So oduruyɛfo no ka kyerɛɛ wo sɛ yɛ CT Urogram? Bra, momma yɛnka ho asɛm tiawa!

Ɛtɔ mmere bi a, sɛ oduruyɛfo bi ka kyerɛ wo sɛ yɛ nhwehwɛmu bi a edin a ɛyɛ nwonwa wom a, ehu ka wo kakra na wo ho yeraw wo, ɛnte saa? Titiriw sɛ ɛyɛ biribi te sɛ ``CT scan'' a. Ɛnnɛ yɛbɛka sɔhwɛ a ɛte saa biako ho asɛm, a ɛne ``CT urogram'' . Sɛ wote saa din yi a, ebia wobɛdwene sɛ, ''Oh me nyame, dɛn ne sɔhwɛ foforɔ yi?'' Nanso mma ɛnhaw wo, yɛbɛka biribiara ho asɛm wɔ ɔkwan a ɛnyɛ den na emu da hɔ so nnɛ. Mebɛkyerɛkyerɛ mu wɔ ɔkwan a wobɛtumi ate aseɛ so.

Dɛn ne CT Urogram?

Sɛ yɛbɛka no tiawa a, CT urogram yɛ scan soronko a ɛhwɛ wo nsuo nhyehyɛeɛ – w’asaabo, wo nsuo (bag a wo nsuo boaboa ano), ne ureters, nsuo a ɛde nsuo firi w’asaaboɔ mu kɔ wo akisikuru mu. Ɛde nsu titiriw bi a wɔfrɛ no contrast dye, X-ray , ne kɔmputa na edi dwuma . Fa no sɛ ɛte sɛ nea worefa wo yafunu, wo yafunu mu, nnompe, ntini, akwaa afoforo, ne mogya ntini a ɛyɛ tratraa a ɛtoatoa so. Sɛ wode mfonini ahorow yi bom a, wo duruyɛfo no betumi ahu wo nsu a wode gu mu no yiye, a biribiara nnyee.

Afiri a wɔde twa X-ray daa a wɔde twa mfonini a ɛwɔ afã abien (2D) a efi ɔfã biako pɛ hwɛ. Nanso afiri a wɔde di dwuma wɔ CT urogram yi mu no te sɛ donut kɛse bi. Ɛtwa mfonini denam X-ray a ɛde twa wo nipadua ho hyia digrii 360 no so. Afei kɔmputa de mfonini ahorow yi nyinaa bom na ɛma wutumi hu wo nipadua no mu yiye wɔ afã abiɛsa (3D) mu . Ɛno kyerɛ sɛ ɛda adi pefee te sɛ nea wokura wo nsa na worehwɛ nea ɛwɔ mu.

Dɛn nti na oduruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ CT Urogram?

Afei ebia woresusuw ho sɛ, "Dɛn nti na me duruyɛfo, titiriw urologist bi, hyɛɛ sɛ wɔnyɛ CT urogram?" Nea enti a ɛte saa ne sɛ, sɛ wowɔ sɛnkyerɛnne biara a ɛfa wo nsu a wode gu mu ho – sɛ nhwɛso no, mogya a ɛwɔ wo nsu mu, ɛyaw a emu yɛ den wɔ wo yafunu no fã biako anaa wo yafunu ase, ɛyɛ den sɛ wobɛtow wo ho – saa scan yi betumi aboa kɛse wɔ nea ɛde ba ankasa a wubehu mu .

CT urogram betumi aboa wo duruyɛfo ma wahu tebea horow a ɛwɔ wo nsu mu, te sɛ:

• Asaabo mu abo
• Ureteral stones (abo a ɛwɔ nsukorade a ɛde nsu gu mu ) .
• Abo a ɛwɔ akisikuru mu
• Nyarewa a wɔtaa nya
• Akisikuru anaa ebia kokoram tebea horow
• Nkwammoaa a wɔfrɛ no Cysts

Eyi yɛ sɔhwɛ a ɛho hia yiye a ɛbɛma woahu tebea horow te sɛ eyinom pɛpɛɛpɛ na woafi ayaresa a ɛfata a wuhia ase.

Hena na ɔyɛ CT Urogram yi?

Nnipa a wɔatete wɔn titiriw a wɔfrɛ wɔn radiologic technologists na wɔyɛ saa `(CT urogram)` yi . Wɔn na wɔyɛ mfoninitwa akwan horow yi na wɔboa nnuruyɛfo ma wohu yare bi pɛpɛɛpɛ. Wɔn ho akokwaw yiye wɔ eyi mu, enti biribiara nni hɔ a ɛsɛ sɛ wosuro.

Wobɛyɛ dɛn asiesie wo ho ama CT Urogram?

Okay, afei ma yɛnhwɛ sɛnea ɛsɛ sɛ wosiesie wo ho ma saa `(CT urogram)` yi. Eyi a wobɛyɛ no yiye no ho hia yiye na ama woanya nea efi sɔhwɛ no mu aba no mu pɛpɛɛpɛ.

Ansa na wɔbɛyɛ nhwehwɛmu no, oduruyɛfo anaa ɔyarehwɛfo no bɛfa wo nsɛnkyerɛnne a ɛho hia (i.e., wo hyew, wo koma bɔ, ne wo mogya mmoroso). Afei wobebisa wo nsɛm kakraa bi a ɛho hia. Ɛho hia paa sɛ woka nokware wɔ biribiara a wunim ho saa bere yi, ɛyɛ?

• So wowɔ akwahosan tebea foforo bi a ɛwɔ hɔ mprempren ? (e.g. asikreyare, komayare) .
• So wo ho nyɛ wo hyew wɔ nsu titiriw `(contrast dye)` anaa iodine `(iodine)` a yɛadi kan aka ho asɛm no ho? (So ​​woayɛ allergy wɔ `(dye)` bi ho pɛn ama `(scan)` pɛn?)
• So woanyinsɛn? Anaasɛ wowɔ adwenem naayɛ ketewaa bi sɛ woanyinsɛn? (Eyi yɛ biribi a ɛsɛ sɛ yɛka ho asɛm ampa).
• So mprempren worenom nnuru bi? Sɛ nhwɛso no, nnuru te sɛ metformin a wɔde sa asikreyare, nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs) (e.g. ibuprofen, diclofenac), nnuru a ekum ɔyare mmoawa, anaa nnuru a ɛma mogya yɛ mmerɛw te sɛ warfarin. Kyerɛw vitamin anaa nhabannuru biara a worenom.

Ɛtɔ da bi a wɔbɛka akyerɛ wo sɛ wɔnyɛ wo mogya mu nhwehwɛmu ansa na wɔayɛ saa scan yi. Eyi bɛma oduruyɛfo no ahwɛ sɛnea w’asaabo no yɛ adwuma na wapaw aduru a ɛfata a ɛma wo ho yɛ soronko.

Sɛ wunim yiye sɛ wo ho nyɛ wo hyew wɔ aduru a wɔde yɛ ade a ɛne ne ho bɔ abira ho a, mma ɛnhaw wo. Ebia wo duruyɛfo bɛma wo steroid anadwo a edi nhwehwɛmu no anim ne anɔpa a wɔbɛyɛ nhwehwɛmu no. Ebia wɔbɛma wo nnuru a ekum histamine nso ansa na wɔayɛ scan. Wo duruyɛfo bɛkyerɛw nnuru yi nyinaa ama wo.

Afei nso, oduruyɛfoɔ anaa adwumayɛfoɔ a wɔwɔ hɔ no bɛma wo akwankyerɛ foforɔ a ɛfa sɛdeɛ wobɛsiesie wo ho ama saa `(CT urogram)` yi. Ɛho hia paa sɛ wubedi saa akwankyerɛ ahorow no akyi pɛpɛɛpɛ.

Dɛn na ɛsɛ sɛ meyɛ da a edi scan no anim ne anɔpa a wɔbɛyɛ scan no?

• Ebia wɔbɛka akyerɛ wo sɛ nom nsu foforo ansa na wɔayɛ scan. Ebia wɔbɛka akyerɛ wo nso sɛ gyae nsu a wobɛtow kosi sɛ wobewie scan no. Nea enti a ɛte saa ne sɛ wo akisikuru no bɛyɛ ma na ayɛ kɛse, na ɛbɛma ayɛ mmerɛw ama oduruyɛfo no sɛ ɔbɛhwehwɛ mu yiye.
• Hyɛ ntade a ɛnyɛ den na ɛyɛ fɛ bere a woreba sɛ worebɛhwɛ scan no.Ɛyɛ papa sɛ wobɛba a woasiesie wo ho. Ebia ɛsɛ sɛ wohyɛ atade titiriw bi mpo a wɔde ma wo.
• Yɛsrɛ sɛ yi agude nyinaa te sɛ wo dɔn, kɔnmuade, nkapo, ne asomuade. Sɛ wowɔ asomuade a wɔato mu a, ɛho behia sɛ wuyi nso.
• Sɛ wohyɛ sẽ anaa nneɛma a wɔde boa a, wobetumi aka akyerɛ wo sɛ yi ansa na wɔayɛ scan no, efisɛ saa dade nneɛma yi betumi asiw mfonini ahorow a ɛwɔ scan no mu no kwan.

Dɛn na ɛsɛ sɛ wohwɛ kwan bere a wɔreyɛ CT Urogram no?

Okay, afei momma yɛnhwɛ nea ɛba ankasa wɔ ``(CT urogram)`` bere mu. Mma ɛnhaw wo, mɛkyerɛkyerɛ mu akyerɛ wo.

Wɔbɛka akyerɛ wo sɛ da pon soronko bi a ɛte sɛ mpa so. Mpɛn pii no, wɔbɛka akyerɛ wo sɛ da w’akyi, nanso ɛtɔ mmere bi a, egyina wo tebea so no, wobetumi aka akyerɛ wo sɛ da wo nkyɛn anaa wo yafunu. Ebia wɔbɛka akyerɛ wo nso sɛ fa biribi te sɛ pillow bɛhyɛ w’ase na aboa ma wo nipadua no ayɛ tẽẽ na ayɛ ahotɔ. Eyi bɛma scan no ayɛ mmerɛw ama wo na aboa wo ma woanya mfonini ahorow a emu da hɔ.

Afei, ɔyarehwɛfo anaa mfiridwuma ho nimdefo bi de ade ketewaa bi bɛhyɛ ntini bi a ɛwɔ wo nsa anaa wo nsa mu mu, na wɔde aduru titiriw bi a ɛma wohu nneɛma a ɛne ne ho bɔ abira bɛhyɛ wo nipadua mu denam afiri bi a wɔde abɔ mu so. Wɔfrɛ eyi sɛ wɔde twitwiw ntini mu (IV) . Wobɛte nka sɛ wo ho yɛ wo yaw kakra bere a wode ade no ahyɛ mu no, te sɛ nea ɛyɛ wo yaw, nanso ɛnyɛ yaw.

Sɛ wɔde contrast dye no gu wo nipadua mu a, ebia wobɛte ɔhyew kakra nka , te sɛ w’anim a ɛbɛyɛ kɔkɔɔ bere a w’ani awu no. Ebia nnipa binom nso te nka sɛ wɔn ho yɛ wɔn yaw kakra anaasɛ wɔn ti bɛyɛ wɔn yaw. Ebia wubenya nkyene anaa dade dɛ nso wɔ w’anom. Ebia wobɛte nka mpofirim sɛ wobɛtow nsu nso . Saa nneɛma yi nyinaa bɛkɔ wɔ sikani anaa simma kakraa bi mu, enti mma ɛnhaw wo, ɛyɛ ade a ɛfata.

Sɛ wofi ase scan no a, mpa a woda so no bɛtwe nkakrankakra akɔ afiri no mu, te sɛ donut. Ɛho hia sɛ wobɛtra hɔ dinn sɛnea wubetumi wɔ saa bere yi mu. Sɛ wutu a, mfonini ahorow no bɛyɛ nea wontumi nhu, te sɛ bere a wode mfoninitwa afiri tu no. Sɛ wote nka sɛ wo ho nyɛ wo dɛ anaasɛ ɛsɛ sɛ wutu esiane sɛ worebɔ biribi nti a, ka kyerɛ mfiridwuma ho nimdefo no. Ebia wɔbɛka akyerɛ wo sɛ wubekura wo home mu kakra bere a wɔretwa mfonini ahorow no.

Scaner no twa wo nipadua no mmeae a oduruyɛfo no pɛ sɛ ohu no mfonini. Afiri no nyɛ dede pii bere a ɛretwa mfonini ahorow no, na mmom nnyigyei a ɛbɔ kakra kɛkɛ. Wɔ nnipa binom fam no, eyi yɛ ahomegye kɛse, na ebia nnipa binom mpo bɛda! Nanso, ebia mfiri dede kakra bɛba bere a mpa no kɔ afiri no mu na efi mu ba no.

Bere tenten ahe na CT Urogram gye?

Mpɛn pii no, saa ``(CT urogram)`` yi gye bɛyɛ dɔnhwerew biako ansa na wɔawie.Wosiesie wo ho, woyɛ IV, na afei woyɛ scan, na ɛno nyinaa gye bere. Egye bɛyɛ simma 10 kosi 30 ansa na aduru a ɛne ne ho bɔ abira no akɔ wo nipadua mu na atrɛw wɔ wo nsu a wode gu mu no nyinaa mu, na wɔatwa mfonini a emu da hɔ. Scan biako, kyerɛ sɛ, mfonini ahorow biako, gye bere tiaa bi, bɛyɛ sikɔne 10 kosi 30. Sɔhwɛ no nyinaa hwehwɛ sɛ wɔyɛ scan ahorow pii, na wɔtwe mfonini wɔ mmere ahorow mu.

Dɛn na ɛba bere a wɔayɛ CT Urogram akyi?

Sɛ wɔwie scan no na radiologist no hwɛ sɛ mfonini ahorow no nyinaa mu da hɔ na epuei sɛnea wɔhwɛɛ kwan no wie a, wɔde nkakrankakra beyi IV no afi wo nsa so na wɔde teyp ketewaa bi anaa cotton ball ahyɛ beae no so de akura mu. Sɛ na wohyɛ atade a, wubetumi asan ahyɛ wo ntade. Wubetumi akɔ fie wɔ ɛno akyi, na biribi titiriw biara nni hɔ a wobɛyɛ. Nanso, ebia wɔbɛka akyerɛ wo sɛ nom nsu pii na aboa ma contrast dye no afi wo nipadua mu ntɛm.

So asiane ahorow bi wɔ CT Urogram mu?

Ebia eyi yɛ asɛmmisa kɛse a ɛwɔ w'adwene mu sɛ, "So nsunsuanso bɔne anaa asiane bi wɔ eyi mu?"

Mpɛn pii no wobu CT urogram sɛ sɔhwɛ a ahobammɔ wom koraa.

Nanso, te sɛ aduruyɛ mu nhwehwɛmu afoforo no, asiane nketenkete bi betumi aba:

• Mframa a wɔde ma: CT scan de mframa a ɛyɛ ionizing kakraa bi na ɛtwa mfonini ahorow no. Wɔbɔ mmɔden bere nyinaa sɛ wɔbɛma mframa a ɛbɔ no akɔ fam koraa. Wɔkyerɛ sɛ eyi ma asiane a ɛwɔ hɔ sɛ obi benya kokoram bere tenten no yɛ kɛse kakraa bi pɛ, nanso nkɔanim yi dodow sua dodo sɛ wobetumi asusuw no pɛpɛɛpɛ. Oduruyɛfo bi hyɛ sɛ wɔnyɛ nhwehwɛmu yi efisɛ mfaso a ɛwɔ nhwehwɛmu no so no boro asiane nketenkete a ɛwɔ mu no so koraa.
• Nneɛma a ɛma obi ho yɛ no hyew wɔ aduru a ɛne ne ho bɔ abira ho: Ɛntaa mma koraa sɛ nnipa binom betumi anya aduru a wɔde yɛ ade a ɛne ne ho bɔ abira no ho adwenemhaw a emu nyɛ den anaasɛ emu yɛ den. Ɛno nti na wodi kan bisa wo sɛ wo ho yɛ wo hyew anaa. Ebia wobɛte akisikuru nketenkete anaasɛ wobɛte akisikuru. Nneɛma a ɛma obi ho yɛ no hyew a emu yɛ den ntaa mma koraa, na wɔ tebea horow a ɛtete saa mu mpo no, ayaresabea no wɔ nneɛma a wɔde sa yare ntɛm ara.
• Akuru anaa ɛho ahonhon wɔ baabi a akuturuku no wɔ: `(IV)` Ebia akuru anaa ahuru (angioedema) bi bɛtwa baabi a akuturuku no ho ahyia. Mpɛn pii no, eyi brɛ ase wɔ nna kakraa bi mu.

Sɛ woda so ara wɔ asiane ahorow yi ho dadwen anaa adwenem naayɛ bi a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa afa ho pefee. Obetumi ama wo nsɛm a ɛhaw wo no ho mmuae a emu da hɔ na waboa wo ma woasi gyinae pa.

Bere tenten ahe na egye ansa na wɔanya CT Urogram mu aba?

Mpɛn pii no egye nnafua 1 kosi 3 ansa na nea efi wo CT urogram mu ba no asan aba. Oduruyɛfo bi a ne ho akokwaw wɔ radiology mu, a wɔfrɛ no radiologist, .Ɔbɛhwɛ wo scan ahorow no mu na wayɛ nea ohu ne nea ohu no ho amanneɛbɔ a ɛkɔ akyiri. Afei wo duruyɛfo no ne wo bɛbɔ amanneɛbɔ no ho nkɔmmɔ, wɔ telefon so anaasɛ bere a ɔbɛyɛ sɛ wobɛba mu abɛhwɛ no no so.

Wɔ tebea a egye ntɛmpɛ mu, sɛ nhwɛso no, wɔ ayaresabea dan a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ mu (ETU) , wobetumi anya nea efi mu ba yi ntɛmntɛm yiye, wɔ dɔnhwerew biako mu.

Bere bɛn na ɛsɛ sɛ mefrɛ oduruyɛfo no ?

Sɛ́ wobɛtwɛn nea ebefi CT urogram mu aba no betumi ayɛ ntini mu yare kakra na ɛyɛ den sɛ wobegyina ano, na mete saa ase. Mpɛn pii no, ɛsɛ sɛ wɔbɔ wo amanneɛ wɔ nea ebefi mu aba no ho wɔ nna kakraa bi ntam. Nanso, sɛ woda so ara nte yɛn nka, anaasɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ eyi ho a, yɛsrɛ wo ntwentwɛn wo nan ase sɛ wobɛfrɛ wo duruyɛfo.

So CT Urogram yɛ yaw?

Dabi, CT urogram nyɛ sɔhwɛ a ɛyɛ yaw koraa. Ade biako pɛ a wobɛte nka ne sɛ wobɛka wo kakra bere a wode IV no ahyɛ mu no, te sɛ nea ntɛtea abɔ wo. Sɛ ɛnyɛ ɛno a, ɛyaw biara nni hɔ.

Nsonsonoe bɛn na ɛda CT scan a wɔyɛ no daa ne CT urogram ntam?

Eyi nso yɛ asɛmmisa a ɛho hia a nnipa pii bisa. `(CT urogram)` yɛ `(CT scan)` soronko bi. Sɛ yɛbɛka no pɛpɛɛpɛ a, `(CT urogram)` hwɛ wo nsuo a ɛkɔ wo nsuo mu (asaabo, akisikuru, nsuo a ɛkɔ nsuo mu) pɔtee. `(CT scan)` a wɔyɛ no daa no betumi ahwɛ wo nipadua no fã biara, efi wo ti so kosi akwaa afoforo so. Afei nso, ɛnyɛ `(CT scan)` biara a ɔyɛ daa na ɔde saa `(contrast dye)` no di dwuma. Nanso akyinnye biara nni ho sɛ `(CT urogram)` de `(contrast dye)` di dwuma de hu nsu a ɛkɔ nipadua no mu no yiye.

Nsonsonoe bɛn na ɛda CT Urogram ne Cystoscopy ntam?

Ɛwom sɛ eyinom abien nyinaa yɛ nhwehwɛmu a wɔhwɛ sɛnea obi tew nsu mu de, nanso nsonsonoe kɛse wɔ ɔkwan a wɔfa so yɛ no mu. Cystoscopy yɛ sɔhwɛ a ɛyɛ hu sen CT urogram.

Wɔ cystoscopy mu no, oduruyɛfo no de nkakrankakra de afiri soronko bi a ne kɛse bɛyɛ pɛnsere, afiri a ɛyɛ tratraa a kanea ne mfoninitwa afiri a wɔde abata ho – a wɔfrɛ no cystoscope – bɛhyɛ wo urethra mu na akɔ wo akisikuru mu. Afei, oduruyɛfo no de nkyene nsu a ɛnyɛ yare bɛhyɛ akisikuru no mu, na ama mfoninitwa afiri no ahwɛ akisikuru ne nsu a ɛkɔ nsu mu no mu tẽẽ.

Wɔ ``(CT urogram)'' mu no, wɔmfa nnwinnade biara nhyɛ nipadua no mu, ɛyɛ scan a wɔyɛ fi abɔnten.

Nea ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti ade a ɛho hia sen biara a ɛsɛ sɛ wokae fi nea yɛaka ho asɛm no mu ne sɛ:

CT urogram yɛ nhwehwɛmu a mfaso wɔ so kɛse, mpɛn pii no ahobammɔ wom kɛse, asiane nnim, na ɛyaw biara nni ho a ebetumi aboa ma woahu ɔhaw ahorow a ɛwɔ wo nsu a wode gu mu no mu yiye.

Ɛyɛ ade a ɛfata sɛ wobɛte ehu anaasɛ wo ho yeraw wo kakra bere a oduruyɛfo bi ka kyerɛ wo sɛ yɛ nhwehwɛmu te sɛ eyi no. Nanso sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ ho a, wo ne wo duruyɛfo nka ho asɛm pefee na da adi pefee. Ɛnyɛ sɛ wobɛte tebea no ase yiye nko, na mmom wubetumi adi wo suro nso so. Nhwehwɛmu a wɔyɛ no pɛpɛɛpɛ ne ade a edi kan na ɛho hia sen biara a ɛbɛma wɔanya ayaresa ntɛm na ɛfata! Enti, sɛ wode wo ho bɛhyɛ sɔhwɛ ahorow a ɛtete saa mu a wunsuro a, ɛho hia paa ma w’akwahosan.

` CT urogram, nsuo nhyehyɛeɛ, asaabo mu yareɛ, akisikuru, scan, contrast dye, X-ray