Ingabe nawe unegazi emchameni wakho? Noma uzizwa sengathi kufanele uchame njalo? Uma ubona lokhu, ungase wesabe kakhulu, ucabange, 'O, ingabe nami nginomdlavuza wesinyi?' Kodwa ungesabi. Akuzona zonke izimpawu ezisho umdlavuza. Ngakho-ke, udokotela uthola kanjani ukuthi unalesi simo? Yiziphi izivivinyo ezenziwayo zalokhu? Sizoxoxa ngakho ngokuningiliziwe namuhla, ngendlela ongayiqonda.
Yini eyenziwa udokotela kuqala?
Ngakho-ke uma uya kudokotela unalezi zimpawu, into yokuqala azoyenza ukukhuluma nawe. Uzobuza ngempilo yakho iyonke, noma yiziphi ezinye izimo zezokwelapha onazo, imithi oyiphuzayo, nokuthi ngabe kukhona yini emndenini wakho oke waba nomdlavuza wesinyi ngaphambili . Lokhu kuzonikeza udokotela umbono omuhle ngomlando wakho wezokwelapha.
Okulandelayo, udokotela wakho uzokwenza ukuhlolwa ngokomzimba. Ngalesi sikhathi, ukuhlolwa kwe-pelvic kungenziwa kwabesifazane kanye nokuhlolwa kwe-digital rectal (DRE) kwabesilisa. Lokhu kungase kubonakale kungakhululekile, kodwa kuwukuhlolwa okubaluleke kakhulu. Ngezinye izikhathi kunganikeza umbono ocacile wokuthi isimila esinyeni siyaphatheka yini, sikhulu kangakanani, nokuthi sisakazeke yini.
Uma udokotela engase abe nokungabaza okwengeziwe ngemva kwalezi zivivinyo zokuqala, angakudlulisela kuchwepheshe, udokotela wezifo zomchamo, ozobe eseqhuba izivivinyo ezahlukene.
Yini engatholakala ekuhlolweni komchamo?
Isampula yomchamo ingaveza izinto eziningi. Lokhu kuvame ukuba ukuhlolwa kokuqala okwenziwayo.
| Igama Lokuhlolwa | Ubonani kulokhu? |
|---|---|
| Ukuhlolwa komchamo | Kalula nje, lo mbiko ogcwele. Uhlola umchamo wakho ukuze athole izinto ezifana negazi, ushukela, kanye neprotheni. Ungathola ngisho nenani elincane legazi elincane kakhulu ukuba lingabonwa ngamehlo enyama. |
| I-Cytology yomchamo | Okwenzayo lapha ukuhlola isampula yomchamo wakho ngaphansi kwe-microscope ukuze ubone ukuthi kukhona yini amangqamuzana omdlavuza kuwo. |
| Isiko Lomchamo | Isampula yakho yomchamo izoshiywa ikhule elabhorethri izinsuku ezimbalwa ukuze ibheke amagciwane angabangela ukutheleleka. Lokhu kuzokutshela ukuthi unesifo somgudu womchamo. |
| Ukuhlolwa Kophawu Lwe-Urine Tumor | Amaseli omdlavuza wesinye ngezinye izikhathi akhipha izinto ezithile emchameni. Lokhu kuhlola kubheka lezi zinto. |
I-Cystoscopy (ukuhlolwa kwesinye ngekhamera)
Leli gama lingase lizwakale liyesabeka kancane, kodwa lena yindlela eyinhloko nenembile kakhulu yokuthola umdlavuza wesinye.
Cabanga ngepayipi elincane kakhulu nelincane. Linekhamera encane kanye nokukhanya ekugcineni. Udokotela ufaka ngokucophelela leli payipi (elibizwa ngokuthi i-cystoscope) e-urethra yakho nasesinyeni sakho. Bese, ngepayipi, egcwalisa isinye ngamanzi anosawoti, okwenza sivuvuke kancane. Bese, ikhamera ingabona ingaphakathi lesinye sakho ngokucacile.
Ngaphambi kokuba lokhu kwenziwe, i-urethra yakho kanye nesinye kuyavaleka. Ngezinye izikhathi, uma kwenziwa egumbini lokuhlinza, uphelelwa yi-anesthesia ngokuphelele, okusho ukuthi awuzwanga lutho. Ngakho awuzwa lutho.
Ukususwa nokuhlolwa kwendawo esolisayo (TURBT)
Uma udokotela ebona indawo esolisayo, njengesimila, ngenkathi ebheka ngekhamera, uzothatha ingxenye encane yaso ngokushesha ayithumele ukuze iyohlolwa. Lokhu yilokho esikubiza ngokuthi i-biopsy .
Ngezinye izikhathi, udokotela uzokwenza inqubo ebizwa ngokuthi i-TURBT (Transurethral Resection of Bladder Tumor) . Kulokhu, ngenkathi ikhamera isendaweni, kusetshenziswa ithuluzi elikhethekile ukusika nokususa isimila esisolisayo cishe ngokuphelele. Ngesikhathi esifanayo, ingxenye yemisipha yesinye ezungeze isimila nayo iyasuswa. Ngemuva kwalokho, lezi zingcezu zithunyelwa elabhorethri ukuze kubonakale ukuthi umdlavuza yini nokuthi, uma kunjalo, usakazeke kangakanani.
Ama-scan nama-X-ray (Ukuhlolwa Kwezithombe)
Uma umdlavuza uqinisekiswa, kusetshenziswa izinhlobo ezahlukene zokuskena ukuze kubonakale ukuthi ususakazeke kangakanani nokuthi ususakazeke kwezinye izitho zomzimba. Lokhu kuthatha izithombe zezinto ezingaphakathi emzimbeni wakho.
| Igama Lokuhlolwa | Wenzani futhi ufundani kulokhu? |
|---|---|
| I-Pyelogram Yemithambo Yegazi (IVP) | Lolu uhlobo lwe-X-ray. Kufakwa idayi ekhethekile emthanjeni wakho. Njengoba ledayi idlula ezinso zakho futhi yehla ngomgudu wakho womchamo, i-X-ray ikhombisa izinto ezifana nezimila ngokucacile. |
| I-CT Scan | Lokhu kungathatha isithombe se-3D sezinso zakho, esinyeni, kanye ne-urethra. Kungabona ngokucacile nezimila emgudwini womchamo kanye nama-lymph node ukuze kubonakale ukuthi umdlavuza ususakazeke yini. |
| Iskeni se-MRI | I-Magnetic resonance imaging (MRI) isebenzisa amagagasi kazibuthe ukuthatha izithombe zangaphakathi lomzimba. Lokhu kungasiza futhi ekuhloleni kangcono isimo somgudu womchamo nezicubu ezizungezile. |
| Ukuskena kwe-Ultrasound | Isebenzisa amaza omsindo ukuthatha izithombe zesinyi. Lokhu kungalinganisa izinto ezifana nosayizi wesimila esinyeni. |
| I-X-ray Yesifuba Nokuskena Kwamathambo | Umdlavuza wesinye ngezinye izikhathi ungasakazekela emaphashini noma emathanjeni. Lokhu kuskena kwe-X-ray kanye nethambo kwenziwa ukuqinisekisa ukuthi lokhu kwenzekile yini. |
Kungokuhlanganisa ulwazi oluvela kuzo zonke lezi zivivinyo lapho udokotela efinyelela khona esiphethweni sokugcina ngesimo sakho bese enquma ukuthi iyiphi indlela yokwelapha efaneleka kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- Uma unezimpawu ezifana negazi emchameni wakho , ungalokothi uzishaye indiva. Ungacabangi ukuthi kuyinto evamile. Bheka udokotela ngokushesha okukhulu.
- Ukuhlolwa (okufana ne-cystoscopy kanye ne-biopsy) okwenziwa lapho kusolwa ukuthi kunomdlavuza wesinyi kungaba yinto eyesabekayo. Kodwa-ke, kwenziwa ngendlela yokuthi ngeke uzizwe ubuhlungu noma ukungakhululeki, futhi uma kudingeka, kwenziwa ngaphansi kwe-anesthesia.
- Ukuhlolwa ngakunye kwenzelwe ukuthola ukuthi inkinga iyini ngempela. Ngakho-ke ungesabi ukwenza izivivinyo ezinconywa udokotela wakho. Kuzuzisa wena.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo, ukwesaba, noma ukukhathazeka ongase ube nakho. Ungakhathazeki ngokuthi "udokotela uzocabangani uma ngikubuza lokhu." Kuyilungelo lakho ukwaziswa ngokugcwele ngesimo sakho.
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