Ngaba wakha waziva ngathi isinyi sakho asizange siphele emva kokuba uye kwigumbi lokuhlambela? Okanye uziva ngathi kufuneka uchame rhoqo, njengayo yonke iyure? Ngaba kufuneka uye kwigumbi lokuhlambela izihlandlo ezithathu okanye ezine xa ulungiselela ukuya kuhambo? Nangona ezi zinto zinokubonakala ngathi zizinto eziqhelekileyo, ngamanye amaxesha kunokubakho isizathu sezonyango emva koku. Yiyo loo nto sithetha ngovavanyo olubalulekileyo olunokufuneka ugqirha wakho alwenze ngamaxesha anjalo.
Yintoni le vavanyo yePost-Void Residual (PVR)?
Nangona igama lisenokuvakala liyinkimbinkimbi kancinci, intsingiselo ilula kakhulu. Igama elithi "Post-Void" lithetha "emva kokuba ugqibile ukuchama." Igama elithi "Residual" lithetha "okuseleyo." Ngoko ke, ngamafutshane, uvavanyo lwe-PVR lulinganisa ukuba ingakanani imichamo eseleyo kwisinyi sakho emva kokuba ugqibile ukuchama.
Ngokwesiqhelo, xa umntu ophilileyo echama, isinyi kufuneka singabi nanto kwaphela. Kodwa ngamanye amaxesha kusenokusala inani elincinci. Oku kuqhelekile. Nangona kunjalo, ukuba inani elikhulu lomchamo ligcinwa ngalo lonke ixesha, le meko siyibiza ngokuba yi -Urinary Retention . Le ayisiyonto ilungileyo ukuyityeshela. Kuba ukugcinwa komchamo ixesha elide kwisinyi kunokukhokelela kwiintsholongwane zomchamo (UTIs), amatye ezintso, kunye nomonakalo wezintso.
Kutheni ugqirha angacebisa olu vavanyo lwe-PVR?
Xa usiya kugqirha uze umxelele ngeempawu ezithile, usenokucinga ukuba nawe unayo le meko yokugcina umchamo. Olu vavanyo lwenziwa ikakhulu ukuqinisekisa olo rhanelo. Ukuba uneempawu ezingezantsi, ugqirha unokuba nethuba elikhulu lokucebisa olu vavanyo.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukudinga rhoqo ukuchama | Ngenxa yokuba isinyi asiphumi ngokupheleleyo, siyaphinda sizale emva kwexesha elithile, ngoko ke kufuneka uye kwigumbi lokuhlambela rhoqo. |
| Ukungakwazi ukuzibamba | Xa isinyi sigcwele kwaye kusekho umchamo oseleyo, unokuvuza ngokungalawulekiyo. Oku kunokwenzeka nokuba uhleka okanye uthimla. |
| Usulelo oluqhelekileyo lwendlela yomchamo (UTIs) | Umchamo ohlala kwisinyi yindawo efanelekileyo yokukhula kweebhaktheriya, nto leyo eyenza kube lula ukubangela usulelo. |
| Ukuziva ngathi awukagqibi ngokupheleleyo ukuchama | Le yenye yezona mpawu ziphambili zale meko. Nokuba uphumile kwigumbi lokuhlambela, awuziva ukhululekile. |
| Amatye Esinyini | Iityuwa zeminerali kumchamo oseleyo zinokuqokelelana zenze amatye ngokuhamba kwexesha. |
Ulwenza njani olu vavanyo lwe-PVR?
Zimbini iindlela eziphambili zokulinganisa lo mthamo womchamo oseleyo. Zombini ezi ndlela azibuhlungu kangako, ngoko ke akukho sizathu sokoyika.
1. Ngokuskena nge-ultrasound
Le yeyona ndlela ixhaphakileyo, ilula, kwaye ilula. Ifana nokuskena umama oza kuba nomntwana.
- Okokuqala, uza kucelwa ukuba uchame kakuhle kwaye ukhuphe isinyi sakho.
- Emva koko uya kulaliswa ebhedini.
- Ugqirha okanye ingcali iza kusebenzisa ijeli ekhethekileyo kwisisu sakho esisezantsi ize emva koko idlulise isixhobo esincinci (iprobe) kuyo.
- Imifanekiso yesinyi ingabonwa kwiscreen sekhompyutha ngamaza esandi akhutshwa sesi sixhobo.
- Ngokujonga loo mifanekiso, babala ngokuthe ngqo ukuba ingakanani na imichamo eseleyo kwisinyi.
- Kwezinye iimeko ezikhethekileyo, i-ultrasound edluliselwa kwisini inokwenziwa nakubafazi. Oku kwenza into efanayo.
2. Ukufakwa kweCatheter yesinyi
Ngamanye amaxesha, le ndlela isetyenziswa ukuba ufuna ukufumana iziphumo ezichanekileyo kuneskeni. Nantsi into eyenzekayo:
- Ngale ndlela, uqala ngokucelwa ukuba uchame kangangoko unako.
- Emva koko uza kulaliswa ebhedini yokuhlolwa.
- Okulandelayo, ugqirha okanye umongikazi uza kucoca kakuhle indawo ejikeleze i-urethra yakho aze afake iyeza lokuthomalalisa iintlungu , ukuze ungabi nantlungu ingako.
- Emva koko, ityhubhu encinci kakhulu neguquguqukayo (i-catheter) idluliselwa ngononophelo kuloo ndlela ingena kwisinyi.
- Wonke umchamo oseleyo ngaphakathi kwesinyi uphuma kuloo mbhobho uze uqokeleleke.
- Ubungakanani bomchamo obuqokelelweyo buyalinganiswa.
- Xa umsebenzi ugqityiwe, ityhubhu isuswa ngononophelo.
Nokuba yeyiphi na indlela, kufuneka yenziwe yingcali yezonyango enamava. Ngoko ke ungoyiki. Ukuba uneengxaki, zixelele ngoko nangoko.
Ngaba kukho into ekufuneka ndiyilungiselele ngaphambi kolu vavanyo?
Kwiimeko ezininzi, akukho lungiselelo likhethekileyo lifunekayo kolu vavanyo lwe-PVR. Ungatya kwaye usele ngendlela eqhelekileyo. Nangona kunjalo, kungcono ukubuza ugqirha wakho ngaphambi kovavanyo ukuba kukho nayiphi na imiyalelo ekhethekileyo.
Kwenzeka ntoni emva kovavanyo? Ngaba kukho naziphi na iingozi?
Olu luvavanyo oludla ngokuba lolwenziwa ngaphandle kwesibhedlele, nto leyo ethetha ukuba ungaya ekhaya okanye uye emsebenzini kwangoko emva kovavanyo.
Ukuba ukhe wajongwa nge-scan, awuyi kuva ntlungu. Nangona kunjalo, ukuba ufake i-catheter, ungaziva utsha kancinci okanye ungakhululekanga xa uchama njengoko iyeza elibangela ukuba ungabi nazimvakalelo liphela. Oku kuqhelekile.
Emva kokusela amanzi amaninzi nokuchama kabini okanye kathathu, oku kungakhululeki kuya kuphela.
Ngokuphathelele iingozi, akukho zingozi nge-ultrasound scan. Nangona kunjalo, kukho iingozi ezincinci kakhulu ngokufaka i-catheter.
- Usulelo lweMgudu yomchamo (UTI): Kukho ithuba elincinci losulelo kuba kukho into efakwe ngaphandle. Ugqirha wakho unokukunika amayeza okubulala iintsholongwane ukuthintela oku.
- Igazi elincinci kumchamo (hematuria): Oku kusenokuba kubangelwa kukukrweleka okuncinci kwi-urethra okubangelwa yityhubhu encinci.
- Umonakalo omncinci kwi-urethra okanye kwisinyi: Oku akunakwenzeka kuba oku kwenziwa ngabantu abanamava kakhulu.
Zithini iziphumo zovavanyo lwe-PVR?
Iziphumo ziya kukunika ixabiso kwi-milliliters (mL), elithetha ubungakanani bomchamo oseleyo kwisinyi sakho.
Ngokubanzi, ixabiso le-PVR lomntu omdala elingaphantsi kwe-50mL lithathwa njengelinqanaba elihle kakhulu. Ixabiso eliphakathi kwe-50mL kunye ne-100mL lidla ngokuthathwa njengeliqhelekileyo. Nangona kunjalo, ixabiso le-PVR elingaphezulu kwe-100mL libonisa ukuba isinyi asiphumi kakuhle. Oku kuthetha ukuba usenokuba nokugcinwa komchamo.
Kodwa khumbula, la maxabiso anokwahluka ngokweminyaka, isini, kunye nezinye iimeko zempilo.Ngoko ke, ngugqirha wakho kuphela onokukuchazela intsingiselo yokwenyani yeziphumo zakho.
Ziziphi izizathu zokuba nexabiso eliphezulu le-PVR?
Ukuba i-PVR yakho iphezulu, ugqirha wakho unokwenza olunye uvavanyo ukuze afumane unobangela. Ezona zizathu ziphambili zezi:
- Ukuvaleka kwendlela yomchamo (njengethumba, ilitye lomchamo)
- I-prostate ekhulisiweyo kumadoda
- Iziphumo ebezingalindelekanga zamanye amayeza
- Ukuncitshiswa kwe-urethra
- Iingxaki zenkqubo yemithambo-luvo (isinyi se-neurogenic)
Unyango luxhomekeke kwisizathu kwaye lungabandakanya amayeza, utyando, okanye ezinye iindlela zonyango.
Ngoko ke, zeziphi izihlandlo ezifanelekileyo zokuya kugqirha?
Oku kubaluleke kakhulu.
Ukuba awukwazi ukuchama konke konke, oko kuthetha ukuba akukho nethontsi lomchamo eliphumayo, yingxamiseko leyo. Yiya kwigumbi likaxakeka lesibhedlele esikufutshane (ETU) ngoko nangoko. Musa ukulibazisa.
Ukongeza, ukuba uneempawu ezingezantsi, bonana nogqirha wakho ngoko nangoko.
- Intlungu yesisu esisezantsi okanye ukudumba
- Ukutsha okanye intlungu xa uchama
- Ifiva
- Umchamo omnyama ngombala okanye onevumba elibi
Musa ukuzityeshela ezi mpawu. Uvavanyo lwe-PVR luvavanyo oluxabisekileyo kakhulu olunokunceda ekuchongeni imeko yezonyango ngaphambi kokuba ibe yingxaki enkulu.
Umyalezo Wokuya Ekhaya
- Uvavanyo lwe-PVR lulinganisa ubungakanani bomchamo osele kwisinyi sakho emva kokuba uchamile.
- Oku kunceda ekuchongeni imeko ebizwa ngokuba yi-urinary retention.
- Olu vavanyo lungenziwa nge-ultrasound scan okanye nge-catheter. Zombini azinabuhlungu kangako.
- Ixabiso eliphezulu le-PVR lisenokuba luphawu lwengxaki yempilo engaphantsi, enokufuna unyango.
- Ukuba awukwazi ukuchama konke konke, yingxamiseko leyo. Yiya kwiSebe leNgxamiseko lesibhedlele (ETU) ngokukhawuleza.
- Ukuba unemibuzo okanye iinkxalabo malunga nolu vavanyo okanye iziphumo zalo, thetha ngazo ngokukhululekileyo nogqirha wakho.
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