Ingabe ngezinye izikhathi uzizwa sengathi kukhona okungahambi kahle ohlelweni lwakho lomchamo? Ukuvuza komchamo omncane uma uhleka noma ukhwehlela, noma kufanele uye endlini yangasese kaningi, noma uzizwe sengathi awukayikhiphi ngokuphelele i-bladder yakho ngemva kokuchama... Lezi zinto ngezinye izikhathi zingakwenza ungakhululeki. Akudingeki ubekezelele ukucabanga ukuthi lezi yizinto ezivamile. Namuhla, sizokhuluma ngochungechunge lwezivivinyo ezikhethekile ezingakusiza ukuthola imbangela eqondile yalezi zinkinga.
Kuyini Ukuhlolwa Kwe-Urodynamic?
Kalula nje, 'Ukuhlolwa kwe-Urodynamic' akuyona ukuhlolwa okukodwa, kodwa inhlanganisela yezivivinyo eziningana. Njengoba nje uchwepheshe ehlola ukuthi ithangi lamanzi noma uhlelo lwamapayipi endlini yethu lusebenza kahle, luvaliwe ndawana thize, noma luyavuza, ngalezi zivivinyo udokotela wakho uhlola ukuthi ingxenye engezansi yohlelo lwakho lomchamo isebenza kahle kangakanani.
Okusho ukuthi, ilinganisa umsebenzi wezingxenye ezifana nesinye sakho, okuyisikhwama esiqoqa futhi sigcine umchamo , kanye ne-urethra .
Izinto eziyinhloko lezi zivivinyo ezilinganiswayo yilezi:
- Indlela imizwa nemisipha esesinyeni sakho esebenza kahle ngayo.
- Ingcindezi injani ngaphakathi naseduze kwesinye?
- Uma uchama, ukuthi umchamo uphuma ngokushesha kangakanani nokuthi umchamo ungakanani.
Ngokubheka imiphumela yalezi zivivinyo, udokotela wakho angakwazi ukuthola imbangela eqondile yezimpawu zakho bese ekhetha ukwelashwa okufanele kakhulu.
Kungani ucelwa ukuthi wenze lolu vivinyo?
Udokotela wakho angakuthumela kulolu vivinyo uma unezimpawu eziqhubekayo ezifana nalezi:
- Ukungakwazi ukuzibamba komchamo: Lokhu kusho ukuthi ulahlekelwa umchamo omncane ungaqapheli. Lokhu kungenzeka uma ukhwehlela, uhleka, uthimula, noma uphakamisa into esindayo.
- Isidingo esiphuthumayo nesivamile sokuchama: Ukudinga ukuya endlini yangasese kaningi ngosuku, bese kuthi ngokuzumayo kudingeke ukuthi uchame ngendlela engabekezeleleki.
- Ukuzwa ubuhlungu lapho uchama: Ukuvuvukala noma ubuhlungu emgudwini womchamo.
- Ukutheleleka okuphindaphindiwe komgudu womchamo (UTIs): Uma uqhubeka nokuthola i-UTI, lokhu kuhlolwa kungasiza ekutholeni imbangela eyinhloko.
- Ubunzima bokuqala ukuchama: Uma uzama ukuchama, umchamo awuphumi isikhashana.
- Ukungakwazi ukukhipha ngokuphelele isinye (`Ukugcinwa Komchamo`): Ukuzizwa sengathi isinye sisagcwele ngemva kokuqeda ukuchama.
- Ukuba nomchamo obuthakathaka: Umchamo uphuma kancane kakhulu, noma uyeke isikhashana bese uqala futhi.
Izimpawu ezinjengalezi zibonisa ukuthi kungase kube nenkinga endleleni yakho engezansi yomchamo. Ngakho-ke, kubaluleke kakhulu ukungesabi bese wenza lezi zivivinyo njengoba udokotela wakho encoma.
Zisebenza kanjani lezi zivivinyo? Ake sizibheke ngasinye ngasinye.
Kunezinhlobo eziningana zokuhlolwa kwe-urodynamic. Ngezinye izikhathi udokotela wakho angase anqume ukwenza izivivinyo ezingaphezu kweyodwa ngesikhathi esisodwa ukuze athole isithombe esiphelele sesimo sakho. Ake sibheke ezinye zezinhlobo eziyinhloko zokuhlolwa.
| Igama lokuhlolwa | Wenzani ngalokhu? |
|---|---|
| I-Cystometry | Ukulinganisa ingcindezi ngaphakathi kwesinye uma sigcwele. |
| I-Electromyography | Ukulinganisa umsebenzi kagesi wemisipha kanye nemizwa ezungeze isinyi. |
| I-Uroflowmetry | Kala ijubane kanye nenani lomchamo owuchamelayo. |
| Ukulinganisa Okusele Kwangemva Kokungasebenzi | Ukulinganisa inani lomchamo osele esinyeni ngemva kokuchama. |
| Ukuhlolwa kwe-Urodynamic kwevidiyo | Ukusebenzisa izithombe ze-X-ray ukuze ubone ukuthi isinyi sigcwala futhi sikhipha kanjani. |
Ukuhlolwa kwe-Cystometry
Lesi yisilingo esivame kakhulu. Ngemva kokukhipha isinye sakho, udokotela wakho noma umhlengikazi uzofaka ngokucophelela ipayipi elincane kakhulu neliguquguqukayo (i-catheter) e-urethra yakho. Ekugcineni kwepayipi kunenzwa encane (i-manometer) elinganisa ingcindezi. Ngezinye izikhathi elinye ipayipi lingafakwa e-rectum yakho ukuze kulinganiswe ingcindezi esiswini sakho.
Ngemuva kwalokho, uketshezi olufudumele nolungenamagciwane lugcwaliswa kancane kancane esinyeni sakho ngaleli payipi. Kuleli qophelo, ungase ucelwe ukuba ukhwehlele futhi uhluze kancane. Qaphela ukuthi ingcindezi esesinyeni sakho ishintsha kanjani. Uma esinyeni sakho sesigcwele, kufanele uzitshele ukuthi udinga ukuchama. Ekugcineni, uzocelwa ukuthi uchame, futhi ingcindezi izolinganiswa ngaleso sikhathi.
Abanye abantu bangase bakuthole kunzima ukuchama ngenkathi benepayipi endaweni, noma uma omunye umuntu esegumbini. Lokhu kuvamile, futhi akukho okufanele ube namahloni ngakho. Nakuba ungase uzizwe ungakhululekile lapho kufakwa ipayipi, lokhu kuhlolwa akubuhlungu .
Ukuhlolwa kwe-Uroflowmetry
Lokhu kuyindlela elula kakhulu yokuhlola. Uma ungena kulokhu, uzotshelwa ukuthi uphuze amanzi uze ube nomchamo omuhle. Okudingeka ukwenze nje ukuchamela emshinini okhethekile. Kufana nendlu yangasese kagesi. Njengoba uchama, umshini ulinganisa ijubane kanye nomthamo womchamo wakho bese uwubonisa njengegrafu. Imiphumela ingakutshela ukuthi imisipha yesinye sakho ibuthakathaka noma ukuthi kukhona yini ukuvaleka endaweni ethile.
Ukulinganisa Okusele Kwangemva Kokungasebenzi
Lokhu kulinganisa ukuthi kusele umchamo ongakanani esinyeni sakho ngemva kokuqeda ukuchama. Lokhu kuvame ukwenziwa nge -ultrasound scan . Kufana nokuskena ukuze kubonakale ukuthi ingane isesibelethweni, futhi ayinabuhlungu. Noma, ngezinye izikhathi kufakwa ipayipi elincane (i-catheter) bese kukhishwa umchamo osele bese kulinganiswa.
Izinto okufanele uzazi ngaphambi nangemva kokuhlolwa
Ingabe ngidinga ukulungiselela ngaphambi kokuhlolwa?
Ezimweni eziningi, akudingeki ukulungiselela okukhethekile. Ezinye izivivinyo zidinga isinyi esigcwele, ngakho-ke ungase ucelwe ukuthi uphuze amanzi ngaphambi kokuba ungene. Uma uthatha noma yimiphi imithi, qiniseka ukuthi ubuza udokotela wakho uma kudingeka uyeke ukuyithatha ngaphambi kokuhlolwa.
Kwenzekani ngemva kokuhlolwa?
Ungase uzwe ukungakhululeki noma ukusha okuthile lapho uchama amahora ambalwa ngemva kokuhlolwa. Ungase futhi uqaphele amaconsi ambalwa egazi emchameni wakho. Lokhu kuvamile futhi akufanele ukhathazeke. Ungenza okulandelayo ukusiza ekunciphiseni lokhu kungakhululeki:
- Phuza okungenani izingilazi ezimbili zamanzi ngehora.
- Geza ngamanzi afudumele.
- Beka indwangu efudumele nemanzi phezu kwendawo lapho umchamo uphuma khona.
Ngezinye izikhathi udokotela angakunika umuthi wokulwa namagciwane ukuze avimbele ukutheleleka.
Kubaluleke kakhulu: Kodwa uma uba nomkhuhlane, ukubanda, noma ubuhlungu obukhulu ongakwazi ukububekezelela , kungaba uphawu lokutheleleka. Shayela udokotela wakho ngokushesha.
Eminye imibuzo evame ukubuzwa
Kuthatha isikhathi esingakanani lokhu kuhlolwa?
Ngokuvamile kuthatha imizuzu engama-30 kuya kwengama-45.
Ingabe lokhu kuyalimaza?
Ukuhlolwa kwe-Urodynamic akufanele kube buhlungu. Ungase uzizwe ungakhululekile lapho kufakwa ipayipi, kodwa akubuhlungu. Kungase kube nokusha okuncane cishe amahora angama-24 ngemva kokuhlolwa.
Ingabe ikhona ingozi?
Lezi zivivinyo eziphephile kakhulu. Ingozi encane kuphela ukuthi kunethuba elincane kakhulu lokutheleleka ngomgudu womchamo (UTI) ngoba ipayipi lifakwa e-urethra. Ukuze kuvinjelwe lokhu, udokotela ngezinye izikhathi unikeza ama-antibiotic.
Ingabe ukwenza ngokuphazima kweso?
Abantu abadala ngokuvamile abadingi ukudambisa ubuhlungu noma ukubulala izinzwa. Kodwa-ke, uma ingane encane yenza lokhu kuhlolwa, inganikwa umuthi wokubulala izinzwa olula kakhulu ukuze ihlale izolile.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwe-Urodynamic kuwuchungechunge olubaluleke kakhulu noluphephile lokuhlola ukuthola imbangela yezinkinga zakho zomchamo.
- Lezi zivivinyo azibuhlungu, kodwa ungase uzizwe ungakhululekile kancane. Ungesabi noma ube namahloni ngakho.
- Ngaphambi kokuhlolwa, khuluma nodokotela ngokukhululekile nganoma yimiphi imibuzo noma ukwesaba ongase ube nakho.
- Phuza amanzi amaningi ngemva kokuhlolwa. Lokhu kungasiza ekunciphiseni ngokushesha noma yikuphi ukungakhululeki.
- Uma uba nomkhuhlane, ukubanda, noma ubuhlungu obukhulu ngemva kokuhlolwa, ungakushayi indiva bese wazisa udokotela wakho ngokushesha.
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