Ingabe ingane yakho ivame ukuthola izifo zomgudu womchamo? Ake sixoxe ngokuhlolwa kwe-VCUG (Voiding Cystourethrogram)!

Wake wezwa ngokuhlolwa kwe-VCUG? Udokotela wakho kungenzeka ukuthi ukutshelile wena noma ingane yakho ukuthi udinga ukwenza lokhu kuhlolwa. Kuvamile ukuzizwa wesaba kancane uma uzwa lokho. Kodwa uma usukwazi kahle ukuthi kuyini nokuthi kungani kwenziwa, lokho kwesaba kuzophela. Namuhla, ake sixoxe ngalolu vivinyo olubizwa nge-VCUG ngamagama alula.

Uyazi ukuthi iyini i-VCUG (Voiding Cystourethrogram)?

Kalula nje, i-VCUG iyisivivinyo esikhethekile esibheka ukuma, usayizi, nokuthi isinyi sakho kanye ne-urethra yakho kugcwala futhi kuthulula kangakanani. Cabanga ngakho njengethangi lamanzi, indawo yokuqoqa nokugcina umchamo. Ukuhlolwa kwe-VCUG kungasiza odokotela ukuthola ukuthi kukhona yini ukukhubazeka noma izinkinga kulesi simiso somchamo.

Lokhu kuhlola kusebenzisa uketshezi olukhethekile (udayi wokungafani) – uketshezi olunombala oluvela ngokucacile ezithombeni ze-X-ray – kanye ne -X-ray . Uma lolu ketshezi lufakwa esinyeni, i-X-ray ikhombisa ukuthi isinyi sigcwalisa futhi sikhipha kanjani, kanye nendlela umchamo ogeleza ngayo. Ngokukhethekile, ingathola izinto ezifana nokuvinjelwa endleleni amanzi ageleza ngayo esinyeni, noma ukuthi amanzi ageleza yini phezulu.

Ngokuvamile, umchamo kufanele ugeleze usuka kwesinye uye e-urethra bese uphuma emzimbeni. Kodwa ngezinye izikhathi, umchamo ovela kwesinye ungageleza ubuyele phezulu ngama-ureter uye ezinso. Lokhu akukuhle. Lokhu kungabangela ukutheleleka kwezinso (i-pyelonephritis) , okungalimaza futhi kubangele izibazi ezinso.

Ukuhlolwa kwe-VCUG kuvame ukwenziwa ngudokotela we-radiologist, kungaba sehhovisi likadokotela wakho, esibhedlela, noma esikhungweni sezithombe sangaphandle. Uzobe uphapheme ngesikhathi sokuhlolwa. Ungase uzizwe ungakhululekile, kodwa akukho okufanele ukhathazeke ngakho. Ukuhlolwa kwe-VCUG kuthatha isikhathi esingaphansi kwehora. Ngemuva kwalokho ungenza imisebenzi yakho evamile.

Odokotela batusa lokhu kuhlolwa kwe-VCUG, ikakhulukazi ezinganeni ezincane nezinsana ezinezifo ezivame ukutheleleka ngomgudu womchamo (UTIs) , ngoba izifo ezingapheli zingathinta izinso zazo.

Yini engatholakala ekuhlolweni kwe-VCUG?

Ukuhlolwa kwe-VCUG kungasiza udokotela wakho ukuthi aqonde kangcono ukuthi uhlelo lwakho lomchamo lusebenza kanjani.

Isimo esiyinhloko esitholwa yilokhu yi -vesicoureteral reflux noma i-ureteral reflux. Lokhu kusho ukuthi umchamo wakho ugeleza ubuyele phezulu kuma-ureter uye ezinso esikhundleni sokuphuma kwesinye. Lokhu kungaholela ekuthelelekeni kwezinso kanye ne-UTIs evame ukwenzeka. Ukuhlolwa okuyinhloko kokuthola lesi simo ezinganeni yi-VCUG.

Akukhona lokho kuphela, ukuqina kwe-urethraIngaphinde ibone izimo ezibangela ukuvaleka komgudu womchamo, okusho ukuthi kunzima ngawe ukuchama.

Kunini lapho kudingeka khona i-VCUG?

Isizathu esiyinhloko sokwenza isivivinyo se-VCUG ukuthola isimo esishiwo ngenhla se-ureteral reflux. Lesi simo singavela ngezizathu ezilandelayo:

• Uma unezifo zomgudu womchamo ezingapheli (UTIs) .
• Uma kukhona isimo sokuzalwa noma inkinga ohlelweni lomchamo.
• Ezimweni ezinjengokungalawuleki komchamo , ukuncishiswa kwe-urethra, noma ukwanda kwe-prostate kwabesilisa.
• Uma uke waba nokulimala, ukutheleleka, noma ukuhlinzwa kwendlela yomchamo ngaphambilini.
• Uma othile emndenini eke waba nalesi simo sokuchama (ithonya lezakhi zofuzo).

Ukuhlolwa kwe-VCUG kwenziwa kanjani?

Lokhu kuyinto edinga incazelo encane. Ungakhathazeki, ngizokugcina kulula.

Ukuhlolwa kuhilela ukufaka ithubhu elincane neliguquguqukayo (i-catheter yomchamo) nge-urethra yakho iye kwesinye. Ngemuva kwalokho, idayi yokungafani esekelwe ku-iodine ifakwa kwesinye nge-catheter. Uma esinyeni sakho sesigcwele idayi, udokotela we-radiologist uthatha izithombe ze-X-ray. I-catheter iyasuswa bese kuthathwa izithombe ze-X-ray ngenkathi uchama. Lokhu kubonisa ngqo ukuthi idayi iya kuphi nokuthi kukhona yini izinkinga.

Ingabe udinga ukulungiselela ngaphambi kokuhlolwa?

Yebo, kukhona ukulungiselela okuncane.

• Kufanele utshele udokotela wakho kusenesikhathi nganoma yimiphi imithi oyithathayo kanye nanoma yikuphi ukungezwani komzimba okungenzeka ukuthi unakho . Ungase ucelwe ukuthi uyeke ukuthatha imithi ethile ezinsukwini ezimbalwa ngaphambi kokuhlolwa.
• Uma kungenzeka ukuthi wena (noma ingane yakho) nikhulelwe, qiniseka ukuthi uyamtshela udokotela wakho .
• Kuvamile ukuzizwa ukhathazekile noma ukhathazekile ngaphambi kokuhlolwa okufana nalokhu, ikakhulukazi njengoba uvukile. Uma uzizwa ngaleyo ndlela, tshela udokotela wakho . Bazokwazi ukukuchazela futhi bakusize wenze isinqumo.
• Uma ingane ihlolwa lokhu, umama noma ubaba uvame ukuvunyelwa ukuhlala nengane. Odokotela bathi kuwumqondo omuhle ukulungiselela ingane ukuhlolwa ngaphambi kokuba kwenziwe. Ukuchaza ngqo ukuthi kuzokwenzekani nokuthi uzoba nayo kungasiza ekunciphiseni ukwesaba kwayo. Phendula imibuzo yengane ngokucacile nangokwethembeka. Uma ingane isencane, kuwumqondo omuhle futhi ukuletha into eyithandayo, njengethoyizi.
• Njengoba ngokuvamile kunganikezwa umuthi wokudambisa ubuhlungu ngenxa yalokhu, akudingeki uyeke ukudla noma ukuphuza ngaphambi kokuhlolwa.

Kwenzekani ngesikhathi sokuhlolwa?

Kungakhathaliseki ukuthi ukuhlolwa kwe-VCUG kwenziwa kumuntu omdala noma enganeni, lezi zinyathelo ngokuvamile ziyalandelwa:

1. Kuzodingeka ukhumule izingubo zomzimba wakho ongezansi.Lokho kusho izingubo zangaphansi, njengebhulukwe neziketi. Bazokunikeza ingubo noma indwangu yokumboza umzimba wakho.

2. Uzocelwa ukuba ulale etafuleni izingalo zakho zeluliwe. Uma uyindoda, imilenze yakho izobe iqondile, kanti uma ungowesifazane, imilenze yakho izobe ivulekile njengamaphiko evemvane (amadolo agobile nezinyawo zihlangene). Lokhu kuzokwenza kube lula ukufinyelela i-urethra.

3. Udokotela noma umhlengikazi uzogeza kahle indawo yakho yesitho sangasese ngensipho namanzi. Ngezinye izikhathi ijeli yokudambisa izinhlungu ingasetshenziswa e-urethra.

4. Ngemuva kwalokho, kufakwa ipayipi elincane kakhulu, elithambile (i-catheter) nge-urethra yakho (imbobo lapho uchama khona ) esinyeni sakho. Lokhu kungase kuzwakale kungakhululekile, kodwa akubuhlungu. Leli payipi linamathiselwa ethangeni lakho nge-plaster.

5. Umshini we-X-ray ubekwe phezu kwengxenye yakho yesinqe. Awushayi emzimbeni wakho.

6. Manje, udokotela uzogcwalisa isinye sakho ngoketshezi olukhethekile (izinto eziphambene) ngepayipi. Lolu ketshezi yilona olwenza uhlelo lomchamo lubonakale ngokucacile ezithombeni ze-X-ray.

7. Udokotela we-X-ray uzothatha izithombe zesinye sakho njengoba sigcwala. Ungase uzizwe unesifiso sokuchama ngalesi sikhathi. Kodwa kufanele uchame kuphela uma esinye sakho sesigcwele futhi lapho udokotela wakho ekuyala. Lokhu kungaba nzima ezinganeni ezincane.

8. Uma isinyi sakho sesigcwele, i-catheter izokhishwa bese udokotela we-radiologist ekucela ukuthi uchame .

• Izingane zingavunyelwa ukuchamela enkomishini, epanini, noma ngisho nasetafuleni elimbozwe ngethawula. Udokotela we-X-ray usazothatha izithombe ze-X-ray uma enza lokhu.
• Uma ungumuntu omdala , uzocelwa ukuthi uchamele ebhodweni noma endaweni yokuchama uma isinye sakho sigcwele. Izithombe ze-X-ray zizothathwa uze ukhiphe konke okusesinyeni sakho.

Khumbula, i-X-ray ithathwa kokubili uma isinyi sigcwele futhi singenalutho, ngoba i-reflux ingenzeka kuzo zombili izimo. Udokotela we-X-ray ukhona ukukusiza, ngakho lalela ngokucophelela lokho akushoyo. Uma unomntwana, yiba nothando olukhulu futhi umduduze ngalesi sikhathi. Izinto ezifana nokubamba isandla sakho, ukumnika ithoyizi ayithandayo, nokumomotheka nokukhuluma naye kungasiza.

Kuthatha isikhathi esingakanani ukuhlolwa kwe-VCUG?

Lonke lolu vivinyo luthatha imizuzu ephakathi kuka-30 no-45 kuphela.

Ingabe kudingeka umuthi wokudambisa ubuhlungu nge-VCUG?

Ngokuvamile, ukudambisa umzimba akudingeki ekuhlolweni kwe-VCUG. Kodwa-ke, ezinye izingane zingadinga ukudambisa umzimba. Uma udokotela wakho ecabanga ukuthi kungcono ukuthi ingane yakho idambise umzimba, uzokutshela ukuthi ungayilungiselela kanjani.

Kwenzekani ngemva kokuhlolwa kwe-VCUG?

Ungaya ekhaya wenze imisebenzi yakho evamile ngokushesha ngemva kokuhlolwa kwe-VCUG.

• Emahoreni angu-24 kuya kwangu-48 alandelayo, ungase uzizwe ushisa kancane noma uzwa ubuhlungu lapho uchama .
• Phuza amanzi amaningi. Yiya endlini yokugezela ngokushesha nje lapho uzizwa udinga ukuchama . Lokhu kungasiza ekuvimbeleni ukutheleleka komgudu womchamo (UTI).
• Kuvamile futhi ukuchama kakhulu kunokujwayelekile izinsuku ezimbalwa ngemva kwe-VCUG.
• Umbala womchamo wakho ungase ube pinki, kodwa akufanele ube bomvu obumnyama.

Uma noma yiziphi zalezi zimpawu ziqhubeka isikhathi esingaphezu kwamahora angu-48, noma uma umchamo wakho ubomvu, bona udokotela.

Yiziphi izinzuzo zokuhlolwa kwe-VCUG?

Inzuzo enkulu yokuhlolwa kwe-VCUG ukuthi kuvumela udokotela wakho ukuthi abone ngokucacile ukuthi uketshezi lugeleza kanjani ohlelweni lwakho lomchamo. Lokhu kungasiza ekutholeni izimo zakuqala ezingalimaza izinso zakho uma zingelashwa.

Ingabe kukhona izingozi zokuhlolwa kwe-VCUG?

I-VCUG iyisivivinyo esiphephile kakhulu, kodwa ayinazo izingozi ezithile.

• Abanye abantu bangase babe nokungezwani nodayi , kodwa lokhu akuvamile kakhulu, ikakhulukazi uma udayi ungena egazini esikhundleni sesinye.
• Uzochayeka emisebeni. Kodwa odokotela bazokuvikela ngezivikelo ezikhethekile ukuze banciphise le ngozi. Le ngozi ivame ukuba yincane uma iqhathaniswa nenzuzo yokuthola lesi sifo ngokunembile. Uma ukhulelwe, kufanele ubatshele ngaphambi kokuhlolwa.

Eminye yemiphumela emibi emincane yokuhlolwa kwe-VCUG yile:

• Ukushisa okukhulu.
• Ukucanuzela noma ukuhlanza.
• Ukushisa lapho uchama (cishe amahora angama-24-48).
• Ukutheleleka komgudu womchamo (i-UTI) ngenxa ye-catheter (lokhu nakho akuvamile kakhulu).

Imiphumela emibi ephawulekayo (kodwa lena ayivamile kakhulu):

• Ubunzima bokuphefumula.
• Umfutho wegazi ophansi.
• Ukuvuvukala komphimbo noma umlomo.

Kubuhlungu kangakanani ukuhlolwa kwe-VCUG?

Kujwayelekile ukuzwa ukungakhululeki ngesikhathi se-VCUG, ikakhulukazi uma kufakwa i-catheter. Ungase uzizwe ukuqina kwesinye uma sigcwele, futhi ungase uzizwe sengathi kufanele uchame . Abanye abantu bazizwa besaba kakhulu futhi besaba ngaphambi kwe-VCUG. Lokhu kujwayelekile. Zama ukuphefumula ngokujulile nangokucotha. Ngezinye izikhathi, ukucindezela ibhola elincane noma ukubuka isithombe somuntu omthandayo kungakusiza ukuthi uzole.

Kumntwana, ukuhlolwa kwe-VCUG kungaba yinto ecindezelayo kancane.Yenza konke ongakwenza ukuze umduduze, futhi umenze aqonde ukuthi lokhu kuhlolwa kuzosiza yena. Uma ungaqiniseki ukuthi ungabhekana kanjani nalesi simo, buza udokotela wakho.

Isho ukuthini imiphumela ye-VCUG?

Lokhu kuhlolwa kungatshela udokotela wakho ukuthi une-urethral reflux noma cha. Kungakutshela nokuthi izingxenye zohlelo lwakho lomchamo zijwayelekile, noma ukuthi zibanzi noma zincane kunokujwayelekile.

Uma ingane yakho ike yaba ne-VCUG futhi kutholakale ukuthi ine-reflux, udokotela we-radiologist uzoyinika amaphuzu . Lokhu kuvame ukusuka ku-1 kuya ku-5. 1 incane kanti 5 inzima. Ukwelashwa kuzoncika ekutheni i-reflux inzima kangakanani nokuthi ngabe ithinte izinso noma umgudu womchamo. Udokotela wakho uzokhuluma nawe ngezinketho zokwelapha ngokusekelwe emiphumeleni yakho.

Kuthatha isikhathi esingakanani ukuthola imiphumela?

Udokotela we-X-ray uzobheka izithombe ze-X-ray, abhale umbiko, bese ethumela imiphumela kudokotela wakho. Lokhu kungathatha izinsuku ezimbili. Buza udokotela wakho ukuthi kuzothatha isikhathi esingakanani ukuthola imiphumela.

Yini okufanele uyenze ngokulandelayo uma imiphumela ingajwayelekile?

Kuye ngokuthi udokotela uzothola ini, okuzokwenzeka ngokulandelayo kuzohluka. Abanye abantu bazodinga ukwelashwa ngemithi noma ukuhlinzwa ukuze kulungiswe izinkinga esinyeni noma e-urethra. Ngezinye izikhathi, udokotela wakho angakutshela ukuthi wenze izinguquko endleleni yokuphila ukuze akusize.

Kufanele uphinde uye kudokotela nini?

Kujwayelekile ukuchama kaningi ngemva kwe-VCUG, ube nombala womchamo opinki kancane, futhi uzizwe umuzwa wokushisa lapho uchama . Uma noma yiziphi zalezi zimpawu ziqhubeka isikhathi esingaphezu kwamahora angu-48, bona udokotela.

Uma umchamo wakho ubomvu, unomkhuhlane, noma uzwa ubuhlungu endaweni yakho yesinqe, kungaba uphawu lwenkinga. Uma lokhu kwenzeka zingakapheli izinsuku ezimbalwa kusukela ku-VCUG yakho, qiniseka ukuthi ubona udokotela wakho.

Ingabe i-VCUG kanye ne-Voiding Cystogram ziyafana?

I-VCUG kanye ne-Voiding Cystogram amagama amabili okuhlolwa okufanayo. Akukho mehluko phakathi kwalawa amabili.

Umlayezo Wokuya Nawe Ekhaya

I-VCUG ukuhlolwa kokuxilonga okusebenzisa ama-X-ray kanye noketshezi olukhethekile (udayi wokungafani). Kujwayelekile ukuzizwa ukhathazekile futhi ukhathazekile ezinsukwini nasemahoreni ngaphambi kokuhlolwa. Uma ingane yakho yenza lokhu kuhlolwa, ingase izizwe ngendlela efanayo, ngoba ayazi ukuthi kuzokwenzekani. Imiphumela yakho yokuhlolwa izonquma ukuthi kuzokwenzekani ngokulandelayo.Ngaphambi kokuhlolwa, khuluma nodokotela wakho nganoma yiziphi izinkinga noma imibuzo ongase ube nayo. Uzokuchazela ngokuhlolwa nokuthi yini ongayilindela. Ungakhathazeki, konke lokhu kwenzelwa ukusiza wena nomntwana wakho nihlale niphilile.

Uhlelo lomchamo, isinyi, i-urethra, i-VCUG, i-Voiding Cystourethrogram, izifo zezinso, izifo zomgudu womchamo, impilo yabantwana