Ingabe i-adrenal gland yakho iyimbangela yomfutho wegazi ophezulu? Ake sixoxe nge-Adrenal Venous Sampling (AVS)!

Ingabe unomfutho wegazi ophakeme? Mhlawumbe unenkinga yokulawula umfutho wegazi wakho ngisho nangemva kokuthatha imithi eminingana oyinikezwe udokotela wakho. Ezikhathini ezinjengalezi, kungaba ngenxa yoshintsho ekusebenzeni kwezindlala ezimbili ezincane emzimbeni wakho. Namuhla, sikhuluma ngokuhlolwa okukhethekile okubizwa ngokuthi i-Adrenal Venous Sampling, noma i-AVS, okuwukuhlolwa okungakusiza ukuthola ukuthi yini ngempela ebangela umfutho wegazi wakho.

Kuyini i-Adrenal Venous Sampling (AVS)?

Kalula nje, i-AVS iwukuhlolwa okuhlola ukuthi ngabe eyodwa noma zombili izindlala zakho ze-adrenal zikhiqiza ama-hormone amaningi kakhulu. Lezi zindlala zitholakala ngaphezu kwezinso zethu, njengezigqoko ezimbili.

I-hormone eyodwa ebalulekile ekhiqizwa yilezi zindlala ibizwa ngokuthi i-aldosterone . Le hormone ibaluleke kakhulu ekugcineni ibhalansi yomfutho wegazi kanye nama-electrolyte emzimbeni. Kodwa-ke, uma le hormone ye-aldosterone ikhishwa kakhulu, umfutho wegazi wakho ungakhuphuka futhi amazinga akho e-potassium egazini angancipha.

Ekuhlolweni kwe-AVS, udokotela we-radiologist ongenelelayo ufaka idayi ekhethekile emithanjeni exhumanisa izindlala zakho ze-adrenal bese ethatha amasampula egazi amabili kulezo zindlala. Lawa masampula egazi amabili abe esehlolwa ukuze kubonakale ukuthi i-aldosterone ivela endlaleni yesokudla, endlaleni yesobunxele, noma kokubili. Udokotela wakho uzosebenzisa le miphumela ukuze anqume ukuthi yikuphi ukwelashwa azokunikeza okulandelayo.

Kungani udinga ukwenza lolu vivinyo lwe-AVS?

Lokhu kuhlolwa kuvame ukunconywa uma usolwa ukuthi unesifo esibizwa ngokuthi i-Primary Aldosteronism (Conn's Syndrome) , okuyisimo esibangelwa ukukhiqizwa ngokweqile kwe-hormone i-aldosterone.

Ngale ndlela, uma wazi kahle ukuthi inkinga ikuphi, kulula kakhulu ukunquma ukwelashwa. Ngezinye izikhathi lokhu kuhlolwa kusetshenziselwa ukuthola izimo ezifana ne-pheochromocytoma, isimila esingavamile esakheka endlaleni ye-adrenal.

Ngingalungiselela kanjani lolu vivinyo?

I-AVS inqubo yokulaliswa esibhedlela noma egumbini lokuhlinza. Uzobe uphapheme ngesikhathi senqubo, kodwa ngeke uzwe ubuhlungu. Lokhu kungenxa yokuthi yenziwa kusetshenziswa umuthi wokubulala izinzwa wendawo futhi ngezinye izikhathi umuthi wokudambisa ubuhlungu ukuze uthule futhi ulale ubuthongo obuncane.

Uma unikezwa umuthi wokudambisa umzimba olula, kubalulekile ukuthi kube khona umuntu ozokuthatha akuyise ekhaya ngemva kokuhlolwa.

Futhi, udokotela wakho angase akucele ukuthi uyeke ukuthatha imithi ethile ezinsukwini ezimbalwa ngaphambi kokuhlolwa. Ngakho-ke, yazisa udokotela wakho ngayo yonke imithi oyithathayo. Kuzodingeka uzile ukudla ekuseni kokuhlolwa.

Kwenzekani ngesikhathi sokuhlolwa?

Yilokhu okwenzekayo ngesikhathi sokuhlolwa:

• Okokuqala, i-cannula (umugqa we-IV) izofakwa emthanjeni ongalweni yakho, lapho kuzonikezwa khona umuthi ovuselela izindlala zakho ze-adrenal. Uma unikezwa umuthi wokukuthulisa, uzonikezwa nangalokhu.
• Ngemuva kwalokho, indawo yakho yezinsini lapho kufakwa khona i-catheter (ipayipi elincane) izovaleka ukuze ungezwa ubuhlungu.
• Uchwepheshe wenza ukusika okuncane esikhumbeni se-groin bese efaka i-catheter ngayo. Basebenzisa i-ultrasound scan ukuthola umthambo oqondile.
• Okulandelayo, kufakwa uketshezi olukhethekile (izinto ezingafani) ngale catheter, futhi ngosizo lwe-X-ray, i-catheter iqondiswa emithanjeni yezindlala zakho ze-adrenal.
• Uma umthambo usutholakele, kuthathwa isampula encane yegazi emithanjeni ye-adrenal yesokudla neyakwesobunxele.
• Ekugcineni, i-catheter iyasuswa bese kufakwa ibhandishi phezu kwesilonda.

Ingabe lokhu kuyalimaza?

Cha, akubuhlungu. Ngeke uzwe ubuhlungu ngoba kubuhlungu. Abanye abantu bathi uma uketshezi olukhethekile ludlula emithanjeni, luzwakala njengokushisa okuncane. Kodwa lokho kuyaphela ngemizuzwana embalwa.

Ithini imiphumela?

Ngemva kokuthumela isampula yegazi elabhorethri nokuyihlola, udokotela wakho angakutshela ngqo ukuthi inkinga ikuphi.

• Uma indlala eyodwa kuphela ye-adrenal ikhiqiza i-aldosterone eyengeziwe, ukususwa kwaleyo ndlala ngokuhlinzwa (i-adrenalectomy) kunganconywa.
• Uma zombili izindlala zikhiqiza i-aldosterone eningi kakhulu, ukwelashwa okungcono kakhulu kuvame ukuba umuthi.

Lonke uhlelo lwakho lokwelashwa luzoncika kulo mphumela.

Ziyini izingozi zalolu vivinyo?

I-AVS iwukuhlolwa okuphephile kakhulu futhi okuphumelelayo, kodwa njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane.

Isikhathi sokululama kanye nesikhathi sokubonana nodokotela

Kungathatha izinsuku eziningana ukululama ngokuphelele ngemva kokuhlolwa kwe-AVS. Kubalulekile ukuthola ukuphumula okwanele phakathi nalesi sikhathi. Uma ubuyela emisebenzini yakho evamile kusenesikhathi, kungase kube nezinkinga ezifana nokopha endaweni yokusikwa.

Udokotela wakho angakweluleka ukuthi ugweme okulandelayo cishe izinsuku ezintathu:

• Ukushayela.
• Ukusebenzisa imishini esindayo.
• Phakamisa izinsimbe ezisindayo.
• Ukuzivocavoca noma ukwenza umsebenzi onzima.
• Izinto ezifana nokungena ebhavini, ukubhukuda, njll.
• Ukusayina amadokhumenti asemthethweni (ngenxa yemithi ekwenza ulale).

Uma unalezi zimpawu, shayela udokotela wakho ngokushesha.

Uma kuvela noma yiziphi izimpawu ezilandelayo ngemva kokuhlolwa, yazisa udokotela wakho ngokushesha.

• Ukopha ngenxa yokusikeka embotsheni.
• Uma ubuhlungu buqhubeka buba bubi kakhulu.
• Imfiva.
• Ukucanuzela noma ukuhlanza.

Ukuhlolwa kwe-AVS kungase kubonakale kuyinkimbinkimbi kuwe, kodwa kuyindlela engcono kakhulu yokwazi ngokuqinisekile ukuthi umfutho wegazi wakho uphezulu yini ngenxa yezindlala zakho ze-adrenal. Ngakho-ke khuluma nodokotela wakho nganoma yimiphi imibuzo, ukukhathazeka, noma ukungabaza onakho ngalokhu.