Ingaba i-adrenal gland yakho yimbangela yoxinzelelo lwakho lwegazi oluphezulu? Masithethe nge-Adrenal Venous Sampling (AVS)!

Ngaba unoxinzelelo lwegazi oluphezulu? Mhlawumbi unengxaki yokulawula uxinzelelo lwakho lwegazi nasemva kokuba usele amayeza amaninzi owanikwe ngugqirha wakho. Ngamaxesha anje, kungenxa yotshintsho ekusebenzeni kwamadlala amabini amancinci emzimbeni wakho. Namhlanje, sithetha ngovavanyo olukhethekileyo olubizwa ngokuba yi-Adrenal Venous Sampling, okanye i-AVS, oluvavanyo olunokukunceda ufumanise ukuba yintoni kanye ebangela uxinzelelo lwakho lwegazi.

Yintoni i-Adrenal Venous Sampling (AVS)?

Ngamafutshane, i-AVS luvavanyo olujonga ukuba i-adrenal glands enye okanye zombini zivelisa iihomoni ezininzi. Ezi glands zifumaneka ngaphezulu kwezintso zethu, njengeengubo ezimbini.

Ihomoni enye ebalulekileyo eveliswa zezi glands ibizwa ngokuba yi -aldosterone . Le homoni ibaluleke kakhulu ekugcineni ulungelelwano loxinzelelo lwegazi kunye nee-electrolytes emzimbeni. Nangona kunjalo, ukuba le homoni ye-aldosterone ikhutshwa kakhulu, uxinzelelo lwegazi lwakho lunokunyuka kwaye amanqanaba e-potassium egazini lakho anokwehla.

Kuvavanyo lwe-AVS, ingcali ye-radiologist ejongene nonyango ifaka idayi ekhethekileyo kwimithambo edibanisa amadlala akho e-adrenal ize ithathe iisampuli ezimbini zegazi kuloo mithambo. Ezi sampuli zimbini zegazi emva koko ziyavavanywa ukuze kubonwe ukuba i-aldosterone ivela kwi-gland yasekunene, kwi-gland yasekhohlo, okanye kuzo zombini. Ugqirha wakho uya kusebenzisa ezi ziphumo ukugqiba ukuba loluphi unyango aza kukunika lona ngokulandelayo.

Kutheni kufuneka wenze olu vavanyo lwe-AVS?

Olu vavanyo ludla ngokucetyiswa xa urhanelwa ukuba unesifo esibizwa ngokuba yiPrimary Aldosteronism (Conn's Syndrome) , esisifo esibangelwa kukuveliswa kakhulu kwehomoni i-aldosterone.

Ngale ndlela, xa usazi kakuhle ukuba ingxaki iphi, kulula kakhulu ukukhetha unyango. Ngamanye amaxesha olu vavanyo lukwasetyenziselwa ukubona iimeko ezifana ne-pheochromocytoma, ithumba elingaqhelekanga elenzeka kwi-adrenal gland.

Ndingazilungiselela njani ezi vavanyo?

I-AVS yinkqubo yokulaliswa ngaphandle eyenzeka esibhedlele okanye kwigumbi lotyando. Uza kube uvukile ngexesha lenkqubo, kodwa awuyi kuva ntlungu. Oku kungenxa yokuba yenziwa kusetyenziswa i-anesthetic yendawo kwaye ngamanye amaxesha i-hypothesis ukuze ikuthomalalise kwaye ikufake ebuthongweni obuncinci.

Ukuba unikwa iyeza lokuthomalalisa elilula, kubalulekile ukuba kubekho umntu oza kukuthatha akuse ekhaya emva kovavanyo.

Kwakhona, ugqirha wakho angakucela ukuba uyeke ukuthatha amayeza athile kwiintsuku ezimbalwa ngaphambi kovavanyo. Ngoko ke, yazisa ugqirha wakho ngawo onke amayeza owasebenzisayo. Kuya kufuneka uzile ukutya kusasa lovavanyo.

Kwenzeka ntoni ngexesha lovavanyo?

Nantsi into eyenzekayo ngexesha lovavanyo:

• Okokuqala, i-cannula (umgca we-IV) iya kufakwa emthanjeni ongalweni yakho, apho kuya kunikwa khona iyeza elivuselela i-adrenal glands yakho. Ukuba unikwa iyeza lokukuthomalalisa, nalo liya kunikwa ngale ndlela.
• Emva koko, indawo yakho yangaphakathi apho kufakwe khona i-catheter (ityhubhu encinci) iya kuba ne-numbness ukuze ungabi nantlungu.
• Ingcali yenza umngxuma omncinci eluswini lwe-groin ize ifake i-catheter ngayo. Basebenzisa i-ultrasound scan ukuze bafumane umthambo ochanekileyo.
• Okulandelayo, kufakwa ulwelo olukhethekileyo (izinto ezichaseneyo) ngale catheter, kwaye ngoncedo lwe-X-ray, i-catheter ikhokelwa kwimithambo ye-adrenal glands yakho.
• Nje ukuba umthambo ufunyenwe, kuthathwa isampuli yegazi elincinci kwimithambo ye-adrenal yasekunene neyasekhohlo.
• Ekugqibeleni, i-catheter iyasuswa kwaye ibhandeji libekwa phezu kwesiqwenga.

Ngaba oku kuyabuhlungu?

Hayi, ayibuhlungu. Awuyi kuva ntlungu kuba ayisebenzi. Abanye abantu bathi xa ulwelo olukhethekileyo ludlula emithanjeni, luvakala ngathi lushushu kancinci. Kodwa oko kuyaphela kwimizuzwana embalwa.

Zithini iziphumo?

Emva kokuthumela isampuli yegazi kwilebhu nokulivavanya, ugqirha wakho angakuxelela ngqo apho ingxaki ikhoyo.

• Ukuba yi-adrenal gland enye kuphela evelisa i-aldosterone engaphezulu, ukususwa kwelo gland ngotyando (i-adrenalectomy) kunokucetyiswa.
• Ukuba zombini ezi gland zivelisa i-aldosterone eninzi kakhulu, unyango olungcono ludla ngokuba ngamayeza.

Lonke icebo lakho lonyango liza kuxhomekeka kwesi siphumo.

Zithini iingozi zolu vavanyo?

I-AVS luvavanyo olukhuselekileyo noluphumeleleyo, kodwa njengakweyiphi na inkqubo yezonyango, kukho iingozi ezincinci.

Ixesha lokuchacha kunye nexesha lokubona ugqirha

Kungathatha iintsuku ezininzi ukuba umntu aphile ngokupheleleyo emva kovavanyo lwe-AVS. Kubalulekile ukuphumla ngokwaneleyo ngeli xesha. Ukuba ubuyela kwimisebenzi yakho yesiqhelo kwangethuba, iingxaki ezifana nokopha kwindawo yokusikwa zinokubakho.

Ugqirha wakho unokukucebisa ukuba uphephe oku kulandelayo kangangeentsuku ezi-3:

• Ukuqhuba.
• Ukusebenzisa oomatshini abanzima.
• Ukwenyusa iintsimbi.
• Ukuzilolonga okanye ukwenza umsebenzi onzima.
• Izinto ezinje ngokungena ebhafini, ukuqubha, njl.
• Ukusayina amaxwebhu asemthethweni (ngenxa yamayeza akwenza ulale).

Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza.

Ukuba kukho naziphi na kwezi mpawu zilandelayo emva kovavanyo, yazisa ugqirha wakho ngaphandle kokulibazisa.

• Ukopha ngenxa yokusikeka emqolo.
• Ukuba intlungu iya isiba mandundu.
• Ifiva.
• Isicaphucaphu okanye ukuhlanza.

Uvavanyo lwe-AVS lusenokubonakala lunzima kuwe, kodwa yeyona ndlela ilungileyo yokwazi ngokuqinisekileyo ukuba uxinzelelo lwakho lwegazi oluphezulu lubangelwa ziindlala zakho ze-adrenal. Ngoko ke thetha nogqirha wakho ngayo nayiphi na imibuzo, iinkxalabo, okanye amathandabuzo onawo ngale nto.