Ngaba uzive usoyika okanye unexhala xa ugqirha ekuxelela ukuba kufuneka wenze i-'kidney scan'? Uninzi lwethu luba nexhala kancinci xa sisiva igama elithi "scan". "Iza kufumana ntoni le nto?", "Ingaba le yinto enzima?", "Bafaka izinto ezine-radioactive emzimbeni wakho, akunjalo?" Imibuzo emininzi ifika engqondweni. Kodwa eneneni, oku akoyiki njengoko ucinga. Olu luvavanyo oluqhelekileyo nolukhuselekileyo. Ngoko ke namhlanje, masisuse onke amathandabuzo akho malunga nale Renal Scan, okanye iKidney Scan.
Ngamafutshane, yintoni iRenal Scan?
Cinga ngezintso zakho njengezihluzo zamanzi ezimbini endlwini yethu. Umsebenzi wazo ophambili kukucoca nokucoca inkunkuma emzimbeni kwaye uyikhuphe njengomchamo. Ngoko ke, i-Renal Scan luvavanyo olukhethekileyo olwenziwayo ukuze kubonwe ukuba ezi zintso zenza umsebenzi wazo ngokufanelekileyo na, ukuba zihamba kakuhle na igazi, kwaye ukuba imo yazo, ubungakanani bazo, kunye nendawo ezikuyo zichanekile na.
Olu asilovavanyo lwe-X-ray okanye lwe-CT oluqhelekileyo. Olu luvavanyo olubizwa ngokuba yiNuclear Medicine. Okwenzekayo apha kukuba inani elincinci kakhulu le-radioactive substance (radioisotope okanye radiotracer) lifakwa emthanjeni osengalweni yakho. Musa ukoyika, nangona "i-radioactive", ayinabungozi emzimbeni wakho. Ifana "nedayi" ekhethekileyo enceda kuphela kuvavanyo kwaye iphume emzimbeni wakho emva kwexesha elithile.
Xa eli yeza lihamba ngemithambo yegazi ukuya kwizintso, kusetyenziswa ikhamera ekhethekileyo, ebizwa ngokuba yi-gamma camera , ukuthatha imifanekiso yezintso. Eli yeza livumela izintso ukuba zibonakale ngokucacileyo kwiscreen sekhompyutha. Oku kuvumela ugqirha ukuba abone nasiphi na isifo sezintso okanye umonakalo kwasekuqaleni.
Kutheni ugqirha enokuthi wenze olu vavanyo?
Ngoku usenokuba uzibuza, "Kutheni ndifanele ndenze oku xa kukho ezinye iimvavanyo ezininzi kangaka?" Kukho izizathu ezahlukeneyo zokuba ugqirha athumele isigulana kwi-Renal Scan.
- Kuxhomekeke kwiziphumo zovavanyo oluthile: Ukuba uvavanyo lwakho lwegazi okanye lomchamo lubonisa naziphi na iingxaki ekusebenzeni kwezintso zakho, olu vavanyo lunokukunceda ukuba ulufunde ngokunzulu.
- I-Allergy kwi-X-ray dye: Ezinye ii-X-ray kunye nee-CT scans zisebenzisa idayi ekhethekileyo ebizwa ngokuba yi-"contrast dye." Abanye abantu banokuba ne-allergy kwezi dayi. Ukuba ufuna ukuxilongwa izintso zakho, i-Renal Scan lukhetho olukhuselekileyo .
- Emva kokufakelwa izintso: Ukuba ukhe wafakelwa izintso, olu vavanyo lwenziwa rhoqo ukuze kubonwe ukuba izintso ezintsha zisebenza njani emzimbeni.
- Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu):Ngamanye amaxesha, uxinzelelo lwegazi oluphezulu olunzima ukululawula lunokubangelwa yingxaki yezintso. Olu vavanyo lubalulekile ukuze kufunyaniswe ukuba yintoni kanye kanye ebangela olu xinzelelo.
- Ukuvaleka komchamo: Ukuba kukho ukurhaneleka kokuba kukho ukuvaleka komchamo, oku kuya kunceda ekuqinisekiseni ukuba ukuvaleka kukuphi na nokuba kuyayichaphazela na intso.
Zeziphi iimeko zempilo ezinokufunyaniswa ngesi skeni?
Ukuhlolwa kwezintso kunokubonelela ngolwazi kungekuphela nje ngokusebenza kwezintso, kodwa nangezifo ezininzi ezinxulumene nazo. Makhe sijonge ukuba ziyintoni na.
| Imeko yezonyango | Icacisiwe ngokulula |
|---|---|
| Uxinzelelo lwegazi lwezintso | Uxinzelelo lwegazi oluphezulu olubangelwa kukuncitshiswa kwemithambo ephambili ehambisa igazi kwizintso. |
| Ukudumba kwezintso (iHydronephrosis) | Ngenxa yokuvaleka kwendlela yomchamo, umchamo uyaqokelelana kwaye izintso ziyadumba. |
| IiCysts, iiTumors, okanye iiAbscesses | Ukuchonga ukukhula okungaqhelekanga kwizintso. |
| I-Renal Artery Stenosis | Ukuvaleka okanye ukuncitshiswa kwemithambo ethwala igazi ukuya ezintsoni. |
| I-Vesicoureteral Reflux | Umchamo ubuyela umva usuka kwisinyi uye kwizintso. Oku kuqheleke kakhulu kubantwana abancinci. |
Ngaba kukho iintlobo zeRenal Scan?
Ewe, uhlobo lwe-Renal Scan olucetyiswa ngugqirha wakho lunokwahluka ngokuxhomekeke kwingxaki yakho. Kukho iintlobo ezine eziphambili.
1. I-ACE Inhibitor Renal Scintigraphy: Oku kwenzelwa ukujonga ukuba uxinzelelo lwakho oluphezulu lwegazi lubangelwa kukuncitshiswa kwemithambo yegazi ethwala igazi ukuya kwizintso. Apha, kuthathwa iskeni ngaphambi nasemva kokuba unikwe iyeza loxinzelelo lwegazi (i-ACE inhibitor).
2. I-Diuretic Renal Scintigraphy: Oku kwenziwa ukuba kukho ukurhaneleka kokuba kukho ukuvaleka kwendlela yomchamo. Apha, kunikwa i-diuretic kwaye indlela umchamo ohamba ngayo ezintso iyahlolwa.
3. I-Renal Cortical Scintigraphy: Oku kuhlola umaleko ongaphandle wezintso obizwa ngokuba yi-renal cortical tissue. Oku kunceda ekuqinisekiseni ukuba izintso zonakele emva kotyando okanye ukuba kukho amanxeba ngenxa yosulelo.
4. I-Renal Perfusion Scan: Le ndlela ilinganisa indlela ezifumaneka ngayo igazi kwizintso (i-perfusion). Isetyenziselwa ukulinganisa ububanzi bemithambo yezintso kunye nomsebenzi wezintso.
Ugqirha wakho uyazi kakuhle ukuba zeziphi kwezi ntlobo zeziyobisi omele uzenze, ngoko mbuze ngazo.
Ndingazilungiselela njani ngaphambi kokuba ndiskene?
Oku kubaluleke kakhulu. Ukuze iziphumo zeskeni zibe zezichanekileyo, kufuneka ulungiselele kancinci kwangaphambili.
- Xelela ugqirha wakho ngazo zonke amayeza owasebenzisayo, kuquka iivithamini, amayeza esintu, kunye nezongezo. Usenokucelwa ukuba uyeke ukusebenzisa ezinye iintlungu, ingakumbi iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal (NSAIDs) ezifana ne-ibuprofen kunye ne-aspirin, kwiintsuku ezimbalwa ngaphambi kokuba uhlolwe.
- Qaphela imeko yakho yempilo:
- Ukuba ukhulelwe okanye uceba ukukhulelwa , qiniseka ukuba uxelele ugqirha wakho, njengoko imitha inokuchaphazela umntwana ongekazalwa.
- Ukuba ungumama oncancisayo , mxelele loo nto naye. Ngenxa yokuba izinto ezine-radioactive zinokungena ebisini, uyacetyiswa ukuba ungamncancisi umntwana wakho kangangeeyure ezimbalwa emva kokuhlolwa.
- Ukuba une- allergies (kumayeza, i-latex, njl.njl.), nceda ubakhankanye.
- Ukuba uyoyika iindawo ezincinci ezivalekileyo (i-claustrophobia), yikhankanye loo nto. Ekubeni ikhamera iza kuba kufutshane kancinci nomzimba wakho, ungathetha ngendlela yokuziva ukhululekile.
- Ukuba uyoyika iinaliti (i-trypanophobia) , xelela abasebenzi loo nto. Baza kukunceda uzole.
- Sela amanzi: Uya kucetyiswa ukuba usele amanzi amaninzi ngaphambi kokuba uhlolwe.
- Ukuchama: Uza kucelwa ukuba ukhuphe isinyi sakho (ukuchama) ngaphambi kokuba kuqalwe ukuskena.
- Impahla kunye nobucwebe: Nxiba impahla ekhululekileyo nekhululekileyo. Susa naziphi na ubucwebe besinyithi okanye iiglasi. Zinokuphazamisana nokuskena.
Kwenzeka ntoni ngexesha leskeni?
Xa usiya kwigumbi lokuskena, la ngamanyathelo oqhele ukuwalandela.
1. Ingcali yezonyango zenyukliya iza kufaka i-cannula encinci (umgca we-IV) emthanjeni osengalweni okanye esandleni sakho.
2. Emva koko, kufakwa iyeza elikhethekileyo elinomhlaza (i-radiotracer) emzimbeni nge-cannula. Awuyi kuva ntlungu ngeli xesha.
3. Uza kunyanzelwa ukuba ulale phantsi okanye ulale etafileni yovavanyo.
4. Emva koko ikhamera ye-gamma ibekwa phezu kwendawo yakho yezintso ize iqalise ukuthatha imifanekiso. Le khamera ayibetheki emzimbeni wakho . Ihamba kancinci ijikeleza okanye ijikeleze umzimba wakho.
5. Ingcali yetekhnoloji iza kujonga le mifanekiso kwiscreen sekhompyutha. Ngamanye amaxesha uya kucelwa ukuba uhlale ungashukumi, kwaye ngamanye amaxesha unokucelwa ukuba utshintshe indawo, njengokugoba kancinci.
Yonke le nkqubo idla ngokuthatha naphi na ukusuka kwimizuzu engama-30 ukuya kwiiyure ezi-2 , kuxhomekeke kuhlobo lweskeni oyenzayo.
Kwenzeka ntoni emva kokuskena? Ngaba kukho naziphi na iingozi?
Nje ukuba iskeni igqityiwe, i-cannula iya kususwa uze ugoduke. Ungaqhubeka nemisebenzi yakho yesiqhelo yosuku.
Musa ukukhathazeka ngamayeza owafake emzimbeni wakho. Njengoko usela amanzi amaninzi kwaye uchama imini yonke, amayeza aya kuphuma emzimbeni wakho phantse ngokupheleleyo.
Ngoku makhe sijonge iingozi. Iingozi ziphantsi kakhulu . Enyanisweni, ubungakanani bemitha esetyenziswayo buncinci kakhulu kunobo buvela kwi-X-ray eqhelekileyo.
Ezi zinto zilandelayo zinqabile kakhulu ezinokwenzeka:
- I-Allergy: Kunqabile kakhulu ukuba ne-allergy kuloo mayeza.
- Intlungu kwindawo ye-cannula: Indawo ye-cannula inokuba bomvu kancinci, idumbe, okanye ibe buhlungu. Ukuba oku akuphelanga kwiintsuku ezimbalwa, xelela ugqirha wakho.
Icebiso elibalulekileyo: Kuphephe ukusondelana (umz. ukubamba) nabantwana abancinci kunye nabasetyhini abakhulelweyo ubuncinane iiyure ezingama-24 emva kokuhlolwa njengesilumkiso.
Kwenzeka ntoni xa ingxelo ifunyenwe?
Imifanekiso evela kwiskeni ijongwa ngononophelo yingcali ye-radiologist okanye ingcali yamayeza enyukliya, elungiselela ingxelo aze ayithumele kugqirha wakho. Ugqirha uya kukubiza ukuze akuchazele okukwingxelo kunye noko kufuneka kwenziwe emva koko.
Ukuba ingxelo ibonisa ukuba kukho ingxaki, ugqirha unokuyalela iimvavanyo ezongezelelweyo ukuze axilonge ngokuchanekileyo imeko. Umzekelo:
- I-ultrasound scan, i-MRI okanye i-CT scan
- Ezinye iimvavanyo zokusebenza kwezintso
- i-biopsy yezintso
Musa ukoyika. Konke oku kwenzelwa ukufumanisa ukuba yintoni kanye kanye ingxaki yakho kwaye ikunike unyango olufanelekileyo lwayo.
Umyalezo Wokuya Ekhaya
- Uvavanyo lwezintso luvavanyo olukhuselekileyo nolungenabuhlungu olujonga ukuba izintso zakho zisebenza kakuhle kangakanani na.
- Ubungakanani bezinto ezinemisebe ezisetyenziswa koku buncinci kakhulu, bungaphantsi nangaphantsi kwe-X-ray eqhelekileyo.
- Ngaphambi kokuba uskeniwe , qiniseka ukuba uxelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo, naziphi na ii-allergies onazo, kunye nokuba ukhulelwe/uyancancisa na.
- Ukuba usela amanzi amaninzi emva kokuskena, iyeza elisetyenzisiweyo liya kukhutshelwa ngaphandle komzimba wakho ngomchamo wakho.
- Ukuba unemibuzo okanye iinkxalabo malunga nolu vavanyo, ungathandabuzi ukubuza ugqirha okanye ingcali yezobuchwepheshe ekwenza iskeni.
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