Isifundo seCystometric

Isifundo seCystometric silinganisa isixa samanzi esinyini xa uqala ukuva isidingo sokuchama, xa ukwazi ukubona ukugcwala, kwaye xa isinyi sakho sigcwele ngokupheleleyo.

Phambi kwesifundo se-cystometric, unokucelwa ukuba uchame (ungasebenzi) kwisitya esikhethekileyo esiphazanyiswe yikhompyuter. Olu hlobo lwesifundo lubizwa ngokuba yi-uroflow, ngexa oku kulandelayo kuya kurekhodwa yikhompyuter:

• Ixesha olithathayo ukuqala uchama
• Iphethini, isantya, kunye nokuqhubekeka komjelo wakho wokuchama
• Isixa somchamo
• Kuthathe ixesha elingakanani ukukhupha isinyi sakho

Uya kulala ke, kwaye ityhubhu ecekeceke, ebhetyebhetye (catheter) ibekwe ngobunono kwisinyi sakho. Icatheter ilinganisa nawuphina umchamo oshiyekileyo kwisinyi. I-catheter encinci ngamanye amaxesha ibekwa kwi-rectum yakho ukulinganisa uxinzelelo lwesisu. Ukulinganisa ii-electrode, ezifanayo kwiipads ezinamathelayo ezisetyenziselwa i-ECG, zibekwe kufutshane nerektamu.

Umbhobho osetyenziselwa ukujonga uxinzelelo lwesinyi (cystometer) uqhotyoshelwe kwi-catheter. Amanzi angena kwisinyi ngesilinganiso esilawulwayo. Uya kucelwa ukuba uxelele umboneleli wezempilo xa uqala ukuziva isidingo sokuchama kwaye xa uziva ngathi isinyi sakho sigcwele ngokupheleleyo.

Rhoqo, umboneleli wakho unokufuna ulwazi ngakumbi kwaye uya kuyala iimvavanyo zokuvavanya umsebenzi wakho wesinyi. Olu seto lweemvavanyo luhlala lubizwa ngokuba yi-urodynamics okanye i-urodynamics epheleleyo.Umdibaniso uquka iimvavanyo ezintathu:

• Ukulinganisa ukulinganisa ngaphandle kwe-catheter (uroflow)
• ICystometry (isigaba sokugcwalisa)
• Ukuvala okanye ukukhupha uvavanyo lwesigaba

Uvavanyo olupheleleyo lwe-urodynamic, i-catheter encinci ibekwe kwisinyi. Uyakwazi ukuchama uyijikeleze. Ngenxa yokuba i-catheter ekhethekileyo ine-sensor kwincam, ikhompyuter inokulinganisa uxinzelelo kunye neevolumu njengoko isinyi sakho sigcwalisa kwaye njengoko usikhupha. Unokucelwa ukuba ukhohlele okanye utyhale ukuze umboneleli akwazi ukukhangela ukuvuza komchamo. Olu hlobo lovavanyo olupheleleyo lunokutyhila ulwazi oluninzi malunga nomsebenzi wakho wesinyi.

Ngolwazi oluthe kratya, ii-x-reyi zinokuthathwa ngexesha lovavanyo. Kule meko, endaweni yamanzi, ulwelo olukhethekileyo (umahluko) olubonisa kwi-x-ray lusetyenziselwa ukuzalisa isinyi sakho. Olu hlobo lwe-urodynamics lubizwa ngokuba yi-videourodynamics.

Akukho lungiselelo lukhethekileyo luyafuneka kolu vavanyo.

Kwiintsana nabantwana, ukulungiswa kuxhomekeke kubudala bomntwana, amava adlulileyo, kunye nenqanaba lokuthembela. Ngolwazi ngokubanzi malunga nendlela onokumlungiselela ngayo umntwana wakho, jonga ezi zihloko zilandelayo:

• Uvavanyo lokufunda esikolweni okanye inkqubo yokulungiselela (iminyaka emi-3 ukuya kwezi-6)
• Uvavanyo lobudala besikolo okanye ukulungiswa kwenkqubo (iminyaka emi-6 ukuya kweli-12)
• Uvavanyo lokulungiselela ulutsha okanye inkqubo (iminyaka eli-12 ukuya kweli-18)

Kukho ukungonwabi okunxulumene nolu vavanyo. Unokufumana:

• Ukuzaliswa kwesinyi
• Ukuhluza
• Isicaphucaphu
• Intlungu
• Ukubila
• Imfuneko engxamisekileyo yokuchama
• Ukutsha

Uvavanyo luyakunceda ukumisela unobangela wesinyi esivala ukungasebenzi kakuhle.

Iziphumo eziqhelekileyo ziyahluka kwaye kufuneka kuxoxwe ngazo nomboneleli wakho.

Iziphumo ezingaqhelekanga zinokubangelwa:

• Iprostate eyandisiweyo
• Isifo sokugubhuka
• Isinyi esibi kakhulu
• Ukunciphisa umthamo wesinyi
• Ukulimala kwentambo yomqolo
• Ukubetha
• Usulelo lwe-Urinary tract

Kukho umngcipheko omncinci wosulelo lomchamo kunye negazi kumchamo.

Olu vavanyo akufuneki lwenziwe ukuba unosulelo lwe-urinary. Usulelo olukhoyo lwonyusa ukubakho kweziphumo zovavanyo lobuxoki. Uvavanyo ngokwalo lwonyusa ukubakho kokusasazeka kosulelo.

I-CMG; Inkqubo yeCystometometry

• I-anatomy yokuzala eyindoda

IGrochmal SA. Uvavanyo lweOfisi kunye nokhetho kunyango lwe-cystitic yangaphakathi (isifo esibuhlungu sesinyi). Ku: Fowler GC, ed. Iinkqubo zikaPfenninger kunye neFowler zoKhathalelo oluSisiseko. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 98.

I-Kirby AC, iLentz GM. Umsebenzi ophantsi womchamo kunye nokuphazamiseka: i-physiology ye-micturition, ukuvala ukungasebenzi kakuhle, ukungasebenzi komchamo, usulelo lomchamo, kunye nesifo esibuhlungu sesinyi. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 21.

INitti V, iBucker BM. Uvavanyo lwe-Urodynamic kunye nevideourodynamic yokungasebenzi kakuhle. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; Ngo-2016: isahluko 73.

Yeung CK, Yang SD, Hoebeke P.Ukuphuhliswa kunye nokuvavanywa kokusebenza komchamo osezantsi ebantwaneni. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2016: isahluko 136.