Ingabe nawe unezinkinga zokuchama? Ake sixoxe ngezivivinyo ze-urodynamic!

Ungase futhi ubhekane nobunzima nezinkinga ezahlukahlukene ngokuchama , okungukuthi, ukuchama, ngezinye izikhathi, akunjalo? Cabanga ngakho, mhlawumbe uzizwa sengathi unamandla amancane emgudwini wakho womchamo , noma ungase ube nesidingo esikhulu sokuchama ngokuzumayo, noma kungase kudingeke ukuthi uchame njalo. Abanye abantu bangase bazizwe sengathi kusekhona umchamo esinyeni sabo ngisho nangemva kokuba sebeqedile ukuchama . Namuhla, sizokhuluma ngendlela yokuhlola ekhethekile engakusiza ukuthola imbangela eqondile yalezi zinkinga ezibonakala zincane, kodwa ezicasulayo ngempela.

Ziyini lezi zivivinyo ze-urodynamic?

Kalula nje, izivivinyo ze-urodynamic ziyisethi yezivivinyo ezihlola ukuthi isinye sakho (isitho esifana nesikhwama esiqoqa futhi sigcine umchamo ), i-urethra (umsipha ophakathi kwesinye kanye nendlela lapho umchamo uphuma khona - njengompompi), kanye ne-urethra (ipayipi elikhipha umchamo ) zisebenza kahle kangakanani. Lezi zitho zibizwa nangokuthi umgudu womchamo ophansi .

Lokhu kuhlolwa kubheka kakhulu ukuthi umzimba wakho uqoqa futhi ugcina kahle kangakanani umchamo, nokuthi uwukhipha kahle kangakanani . Ngokukhethekile, lokhu kuhlolwa kungalinganisa:

• Indlela izinzwa nemisipha esinyeni sakho esebenza kahle ngayo.
• Ingcindezi injani ngaphakathi naseduze kwesinye?
• Uma uchama , ukuthi umchamo uphuma ngokushesha kangakanani nokuthi ungakanani .

Ngokusekelwe emiphumeleni yalezi zivivinyo, udokotela wakho anganquma uhlelo lokwelapha olungcono kakhulu lwezimpawu zakho.

Lezi zivivinyo ze-urodynamic zenziwa nini?

Lokhu kuhlolwa kungasiza odokotela ukuthi babone izinkinga emgudwini wakho womchamo ongezansi. Khumbula, umchamo ufana nohlelo lokukhipha amanzi olususa imfucuza kanye noketshezi oluningi emizimbeni yethu.

Ukuhlolwa okuningi kwe-urodynamic kuhlose ukuthola ukuthi isinye sakho sigcina kahle kangakanani umchamo nokuthi sikhipha kahle kangakanani. Isinye esinempilo kufanele sikhiphe umchamo njalo, njalo, nangokuphelele.

Udokotela wakho angase akucele lezi zivivinyo uma unezimpawu ezifana nalezi:

• Ukungakwazi ukuzibamba ngomchamo yinoma yiluphi uhlobo lokungakwazi ukulawula ukuchama (okungukuthi, ukulahlekelwa umchamo ngokungazi).
• Uma ngokuzumayo uba nesifiso esingenakuphikiswa sokuchama , noma uma udinga ukuchama njalo .
• Uma uzwa ubuhlungu lapho uchama.
• Uma uthola izifo zomgudu womchamo eziphindaphindayo (UTIs).
• Uma unenkinga yokuqala ukuchama.
• Uma unenkinga lapho ungakwazi khona ukukhipha ngokuphelele isinye sakho (Ukugcinwa Komchamo).
• Uma umchamo uhamba kancane kakhulu , ubuthakathaka , noma ungenaso isikhathi .

Cabanga nje, uNilanthi Akka uvuza umchamo omncane uma ehleka noma ekhwehlela. Lokhu kuyambangela amahloni kakhulu. Udokotela uthe akenze isivivinyo se-urodynamic ukuthola imbangela eqondile yalokhu.

Izimpawu ezinjengalezi zibonisa ukuthi kungase kube nenkinga ethile ngomgudu wakho womchamo ongezansi.

Lezi zivivinyo ze-urodynamic zenziwa kanjani?

Kunezinhlobo eziningana zokuhlolwa kwe-urodynamic, ngayinye esebenza ngendlela ehlukile kancane. Ngezinye izikhathi udokotela wakho angenza izivivinyo eziningana ngesikhathi esisodwa ukuze aqonde kangcono ukuthi uhlelo lwakho lomchamo lusebenza kanjani.

Ake sibheke ezinye zezinhlobo eziyinhloko zokuhlolwa.

Ukuhlolwa kwe-Cystometry

Ukuhlolwa kwe-cystometry, noma i-cystometrogram, ukuhlolwa okusebenzisa ama-catheter ( amashubhu amancane, aguquguqukayo) ukukala ingcindezi ngaphakathi kwesinye sakho. Lokhu kuhlolwa kungakutshela ukuthi:

• Ukuthi isinye sakho singabamba umchamo ongakanani .
• Ingcindezi engaphakathi kwesinye uma sigcina umchamo, nokuthi leyo ngcindezi ikhula ngokushesha kangakanani njengoba esinyeni sigcwala.
• Ukuthi isinyi sakho sigcwele kangakanani uma uzizwa udinga ukuchama.

Lokhu kuhlolwa kungalinganisa nokufinyela noma ukuqaqamba okwenzeka odongeni lwesinye lapho isinye sigcwala.

Ukuhlolwa kwe-cystometry kuqala ngesinyi esingenalutho. Udokotela wakho uzofaka i-catheter encane nge-urethra yakho iye kwesinye. Le catheter inenzwa ebizwa ngokuthi i-manometer kuyo, engalinganisa ingcindezi kwesinye sakho kulo lonke ukuhlolwa. Udokotela wakho angase futhi afake enye i-catheter esithweni sakho sangasese noma e-rectum ukuze alinganise ingcindezi engaphakathi kwesisu sakho.

Ngemuva kwalokho, zizogcwalisa kancane kancane isinye sakho ngoketshezi olufudumele nolungenamagciwane. Njengoba isinye sakho sigcwala, ungase ucelwe ukuba ukhwehlele noma uhluze. Lokhu kubizwa ngokuthi "Ukucindezela Kwendawo Yokuvuza" (Leak Point Pressure), okuyilapho umchamo uvuza khona ngenxa yokucindezela. Ekupheleni kwe-cystometrogram, uzocelwa ukuthi ukhiphe isinye sakho. I-manometer izobe isilinganisa ingcindezi esisinyeni sakho kanye nesivinini lapho umchamo ugeleza khona (``Ukulinganisa Ukugeleza Kokucindezela``).

Abanye abantu bangase babe nobunzima bokukhipha i-catheter esinyini sabo, ikakhulukazi uma bene-catheter endaweni noma uma omunye umuntu esegumbini. Uma lokhu kwenzeka, ungabi namahloni, kuyinto evamile. Nakuba ungase uzizwe ungakhululekile lapho udokotela efaka i-catheter e-urethra yakho, ukuhlolwa akubuhlungu .

Kwabesilisa, imiphumela yalolu vivinyo inganikeza nombono wokuthi indlala ye-prostate ikhulisiwe yini (i-prostate ekhulisiwe), okuyisimo esibangela ubunzima bokuchama.

Ukuhlolwa kwe-Electromyography

I-Electromyography ilinganisa umsebenzi kagesi wesinyi sakho kanye nemisipha kanye nemizwa ezungeze sona. Babeka ama-electrode patches (njengezitikha ezincane) eduze kwe-urethra yakho kanye ne-anus bese beqopha amagagasi kagesi avela lapho imisipha yakho yephansi le-pelvic ifinyela.

Ukuhlolwa kwe-Uroflowmetry

Olunye uhlolo olulinganisa ukuthi uchama kangakanani nokuthi ushesha kangakanani lubizwa ngokuthi i-uroflowmetry. Uma ufika kulolu hlolo, udokotela wakho uzokucela ukuthi ugcwalise isinye sakho . Uzochama emshinini okhethekile (njengendlu yangasese kagesi). Ilinganisa ngokuzenzakalelayo inani kanye nesivinini sokugeleza komchamo wakho futhi idale igrafu ekhombisa izinguquko. Imiphumela ingabonisa ukuthi imisipha yesinye sakho ibuthakathaka noma ukuthi ukugeleza komchamo wakho kubuthakathaka noma kuphazamisekile ngenxa yohlobo oluthile lokuvinjelwa.

Ukulinganisa Okusele Kwangemva Kokungasebenzi

Lokhu kuhlolwa kwe-``Postvoid Residual Measurement`` kulinganisa inani lomchamo osele esinyeni sakho ngemuva kokuqeda ukuchama. Lokhu kubizwa ngokuthi i-postvoid residual. Wonke umuntu usele nengxenye encane. Udokotela wakho uvame ukusebenzisa ukuhlolwa kwe-ultrasound (sikubiza ngokuthi i-``Bladder Scanner``) ukuthatha isithombe sesinyeni sakho.

Abanye abantu abanezimo ezithile zezokwelapha bangase bangakwazi ukwenza lokhu kuskenwa kwesinye. Ezimweni ezinjalo, kufakwa i-catheter esinyini nge-urethra bese kukhishwa umchamo owengeziwe ukuze kubonakale ukuthi ujwayelekile yini. Ngokuvamile, kusala ama-ounces angu-5-6 (cishe ama-150-180 ml) noma ngaphezulu komchamo, okuwuphawu lokuthi isinye asiphumi ngokuphelele. Kodwa-ke, lokhu kungahluka kuye ngomuntu nomuntu. Udokotela wakho uzoxoxa nawe ngemiphumela.

Ukuhlolwa kwe-Urodynamic kwevidiyo

Ukuhlolwa kwe-video kwe-urodynamic kuyinhlanganisela ye-cystometry, i-uroflowmetry, kanye ne-X-ray cystography. Imishini yedijithali esetshenziswa kulokhu kuhlolwa isebenzisa i-X-ray ukukala ingcindezi esinyeni kanye ne-rectum kanye nokugeleza komchamo. Lawa madivayisi athatha izithombe zesinyi njengoba sigcwalisa futhi sikhipha. Lezi zivivinyo zinikeza ulwazi olubalulekile mayelana nomsebenzi wesinyi kanye ne-urethra, kanye nokukhombisa usayizi nesimo sesinyi.

Uma uhlolwa nge-X-ray, isinyi sakho sizogcwala uketshezi olukhethekile olubizwa ngokuthi "i-Contrast Dye".Lokhu kuvumela izithombe ukuthi zibonakale ngokucacile. Lezi zinhlobo ze-`(Contrast Dye)` azivamile ukumuncwa umzimba. Kodwa-ke, uma umuntu ene-`(Allergy)` kulezi zinhlobo zoketshezi (noma ezinye izinto ezibangela ukungezwani komzimba), kufanele atshele udokotela ngaphambi kwanoma yikuphi ukuhlolwa.

Ingabe ngidinga ukulungiselela ngqo ngaphambi kwalezi zivivinyo?

Esikhathini esiningi, lezi zivivinyo azidingi ukulungiswa okukhethekile. Kwezinye izivivinyo, udokotela wakho uzokutshela ukuthi uphuze amanzi amaningi futhi ugcwalise isinyi ngaphambi kokuhlolwa. Qiniseka ukuthi ubuza udokotela wakho noma yimiphi imibuzo onayo ngaphambi kokuhlolwa. Futhi, buza ukuthi udinga ukuyeka yini ukuthatha noma yimiphi imithi ngaphambi kokuhlolwa.

Kwenzekani ngemva kokuhlolwa?

Ungase uzizwe ungakhululekile noma ushile uma uchama . Lokhu kufanele kuphele phakathi namahora ambalwa. Ungase ubone namaconsi ambalwa egazi emchameni wakho . Ukuphuza ama-ounces angu-8-16 (izingilazi ezingu-1-2) zamanzi ngehora cishe amahora amabili kungasiza ekunciphiseni lezi zimpawu.

Udokotela wakho angase akuncome ukuthi ugeze ngamanzi afudumele noma ubeke indwangu efudumele, emanzi phezu komchamo wakho. Uma kudingeka, angase akuncome nokuthi uthathe umuthi wezinhlungu othengiswa ngaphandle kwemithi kadokotela (OTC).

Kwezinye izimo, udokotela wakho angase akunikeze umuthi wokulwa namagciwane ukuvimbela ukutheleleka, kodwa lokhu akudingeki ngaso sonke isikhathi. Uma unezimpawu zokutheleleka, njengomkhuhlane, ukubanda, noma ubuhlungu obukhulu, tshela udokotela wakho ngokushesha.

Kuthatha isikhathi esingakanani lokhu kuhlolwa?

Nakuba kunzima ukusho ukuthi ukuhlolwa kuzothatha isikhathi esingakanani, ngokuvamile ungalindela ukuthi kuthathe imizuzu engama-30 kuya kwengama-45 .

Ingabe zikhona izingozi ngokuhlolwa kwe-urodynamic?

Ukuhlolwa kwe-Urodynamic kuyindlela ephephile kakhulu futhi ethembekile yokuhlola. Kodwa-ke, ngenxa yokuthi i-catheter ifakwa ku-urethra, kunethuba elincane kakhulu lokutheleleka komgudu womchamo .

Ingabe lezi zivivinyo zibuhlungu?

Ukuhlolwa kwe-Urodynamic akufanele kube buhlungu . Ungase uzizwe ushisa kancane noma ungakhululeki cishe amahora angama-24 ngemva kokuhlolwa, kodwa akufanele kube nobuhlungu obukhulu.

Uzonikezwa imithi yokuzola ngaphambi kokuhlolwa? Noma uzonikezwa imithi yokubulala izinzwa?

Abantu abadala ngokuvamile abadingi ukudambisa noma ukubulala izinzwa ngaphambi kokuhlolwa kwe-urodynamic. Kodwa-ke, uma ingane encane yenza lokhu kuhlolwa, inganikwa umuthi wokudambisa omnene kakhulu ukuze ihlale izolile . Uma unemibuzo ngalokhu, kungcono ukukhuluma nodokotela wakho.

Ngizoyithola nini imiphumela yokuhlolwa kwami?

Imiphumela yokuhlolwa okufana ne-cystometry kanye ne-uroflowmetry yileKufanele wazi ngalolo suku. Kungathatha izinsuku ezimbalwa ukuthi imiphumela yokuhlolwa njenge-electromyogram kanye ne-video urodynamics ibuye. Uma imiphumela isifikile, udokotela wakho uzokhuluma nawe ngayo. Kungase kudingeke ukuthi ubonane nodokotela wakho futhi ukuze nixoxe ngezinyathelo ezilandelayo kanye nokwelashwa.

Ingabe i-Urodynamics ne-Urology ziyinto efanayo?

Yebo, lokhu okubili kuhlukile kancane. I-Urology iwumkhakha wezokwelapha ofunda izifo ezithinta uhlelo lwakho lomchamo. I-Urodynamics iwukuhlolwa okulinganisa ukuthi umgudu wakho womchamo ongezansi usebenza kanjani. Lokhu kuhlolwa kungasiza ekuboneni noma yiziphi izinkinga ezingaba khona.

Okokugcina, izinto ezimbalwa okufanele uzikhumbule

Ukuhlolwa kwe-Urodynamic ukuhlolwa okusiza ekuxilongeni izimo ezithinta isinye sakho, i-sphincter yesinye sakho, kanye ne-urethra yakho. Lokhu ukuhlolwa okuphephile nokulula okunikeza udokotela wakho ukuqonda okubalulekile kokuthi isinye sakho sibamba futhi sikhipha kanjani umchamo.

Ungakhohlwa, uma unemibuzo mayelana nalolu vivinyo noma imiphumela yakho, ungabi namahloni okubuza udokotela wakho. Bakhona ukuzokusiza!

Uma uba nezimpawu zokutheleleka ngemva kwalezi zivivinyo, njengomkhuhlane, ukubanda , noma uma usenokungakhululeki okungaphezu kokuvamile ngemva kwamahora ambalwa, bheka udokotela ngokushesha.

Uhlelo lomchamo, isinyi, ukuhlolwa kwe-urodynamic, ukungakwazi ukuzibamba komchamo, ukuhlolwa kokugcinwa komchamo, i-cystometry, i-uroflowmetry