So wo ba kumaa no taa nya ɔyare mmoawa wɔ nsu mu? Momma yɛnka VCUG (Voiding Cystourethrogram) sɔhwɛ no ho asɛm!

So woate VCUG sɔhwɛ ho asɛm pɛn? Ebia wo duruyɛfo aka akyerɛ wo anaa wo ba sɛ ɛsɛ sɛ woyɛ nhwehwɛmu yi. Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a wote saa no. Nanso sɛ wuhu nea ɛyɛ ne nea enti a wɔreyɛ no ankasa pɛ a, saa ehu no befi hɔ. Ɛnnɛ, momma yɛnka sɔhwɛ yi a wɔfrɛ no VCUG ho asɛm wɔ nsɛm a ɛnyɛ den mu.

So wunim nea VCUG (Voiding Cystourethrogram) yɛ?

Sɛ yɛbɛka no tiawa a, VCUG yɛ sɔhwɛ titiriw a ɛhwɛ sɛnea wo dwodwo ne wo nsu a ɛwɔ wo nsu mu no yɛ ma na ɛda mpan yiye. Fa no sɛ ɛyɛ nsukorabea, baabi a wɔboaboa nsu ano na wɔkora so. VCUG nhwehwɛmu betumi aboa nnuruyɛfo ma wɔahu sɛ ebia nneɛma bi a ɛnteɛ anaa ɔhaw bi wɔ saa nsu a wɔde fa nsu mu yi mu anaa.

Saa sɔhwɛ yi de nsu titiriw bi (contrast dye) – nsu a ɛwɔ kɔla a ɛda adi pefee wɔ X-ray mfonini ahorow so – ne X-ray . Sɛ wɔde saa nsu yi gu akisikuru no mu a, X-ray no kyerɛ sɛnea akisikuru no hyɛ ma na ɛda mpan, ne baabi a nsu no kɔ. Ne titiriw no, ebetumi ahu nneɛma te sɛ akwan a nsu fa so fi akisikuru no mu a esiw ano, anaasɛ sɛ ebia nsu resan akɔ soro anaa.

Mpɛn pii no, ɛsɛ sɛ nsu fi akisikuru no mu sian kɔ nsukorabea no mu na efi nipadua no mu ara kwa. Nanso ɛtɔ mmere bi a, nsu a efi akisikuru no mu no tumi san kɔ soro fa nsukorabea ahorow no mu kɔ asaabo no mu. Eyi nyɛ papa. Eyi betumi ama asaabo mu yare (pyelonephritis) , a ebetumi asɛe asaabo no na akuru no.

Mpɛn pii no, oduruyɛfo a ɔhwɛ mframa so na ɔyɛ VCUG nhwehwɛmu, wɔ wo duruyɛfo adwumayɛbea, ayaresabea, anaa beae a wɔyɛ mfonini wɔ abɔnten. Wobɛda wɔ sɔhwɛ no mu. Ebia wobɛte nka sɛ wo ho nyɛ wo dɛ kakra, nanso ɛnyɛ biribi a ɛsɛ sɛ wohaw wo ho. VCUG sɔhwɛ no gye nea ennu dɔnhwerew biako. Afei wubetumi ayɛ wo da biara da dwumadi ahorow sɛnea wotaa yɛ no.

Nnuruyɛfo kamfo VCUG nhwehwɛmu yi kyerɛ, titiriw ma mmofra nkumaa ne nkokoaa a wɔtaa nya nsu mu yare (UTIs) , efisɛ ɔyare mmoawa a ɛkɔ so tra hɔ no betumi aka wɔn asaabo.

Dɛn na wobetumi ahu wɔ VCUG sɔhwɛ mu?

VCUG nhwehwɛmu betumi aboa wo duruyɛfo ma wate sɛnea wo nsu a wode gu mu no yɛ adwuma no ase yiye.

Tebea titiriw a eyi hu ne vesicoureteral reflux anaa ureteral reflux. Eyi kyerɛ sɛ wo nsu no san kɔ soro wɔ ureters no mu kɔ asaabo no mu sen sɛ ebefi akisikuru no mu. Eyi betumi ama obi anya asaabo mu yare ne UTI a ɛtaa ba. Sɔhwɛ titiriw a wɔde hu tebea yi wɔ mmofra mu ne VCUG.

Ɛnyɛ ɛno nko, urethral stricturesEbetumi nso ahu tebea horow a ɛma nsu a ɛkɔ wo nsu mu no siw, a ɛkyerɛ sɛ ɛyɛ den ma wo sɛ wobɛtow wo ho.

Bere bɛn na ɛho hia sɛ wɔyɛ VCUG?

Ade titiriw nti a wɔyɛ VCUG nhwehwɛmu ne sɛ wobehu tebea a yɛadi kan aka ho asɛm a ɛfa ureteral reflux ho. Saa tebea yi betumi aba esiane nneɛma a edidi so yi nti:

• Sɛ wowɔ ɔyare a ɛkɔ so wɔ nsu mu (UTIs) a .
• Sɛ tebea bi a wonya fi awo mu anaa ɔhaw bi wɔ nsu a wɔde fa nsu mu no ho a.
• Wɔ tebea horow te sɛ nsu a wontumi nhyɛ mu , nsu a ɛkɔ nsu mu a ɛyɛ teateaa, anaasɛ prostate a ɛyɛ kɛse wɔ mmarima mu mu.
• Sɛ woadi kan apira, woanya ɔyare mmoawa, anaa wɔayɛ wo oprehyɛn wɔ wo nsu mu a.
• Sɛ obi a ɔwɔ abusua no mu anya saa tebea yi a ɛne sɛ nsu a ɛsan kɔ nipadua no mu (awosu mu nkɛntɛnso) a.

Ɔkwan bɛn so na wɔyɛ VCUG sɔhwɛ?

Eyi yɛ biribi a ehia sɛ wɔkyerɛkyerɛ mu kakra. Mma ɛnhaw wo, mɛma ayɛ mmerɛw.

Nea ɛka sɔhwɛ no ho ne sɛ wode afiri a ɛyɛ tratraa a ɛyɛ mmerɛw (urinary catheter) fa wo urethra mu bɛhyɛ wo akisikuru mu. Afei, wɔde aduru a ɛma nsonsonoe a ɛwɔ iodine mu no fa catheter no mu gu wo akisikuru mu. Sɛ aduru no hyɛ wo akisikuru no ma wie a, radiologist no twa X-ray mfonini. Afei woyi catheter no na wɔtwe X-ray mfonini bere a woretow nsu no. Eyi kyerɛ baabi pɔtee a aduru no rekɔ ne sɛ ɔhaw bi wɔ hɔ a.

So ɛsɛ sɛ wusiesie wo ho ansa na woayɛ sɔhwɛ no?

Yiw, ahosiesie kakra wɔ hɔ.

• Ɛsɛ sɛ wudi kan ka nnuru biara a wonom ne nea ebia wowɔ ho asɛm kyerɛ wo duruyɛfo . Ebia wɔbɛka akyerɛ wo sɛ gyae nnuru bi a wobɛnom nna kakraa bi ansa na wɔayɛ nhwehwɛmu no.
• Sɛ ebetumi aba sɛ wo (anaa wo ba) anyinsɛn a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo .
• Ɛyɛ ade a ɛfata sɛ wobɛte ehu anaa dadwen nka kakra ansa na woayɛ sɔhwɛ a ɛte sɛɛ, titiriw esiane sɛ woada nti. Sɛ wote nka saa a, ka kyerɛ wo duruyɛfo . Wɔbɛtumi akyerɛkyerɛ mu akyerɛ wo na wɔaboa wo ama woasi w’adwene.
• Sɛ abofra bi reyɛ sɔhwɛ yi a, mpɛn pii no wɔma ɛna anaa agya no kwan ma ɔtra abofra no nkyɛn. Nnuruyɛfo ka sɛ ɛyɛ papa sɛ wobesiesie abofra no ama nhwehwɛmu no ansa na wɔayɛ. Sɛ wokyerɛkyerɛ nea ɛbɛba ne sɛ wobɛka wɔn ho mu pɛpɛɛpɛ a, ebetumi aboa ma wɔn suro so atew. Bua abofra no nsɛmmisa no pefee na fa nokwaredi mu. Sɛ abofra no sua a, ɛbɛyɛ papa nso sɛ wode biribi a wɔn ani gye ho te sɛ agode bɛba.
• Esiane sɛ wɔmfa nnuru a ɛma obi dwo mma eyi nti, enhia sɛ wugyae adidi anaa anonne ansa na wɔayɛ nhwehwɛmu no.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Sɛ́ ebia wɔyɛ VCUG nhwehwɛmu wɔ ɔpanyin anaa abofra so no, mpɛn pii no wodi anammɔn yi akyi:

1. Ɛho behia sɛ wuyi wo nipadua a ɛwɔ fam no ntade.Ɛno kyerɛ ntade ase, te sɛ pants ne skirts. Wɔbɛma wo gown anaa ntama a wode bɛkata wo nipadua so.

2. Wɔbɛka akyerɛ wo sɛ da pon so a woatrɛw wo nsa. Sɛ woyɛ ɔbarima a, wo nan bɛtene, na sɛ woyɛ ɔbea a, wo nan bɛtrɛw te sɛ ntontom ntaban (nkotodwe a wɔakotow na anan abɔ mu). Eyi bɛma ayɛ mmerɛw sɛ wobetumi akɔ nsu a ɛkɔ nsu mu no mu.

3. Oduruyɛfo anaa ɔyarehwɛfo de samina ne nsu bɛhohoro wo honam ani hwɛbea ho yiye. Ɛtɔ mmere bi a wobetumi de aduru a ɛma obi ho yɛ no yaw bɛhyɛ nsu a ɛkɔ nsu mu no mu.

4. Afei, wɔde afiri ketewaa bi a ɛyɛ mmerɛw (catheter) fa wo urethra (tokuru a wotow wo ho ) mu kɔ wo akisikuru mu. Ebia eyi bɛte nka sɛ ɛnyɛ dɛ kakra, nanso ɛnyɛ yaw. Wɔde plaster kyekyere saa tube yi wɔ w’asen mu.

5. Wɔde X-ray afiri no asi wo akyi berɛmo no so. Ɛnbɔ wo nipadua.

6. Afei, oduruyɛfo no de nsu titiriw bi (ade a ɛma wohu nneɛma a ɛne ne ho bɔ abira) bɛhyɛ wo akisikuru mu ma afa afiri no mu. Saa nsu yi ne nea ɛma nsu a ɛkɔ nipadua no mu no da adi pefee wɔ X-ray mfonini ahorow no so.

7. Oduruyɛfo a ɔhwɛ mframa so no bɛtwe wo akisikuru no X-ray mfonini bere a ɛrehyɛ ma no. Ebia wobɛte nka sɛ wobɛtow wo ho saa bere yi. Nanso bere a wo akisikuru ayɛ ma koraa ne bere a wo duruyɛfo ka kyerɛ wo sɛ wotow nsu nkutoo . Eyi betumi ayɛ den ama mmofra nkumaa.

8. Sɛ wo akisikuru no yɛ ma wie a, wobeyi catheter no na radiologist no bɛka akyerɛ wo sɛ totow .

• Wobetumi ama mmofra atow wɔn ho akɔhyɛ kuruwa, mpa so, anaa mpo wɔ pon a wɔde mpopaho akata so so. Oduruyɛfo a ɔhwɛ mframa so no bɛda so ara atwa X-ray mfonini bere a wɔyɛ eyi no.
• Sɛ woyɛ ɔpanyin a , wɔbɛka akyerɛ wo sɛ tow nsu gu mpa so anaa nsukorabea bere a wo akisikuru ayɛ ma no. Wɔbɛtwa X-ray mfonini kosi sɛ wobɛma wo akisikuru no mu ada mpan koraa.

Kae sɛ wɔyɛ X-ray no bere a akisikuru no ayɛ ma ne bere a ɛda mpan nyinaa, efisɛ nsu a ɛsan kɔ nipadua no mu betumi aba wɔ nsɛm abien no nyinaa mu. Oduruyɛfo a ɔhwɛ mframa so no wɔ hɔ sɛ ɔbɛboa wo, enti tie nea ɔka no yiye. Sɛ wo ne abofra bi wɔ hɔ a, nya ɔdɔ kɛse na kyekye no werɛ saa bere yi. Nneɛma te sɛ wo nsa a wobɛkura mu, agode a n’ani gye ho a wode bɛma no, ne serew a wobɛserew na wo ne no akasa no betumi aboa no.

VCUG sɔhwɛ gye bere tenten ahe?

Sɔhwɛ yi nyinaa gye simma 30 kosi 45 pɛ .

So ɛho hia sɛ wɔde nnuru a ɛma obi dwo ma VCUG?

Mpɛn pii no, ɛho nhia sɛ wɔde nnuru a ɛma obi dwo no di dwuma ansa na wɔayɛ VCUG nhwehwɛmu. Nanso, ebia ɛho behia sɛ wɔma mmofra binom dwo. Sɛ wo duruyɛfo susuw sɛ ɛbɛyɛ papa sɛ wobɛma wo ba no aduru a ɛma obi dwo a, ɔbɛkyerɛ wo sɛnea wubesiesie wo ho ama no.

Dɛn na ɛba wɔ VCUG sɔhwɛ no akyi?

Wubetumi akɔ fie na woayɛ wo dwumadi ahorow a wotaa yɛ no ntɛm ara wɔ VCUG sɔhwɛ no akyi.

• Wɔ nnɔnhwerew 24 kosi 48 a edi hɔ no mu no, ebia wobɛte nka sɛ wo ho hyehye wo kakra anaasɛ wo ho ayɛ wo yaw bere a woretow wo ho .
• Nom nsu pii. Kɔ aguaree bere a wote nka sɛ ɛho hia sɛ woto nsu ara pɛ . Eyi betumi aboa ma wɔasiw nsu mu yare (UTI) ano.
• Ɛyɛ ade a ɛfata nso sɛ wobɛtow nsu a ɛboro sɛnea wɔtaa yɛ no nna kakraa bi wɔ VCUG akyi.
• Ebia wo nsu kɔla yɛ pink, nanso ɛnsɛ sɛ ɛyɛ kɔkɔɔ tuntum da.

Sɛ sɛnkyerɛnne ahorow yi mu biara kɔ so boro nnɔnhwerew 48, anaasɛ wo nsu yɛ kɔkɔɔ a, kɔ oduruyɛfo nkyɛn.

Mfaso bɛn na ɛwɔ VCUG sɔhwɛ no so?

Mfaso kɛse a ɛwɔ VCUG nhwehwɛmu so ne sɛ ɛma wo duruyɛfo hu sɛnea nsu fa wo nsu mu no pefee. Eyi betumi aboa ma woahu tebea horow a ɛba ntɛm a sɛ wɔansa a, ebetumi asɛe w’asaabo.

So asiane bi wɔ VCUG sɔhwɛ no mu ?

VCUG yɛ sɔhwɛ a ahobammɔ wom kɛse, nanso ɛnyɛ nea asiane ahorow bi nni mu.

• Ebia nnipa binom ho nyɛ wɔn den wɔ aduru no ho , nanso eyi ntaa nsi koraa, titiriw sɛ aduru no hyɛn mogya mu sen sɛ ɛbɛhyɛn akisikuru no mu a.
• Wobɛda mframa a ano yɛ den adi. Nanso nnuruyɛfo de kyɛm soronko bɛbɔ wo ho ban na ama asiane yi ayɛ ketewaa bi. Mpɛn pii no, asiane yi sua sɛ wɔde toto mfaso a ɛwɔ so sɛ wobehu yare no pɛpɛɛpɛ no ho a. Sɛ wonyinsɛn a, ɛsɛ sɛ woka kyerɛ wɔn ansa na wɔayɛ nhwehwɛmu no.

Nneɛma nketenkete a efi VCUG sɔhwɛ no mu ba no bi ne:

• Ɔhyew a ɛyɛ hyew.
• Akisikuru anaa ɔfe.
• Ɔhyew bere a woretow (bɛyɛ nnɔnhwerew 24-48).
• Sɛ obi nya nsu mu yare (UTI) esiane catheter no nti (eyi nso ho yɛ na yiye).

Nneɛma bɔne a ɛda nsow (nanso eyinom ho yɛ na yiye):

• Ɔhome a ɛyɛ den.
• Mogya mmoroso a ɛba fam.
• Menewa anaa ano a ɛho ahonhon.

VCUG sɔhwɛ no yɛ yaw dɛn ?

Ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ wo ho nyɛ wo dɛ kakra bere a wɔreyɛ VCUG no, titiriw bere a wɔde catheter no ahyɛ mu no. Ebia wobɛte nka nso sɛ wo akisikuru ayɛ den bere a ayɛ ma no, na ebia wobɛte nka sɛ ɛsɛ sɛ woto wo ho . Nnipa binom te ehu nka kɛse na ehu aka wɔn ansa na wɔayɛ VCUG. Eyi yɛ ade a ɛfata. Bɔ mmɔden sɛ wobɛhome denneennen na woakɔ brɛoo. Ɛtɔ da bi a, bɔɔl ketewa bi a wobɛpiapia anaa wo dɔfo bi mfonini a wobɛhwɛ no betumi aboa ma wo ho adwo wo.

Wɔ abofra fam no, VCUG sɔhwɛ no betumi ayɛ adwennwen kakra.Yɛ nea wubetumi biara kyekye ne werɛ, na ma ɔnte ase sɛ sɔhwɛ yi yɛ nea ɛbɛboa no. Sɛ wunnim ɔkwan a wobɛfa so agyina tebea yi ano a, bisa wo duruyɛfo.

Dɛn na VCUG aba no kyerɛ?

Saa nhwehwɛmu yi betumi akyerɛ wo duruyɛfo sɛ ebia wowɔ urethral reflux anaasɛ ɛnte saa. Ebetumi nso akyerɛ wo sɛ ebia wo nsu a ɛkɔ wo nsu mu no afã horow no te sɛ nea ɛfata, anaasɛ ɛtrɛw anaasɛ ɛyɛ teateaa sen sɛnea ɛte daa.

Sɛ wo ba no ayɛ VCUG na wohu sɛ ɔwɔ reflux a, radiologist no bɛma no nkontaa . Eyi taa fi 1 kosi 5. 1 yɛ nea emu nyɛ den na 5 yɛ nea emu yɛ den. Ayaresa no begyina sɛnea nsu a ɛsan kɔ nipadua no mu no mu yɛ den ne sɛ ebia aka asaabo anaa nsu a ɛkɔ nipadua no mu no so. Wo duruyɛfo no ne wo bɛkasa afa ayaresa a wubetumi apaw a egyina nea afi mu aba so.

Bere tenten ahe na egye ansa na woanya nea efi mu ba?

Oduruyɛfo a ɔhwɛ mframa so no bɛhwɛ X-ray mfonini ahorow no, akyerɛw amanneɛbɔ, na ɔde nea efi mu aba no akɔma wo duruyɛfo . Eyi betumi agye nna abien. Bisa wo duruyɛfo bere tenten a ebegye ansa na woanya nea efi mu ba no.

Sɛ nea efi mu ba no nyɛ nea ɛfata a, dɛn na ɛsɛ sɛ woyɛ akyi?

Ɛsono nea oduruyɛfo no behu no, nea ɛbɛba akyi no. Nnipa binom behia sɛ wɔde nnuru sa wɔn yare anaa wɔyɛ wɔn oprehyɛn de siesie ɔhaw ahorow a ɛwɔ akisikuru anaa akisikuru mu. Mmere foforo nso, ebia wo duruyɛfo bɛka akyerɛ wo sɛ yɛ nsakrae wɔ w’asetra mu na aboa.

Bere bɛn na ɛsɛ sɛ wosan kɔ oduruyɛfo nkyɛn bio?

Ɛyɛ ade a ɛfata sɛ wobɛtow wo ho mpɛn pii bere a wɔayɛ VCUG akyi, wo nsu kɔla yɛ pink kakra, na wobɛte ɔhyew nka bere a woretow wo ho . Sɛ sɛnkyerɛnne ahorow yi mu biara kɔ so boro nnɔnhwerew 48 a, kɔ oduruyɛfo nkyɛn.

Sɛ wo nsu yɛ kɔkɔɔ, wowɔ atiridiinini, anaasɛ ɛyaw wɔ wo hwene mu a, ebetumi ayɛ ɔhaw bi ho sɛnkyerɛnne. Sɛ eyi ba wɔ nna kakraa bi akyi wɔ wo VCUG akyi a, hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn.

So VCUG ne Voiding Cystogram yɛ ade koro?

VCUG ne Voiding Cystogram yɛ edin abien a wɔde frɛ sɔhwɛ koro no ara. Nsonsonoe biara nni abien no ntam.

Nkrasɛm a Wɔde Kɔ Fie

VCUG yɛ nhwehwɛmu a wɔde hu yare a wɔde X-ray ne nsu titiriw bi (contrast dye) di dwuma. Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen nka kakra wɔ nna ne nnɔnhwerew a edi sɔhwɛ no anim no mu. Sɛ wo ba no reyɛ sɔhwɛ yi a, ebia ɔte nka saa ara, efisɛ onnim nea ɛbɛba. Wo sɔhwɛ mu aba na ɛbɛkyerɛ nea ɛbɛba akyi.Ansa na wobɛyɛ nhwehwɛmu no, wo ne wo duruyɛfo nkasa mfa nsɛm biara a ɛhaw wo anaa nsɛmmisa biara a ebia wowɔ ho. Ɔbɛkyerɛkyerɛ sɔhwɛ no mu akyerɛ wo ne nea wubetumi ahwɛ kwan. Mma ɛnhaw wo, wɔyɛ eyi nyinaa de boa wo ne wo ba no ma moanya apɔwmuden.

` Nsuo nhyehyɛeɛ, akisikuru, nsuo kwan, VCUG, Voiding Cystourethrogram, asaabo mu yareɛ, nsuo mu yareɛ, mmofra akwahosan