Cystoscopy lwesinye kwabasetyhini kunye namadoda: Inkcazelo yenkqubo

Cystoscopy lwesinye kwabasetyhini kunye namadoda ezigcinwe kaninzi. Le nkqubo ulwazi ngokugqithisileyo kunceda ukuvavanya ukusebenza esinyini bese sithola inani izifo, nkqu kwinqanaba lokuqala. Kodwa ke iimfuno nomonde imibuzo malunga nendlela cystoscopy olwenziwa, nokuba lu dityanisiwe iingxaki ezithile.

Yintoni cystoscopy?

Cystoscopy yi indlela uphando endoscopic, nto leyo evumela ukuba ahlole kumphezulu engaphakathi lwesinyi womchamo. Kufuneka kuqatshelwe ukuba le nqubo ixabiso ebaluleke kakhulu diagnostic, njengoko kunceda ukufumanisa ubukho izifo ezithile nkqu ukuphumeza amanyathelo ezithile olungiso ngaphandle koncedo kugqirha.

Cystoscope sisixhobo okhethekileyo, njengesilinda elide elimxinwa. tube Ngaphandle esijikeleza itankana intsimbi kunye nenkqubo nokukhanya okhethekileyo. Xa iziko lombhobho iye imijelo eyongezekileyo ukuba zenzelwe ukuba ziqaliswe esinyini izixhobo (umz, catheters, forceps, electrode njalo njalo. D.).

Kufuneka kuqatshelwe ukuba iintlobo ezimbini cystoscopy iyasetyenziswa namhlanje. Kukho izixhobo standard yaye kuthiwa cystoscopy lukhuni bhetyebhetye, nto leyo enika ubuhlungu ngaphantsi.

Le nkqubo lwenziwa izigulane amadoda namabhinqa. Noko ke, kukholelwa ukuba cystoscopy lwesinye ngabantu sinzima ngakumbi kakhulu kwaye akudingi zomzimba wengingqi - nobunzima kakhulu enxulumene awohluke ngesakhiwo yokwakheka.

Izinto ezibonisa ukuba inkqubo

Ukuba kukho iingxaki ezithile kwi wokuchama kwisiqwenga iimviwo endoscopic izigulane kucetyiswa. Cystoscopy lwesinye kwi amadoda, abafazi kunye nabantwana kuqhutyelwa ukubakhona kwezifo ezifana kunye neempawu ezifana:

• ubukho igazi nomchamo iisampulu ukungcola;
• ukukrala rhoqo lwesinye;
• nokuphazamiseka echama, unobangela olunga kwazanga ukubonwa ngamanye iindlela isifo;
• enuresis;
• ndinentlungu engapheliyo esisu ezisezantsi isinqe;
• ubukho iiseli Nedlac ngayo umchamo;
• umsebenzi contractile Ukwandisa lwesinye;
• ubukho okanye Ubukho ekucingelwa yamatye womchamo;
• yamathumba esinyini, leyo aye aqatshelwa ngexesha ultrasound okanye ngekhompyutha Itomography (cysts, polyp, ithumba etc ...);
• uphuhliso orhanelwa Ngokuzimela Embi.

Enoba kunjalo, kufuneka iqondwe ezigqibe ukuba aqhube inkqubo ingadala kuphela gqirha.

Ukulungiselela cystoscopy lwesinye

Kakade ke, ukuze wenze le nkqubo wanika ziphumo oluchanileyo, kufuneka bazilungiselele kakuhle oko. Ukuze ube ngqo ngakumbi izilumkiso kunye nezikhokelo uya uxelele ugqirha khona. Noko ke, qiniseka ukuba uxelele ugqirha wakho malunga onke amayeza owasebenzisayo amayeza, njengoko abathile kubo enokuchaphazela ngokuchaneka kweziphumo. Ngokukodwa, kuluhlu lwe iziyobisi esalelweyo kungahlanganisa iziyobisi antiinflammatory ezingezo-steroidal ezahlukeneyo, amayeza okunyanga isifo kunye nabanye ababulali iintlungu. Kufuneka kwakhona ukuba uyeke ubuncinane okwethutyana aspirin kwakunye anticoagulants, ekubeni ezi zixhobo kwandisa amathuba okuba ukopha.

Ukongeza, cystoscopy lwesinye kwabasetyhini singàphunyezwa esexesheni - kwiimeko ezinjalo, le nkqubo ithe yamiswa nje ngelinye ixesha. Le ngokuhlwa phambi kokuba inkqubo, kucetyiswa ukuba athathe antibacterial iarhente uluhlu olubanzi sesichengeni (umzekelo, ichiza "Monural", nangona ugqirha uza kukuxelela ngayo ngakumbi kanye). Enye bag kuya kunceda ukuze buncothulwe ubunzima iingxaki kwixesha elizayo.

Kakhulu ebalulekileyo linyulu esini yangaphandle. Ngako oko kulungiselelwa cystoscopy lwesinye iquka iinkqubo yococeko kusasa, kuba amathuba ngenye eliphezulu yokungena igciwane okanye ezinzwaneni kwi womchamo. Ukuba nkqubo kuya kwenziwa phantsi zomzimba ngokubanzi, kungcono kule nto kusasa, ukuba badle sona.

Kuba zomzimba yengingqi, njengoko umthetho, sebenzisa ezizodwa iintlungu, elawulwa ngqo urethra. amachiza afana kwisigulana, ngokuqhelekileyo kufuneka ukuba ithenge - qiniseka ukuba ukubuza kugqirha wakho ngawo.

Kukho uluvo lokuba akunakwenzeka ukuba aye endlwini yangasese phambi cystoscopy, njengoko esinyini kufuneka luzaliseke. Enyanisweni, le ngxelo ayilunganga, ekubeni, xa kukho imfuneko, ugqirha uya kungena anenani elifunekayo ulwelo em- lwesinye.

ntoni cystoscopy njani lwesinye? inqubo Overview

Ngoko nangoko ke kubalulekile ukuphawula ukuba cystoscopy ukuze njengok sisigulana kunye izigulane. Phambi kokuqala ugqirha limisela ukuba isigulane kufuneka zomzimba. zomzimba jikelele abonisa ukuba ungenelelo zotyando kunye namanyathelo zonyango - kwiimeko ezinjalo, kufutshane isigulane kufuneka ube anesthesiologist.

Kuba lula yomguli idini bahlale esitulweni okhethekileyo wayefana izifo. Ukuba umntu lisezingqondweni na, lo urethra iphathwa kunye ntlungu, ezifana "prilocaine" okanye "lidocaine" - ezi izinto zibe iipropati ukuqanda wenze inyama akanandaba. Namhlanje ngakumbi zithandwa ngakumbi kukho ziwe ezizodwa nje anesthetize kuphela eludongeni lwangaphakathi urethra, kodwa lubricated kakuhle womchamo, ukuphelisa kunobunye.

Yintoni ubambe i cystoscopy? cystoscope First lubricated ngenyameko glycerol wawuqalekisa. Esi sixhobo enhle njenge igrisi, njengoko akukho kungqubana elubala woqondo medium.

Emva ulawulo isixhobo esinyini ugqirha ukhupha umchamo intsalela. Okulandelayo, akukho isicelo isisombululo furatsilina ukususa intsholongwane lwesinye. Koko ugqirha umisela amandla isinyi - yoku ke ndawalusa isisombululo esifanayo furatsilina. Isigulane ucelwa ukuba umxelele ugqirha ukuba awayeziva umnqweno ukuchama.

Xa esinyini igcwele, ugqirha singaqala nokuhlola isifo. ingqalelo ekhethekileyo ihlawulwa ezantsi esinyini, ngokufuthi kulapha localized iinkqubo ukudumba okanye zophendlo lwezifo.

Kwezinye iimeko, le nkqubo kudityaniswe cystochromoscopy. Kule nkqubo, isigulane lesitofu isisombululo carmine butofelwe indigo - umbala oluhlaza. Ukusetyenziswa arhente nshita ukujonga umsebenzi nganye ureters kunye, ngokulandelelana, ukuhlola umsebenzi zezintso.

cystoscopy ngqongqo kunye neempawu zayo

Ukongeza inkqubo eqhelekileyo, kukho kwakhona cystoscopy engqongqo. Le ndlela isetyenziswa ngokubanzi nje kuphela ukuze ayikhangele isifo zesinye, kodwa ngenxa yokususwa kwiziseko ezahlukeneyo. Ngokukodwa, oko kwenziwa kakuhle cystoscopy kunye biopsy lwesinye xa ugqirha kufuneka beyaleza kweesampuli zeethishu. Ngaphezu koko, kunye mbhobho nabo babe ukususwa polyp, cysts ezincinane, nangezilonda, njalo-njalo. D.

Lidla olu hlobo cystoscopy lwenziwa phantsi Ukubulawa jikelele. zomzimba Local kwakhona kunokwenzeka - okuphelisa iintlungu ibhalwa ngasemva, njengoko oku kuyanceda ukuba ndindisholo umzimba ngezantsi esinqeni.

Cystoscopy nokwenza therapeutic

Lidla cystoscopy kwabasetyhini, amadoda kunye nezigulane ezingabantwana lu dityanisiwe ezahlukeneyo amanyathelo zonyango. Ngokukodwa, ugqirha wakho ukwenza iinkqubo ezifana zeemviwo endoscopic lwesinye:

• ukuyeka ukopha, ezo umthombo izicwili womchamo;
• ukususwa yamathumba ingozi okanye amabi, esinyini;
• ukususwa kwizithinteli;
• intshabalalo echanekileyo amatye esinyini okanye womchamo;
• asike stricture ziyafumaneka emlonyeni urethra okanye ureter;
• kokufaka catheter;
• eqhuba biopsies uwathandabuze.

Njengoko kubonakala, cystoscopy lwesinye (isithombe kweli nqaku) yi diagnostic nje kuphela, kodwa inkqubo yonyango kancinane wesibeleko esigqibeleleyo. Kwaye ke kubalulekile kakhulu.

Yintoni lokulindela emva le nkqubo?

Emva kokuba ugqirha cystoscopy phantse nangoko kukwazi ukuba bangakuxelela ntoni na phambi kwabo okanye ezinye iingxaki, nokunika iingcebiso eziyimfuneko. Ezi nketho kuphela ngabo iimeko apho inkqubo lu dityanisiwe biopsy - Kuya kufuneka ukuba silinde iziphumo lebhu.

Kufuneka kuqatshelwe ukuba kwiimeko ezininzi kwiintsuku nje ezimbalwa izigulane va amahlaba kunye neentlungu ngegalelo lazo ngexesha ukuchama. Esi simo eqhelekileyo - Kufuneka nje ube nomonde de konke. Kodwa ukusebenzisa amayeza iintlungu akunconywa, ekubeni uninzi kula machiza ezingcakacileyo igazi, ukwandisa amathuba ukopha.

Cystoscopy lwesinye kwabasetyhini (kunye namadoda) kunokubangela intlungu tsala esiswini, nayo leyo izakulahleka emva kweentsuku ezimbalwa. Ngosuku lokuqala uyakwazi ukutshintsha umbala umchamo - ngokufuthi sinombala, yaye ngamanye amaxesha kunye negazi ebonakalayo. Ithi kwakhona kuthathwa ngokuba yinto eqhelekileyo. Izigulane ziyacetyiswa ukuba usele iziselo, ukuze ngokukhawuleza ukucoca lwesinyi utshintshe ukwakhiwa imichiza umchamo.

Ngamanye amaxesha oogqirha ukumisela ukuba izigulane abafumana arhente antibacterial - kuba ngumlinganiselo lokuthintela ukuba inceda ukuthintela ukunwenwa kwezifo ezosulelayo kunye neenkqubo arhabaxa.

Ukuba imeko yakho iya isiba mandundu yonke imihla, kufuneka ubone ugqirha. Ezinokuba iimeko kakhulu ziquka intlungu eliphantsi umva, ukugcinwa wokuchama, ubushushu bomzimba banda, kwakunye ukuyilwa egazi igazi nomchamo - apha ngaphandle koncedo oyingcali buyafuneka.

nokuba iingxaki emva kunokwenzeka?

Izigulane ezininzi ukulungiselela le nkqubo ukuba bamangalisiwe enoba kukho ezinye iziphumo ebezingalindelekanga ukuba umphumo ukuba cystoscopy. Iingxaki kulo mzekelo kunokwenzeka. Iziphumo kakhulu oqhelekileyo umonzakalo le urethra. Maxa wambi, ngexesha le nkqubo, kwaye urethra lonzakele, isigulana na angaseka ebizwa ngokuba "sicatshulwa bobuxoki 'kumchamo.

ukugcinwa wokuchama - kwenye imeko eyingozi, nto leyo ke, banesifo akunjalo rhoqo. Uhlukunyezwe amacandelo ahlukeneyo kwenkqubo wokuchama kukhokelela ukopha - ngamanye amaxesha egazi negazi azinako ukuvala womchamo, nto leyo isoyikiso kwimpilo yabantu.

Iingxaki kakhulu oqhelekileyo zizifo womchamo. Ukungena kunye nomsebenzi ezincinane iintsholongwane, wentsholongwane egazini fungal kukhokelela urethritis kunye Ngokuzimela (ukudumba isifo lwesinye). Kwiimeko kakhulu ngakumbi, usulelo ungena nzulu, echaphazela ijwabu yezintso, ophela nge pyelonephritis. Ngethamsanqa, ulawulo umbala-ntsholongwane kunciphisa amathuba ukudumba ziibhakteriya ukuya ubuncinane.

Izimo ukuba cystoscopy

Ngoko nangoko ke kubalulekile ukuqaphela ukuba indlela enjalo akwenziwanga kwimeko nganye njengoko azenzeki Izimo. Umzekelo, cystoscopy esinyini amadoda ukuba wenziwe ukuba inkqubo lokufunyaniswa isigulane ibhaqwe exacerbation zizifo ezahlukahlukeneyo wesinye amasende.

Izimo zikwaquka izifo ukudumba etsolo echaphazela inwebu kwiinwebu le urethra. Kwiimeko ezinjalo, kufuneka kuqala ukuze aqhube unyango olufanelekileyo. Cystoscopy kwakhona vala kukho umonakalo nokwenzakala urethra entsha. Yokunyhashwa cross-urethral le nkqubo yenza kube kwakungenzeki kwaphela.

Le Izimo jikelele ziquka ukopha imvelaphi ongaziwayo, yaye - kwiimeko ezinjalo, izigulane ekucetyiswa ukuba bahlolwe, ukuba ukuchonga umthombo ukopha kunye bangenele kunyango kuyimfuneko. Cystoscopy ayikhuthazwa tu into yokuba ukwenza ekuthiwa imvelaphi resorptive fever, okubangele isahlakalo yokukhululwa ityhefu kwigumbi igazi okanye inkqubo nokudumba ubovu yebhaktiriya.

iimviwo Endoscopic lwesinye: angqina

Namhlanje, izigulane ezininzi yabelwe le nkqubo. Cystoscopy igqalwa indlela ebaluleke kakhulu diagnostic, evumela ixesha elininzi lokuba ukubona izifo. Kakade ke, imibuzo ebalulekileyo kuhlala iimpendulo yezigulane abafumana le nkqubo.

Kuqala kubalulekile ukuphawula ukuba cystoscopy kusoloko ukuveza iziphumo ezinqwenelekayo, yaye inceda ukuseka uxilongo kunye nokwenza eminye ukuqeshwa izigulane. Njengoko ku mizwa luluvo ngexesha inkqubo, kukho inani elikhulu zinto, iimpawu ezithile nokomzimba kwaye yokwakheka omzimba womntu, zisembundwini iintlungu, isakhono kunye nobuchwepheshe kugqirha. Ezinye izigulane akhalaze kabi wobulali kuphela, ngoxa abanye ubuhlungu ngokwenene. Enoba kunjalo, le nkqubo ithatha ixesha elide kakhulu, kodwa zomzimba abanakho ibe ngaphantsi ezingemnandi.

Emva cystoscopy, izigulane ezininzi akhalaze kabi, amahlaba kunye neentlungu xa echama. Kodwa kwakhona, ezi mvakalelo Kwathi emva kweentsuku 1-2.

Omnye umbuzo umdla: yintoni zikhundla cystoscopy lwesinye? Apho enze nkqubo? Ezinye iikliniki iziguli uhlolo lwesinye ngqo kwi-ofisi womchamo ngayo. Xa uwathandabuze, ungasebenzisa iinkonzo kwiklinikhi yabucala. Qiniseka ukuba ukubuza ngayo kwi ugqirha amisele wena cystoscopy.