Ingabe udokotela wakho ukutshelile wena noma ingane yakho encane ukuthi udinga ukuhlolwa okubizwa ngokuthi i-VCUG? Lapho uzwa lelo gama, wazizwa wesaba kancane futhi ungakhululekile, akunjalo? Kujwayelekile kakhulu. Abantu abaningi bazizwa ngaleyo ndlela. Kodwa akuyona into okufanele uyesabe. Namuhla, sizoxoxa ngokuthi lokhu kuhlolwa kwe-VCUG kuyini, kungani kwenziwa, ukuthi kwenziwa kanjani, nokuthi ungakulungiselela kanjani ngendlela elula kakhulu ongayiqonda.
Kalula nje, luyini lolu vivinyo lwe-VCUG?
Igama eliphelele le-VCUG lithi i-Voiding Cystourethrogram . Kulungile, kulungile... igama liyinkimbinkimbi kancane. Kodwa okwenzekayo kulokhu kulula kakhulu. Lokhu ukuhlolwa kwe-X-ray okukhethekile. Kubheka ukuthi isinye sakho kanye nepayipi elikhipha umchamo kwesinye (urethra) kusebenza kanjani.
Cabanga ngohlelo lwethu lomchamo njengethangi lamanzi. Umchamo okhiqizwa yizinso uqoqwa ethangini elibizwa ngokuthi isinye, futhi uma isikhathi sifika, ukhishwa nge-urethra. Lolu hambo kufanele lube lolunye njalo . Okusho ukuthi, kusukela phezulu kuya phansi.
Kodwa ngezinye izikhathi, ikakhulukazi ezinganeni ezincane, lo mchamo uqala ukugeleza emuva, okungukuthi, phezulu uye ezinso. Lesi simo sibizwa ngokuthi i-Vesicoureteral Reflux . Ukuhlolwa kwe-VCUG kuthola ikakhulukazi ukuthi zikhona yini izinkinga ezinjalo.
Kulesi sivivinyo, uketshezi olukhethekile (idayi yokungafani) ludluliselwa esinyeni ngepayipi elincane (i-catheter), bese kuthathwa izithombe eziningana ze-X-ray njengoba isinyi sigcwala futhi siphuma. Uketshezi olukhethekile lwenza konke kucace kakhulu ku-X-ray. Lokhu kuvumela udokotela ukuthi abone kahle ukuthi umchamo ugeleza ngendlela efanele, ngendlela engafanele, noma ukuthi kukhona yini ukuvaleka endaweni ethile.
Kungani udinga ukwenza lolu vivinyo?
Esikhathini esiningi, udokotela uzoncoma ukuhlolwa kwe-VCUG ngesizathu esithile. Abakwenzi lokhu kuhlolwa ngaphandle kwesizathu. Nazi ezinye zezizathu eziyinhloko.
- Uma unezifo ezivame ukutheleleka ngomgudu womchamo (UTIs): Lokhu kuhlolwa kwenziwa ukuthola imbangela yokutheleleka ngomgudu womchamo okuvamile, ikakhulukazi ezinganeni ezincane. Lokhu kungenxa yokuthi uma umchamo ugeleza ubuyela emuva ezinso, ungabangela ukutheleleka kwezinso (pyelonephritis), okungagcina kulimaze izinso .
- Izinkinga zesistimu yomchamo ezizalwa nazo: Ezinye izingane zingase zizalwe zinezinguquko ezithile ohlelweni lwazo lomchamo. Ezimweni ezinjalo, lokhu kuhlolwa kuyadingeka.
- Ubunzima bokuchama: Lokhu kuhlolwa kungenziwa uma uzwa ubuhlungu ngenkathi uchama, uma usola ukuthi kukhona ukuqina komchamo, noma uma unenkinga yokulawula umchamo wakho.
- Uma othile emndenini wakho eke waba nalezi zinkinga: Izimo ezifana ne-Vesicoureteral Reflux zingase zivele emindenini ngezinye izikhathi.
Okubaluleke kakhulu, lokhu kuhlolwa kunikeza udokotela isithombe esicacile sendlela uhlelo lomchamo olusebenza ngayo. Lokhu kubavumela ukuthi bahlole ngokunembile noma yisiphi isifo futhi baqale ukwelashwa ngaphambi kokuba izinso zilimale.
Kwenzekani ngosuku lokuhlolwa?
Kulungile. Manje ake sibone ukuthi singalwenza kanjani lolu vivinyo isinyathelo ngesinyathelo. Ukwazi lokhu kuzokunciphisa kakhulu ukwesaba kwakho. Lokhu kuyinto ethatha cishe imizuzu engama-30-45.
1. Ukushintsha izingubo: Okokuqala, uzocelwa ukuthi ukhumule izingubo zakho zangaphansi kanye nebhulukwe/isiketi bese ugqoka ingubo ekhethekile ehlinzekwe yisibhedlela.
2. Ukulala etafuleni: Uzobe ulala etafuleni elikhethekile ekamelweni lapho kukhona khona umshini we-X-ray. Uma uyindoda, uzocelwa ukuthi ugcine imilenze yakho iqondile, kanti uma ungowesifazane, uzocelwa ukuthi ugcine imilenze yakho isesimweni sebhabhathane (amadolo agobile ezinhlangothini nasezinyaweni zakho ndawonye). Lokhu kuzokwenza kube lula ukufinyelela i-urethra.
3. Ukuhlanza: Umhlengikazi noma udokotela uzohlanza indawo yakho yangasese ngobumnene ngensipho namanzi. Ngemuva kwalokho, bazofaka ijeli yokufaka izinombolo endaweni ye-catheter.
4. Ukufakwa kwe-catheter: Yilapho abantu abaningi bengakhululeki khona. Kufakwa ipayipi elincane kakhulu nelithambile (i-catheter) nge-urethra bese lingena esinyeni. Lokhu kungase kuzwakale kungakhululekile, kodwa akubuhlungu. Lokhu kungakhululeki ikakhulukazi ngemva kokufakwa kwejeli yokudambisa izinhlungu. Ipayipi bese liboshelwa ethangeni lakho ngebhandeji.
5. Ukufakwa kwedayi yokuhlukanisa: Manje, udokotela uzofaka kancane kancane idayi yokuhlukanisa esinyeni sakho ngepayipi. Kuleli qophelo, uzozwa ukucindezeleka kwesinyeni sakho njengoba sigcwalisa.
6. Ukuthatha izithombe ze-X-ray: Ngesikhathi isinyi sakho sigcwala, umshini we-X-ray ubekwa phezu kwesisu sakho bese uthatha izithombe eziningana. Lo mshini awuthinti umzimba wakho.
7. Ukuchama: Uma isinyi sakho sesigcwele ngokuphelele, udokotela wakho uzokucela ukuthi uchame. Ngaleso sikhathi, i-catheter izosuswa. Uma ungumuntu omdala, uzocelwa ukuthi uchame esitsheni esikhethekile (i-bedpan/i-urinal). Uma ungumntwana omncane, ungase ucelwe ukuthi uchame ngethawula etafuleni. Lokhu kuvamile, ngakho ungakhathazeki. Kuzothathwa ama-X-ray amaningana ngenkathi uchama.
Ama-X-ray athathwa kokubili lapho isinyi sigcwele futhi singenalutho, ngoba ngezinye izikhathi umchamo ungageleza ubuyele emuva nganoma yisiphi salezi zigaba ezimbili.
Uma wenza lokhu kuhlolwa enganeni encane...
Lokhu okuhlangenwe nakho kungaba yinto eyesabekayo kancane enganeni, ngakho-ke njengomama noma ubaba, unendima enkulu okufanele uyidlale.
- Hlala nomntwana: Ezimweni eziningi, omunye wabazali uvunyelwe ukuhlala nomntwana ngesikhathi sokuhlolwa.
- Ngitshele kusenesikhathi:Chaza kalula, njengokuthi, "Dokotela, faka nje ipayipi elincane, ufake amanzi esiswini sakho, bese uthatha isithombe."
- Nika ithoyizi: Vumela ingane ibambe ithoyizi noma incwadi eyithandayo. Lokhu kuzosiza ekunciphiseni ukwesaba kwengane.
- Yehlisa umoya: Gcina izwi lakho lizolile futhi lijabule. Lokhu kuyisikhuthazo esikhulu enganeni.
Yini okufanele ngikhathazeke ngayo ngemva kokuhlolwa?
Ungaya ekhaya ngokushesha nje lapho isivivinyo sesiphelile. Ungenza yonke imisebenzi yakho evamile. Kodwa lezi zinto zivame ukwenzeka phakathi nosuku noma ezimbili ezilandelayo.
| Isici / Isenzakalo | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Ukusha lapho uchama | Lokhu kungahlala amahora angama-24-48. Phuza amanzi amaningi. Lokhu kuzosiza ekuhlanzeni uhlelo lomchamo ngokushesha futhi kunciphise ukuvuvukala. |
| Umbala opinki womchamo | Kujwayelekile ukuthi umchamo ube nombala opinki okhanyayo, kodwa uma ubomvu obumnyama futhi unegazi, lokho akuvamile. |
| Isidingo sokuphuza njalo | Kujwayelekile ukuzizwa unesidingo sokuchama njalo usuku olulodwa noma ezimbili ngemva kokuhlolwa. Chama ngokushesha nje lapho uzizwa unesidingo sokuchama . Ungazibambi. |
| Uma unalezi, shayela udokotela wakho ngokushesha. | |
| Umkhuhlane kanye nokubanda | Lokhu kungaba uphawu lokutheleleka. |
| Umchamo obomvu omnyama | Uma ukuphuma kwegazi kukhulu kunopinki okhanyayo. |
| Ubuhlungu obukhulu besisu esingezansi | Uma uzwa ubuhlungu obungabekezeleleki. |
| Ukuvuvukala okuhlala isikhathi esingaphezu kwezinsuku ezimbili | Uma ukuvuvukala kuthatha amahora angaphezu kwangu-48. |
Yini esingayifunda emiphumeleni?
Udokotela we-X-ray ohlaziya izithombe ze-X-ray uzolungisa umbiko bese ewuthumela kudokotela wakho. Lokhu kungathatha usuku noma ezimbili.
Lo mbiko uzokutshela ngqo ukuthi une-Vesicoureteral Reflux. Uma wenza kanjalo, uzonikezwa amaphuzu kusukela ku-1 kuya ku-5 ngokusekelwe ebunzimeni bayo. Inombolo 1 yisimo esiphansi kakhulu, kanti inombolo 5 yisona esibi kakhulu.
Le miphumela izosiza udokotela wakho ukuthi anqume ukuthi yini okufanele ayenze ngokulandelayo. Ezinye izimo ezincane zingelashwa ngemithi. Kwezinye izimo ezibucayi, kungase kudingeke ukuhlinzwa. Udokotela wakho uzochaza konke lokhu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- I-VCUG iwukuhlolwa kwe-X-ray okubaluleke kakhulu futhi okuphephile okuhlola ukusebenza kwesinyi kanye ne-urethra. Lokhu kubaluleke kakhulu ezinganeni ezivame ukuthola izifo zomgudu womchamo.
- Nakuba lokhu kuhlolwa kungase kuzwakale kungakhululekile kancane, akubuhlungu. Ukuphela kokungakhululeki yilapho kufakwa i-catheter.
- Uma ingane yakho ibhala lolu vivinyo, unganciphisa ukwesaba kwayo ngokuyilungiselela kusenesikhathi bese uyichaza kalula.
- Kuvamile ukuba nomuzwa wokushisa okuncane lapho uchama kanye nombala opinki okhanyayo emchameni wakho usuku olulodwa noma ezimbili ngemva kokuhlolwa. Phuza amanzi amaningi phakathi nalezo zinsuku.
- Uma uba nomkhuhlane, ukopha okubomvu okumnyama, noma ubuhlungu obungabekezeleleki besisu esingezansi, shayela udokotela wakho ngokushesha.
- Uma unemibuzo noma ukukhathazeka, ungalokothi unqikaze ukubuza udokotela wakho.
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