Yini i-Computerized Tomography (CT) Urogram? Inhloso, Inqubo & Imiphumela

I-CT urogram iyi-X-ray scan ekhethekile edala izithombe ezinemininingwane yezinso zakho, ama-ureter, kanye nesinye. Cabanga ngayo njengeseshini yezithombe ebanzi yayo yonke indlela yakho yokuchama, isiza odokotela ukuthi babone ngqo ukuthi kwenzakalani ngaphakathi.

Lolu vivinyo luhlanganisa amandla e-CT scanning nombala ohlukile ukuze ugqamise indlela yakho yokuchama. Izinto eziphikisanayo zigeleza ohlelweni lwakho, okwenza kube lula odokotela ukuthi babone izinkinga ezinjengamatshe ezinso, izimila, noma ukuvinjelwa okungase kubangele izimpawu zakho.

Yini i-CT Urogram?

I-CT urogram isebenzisa ubuchwepheshe bekhompyutha obuthuthukisiwe ukuthatha izithombe eziningi ze-X-ray zohlelo lwakho lokuchama ezinhlangothini ezihlukene. Lezi zithombe zihlanganiswa ukuze zakhe imibono yesigaba esiphambanayo ekhombisa izinso zakho, amashubhu athwala umchamo (ama-ureter), kanye nesinye sakho ngemininingwane emangalisayo.

Ingxenye ethi

Lolu vivinyo luhle kakhulu ekutholeni amatshe ezinso, ikakhulukazi lawo amancane angase angabonakali kuma-X-ray avamile. Lungathola futhi izimila, ama-cyst, noma okunye ukukhula ezinso zakho, ama-ureter, noma umchamo. Uma uhlangabezana nezifo eziphindaphindayo zomgudu womchamo, lokhu kuthwebula kungasiza ekutholeni izinkinga zesakhiwo ezingase zibangele.

Udokotela wakho angase futhi ayalele lolu vivinyo uma unezinhlungu ezingachazeki ezinso, ubunzima bokuchama, noma uma ezinye izivivinyo zokuthwebula zikhombise okuthile okudinga ukucwaningwa okwengeziwe. Lusiza ikakhulukazi abantu abanomlando womndeni wezinkinga zezinso noma labo abasengozini enkulu yomdlavuza womgudu womchamo.

Ngezinye izikhathi, odokotela basebenzisa ama-CT urograms ukuqapha izimo ezaziwayo noma ukuhlola ukuthi ukwelashwa kusebenza kahle kangakanani. Liyabuye libaluleke ekuhleleni ukuhlinzwa uma udinga izinqubo ezinso zakho noma umgudu womchamo.

Yini inqubo ye-CT Urogram?

Inqubo ye-CT urogram ngokuvamile ithatha imizuzu engaba ngu-30 kuya ku-60 futhi yenzeka esibhedlela noma esikhungweni sokuthwebula. Uzoqala ngokushintsha ufake ingubo yesibhedlela bese ulala etafuleni elincane elishelela ngaphakathi kwesithwebuli se-CT, esibukeka njengedonathi elikhulu.

Okokuqala, uzoba nokuthwebula kokuqala ngaphandle kombala ohlukile ukuze uthole izithombe eziyisisekelo. Bese, uchwepheshe uzofaka umugqa we-IV engalweni yakho ukuze akunikeze impahla ehlukile. Le dayi isiza ukugqamisa uhlelo lwakho lomchamo futhi yenza izithombe zicace kakhulu.

Umjovo ohlukile ungase ubangele umuzwa ofudumele emzimbeni wakho wonke, ukunambitheka kwensimbi emlonyeni wakho, noma umuzwa wokuthi udinga ukuchama. Le mizwa ijwayelekile ngokuphelele futhi izodlula ngokushesha. Abanye abantu bazizwa benesicanucanu kancane, kodwa lokhu okwesikhashana.

Ngesikhathi sokuthwebula, uzodinga ukulala unganyakazi futhi ubambe umoya wakho uma uqondiswa. Umshini uzokwenza imisindo yokuchofoza nokuzungeza njengoba uthatha izithombe. Ungase ube nemizuliswano eminingana yokuthwebula njengoba umehluko uhamba ohlelweni lwakho.

Ithebula lizongena liphume esithombeni izikhathi eziningana ukuze lithwebule izithombe ezigabeni ezihlukene. Lonke uhlelo alibuhlungu, yize abanye abantu bezizwa bevalekile kancane esithombeni.

Ungalungiselela kanjani i-CT Urogram yakho?

Ukulungiselela i-CT urogram kulula, kodwa ukulandela imiyalelo ngokucophelela kusiza ekuqinisekiseni izithombe ezingcono kakhulu. Udokotela wakho uzokunikeza imihlahlandlela ethile esekelwe esimweni sakho.

Izikhungo eziningi zikucela ukuthi ugweme ukudla cishe amahora angu-4 ngaphambi kokuhlolwa, yize ngokuvamile ungaphuza uketshezi olucacile. Lokhu kusiza ekuvimbeleni isicanucanu lapho uthola umbala ohlukile. Qiniseka ukuthi uhlala unamanzi ngokwanele ngokuphuza amanzi amaningi ezinsukwini eziholela ekuskeneni kwakho.

Kuzodingeka ukuthi ususe yonke imihlobiso, izinto zensimbi, nezingubo ezinama-fasteners ensimbi ngaphambi kwenqubo. Lokhu kufaka phakathi ama-bra anocingo, amabhande, nanoma yikuphi ukubhoboza umzimba. Isikhungo sokuthwebula izithombe sizohlinzeka ngendawo ephephile yempahla yakho.

Uma unezinkinga zezinso, isifo sikashukela, noma uthatha imithi ethile, udokotela wakho angase alungise imiyalelo yakho yokulungiselela. Abantu abathatha i-metformin yesifo sikashukela bangase badinge ukuyeka le mithi okwesikhashana. Njalo tshela ithimba lakho lezempilo ngayo yonke imithi nezithasiselo ozithathayo.

Yazisa udokotela wakho uma ukhulelwe, ungase ukhulelwe, noma uncelisa. Futhi shono uma uke waba nokusabela komzimba emibaleni ehlukile noma i-iodine esikhathini esidlule, njengoba kungase kudingeke izinyathelo ezikhethekile.

Ungayifunda kanjani i-CT Urogram yakho?

Ukufunda imiphumela ye-CT urogram kudinga ukuqeqeshwa okukhethekile, ngakho-ke i-radiologist izohumusha izithombe zakho bese ithumela umbiko onemininingwane kudokotela wakho. Kodwa-ke, ukuqonda okuyisisekelo kungakusiza ukuthi uzizwe ulungiseleleke kakhulu ekuqokweni kwakho okulandelayo.

Imiphumela ejwayelekileyo ikhombisa izinso ezinobukhulu obufanele kanye nesimo, ngaphandle kwamatshe, izimila, noma ukuvaleka. Umbala ohlukile kufanele ugeleze ngokushelela ngamathambo akho angene esinyeni sakho ngaphandle kwanoma yiziphi izindawo ezinciphayo noma ukuvinjelwa.

Okutholakele okungajwayelekile kungabandakanya amatshe ezinso, abonakala njengamabala amhlophe aqhakazile ezithombeni. Izimila noma izixuku zingavela njengezindawo ezibukeka zihlukile kunemisipha ejwayelekile. Ukuvaleka kuma-ureters kungabangela ukuthi izinso zibonakale zivuvukele ngoba umchamo awukwazi ukukhipha kahle.

Umsakazi wakho uzophinde afune izimpawu zokutheleleka, ukuvuvukala, noma ukungajwayelekile kwesakhiwo. Bazokala usayizi wezinso zakho futhi bahlole noma yikuphi ukukhula okungajwayelekile noma ama-cyst. Umbiko uzochaza indawo, usayizi, nezici zanoma yikuphi okutholakele.

Khumbula ukuthi udokotela wakho ungumuntu ongcono kakhulu wokuchaza ukuthi imiphumela yakho isho ukuthini ngesimo sakho esithile. Bazocabangela izimpawu zakho, umlando wezokwelapha, neminye imiphumela yokuhlolwa lapho bexoxa ngemiphumela nawe.

Ziyini izici eziyingozi zemiphumela engajwayelekile ye-CT Urogram?

Izici eziningana zingakhuphula amathuba akho okuba nokutholakele okungajwayelekile ku-CT urogram. Ubudala buyisici esisodwa esibalulekile, njengoba amatshe ezinso nezinkinga zomgudu womchamo ziba njalo lapho sikhula.

Umlando womndeni udlala indima ebalulekile, ikakhulukazi ngamatshe ezinso nezinhlobo ezithile zomdlavuza wezinso. Uma izihlobo eziseduze zibe nalezi zimo, ungase ube sengozini enkulu. Ukubhema kukhulisa kakhulu ingozi yomdlavuza wesinye nezinso, okwenza ukutholakele okungajwayelekile kube maningi.

Ukomisa okungapheli kungaholela ekwakhekeni kwamatshe ezinso, kuyilapho imikhuba ethile yokudla njengokudla okuphezulu kwe-sodium noma ukusetshenziswa kwamaprotheni ngokweqile kungase futhi kube negalelo. Abantu abanesifo sikashukela noma umfutho wegazi ophezulu bavame kakhulu ezinkingeni zezinso ezingase zivele ekuthombeni.

Ukuvezwa emsebenzini kumakhemikhali athile, ikakhulukazi embonini yedayi, iraba, noma yesikhumba, kungakhuphula amathuba okuba nomdlavuza. Ukusebenzisa imithi ethile yokudambisa ubuhlungu isikhathi eside noma ukuba nezifo eziningi zomgudu womchamo kungaholela ekushintsheni isakhiwo somgudu womchamo.

Izimo zofuzo ezinjengesifo sezinso se-polycystic noma izifo ezithile ezizuzwe ngomlando ezithinta umgudu womchamo zenza ukuthi imiphumela engavamile ibe maningi amathuba. Ukwelashwa ngemisebe yangaphambilini esiswini noma emgodini we-pelvis kungakhuphula amathuba okuba namathumba.

Ziyini izinkinga ezingase zibe khona zemiphumela engavamile ye-CT Urogram?

Izinkinga zincike ngokuphelele kulokho i-CT urogram ekutholayo, kodwa ukuqonda izinkinga ezingaba khona kungakusiza ukwazi ukuthi yini okufanele uyibheke. Amatshe ezinso, okungenye yezinto ezivame kakhulu ukutholakala, angabangela ubuhlungu obukhulu futhi angaholela ezifweni uma evimba ukugeleza komchamo.

Amatshe ezinso angashiywa engalashwa ngezinye izikhathi angabangela ukulimala kwezinso unomphela, ikakhulukazi uma ehlala evalekile ku-ureter isikhathi eside. Amatshe amakhulu angase adinge ukususwa ngokuhlinzwa, kanti amancane avame ukudlula ngokwemvelo ngokwandisa ukuthatha uketshezi nokuphatha ubuhlungu.

Amathumba atholwe ku-CT urogram adinga ukuhlolwa okusheshayo nokuhlela ukwelashwa. Ukutholwa kwasekuqaleni kuthuthukisa kakhulu imiphumela yezinhlobo eziningi zomdlavuza womgudu womchamo. Kodwa-ke, akuzona zonke izigaxa ezinomdlavuza - eziningi ziphenduka ama-cyst angalimazi noma ezinye izikhula ezingasongeli.

Ukungahambi kahle kwesakhiwo njengama-ureter anciphile kungaholela ezinkingeni ezingapheli zezinso uma kungalashwa. Lezi zimo zingase zibangele izifo eziphindaphindayo, ukulimala kwezinso, noma ubuhlungu obungapheli. Iningi lezinkinga zesakhiwo lingalungiswa ngezindlela ezingahlaseli kakhulu.

Izifo ezihlonzwe eskenini zidinga ukwelashwa ngama-antibiotic ukuze zizivikele ekusabalaleni ezinso noma emgudwini wegazi. Izifo ezingapheli zingase zibonise izinkinga ezingaphansi kwesakhiwo okudingeka zixazululwe ukuze kuvinjelwe ukuphindeka.

Kufanele ngibone nini udokotela ukuze ngilandele i-CT Urogram?

Kufanele uhlele ukuqokwa okulandelayo nodokotela wakho ngokushesha nje lapho bethola imiphumela yakho ye-CT urogram, ngokuvamile kungakapheli izinsuku ezimbalwa kuya evikini ngemuva kokuhlolwa. Ungalindi ukuthi izimpawu zibe zimbi kakhulu noma ucabange ukuthi azikho izindaba ezinhle.

Xhumana nodokotela wakho ngokushesha uma uba nobuhlungu obukhulu, umkhuhlane, noma ubunzima bokuchama ngemuva kokuhlolwa. Nakuba kungavamile, lezi zimpawu zingase zibonise inkinga enkulu edinga ukunakwa ngokushesha. Futhi shayela uma ubona igazi emchameni wakho elalingekho ngaphambi kokuhlolwa.

Uma imiphumela yakho ikhombisa amatshe ezinso, uzodinga ukunakekelwa okulandelayo ngisho noma okwamanje ungezwa buhlungu. Udokotela wakho uzoxoxa ngamasu okuvimbela futhi angase ancome izinguquko ekudleni noma imithi ukuvimbela amatshe esikhathi esizayo.

Ukuze uthole okutholakele okungavamile njengobuningi noma izimila, udokotela wakho cishe uzokudlulisela ochwepheshe ukuze uthole ukuhlolwa okwengeziwe. Lokhu akusho ukuthi une-cancer, kodwa kubalulekile ukuthola ukuhlolwa kochwepheshe futhi unqume inkambo engcono kakhulu yokwenza.

Noma ngabe imiphumela yakho ijwayelekile, gcina ukuqokwa kwakho okulandelayo ukuze uxoxe ngemiphumela kanye nanoma yiziphi izimpawu eziqhubekayo. Udokotela wakho angase ancome izinguquko zokuphila noma ezinye izivivinyo ngokusekelwe esimweni sakho.

Imibuzo evame ukubuzwa mayelana ne-CT Urogram

Q.1 Ingabe ukuhlolwa kwe-CT Urogram kulungile ekutholeni amatshe ezinso?

Yebo, i-CT urogram ilungile ekutholeni amatshe ezinso futhi ithathwa njengenye yezivivinyo ezinembile kakhulu ezitholakalayo. Ingathola amatshe amancane njengama-2-3 millimeters futhi ibonise indawo yawo eqondile, usayizi, kanye nokuminyana.

Ngokungafani ne-X-ray ejwayelekile, i-CT urogram ingathola zonke izinhlobo zamatshe ezinso, okuhlanganisa nalabo abangaveli ekuthombeni okujwayelekile. Umbala ohlukile usiza odokotela ukuthi babone ukuthi amatshe athinta kanjani ukugeleza komchamo nokuthi abangela ukuvinjelwa yini.

Q.2 Ingabe umbala ohlukile ubangela ukulimala kwezinso?

Umbala wokuhlolwa awavamisile ukubangela ukulimala kwezinso kubantu abanomsebenzi wezinso ojwayelekile. Kodwa-ke, abantu abanezinkinga zezinso ezikhona, isifo sikashukela, noma ukoma banengozi ephakeme kancane yokulimala kwezinso okubangelwa umbala wokuhlolwa.

Udokotela wakho uzohlola ukusebenza kwezinso zakho ngemivivinyo yegazi ngaphambi kwenqubo uma unezici eziyingozi. Ukuhlala unamanzi kahle ngaphambi nangemva kokuhlolwa kusiza izinso zakho ukuthi zicubungule umbala wokuhlolwa ngokuphepha.

Q.3 Ngingaba ne-CT Urogram uma ngine-allergy kuma-shellfish?

Ukuba ne-allergy kuma-shellfish akukuvimbeli ngokuzenzakalelayo ukuthi ube ne-CT urogram, kodwa kufanele ngempela utshele udokotela wakho nganoma yiziphi izinto ezingahambisani nawe. Umbala wokuhlolwa uqukethe i-iodine, futhi abanye abantu abane-allergy kuma-shellfish bangase futhi basabele kuma-contrast asekelwe ku-iodine.

Ithimba lakho lezokwelapha lingakunika imithi ngaphambi kokuhlolwa ukuvimbela ukusabela okungahambisani nawe uma kudingeka. Bangase futhi basebenzise ezinye izindlela zokuthwebula izithombe uma ingozi ye-allergy iphezulu kakhulu.

Q.4 Kuthatha isikhathi esingakanani ukuthola imiphumela ye-CT Urogram?

Imiphumela eminingi ye-CT urogram itholakala phakathi kwamahora angama-24 kuya kwangama-48 ngemuva kokuhlolwa. I-radiologist idinga isikhathi sokuhlola ngokucophelela zonke izithombe futhi ibhale umbiko onemininingwane kudokotela wakho.

Ezimweni eziphuthumayo, imiphumela yokuqala ingase itholakale ngokushesha. Ihhovisi likadokotela wakho ngokuvamile lizokushayela ucingo ukuze lihlele i-aphoyintimenti yokulandela ukuze nixoxe ngemiphumela uma umbiko ophelele usulungile.

Q.5 Ingabe i-CT Urogram ibuhlungu?

Inqubo ye-CT urogram ngokwayo ayibuhlungu. Ungase uzwe ukungakhululeki okuthile ekufakweni kwe-IV kanye nemizwa yesikhashana evela kumbala wokuhlolwa, njengokufudumala noma ukunambitheka kwensimbi, kodwa lokhu kudlula ngokushesha.

Abanye abantu bathola ukuthi ukulala buthule etafuleni eliqinile akukhululekile, ikakhulukazi uma benezinkinga zomhlane. Uchwepheshe angahlinzeka ngemithwalo noma izinsiza zokubeka ukuze akusize uhlale ukhululekile ngesikhathi sokuskena.