Nazarin ilimin lissafi

Nazarin Cystometric yana auna adadin ruwan da ke cikin mafitsara lokacin da ka fara jin bukatar yin fitsari, lokacin da za ka iya jin cikakke, da kuma lokacin da mafitsarar ka ta cika gaba daya.

Kafin binciken cystometric, ana iya tambayarka kayi fitsari (mara kyau) a cikin wani akwati na musamman wanda ke mu'amala da kwamfuta. Wannan nau'in karatun ana kiran sa uroflow, yayin da kwamfutar za ta yi rikodin mai zuwa:

• Lokacin da zai dauke ka ka fara yin fitsari
• Tsarin, saurin, da ci gaba na kwararar fitsarinku
• Yawan fitsari
• Yaya tsawon lokacin da ya ɗauke ka ka zubar da mafitsara

Daga nan zaku kwanta, sai a sanya siririn bututu mai sassauƙa (catheter) a hankali cikin mafitsara. Catheter yana auna duk wani fitsarin da ya rage a cikin mafitsara. Wani lokaci akan sanya karamin catheter a cikin dubura domin auna karfin ciki. Ma'aunin auna, kwatankwacin sandar sandar da aka yi amfani da ita ga ECG, an ajiye ta kusa da dubura.

An saka bututun da ake amfani da shi don lura da matsawar mafitsara (cystometer) zuwa catheter. Ruwa na kwarara zuwa cikin mafitsara a cikin saurin sarrafawa. Za a umarce ku da ku gaya wa mai ba da lafiyar lokacin da kuka fara jin fitsari da kuma lokacin da kuka ji cewa mafitsara ta cika gaba ɗaya.

Sau da yawa, mai ba ka sabis na iya buƙatar ƙarin bayani kuma zai yi odar gwaje-gwaje don kimanta aikin mafitsara. Ana kiran wannan saitin gwajin azaman urodynamics ko cikakken urodynamics. Haɗin ya haɗa da gwaje-gwaje uku:

• Gwajin da aka auna ba tare da catheter ba (uroflow)
• Cystometry (lokacin cikawa)
• Gwajin ko fanko gwajin lokaci

Don cikakken gwajin urodynamic, ana sanya ƙaramin catheter a cikin mafitsara. Za ku iya yin fitsari kewaye da shi.Saboda wannan catheter na musamman yana da firikwensin a saman, kwamfutar zata iya auna matsin lamba da kuma jujjuya yayinda mafitsarinka ya cika kuma yayin da kake wofansa. Za'a iya tambayarka kayi tari ko turawa domin mai ba da sabis ya iya bincika yoyon fitsarin. Wannan nau'in gwajin zai iya bayyana bayanai da yawa game da aikin mafitsara.

Don ma ƙarin bayani, ana iya ɗaukar x-ray a lokacin gwajin. A wannan yanayin, maimakon ruwa, ana amfani da ruwa na musamman (bambanci) wanda yake nunawa akan x-ray don cika mafitsara. Wannan nau'in urodynamics ana kiran shi videourodynamics.

Babu wani shiri na musamman da ake buƙata don wannan gwajin.

Ga jarirai da yara, shiri ya dogara da shekarun yaron, abubuwan da suka gabata, da kuma matakin amincewa. Don cikakkun bayanai game da yadda zaku shirya ɗanku, duba batutuwa masu zuwa:

• Gwajin makarantar yara ko shirye-shiryen hanya (3 zuwa 6 shekaru)
• Gwajin shekarun makaranta ko shirye shiryen hanya (6 zuwa 12 shekaru)
• Gwajin yara ko shirye-shiryen hanya (12 zuwa 18 shekaru)

Akwai wasu rashin jin daɗin da ke tattare da wannan gwajin. Kuna iya fuskantar:

• Ciwon mafitsara
• Flushing
• Ciwan
• Jin zafi
• Gumi
• Bukatar gaggawa don yin fitsari
• Konawa

Jarabawar zata taimaka wajen gano musabbabin cutar mafitsara.

Sakamako na al'ada ya bambanta kuma ya kamata a tattauna shi tare da mai ba ku.

Sakamakon sakamako mara kyau na iya zama saboda:

• Prostara girman prostate
• Mahara sclerosis
• Yawan mafitsara
• Rage ƙarfin mafitsara
• Raunin jijiyoyi
• Buguwa
• Hanyar kamuwa da fitsari

Akwai 'yar hatsarin kamuwa da cutar yoyon fitsari da jini a cikin fitsarin.

Bai kamata ayi wannan gwajin ba idan kana sane da cutar yoyon fitsari. Ciwon kamuwa da cuta yana ƙara yiwuwar sakamakon gwajin ƙarya. Jarabawar kanta tana kara yiwuwar yaduwar cutar.

CMG; Tsarin hoto

• Jikin haihuwa na namiji

Grochmal SA. Gwajin ofishi da zaɓuɓɓukan magani don cystitic na farkon (ciwo mai ciwo na mafitsara). A cikin: Fowler GC, ed. Hanyoyin Pfenninger da Fowler don Kulawa da Firamare. 4th ed. Philadelphia, PA: Elsevier; 2020: babi na 98.

Kirby AC, Lentz GM. Functionananan aikin yanki na urinary da cuta: ilimin lissafin jiki na lalata, lalacewar ɓarna, rashin aikin fitsari, cututtukan urinary, da ciwo mai ciwo na mafitsara. A cikin: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. M Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 21.

Nitti V, Brucker BM. Urodynamic da videourodynamic kimantawa na lalata aiki. A cikin: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: babi na 73.

Yeung CK, Yang SSD, Hoebeke P. Ci gaba da kimanta aikin ƙananan urinary a cikin yara. A cikin: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: babi na 136.