Cystoscopy wa chikhodzodzo amai ndi abambo: kufotokoza ndondomeko

Cystoscopy wa chikhodzodzo amai ndi abambo unachitikira zambiri. Ichi ndi ndondomeko nkhani kwambiri chimene chimapangitsa kuunikira ntchito a chikhodzodzo ndi kupeza angapo matenda, ngakhale mu magawo koyamba. Koma phindi la wodwala ndi mafunso okhudza mmene cystoscopy ndi imagwiridwa, kaya amagwirizana ndi mavuto ena.

cystoscopy ndi chiyani?

Cystoscopy ndi endoscopic kufufuza njira, amene amalola kuyendera pamwamba lamkati la chikhodzodzo ndi kapepala mkodzo. Tikumbukenso kuti njirayi ali ofunika kwambiri matenda mtengo imathandi- kudziwa pamaso pa matenda ena ndipo ngakhale achite zinthu zina choipa popanda thandizo la dokotala.

Cystoscope ndi chipangizo wapadera, chooneka ngati yaitali yopapatiza chubu. Kunja chubu wazungulira chitsulo yamphamvu ndi njira yapadera kuyatsa. Pakati pa yamphamvu ali njira zina zimene wakonzera oyamba mu ndi chikhodzodzo zida (mwachitsanzo, catheters, forceps, maelekitirodi ndi zina zotero. D.).

Iwo ayenera kukumbukira kuti mitundu iwiri ya cystoscopy ntchito lero. Pali zipangizo muyezo ndi ouma otchedwa kusintha cystoscopy, amene amathandiza zochepa nkhawa.

Ndondomeko anachita odwala a amuna ndi akazi. Komabe, akukhulupirira kuti cystoscopy wa chikhodzodzo amuna ndi zambiri zovuta kwambiri ndipo kwenikweni amafuna mankhwala oletsa ululu pamalopo - aakulu kusapeza kugwirizana ndi peculiarities wa kapangidwe anatomical.

Zikuonetsa kuti ndondomeko

Ngati pali mavuto ena mu mkodzo thirakiti endoscopic Kupenda odwala bwino. Cystoscopy wa chikhodzodzo amuna, akazi ndi ana unachitikira mu kukhalapo kwa matenda ndi zizindikiro monga:

• kukhalapo kwa magazi mu mkodzo zosafunika;
• pafupipafupi kutupa chikhodzodzo;
• matenda pokodza, chifukwa cha zimene sakanatha wapezeka ndi njira zina za matenda;
• enuresis;
• ululu aakulu pamimba m'munsi ndi mafupa a chiuno;
• kukhalapo kwa maselo atypical mu zitsanzo mkodzo;
• Kuchuluka contractile ntchito chikhodzodzo;
• kukhalapo kapena amaganiziridwa pamaso pa miyala thirakiti mkodzo;
• zotupa mu chikhodzodzo, omwe afunsidwa mu ultrasound kapena yopangidwa tomography (cysts, ndi tizilombo ting'onoting'ono, chotupa etc ...);
• amaganiziridwa chitukuko cha cystitis interstitial.

Mulimonsemo, tiyenera kuona kuti kusankha kuchititsa ndondomeko ngati mungathe dokotala yekha.

Kukonzekera cystoscopy a chikhodzodzo

Kumene, kuti apange ndondomeko anapereka zotsatira zolondola kwambiri, muyenera bwino kukonzekera izo. Kukhala yokwanira bwino za njira ndi malangizo inu adzatiuza dokotala nawo. Komabe, onetsetsani kuti auzeni adokotala za mankhwala onse muli kumwa mankhwala, monga ena a iwo zingakhudze lolondola zotsatira. Makamaka, pa mndandanda wa mankhwala choletsedwa zikuphatikizapo osiyanasiyana amene sanali steroidal antiinflammatory mankhwala, mankhwala kuchiza nyamakazi ena amene amapha ululu. Muyeneranso osachepera yochepa kusiya kumwa aspirin ndi anticoagulants, kuyambira Zida azidwala magazi.

Komanso, cystoscopy wa chikhodzodzo mu akazi si ikuchitika pa msambo - mu Zikatero, ndondomeko izi sitingazipeze kulephereka kwa nthawi ina. Madzulo ndondomeko, Ndi bwino kuchita antibacterial wothandizila lonse osiyanasiyana kukhudzana (mwachitsanzo, mankhwala "Monural", ngakhale kuti dokotala ndikuuze nkhani yeniyeni). chikwama chimodzi Chingakuthandizeni lichotse kulemera kwa mavuto m'tsogolo.

zofunika kwambiri ndi chiyero cha maliseche kunja. Choncho pokonzekera cystoscopy a chikhodzodzo zikuphatikizapo njira ukhondo m'mawa, chifukwa Mwina mwinamwake mkulu wa kulowa tizilombo toyambitsa matenda a mafangasi kapepala kakuti mkodzo. Ngati ndondomeko adzachitidwa pogonekedwa ndi mankhwala ambiri, ndi bwino m'mawa kanthu kakudya.

Pakuti mankhwala oletsa ululu pamalopo, monga ulamuliro, ntchito yapadera dzanzi, amene kutumikiridwa mwachindunji mu mkodzo ndi. mankhwala kwa wodwalayo, nthawi zambiri kugula zawo - onetsetsani kufunsa dokotala anu.

Pali maganizo n'zosatheka kupita ku chimbudzi pamaso cystoscopy, monga chikhodzodzo ayenera kukhala. Ndipotu, mawu amenewa ndi olakwika, chifukwa, ngati n'koyenera, dokotala yekha adzalowa chofunika kuchuluka kwa madzi mu M'mimbamo a chikhodzodzo.

Kodi cystoscopy a chikhodzodzo? ndondomeko mwachidule

Mwakucimbidza Dziwani kuti cystoscopy akhoza anachita monga outpatient ndi inpatient. Isanayambe dokotala amadziwa ngati wodwala akusowa mankhwala ochititsa dzanzi. General ochititsa dzanzi akusonyeza kuti zikunena opaleshoni ndi miyeso achire - mu Zikatero, pafupi ndi wodwala ayenera kukhala dzanzi.

Pakuti mayiko wodwala kupereka anakhala ku mpando wapadera ooneka ngati matenda a. Ngati munthu amadziwa, mkodzo ndi mankhwala othetsa ululu, monga "prilocaine" kapena "lidocaine wa" - zinthu zimenezi ndi katundu yozizira koopsa ndi kupanga minofu saganizira. Lero ndi wotchuka kwambiri pali angakhale angelo wapadera kuti osati anesthetize khoma mkati mwa mkodzo, komanso bwino afewetsedwa thirakiti mkodzo, kuchotsa kukhululukirana.

Kodi wanyamula cystoscopy? cystoscope Choyamba mosamala afewetsedwa wosabala glycerol. Chida ichi ndi abwino monga lubricant, chifukwa popanda kuphwanya chilungamo sing'anga kuwala.

Pambuyo makonzedwe mu chikhodzodzo chida dokotala akumasula mkodzo yotsalira. Kenako, umagwiritsidwa ntchito njira furatsilina kuti muzimutsuka ndi mankhwala a chikhodzodzo khoma. Kenako dokotala Mzimuyo chikhodzodzo mphamvu - kumapeto limeneli anadyetsa chomwecho furatsilina njira. The wodwala anafunsa kuuza dokotala kuti anamva chilakolako kukodza.

Pamene chikhodzodzo ladzala, adokotala akhoza kuyamba mucosa anayendera. chidwi linaperekedwa kwa pansi pa chikhodzodzo, nthawi ndi apa kuti isanafalikire njira yotupa kapena pathological.

Nthawi zina, ndondomeko ndi pamodzi cystochromoscopy. Mu njirayi, wodwalayo jekeseni kudzera m'mitsempha enaake carmine njira - utoto wabuluu. Ntchito wothandizila Mosiyana kudziwa ntchito aliyense wa ureters ndi, motero, kupenda impso ntchito.

Okhwima cystoscopy ndi zochititsa

Kuwonjezera muyezo ndondomeko, palinso okhwima cystoscopy. Njira imeneyi chimagwiritsidwa ntchito osati kuti kuyendera chikhodzodzo mucosa, komanso kuchotsa formations zosiyanasiyana. Makamaka, zikunenedwa bwino anachita cystoscopy ndi biopsy a chikhodzodzo pamene dokotala amafunika zasayansi kusanthula zitsanzo minofu. Ndiponso, endoscope ndi angakhalenso kuchotsa tizilombo ting'onoting'ono, cysts yaing'ono, zotupa, ndi zina zotero. D.

Nthawi zambiri, mtundu uwu cystoscopy imagwiridwa pogonekedwa ndi mankhwala ambiri. mankhwala oletsa ululu pamalopo n'zothekanso - mankhwala ochititsa ndi kutumikiridwa mu kumbuyo, monga zimathandiza dzanzi thupi pansipa m'chiuno.

Cystoscopy ndi mpheto achire

Nthawi zambiri cystoscopy mu akazi, amuna ndi odwala Dokotala amagwirizana ndi njira zosiyanasiyana achire. Makamaka, dokotala wanu mukhoza kuchita njira monga Kupenda endoscopic a chikhodzodzo:

• magazi asiye kutuluka, ndiwo gwero la zimakhala thirakiti mkodzo;
• kuchotsa chosaopsa kapena zilonda zotupa mu chikhodzodzo;
• kuchotsa obstructions;
• chiwonongeko molondola miyala chikhodzodzo kapena kapepala mkodzo;
• kung'ambika zilipo stricture pa kamwa ya mkodzo kapena ureter;
• khazikitsa ndi catheter;
• akuchititsa uzitsine biopsies.

Monga mmene taonera, cystoscopy wa chikhodzodzo (chithunzi ndi m'nkhani) si matenda, komanso asang'ambe mankhwala ndondomeko. Ndipo n'kofunika kwambiri komanso.

Kodi mungayembekezere pambuyo ndondomeko?

Pambuyo dokotala cystoscopy pasanapite nthawi akhoza kukuwuzani inu za kukhalapo kwa anthu kapena mavuto ena, ndi kupereka malangizo kutero. The kuchotserapo yekha ndi amene nthawi imene ndondomeko amagwirizana ndi biopsy - adzakhala kudikira zotsatira labu.

Tikumbukenso kuti nthawi zambiri pasanapite masiku ambiri odwala kumva kukokana ndi ululu osiyanasiyana mwamphamvu pamene pokodza. zodabwitsazi mwangwiro yachibadwa - basi tiyenera kukhala oleza mtima mpaka chikudutsa onse. Koma ntchito mankhwala ululu ali osavomerezeka chifukwa chakuti ambiri mankhwala awa woonda mwazi, walandira magazi.

Cystoscopy wa chikhodzodzo mwa akazi (ndi amuna) zingachititse ululu kukokera mu pamimba, amenenso kutha patapita masiku angapo. Pa tsiku loyamba mungathe kusintha mtundu wa mkodzo - zambiri ndi brownish, ndi zina ndi magazi kuwoneka. Amagwiritsidwanso ankamuona ngati zabwinobwino. Odwala analimbikitsa kuti kumamwa kowirikiza madzi, kuti mwamsanga kuyeretsa chikhodzodzo ndi kusintha kapangidwe mankhwala mkodzo.

Nthawi zina madokotala mankhwala odwala kulandira nthumwi antibacterial - ndi muyeso zopewera kuti kumathandiza chitukuko cha matenda opatsirana ndi njira yotupa.

Ngati chikhalidwe chanu likuipiraipira tsiku lililonse, muyenera kuwona dotolo. Ikhoza zinthu kwambiri monga ululu otsika kumbuyo, posungira mkodzo, kuchuluka kutentha thupi, komanso mapangidwe magazi kuundana mkodzo - apa popanda thandizo la katswiri ndi chofunika kwambiri.

kaya mavuto ndi zotheka?

odwala ambiri pokonzekera ndondomeko akudabwa ngati pali mavuto amene amabwera chifukwa chochita cystoscopy a. Zovuta mu nkhani iyi zotheka. Zotsatira ambiri monga kupweteka mkodzo ndi. Nthawi zina, pa ndondomeko, ndi mkodzo ndi kuvulazidwa, wodwala kupanga otchedwa "Nunsu onyenga" chifukwa mkodzo.

Mkodzo posungira - chikhalidwe china choopsa, amene Komabe, matenda si kawirikawiri. Vutoli zigawo zosiyanasiyana za dongosolo la mkodzo kumabweretsa magazi - zina magazi kuundana akhoza kuletsa thirakiti mkodzo, lomwe ndi kuopseza thanzi la munthu.

The mavuto ambiri monga matenda thirakiti mkodzo. Malowedwe ntchito ya bakiteriya, tizilombo ndi mafangasi tizilombo kuyambitsa urethritis ndi cystitis (kutupa kwa chikhodzodzo mucosa). Zikavuta kwambiri, nthenda kumafuna, okhudza impso minofu, amene umatha ndi pyelonephritis. Mwamwayi, utsogoleli prophylactic antibayotiki amachepetsa imabwera kutupa bakiteriya yochepa.

Contraindications cystoscopy

Mwakucimbidza Dziwani kuti ndondomeko otere osati ikuchitika pa nkhani iliyonse monga contraindications aliko. Mwachitsanzo, cystoscopy chikhodzodzo amuna osati ikuchitika ngati mu ndondomeko ya matenda a wodwalayo wapezeka exacerbation la matenda osiyanasiyana a prostate ndi testes.

Contraindications mulinso matenda pachimake yotupa okhudza Kakhungu mucous ya mkodzo ndi. Zikatero, choyamba muyenera kuchita mankhwala oyenera. Cystoscopy analetsanso ngati pali atsopano choipa mkodzo. A kuphwanya mtanda urethral wochita kuvumbitsira zosatheka.

The contraindications ambiri monga magazi chiyambi osadziwika, ndipo - mu Zikatero, odwala akulimbikitsidwa kuti ndisanabadwe, kudziwa gwero la magazi ndi alandire chithandizo kutero. Cystoscopy ali osavomerezeka kugwira otchedwa maziko resorptive malungo, chimene chinapangitsa pakutchulidwa wa amasulidwe poizoni m'chipinda magazi toyambitsa purulent ndondomeko kutupa.

Endoscopic Kupenda chikhodzodzo: umboni

Masiku ano, anthu ambiri odwala anatumizidwa njirayi. Cystoscopy imatengedwa zofunika kwambiri matenda njira, imene imathandiza kwambiri nthawi kudziwa matenda. Komabe, pali mafunso ofunika kukhala mayankho odwala kulandira ndondomeko.

Choyamba ndi Dziwani kuti cystoscopy nthawi kuwasamalira kuilakalaka, ndipo amathandiza kukhazikitsa matenda ndi kuti uike zina odwala. Monga ku zomverera zotengera malingaliridwe pa ndondomeko, pali Azimayi ambiri a zinthu, ku mbali makamaka zokhudza thupi ndi anatomical wa thupi, kupweteka pakhomo, luso ndi Luso la dokotala. Odwala ena amadandaula yekha azunzike wofatsa, pamene ena amaganiza ululu weniweni. Mulimonsemo, ndondomeko kumatenga nthawi yaitali kwambiri, koma mankhwala oletsa ululu pamalopo ndikhoza kuzipanga izo zochepa zosasangalatsa.

Pambuyo cystoscopy, odwala ambiri akudandaula cha ululu, kupotokola ndi ululu pokodza. Koma kachiwiri, maganizo amenewa atapita masiku 1-2.

Funso lina chidwi chimene maofesi unachitikira cystoscopy a chikhodzodzo? Kodi njira zimenezi? Ena zipatala kupereka odwala anayendera chikhodzodzo mwachindunji ofesi ya urologist a. Mu uzitsine, mungathe kugwiritsa ntchito misonkhano ya chipatala wapadera. Onetsetsani kufunsa za izo pa dokotala mankhwala inu cystoscopy.