I-Ureteral retrograde brush biopsy

I-Ureteral retrograde brush biopsy inqubo yokuhlinzwa. Ngesikhathi sokuhlinzwa, udokotela wakho ohlinzayo uthatha isampula elincane lezicubu emgqeni wezinso noma we-ureter. I-ureter yishubhu elixhumanisa inso nesinye. Izicubu zithunyelwa ebhodini lokuhlola.

Le nqubo yenziwa kusetshenziswa:

• I-anesthesia yesifunda (umgogodla)
• I-anesthesia ejwayelekile

Ngeke uzwe ubuhlungu. Ukuhlolwa kuthatha imizuzu engaba ngu-30 kuye kwengu-60.

I-cystoscope iqala ukufakwa nge-urethra iye esinyeni. ICystoscope iyishubhu enekhamera ekugcineni.

• Ngemuva kwalokho kufakwa intambo yomhlahlandlela nge-cystoscope kwi-ureter (ishubhu eliphakathi kwesinye nezinso).
• I-cystoscope iyasuswa. Kepha ucingo lomhlahlandlela lusele endaweni.
• I-ureteroscope ifakwa ngaphezulu noma eduze kocingo lomhlahlandlela. I-ureteroscope iyisibonakude eside, esincanyana esinekhamera encane. Udokotela ohlinzayo angabona ingaphakathi le-ureter noma izinso ngekhamera.
• Ibhulashi lenayiloni noma lensimbi lifakwa nge-ureteroscope. Indawo ezokwenziwa nge-biopsied ihlikihlwa nge-brush. Ama-biopsy forceps angasetshenziswa esikhundleni sokuqoqa isampula lezicubu.
• Ibhulashi noma i-biopsy forceps iyasuswa. Izicubu zithathwa entweni yokusebenza.

Isampula bese lithunyelwa kubhu yokugula ukuze ihlaziywe. Insimbi nocingo lomhlahlandlela ziyasuswa emzimbeni. Ishubhu elincane noma i-stent ingashiywa ku-ureter. Lokhu kuvimbela ukuvinjelwa kwezinso okubangelwa ukuvuvukala kusuka enkambisweni. Isuswa ngokuhamba kwesikhathi.

Ungahle ungadli noma uphuze noma yini cishe amahora ayisithupha ngaphambi kokuhlolwa. Umhlinzeki wakho wokunakekelwa kwezempilo uzokutshela ukuthi udinga ukuzilungiselela kanjani.

Ungaba nokucinana okuncane noma ukungakhululeki ngemuva kokuphela kokuhlolwa. Ungaba nomuzwa ovuthayo izikhathi ezimbalwa zokuqala lapho ukhipha isinye sakho. Ungaphinda uchame kaningi noma ube negazi elithile emchameni wakho izinsuku ezimbalwa ngemuva kwenqubo. Ungase ungaphatheki kahle kusuka ku-stent ozoqhubeka ukubakhona kuze kube yilapho ususwa esikhathini esizayo.

Lokhu kuhlolwa kusetshenziselwa ukuthatha isampula lezicubu ezinso noma i-ureter. Kwenziwa lapho i-x-ray noma okunye ukuhlolwa kubonise indawo esolisayo (i-lesion). Lokhu kungenziwa futhi uma kunegazi noma amaseli angajwayelekile emchameni.

Izicubu zibonakala zijwayelekile.

Imiphumela engajwayelekile ingakhombisa amangqamuzana omdlavuza (carcinoma). Lokhu kuhlolwa kuvame ukusetshenziselwa ukutshela umehluko phakathi kwezilonda zomdlavuza (ezimbi) nezingezona ezomdlavuza.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukusabela emithini
• Izinkinga zokuphefumula
• Ukopha, amahlule egazi
• Ukutheleleka

Enye ingozi engaba khona yale nqubo imbobo (i-perforation) ku-ureter. Lokhu kungadala ukusikeka kwe-ureter futhi ungadinga okunye ukuhlinzwa ukulungisa inkinga. Tshela umhlinzeki wakho uma unenkinga yokungezwani komzimba nokudla kwasolwandle. Lokhu kungadala ukuthi ube neguliswa ukusabela okweqile kudayi wokuqhathanisa osetshenziswe phakathi nalolu vivinyo.

Lokhu kuhlolwa akufanele kwenziwe kubantu abane:

• Ukutheleleka ngomgudu womchamo
• Ukuvinjelwa noma ngaphansi kwesiza se-biopsy

Ungaba nobuhlungu besisu noma ubuhlungu ohlangothini lwakho (ohlangothini).

Inani elincane legazi emchameni lijwayelekile ezikhathini ezimbalwa zokuqala uchama ngemuva kwenqubo. Umchamo wakho ungabukeka ubomvana ngokungaconsi phansi. Bika umchamo onegazi noma ukuphuma kwegazi okuhlala isikhathi eside kunokukhishwa okungu-3 kwesinye kumhlinzeki wakho.

Shayela umhlinzeki wakho uma une:

• Ubuhlungu obubi noma obungeke bube ngcono
• Imfiva
• Amakhaza
• Umchamo onegazi kakhulu
• Ukopha okuqhubekayo ngemuva kokukhipha isinye izikhathi ezintathu

I-Biopsy - ibhulashi - umgudu wokuchama; Buyisela kabusha ibhulashi le-ureteral biopsy cytology; I-Cytology - i-ureteral retrograde ibhulashi le-biopsy

• Ukwakheka kwezinso
• Izinso - ukugeleza kwegazi nomchamo
• I-biopsy ye-Ureteral

I-Kallidonis P, i-Liatsikos E. Izicubu ze-Urothelial zomgudu ongaphezulu womchamo kanye ne-ureter. Ku: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, ama-eds. ICampbell-Walsh-Wein Urology. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 98.

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.