Ingabe udokotela ukutshelile ukuthi wenze i-CT Urogram? Woza, ake sixoxe ngakho kalula!

Ngezinye izikhathi uma udokotela ekutshela ukuthi wenze isivivinyo esinegama elingajwayelekile, uyasaba kancane futhi ukhathazeke, akunjalo? Ikakhulukazi uma kuyinto efana ne-"CT scan". Namuhla sizokhuluma ngokuhlolwa okunjalo, okuyi- "CT urogram" . Uma uzwa leli gama, ungase ucabange, ''Hawu Nkulunkulu wami, kuyini lokhu kuhlolwa okusha?'' Kodwa ungakhathazeki, sizoxoxa ngakho konke ngendlela elula necacile namuhla. Ngizokuchaza ngendlela ongayiqonda.

Kuyini i-CT Urogram?

Kalula nje, i-CT urogram iyiskeni ekhethekile ebheka uhlelo lwakho lomchamo – izinso zakho, isinye sakho (isikhwama lapho umchamo wakho uqoqeka khona), kanye nama-ureter, amapayipi athwala umchamo esuka ezinso zakho aye kwesinye sakho. Isebenzisa uketshezi olukhethekile olubizwa ngokuthi i-contrast dye, ama-X-ray , kanye nekhompyutha . Cabanga ngakho njengokuthatha uchungechunge lwezingcezu ezincane zesisu sakho, ingaphakathi lesisu sakho, amathambo, imisipha, ezinye izitho zomzimba, kanye nemithambo yegazi. Uma uhlanganisa lezi zithombe, udokotela wakho angabona uhlelo lwakho lomchamo ngemininingwane eminingi, ngaphandle kokulahlekelwa lutho.

Umshini we-X-ray ojwayelekile wawuvame ukuthatha isithombe esinezinhlangothi ezimbili (2D) esibukeka ohlangothini olulodwa kuphela. Kodwa umshini osetshenziswa kule CT urogram ufana nedonathi enkulu. Uthatha izithombe ngokuthumela ama-X-ray emzimbeni wakho ngama-degree angu-360. Bese ikhompyutha ihlanganisa zonke lezi zithombe ndawonye bese idala umbono ocacile onezinhlangothi ezintathu (3D) wangaphakathi lomzimba wakho. Lokho kusho ukuthi kucace bha njengokungathi ubambe isandla sakho ubheka okungaphakathi.

Kungani udokotela angancoma i-CT Urogram?

Manje ungase uzibuze, "Kungani udokotela wami, ikakhulukazi udokotela wezifo zomchamo, eyale i-CT urogram?" Isizathu siwukuthi, uma unezimpawu ezihlobene nohlelo lwakho lomchamo - isibonelo, igazi emchameni wakho, ubuhlungu obukhulu ohlangothini olulodwa lwesisu sakho noma esiswini esingezansi, ubunzima bokuchama - lokhu kuskena kungaba usizo kakhulu ekutholeni imbangela eqondile .

I-CT urogram ingasiza udokotela wakho ukuthi abone izimo ohlelweni lwakho lomchamo, njenge:

• Amatshe ezinso
• Amatshe ase-urethra (amatshe asezimbotsheni ezithwala umchamo )
• Amatshe esinyini
• Ukutheleleka okuvamile
• Izimila noma izimo ezingaba nomdlavuza
• Ama-Cysts

Lokhu ukuhlolwa okubaluleke kakhulu ukuze kutholakale ngokunembile izimo ezinjengalezi bese uqala ukwelashwa okufanele okudingayo.

Ubani owenza le CT Urogram?

Lokhu `(CT urogram)` kwenziwa ngabantu abaqeqeshwe ngokukhethekile ababizwa ngokuthi ochwepheshe be-radiologic . Yibo abenza lolu hlobo lwezinqubo zokuthwebula izithombe futhi basize odokotela ukuthi baxilonge isifo ngokunembile. Banekhono elikhulu kulokhu, ngakho akukho okufanele ukwesabe.

Ulungiselela kanjani i-CT Urogram?

Kulungile, manje ake sibone ukuthi kufanele uzilungiselele kanjani le `(CT urogram)`. Ukwenza lokhu ngendlela efanele kubaluleke kakhulu ukuthola imiphumela enembile kusukela ekuhlolweni.

Ngaphambi kokuhlolwa, udokotela noma umhlengikazi uzothatha izimpawu zakho ezibalulekile (okungukuthi, izinga lokushisa kwakho, izinga lokushaya kwenhliziyo, kanye nomfutho wegazi). Bese bezokubuza imibuzo embalwa ebalulekile. Kubaluleke kakhulu ukuthi ukhulume iqiniso ngakho konke okwaziyo ngalesi sikhathi, akunjalo?

• Ingabe unazo ezinye izinkinga zempilo njengamanje? (isib. isifo sikashukela, isifo senhliziyo)
• Ingabe une -allergy kuketshezi olukhethekile oluthi `(contrast dye)` noma i-iodine`(iodine)` okukhulunywe ngalo ngaphambili? (Wake waba ne-allergy ku-`(dye)` ukuze uthole `(scan)` ngaphambili?)
• Ingabe ukhulelwe? Noma ingabe unezinsolo ezincane zokuthi ukhulelwe? (Lokhu kuyinto okufanele ikhulunywe ngayo nakanjani).
• Ingabe okwamanje uthatha noma yimiphi imithi? Isibonelo, imithi efana ne-metformin yesifo sikashukela, imithi engeyona i-steroidal anti-inflammatory (NSAIDs) (isb. i-ibuprofen, i-diclofenac), ama-antibiotic, noma imithi yokunciphisa igazi efana ne-warfarin. Bhala noma yimaphi amavithamini noma imithi yamakhambi oyithathayo.

Ngezinye izikhathi uzocelwa ukuba uhlolwe igazi ngaphambi kwalokhu kuskena. Lokhu kuzovumela udokotela ukuthi ahlole ukusebenza kwezinso zakho futhi akukhethele idayi yokuhlukanisa efanele.

Uma wazi ngokuqinisekile ukuthi une-allergy kudayi wokungafani, ungakhathazeki. Udokotela wakho cishe uzokunika i-steroid ngobusuku bangaphambi kokuhlolwa kanye nasekuseni kokuhlolwa. Ungase futhi unikezwe i-antihistamine ngaphambi kokuhlolwa. Udokotela wakho uzokunikeza yonke le mithi.

Futhi, udokotela noma abasebenzi lapho bazokunikeza imiyalelo eyengeziwe yokuthi ungalungiselela kanjani le `(CT urogram)`. Kubaluleke kakhulu ukulandela leyo miyalelo ngqo.

Yini okufanele ngiyenze ngosuku olwandulela kanye nasekuseni kokuskena?

• Ungase ucelwe ukuthi uphuze amanzi engeziwe ngaphambi kokuskena. Ungase ucelwe nokuthi uyeke ukuchama kuze kube yilapho ukuskena sekuphelile. Lokhu kungenxa yokuthi isinyi sakho sizogcwala futhi sikhule, okwenza kube lula ngodokotela ukusihlola kahle.
• Gqoka izingubo ezikhululekile nezikhululekile uma uzoskena.Kungcono ukuza ugqoke. Kungase kudingeke ugqoke ingubo ekhethekile abakunika yona.
• Sicela ususe zonke izinto zokuhloba, njengewashi lakho, umgexo, amasongo, namacici. Uma ubhoboze amacici, kuzodingeka uwasuse nawo.
• Uma ugqoka amazinyo okufakelwa noma izinsiza zokuzwa, ungase ucelwe ukuthi uzisuse ngaphambi kokuskena, njengoba lezi zinto zensimbi zingaphazamisa izithombe ezikuskena.

Yini ongayilindela uma wenza i-CT Urogram?

Kulungile, manje ake sibone ukuthi kwenzekani ngempela ngesikhathi se-``(CT urogram)``. Ungakhathazeki, ngizokuchazela.

Uzocelwa ukuba ulale etafuleni elikhethekile elifana nombhede. Esikhathini esiningi, uzocelwa ukuba ulale ngomhlane, kodwa ngezinye izikhathi, kuye ngesimo sakho, ungase ucelwe ukuba ulale ngohlangothi noma ngesisu. Ungase ucelwe futhi ukuthi ubeke into efana nomcamelo ngaphansi kwakho ukuze umzimba wakho ugcine umzimba wakho uqondile futhi ukhululekile. Lokhu kuzokwenza ukuskena kube lula kuwe futhi kukusize uthole izithombe ezicacile.

Ngemuva kwalokho, umhlengikazi noma uchwepheshe uzofaka inalithi encane emthanjeni osesandleni sakho, bese kuthi idayi ekhethekile yokuhlukanisa ijojwe emzimbeni wakho ngepayipi elixhunywe kuyo. Lokhu kubizwa ngokuthi umjovo we-intravenous (IV) . Uzozwa umuzwa omncane wokuqaqamba lapho inalithi ifakwa, njengokuhlaba, kodwa ayibuhlungu.

Uma udayi wokungafani ufakwa, ungase uzizwe ufudumele kancane , njengobuso bakho obushintsha bube bomvu uma unamahloni. Abanye abantu bangase bazizwe benesicanucanu noma bephethwe yikhanda. Ungase futhi ube nokunambitheka okunosawoti noma okusansimbi emlonyeni wakho. Ungase futhi uzizwe unesifiso sokuchama ngokuzumayo. Zonke lezi zinto zizophela ngemizuzwana noma imizuzu embalwa, ngakho ungakhathazeki ngakho, kuyinto evamile.

Uma ukuskena kuqala, umbhede olele kuwo uzongena kancane kancane emshinini, njengedonathi. Kubalulekile ukuhlala uthule ngangokunokwenzeka phakathi nalesi sikhathi. Uma uthutha, izithombe zizoba zifiphele, njengalapho uthutha ikhamera. Uma uzizwa ungakhululekile noma udinga ukunyakaza ngoba uklwebha okuthile, tshela uchwepheshe. Bangase bakucele ukuthi ubambe umoya wakho isikhashana ngenkathi izithombe zithathwa.

Isithwebuli sithatha izithombe zezindawo zomzimba wakho udokotela afuna ukuzibona. Umshini awenzi umsindo omkhulu uma uthatha izithombe, umsindo omncane nje wokuchofoza. Kwabanye abantu, lokhu kuyinto ephumuzayo kakhulu, futhi abanye abantu bangase balale! Kodwa-ke, kungase kube nomsindo omncane womshini lapho umbhede ungena futhi uphuma emshinini.

Kuthatha isikhathi esingakanani ukuhlolwa kwe-CT Urogram?

Ngokuvamile, lokhu ``(CT urogram)`` kuthatha cishe ihora ukuqeda.Uzilungiselela, uthola i-IV, bese uthola i-scan, futhi konke lokho kuthatha isikhathi. Kuthatha cishe imizuzu eyi-10 kuya kwengama-30 ukuthi idayi yokungafani ingene emzimbeni wakho futhi isakazeke kulo lonke uhlelo lwakho lomchamo, nokuthi kuthathwe izithombe ezicacile. I-scan eyodwa, okungukuthi, isethi eyodwa yezithombe, ithatha isikhathi esifushane kakhulu, cishe imizuzwana eyi-10 kuya kwengama-30. Ukuhlolwa konke kudinga ama-scan amaningana, athathe izithombe ngezikhathi ezahlukene.

Kwenzekani ngemva kokuhlolwa kwe-CT Urogram?

Ngemva kokuqeda ukuskena futhi udokotela we-radiologist ehlola ukuthi zonke izithombe zicacile nokuthi ziphume njengoba bekulindelekile, uzosusa kancane i-IV engalweni yakho bese ebeka ingcezu encane yetheyiphu noma ibhola likakotini phezu kwendawo ukuze iyibambe endaweni yayo. Uma ubugqoke ingubo, ungagqoka izingubo zakho futhi. Ungaya ekhaya ngemva kwalokho, futhi akukho lutho olukhethekile ongakwenza. Kodwa-ke, bangakutshela ukuthi uphuze amanzi amaningi ukusiza idayi yokungafani iphume emzimbeni wakho ngokushesha.

Ingabe zikhona izingozi nge-CT Urogram?

Lona mhlawumbe umbuzo omkhulu engqondweni yakho, "Ingabe kukhona imiphumela emibi noma izingozi ngalokhu?"

I-CT urogram ngokuvamile ibhekwa njengokuhlolwa okuphephile kakhulu.

Nokho, njengezinye izivivinyo zezokwelapha, kungase kube nezingozi ezincane kakhulu:

• Ukuchayeka emisebeni: I-CT scan isebenzisa inani elincane lemisebe e-ionizing ukuthatha izithombe. Kuhlala kwenziwa imizamo yokugcina inani lemisebe liphansi kakhulu. Kuthiwa lokhu kwandisa ingozi yokuba nomdlavuza esikhathini eside ngenani elincane kakhulu, kodwa inani lalokhu kwanda lincane kakhulu ukuba lingalinganiswa ngokunembile. Udokotela uyalela lokhu kuhlolwa ngoba izinzuzo zokuhlolwa zidlula kakhulu izingozi ezincane.
• Ukusabela kokungezwani komzimba kudayi wokungafani: Akuvamile kakhulu, abanye abantu bangaba nokusabela okuncane noma okukhulu kokungezwani komzimba kudayi wokungafani. Yingakho ubuzwa kusengaphambili ukuthi unesifo sokungezwani komzimba yini. Ungase ube nokulunywa okuncane noma amaqhubu. Ukusabela okukhulu kokungezwani komzimba akuvamile kakhulu, futhi ngisho nasezimweni ezinjalo, isibhedlela sinezindawo zokuhlinzeka ngokwelashwa okusheshayo.
• Ukudumba noma ukuvuvukala endaweni yokudumba: `(IV)` Kungase kube nokudumba noma ukuvuvukala (i-angioedema) eduze kwendawo yokudumba. Lokhu kuvame ukuphela ezinsukwini ezimbalwa.

Uma usenanoma yikuphi ukukhathazeka noma ukungabaza ngalezi zingozi, qiniseka ukuthi ukhuluma nodokotela wakho ngakho ngokukhululekile. Angakunikeza izimpendulo ezicacile zezinkinga zakho futhi akusize wenze isinqumo esifanele.

Kuthatha isikhathi esingakanani ukuthola imiphumela ye-CT Urogram?

Ngokuvamile kuthatha usuku olu-1 kuya ku-3 ukuthi imiphumela ye-CT urogram yakho ibuye. Udokotela ochwepheshe be-radiology, obizwa ngokuthi i-radiologist,Uzobuyekeza ama-scan akho bese edala umbiko onemininingwane walokho akubonayo nakutholayo. Udokotela wakho uzobe esexoxa nawe ngalo mbiko, ngocingo noma ngokukwenza i-aphoyintimenti ukuze ungene uzombona.

Esimweni esiphuthumayo, isibonelo egumbini lezimo eziphuthumayo esibhedlela (ETU) , le miphumela ingatholakala ngokushesha okukhulu, kungakapheli ihora.

Ngingashayela nini udokotela ucingo?

Ukulinda imiphumela ye-CT urogram kungaba yinto ekhathazayo futhi kunzima ukuyibekezelela, futhi ngiyaqonda lokho. Kufanele waziswe ngemiphumela zingakapheli izinsuku ezimbalwa. Kodwa-ke, uma ungakayizwa kithi, noma uma unemibuzo noma ukukhathazeka ngalokhu, sicela ungangabazi ukushayela udokotela wakho ucingo.

Ingabe i-CT Urogram iyabuhlungu?

Cha, i-CT urogram akuyona neze ukuhlolwa okubuhlungu. Okuwukuphela kwento ozoyizwa ukugwazwa okuncane lapho kufakwa i-IV, njengokugwazwa yintuthwane. Ngaphandle kwalokho, abukho ubuhlungu.

Uyini umehluko phakathi kwe-CT scan ejwayelekile kanye ne-CT urogram?

Lona futhi umbuzo obalulekile abantu abaningi abawubuzayo. I-`(CT urogram)` uhlobo olukhethekile lwe-`(CT scan)`. Ukuze kube sobala, i-`(CT urogram)` ibheka ngqo uhlelo lwakho lomchamo (izinso, esinyeni, urethra). I-`(CT scan)` evamile ingabheka noma iyiphi ingxenye yomzimba wakho, kusukela ekhanda lakho kuya kwezinye izitho zomzimba. Futhi, akuwona wonke ama-`(CT scan)` avamile asebenzisa leyo `(contrast dye)`. Kodwa i-`(CT urogram)` ngokuqinisekile isebenzisa i-`(contrast dye)` ukuze ibone uhlelo lomchamo ngokucacile.

Uyini umehluko phakathi kwe-CT Urogram kanye ne-Cystoscopy?

Nakuba kokubili lokhu kuyizivivinyo ezibheka uhlelo lomchamo, kunomehluko omkhulu enkambisweni. I-cystoscopy iyisivivinyo esivame kakhulu kune-CT urogram.

Ngesikhathi sokuhlolwa kwe-cystoscopy, udokotela uzofaka kancane kancane ithubhu ekhethekile efana nobukhulu bepensela, ithubhu elincane elinokukhanya kanye nekhamera enamathiselwe - ebizwa ngokuthi i-cystoscope - nge-urethra yakho bese ingena esinyeni sakho. Ngemuva kwalokho, udokotela uzofutha isinye ngamanzi anosawoti ahlanzekile, okuvumela ikhamera ukuthi ibheke ngqo esinyeni kanye ne-urethra.

Ku-"(CT urogram)", akukho mishini efakwa emzimbeni, kuyisikeni esenziwe ngaphandle.

Okudingeka ukukhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho into ebaluleke kakhulu okudingeka uyikhumbule kulokho esikhulume ngakho yile:

I-CT urogram iyisivivinyo esiwusizo kakhulu, ngokuvamile esiphephile kakhulu, esingenangozi kakhulu, futhi esingenabuhlungu esingasiza ekutholeni izinkinga ohlelweni lwakho lomchamo.

Kuvamile ukuzizwa ukhathazekile noma ukhathazekile kancane lapho udokotela ekucela ukuthi wenze isivivinyo esinjengalesi. Kodwa uma unemibuzo noma ukukhathazeka ngakho, khuluma nodokotela wakho ngakho ngokucacile nangokusobala. Ngeke nje uthole ukuqonda okungcono ngesimo, kodwa uzokwazi nokunqoba ukwesaba kwakho. Ukuxilongwa okunembile kuyisinyathelo sokuqala nesibaluleke kakhulu sokwelashwa okusheshayo nokufanele! Ngakho-ke, ukuhlanganyela ezivivinyweni ezinjalo ngaphandle kokwesaba kubaluleke kakhulu empilweni yakho.

I- CT urogram, uhlelo lomchamo, isifo sezinso, esinyeni, iskeni, idayi yokuhlukanisa, i-X-ray