Ingaba unengxaki kwindlela yakho yokuchama? Masithethe ngovavanyo lweRetrograde Urethrogram (RUG)!

Ngamanye amaxesha sinengxaki yokuchama, okanye sinokuba negazi kumchamo wethu. Okanye xa kukho ingozi esiswini esisezantsi, oko kukuthi, emqolo, kufuneka sibone ukuba akukho monakalo ngaphakathi na. Ingakumbi xa into efana nale isenzeka kwindoda, uvavanyo olukhethekileyo lubizwa ngokuba yi -`(Retrograde Urethrogram)` ukuze kufunyanwe unobangela ochanekileyo. Ngamanye amaxesha silubiza ngokuba yi -`(RUG)` ngamafutshane. Ngoko ke, kufuneka ube nomdla wokwazi ngale nto. Ngaba singathetha ngolu vavanyo lwe-`(RUG)` ngokweenkcukacha, ngokulula, namhlanje?

Yintoni le (Retrograde Urethrogram) uvavanyo? Ngamafutshane...

Kulungile, masiqale sijonge ukuba yintoni iRetrograde Urethrogram (RUG). Olu luvavanyo olukhethekileyo olusetyenziswa ngoogqirha. Lujonga ukuba i-urethra yakho (ityhubhu esichamela kuyo) yonakele okanye ukuba izicubu ezibomvu ziqokelelene kwaye zivala ukuhamba komchamo . Cinga ngayo njengombhobho wamanzi ovalwe luthuli kwaye uthintele amanzi ukuba angaphumi.

Olu vavanyo lwenziwa kakhulu kumadoda . Ukuba ukhe wenzakala okanye wenzakala kwisisu sakho esisezantsi okanye kwindawo engasentla, okanye ukuba ugqirha wakho ucinga ukuba unezicwili kwi-urethra yakho, olu vavanyo lwe-``(RUG)`` lunokwenziwa.

Uvavanyo lwe-RUG lwenziwa nini?

Ngoku mhlawumbi ucinga, "Kulungile, zeziphi iimeko onokwenza oku kuzo?" Jonga:

Ugqirha angayalela i-retrograde urethrogram (RUG) xa kukho imeko engxamisekileyo (umzekelo, emva kwengozi). Okanye kungenziwa ukujonga iimpawu eziqhubekayo. Ungadinga i-RUG ukuba wenzakele esiswini sakho esisezantsi okanye kwindawo yesinqe kwaye:

• Ukuba uphuma igazi emngxunyeni welungu lakho lobudoda (oko kukuthi, apho umchamo uphuma khona).
• Ukuba awukwazi ukuchama .

Akuphelelanga apho, ugqirha angenza olu vavanyo lwe-"RUG" ngenxa yezizathu ezininzi:

• Ukuba bacinga ukuba i-urethra yakho inciphile ('i-stricture') ngenxa yesifo, ukuvaleka, okanye ukwenzakala.
• Ukuba banengxaki yokufaka i-catheter (ityhubhu eguquguqukayo ekunceda ukuba uchame ).
• Ngamanye amaxesha kuyimfuneko ukufaka i-catheter engena ngokupheleleyo kwisinyi (i-transurethral bladder catheterization). Nangona kunjalo, ngaphambi kokuba wenze njalo, ukuba ugqirha ukrokrela ukuba kukho ingxaki kwindlela yakho yomchamo, uya kusebenzisa olu vavanyo lwe-"RUG" ukuqinisekisa ukuba inokwenziwa ngokukhuselekileyo.

Yintoni enokufunyanwa kolu vavanyo lwe-RUG?

Olu vavanyo lwe-``Retrograde Urethrogram`` lunceda ugqirha ukuba afumane izinto ezifana nezi:

• Ukuqina komchamo : Oku kuthetha ukuba umchamo uvalekile.
• Kukho ukuvaleka kwendlela yakho yokuchama.
• Ukonakala kwendlela yakho yokuchama: Umzekelo, nokuba kukho ukuqhekeka, umngxuma omtsha okanye umngxuma (i-fistula), okanye isakhiwo esincinci esifana nengxowa (i-diverticula).

Ingaba olu luvavanyo olubuhlungu? Akukho nto yokoyika!

Umbuzo abantu abaninzi abanawo ngowokuba, "Ingaba oku kuyabuhlungu?" Hayi, i-"Retrograde Urethrogram" ayifanele ibe buhlungu ngokwenene. Nangona kunjalo, ungaziva ungakhululekanga, ungaqhelekanga, ngexesha lovavanyo nasemva kokuchama . Oku kuqhelekile. Kodwa ukuba uziva iintlungu, kungcono uxelele ugqirha wakho ngoko nangoko.

Isebenza njani le (Retrograde Urethrogram)?

Kulula kakhulu. Kwi-"Retrograde Urethrogram", ugqirha ufaka ulwelo olukhethekileyo (olubizwa ngokuba yi-"contrast") kwi-urethra yakho. Oku kwenziwa ngokufaka ityhubhu encinci okanye incam yesirinji ecacileyo ngomngxuma ("urethral meatus") ekupheleni kwepenis yakho, apho umchamo uphuma khona. Njengoko olu lwelo lungena kwisinyi sakho (ibhegi apho umchamo uqokelelana khona), ugqirha uthatha imifanekiso ye-"X-ray". Le mifanekiso isetyenziselwa ukufumanisa ukuba zeziphi iingxaki ezikhoyo kwi-urethra yakho.

Ukuze ndithethe ngqo, olu lwelo 'oluchaseneyo' lwenza i-urethra ibonakale ngokucacileyo kwi-'X-ray'. Kulapho kuphela apho sinokubona khona ukuba kukho into engalunganga ngaphakathi.

Ngaba kukho into endifanele ndiyilungiselele ngaphambi kokuba ndithathe i-RUG?

Le yeyona ilungileyo! Akunyanzelekanga ukuba wenze nantoni na ekhethekileyo ukuze ulungiselele ngaphambi kokuba u-`(i-RUG)`. Ungaba ngumntu oqhelekileyo nje.

Kwenzeka ntoni ngexesha lovavanyo? Makhe sibone?

Kulungile, ngoku makhe sibone ukuba kwenzeka ntoni xa usenza i-`(Retrograde Urethrogram)`. Musa ukoyika, ndiza kukuxelela ngokulula.

• Okokuqala, uza kujika ujonge ecaleni etafileni phantsi komatshini we-X-ray. Uza kucelwa ukuba ugobe omnye wemilenze yakho uye ecaleni. Ugqirha okanye umncedisi wakho uya kukunceda ukuba uzibeke ngendlela efanelekileyo.
• Emva koko, ugqirha uza kucoca indawo ejikeleze umngxuma welungu lakho lesini aze afake isisombululo se-antiseptic (esifana ne-iodine) .
• Ngamanye amaxesha, i-lubricant yokuthambisa i-urethra ingafakwa ngaphakathi kwilungu lobudoda ukuze i-urethra yakho ingasebenzi kakuhle . Kuthatha imizuzu embalwa ukuba isebenze.
• Okulandelayo, ugqirha uza kufaka ityhubhu encinci ngomngxuma osencamini yepenis yakho . Ityhubhu iya kukhokelwa kancinci kancinci kwi-urethra yakho umgama omfutshane. Ngeli xesha, banokuhambisa ipenis yakho kancinci baze bakubuze ukuba uziva ungonwabanga na. Oku akufanele kube buhlungu – ukuba kuyabuhlungu, kufuneka ubaxelele ngokuqinisekileyo.
• Ngoku, ulwelo 'oluchaseneyo' olukhankanyiweyo ngaphambili lufakwa kwi-urethra kusetyenziswa isirinji. Olu lwelo lulwelo oluyenza i-urethra yakho ibonakale ngokucacileyo kwimifanekiso 'ye-X-ray'.
• Njengoko ulwelo oluchaseneyo luhamba nge-urethra ukuya kwisinyi, ugqirha uthatha imifanekiso ngomatshini we-X-ray.
• Ngamanye amaxesha, unokucelwa ukuba uchamele kwisikhongozeli ukuze ubone ukuba olu lwelo lomahluko luphuma njani emzimbeni wakho, kwaye unokucelwa ukuba uthathe imifanekiso ye-X-ray.

Yiloo nto yonke eyenzekayo. Akukho nto yokoyika njengoko unokucinga, akunjalo?

Yintoni onokuyilindela emva kovavanyo?

Emva kovavanyo, ungaziva ungakhululekanga xa uchama . Ungabona negazi elincinci xa uchama . Oku kuqhelekile, ungakhathazeki. Oku kungakhululeki kuya kuphela emva kosuku olunye . Eyona nto ibalulekileyo kukusela amanzi amaninzi . Oku kuya kunceda ukukhupha naluphi na ulwelo oluchaseneyo oluseleyo.

Ngaba kukho naziphi na iingozi okanye iziphumo ebezingalindelekanga kolu vavanyo lwe-RUG?

Uvavanyo lwe-urethrogram olubuyela umva ngokwenene luvavanyo olungenamngcipheko mkhulu . Nangona kunjalo, kukho iziphumo ebezingalindelekanga ezingaqhelekanga ezinokwenzeka:

• Usulelo.
• Impendulo yokunganyamezelani nolwelo oluchaseneyo.
• Nakuphi na ukonakala kwendlela yomchamo okanye isinyi.

Ezi zizinto ezinqabileyo kakhulu, kodwa kulungile ukuzazi.

Zithini iziphumo zovavanyo lwe-RUG? Zithetha ukuthini?

Ukuba iziphumo zovavanyo lwakho "ziqhelekile," oko kuthetha ukuba ulwelo luhamba kwi-urethra yakho ngaphandle kokuvaleka . Ukuba kunjalo, iimpawu zakho zisenokubangelwa yenye into.

Ezinye iziphumo zingabonisa ukuba i-urethra yakho yonakele, inciphile, okanye ivalekile.

Ngamanye amaxesha, ukuba uvavanyo lwe-RUG lodwa aluniki lwazi lwaneleyo, ugqirha wakho unokufuna ukwenza i- cystoscopy , equka ukufaka ikhamera encinci kwi-urethra yakho.

Kuthatha ixesha elingakanani ukwazi iziphumo?

Ixesha elithathayo ukuze wazi iziphumo lixhomekeke kwisizathu sokuba wenze olu vavanyo.

• Ukuba wenzakele kwaye udinga unyango olungxamisekileyo , ugqirha uza kufumana iziphumo zovavanyo ngoko nangoko , ukuze bakwazi ukukunyanga ngokukhawuleza.
• Ngaphandle kokuba yingxamiseko , kufuneka ukwazi ukubona iziphumo kwiintsuku ezimbalwa .

Ukuba iziphumo aziqhelekanga, yintoni oyenzayo emva koko?

Ngoku usenokuba ucinga, "Kulungile, ukuba iziphumo zithi kukho ingxaki, siza kwenza ntoni emva koko?"

Amanyathelo alandelayo oza kuwathatha aya kuxhomekeka kwinto ebangela ingxaki yakho. Ugqirha wakho uza kuthetha nawe malunga neendlela zonyango. Ezi zingabandakanya:

• Iinkqubo zokwandisa i-urethra yakho (njengokwandisa i-urethra) .
• Utyando (olufana ne -urethroplasty) .

Ungakhathazeki, ugqirha uza kukuchazela unyango olufanele wena.

Ndifanele ndiphinde ndimbone ugqirha kwakhona?

Ukuba unayo nayiphi na kwezi zinto zilandelayo emva kovavanyo, ngokuqinisekileyo kuya kufuneka ubone ugqirha wakho:

• Ukuba unentlungu xa uchama okanye awukwazi ukuchama konke konke.
• Ukuba uziva ungakhululekanga okanye wopha ixesha elingaphezu kosuku emva kovavanyo.
• Ukuba kukho iimpawu zosulelo (umz., ukudumba kwepenis, umkhuhlane).
• Ukuba unemibuzo malunga neziphumo zovavanyo lwakho.

Kungcono ukungacingi kabini malunga nokuthetha nogqirha ngento efana nale, akunjalo?

Ngoko ke, makhe sijonge ezinye izinto ekufuneka sizikhumbule koku? (Umyalezo Wokubuyela Ekhaya)

Kulungile, sithethe kakhulu ngolu vavanyo lwe-`(Retrograde Urethrogram)` okanye `(RUG)`, akunjalo? Okokugqibela, khumbula ezi zinto:

I-urethrogram ye-retrograde luvavanyo olulula nolungenamngcipheko.

Oku kuza kuthatha imizuzu embalwa kuphela.

Nangona kunjalo, oku kunika oogqirha ulwazi oluninzi olubalulekileyo malunga neengxaki ezinokubakho kwindlela yakho yokuchama.

Olu vavanyo lusetyenziswa nakwiimeko ezingxamisekileyo okanye emva kokwenzakala ukuze kuchongwe ukuba kukho nawuphi na umonakalo ongabonakaliyo ngaphandle .

Ngoko ke, ukuba ugqirha ucela ukuba wenze olu vavanyo, musa ukuloyika ngokungeyomfuneko. Cinga ngalo njengento eza kukunceda ugcine impilo yakho isempilweni. Ukuba unemibuzo, qiniseka ukuba uthetha nogqirha wakho.

Indlela Yokuchama, I-RUG, I-Retrograde Urethrogram, Uvavanyo Lomchamo, Impilo Yamadoda, Usulelo Lomchamo, I-X-ray, Iingxaki Zomchamo