Ingabe uzizwe wesaba kancane noma wesaba lapho udokotela ekutshela ukuthi udinga ukwenza 'i-scan yezinso'? Iningi lethu liyasaba kancane uma sizwa igama elithi "scan". "Lokhu kuzokutholani?", "Ingabe lokhu kuyinto enzima?", "Bafaka izinto ezinemisebe emzimbeni wakho, akunjalo?" Imibuzo eminingi ifika engqondweni. Kodwa empeleni, lokhu akwesabisi njengoba ucabanga. Lokhu ukuhlolwa okuphephile kakhulu, okuvamile. Ngakho-ke namuhla, ake silungise konke ukungabaza kwakho mayelana nale Renal Scan, noma i-Kidney Scan.
Kalula nje, kuyini i-Renal Scan?
Cabanga ngezinso zakho njengezihlungi ezimbili zamanzi endlini yethu. Umsebenzi wazo oyinhloko ukuhlunga nokuhlanza imfucuza emzimbeni bese uyikhipha njengomchamo. Ngakho-ke, i-Renal Scan iyisivivinyo esikhethekile esenziwa ukuze kubonakale ukuthi lezi zinso zenza umsebenzi wazo kahle yini, ukuthi zithola ukugeleza kwegazi okuhle yini, nokuthi isimo sazo, usayizi, kanye nendawo yazo kulungile yini.
Lokhu akusikho ukuhlolwa okuvamile kwe-X-ray noma kwe-CT. Lokhu ukuhlolwa okubizwa ngokuthi i-Nuclear Medicine. Okwenzekayo lapha ukuthi inani elincane kakhulu lento enemisebe (i-radioisotope noma i-radiotracer) ifakwa emthanjeni osengalweni yakho. Ungesabi, noma ngabe "isebenza ngemisebe", ayilimazi umzimba wakho. Kufana "nodayi" okhethekile osiza kuphela ngokuhlolwa futhi uphume emzimbeni wakho ngemva kwesikhashana.
Uma lo muthi uhamba ngemithambo yegazi uye ezinso, kusetshenziswa ikhamera ekhethekile, ebizwa ngokuthi ikhamera ye-gamma , ukuthatha izithombe zezinso. Lo muthi uvumela izinso ukuthi zibonakale kahle esikrinini sekhompyutha. Lokhu kuvumela udokotela ukuthi athole noma yisiphi isifo sezinso noma umonakalo esiteji sokuqala.
Kungani udokotela angakutshela ukuthi wenze lokhu kuskena?
Manje ungase uzibuze, "Kungani kwadingeka ngenze lokhu kuyilapho kunezinye izivivinyo eziningi kangaka?" Kunezizathu eziningana zokuthi kungani udokotela angase athumele isiguli ukuze siyohlolwa yizinso.
- Kuye ngemiphumela yokuhlolwa okunye: Uma ukuhlolwa kwegazi lakho noma ukuhlolwa komchamo kukhombisa noma yiziphi izinkinga ngokusebenza kwezinso zakho, lokhu kuskena kungakusiza ukuthi ukufunde ngokujulile.
- Ukungezwani nodayi we-X-ray: Amanye ama-X-ray nama-CT scan asebenzisa udayi okhethekile obizwa ngokuthi "udayi wokungafani." Abanye abantu bangaba nokungezwani nodayi kulawa ma-dye. Uma udinga ukuhlolwa izinso zakho, i-Renal Scan iyindlela ephephile kakhulu .
- Ngemva kokufakelwa izinso: Uma uke wafakelwa izinso, lokhu kuhlolwa kwenziwa njalo ukuze kubonakale ukuthi izinso ezintsha zisebenza kanjani emzimbeni.
- Umfutho wegazi ophezulu (umfutho wegazi ophakeme):Ngezinye izikhathi, umfutho wegazi ophakeme okunzima ukuwulawula ungabangelwa inkinga yezinso. Lokhu kuskena kubalulekile ukuthola ukuthi yini ngempela ebangela lokhu.
- Ukuvaleka komgudu womchamo: Uma kukhona ukusolakala kokuthi kukhona ukuvaleka kokuhamba komchamo, lokhu kuzosiza ekunqumeni ukuthi ukuvaleka kukuphi nokuthi kuthinta yini izinso.
Yiziphi izimo zezokwelapha ezingatholakala ngalesi sikeni?
Ukuhlolwa kwezinso kunganikeza ulwazi hhayi nje kuphela ngokusebenza kwezinso, kodwa futhi nangezifo eziningana ezihlobene nazo. Ake sibheke ukuthi ziyini.
| Isimo sezokwelapha | Kuchazwe kalula |
|---|---|
| Umfutho wegazi ophezulu wezinso | Umfutho wegazi ophezulu obangelwa ukuncishiswa kwemithambo emikhulu ehambisa igazi ezinso. |
| Ukuvuvukala kwezinso (i-Hydronephrosis) | Ngenxa yokuvinjelwa okuthile kwendlela yomchamo, umchamo uyaqongelela futhi izinso ziyavuvukala. |
| Ama-Cynth Cysts, Ama-Tumors, noma Ama-Abscesses | Ukubona ukukhula okungavamile ezinso. |
| I-Renal Artery Stenosis | Ukuvaleka noma ukuncishiswa kwemithambo ethwala igazi ezinso. |
| I-Vesicoureteral Reflux | Umchamo ugeleza usuka kwesinyeni uye ezinso. Lokhu kuvame kakhulu ezinganeni ezincane. |
Ingabe zikhona izinhlobo ze-Renal Scan?
Yebo, uhlobo lwe-Renal Scan olunconywa udokotela wakho lungahluka kuye ngenkinga yakho. Kunezinhlobo ezine eziyinhloko.
1. I-ACE Inhibitor Renal Scintigraphy: Lokhu kwenzelwa ukubona ukuthi umfutho wegazi wakho ophezulu ubangelwa yini ukuncipha kwemithambo yegazi ethwala igazi ezinso. Lapha, kuthathwa iskeni ngaphambi nangemva kokunikezwa umuthi womfutho wegazi (i-ACE inhibitor).
2. I-Diuretic Renal Scintigraphy: Lokhu kwenziwa uma kukhona ukusolakala kokuthi kukhona ukuvaleka kwendlela yomchamo. Lapha, kunikezwa i-diuretic kanye nendlela umchamo ohamba ngayo ezinso iyahlolwa.
3. I-Renal Cortical Scintigraphy: Lokhu kuskena ungqimba lwangaphandle lwezinso olubizwa ngokuthi i-renal cortical tissue. Lokhu kusiza ekunqumeni ukuthi izinso zonakele yini ngemva kokuhlinzwa noma ukuthi kukhona yini izibazi ngenxa yokutheleleka.
4. I-Renal Perfusion Scan: Lokhu kulinganisa ukuthi izinso zinikezwa kahle kangakanani igazi (i-perfusion). Kusetshenziselwa ukukala ububanzi bemithambo yezinso kanye nomsebenzi wezinso.
Udokotela wakho uyazi kahle ukuthi yiluphi uhlobo lwalezi zinhlobo okufanele ulwenze, ngakho mbuze ngakho.
Kufanele ngilungiselele kanjani ngaphambi kokuskena?
Lokhu kubaluleke kakhulu. Ukuze imiphumela yokuskena ibe nembambo, udinga ukulungiselela kusenesikhathi.
- Tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, amakhambi, kanye nezithasiselo. Ungase ucelwe ukuthi uyeke ukuthatha imithi yobuhlungu, ikakhulukazi imithi engeyona eye-steroidal yokulwa nokuvuvukala (ama-NSAID) njenge-ibuprofen ne-aspirin, ezinsukwini ezimbalwa ngaphambi kokuskena.
- Qaphela izimo zakho zempilo:
- Uma ukhulelwe noma uhlela ukukhulelwa , qiniseka ukuthi utshela udokotela wakho, njengoba imisebe ingase ithinte ingane esanda kuzalwa.
- Uma ungumama oncelisayo , mtshele lokho futhi. Ngenxa yokuthi izinto ezikhipha imisebe zingadlulela obisini, welulekwa ukuthi ugweme ukuncelisa ingane yakho amahora ambalwa ngemva kokuskena.
- Uma une -allergies (imithi, i-latex, njll.), sicela ubatshele.
- Uma wesaba izindawo ezincane ezivalekile (i-claustrophobia), yisho. Njengoba ikhamera izoba seduze kancane nomzimba wakho, ungakhuluma ngendlela yokukhululeka.
- Uma wesaba izinaliti (i-trypanophobia) , tshela abasebenzi lokho. Bazokusiza ukuzola.
- Phuza amanzi: Uzokwaziswa ukuthi uphuze amanzi amaningi ngaphambi kokuskena.
- Ukuchama: Uzocelwa ukuthi ukhiphe umchamo esinyeni sakho ngaphambi kokuba kuqale ukuskena.
- Izingubo Nobucwebe: Gqoka izingubo ezikhululekile nezikhululekile. Susa noma yibuphi ubucwebe bensimbi noma izibuko. Kungaphazamisa ukuskena.
Kwenzekani ngesikhathi sokuskena?
Uma uya egumbini lokuskena, lezi yizinyathelo ovame ukuzilandela.
1. Uchwepheshe wezokwelapha zenuzi uzofaka i-cannula encane (umugqa we-IV) emthanjeni osengalweni noma esandleni sakho.
2. Ngemuva kwalokho, umuthi okhethekile okhipha imisebe (i-radiotracer) ufakwa emzimbeni nge-cannula. Ngeke uzwe ubuhlungu ngalesi sikhathi.
3. Uzokwenziwa ulale phansi noma ulale etafuleni lokuhlolwa.
4. Ngemuva kwalokho ikhamera ye-gamma ibekwa phezu kwendawo yakho yezinso bese iqala ukuthatha izithombe. Le khamera ayishayi emzimbeni wakho . Ihamba kancane nje izungeza noma idlule emzimbeni wakho.
5. Uchwepheshe uzoqapha lezi zithombe esikrinini sekhompyutha. Ngezinye izikhathi uzocelwa ukuthi uhlale unganyakazi, kanti ngezinye izikhathi ungacelwa ukuthi ushintshe izikhundla, njengokuncika kancane.
Yonke inqubo ingathatha noma yikuphi kusukela kumaminithi angu-30 kuya emahoreni ama-2 , kuye ngohlobo lokuskena okwenzayo.
Kwenzekani ngemva kokuskena? Ingabe zikhona izingozi?
Uma ukuskena sekuqediwe, i-cannula izosuswa bese ubuyela ekhaya. Ungaqhubeka nemisebenzi yakho evamile yosuku.
Ungakhathazeki ngomuthi owufake emzimbeni wakho. Njengoba uphuza amanzi amaningi futhi uchama usuku lonke, umuthi uzophuma cishe ngokuphelele emzimbeni wakho.
Manje ake sibheke izingozi. Izingozi ziphansi kakhulu . Eqinisweni, inani lemisebe esetshenziswayo lincane kakhulu kunalelo elivela ku-X-ray evamile.
Lokhu okulandelayo yizinto ezingavamile kakhulu ezingenzeka:
- Ukungezwani komzimba: Akuvamile kakhulu ukuba nomzimba ongezwani nalowo muthi.
- Ubuhlungu endaweni ye-cannula: Indawo ye-cannula ingaba bomvu kancane, ivuvukele, noma ibe buhlungu. Uma lokhu kungapheli ezinsukwini ezimbalwa, tshela udokotela wakho.
Icebiso elibalulekile: Gwema ukuxhumana eduze (isib. ukubamba) nezingane ezincane kanye nabesifazane abakhulelwe okungenani amahora angama-24 ngemva kokuskena njengesinyathelo sokuqapha.
Kwenzekani uma umbiko utholakala?
Izithombe ezivela kuskeni zibuyekezwa ngokucophelela ngudokotela we-radiology noma uchwepheshe wezokwelapha nge-nuclear, olungiselela umbiko bese ewuthumela kudokotela wakho. Udokotela uzobe esekubiza ukuze akuchazele okusembikweni nokuthi yini okudingeka yenziwe ngokulandelayo.
Uma umbiko ubonisa ukuthi kunenkinga, udokotela angase acele ukuhlolwa okwengeziwe ukuze ahlole ngokunembile isimo. Isibonelo:
- Ukuskena kwe-Ultrasound, i-MRI noma i-CT
- Ezinye izivivinyo zokusebenza kwezinso
- I-biopsy yezinso
Ungesabi. Konke lokhu kwenzelwa ukuthola ukuthi inkinga yakho iyini ngempela futhi kukunikeze ukwelashwa okungcono kakhulu kwayo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwezinso kuyindlela ephephile kakhulu futhi engenabuhlungu ehlola ukuthi izinso zakho zisebenza kahle kangakanani.
- Inani lezinto ezisebenzisa imisebe emisebeni ezisetshenziswa kulokhu lincane kakhulu, ngisho nangaphansi kwe-X-ray evamile.
- Ngaphambi kokuskena , qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyithathayo, noma yikuphi ukungezwani komzimba onakho, nokuthi ukhulelwe/uyancelisa yini.
- Uma uphuza amanzi amaningi ngemva kokuskena, umuthi osetshenzisiwe uzokhishwa emzimbeni wakho ngomchamo wakho.
- Uma unemibuzo noma ukukhathazeka ngalolu vivinyo, ungangabazi ukubuza udokotela noma uchwepheshe owenza ukuhlolwa.
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