Ingabe ngezinye izikhathi uzizwa sengathi unenkinga yokuchama, njengokuvaleka? Noma uke wabona igazi elincane emchameni wakho ngemva kwengozi? Namuhla sizokhuluma ngokuhlolwa okukhethekile kwe-X-ray okwenziwa odokotela ukuthola ukuthi yini ngempela ebangela lokhu. Lokhu kubizwa ngokuthi i-Retrograde Urethrogram, noma i-RUG ngamafuphi. Nakuba igama liyinkimbinkimbi kancane, lilula kakhulu.
Kalula nje, iyini i-Retrograde Urethrogram (RUG)?
I-Retrograde Urethrogram (RUG) ukuhlolwa okukhethekile kwe-X-ray okuhlola ipayipi lapho umchamo wakho uphuma khona, ingxenye esiyibiza ngokuthi 'i-urethra' ngokwezokwelapha, ukuze kubonakale ukuthi isebenza kahle yini nokuthi kukhona yini umonakalo, ukuvaleka, noma izicubu zesilonda.
Kalula nje, kufana nokugeleza amanzi ngepayipi lamanzi ukuze kubonakale ukuthi kukhona yini ukuvaleka endaweni ethile. Kodwa esikhundleni samanzi, kusetshenziswa uketshezi olukhethekile ukuthatha i-X-ray. Lokhu kuhlolwa kuvame ukwenziwa kwabesilisa . Uma uke waba nokulimala ethangeni lakho noma embotsheni, noma uma udokotela wakho esola ukuthi i-urethra yakho ivalekile ngenxa yezicubu zesilonda, lokhu kuhlolwa kungenziwa.
Kufanele ngithathe nini ukuhlolwa kwe-RUG?
Lokhu kuhlolwa kungenziwa ngezinye izikhathi uma kunesimo esiphuthumayo (isibonelo, ngemva kwengozi) noma ukuhlola izimpawu eziqhubekayo.
| Ithuba | Incazelo |
|---|---|
| Ngemva kwengozi | Uma uke walimala endaweni yakho yesinqe noma yesinqe, uphuma igazi e-urethra (lapho umchamo uphuma khona), noma awukwazi nhlobo ukuchama. |
| Uma kukhona ukusolakala kokuncipha kwe-urethra | Uma udokotela esola ukuthi i-urethra isinciphile (ukuqina kwe-urethra) ngenxa yokugula okuthile, ukuvaleka, noma ukulimala. |
| Ubunzima bokufaka i-catheter | Uma unenkinga yokufaka i-catheter, lokhu kuhlolwa kwenziwa ukuze kutholakale imbangela. |
| Ngaphambi kokudlulisa i-catheter esinyini | Lokhu kuhlolwa kwenziwa futhi ukuhlola noma yiziphi izinkinga nge-urethra ngaphambi kokufaka i-catheter engena yonke enye. Lokhu kwenziwa ukuze kutholakale ukuthi kuphephile yini ukufaka i-catheter. |
Yini engatholakala kulolu vivinyo?
Ukuhlolwa kwe-RUG kungasiza udokotela wakho ukuthi ahlole ngokunembile izinkinga eziningana ezihlobene ne-urethra yakho.
- Ukuqina Komchamo: Kungakhathaliseki ukuthi umchamo uvaliwe noma uncishisiwe ndawana thize.
- Ukuvaleka kwe-urethra: Ingabe kukhona esinye isizathu esivimba ukugeleza komchamo?
- Umonakalo ku-urethra: Isibonelo, i-urethra ingahlolwa ukuthi ayinawo yini umvundla, imbobo eya kwenye indawo (i-fistula), noma ukwakheka kwesikhwama esincane (i-diverticula) odongeni lwepayipi.
Ingabe lokhu kuhlolwa kubuhlungu?
Cha. Ukuhlolwa kwe-RUG akubuhlungu . Kodwa-ke, ungase uzizwe ungakhululekile ngesikhathi sokuhlolwa nalapho uchama ngemva kwalokho. Uma uzwa ubuhlungu obungabekezeleleki, kufanele utshele abasebenzi bezokwelapha ngokushesha.
Kwenziwa kanjani lokhu kuhlolwa?
Lena inqubo elula kakhulu. Awudingi ukulungiselela okuningi ngalokhu. Nakhu okwenzekayo ngesikhathi sokuhlolwa.
1. Indawo: Uzobekwa etafuleni ngaphansi komshini we-X-ray. Uzocelwa ukuthi ugcine umlenze owodwa ugobile eceleni. Abasebenzi bezokwelapha bazokusiza ukulungisa indawo njengoba kudingeka.
2. Ukuhlanza: Hlanza indawo ezungeze ipipi lakho kahle ngesisombululo sokubulala amagciwane (njenge-iodine).
3. Ukuba ndikindiki: Okulandelayo, kufakwa i-lubricant yokugcoba embotsheni yepenis yakho ukuze kunciphe i-urethra yakho. Kuthatha imizuzu embalwa ukuthi isebenze.
4. Ukufakwa kwepayipi: Okulandelayo, kufakwa ipayipi elincane kakhulu ngembobo yepenisi yakho bese lingena e-urethra yakho ibanga elifushane. Lokhu kwenziwa ngobumnene kakhulu. Uma uzizwa ungakhululekile kulesi sigaba, ungasitshela.
5. Ukujova uketshezi olukhethekile (Ukuqhathanisa):Manje, kusetshenziswa isirinji, uketshezi olukhethekile (umehluko) lufakwa kancane kancane e-urethra yakho ngepayipi. Lolu ketshezi yilona olwenza i-urethra yakho ibonakale ngokucacile ezithombeni ze-X-ray.
6. Ukuthatha i-X-ray: Umshini we-X-ray uthatha izithombe eziningana njengoba uketshezi luya kwesinye. Ngezinye izikhathi, ungase ucelwe ukuthi uchamele esitsheni ukuze izithombe ze-X-ray zithathwe ngenkathi uketshezi luphuma emzimbeni wakho.
Lonke lolu hlelo luthatha imizuzu embalwa kuphela, ngakho-ke asikho isizathu sokwesaba.
Kwenzekani ngemva kokuhlolwa?
Ngemva kokuhlolwa, ungase uzizwe ungakhululekile lapho uchama. Ungase futhi uqaphele igazi elincane emchameni wakho. Lokhu kuvamile futhi kuzophela ngokuphelele cishe ngosuku olulodwa.
Into ebaluleke kakhulu ukuphuza amanzi amaningi . Lokhu kuzosiza ukususa noma yikuphi ukungafani okusele emzimbeni wakho ngomchamo wakho.
Ingabe zikhona izingozi ezihilelekile?
I-RUG iyisivivinyo esinobungozi obuphansi kakhulu , kodwa kuneminye imiphumela emibi engenzeka kaningi.
- Ukutheleleka.
- Ukusabela kokungezwani komzimba nodayi wokuqhathanisa osetshenzisiwe.
- Noma yimuphi umonakalo ku-urethra noma esinyeni.
Khumbula ukuthi lezi zinto azivamile ukwenzeka.
Ngingayithola kanjani imiphumela?
Isikhathi esithathayo ukuze uthole imiphumela yakho sincike ekutheni kungani wenza lokhu kuhlolwa.
- Esimweni esiphuthumayo: Uma unesimo esiphuthumayo, njengengozi, odokotela bazothola imiphumela ngokushesha bese beqala ukwelashwa okudingekayo.
- Esimweni esivamile: Ngaphandle kwalokho, uma kwenziwa njengokuhlolwa okuvamile, kungathatha izinsuku eziningana ukuthola imiphumela.
Uma imiphumela ijwayelekile, kusho ukuthi uketshezi lugeleza nge-urethra yakho ngaphandle kokuvinjelwa. Uma kunjalo, izimpawu zakho zingase zibangelwe okunye. Uma imiphumela ingavamile, kungabonisa ukuthi i-urethra yakho yonakele, inciphile, noma ivinjiwe.
Ngezinye izikhathi, uma ukuhlolwa kwe-RUG kukodwa kunganikezi ulwazi olwanele, udokotela wakho angase akuncome i-cystoscopy , ukuhlolwa okusebenzisa ikhamera ukubheka ngaphakathi kwe-urethra.
Ufuna ukubona udokotela ngasiphi isikhathi?
Uma uhlangabezana nanoma yiziphi izimpawu ezingezansi ngemva kokuhlolwa, qiniseka ukuthi wazisa udokotela wakho.
| Isibonakaliso | Incazelo |
|---|---|
| Ubunzima bokuchama | Uma uzwa ubuhlungu obukhulu lapho uchama, noma uma ungakwazi nhlobo ukuchama. |
| Ukungakhululeki isikhathi eside noma ukuphuma kwegazi | Uma kukhona ukungakhululeki noma ukopha isikhathi esingaphezu kosuku ngemuva kokuhlolwa. |
| Izimpawu zokutheleleka | Uma ubonisa izimpawu zokutheleleka, njengokuvuvukala noma umkhuhlane ozungeze ipenisi. |
| Imibuzo mayelana nemiphumela | Uma unemibuzo noma ukukhathazeka mayelana nemiphumela yombiko wakho wokuhlolwa. |
Umlayezo Wokuya Nawe Ekhaya
- I-Retrograde Urethrogram (RUG) iwukuhlolwa kwe-X-ray okulula, okunengozi ephansi okubheka izinkinga ku-urethra yakho.
- Lokhu kungabona ukuvinjelwa, ukuncishiswa, noma umonakalo obangelwa izingozi e-urethra.
- Ukuhlolwa akubuhlungu, kodwa ungase uzizwe ungakhululekile kancane.
- Kuvamile ukuba nokungakhululeki kanye negazi elincane uma uchama cishe usuku lonke ngemva kokuhlolwa. Phuza amanzi amaningi.
- Uma unezimpawu ezifana nobuhlungu obukhulu, ukungakwazi ukuchama, ukopha okuhlala isikhathi esingaphezu kosuku, noma umkhuhlane, khuluma nodokotela wakho ngokushesha.
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