Ingabe ngezinye izikhathi uhlangabezana nobunzima noma ukungakhululeki lapho uchama ? Ungase uzizwe sengathi umchamo wakho ubuthakathaka, noma mhlawumbe ulwa nesifiso esikhulu sokuhamba ngokuzumayo, noma uzithole udinga ukuchama kaningi kunokujwayelekile. Abanye abantu baze bazizwe sengathi isinyi sabo asikapheli ngokuphelele, ngisho noma sebeqedile. Nakuba lokhu kungase kubonakale sengathi kuyizinto ezincane ezicasulayo, kungaba ukuphazamiseka okukhulu. Namuhla, sizokhuluma ngesethi ekhethekile yokuhlolwa eyenzelwe ukuthola imbangela eqondile yalezi zimpawu ezikhungathekisayo.
Kuyini Ukuhlolwa Kwe-Urodynamic?
Kalula nje, ukuhlolwa kwe-urodynamic kuwuchungechunge lwezivivinyo ezihlola ukuthi isinye sakho (isitho esigcina umchamo ), i-sphincter yesinye (umsipha ophakathi kwesinye sakho kanye ne-urethra esebenza njengempompi), kanye ne-urethra (ithubhu lapho umchamo uphuma khona emzimbeni wakho) zisebenza kahle kangakanani. Ndawonye, lezi zitho zaziwa ngokuthi umgudu womchamo ophansi .
Lokhu kuhlolwa kugxila ekutheni umzimba wakho ugcina kahle kangakanani umchamo nokuthi uwukhipha kahle kangakanani . Ngokukhethekile, ukuhlolwa kwe-urodynamic kungalinganisa:
- Indlela izinzwa nemisipha yesinyi sakho esebenza kahle ngayo.
- Amazinga okucindezela ngaphakathi naseduze kwesinye sakho.
- Umthamo kanye nezinga lokugeleza komchamo wakho uma uchama.
Ngokusekelwe emiphumeleni yalezi zivivinyo, udokotela wakho anganquma uhlelo lokwelapha olungcono kakhulu oluhambisana nezimpawu zakho ezithile.
Kunconywa nini ukuhlolwa kwe-Urodynamic?
Lokhu kuhlolwa kuvumela odokotela ukuthi baxilonge ngokunembile izinkinga emgudwini wakho ongezansi womchamo. Khumbula, uhlelo lwakho lomchamo lusebenza njengohlelo lokukhipha amanzi emzimbeni wakho ukuze luhlunge futhi lususe ukungcola kanye noketshezi oluningi.
Ukuhlolwa okuningi kwe-urodynamic kuklanyelwe ukuhlola ukuthi isinye sakho sigcina umchamo kahle kangakanani nokuthi siwukhipha ngokuphelele kangakanani. Esiswini esinempilo, ukuchama kufanele kuhlale kuzinzile, kuqhubeke, futhi kuholele ekukhipheni ngokuphelele.
Udokotela wakho angase akuncome lokhu kuhlolwa uma ubhekene nanoma yiziphi izimpawu ezilandelayo:
- Noma yiluphi uhlobo lokungakwazi ukuzibamba ngomchamo `(Ukungakwazi ukuzibamba ngomchamo)` (ukuvuza komchamo ngengozi).
- Isifiso esingazelelwe, esingalawuleki sokuchama , noma isidingo sokuchama njalo .
- Uzwa ubuhlungu ngesikhathi uchama.
- Ukutheleleka okuphindaphindiwe kwendlela yomchamo `(UTIs)`.
- Ubunzima noma ukungabaza lapho uqala ukuchama.
- Ukungakwazi ukukhipha ngokuphelele isinye `(Ukugcinwa Komchamo)`.
- Umchamo obuthakathaka, ohamba kancane, noma ophuma ngezikhathi ezithile .
Isibonelo, uSarah ubona ukuvuza okuncane komchamo noma nini lapho ehleka noma ekhwehlela, okumenza abe namahloni amakhulu. Udokotela wakhe watusa ukuhlolwa kwe-urodynamic ukuze kutholakale imbangela yezimpawu zakhe.
Izimpawu ezinjengalezi zivame ukukhombisa ukuthi kunenkinga eyisisekelo ethinta umgudu wakho womchamo ongezansi.
Ukuhlolwa kwe-Urodynamic Kwenziwa Kanjani?
Kunezinhlobo eziningana zokuhlolwa kwe-urodynamic, ngayinye igxile ezicini ezahlukene zomsebenzi womchamo. Ukuze uthole isithombe esiphelele sendlela uhlelo lwakho lomchamo olusebenza ngayo, udokotela wakho angenza ukuhlolwa okuningi ngesikhathi esisodwa.
Ake sibheke kabanzi izinhlobo eziyinhloko zokuhlolwa kwe-urodynamic.
I-Cystometry (i-Cystometrogram)
Ukuhlolwa kwe-cystometry, okwaziwa nangokuthi i-cystometrogram, kulinganisa ingcindezi ngaphakathi kwesinye sakho kusetshenziswa ama-catheter (amashubhu amancane, aguquguqukayo). Lokhu kuhlolwa kuhlola:
- Ukuthi isinye sakho singabamba umchamo ongakanani kahle.
- Ukucindezela kwangaphakathi kwesinye sakho njengoba sigcina umchamo, nokuthi lokho kucindezela kukhula kanjani njengoba kugcwala.
- Ukuthi isinyi sakho sigcwele kangakanani uma uqala ukuzwa isifiso sokuchama .
Kuphinde kusize ekuboneni noma yikuphi ukufinyela kwesinye okungahleliwe noma ukuqaqamba njengoba isinye sakho sigcwaliswa.
Ukuhlolwa kwe-cystometry kuqala ngesinyi esingenalutho. Udokotela wakho uzofaka i-catheter encane ngesinyi sakho nge-urethra. Le catheter ifakwe inzwa yokulinganisa ingcindezi ebizwa ngokuthi i- manometer ukuqapha ingcindezi yesinyi kulo lonke uvivinyo. Ukuze kulinganiswe ingcindezi esiswini sakho, i-catheter yesibili encane ingafakwa esithweni sangasese sowesifazane noma e-rectum.
Okulandelayo, isinye sakho sigcwaliswa kancane kancane ngamanzi afudumele, ahlanzekile noma usawoti. Njengoba isinye sakho sigcwala, ungase ucelwe ukuba ukhwehlele noma uqinise ukuze uhlole noma yikuphi ukuvuza komchamo (okwaziwa ngokuthi ingcindezi yamaphuzu okuvuza). Ekugcineni, uzocelwa ukuthi ukhiphe konke okusesinyeni sakho. Phakathi nalokhu, i-manometer iqopha kokubili ingcindezi yesinye kanye nesilinganiso sokugeleza komchamo (isilinganiso sokugeleza kwengcindezi).
Ezinye iziguli zikuthola kunzima ukuchama uma kune-catheter endaweni noma kukhona abasebenzi bezokwelapha egumbini. Sicela ungabi namahloni; lokhu kuyindlela evamile kakhulu futhi evamile yokusabela. Nakuba ungase uzizwe ungakhululekile noma ucindezelekile njengoba kufakwa i-catheter, inqubo ngokwayo ayibuhlungu .
Kwabesilisa, imiphumela yalolu vivinyo inganikeza nokuqonda okubalulekile kokuthi ngabe i-prostate ekhulisiwe `(i-Prostate Ekhulisiwe)` iyavimba yini ukugeleza komchamo futhi ibangela izimpawu.
I-Electromyography (EMG)
Ukuhlolwa kwe-electromyography (EMG) kulinganisa umsebenzi kagesi wemisipha nezinzwa ezisesinyeni sakho nasezizungezile. Ama-electrode patches amancane, anamathelayo abekwa esikhumbeni eduze kwe-urethra yakho kanye ne-rectum ukuze kuqoshwe izimpawu zikagesi ezikhiqizwa lapho imisipha yakho yephansi le-pelvic `(Pelvic Floor Muscles)` ifinyela futhi iphumule.
I-Uroflowmetry
I-Uroflowmetry ilinganisa umthamo womchamo owukhiphayo nokuthi ugeleza ngokushesha kangakanani. Kulolu vivinyo, udokotela wakho uzokucela ukuthi ufike unesinye esigcweleUzocelwa ukuthi uchamele kudivayisi ekhethekile (efana nendlu yangasese) eqopha ngokuzenzakalelayo ivolumu kanye nezinga lokugeleza komchamo wakho, okwenza igrafu yemiphumela yakho. Lokhu kusiza ekuboneni ukuthi imisipha yesinye sakho ibuthakathaka noma uma kukhona ukuvinjelwa okubangela ukugeleza komchamo okuhamba kancane noma okuphazamisekile.
Ukulinganisa Okusele Kwangemva Kokungasebenzi (i-PVR)
Lokhu kuhlolwa kulinganisa inani lomchamo osele esinyeni sakho ngemva kokuqeda ukuchama, okwaziwa ngokuthi i- postvoid residual . Nakuba kuvamile ukuba inani elincane lomchamo lihlale, inani elikhulu libonisa inkinga. Udokotela wakho uzosebenzisa i- ultrasound engangenisi (evame ukubizwa ngokuthi i-bladder scanner) ukuthatha isithombe sesinyeni sakho bese ebala leli nani.
Uma i-ultrasound ingenakukwenziwa ngenxa yezici ezithile zomzimba, i-catheter yesikhashana ingafakwa ngobumnene e-urethra ukuze kukhishwe futhi kulinganiswe umchamo osele. Ngokuvamile, ivolumu eseleyo engama-ounces angu-5 kuya kwangu-6 (cishe ama-150-180 ml) noma ngaphezulu isho ukuthi isinye sakho asiphumi ngokuphelele, yize izinombolo eziqondiwe zingahluka. Udokotela wakho uzoxoxa ngokuthi imiphumela yakho ethile isho ukuthini kuwe.
Ukuhlolwa kwe-Urodynamic kwevidiyo
Ukuhlolwa kwe-urodynamic kwevidiyo kuhlanganisa i-cystometry, i-uroflowmetry, kanye ne-X-ray cystography kube inqubo eyodwa ebanzi. Kusetshenziswa izithombe zedijithali ezithuthukisiwe, ubuchwepheshe be-X-ray buthwebula izithombe zesikhathi sangempela zesinye sakho kanye ne-urethra njengoba zigcwalisa futhi zikhipha. Lokhu kunikeza ukuqonda okubalulekile ngobukhulu kanye nesimo sesinye sakho nokuthi sisebenza kahle kangakanani.
Uma kusetshenziswa ama-X-ray, isinyi sakho sizogcwala idayi ekhethekile yokuhlukanisa ukuze izithombe zicace kakhulu. Nakuba lolu ketshezi lokuhlukanisa lungamuncwa ngumzimba wakho, kubalulekile ukwazisa udokotela wakho ngaphambi kokuhlolwa uma une-allergies , ikakhulukazi kumadayi okuhlukanisa noma i-iodine.
Ingabe Udinga Ukulungiselela Lezi Zivivinyo?
Ezimweni eziningi, akudingeki ukulungiselela okukhethekile. Ezivivinyweni ezithile, udokotela wakho angakucela ukuthi uphuze uketshezi oluningi kusengaphambili ukuze ufike unesinye esigcwele kahle. Qiniseka ukuthi uxoxa nganoma yimiphi imibuzo noma ukukhathazeka nomhlinzeki wakho wezempilo ngaphambi kokuqokwa kwakho. Ungakhohlwa ukubuza ukuthi udinga ukuyeka okwesikhashana yini ukuthatha noma yimiphi imithi yakho evamile ngaphambi kokuhlolwa.
Kwenzekani Ngemva Kokuhlolwa?
Ungase uzwe ukungakhululeki okuncane noma umuzwa wokushisa okuncane uma uchama . Lokhu kuvamile futhi kufanele kuphele phakathi namahora ambalwa. Ungase futhi uqaphele amaconsi ambalwa egazi emchameni wakho. Ukuphuza ingilazi eyodwa kuya kwezimbili zamanzi (ama-ounces angu-8 kuya kwangu-16) njalo ngehora cishe amahora amabili kungasiza ekususeni isimiso somzimba wakho futhi kunciphise lezi zimpawu.
Udokotela wakho angase asikisele ukugeza ngamanzi afudumele noma ukufaka indwangu yokugeza efudumele nemanzi emngxunyeni we-urethra ukuze kudambise noma yikuphi ukungakhululeki. Uma kudingeka, ungathatha futhi umuthi wokunciphisa izinhlungu otholakala ngaphandle kwe-oda likadokotela (imithi yobuhlungu ye-OTC)`.
Kwezinye izimo, udokotela wakho angase akunikeze inkambo emfushane yama -antibiotic ukuvimbela ukutheleleka, nakuba lokhu kungadingeki ngaso sonke isikhathi.Uma uba nezimpawu zokutheleleka, njengomkhuhlane, ukubanda, noma ubuhlungu obukhulu, xhumana nodokotela wakho ngokushesha noma ufune izinsizakalo zezokwelapha eziphuthumayo.
Kuthatha Isikhathi Esingakanani Lokhu Kuhlolwa?
Nakuba ubude obuqondile bungahluka kuye ngokuhlolwa okuthile okwenziwayo, inqubo ivame ukuthatha imizuzu engama-30 kuya kwengama-45 .
Ingabe Zikhona Izingozi Ngokuhlolwa Kwe-Urodynamic?
Ukuhlolwa kwe-Urodynamic kuphephile kakhulu futhi kwenziwa njalo . Kodwa-ke, ngenxa yokuthi i-catheter ifakwa kwi-urethra, kunengozi encane kakhulu yokuthola ukutheleleka kwe-urinary tract (UTI) .
Ingabe Ukuhlolwa Kwe-Urodynamic Kubuhlungu?
Ukuhlolwa kwe-Urodynamic akufanele kube buhlungu . Nakuba ungase uzwe ukusha okuncane noma ukungakhululeki phakathi noma kuze kube amahora angama-24 ngemva kokuhlolwa, ubuhlungu obukhulu abuvamile kakhulu futhi kufanele bubikwe kudokotela wakho ngokushesha.
Ingabe Uzolaliswa Ubuthongo Noma Uzolaliswa Ngaphambi Kokuhlolwa?
Kwabantu abadala, ukudambisa ubuhlungu `(Sedation)` noma i-anesthesia `(Anesthesia)` ngokuvamile akudingeki ekuhlolweni kwe-urodynamic. Kodwa-ke, uma ukuhlolwa kwenziwa enganeni, kungasetshenziswa umuthi wokudambisa omncane ukuze uyisize ihlale ikhululekile futhi ikhululekile. Uma unenkinga mayelana nenduduzo, sicela uxoxe ngayo nethimba lakho lokunakekela kusengaphambili.
Uzoyithola Nini Imiphumela Yakho Yokuhlolwa?
Imiphumela evela ekuhlolweni okulula njenge-cystometry `(Cystometry)` kanye ne-uroflowmetry `(Uroflowmetry)` ivame ukutholakala ngokushesha . Ukuhlolwa okuyinkimbinkimbi kakhulu, njenge-electromyography `(Electromyogram)` noma ukuskena kwe-urodynamic kwevidiyo `(Video Urodynamic)`, kungadinga izinsuku ezimbalwa ukuze kuhlaziywe kahle. Udokotela wakho uzobuyekeza okutholakele nawe ukuze axoxe ngezinyathelo ezilandelayo futhi ancome uhlelo lokwelashwa.
Uyini umehluko phakathi kwe-Urodynamics ne-Urology?
Nakuba zihlobene kakhulu, zihlukile. I-Urology `(Urology)` iwubuchwepheshe bezokwelapha obugxile empilweni yesistimu yomchamo kanye nezitho zokuzala zesilisa. I-Urodynamics `(Urodynamics)` ibhekisela ezivivinyweni ezithile zokusebenza ezisetshenziselwa ukukala ukuthi indlela engezansi yomchamo igcina futhi ikhipha kanjani umchamo, okusiza odokotela be-urologist ukuthola izinkinga ezithile.
Izinto Ezibalulekile Okufanele Uzikhumbule
Ukuhlolwa kwe-Urodynamic kuyithuluzi elibalulekile lokuxilonga elisiza ukuhlola izimo ezithinta isinye sakho, i-sphincter, kanye ne-urethra. Lezi yizinqubo eziphephile, eziqondile, nezisebenza kahle kakhulu ezinikeza ithimba lakho lezempilo idatha eqondile edingekayo ukuqonda ukuthi isinye sakho sigcina futhi sikhipha kanjani umchamo.
Sicela ukhumbule, uma unemibuzo noma ukukhathazeka mayelana nenqubo noma imiphumela yakho, ungangabazi ukubuza udokotela wakho. Ithimba lakho lezokunakekelwa kwempilo likhona ukukusekela kuzo zonke izinyathelo zendlela!
Uma uhlangabezana nanoma yiziphi izimpawu zokutheleleka, njengomkhuhlane, ukubanda, noma ubuhlungu obungapheli, obukhulu obudlula ukungakhululeki okuncane ngemva kwenqubo, sicela ufune usizo lwezokwelapha ngokushesha.
👩🏽⚕️ Imibuzo Evame Ukubuzwa (Imibuzo Evame Ukubuzwa)
💬 Kuyini ukuhlolwa kwe-urodynamic?
Luchungechunge lwezivivinyo ezisebenzisa imishini ekhethekile ukukala ukuthi isinyi sakho sigcina futhi sikhipha umchamo ngempumelelo kangakanani.
💬 Ubani odinga lolu vivinyo?
Odokotela bavame ukuncoma lokhu kuhlolwa uma unenkinga yokuchama njalo, ukuphuthuma okungazelelwe, ukuvuza lapho ukhwehlela noma uhleka (ukungakwazi ukuzibamba), noma ubunzima bokukhipha isisu sakho ngokuphelele.
💬 Ingabe inqubo ibuhlungu?
Cha, akubuhlungu kakhulu. Nakuba ungase uzizwe ucindezelekile noma ungakhululekile njengoba kufakwa i-catheter, kusetshenziswa ijeli yendawo yokudambisa izinhlungu ukuze inqubo ibe ntofontofo ngangokunokwenzeka.
Uhlelo lomchamo, isinyi, ukuhlolwa kwe-urodynamic, ubunzima bokuchama, ukuhlolwa kokusebenza kwesinyi, i-cystometry, i-uroflowmetry
