Ureteral retrograde ibrashi biopsy

I-Ureteral retrograde brashi biopsy yinkqubo yotyando. Ngexesha lotyando, ugqirha wakho wotyando uthatha isampulu encinci yeethishu kwimbombo yezintso okanye ureter. I-ureter yityhubhu edibanisa izintso kwisinyi. Izicubu zithunyelwa elebhu ukuvavanywa.

Le nkqubo yenziwa kusetyenziswa:

• I-anesthesia yengingqi (yomqolo)
• I-anesthesia ngokubanzi

Awuzuva kwantlungu. Uvavanyo luthatha malunga nemizuzu engama-30 ukuya kwengama-60.

I-cystoscope ibekwa kuqala kwi-urethra kwisinyi. ICystoscope yityhubhu enekhamera ekugqibeleni.

• Emva koko ucingo lwesikhokelo lufakwa kwi-cystoscope kwi-ureter (ityhubhu phakathi kwesinyi kunye nezintso).
• Icystoscope iyasuswa. Kodwa ucingo lwesikhokelo luyekile endaweni.
• I-ureteroscope ifakwe ngaphezulu okanye ecaleni kwetambo yesikhokelo. I-ureteroscope yiteleskopu ende, ebhityileyo enekhamera encinci. Ugqirha uyabona ngaphakathi kwe-ureter okanye izintso kwikhamera.
• Inayiloni okanye ibrashi yentsimbi ibekwa kwi-ureteroscope. Indawo ekufuneka ichithwe i-biopsied ihlikihliwe ngebrashi. I-Biopsy forceps inokusetyenziselwa endaweni yoko ukuqokelela isampulu yethishu.
• Ibrashi okanye i-biopsy forceps iyasuswa. Izicubu zithathwa kwisixhobo.

Isampulu ke ithunyelwa kwilebhu yezifo ukuze ihlolwe. Isixhobo kunye nentambo yesikhokelo iyasuswa emzimbeni. Umbhobho omncinci okanye i-stent ingasala kwi-ureter. Oku kuthintela ukuvalwa kwezintso okubangelwa kukudumba kwenkqubo. Isuswa kamva.

Awungekhe ukwazi ukutya okanye usele nantoni na malunga neeyure ezi-6 ngaphambi kovavanyo. Umboneleli wakho wezempilo uya kukuxelela indlela ekufuneka uzilungiselele ngayo.

Unokuba ne-cramping encinci okanye ungakhululeki emva kovavanyo luphelile. Unokuba nemvakalelo evuthayo amaxesha ambalwa okuqala xa ukhupha isinyi sakho. Unokuchama rhoqo okanye ube negazi kumchamo wakho kwiintsuku ezimbalwa emva kwenkqubo. Unokuba ungonwabi kwi-stent eya kuhlala ihleli de isuswe ngexesha elizayo.

Olu vavanyo lusetyenziselwa ukuthatha isampulu yethishu kwizintso okanye kwi-ureter. Iyenziwa xa i-x-ray okanye olunye uvavanyo lubonise indawo ekrokrisayo (lesion). Oku kunokwenziwa kwakhona xa kukho igazi okanye iiseli ezingaqhelekanga kumchamo.

Izicubu zibonakala ziqhelekileyo.

Iziphumo ezingaqhelekanga zingabonisa iiseli zomhlaza (carcinoma). Olu vavanyo luhlala lusetyenziselwa ukuxelela umahluko phakathi komhlaza (onobungozi) kunye noncancerous (benign) izilonda.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Impendulo kumayeza
• Iingxaki zokuphefumla
• Ukopha, amahlwili egazi
• Usulelo

Omnye umngcipheko onokubakho wale nkqubo ngumngxunya (ukugqobhoza) kwi-ureter. Oku kunokubangela ukonakala kwe-ureter kwaye unokufuna olunye utyando ukulungisa ingxaki. Xelela umboneleli wakho ukuba unengxaki yokutya kwaselwandle. Oku kunokubangela ukuba ube neempendulo ezichaseneyo nedayi eyahlukileyo esetyenziswe ngeli vavanyo.

Olu vavanyo akufuneki lwenziwe kubantu abane:

• Usulelo lwe-Urinary tract
• Ukuvalelwa kwindawo okanye ngaphantsi kweziko le-biopsy

Unokuba nentlungu esiswini okanye iintlungu kwicala lakho (ecaleni).

Inani elincinci legazi kumchamo liqhelekileyo amaxesha ambalwa okuqala xa uchama emva kwenkqubo. Umchamo wakho unokubonakala ngathi upinki kancinci. Xela umchamo wegazi kakhulu okanye ukopha okuhlala ixesha elingaphezulu kwe-3 yokukhutshwa kwesinyi kumnikezeli wakho.

Fowunela umnikezeli wakho ukuba unayo:

• Intlungu embi okanye ayibi ngcono
• Ifiva
• Ukugodola
• Umchamo onegazi kakhulu
• Ukopha okuqhubekayo nasemva kokuba uchithe isinyi sakho amaxesha ama-3

I-Biopsy - ibrashi - indawo yokuchama; Buyisela kwakhona ibrashi ye-ureteral brashi biopsy cytology; ICytology-ureteral retrograde brashi biopsy

• I-anatomy yezintso
• Izintso - ukuhamba kwegazi kunye nomchamo
• I-biopsy yeUreteral

I-Kallidonis P, i-Liatsikos E. I-Urothelial tumors yendlela ephezulu yomchamo kunye ne-ureter. Ku: UPartin AW, uDmochowski RR, uKavoussi LR, uPeter CA, ii-eds. ICampbell-Walsh-Wein Urology. Umhla we-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 98.

IZiko leLizwe leSwekile kunye neWebhusayithi kunye neZifo zeZintso. ICystoscopy kunye ureteroscopy. www.niddk.nih.gov/health-information/diagnostic-test/cystoscopy-ureteroscopy. Ukuhlaziywa ngoJuni 2015. Kufikeleleke ngoMeyi 14, 2020.