Ucwaningo lweCystometric

Ucwaningo lweCystometric lilinganisela inani loketshezi esinyeni lapho uqala ukuzwa isidingo sokuchama, lapho ukwazi ukuzwa ukugcwala, nalapho isisu sakho sigcwele ngokuphelele.

Ngaphambi kocwaningo lwe-cystometric, ungacelwa ukuthi uchame (ungasebenzi) esitsheni esikhethekile esifakwe ikhompyutha. Lolu hlobo locwaningo lubizwa nge-uroflow, lapho okulandelayo kuzorekhodwa yikhompyutha:

• Isikhathi esikuthatha ukuqala ukuchama
• Iphethini, isivinini, nokuqhubeka kokusakazwa kwakho komchamo
• Inani lomchamo
• Kukuthathe isikhathi esingakanani ukukhipha isinye sakho

Uzobe usulala phansi, bese kufakwa ithubhu elincane, eliguquguqukayo (ipayipi) esinyeni sakho. I-catheter ilinganisa noma yimuphi umchamo osele esinyeni. I-catheter encane kwesinye isikhathi ibekwa ku-rectum yakho ukukala ukucindezela kwesisu. Ama-electrode wokulinganisa, afana namaphayiphu anamathelayo asetshenziselwa i-ECG, abekwa eduze ne-rectum.

Ishubhu esetshenziselwa ukuqapha ingcindezi yesinye (i-cystometer) ifakwe ku-catheter. Amanzi agelezela esinyeni ngesilinganiso esilawulwayo. Uzocelwa ukuthi utshele umhlinzeki wezempilo lapho uqala ukuzwa isidingo sokuchama nalapho uzizwa ukuthi isinye sakho sigcwele ngokuphelele.

Imvamisa, umhlinzeki wakho angadinga imininingwane ethe xaxa futhi uzo-oda izivivinyo zokuhlola umsebenzi wakho wesinye. Le sethi yokuhlolwa ivame ukubizwa nge-urodynamics noma i-urodynamics ephelele.Inhlanganisela ifaka phakathi izivivinyo ezintathu:

• Kukalwa i-voiding ngaphandle kwe-catheter (uroflow)
• ICystometry (isigaba sokugcwalisa)
• Ukuvota noma ukukhipha isivivinyo sesigaba

Ukuhlolwa okuphelele kwe-urodynamic, kufakwa i-catheter encane kakhulu esinyeni. Uzokwazi ukuchama nxazonke. Ngenxa yokuthi le catheter ekhethekile inenzwa ethiphu, ikhompyutha ingalinganisa ingcindezi namavolumu njengoba isinye sakho sigcwalisa futhi njengoba usithulula. Ungacelwa ukuthi ukhwehlele noma uphushe ukuze umhlinzeki akwazi ukuhlola ukuvuza komchamo. Lolu hlobo lokuhlolwa okuphelele lungaveza imininingwane eminingi ngomsebenzi wakho wesinye.

Ngeminye imininingwane, ama-x-ray angathathwa ngesikhathi sokuhlolwa. Kulokhu, esikhundleni samanzi, kusetshenziswa uketshezi olukhethekile (umehluko) okhombisa i-x-ray ukugcwalisa isinye sakho. Lolu hlobo lwe-urodynamics lubizwa nge-videourodynamics.

Awekho amalungiselelo akhethekile adingekayo kulolu vivinyo.

Ezinganeni nasezinganeni, ukuzilungiselela kuncike ebudaleni bengane, okuhlangenwe nakho okwedlule, nasezingeni lokuthenjwa. Ngemininingwane ejwayelekile maqondana nokuthi ungayilungiselela kanjani ingane yakho, bheka izihloko ezilandelayo:

• 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)

Kukhona ukungakhululeki okuthile okuhlobene nalokhu kuhlolwa. Ungahle uzwe:

• Ukugcwaliswa kwesinye
• Ukuqhuma
• Isicanucanu
• Ubuhlungu
• Ukujuluka
• Isidingo esiphuthumayo sokuchama
• Ukushisa

Ukuhlolwa kuzosiza ekutholeni imbangela yesinye yokuvala ukungasebenzi.

Imiphumela ejwayelekile iyahluka futhi kufanele ixoxwe nomhlinzeki wakho.

Imiphumela engajwayelekile ingabangelwa:

• I-prostate ekhulisiwe
• I-Multiple sclerosis
• Isinye esisebenza ngokweqile
• Umthamo wesinye esinciphile
• Ukulimala komgogodla
• Unhlangothi
• Ukutheleleka ngomgudu womchamo

Kukhona ubungozi obuncane bokutheleleka ngegciwane lomchamo negazi emchameni.

Lokhu kuhlolwa akufanele kwenziwe uma unegciwane elaziwa ngomgudu womchamo. Ukutheleleka okukhona kwandisa amathuba emiphumela yokuhlolwa okungamanga. Ukuhlolwa kukhulisa amathuba okusabalalisa ukutheleleka.

CMG; ICystometrogram

• I-anatomy yokuzala yowesilisa

IGrochmal SA. Izinketho zokuhlolwa kwehhovisi nokwelashwa kwe-cystitic yangaphakathi (isifo esibuhlungu sesinye). Ku: Fowler GC, ed. Izinqubo zikaPfenninger noFowler zokuNakekela okuyisisekelo. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 98.

I-Kirby AC, i-Lentz GM. Umsebenzi ophansi womgudu womchamo nokuphazamiseka: i-physiology ye-micturition, ukuvala ukungasebenzi kahle, ukungasebenzi komchamo, ukutheleleka kwe-urinary tract, kanye nesifo esibuhlungu sesinye. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 21.

UNitti V, uBrucker BM. Ukuhlolwa kwe-Urodynamic ne-videourodynamic kokuvala ukungasebenzi. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 73.

I-Yeung CK, i-Yang S SD, i-Hoebeke P. Ukuthuthukiswa nokuhlolwa komsebenzi ophansi womchamo ezinganeni. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 136.