphisa kakhulu lo mngcipheko.

Uvavanyo lwe-IVP luthatha ixesha elingakanani? Kuthatha ixesha elingakanani ukuchacha?

Uvavanyo lwe-IVP ludla ngokuthatha malunga neyure , kodwa ukuba izintso zakho zisebenza nzima kakhulu, lungathatha ixesha elide.

Akuthathi xesha lide ukuba umntu aphile. Eyona nto ibalulekileyo emva kovavanyo kukusela amanzi amaninzi . Ngale ndlela, ulwelo olukhethekileyo (idayi yomahluko) olufakwe emzimbeni wakho luya kuphuma ngokukhawuleza kunye nomchamo wakho.

Ndifanele ndibonane nogqirha nini?

Iimpawu endikuxelele ngazo ngaphambili, zezi:

• Ukuba kukho igazi kumchamo,
• Ukuba umchamo umnyama ngombala,
• Ukuba unentlungu emqolo wakho ongezantsi,
• Ukuba kukho intlungu ecaleni kwesinqe,

Ukuba ezi zinto ziyaqhubeka, qiniseka ukuba ubonana nogqirha, kuba oko kunokuthetha ukuba kukho into engalunganga ngezintso zakho, ii-ureters, okanye isinyi.

Kwakhona, ukuba ufumana iimpawu ze -allergy enzima (i-anaphylaxis) (umzekelo, ubunzima bokuphefumla, amaqhuqhuva, ukudumba komlomo nomqala), nokuba yidayi yomahluko okanye nantoni na, kufuneka ubone ugqirha ngoko nangoko okanye uye kwicandelo likaxakeka esibhedlele.

Khumbula ngokufutshane.

Kulungile, mandikucele ukuba ukhumbule ezinye zezona zinto zibalulekileyo esithethe ngazo.

I-IVP luvavanyo lwe-X-ray olusetyenziselwa ukujonga izintso kunye nenkqubo yomchamo. Ulwelo olukhethekileyo (idayi yokwahlulahlula) lufakwa emzimbeni.

Nangona kunjalo, i-IVP ayisetyenziswa rhoqo kule mihla. Endaweni yoko, iindlela ezichanekileyo nezingenabungozi kangako ezifana ne-ultrasound, i-CT scan, kunye ne-MRI scan zisetyenziswa kakhulu.

Ukuba uneempawu ezifana negazi kumchamo wakho, umchamo omnyama, okanye intlungu emqolo okanye emqolo wakho, ugqirha unokuyalela uvavanyo lwemifanekiso ukuze ajonge iingxaki kwizintso okanye kwisinyi sakho, ezifana namatye okanye iithumba.

Eyona nto ibalulekileyo kukuba ukuba uneempawu ezingaqhelekanga, ungazityesheli kwaye ubone ugqirha ukuze akunike ingcebiso.

Izintso , Inkqubo Yomchamo, IVP, I-Intravenous Pyelogram, i-X-ray, Idayi Yokuthelekisa, Amatye Omchamo, Uxilongo