Ngaba ugqirha wakho ukuxelele okanye umntwana wakho omncinci ukuba kufuneka wenze uvavanyo olubizwa ngokuba yi-VCUG? Xa usiva elo gama, waziva usoyika kwaye ungakhululekanga, akunjalo? Kuqhelekile kakhulu. Abantu abaninzi bavakalelwa ngaloo ndlela. Kodwa asiyonto yokoyika. Namhlanje, siza kuthetha ngokuba luyintoni olu vavanyo lwe-VCUG, isizathu sokuba lwenziwe, indlela oluqhutywa ngayo, kunye nendlela yokululungiselela ngendlela elula kakhulu onokuyiqonda.
Kalula nje, yintoni olu vavanyo lweVCUG?
Igama elipheleleyo le-VCUG yi -Voiding Cystourethrogram . Kulungile, kulungile... igama liyinkimbinkimbi kancinci. Kodwa okwenzekayo koku kulula kakhulu. Olu luvavanyo lwe-X-ray olukhethekileyo. Lujonga indlela isinyi sakho kunye nombhobho okhupha umchamo kwisinyi sakho (urethra) osebenza ngayo.
Cinga ngenkqubo yethu yomchamo njengetanki yamanzi. Umchamo oveliswa zizintso uqokelelwa kwitanki ebizwa ngokuba yibladder, kwaye xa ixesha lifika, ukhutshwa nge-urethra. Olu hambo kufuneka luhlale luhamba ngendlela enye . Oko kukuthi, ukusuka phezulu ukuya ezantsi.
Kodwa ngamanye amaxesha, ingakumbi kubantwana abancinci, lo mchamo uqala ukugeleza umva, oko kukuthi, unyuke uye kwizintso. Le meko siyibiza ngokuba yiVesicoureteral Reflux . Uvavanyo lweVCUG lubona ikakhulu ukuba kukho ezo ngxaki.
Kolu vavanyo, ulwelo olukhethekileyo (idayi yokwahluka) ludluliselwa kwisinyi ngetyhubhu encinci (i-catheter), kwaye kuthathwa imifanekiso eliqela ye-X-reyi njengoko isinyi sizala kwaye siphuma. Ulwelo olukhethekileyo lwenza yonke into icace gca kwi-X-reyi. Oku kuvumela ugqirha ukuba abone ngokuchanekileyo ukuba umchamo ugeleza kwicala elifanelekileyo, kwicala elingalunganga, okanye ukuba kukho ukuvaleka kwenye indawo.
Kutheni kufuneka wenze olu vavanyo?
Ixesha elininzi, ugqirha uya kucebisa uvavanyo lwe-VCUG ngesizathu esithile. Abazenzi ezi mvavanyo ngaphandle kwesizathu. Nazi ezinye zezizathu eziphambili.
- Ukuba unezifo ezibangelwa kukungafumani mayeza rhoqo (UTIs): Olu vavanyo lwenziwa ukuze kufunyanwe unobangela wosulelo olubangelwa kukungafumani mayeza rhoqo, ingakumbi kubantwana abancinci. Oku kungenxa yokuba ukuba umchamo ubuyela umva ungene kwizintso, unokubangela usulelo lwezintso (pyelonephritis), olunokuthi ekugqibeleni lonakalise izintso .
- Iingxaki zenkqubo yomchamo yokuzalwa: Abanye abantwana banokuzalwa benotshintsho oluthile kwinkqubo yabo yomchamo. Kwiimeko ezinjalo, olu vavanyo luyimfuneko.
- Ubunzima bokuchama: Olu vavanyo lunokwenziwa ukuba unentlungu ngelixa uchama, ukuba urhanela ukuba kukho ukugoba komchamo, okanye ukuba unengxaki yokulawula umchamo wakho.
- Ukuba kukho umntu kusapho lwakho oye waba nezi ngxaki: Iimeko ezifana neVesicoureteral Reflux ngamanye amaxesha zinokuvela kwiintsapho.
Okubaluleke kakhulu, olu vavanyo lunika ugqirha umfanekiso ocacileyo wendlela esebenza ngayo inkqubo yomchamo. Oku kubavumela ukuba baxilonge ngokuchanekileyo nasiphi na isifo baze baqale unyango ngaphambi kokuba izintso zonakale.
Kwenzeka ntoni ngomhla wovavanyo?
Kulungile. Ngoku makhe sibone indlela yokwenza olu vavanyo inyathelo ngenyathelo. Ukwazi oku kuya kunciphisa kakhulu uloyiko lwakho. Le yinto ethatha malunga nemizuzu engama-30-45.
1. Ukutshintsha impahla: Okokuqala, uza kucelwa ukuba ukhulule impahla yangaphantsi kunye nebhulukhwe/isiketi sakho uze unxibe ilokhwe ekhethekileyo ebonelelwe sisibhedlele.
2. Ukulala etafileni: Emva koko uza kulala etafileni ekhethekileyo kwigumbi apho kukho umatshini we-X-ray. Ukuba uyindoda, uza kucelwa ukuba ugcine imilenze yakho ithe tye, kwaye ukuba ungumfazi, uza kucelwa ukuba ugcine imilenze yakho ikwimo yebhabhathane (amadolo agobile emacaleni nasezinyaweni zeenyawo zakho zidibene). Oku kuya kwenza kube lula ukufikelela kwi-urethra.
3. Ukucoca: Umongikazi okanye ugqirha uza kucoca ngobunono indawo yakho yangasese ngesepha namanzi. Emva koko, baza kusebenzisa ijeli yokufunxa iintlungu kwindawo ye-catheter.
4. Ukufakwa kwe-catheter: Kulapho uninzi lwabantu luziva lungonwabanga khona. Ityhubhu ethambileyo nethambileyo (catheter) ifakwa nge-urethra nakwisinyi. Oku kunokuvakala kungathandeki kancinci, kodwa akubuhlungu. Oku kungathandeki ngakumbi emva kokuba ijeli yokudambisa iintlungu ifakiwe. Emva koko ityhubhu ibotshelelwa ethangeni lakho ngebhandishi.
5. Ukufakelwa idayi yomahluko: Ngoku, ugqirha uza kufaka idayi yomahluko kancinci kwisinyi sakho ngetyhubhu. Kule ndawo, uza kuva uxinzelelo kwisinyi sakho njengoko sizaliseka.
6. Ukufota imifanekiso ye-X-reyi: Ngelixa isinyi sakho sizala, umatshini we-X-reyi ubekwa phezu kwesisu sakho kwaye ufota imifanekiso eliqela. Lo matshini awuchukumisi umzimba wakho.
7. Ukuchama: Xa isinyi sakho sigcwele ngokupheleleyo, ugqirha wakho uza kukucela ukuba uchame. Ngelo xesha, i-catheter iya kususwa. Ukuba ungumntu omdala, uza kucelwa ukuba uchame kwisitya esikhethekileyo (ibhedi/umchamo). Ukuba ungumntwana omncinci, unokucelwa ukuba uchame ngetawuli etafileni. Oku kuqhelekile, ngoko ungakhathazeki. Kuya kuthathwa ii-X-ray ezininzi ngelixa uchama.
Ii-X-reyi zithathwa zombini xa isinyi sigcwele kwaye singenanto, kuba ngamanye amaxesha umchamo unokuphuma umva ngexesha lazo zombini ezi zigaba.
Ukuba wenza olu vavanyo kumntwana omncinci...
La mava anokuba yinto eyoyikisayo kancinci emntwaneni, ngoko ke njengomama okanye utata, unendima enkulu ekufuneka uyidlale.
- Hlala nomntwana: Kwiimeko ezininzi, omnye wabazali uvumelekile ukuba ahlale nomntwana ngexesha lovavanyo.
- Ndixelele kwangaphambili:Cacisa ngokulula, njengokuthi, "Gqirha, faka nje ityhubhu encinci, ufake amanzi esiswini sakho, uze uthathe ifoto."
- Nika umntwana ithoyizi: Mvumele abambe ithoyizi okanye incwadi ayithandayo. Oku kuya kunceda ekunciphiseni uloyiko lomntwana.
- Zola: Gcina ilizwi lakho lizolile kwaye livuya. Le yinkuthazo enkulu kumntwana.
Yintoni endifanele ndiyixhalabele emva kovavanyo?
Ungagoduka kwangoko emva kokuba uvavanyo luphelile. Ungenza yonke imisebenzi yakho yesiqhelo. Kodwa ezi zinto zihlala zenzeka kusuku okanye ezimbini ezilandelayo.
| Uphawu / Isiganeko | Inkcazo kunye nento omawuyenze |
|---|---|
| Ukutsha xa uchama | Oku kungathatha iiyure ezingama-24 ukuya kuma-48. Sela amanzi amaninzi. Oku kuya kunceda ukucoca inkqubo yomchamo ngokukhawuleza kwaye kunciphise ukudumba. |
| Umbala opinki womchamo | Kuqhelekile ukuba umchamo ube nombala opinki okhanyayo, kodwa ukuba ubomvu obumnyama kwaye unegazi, oko akuqhelekanga. |
| Ukudinga rhoqo ukuchama | Kuqhelekile ukuziva ufuna ukuchama rhoqo usuku olunye okanye ezimbini emva kovavanyo. Chama kwangoko nje wakuziva ufuna ukuchama . Musa ukuzibamba. |
| Ukuba unazo ezi, fowunela ugqirha wakho ngokukhawuleza. | |
| Umkhuhlane kunye nokubanda | Oku kungaba luphawu losulelo. |
| Umchamo obomvu obumnyama | Ukuba ukopha kukhulu kunopinki okhanyayo. |
| Intlungu ebuhlungu esezantsi kwesisu | Ukuba uva intlungu enganyamezelekiyo. |
| Ukuvuvukala okuhlala ixesha elingaphezu kweentsuku ezimbini | Ukuba ukudumba kuhlala ixesha elingaphezulu kweeyure ezingama-48. |
Yintoni esinokuyifunda kwiziphumo?
Ingcali ye-X-ray ehlalutya imifanekiso ye-X-ray iya kulungiselela ingxelo ize iyithumele kugqirha wakho. Oku kungathatha usuku okanye ezimbini.
Le ngxelo iza kukuxelela ngqo ukuba unayo na iVesicoureteral Reflux. Ukuba uyayenza, iya kunikwa amanqaku ukusuka ku-1 ukuya ku-5 ngokusekwe kubukhali bayo. Inombolo 1 yeyona meko incinci, kwaye inombolo 5 yeyona inzima.
Ezi ziphumo ziya kunceda ugqirha wakho ukuba agqibe ngento omawuyenze ngokulandelayo. Ezinye iimeko ezincinci zinokunyangwa ngamayeza. Kwezinye iimeko ezinzima, utyando lunokufuneka. Ugqirha wakho uza kukuchazela konke oku.
Umyalezo Wokuya Ekhaya
- I-VCUG luvavanyo lwe-X-ray olubaluleke kakhulu nolukhuselekileyo olujonga ukusebenza kwesinyi kunye ne-urethra. Oku kubaluleke kakhulu kubantwana abadla ngokufumana usulelo lwendlela yomchamo.
- Nangona olu vavanyo lusenokuvakala lungakhululekanga kancinci, alunabuhlungu. Ukuphela kokungakhululeki kuxa kufakwa i-catheter.
- Ukuba umntwana wakho ubhala olu vavanyo, unganciphisa uloyiko lwakhe ngokumlungiselela kwangaphambili kwaye umchazele ngokulula.
- Kuqhelekile ukuba nemvakalelo yokutshisa kancinci xa uchama kunye nombala opinki okhanyayo kumchamo wakho kangangeentsuku ezimbini emva kovavanyo. Sela amanzi amaninzi ngaloo mihla.
- Ukuba uqalisa ukuba nomkhuhlane, ukopha okubomvu okumnyama, okanye iintlungu zesisu ezingaphantsi ezinganyamezelekiyo, tsalela umnxeba ugqirha wakho ngokukhawuleza.
- Ukuba unemibuzo okanye izinto ezikuxhalabisayo, ungaze ungathandabuzi ukubuza ugqirha wakho.
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