Ingabe unezinkinga zesinyi? Ake sixoxe nge-cystoscopy!

Ingabe ngezinye izikhathi uba nobunzima noma ubuhlungu lapho uchama? Noma wake waba negazi emchameni wakho? I-Cystoscopy ukuhlolwa okukhethekile okwenziwa odokotela ukuthola imbangela yalezi zinkinga futhi ngezinye izikhathi ukuze zelashwe. Namuhla, sizoxoxa ngalokhu ngokuningiliziwe nangokulula kakhulu.

Kuyini i-cystoscopy? Kalula nje...

Kalula nje, i-cystoscopy iwukuhlolwa kokubheka ngaphakathi kwesinye sakho (lapho umchamo uqoqana khona) kanye ne-urethra (ipayipi elikhipha umchamo ). Lokhu kwenziwa udokotela wezifo zomchamo. Usebenzisa i-cystoscope, ipayipi elincane elikhanyisiwe elinekhamera noma ilensi enamathiselwe.

Cabanga ngakho njenge-endoscopy yegciwane lesisu, lena inqubo yokubheka ngaphakathi ohlelweni lwakho lomchamo. Lokhu kuvumela udokotela ukuthi abone kahle izindonga zangaphakathi zesinye sakho kanye ne-urethra.

Kungani kwenziwa i-cystoscopy? Itholani?

Uma udokotela ekucela ukuthi wenze lokhu kuhlolwa, kungase kube nezizathu eziningana. Eyokuqala ukuhlonza izinkinga ohlelweni lomchamo futhi ngezinye izikhathi ukuzelapha khona manjalo.

I-Cystoscopy ingasiza ngalezi zinto ezilandelayo:

• Thatha isampula yomchamo: Ungathatha isampula yomchamo ngqo kusuka kuma-ureter, amapayipi athwala umchamo usuka ezinso zakho uye kwesinye.
• Faka idayi: Lokhu kusetshenziselwa ukufaka idayi yezinqubo ezilandelela ukuhamba komchamo.
• Jova ngemithi: Ngezinye izikhathi, ungajova ngemithi esinyeni sakho ukuze umise ukuvuza komchamo .
• Ukususwa kwe-Ureteral Stent: Susa ipayipi elincane (i-stent) elafakwa ngesikhathi sokuhlinzwa kwangaphambilini ukuze kugcinwe i-urethra ivulekile.
• Susa amatshe, izicubu ezingavamile, kanye nezimila: Lokhu kungasusa nezinto ezifana namatshe esinyeni, izicubu ezingavamile, kanye nezimila ezincane (ama-polyp noma izimila).
• Thatha i-biopsy: Ingcezu encane yezicubu ingathathwa endaweni esolisayo yesinye noma i-urethra bese ithunyelwa elebhu ukuze ihlolwe. Lokhu kungasiza ekunqumeni ukuthi kukhona yini okusolisayo, njengomdlavuza.
• Yelapha Ukuqina Kwe-Urethral noma Ama-Fistula: Lokhu kungasiza futhi ekwelapheni ukuqina kwe-urethra noma ama-fistula.

Yiziphi izinhlobo zezimo ezingatholakala ngokunembile nge-cystoscopy?

Lokhu kuhlolwa kungahlonza izifo eziningi zomgudu womchamo. Nazi izibonelo ezimbalwa:

• Umdlavuza wesinyi noma we-urethra.
• Amatshe esinyini.
• Ubunzima bokulawula umchamo, okusho ukungakwazi ukubamba umchamo (Ukungakwazi ukuzibamba komchamo) noma ukulahlekelwa umchamo ngokungazi.
• I-prostate ekhulisiwe (i-Benign Prostatic Hyperplasia - BPH) kwabesilisa.
• I-Interstitial Cystitis/Bladder Pain Syndrome (ICS/BPS) yisimo esibuhlungu esenzeka esinyeni.
• Ukuqina komchamo kanye ne-fistula yomchamo.
• Ukutheleleka okuvamile komgudu womchamo (UTIs).

Kukuziphi izimo lapho odokotela batusa khona ukwenza i-cystoscopy?

Udokotela wakho angase akuphakamise lokhu kuhlolwa uma unezinye zezimpawu ezilandelayo:

• Izinkinga zokulawula umchamo: Ukuzizwa sengathi awukwazi ukukhipha ngokuphelele isinye sakho (Ukugcinwa komchamo) noma ukulahlekelwa umchamo ngaphandle kokulawula (Ukungakwazi ukuzibamba).
• Uma usola ukuthi unamatshe esinyeni.
• Igazi emchameni (i-Hematuria): Lokhu kungaba yigazi elibonakalayo ngezinye izikhathi, noma kungatholakala kuphela ngesikhathi sokuhlolwa komchamo.
• Uma uzwa ubuhlungu lapho uchama (i-Dysuria).

Okubalulekile: Uma unezinye zalezi zimpawu, kungcono ukufuna iseluleko sezokwelapha ngokushesha ngaphandle kokwethuka.

Kwenziwa kanjani lokhu kuhlolwa kwe-cystoscopy?

Inqubo ilula kakhulu. Udokotela wezifo zomchamo uzofaka kancane kancane idivayisi ebizwa ngokuthi i-cystoscope e-urethra yakho nasesinyeni sakho. Angabe esebheka kahle ingaphakathi lesinye sakho. Uma kudingeka, angafaka amathuluzi amancane ngedivayisi ukuze athathe amasampula ezicubu noma enze ezinye izindlela zokwelapha.

Ingabe kunezinhlobo ezahlukene ze-cystoscopes?

Yebo, kunezinhlobo ezimbili zama-cystoscopes:

1. I-Flexible Cystoscope: Lena yipayipi eliguquguqukayo elifana kancane nepayipi lerabha. Lingahamba kalula emagopheni omgudu womchamo futhi libheke ngaphakathi kwesinye kanye ne-urethra. Lokhu kuvame ukusetshenziselwa ukuxilongwa.

2. I-Rigid Cystoscope: Lena yipayipi eliqondile neliqinile. Lokhu kuvame ukusetshenziselwa ukudlulisa amathuluzi okuhlola nokususa ama-cyst. Uma usebenzisa lolu hlobo lwe-cystoscope, uzovame ukunikezwa i-sedation noma i-anesthesia ejwayelekile.

Udokotela wakho uzokhetha uhlobo olufanele kakhulu ukuhlolwa noma ukwelashwa kwakho.

Ingabe siyalaliswa ngesikhathi sokuhlolwa kwe-cystoscopy?

Lokhu kuvame ukuncika esizathwini sokuhlolwa.

• Ukuze kutholakale ukuthi unesifo: Uhlala uphapheme isikhathi esiningi.Kodwa ungakhathazeki, ijeli yokudambisa izinhlungu ifakwa e-urethra ukuze kuncishiswe ubuhlungu.
• Uma welashwa noma uhlolwa nge-biopsy: Unganikezwa i-sedation noma i-anesthesia ejwayelekile .

Kufanele sizilungiselele kanjani ngaphambi kwalolu vivinyo?

Udokotela wakho uzokunikeza imiyalelo eqondile ngaphambi kokuhlolwa kwe-cystoscopy. Kubaluleke kakhulu ukulandela leyo miyalelo, njengoba lokhu kunganciphisa ingozi yezinkinga ezingadingekile.

Udinga kakhulu ukunakekela lezi zinto:

• Tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini nemithi yendabuko) nokuthi kungenzeka ukuthi ukhulelwe yini .
• Ngosuku lokuhlolwa, uzocelwa ukuthi unikeze isampula yomchamo . Lokhu kuzosetshenziselwa ukuhlola ukutheleleka komgudu womchamo (UTI). Uma kukhona ukutheleleka, i-cystoscopy ivame ukwenziwa ngemva kokuba ukutheleleka sekwelashwe.
• Uma unikezwa i-anesthesia ejwayelekile, uzocelwa ukuthi ungadli noma uphuze lutho amahora ayisishiyagalombili ngaphambi kokuhlolwa (ukuzila ukudla) .
• Ungase ucelwe ukuthi uyeke ukuthatha imithi ethile ngaphambi kokuhlolwa , noma uyiphuze ngamanzi amancane kuphela. Ungayeki ukuthatha noma yimuphi umuthi ngaphandle kokuthi udokotela wakho akutshele ukuthi uyeke.
• Uma unikezwa umuthi wokudambisa ubuhlungu , hlela kusengaphambili ukuthi othile akuyise ekhaya ngemva kokuhlolwa.

Kwenzekani ngesikhathi se-cystoscopy?

Nazi ezinye zezinyathelo ezivame ukwenzeka:

1. Uzocelwa ukuthi uchame ngokushesha ngaphambi kokuhlolwa. Kungcono ukuba nesinye esingenalutho.

2. Kwezinye izimo, ungase unikezwe i-anesthesia ejwayelekile noma i-sedation .

3. Ijeli yokudambisa izinhlungu ifakwa e-urethra yakho.

4. Udokotela ube esefaka kancane i-cystoscope egcotshwe nge-urethra yakho bese ingena esinyeni sakho.

5. Ukuze ubone kangcono izindonga zangaphakathi zesinye, kufakwa inani elincane lamanzi anosawoti ahlanzekile esinyini nge-cystoscope. Lokhu kuzogcwalisa isinye kancane, kukuvumela ukuthi ubone ngaphakathi kangcono. Ungase uzizwe unesifiso sokuchama ngalesi sikhathi. Lokhu kuvamile.

6. Manje udokotela uzohlola ngokucophelela ingaphakathi lesinye kanye ne-urethra.

7. Uma kudingeka, amathuluzi amancane angadluliswa nge-cystoscope ukuze kuthathwe amasampula ezicubu noma kususwe izinto ezifana nezimila .

8. Ekugcineni, amanzi afakwe esinyeni azosuswa, noma uzocelwa ukuthi uye endlini yokugezela uyochama .

Kuthatha isikhathi esingakanani lokhu kuhlolwa?

I-cystoscopy yokuxilonga ivame ukuthatha imizuzu emi-5 kuya kweyi-10 . Kodwa-ke, uma kuthathwa i-biopsy noma kwenziwa ukwelashwa, kungathatha isikhathi eside.

Ingabe i-cystoscopy ibuhlungu?

Ungase uzizwe ungakhululekile kancane ngenkathi wenza lokhu, noma ungase uzizwe udinga ukuchama . Kodwa-ke , ngeke uzizwe ubuhlungu ngenxa ye-anesthesia ejwayelekile kanye nejeli eqeda izinhlungu.

Yini ongayilindela ngemva kokuhlolwa?

Kuye ngesizathu sokuhlinzwa kwe-cystoscopy, ungase ukwazi ukuya ekhaya ngalolo suku (inqubo yokulaliswa esibhedlela), noma kungase kudingeke uhlale esibhedlela ubusuku bonke. Uma ubuyela ekhaya, udokotela wakho angase akunike ama-antibiotic ukuvimbela ukutheleleka. Kubalulekile ukuthatha le mithi njengoba kuqondiswe.

Kuthatha isikhathi esingakanani ukululama ngokuphelele?

Iningi labantu lizizwa lingcono ngosuku olulodwa noma ezimbili . Kodwa-ke, uma wenze okunye ngesikhathi esisodwa, njengokuhlolwa kwe-biopsy, kungathatha isikhathi eside ukuphulukiswa. Buza udokotela wakho ngalokhu.

Lokhu okulandelayo kungenzeka ngosuku lokuqala noma ezimbili ngemva kokuhlolwa:

• Ubuhlungu obuncane esiswini esingezansi.
• Igazi elincane emchameni.
• Ukushisa noma ubuhlungu lapho uchama .
• Isidingo sokuchama njalo kanye nesidingo sokuchama ngokushesha.

Ungenza okulandelayo ukuze unciphise lezi zimpawu:

• Beka indwangu emanziswe ngamanzi afudumele phezu kwe-urethra, noma uphumule ebhavini elifudumele isikhashana.
• Phuza izingilazi eziningana zamanzi ngosuku. Kuzohlanza isinyi.
• Thatha umuthi wokuqeda ubuhlungu othengiswa ngaphandle kwemithi (OTC) onconywa udokotela wakho. Isibonelo, imithi engeyona eye-steroidal yokulwa nokuvuvukala (ama-NSAID).

Yiziphi izingozi noma izinkinga ze-cystoscopy?

Lokhu ukuhlolwa okunengozi ephansi . Kodwa-ke, izinkinga ezingavamile zingavela, njenge:

• Ukutheleleka (Ukutheleleka / UTI).
• Ukuqaqamba kwesinyi. Lokhu kungabangela ubuhlungu obukhulu kanye nokuvuza komchamo .
• Ukulimala kwesinye.
• Umonakalo emgudwini womchamo, isibonelo, ukuba nezibazi noma ukuncishiswa kwendlela yokungena.

Zithini imiphumela ngemva kokuhlolwa?

Udokotela wakho womchamo uzoqopha konke akubonayo ngesikhathi sokuhlolwa. Lokhu kufaka phakathi noma yikuphi ukuvaleka, ukuncishiswa, amatshe, izicubu ezingavamile, noma izimila emchameni wakho womchamo. Uma konke kujwayelekile, bazoqopha nalokho. Bangakutshela imiphumela ngokushesha ngemva kokuhlolwa, noma bangase bahlele i-aphoyintimenti yokulandelela ukuze baxoxe ngemiphumela.

Uma une-biopsy, isampula yezicubu ithunyelwa elabhorethri bese ihlolwa ngaphansi kwe-microscope ukuze kubonakale ukuthi akhona yini amangqamuzana anomdlavuza.

Kuthatha isikhathi esingakanani ukwazi imiphumela?

Uma wenze i-biopsy, kungathatha amasonto amabili ukuthi imiphumela ibuye. Uma wenze ezinye izivivinyo kuphela (futhi kungekho okunye okwenziwe ngaleso sikhathi), udokotela uzokwazi imiphumela ngesikhathi esifanayo nokuhlolwa. Buza udokotela wakho ukuthi kuzothatha isikhathi esingakanani ukubona imiphumela kumarekhodi akho noma ukuzwa ngayo kuye.

Ngingaphinde ngimbone nini udokotela?

Izimpawu ezifana nobuhlungu lapho uchama kanye negazi elincane ngemva kokuhlolwa zivame ukuba ngcono phakathi nosuku olulodwa noma ezimbili. Kodwa-ke, uma lezi zinkinga ziqhubeka noma uma uhlangabezana nanoma yiziphi zalezi zimpawu ezilandelayo, bheka udokotela wakho ngokushesha:

• Uma uzwa ubuhlungu obukhulu lapho uchama .
• Uma unegazi eliningi noma amahlule egazi emchameni wakho .
• Isinyi sigcwele kakhulu futhi sibuhlungu, kodwa awukwazi ukuchama .
• Izimpawu zokutheleleka (umkhuhlane, ubuhlungu besisu esingezansi, umchamo onephunga elibi noma onombala omnyama).

Uma unezimpawu ezifana negazi emchameni wakho, ubuhlungu, noma ukungakwazi ukuzibamba komchamo , kuvamile ukuzizwa ukhathazekile ngokuthi yini ebangela lokhu. I-cystoscopy iyindlela enhle yokuthi udokotela wakho aqale ukuthola izimpendulo zaleyo mibuzo. Kuyinqubo esheshayo, enobungozi obuphansi, futhi yokululama ngokushesha. Ungesabi ukukhuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho ngaphambi noma ngemva kwenqubo. Uzochaza konke kuwe.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke ngokwalokho esikuxoxile, ngithemba ukuthi unombono omuhle mayelana nokuhlolwa kwe-cystoscopy.

Kalula nje, lokhu ukuhlolwa okubheka ngaphakathi kwesinye kanye ne-urethra ukuthola ukuthi kukhona yini izinkinga, futhi ngezinye izikhathi kuvumela ngisho nokwelashwa okuncane khona manjalo.

• Uma unenkinga yokuchama, ubuhlungu, noma izimpawu ezingavamile (njengokopha), qiniseka ukuthi ubona udokotela.
• Uma udokotela wakho ekucebisa ukuthi kwenziwe i-cystoscopy, ungesabi. Ngokuvamile kuba ukuhlolwa okulula nokusheshayo.
• Landela imiyalelo kadokotela ngokucophelela ngaphambi nangemva kokuhlolwa.
• Uma unemibuzo noma ukungabaza, buza udokotela wakho.Ungalokothi ube namahloni.

Ngikufisela impilo enhle!

I- Cystoscopy, ukuhlolwa kwesinye isinyi, umgudu womchamo, amatshe omchamo, izifo zomgudu womchamo, umdlavuza wesinye, izimpawu zomchamo