ICystoscopy: yintoni, yenzelwa ntoni kwaye yenziwa njani

Umxholo

• Yenzelwe ntoni
• Ukulungiselela uviwo
• Yenziwa njani iCystoscopy

I-cystoscopy, okanye i-urethrocystoscopy, luvavanyo lokucinga olwenziwa ikakhulu ukuchonga naluphi na utshintsho kwinkqubo yokuchama, ngakumbi kwisinyi. Olu vavanyo lulula kwaye luyakhawuleza kwaye lunokwenziwa kwiofisi kagqirha phantsi kweanesthesia yendawo.

ICystoscopy inokucetyiswa ngugqirha womchamo okanye ugqirha wezifo zabasetyhini ukuze kuphandwe ngonobangela wegazi kumchamo, ukungabikho komchamo okanye ukwenzeka kosulelo, umzekelo, ukongeza ekuhloleni ubukho balo naluphi na utshintsho kwisinyi. Ukuba kukho nasiphi na isitenxo kwisinyi okanye urethra esiqwalaselwayo, ugqirha unokucela i-biopsy ukuba igqibe ukuxilonga kwaye iqale unyango.

Yenzelwe ntoni

ICystoscopy yenziwa ikakhulu ukuphanda iimpawu kunye nokuchonga utshintsho kwisinyi, kwaye unokucelwa ngugqirha ukuba:

• Ukuchonga amathumba kwisinyi okanye urethra;
• Chonga usulelo kwi-urethra okanye kwi-bladder;
• Jonga ubukho bemizimba yangaphandle;
• Vavanya ubungakanani beprostate, kwimeko yamadoda;
• Chonga amatye okuchama;
• Uncedo ekuchongeni unobangela wokutsha okanye iintlungu xa uchama;
• Phanda unobangela wegazi kumchamo;
• Jonga unobangela wokungasebenzi kakuhle komchamo.

Ngexesha loviwo, ukuba kukho naluphi na utshintsho kwisinyi okanye urethra, ugqirha unokuqokelela inxenye yethishu aze ayithumele kwi-biopsy ukuze enze isifo kwaye aqale unyango ukuba kunyanzelekile. Qonda ukuba yintoni kwaye yenziwa njani i-biopsy.

Ukulungiselela uviwo

Ukwenza uvavanyo, akukho lungiselelo luyimfuneko, kwaye umntu angasela kwaye atye ngesiqhelo. Nangona kunjalo, ngaphambi kokuba kwenziwe uviwo, kubalulekile ukuba umntu akhuphe isinyi ngokupheleleyo, kwaye umchamo uhlala uqokelelwa uhlalutyo ukuze kuchongwe izifo, umzekelo. Jonga ukuba uvavanyo lomchamo lwenziwa njani.

Xa isigulana sikhetha ukwenza i-anesthesia ngokubanzi, kuyafuneka ukuba silale esibhedlele, sikhawuleze ubuncinci iiyure ze-8 kwaye siyeke ukusebenzisa iziyobisi ze-anticoagulant anokuzisebenzisa.

Yenziwa njani iCystoscopy

I-cystoscopy luvavanyo olukhawulezayo, oluhlala umndilili we-15 ukuya kwi-20 imizuzu, kwaye inokwenziwa kwiofisi kagqirha phantsi kwe-anesthesia yendawo. Isixhobo esisetyenziswa kwi-cystoscopy sibizwa ngokuba yi-cystoscope kwaye sihambelana nesixhobo esincinci esine-microcamera ekugqibeleni kwaye sinokuba bhetyebhetye okanye sibe lukhuni.

Uhlobo lwecystoscope olusetyenzisiweyo luyahluka ngokwenjongo yenkqubo:

• I-cystoscope eguqukayo: isetyenziswa xa i-cystoscopy yenziwa kuphela ukujonga isinyi kunye ne-urethra, njengoko ivumela ukujonga okungcono kwezakhiwo zomchamo ngenxa yokuguquguquka kwayo;
• Cystoscope ziqinile: isetyenziswa xa kufuneka kuqokelelwe imathiriyeli ye-biopsy okanye yokujova iziyobisi kwisinyi. Ngamanye amaxesha, xa ugqirha echonga utshintsho kwisinyi ngexesha loviwo, kunokuba yimfuneko ukwenza i-cystoscopy emva koko ne-cystoscope engqongqo.

Ukwenza uvavanyo, ugqirha ucoca indawo kwaye asebenzise ijeli ye-anesthetic ukuze isiguli singaziva singonwabanga ngexesha loviwo. Xa lo mmandla ungasenawo uvakalelo, ugqirha ufaka i-cystoscope kwaye ajonge i-urethra kunye nesinyi ngokujonga imifanekiso efakwe yikhamera encinci esekupheleni kwesixhobo.

Ngexesha loviwo ugqirha unokufaka i-saline ukuze athambise isinyi ukuze abone ngcono okanye iyeza elifunxwa ziiseli zomhlaza, ezenza ukuba zibengezele, xa kurhanelwa umhlaza wesinyi, umzekelo.

Emva koviwo, umntu lowo angabuyela kwimisebenzi yakhe yesiqhelo, nangona kunjalo kuqhelekile ukuba emva kwesiphumo sokubulawa komzimba lo mmandla unokuba buhlungu kancinci, ukongeza ekubeni ukwazi ukubona ubukho begazi kumchamo kunye nokutsha xa uchama, umzekelo. Ezi mpawu zihlala zisonjululwa emva kweeyure ezingama-48, nangona kunjalo ukuba ziyaqhubeka, kubalulekile ukuba uxele kugqirha ukuze kuthathwe amanyathelo afanelekileyo.