Zinjani izinso zakho? Ake sithole impendulo ngokuskena kwezinso.

Wake wezwa ngokuhlolwa kwezinso, okubizwa nangokuthi ukuhlolwa kwezinso? Mhlawumbe udokotela ukutshelile ukuthi wenze lokhu. Noma mhlawumbe unesithakazelo kukho. Kuyini ukuhlolwa kwezinso? Kungani kwenziwa? Ingabe kuyinto okufanele uyesabe? Sizoxoxa ngakho konke lokhu namuhla, njengokungathi ukhuluma nomngane.

Kuyini ngempela ukuhlolwa kwezinso?

Kalula nje, ukuskena kwezinso kuyindlela ekhethekile yokuhlola ukuthi izinso zakho zisebenza kahle kangakanani. Kuwukuhlolwa kwezithombe okungokwensimu yezokwelapha zenuzi. Cabanga ngakho njengokuthatha isithombe sezinso zakho, kodwa akukwazi ukubona kuphela ukuma kwezinso zakho, kodwa nokuthi zisebenza kanjani.

Nakhu okwenzekayo: Umhlinzeki wezempilo, kungaba udokotela noma uchwepheshe oqeqeshiwe, ufaka inani elincane lento ekhipha imisebe (ebizwa nangokuthi i-'radioisotope' noma i-'radiotracer') emthanjeni osesandleni sakho noma esandleni sakho. Leli inani elincane kakhulu elingenangozi emzimbeni. Into ekhipha imisebe ihamba ngegazi lakho iye ezinso zakho. Ube usuthunyelwa kusithwebuli esikhethekile. Umshini usebenzisa into ekhipha imisebe ukuthola indawo yezinso bese uthumela idatha, ebukeka njengezithombe, kukhompyutha.

Lokhu kuhlolwa kwezinso kusiza ukuthola izifo kanye nokuphazamiseka kwezinso kusenesikhathi . Kuphinde kusetshenziswe ukubona ukuthi umuntu uke wafakelwa izinso kahle kangakanani.

Lokhu kubizwa ngokuthi okunye, kungenzeka ukuthi uke wezwa ngakho:

• I-scintigraphy yezinso
• Ukuskena kwezinso komuthi we-nuclear
• Ukuskena kwezinso komuthi wenyukliya
• I-Renogram

Yini ngempela engahlolwa ngokuskena kwezinso?

Lokhu kuskena kubheka kakhulu ukuthi izinso zakho zisebenza kanjani. Ngaphezu kwalokho, izinso zakho:

• Isimo
• Usayizi
• Indawo ngaphakathi komzimba

Ungathola futhi isithombe esicacile sezinto ezinjalo.

Kungani uthunyelwa ukuyohlolwa kwezinso?

Uma udokotela esola ukuthi izinso zakho azisebenzi kahle, uzo-oda lokhu kuskenwa kwezinso. Bangase futhi ba-oda ezinye izivivinyo, isibonelo:

• Ukuhlolwa kwegazi
• Ukuhlolwa komchamo
• Ama-X-ray

Lokhu kungaba izimpawu zokusebenza kwezinso okuphansi.

Futhi, kunezinye izizathu eziningana ezenza udokotela angase acele lokhu kuskena:

• Uma une-allergy kumadayi asetshenziswa kuma-X-ray, khona-ke ukuskena kwezinso kuyindlela ephephile.
• Uma ungumuntu ofakelwa izinso.
• KuweUma unomfutho wegazi ophakeme (umfutho wegazi ophakeme).
• Uma kunzima noma kungenzeki ukuchama ngenxa yokuvaleka kwezinso .

Yiziphi izimo zezokwelapha ezingabonakala ngokuskena kwezinso?

Lokhu kuskena kungasiza ekuxilongeni izimo eziningi zezokwelapha. Nazi izibonelo ezimbalwa:

• Umfutho wegazi ophezulu emithanjeni eyinhloko ehlinzeka ngegazi ezinso zakho (okuthiwa yi-'Renal Hypertension').
• Ukuvuvukala kwezinso (i-Hydronephrosis) ngenxa yokuvaleka okuthile.
• Ama-cyst ezinso, izimila zezinso, noma amathumba.
• Ukuncipha noma ukuvaleka kwemithambo yegazi ethwala igazi ezinso (`Renal artery stenosis`).
• Ukungasebenzi kahle kwezinso ngemva kokuhlinzwa noma ukufakelwa izinso.
• Umchamo ugeleza usuka kwesinyeni uye ezinso (i-Vesicoureteral reflux).

Kusebenza kanjani ngempela ukuskena kwezinso?

Ngesikhathi sokuhlolwa kwezinso, uchwepheshe wezokwelapha zenuzi (udokotela oqeqeshwe ngokukhethekile ukusebenzisa izidakamizwa ezinemisebe kanye nemishini yokuthwebula izithombe) uthatha izithombe zezinso zakho. Lezi zithombe zibonisa indlela igazi eligeleza ngayo lingene futhi liphume ezinso zakho. Zibonisa nezinye izitho zomzimba ohlelweni lwakho lomchamo, okuhlanganisa:

• Izinso
• Ama-ureter
• Isinye

Kuphinde kubonise indlela umchamo ohamba ngayo phakathi kwalezi zinto.

Imiphumela yalokhu kuskena kwe-nuclear ingasiza udokotela wakho ukuthi abone ukuthi izinso zakho azisebenzi kahle noma ukuthi kukhona yini ukuvaleka.

Yiziphi izinhlobo zokuskena kwezinso ezikhona?

Ochwepheshe bezokwelapha ngenyukliya basebenzisa kakhulu izinhlobo ezine zokuskena kwezinso:

1. I-ACE inhibitor renal scintigraphy: Lokhu kuhlolwa kubheka ukuncishiswa kwemithambo yegazi ehambisa igazi ezinso, okubangela umfutho wegazi ophakeme. Izithombe zezinso zakho zithathwa ngaphambi nangemva kokunikezwa umuthi womfutho wegazi (i-ACE inhibitor).

2. I-Diuretic renal scintigraphy: Lokhu kuskena kuhlola ukuvaleka kwezinso noma izinkinga zokugeleza komchamo. Izithombe zithathwa ngaphambi nangemva kokunikezwa iphilisi lamanzi (elibizwa ngokuthi i-diuretic) ukuze kubhekwe ukuthi umchamo uhamba kanjani ezinso.

3. I-Renal cortical scintigraphy: Lokhu kuhlola ukuthi izicubu ezingaphandle kwezinso (izicubu ze-renal cortical) zisebenza kahle kangakanani. Unikezwa into enomsebe nge-IV bese ikhamera ithatha izithombe zale nto cishe ngemva kwamahora amabili.

4. Ukufakwa kwegazi ezinso: Lokhu kuhlolwa kwemithi yenuzi kubheka inani legazi eligeleza ezinso zakho. Lokhu kuskena kulinganisa ububanzi bemithambo yakho yezinso nokuthi izinso zakho zisebenza kahle kangakanani. Ikhamera ithatha izithombe njalo imizuzu engama-20 kuya kwengama-30.

Ngilungiselela kanjani ukuhlolwa kwezinso?

Ngaphambi kokuskena kwezinso, kufanele wenze uhlu oluphelele lwazo zonke izidakamizwa ozithathayo. Lokhu kufanele kufake amavithamini kanye nezithasiselo zamakhambi. Eminye imithi kungadingeka iyekwe ezinsukwini ezimbalwa ngaphambi kokuskena. Isibonelo, imithi engeyona eye-steroidal yokulwa nokuvuvukala (ama-NSAID), njenge -ibuprofen (isb., i-Advil®, i-Motrin®) kanye ne-aspirin (isb., i-Bayer®, i-St Joseph®) , ingathinta imiphumela yokuskena kwezinso zakho.

Kubaluleke kakhulu futhi ukutshela abahlinzeki bakho bezempilo ngalezi zinto:

• Ingabe unesifo sokungezwani komzimba (njengemithi ethile, i-latex).
• Ingabe une -claustrophobia? Ngoba ikhamera ingase ibe seduze nomzimba wakho ngesikhathi sokuskena.
• Uyayesaba yini inaliti (`i-trypanophobia`)? Uma kunjalo, bazokufundisa izindlela zokubhekana nayo.
• Ingabe okwamanje uyancelisa? Ngoba izinto ezikhipha imisebe zingangena ebisini lakho.
• Uma ukhulelwe noma ucabanga ukuthi kungenzeka ukuthi ukhulelwe , njengoba ukuhlolwa kungaba yingozi embungwini.

Odokotela bangase bakucele ukuthi uphuze amanzi amaningi ngaphambi kokuskena. Kungase kudingeke futhi ukuthi ukhiphe amanzi esinyeni sakho (okungukuthi, ukhiphe umchamo ) ngaphambi kokuthi kuqale ukuskena.

Okunye, khetha izingubo ezikhululekile ukuzigqoka . Kungumqondo omuhle ukushiya izinto zensimbi njengezibuko nobucwebe ekhaya. Zingaphazamisa ukuskena.

Yini ongayilindela ngesikhathi sokuskena?

Ngokuvamile, yilokhu okwenzekayo lapho kwenziwa ukuhlolwa kwezinso:

• Uchwepheshe wezokwelapha ngenyukliya uzofaka umugqa we-IV emthanjeni engalweni noma esandleni sakho. Ngemuva kwalokho, kuzofakwa into ebizwa ngokuthi i-radioisotope noma i-radiotracer ngayo.
• Uzolaliswa etafuleni lokuhlolwa noma ufakwe ipayipi. Izinto ezikhipha imisebe zizokhipha amandla (abizwa ngokuthi imisebe ye-gamma). Ikhamera ye-gamma izothwebula le misebe bese yenza izithombe zezinso zakho. Uchwepheshe uzobuka lezi zithombe esikrinini sekhompyutha.
• Kuye ngokuthi kungani uhlolwa izinso, ungase ucelwe ukuthi uhlale unganyakazi noma ushintshele kwezinye izindawo .

Kuthatha isikhathi esingakanani ukuhlolwa kwezinso?

Isikhathi esithathayo kulokhu siyahlukahluka kuye ngohlobo lokuskena kwezinso. Ngokuvamile kungathatha noma yikuphi kusukela kumaminithi angu-30 kuya emahoreni amabili . Umhlinzeki wakho wezempilo uzokwazisa lokhu kusenesikhathi.

Kwenzekani ngemva kokuskena?

Ngemva kokuba uchwepheshe wezokwelapha zenuzi esuse umugqa wakho we-IV, ungaya ekhaya uqalise imisebenzi yakho evamile ngaphandle kwezinkinga.

Lezo zinto ezikhipha imisebe ziphuma kanjani emzimbeni?

Into ebizwa ngokuthi ``radiotracer`` noma ``radioisotope`` iyaphuma emzimbeni wakho uma uchama. Ngeke uzizwe ungakhululekile noma ubuhlungu ngenxa yayo.

Yiziphi izingozi zokuhlolwa kwezinso?

Eqinisweni, izingozi zokuhlolwa kwezinso ziphansi kakhulu. Kusebenzisa imisebe emincane kune-X-ray.

Nokho, kunezinto ezimbalwa ezingenzeka kaningi kakhulu:

• Ukusabela kokungezwani komzimba (lokhu kwenzeka kaningi kakhulu).
• Ukushintsha kombala (obomvu, onsomi, onsundu, noma omnyama), ukuvuvukala, noma ubuhlungu endaweni yokungena kwemithambo yegazi. Uma lokhu kungakhululeki kungapheli ezinsukwini ezimbalwa, tshela udokotela.

Okunye, kungcono ukugwema ukuxhumana eduze nezingane ezincane kanye nabesifazane abakhulelwe amahora ambalwa ngemva kokuhlolwa.

Ngizoyithola nini imiphumela yokuskena?

Uchwepheshe wezokwelapha zenuzi noma isazi se-radiation uzobuyekeza imiphumela yokuskena kwakho kwezinso. Bazobe sebethumela umbiko kudokotela wakho. Udokotela wakho uzokushayela ucingo ukuze axoxe ngemiphumela futhi akutshele ukuthi yini okufanele uyenze ngokulandelayo.

Uma imiphumela ingajwayelekile, yini oyenzayo ngokulandelayo?

Khumbula, ngezinye izikhathi imiphumela ayiveli njengoba bekulindelekile. Kodwa ungakhathazeki ngakho.

Uma imiphumela yakho ingajwayelekile, udokotela wakho angase acele ukuhlolwa okwengeziwe ukuze athole ukuxilongwa okusemthethweni. Lokhu kuhlolwa kungafaka:

• Ukuhlolwa okwengeziwe kwezithombe, njenge -ultrasound, i-MRI, kanye/noma i-CT scan .
• Ukuhlolwa okwengeziwe kokusebenza kwezinso.
• Ukuhlolwa kwezinso (okuhlanganisa ukuthatha ingxenye encane yezicubu ezinso bese uyihlola).

Kufanele ngimshayele nini udokotela?

Khuluma nodokotela wakho uma unemibuzo mayelana nokuhlolwa kwezinso zakho. Isibonelo:

• Izinto ezifana nendlela yokulungiselela ukuskena kanye nendlela yokwenza ukuhlolwa kube lula kuwe .
• Ungalindela nini imiphumela yakho ?
• Okufanele ukwenze uma imiphumela ingajwayelekile .
• Iyini isinyathelo sakho esilandelayo ?

Futhi, qiniseka ukuthi utshela udokotela uma unezinye zalezi zimpawu:

• Izimpawu zokutheleleka, njengomkhuhlane, ukushintsha kombala endaweni yokungena kwe-IV, ukuvuvukala, noma ikhanda elibuhlungu.
• Uma uzizwa sengathi une-allergy.

Ekugcineni, khumbula lokhu.

Abahlinzeki bezempilo basebenzisa ama-renal scan ukuze bathole izifo ezithile zezinso. Ngokuvamile kuphephile kakhulu, futhi kunengozi encane yezinkinga.Ngemva kokuhlolwa, ungabuyela emisebenzini yakho evamile ngokushesha.

Kodwa, kuvamile ukuzizwa ukhathazekile noma ukhathazekile ngokuba nokuhlolwa okufana nalokhu. Ungakhathazeki. Abahlinzeki bakho bezempilo baqeqeshwe kahle futhi banolwazi lokwenza lokhu kuhlolwa kube lula ngangokunokwenzeka kuwe. Uma usenemibuzo noma ukukhathazeka, ungangabazi ukubabuza. Impilo yezinso zakho ibaluleke kakhulu!

` Ukuskena kwezinso, ukuskena kwezinso, ukuhlolwa kwezinso, isifo sezinso, umuthi wenuzi, izinto ezikhipha imisebe, uhlelo lomchamo