Singakhuluma ngokuhlolwa kwe-IVP (Intravenous Pyelogram) okukusiza ukuthi ufunde ngezinso zakho?

Ngezinye izikhathi odokotela bayala ukuhlolwa okuhlukahlukene ukuze babone ukuthi kukhona yini inkinga ngezinso zethu noma ohlelweni lwethu lomchamo, akunjalo? Lokho kungenye yezivivinyo ezinjalo ezibizwa ngokuthi i-IVP. Nakuba yayisetshenziswa kakhulu esikhathini esidlule, manje ayisenziwa njalo. Kodwa kubaluleke kakhulu ukuthi uqaphele lolu vivinyo olubizwa ngokuthi i-'Intravenous Pyelogram (IVP).'

Kuyini i-IVP?

Kalula nje, i-IVP ukuhlolwa okukhethekile kwe-X-ray okubheka ingaphakathi lezinso zakho kanye nomgudu womchamo (izindlela umchamo odlula kuzo). Kubizwa nangokuthi i-Intravenous Urography. Cabanga nje, udokotela ufuna ukubona ukuthi izinso zakho kanye nesinye sakho zisebenza kanjani nokuthi kukhona yini okungahambi kahle ngazo. Yilapho-ke le IVP isiza khona.

Yilokhu okwenzekayo. Uketshezi olukhethekile olubizwa ngokuthi "i-iodineated contrast material" lufakwa emzimbeni wakho, okungukuthi, emthanjeni. Lolu ketshezi luhamba emzimbeni wakho wonke negazi, okuhlanganisa nezinso zakho. Bese kuthi, njengoba lolu ketshezi ludlula ezinso zakho, kuma-ureter, kanye nasesinyeni, kuthathwe uchungechunge lwezithombe ze-X-ray. Ngenxa yoketshezi olukhethekile, lezi zitho zibonakala zimhlophe ezithombeni ze-X-ray. Yilapho udokotela ebona khona ukuthi kwenzekani ngaphakathi.

Yayisetshenziswa ini i-IVP esikhathini esidlule?

Esikhathini esidlule, ngaphambi kokufika kobuchwepheshe besimanje, ukuhlolwa kwe-IVP kwakusetshenziselwa ukuxilonga izifo eziningi. Nazi izibonelo ezimbalwa:

• Amatshe ezinso: Hlola ukuthi unawo yini la matshe ezinso, abantu abaningi abawakhayo, nokuthi akuphi.
• Ukwanda kwe-prostate kwabesilisa: Lesi yisimo esivame ukwenzeka kwabesilisa njengoba bekhula.
• Izimila noma ama-cyst ezinso, esinyeni, noma e-urethra: Lokhu kungase kube umdlavuza noma kungabi njalo.
• Izibazi ezivela ekuthelelekeni komgudu womchamo (UTI): Ngezinye izikhathi, ukutheleleka komgudu womchamo (UTI) kungabangela izibazi zangaphakathi.
• Ukukhubazeka kokuzalwa komgudu womchamo: Lokhu kwasiza nasekutholeni noma yikuphi ukukhubazeka kokuzalwa noma amaphutha endleleni yomchamo.

Yini ethatha indawo ye-IVP manje?

Kodwa njengoba ngishilo ngaphambili, odokotela abasebenzisi isivivinyo se-IVP kaningi kulezi zinsuku, ngoba kuye kwavela izindlela ezintsha ezingcono, ezicacile, futhi ngezinye izikhathi ezingadingi ukungenelela okukhulu.

Manje esetshenziswa kakhulu:

• I-Ultrasound: Lokhu kukuvumela ukuthi ubone izinso kanye nohlelo lomchamo ngaphandle kokufaka uketshezi olukhethekile. Lokhu kuvame ukuba ukuhlolwa kokuqala okwenziwayo.
• I-CT Scan (I-Computed Tomography - I-CT scan):Lokhu futhi ngezinye izikhathi kwenziwa ngedayi yokungafani ene-iodine noma ngaphandle kwayo. Lokhu kuvumela izithombe ezicacile kakhulu, ezihlanganisa izingxenye zomzimba zangaphakathi.
• Ukuskena kwe-Magnetic Resonance Imaging (MRI): Lokhu futhi ngezinye izikhathi kusebenzisa uhlobo oluhlukile lwedayi olubizwa ngokuthi i-gadolinium contrast dye. I-MRI ingakhiqiza izithombe ezinemininingwane eminingi, ezinezinhlangothi ezintathu (3D).

Odokotela manje sebephendukela kulokhu esikhundleni se-IVP ngoba lezi zindlela ezintsha zingabona izinkinga ezinso kanye nohlelo lomchamo kangcono kakhulu futhi ngokuningiliziwe.

Yiziphi izimpawu udokotela angayala ngazo lolu hlobo lokuhlolwa?

Ngokuvamile, uma unalezi zimpawu, udokotela angase akucele ukuthi uhlolwe ngezithombe (ukuhlolwa okubheka ngaphakathi) ukuze kuhlolwe izinso zakho noma uhlelo lomchamo, njengalokhu:

• Uma unegazi emchameni wakho, lokhu kuyinto okufanele nakanjani uyitshele udokotela.
• Uma umchamo uba namafu.
• Uma unezinhlungu zesisu esingezansi noma ubuhlungu beqolo elingezansi.
• Uma uzwa ubuhlungu ohlangothini lwakho.

Izimpawu ezinjengalezi zibonisa ukuthi kungase kube nenkinga ngezinso noma ohlelweni lomchamo. Yilapho-ke kudingeka khona ukuhlolwa okufana nalokhu ukuze kubonakale ukuthi kwenzekani ngempela.

Ubani owenza ukuhlolwa kwe-IVP?

Lokhu kuhlolwa kwe-IVP kuvame ukwenziwa ochwepheshe be-X-ray kanye nodokotela be-radiology. Ngemva kokuthathwa kwezithombe, udokotela we-radiology uzobuyekeza izithombe, ahlanganise umbiko, bese ewuthumela kudokotela wakho okwelaphayo.

Izinso zethu kanye nohlelo lomchamo lwakheka kanjani?

Uma sikhuluma ngezinso kanye nohlelo lomchamo, kunezingxenye ezintathu eziyinhloko. Lokhu yilokho odokotela abakubhekayo nge-IVP (kodwa manje ngalawo amanye ama-scan).

• Izinso: Sinezinso ezimbili. Lezi yizitho zomzimba ezihlunga igazi lethu, zisuse ukungcola, futhi zenze umchamo. Zisebenza njengesihlungi.
• Ama-ureter: Lawa amapayipi amabili athwala umchamo okhiqizwa ezinso uye esinyeni.
• Isinye: Lesi yisikhwama esincane esiqoqa futhi sigcine umchamo. Uma sesigcwele, sizizwa sidinga ukuchama.

Ngakho-ke, lolu hlobo lokuhlolwa kwezithombe lusiza ukuthola ukuthi kukhona yini izinkinga kulezi zitho zomzimba, njengamatshe, izimila, noma ama-cyst.

Indlela yokwenza isivivinyo se-IVP (Kwenziwa kanjani?)

Nakuba i-IVP ingasetshenziswa kakhulu kulezi zinsuku, kusengcono ukwazi ukuthi ingenziwa kanjani. Nansi indlela evame ukwenziwa ngayo:

1. Okokuqala, uzolala embhedeni ngaphansi komshini we-X-ray. Ngemuva kwalokho, kuzothathwa isithombe sesisu sakho kanye ne-pelvis ngaphambi kokuba kufakwe uketshezi olukhethekile (udayi wokungafani).

2. Okulandelayo, lolo ketshezi olukhethekile lufakwa emthanjeni wakho.

3. Ngemva kokufakwa koketshezi, uzolaliswa embhedeni futhi kuzothathwa izithombe eziningana ze-X-ray njengoba uketshezi ludlula ezinso futhi lwehle lungene emiseleni yokukhipha uketshezi luye kwesinye.

4. Ngemuva kwalokho uzonikezwa isikhathi esifushane sokukhipha isisu sakho, okungukuthi, ukuchama .

5. Ngizokulalisa embhedeni futhi bese uthatha izithombe ezimbalwa ezengeziwe.

Lena indlela ukuhlolwa kwe-IVP okusebenza ngayo.

Yiziphi izinkinga ezingaba khona zokuhlolwa kwe-IVP?

Njenganoma yikuphi ukuhlolwa kwezokwelapha, kungase kube nokungakhululeki okuncane phakathi nale IVP. Kodwa ungakhathazeki, isikhathi esiningi lokhu akukubi kangako.

Uma uketshezi olukhethekile (udayi ohlukile) lufakwa emzimbeni, abantu abaningi bangase babe nesinye noma ngaphezulu salezi zimpawu zesikhashana:

• Umuzwa wokushisa okuncane endaweni yomjovo.
• Ukuzizwa ushisa kancane .
• Umuzwa wokuluma ongapheli .
• Ukunambitheka kwensimbi emlonyeni.

Lokhu kuzonyamalala ngemva kwesikhashana.

Abanye abantu, abaphakathi kuka-3 no-13 kwabayi-100 , bangase babe nokusabela okuncane okungavamile kulolu ketshezi. Ezimweni ezinjalo:

• Kungase kube nesicanucanu .
• Kungase kube nokuhlanza .
• Kungase kube nomuzwa wokubomvu, okwenza ubuso nesifuba kube bomvu .

Lokhu kuvame ukuba okwesikhashana.

Kodwa-ke, akuvamile kakhulu ukuthi kube nokusabela okukhulu kokungezwani komzimba kulolu ketshezi. Lokhu kufaka phakathi:

• Ubunzima bokuphefumula.
• Umfutho wegazi ophansi.
• Amabala abomvu noma amaqhubu esikhumbeni.
• Ukuvuvukala emlonyeni noma emphinjeni.
• Ukuboshwa kwenhliziyo.

Ukusabela okubi kanje akuvamile, kodwa uma kwenzeka, kudingeka kwelashwe ngokushesha.

Kungenzeka kakhulu ukuthi ubhekane nalolu hlobo lokusabela okubi uma unezinye zezimo zezokwelapha ezilandelayo ezikhona:

• Ukungezwani komzimba okuhlukahlukene.
• Ukwehluleka Kwenhliziyo Okubangelwa Ukuqina Kwenhliziyo.
• Isifo Sikashukela (i-Diabetes Mellitus).
• Isifo Sezinso Esingapheli.

Yingakho udokotela ekubuza yonke le mibuzo ngaphambi kokwenza ukuhlolwa okufana nalokhu. Futhi, ukuhlolwa okusha, okungangeni kakhulu kuye kunciphisa kakhulu le ngozi.

Kuthatha isikhathi esingakanani ukuhlolwa kwe-IVP? Kuthatha isikhathi esingakanani ukululama?

Ukuhlolwa kwe-IVP kuvame ukuthatha cishe ihora , kodwa uma izinso zakho zisebenza kanzima kakhulu, kungathatha isikhathi eside.

Akuthathi isikhathi eside ukululama. Into ebaluleke kakhulu ngemva kokuhlolwa ukuphuza amanzi amaningi . Ngaleyo ndlela, uketshezi olukhethekile (udayi wokungafani) olufakwe emzimbeni wakho luzokhishwa ngokushesha nomchamo wakho.

Ngingayibona nini udokotela?

Izimpawu engikutshele ngazo ngaphambili, yilezi:

• Uma kukhona igazi emchameni,
• Uma umchamo umnyama ngombala,
• Uma uzwa ubuhlungu emhlane wakho ongezansi,
• Uma kukhona ubuhlungu ohlangothini lwe-pelvis,

Uma lezi zinto ziqhubeka, qiniseka ukuthi ubona udokotela, ngoba lokho kungasho ukuthi kukhona okungahambi kahle ngezinso zakho, ama-ureter, noma esinyeni.

Futhi, uma uhlangabezana nezimpawu zokusabela okukhulu kokungezwani komzimba (i-anaphylaxis) (isibonelo, ubunzima bokuphefumula, amaqhubu, ukuvuvukala komlomo nomphimbo), kungakhathaliseki ukuthi udayi wokungafani noma yini enye, kufanele ubone udokotela ngokushesha noma uye emnyangweni wezimo eziphuthumayo esibhedlela.

Khumbula kafushane.

Kulungile, ngakho-ke, ake ngikucele ukuthi ukhumbule ezinye zezinto ezibaluleke kakhulu esixoxe ngazo.

I-IVP ukuhlolwa kwe-X-ray okusetshenziselwa ukubheka izinso kanye nohlelo lomchamo. Kufakwa uketshezi olukhethekile (udayi wokungafani) emzimbeni.

Kodwa-ke, i-IVP ayisetshenziswa kakhulu kulezi zinsuku. Kunalokho, izindlela ezinembile kakhulu nezingenasidingo njenge-ultrasound, i-CT scan, kanye ne-MRI scan zivame ukusetshenziswa.

Uma unezimpawu ezifana negazi emchameni wakho, umchamo omnyama, noma ubuhlungu emhlane noma embotsheni yakho, udokotela angase acele ukuhlolwa kwezithombe ukuze ahlole izinkinga ezinso noma esinyeni sakho, njengamatshe noma izimila.

Into ebaluleke kakhulu ukuthi uma unezimpawu ezingavamile, ungazinaki bese ubona udokotela ukuze akunike iseluleko.

Izinso , Uhlelo Lomchamo, IVP, I-Intravenous Pyelogram, i-X-ray, Idayi Yokuqhathanisa, Amatshe Omchamo, Ukuxilongwa