Ukuhlolwa kwesisu

I-bladder biopsy inqubo lapho kukhishwa khona izicucu ezincane esinyeni. Izicubu zihlolwa ngaphansi kwesibonakhulu.

I-biopsy yesinye ingenziwa njengengxenye ye-cystoscopy. ICystoscopy inqubo eyenziwayo ukubona ingaphakathi lesinye kusetshenziswa ithubhu elincane elikhanyisiwe elibizwa ngecystoscope. Kususwa ucezu oluncane lwethishu noma yonke indawo engajwayelekile. Izicubu zithunyelwa ebhodini ukuze zihlolwe uma:

• Ukungajwayelekile kwesinye kutholakala phakathi nalokhu kuhlolwa
• Kubonakala isimila

Kufanele usayine ifomu lokuvuma unolwazi ngaphambi kokuba ube ne-biopsy yesinye. Ezimweni eziningi, ucelwa ukuthi uchame ngaphambi nje kwenqubo. Ungacelwa futhi ukuthi uthathe i-antibiotic ngaphambi kwenqubo.

Ezinganeni nasezinganeni, ukulungiselelwa ongakunikela ngalesi sivivinyo kuncike kubudala bengane yakho, okuhlangenwe nakho kwangaphambilini, kanye nezinga lokuthenjwa. Ngemininingwane ejwayelekile maqondana nokuthi ungayilungiselela kanjani ingane yakho, bheka izihloko ezilandelayo:

• Ukuhlolwa kwengane noma ukulungiswa kwenqubo (ukuzalwa unyaka ongu-1)
• Ukuhlolwa kwengane noma ukulungiselela inqubo (iminyaka eyi-1 kuye kwengu-3)
• Ukulungiselela ukuhlolwa noma ukulungiswa kwenqubo yasesikoleni (iminyaka emi-3 kuye kwengu-6)
• Ukuhlolwa kweminyaka yobudala besikole noma ukulungiselela inqubo (iminyaka engu-6 kuye kwengu-12)
• Ukuhlolwa noma ukulungiselela inqubo yentsha (iminyaka eyi-12 kuya kwengu-18)

Ungaba nokungaphatheki kahle okuncane njengoba i-cystoscope idluliswa nge-urethra yakho iye esinyeni sakho. Uzozizwa ungakhululekile okufana nesifiso esinamandla sokuchama lapho uketshezi selugcwalise isinye sakho.

Ungase uzwe ingcosana ngesikhathi se-biopsy. Kungaba nomuzwa ovuthayo lapho imithambo yegazi ivaliwe ukuvimba ukopha (i-cauterized).

Ngemuva kokuthi i-cystoscope isuswe, i-urethra yakho ingaba buhlungu. Ungazizwa umuzwa ovuthayo ngesikhathi uchama usuku noma ezimbili. Kungaba negazi emchameni. Ezimweni eziningi, lokhu kuzozihambela ngokwakho.

Kwezinye izimo, i-biopsy idinga ukuthathwa endaweni enkulu. Uma kunjalo, ungadinga i-anesthesia ejwayelekile noma i-sedation ngaphambi kwenqubo.

Lokhu kuhlolwa kuvame ukwenziwa ukuhlola umdlavuza wesinye noma we-urethra.

Udonga lwesinye lubushelelezi. Isinye sinosayizi ojwayelekile, ukwakheka nesimo. Akukho ukuvinjelwa, ukukhula, noma amatshe.

Ukuba khona kwamangqamuzana omdlavuza kukhombisa umdlavuza wesinye. Uhlobo lomdlavuza lunganqunywa kusampula ye-biopsy.

Okunye okungajwayelekile kungafaka:

• I-diverticula yesinye
• Ama-cysts
• Ukuvuvukala
• Ukutheleleka
• Izilonda

Kukhona ingozi ethile yokutheleleka ngomgudu womchamo.

Kukhona ingozi encane yokopha ngokweqile. Kungenzeka kube nokuqhekeka kodonga lwesinye nge-cystoscope noma ngesikhathi se-biopsy.

Kukhona nobungozi bokuthi i-biopsy izohluleka ukuthola isimo esibi.

Kungenzeka ube negazi elincane emchameni wakho ngemuva nje kwale nqubo. Uma ukuphuma kwegazi kuqhubeka ngemuva kokuchama, xhumana nomhlinzeki wakho wezokunakekelwa kwempilo.

Futhi xhumana nomhlinzeki wakho uma:

• Unobuhlungu, ukugodola, noma umkhuhlane
• Ukhiqiza umchamo omncane kunokujwayelekile (oliguria)
• Awukwazi ukuchama yize unesifiso esinamandla sokwenza kanjalo

I-Biopsy - isinye

• I-catheterization yesinye - owesifazane
• I-catheterization yesinye - owesilisa
• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa
• Ukuhlolwa kwesisu

Bent AE, Cundiff GW. I-cystourethroscopy. Ku: Baggish MS, Karram MM, ama-eds. I-Atlas of Pelvic Anatomy and Gynecologic Surgery. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2016: isahluko 122.

Umsebenzi BD, uConlin MJ. Izimiso ze-endoscopy ye-urologic. Ku: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, ama-eds. ICampbell-Walsh-Wein Urology. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 13.

I-National Institute of Diabetes kanye newebhusayithi yezifo zeDigestive and Kidney. ICystoscopy kanye ne-ureteroscopy. www.niddk.nih.gov/health-information/diagnostic-tests/cystoscopy-ureteroscopy. Kubuyekezwe uJuni 2015. Kufinyelelwe kuMeyi 14, 2020.

USmith TG, uCoburn M. Urologic ukuhlinzwa. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 72.