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Chromocystoscopy belongs to the class of modern functional diagnostic methods aimed at assessing the condition of the kidneys, as well as the upper urinary tract.
Due to the fact that the destabilization of kidney activity is diagnosed in people more and more often, the method is in consistently high demand. With the help of the procedure, it is possible to establish the degree of damage to the disease, which provokes an increased frequency of urination.
If involuntary urination is detected in the victim, or renal instability is confirmed during the examination, then this is a reason to undergo chromocystoscopy. The most serious consequence of ignoring the need to undergo a detailed examination of the kidneys and related organs is the development of irreversible processes such as complete organ failure.
The essence of the diagnostic measure
Experts remind that the detection of kidney diseases in the early stages of their development guarantees an increase in the percentage probability of successful treatment. Help to understand the diagnosis in detail allows an effective and at the same time relatively budgetary method – chromocystoscopy.
The exact price of testing depends on the specific clinic where the diagnosis is carried out. The number of control sections is also taken into account, since sometimes the manipulation has to be repeated. This applies to situations of monitoring the dynamics of recovery with an approved long-term therapy program.
The evaluation measure is based on the excretion of indigo carmine from the upper urinary tract, both kidneys. Indigo carmine is a special substance that has a neutral effect on the human body.
Thanks to detailed information after the end of the study, the doctor receives information not only on the functioning of the kidneys. The results will tell you how well the genitourinary system in general copes with its duties.
Physicians highly appreciate this approach for its good accuracy, which helps to conduct detailed monitoring in a short time. It is not for nothing that the procedure is recommended to be carried out in urogenital situations.
Compared to many similar diagnostic options, the presented system is safer.
Indications and contraindications
The main medical indications for its use are called:
- acute or chronic cystitis;
- the presence of blood impurities in the urine;
- problems with normal urination;
- neoplasms of the urinary system, which were found by other diagnostic methods, and now they need a more detailed description;
- destabilization of renal activity;
- obstruction of the urinary tract;
- the need to study the condition of the abdominal organs.
The productive technique helps to detect pathologies of the genitourinary system even at the initial stage of development, which makes it possible to prevent the degeneration of relatively harmless tumors into malignant lesions at first.
Many doctors do not set a date for the operation if the results of the chromocystoscopy performed are not attached to the medical card of their ward.
Despite the popularity of manipulation, sometimes its implementation is prohibited due to a number of medical contraindications. Relative and absolute prohibitions include:
- inflammatory process in the genitourinary system in the acute phase;
- renal failure;
- liver failure;
- collapse;
- nephrosis;
- general serious condition and shock.
Separately, obstruction of the urinary tract is considered, since this pathology is sometimes an indication too. The final verdict remains with the attending physician, who issues a referral based on other test results, the current state of health of the ward.
How is the procedure?
A special preparatory stage before chromocystoscopy is not required from the victim. It is only necessary to take care in advance that before entering the diagnostic room, the victim’s bladder is completely filled. Such foresight is aimed at the possibility of obtaining more accurate information.
Experts recommend drinking about two liters of water about an hour before the appointed time.
After the processed fluid enters the bladder, the patient begins to experience a burning sensation in this area. You will have to endure the inconvenience and not go to the toilet. Due to the fact that the survey lasts a very short time, this is quite possible. But it is not necessary to purchase a pharmacy kit for inspection.
The intervention itself involves several stages. The beginning involves inserting a medical instrument into the bladder through the urethra. The device for this is called a cystoscope, which was the name for the technique.
This is followed by the introduction of a solution when the drug indigo carmine is administered through a vein. It is important to conduct an allergic test in advance if a person has not previously passed through chromocystoscopy. Such a precautionary measure will prevent the development of anaphylactic shock due to an allergic reaction due to individual intolerance to the active substance of the drug.
The penultimate stage covers the examination of the mucous membranes of the genitourinary system. First, the specialist is obliged to examine the healthy part of the organ, and then proceeds to assess the affected side. To determine which of the parts turned out to be unhealthy, monitoring the rate of release of the solution will allow. The diseased side slowly passes the medical fluid that has entered the body with an injection.
The final stage involves monitoring the secretions. Here the doctor must have time to detect the rate of fluid withdrawal, as well as the amount of processed material.
Interpretation of results
If everything is fine with the patient, then the solution processed by the kidneys will begin to exit almost immediately after it enters the body. When part of the organ is affected, the excretion process starts after about 15 minutes. The longer the start of processing is delayed with the release of liquid, the stronger the lesion and the larger the inflamed areas.
Separately, the method allows you to determine the quality of the functionality of the kidneys. Here, the type of staining of the injected solution is taken as the basis. The result can be divided into three categories, which provide for the normal functioning of organs, increased performance, or no reaction at all.
Due to the fact that indigo carmine helps to identify the condition of not only the kidneys, but also a number of other organs of the genitourinary system, this increases the effectiveness of the technique.
At the same time, experimental diagnostics will necessarily take into account in their conclusion a number of indirect factors that can significantly distort the clinical picture.
We are talking about the body temperature of the victim and his general condition. If the victim has any chronic diseases, the mention of which is in the medical card, they should also be taken into account.
The dynamics of the secreted fluid is closely examined, as well as the amount of water drunk by the patient before the manipulation.
Having adopted all the above features, it will be possible to make the most complete picture.
Any special care after completion of chromocystoscopy is not required. It is enough to wait for the conclusion from the diagnostician in order to transfer it later to the attending doctor.