ICystoscopy: iyini, yenzelwa ini nokuthi yenziwa kanjani
-Delile
I-cystoscopy, noma i-urethrocystoscopy, ukuhlolwa kwe-imaging okwenziwa ngokuyinhloko ukukhomba noma yiziphi izinguquko ohlelweni lwe-urinary, ikakhulukazi esinyeni. Lokhu kuhlolwa kulula futhi kuyashesha futhi kungenziwa ehhovisi likadokotela ngaphansi kwe-anesthesia yendawo.
I-cystoscopy inganconywa yi-urologist noma i-gynecologist ukuze iphenye imbangela yegazi emchameni, ukungasebenzi komchamo noma ukuvela kwezifo, ngokwesibonelo, ngaphezu kokubheka ukuthi kukhona yini ushintsho esinyeni. Uma kukhona ukungahambi kahle kwesinye noma kwe-urethra, udokotela angacela i-biopsy ukuqedela ukuxilongwa bese eqala ukwelashwa.
Yenzelwe ini
I-cystoscopy yenziwa ikakhulu ukuphenya izimpawu nokukhomba ushintsho esinyeni, futhi ingacelwa ngudokotela ukuthi:
- Xilonga izimila esinyeni noma urethra;
- Khomba ukutheleleka ku-urethra noma esinyeni;
- Bheka ubukhona bezindikimba zakwamanye amazwe;
- Linganisa ubukhulu be-prostate, esimweni samadoda;
- Khomba amatshe okuchama;
- Usizo ekuboneni imbangela yokusha noma ubuhlungu lapho uchama;
- Phenya imbangela yegazi emchameni;
- Hlola imbangela yokungavumelani komchamo.
Ngesikhathi sokuhlolwa, uma kutholakala ushintsho esinyeni noma ku-urethra, udokotela angaqoqa ingxenye yezicubu bese eyithumela ku-biopsy ukuze enze ukuxilongwa bese eqala ukwelashwa uma kunesidingo. Qonda ukuthi kuyini nokuthi kwenziwa kanjani i-biopsy.
Ukulungiselela ukuhlolwa
Ukwenza ukuhlolwa, akukho ukulungiselela okudingekayo, futhi umuntu angaphuza futhi adle ngokujwayelekile. Kodwa-ke, ngaphambi kokuba kwenziwe ukuhlolwa, kubalulekile ukuthi umuntu athulule isinye ngokuphelele, futhi umchamo uvame ukuqoqelwa ukuhlaziywa ukuze kutholwe izifo, isibonelo. Bona ukuthi kwenziwa kanjani ukuhlolwa komchamo.
Lapho isiguli sikhetha ukwenza i-anesthesia ejwayelekile, kuyadingeka ukuthi sihlale esibhedlela, sizila ukudla okungenani amahora ayi-8 futhi siyeke ukusebenzisa imishanguzo ye-anticoagulant okungenzeka ukuthi iyayisebenzisa.
Kwenziwa kanjani iCystoscopy
I-cystoscopy ukuhlolwa okusheshayo, okuhlala imizuzu eyi-15 kuye kwengu-20, futhi kungenziwa ehhovisi likadokotela ngaphansi kwe-anesthesia yendawo. Umshini osetshenziswa ku-cystoscopy ubizwa ngokuthi i-cystoscope futhi uhambelana nomshini omncane onekhamera encane ekugcineni kwawo futhi ongaguquguquka noma ube lukhuni.
Uhlobo lwe-cystoscope olusetshenzisiwe luyehluka kuye ngenqubo:
- I-cystoscope eguquguqukayo: isetshenziswa lapho i-cystoscopy yenziwa kuphela ukubuka isinye ne-urethra, njengoba kuvumela ukubuka okungcono kwezakhiwo zomchamo ngenxa yokuguquguquka kwayo;
- I-cystoscope eqinile isetshenziswa lapho kunesidingo sokuqoqa okokusebenza kwe-biopsy noma ukujova izidakamizwa esinyeni. Kwezinye izimo, lapho udokotela ekhomba izinguquko esinyeni ngesikhathi sokuhlolwa, kungadingeka ukwenza i-cystoscopy ngemuva kwalokho nge-cystoscope eqinile.
Ukwenza ukuhlolwa, udokotela uhlanza indawo futhi asebenzise ijeli yokubulala izinzwa ukuze isiguli singazizwa singakhululekile ngesikhathi sokuhlolwa. Lapho isifunda singasazweli, udokotela ufaka i-cystoscope futhi abheke i-urethra nesinye ngokubuka izithombe ezithwetshulwe yile-microcamera ekhona ekugcineni kwensiza.
Ngesikhathi sokuhlolwa udokotela angajova u-saline ukuze anwebe isinye ukuze asibone ngeso lengqondo noma umuthi omunzwa amaseli womdlavuza, uwenze ube ngukhanya, lapho kusolwa umdlavuza wesinye.
Ngemuva kokuhlolwa, umuntu angabuyela emisebenzini yakhe ejwayelekile, kepha kujwayelekile ukuthi ngemuva komphumela we-anesthesia isifunda singaba nesilonda esincane, ngaphezu kokukwazi ukubona ubukhona begazi emchameni nokushisa lapho uchama, Ngokwesibonelo. Lezi zimpawu zivame ukuxazululwa ngemuva kwamahora angama-48, kepha uma ziphikelela, kubalulekile ukubika kudokotela ukuze kuthathwe izinyathelo ezidingekayo.