Ingabe unezinkinga ngomgudu wakho womchamo? Ake sixoxe ngokuhlolwa kwe-Retrograde Urethrogram (RUG)!

Ngezinye izikhathi siba nobunzima bokuchama, noma singase sibe negazi emchameni wethu. Noma uma kwenzeka ingozi esiswini esingezansi, okungukuthi, esinqeni, sidinga ukubona ukuthi kukhona yini umonakalo ngaphakathi. Ikakhulukazi uma kwenzeka into efana nalena kwendoda, ukuhlolwa okukhethekile kubizwa ngokuthi `(Retrograde Urethrogram)` ukuze kutholakale imbangela eqondile. Ngezinye izikhathi lokhu sikubiza ngokuthi `(RUG)` ngamafuphi. Ngakho-ke, kumelwe ube nesifiso sokwazi ngalokhu futhi. Ingabe singakhuluma ngalokhu kuhlolwa `(RUG)` ngokuningiliziwe, kalula nje, namuhla?

Kuyini lokhu kuhlolwa (i-Retrograde Urethrogram)? Kalula nje...

Kulungile, ake siqale sibheke ukuthi iyini i-Retrograde Urethrogram (RUG). Empeleni lokhu ukuhlolwa okukhethekile okusetshenziswa odokotela. Kubheka ukuthi i-urethra yakho (ipayipi esichamela kulo) yonakele noma ukuthi izicubu zesilonda zakhekile futhi zivimba ukugeleza komchamo . Cabanga ngakho njengepayipi lamanzi elivalekile ngothuli bese livimba amanzi ukuthi angagelezi.

Lokhu kuhlolwa kwenziwa kakhulu kwabesilisa . Uma uke waba nokulimala noma ingozi esiswini sakho esingezansi noma endaweni yengquza, noma uma udokotela wakho ecabanga ukuthi unezicubu zesilonda e-urethra yakho, lokhu kuhlolwa kwe-"(RUG)`` kungenziwa.

Ukuhlolwa kwe-RUG kwenziwa nini?

Manje mhlawumbe ucabanga ukuthi, "Kulungile, ungenza lokhu ngaphansi kwaziphi izimo?" Bheka:

Udokotela angase acele i-retrograde urethrogram (RUG) uma kunesimo esiphuthumayo (isibonelo, ngemva kwengozi). Noma kungenziwa ukuhlola izimpawu eziqhubekayo. Ungadinga i-RUG uma ulimele esiswini sakho esingezansi noma endaweni yengquza futhi:

• Uma uphuma igazi emngxunyeni wepenisi yakho (okungukuthi lapho umchamo uphuma khona).
• Uma ungakwazi ukuchama .

Akukhona lokho kuphela, udokotela angenza lolu vivinyo lwe-"RUG" ngezizathu eziningana:

• Uma becabanga ukuthi i-urethra yakho inciphile ('ukuqina') ngenxa yokugula, ukuvaleka, noma ukulimala.
• Uma benobunzima bokufaka i-catheter (ipayipi eligobekayo elikusiza ukuthi uchame ).
• Ngezinye izikhathi kuyadingeka ukufaka i-catheter engena yonke enye isinye (i-transurethral bladder catheterization). Kodwa-ke, ngaphambi kokwenza kanjalo, uma udokotela esola ukuthi kunenkinga ngomgudu wakho womchamo, uzosebenzisa lesi sivivinyo "se-RUG" ukuqinisekisa ukuthi singenziwa ngokuphephile.

Yini engatholakala kulolu vivinyo lwe-RUG?

Lokhu kuhlolwa kwe-"Retrograde Urethrogram" kusiza udokotela ukuthola izinto ezifana nalezi:

• Ukuqina komchamo : Lokhu kusho ukuthi umchamo uvaliwe.
• Kukhona ukuvaleka okuthile endleleni yakho yomchamo.
• Umonakalo emgudwini wakho womchamo: Isibonelo, kungakhathaliseki ukuthi kukhona ukuqhekeka, umgodi omusha noma imbobo (i-fistula), noma isakhiwo esincane esifana nesikhwama (i-diverticula).

Ingabe lokhu kuwuvivinyo olubuhlungu? Akukho okufanele ukwesabe!

Umbuzo abantu abaningi abanawo uthi, "Ingabe lokhu kuyabuhlungu?" Cha, i-"Retrograde Urethrogram" akufanele ibuhlungu ngempela. Kodwa-ke, ungase uzizwe ungakhululekile, ungajwayelekile, ngesikhathi sokuhlolwa nangemva kokuchama . Lokhu kuvamile. Kodwa uma uzwa ubuhlungu, kungcono ukutshela udokotela wakho ngokushesha.

Lokhu (i-Retrograde Urethrogram) kusebenza kanjani?

Kulula kakhulu. Ku-"Retrograde Urethrogram", udokotela ufaka uketshezi olukhethekile (olubizwa ngokuthi "umehluko") e-urethra yakho. Lokhu kwenziwa ngokufaka ithubhu elincane noma isihloko sesirinji esibuthuntu ngembobo (``urethral meatus'') ekugcineni kwepenis yakho, lapho umchamo uphuma khona. Njengoba lolu ketshezi lugeleza esinyeni sakho (isikhwama lapho umchamo uqoqeka khona), udokotela uthatha izithombe ze-"X-ray". Lezi zithombe zisetshenziselwa ukuthola ukuthi yiziphi izinkinga ezikhona e-urethra yakho.

Ukuze kube sobala, lolu ketshezi 'oluphambene' lwenza i-urethra ibonakale ngokucacile ku-'X-ray'. Kulapho-ke kuphela lapho singabona khona ngqo ukuthi kukhona yini okungahambi kahle ngaphakathi.

Ingabe kukhona engikudingayo ukulungiselela ngaphambi komdlalo we-rug?

Lokhu kungcono kakhulu! Akudingeki wenze noma yini ekhethekile ukuze ulungiselele ngaphambi kwe-`(RUG)`. Ungaba nje ojwayelekile.

Kwenzekani ngesikhathi sokuhlolwa? Ake sibone?

Kulungile, manje ake sibone ukuthi kwenzekani uma wenza i-`(Retrograde Urethrogram)`. Ungesabi, ngizokutshela kalula.

• Okokuqala, uzophendulwa ube ngolunye uhlangothi etafuleni ngaphansi komshini we-X-ray. Uzocelwa futhi ukuthi ugobe omunye wemilenze yakho ube ngolunye uhlangothi. Udokotela noma umsizi lapho uzokusiza ukuthi uzibeke endaweni efanele.
• Ngemuva kwalokho, udokotela uzohlanza indawo ezungeze imbobo yepenis yakho bese efaka isisombululo se-antiseptic (njenge-iodine) .
• Ngezinye izikhathi, i-lubricant yokugcoba i-urethra ingafakwa ngaphakathi kwepenisi yakho ukuze i-urethra yakho ingasebenzi kahle . Kuthatha imizuzu embalwa ukuthi isebenze.
• Okulandelayo, udokotela uzofaka ipayipi elincane ngembobo esesiqongweni sepenisi yakho . Ipayipi lizoqondiswa kancane kancane e-urethra yakho ibanga elifushane. Kuleli qophelo, bangase bahambise ipenisi yakho kancane bese bekubuza ukuthi uzizwa yini ungakhululekile. Lokhu akufanele kube buhlungu – uma kunjalo, kufanele ubatshele nakanjani.
• Manje, uketshezi oluthi 'contrast' okukhulunywe ngalo ngaphambilini lufakwa kwi-urethra kusetshenziswa isirinji. Lolu ketshezi yilona olwenza i-urethra yakho ibonakale ngokucacile ezithombeni ze-'X-ray'.
• Njengoba uketshezi oluhlukile ludlula e-urethra luye kwesinye, udokotela uthatha izithombe ngomshini we-X-ray.
• Ngezinye izikhathi, ungase ucelwe ukuthi uchamele esitsheni ukuze ubone ukuthi lolu ketshezi oluhlukile ludlula kanjani emzimbeni wakho, futhi ungase ucelwe ukuthi uthathe izithombe ze-X-ray.

Yilokho kuphela okwenzekayo. Akukho okufanele ukwesabe njengoba ungase ucabange, akunjalo?

Yini ongayilindela ngemva kokuhlolwa?

Ngemva kokuhlolwa, ungase uzizwe ungakhululekile uma uchama . Ungase futhi uqaphele igazi elincane uma uchama . Lokhu kuvamile, ungakhathazeki. Lokhu kungakhululeki kuzophela ngemva kosuku olulodwa . Into ebaluleke kakhulu ukuphuza amanzi amaningi . Lokhu kuzosiza ukukhipha noma yiluphi uketshezi oluhlukile olusele.

Ingabe kukhona izingozi noma imiphumela emibi kulokhu kuhlolwa kwe-RUG?

I-urethrogram yokubuyela emuva empeleni iyisivivinyo esinobungozi obuphansi kakhulu . Kodwa-ke, kuneminye imiphumela emibi engavamile kakhulu engenzeka:

• Ukutheleleka.
• Ukusabela kokungezwani komzimba noketshezi oluhlukile.
• Noma yimuphi umonakalo emgudwini womchamo noma esinyeni.

Lezi yizinto ezingavamile kakhulu, kodwa kuhle ukuzazi.

Iyini imiphumela yokuhlolwa kwe-RUG? Isho ukuthini?

Uma imiphumela yokuhlolwa kwakho "ijwayelekile," kusho ukuthi uketshezi lugeleza nge-urethra yakho ngaphandle kokuvinjelwa . Uma kunjalo, izimpawu zakho zingase zibangelwe okunye.

Eminye imiphumela ingase ibonise ukuthi i-urethra yakho yonakele, inciphile, noma ivalekile.

Ngezinye izikhathi, uma ukuhlolwa kwe-RUG kukodwa kunganikezi ulwazi olwanele, udokotela wakho angase afune ukwenza i -cystoscopy , ehilela ukufaka ikhamera encane e-urethra yakho.

Kuthatha isikhathi esingakanani ukwazi imiphumela?

Isikhathi esithathayo ukuze wazi imiphumela sincike ekutheni kungani wenza lokhu kuhlolwa.

• Uma ulimele futhi udinga ukwelashwa okuphuthumayo , udokotela uzothola imiphumela yokuhlolwa ngokushesha , ukuze bakwazi ukukwelapha ngokushesha.
• Ngaphandle kokuthi kuyisimo esiphuthumayo , kufanele ukwazi ukwazi imiphumela zingakapheli izinsuku ezimbalwa .

Uma imiphumela ingajwayelekile, yini oyenzayo ngokulandelayo?

Manje ungase ucabange, "Kulungile, uma imiphumela ithi kunenkinga, sizokwenzenjani ngokulandelayo?"

Izinyathelo ezilandelayo ozithathayo zizoncika ekutheni yini ebangela inkinga yakho. Udokotela wakho uzokhuluma nawe ngezinketho zokwelapha. Lokhu kungafaka:

• Izinqubo zokwandisa i-urethra yakho (njengokukhulisa i-urethra) .
• Ukuhlinzwa (njengokuhlinzwa kwe-urethroplasty) .

Ungakhathazeki, udokotela uzochaza ukwelashwa okufanele kakhulu kuwe.

Kufanele ngiphinde ngimbone nini udokotela?

Uma unezinye zalezi ezilandelayo ngemva kokuhlolwa, kufanele nakanjani ubone udokotela wakho:

• Uma uzwa ubuhlungu lapho uchama noma ungakwazi nhlobo ukuchama .
• Uma ungazizwa kahle noma uphuma igazi isikhathi esingaphezu kosuku ngemuva kokuhlolwa.
• Uma kunezimpawu zokutheleleka (isib., ukuvuvukala kwepenisi, umkhuhlane).
• Uma unemibuzo mayelana nemiphumela yokuhlolwa kwakho.

Kungcono ukungacabangi kabili ngokukhuluma nodokotela nganoma yini efana nale, akunjalo?

Ngakho-ke, ake sibheke ezinye izinto okufanele sizikhumbule kulokhu? (Umyalezo Wokuya Ekhaya)

Kulungile, sesikhulume kakhulu ngalolu vivinyo lwe-`(Retrograde Urethrogram)` noma lwe-`(RUG)`, akunjalo? Okokugcina, khumbula lezi zinto:

I-urethrogram yokubuyela emuva iyindlela elula yokuhlola engenangozi.

Lokhu kuzothatha imizuzu embalwa kuphela.

Kodwa-ke, lokhu kunikeza odokotela ulwazi oluningi olubalulekile mayelana nezinkinga ezingaba khona ngomgudu wakho womchamo.

Lokhu kuhlolwa kusetshenziswa nasezimweni eziphuthumayo noma ngemva kokulimala ukuze kutholakale ukuthi kukhona yini umonakalo ongabonakali ngaphandle .

Ngakho-ke, uma udokotela ekucela ukuthi wenze lokhu kuhlolwa, ungesabi ngokungadingekile. Cabanga ngakho njengento ezokusiza ukuthi ugcine impilo yakho. Uma uneminye imibuzo, qiniseka ukuthi ukhuluma nodokotela wakho.

I- Urinary Tract, I-RUG, i-Retrograde Urethrogram, Ukuhlolwa Komchamo, Impilo Yabesilisa, Ukutheleleka Kwe-Urinary Tract, i-X-ray, Izinkinga Zomchamo