So worehyia ɔhaw wɔ wo nsu mu? Momma yɛnka Retrograde Urethrogram (RUG) sɔhwɛ no ho asɛm!

Ɛtɔ da bi a, ɛyɛ den ma yɛn sɛ yɛbɛtow nsu, anaasɛ ebia mogya wɔ yɛn nsu mu. Anaasɛ sɛ akwanhyia bi si wɔ yafunu no ase, kyerɛ sɛ, asen mu a, ɛsɛ sɛ yɛhwɛ sɛ biribi asɛe wɔ mu anaa. Titiriw sɛ biribi te sɛ eyi to ɔbarima no a, wɔfrɛ sɔhwɛ titiriw bi `(Retrograde Urethrogram)` de hu nea ɛde ba ankasa. Ɛtɔ da bi a yɛfrɛ yei `(RUG)` tiawa. Enti, ɛsɛ sɛ w’ani gye ho sɛ wubehu eyi nso. So yɛbɛka saa `(RUG)` sɔhwɛ yi ho asɛm kɔ akyiri, tiawa koraa, nnɛ?

Dɛn ne eyi (Retrograde Urethrogram) nhwehwɛmu? Sɛ yɛbɛka no tiawa a...

Okay, di kan ma yɛnhwɛ nea Retrograde Urethrogram (RUG) yɛ. Eyi yɛ sɔhwɛ titiriw bi a nnuruyɛfo de di dwuma ankasa. Ɛhwɛ sɛ ebia wo urethra (afiri a yɛde tow nsu ) asɛe anaasɛ akuru ntini ayɛ kɛse na ɛresiw nsu a ɛsen no kwan . Fa no sɛ nsu paipu a efĩ siw mu na ɛmma nsu no ntumi nkɔ.

Wɔyɛ sɔhwɛ yi kɛse wɔ mmarima so . Sɛ woapira anaa akwanhyia wɔ wo yafunu ase anaa wo hwene mu, anaasɛ wo duruyɛfoɔ susu sɛ wowɔ akuru ntini wɔ wo nsuo mu a, wɔbɛtumi ayɛ saa ``(RUG)`` nhwehwɛmu yi.

Bere bɛn na wɔyɛ RUG sɔhwɛ?

Seesei ebia woredwene sɛ, "Okay, tebea bɛn mu na wobɛyɛ eyi wɔ mu?" Hwɛ:

Oduruyɛfo betumi ahyɛ sɛ wɔnyɛ retrograde urethrogram (RUG) wɔ tebea a egye ntɛmpɛ mu (sɛ nhwɛso no, wɔ akwanhyia akyi). Anaasɛ ebia wɔbɛyɛ de ahwɛ sɛ yare no ho sɛnkyerɛnne kɔ so anaa. Ebia wubehia RUG sɛ woapira wɔ wo yafunu ase anaa wo srɛ mu na:

• Sɛ mogya retu wo fi wo barima no a wobue mu (i.e. baabi a nsu fi mu ba).
• Sɛ wuntumi ntow nsu a .

Ɛnyɛ ɛno nko, oduruyɛfo betumi ayɛ saa ``RUG'' sɔhwɛ yi esiane nneɛma afoforo pii nti:

• Sɛ wosusuw sɛ wo urethra no ayɛ teateaa (a `stricture`) esiane yare, asiw, anaa opira nti a.
• Sɛ ɛyɛ den ma wɔn sɛ wɔde catheter (afiri a ɛyɛ mmerɛw a ɛboa wo ma woto nsu ) bɛhyɛ mu a.
• Ɛtɔ mmere bi a ɛho hia sɛ wɔde catheter a ɛkɔ akisikuru no mu nyinaa (transurethral bladder catheterization) hyɛ mu. Nanso, ansa na ɔbɛyɛ saa no, sɛ oduruyɛfo no susuw sɛ ɔhaw bi wɔ wo nsu mu a, ɔde ``RUG'' sɔhwɛ yi bedi dwuma de ahwɛ ahu sɛ wobetumi ayɛ no dwoodwoo.

Dɛn na wobetumi ahu wɔ RUG sɔhwɛ yi mu?

Saa ``Retrograde Urethrogram`` sɔhwɛ yi boa oduruyɛfo ma ohu nneɛma te sɛ:

• Urethral stricture : Eyi kyerɛ sɛ urethra no asiw.
• Biribi asiw wo nsu a ɛkɔ wo nsu mu no mu .
• Sɛ wo nsuo kwan no sɛe : Sɛ nhwɛso no, sɛ́ ebia apae, abue foforo anaa tokuru (fistula), anaasɛ biribi ketewaa bi a ɛte sɛ kotoku (diverticula) wɔ hɔ.

So eyi yɛ sɔhwɛ a ɛyɛ yaw? Biribiara nni hɔ a ɛsɛ sɛ wosuro!

Asɛmmisa bi a nnipa pii wɔ ne sɛ, "So eyi yɛ yaw?" Dabi, ɛnsɛ sɛ ``Retrograde Urethrogram'' yɛ yaw ankasa. Nanso, ebia wobɛte nka sɛ wo ho nyɛ wo dɛ kakra, ɛyɛ nwonwa kakra, bere a wɔreyɛ nhwehwɛmu no ne bere a woatow wo ho awie no . Eyi yɛ ade a ɛfata. Nanso sɛ wote ɛyaw biara a, ɛbɛyɛ papa sɛ wobɛka akyerɛ wo duruyɛfo ntɛm ara.

Ɔkwan bɛn so na eyi (Retrograde Urethrogram) yɛ adwuma?

Ɛyɛ mmerɛw yiye. Wɔ ``Retrograde Urethrogram'' mu no, oduruyɛfo de nsu titiriw bi (a wɔfrɛ no ``contrast'') gu wo urethra mu. Wɔyɛ eyi denam afiri ketewa bi anaa syringe a ɛnyɛ den ano a wɔde bɛhyɛ tokuru (``urethral meatus'') a ɛwɔ wo barima no awiei, baabi a nsu fi mu ba no so. Bere a saa nsu yi sen kɔ wo akisikuru mu (kotoku a nsu boaboa ano) no, oduruyɛfo no twa ``X-ray'' mfonini. Wɔde saa mfonini ahorow yi di dwuma de hu ɔhaw ahorow a ɛwɔ wo urethra mu.

Sɛ yɛbɛka no pɛpɛɛpɛ a, saa `contrast` nsu yi ma urethra no da adi pefee wɔ `X-ray` no so. Ɛno ansa na yebetumi ahu pɛpɛɛpɛ sɛ ebia mfomso bi wɔ mu anaa.

So biribi wɔ hɔ a ɛsɛ sɛ misiesie ansa na RUG no aba?

Eyi ne nea eye sen biara! Ɛnsɛ sɛ woyɛ biribi titiriw biara de siesie wo ho ansa na `(RUG)` aba. Wubetumi ayɛ obi a ɔte ase ara kwa.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no? Momma yɛnhwɛ?

Okay, afei ma yɛnhwɛ nea ɛba bere a woyɛ `(Retrograde Urethrogram)`. Mma nnsuro, mɛka akyerɛ wo tiawa.

• Nea edi kan no, wɔbɛdan wo akɔ ɔfã biako wɔ pon bi so wɔ X-ray afiri bi ase. Wɔbɛka akyerɛ wo nso sɛ kotow wo nan biako nkɔ nkyɛn. Oduruyɛfo anaa ɔboafo bi a ɔwɔ hɔ bɛboa wo ma wode wo ho asi baabi a ɛfata.
• Afei, oduruyɛfo no bɛtew baabi a atwa wo barima no abue ho ahyia no ho na ɔde aduru a ekum ɔyare mmoawa (te sɛ iodine) apete so .
• Ɛtɔ mmere bi a, wobetumi de srade a wɔde hyɛ wo barima no mu a ɛma wo ho yɛ wo yaw ahyɛ wo barima no mu de ayɛ wo urethra no mmerɛw . Egye simma kakraa bi ansa na ayɛ adwuma.
• Afei, oduruyɛfo no de afiri ketewaa bi bɛhyɛ tokuru a ɛwɔ wo barima no ano no mu . Wɔde nkakrankakra bɛkyerɛ afiri no kwan akɔ wo urethra no mu akɔ akyirikyiri. Saa bere yi de, ebia wɔde brɛoo bɛma wo barima no akɔ ne gyinabea na wɔabisa wo sɛ ebia wote nka sɛ wo ho nyɛ wo dɛ anaa. Ɛnsɛ sɛ eyi yɛ yaw – sɛ ɛyɛ yaw a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wɔn.
• Afei, wɔde `contrast` nsu a yɛadi kan aka ho asɛm no gu urethra no mu denam syringe so. Saa nsu yi ne nea ɛma wo urethra da adi pefee wɔ `X-ray` mfonini ahorow no so.
• Bere a nsu a ɛma nsonsonoe no fa nsu mu kɔ akisikuru no mu no, oduruyɛfo no de X-ray afiri twa mfonini.
• Ɛtɔ mmere bi a, wobetumi aka akyerɛ wo sɛ totow gu ade mu nhwɛ sɛnea nsu a ɛne ne ho bɔ abira yi fa wo nipadua mu, na wobetumi aka akyerɛ wo sɛ twa X-ray mfonini.

Ɛno ara ne nea ɛrekɔ so. Biribiara nni hɔ a ɛsɛ sɛ wusuro sɛnea ebia wubesusuw no, ɛnte saa?

Dɛn na ɛsɛ sɛ yɛhwɛ kwan wɔ sɔhwɛ no akyi?

Sɛ woyɛ nhwehwɛmu wie a, ebia wobɛte nka sɛ wo ho nyɛ wo dɛ kakra bere a woretow wo ho . Ebia wubehu mogya kakra nso bere a woretow nsu no . Eyi yɛ ade a ɛfata, mma ɛnhaw wo. Saa ɔhaw yi bɛbrɛ ase wɔ bɛyɛ da koro akyi . Ade a ɛho hia sen biara ne sɛ wobɛnom nsu pii . Eyi bɛboa ma wɔhohoro nsu a ɛne ne ho bɔ abira a aka biara.

So asiane anaa nsunsuanso bɔne bi wɔ RUG sɔhwɛ yi mu?

Retrograde urethrogram yɛ nhwehwɛmu a asiane nnim koraa ankasa . Nanso, nneɛma bɔne bi wɔ hɔ a ɛntaa nsi koraa a ebetumi aba:

• Nsaneɛ.
• Nsu a ɛne ne ho bɔ abira no ho akisikuru.
• Biribiara a ɛsɛe nsu a ɛkɔ nsu mu anaa akisikuru.

Eyinom yɛ nneɛma a ɛntaa nsi koraa, nanso eye sɛ wubehu.

Dɛn ne nea efi RUG sɔhwɛ no mu ba? Dɛn na wɔkyerɛ?

Sɛ wo nhwehwɛmu no mu aba yɛ ``nea ɛfata,'' a ɛkyerɛ sɛ nsu resen fa wo urethra mu a biribiara nsiw kwan . Sɛ saa a, ebia biribi foforo na ɛde wo sɛnkyerɛnne ahorow no ba.

Ebia nea efi mu ba afoforo bɛkyerɛ sɛ wo nsu a ɛkɔ wo nsu mu no asɛe, ayɛ teateaa, anaasɛ asiw.

Ɛtɔ mmere bi a, sɛ RUG nhwehwɛmu no nkutoo mma nsɛm a ɛdɔɔso a, ebia wo duruyɛfo no nso bɛpɛ sɛ ɔyɛ cystoscopy , a nea ɛka ho ne sɛ wode mfoninitwa afiri ketewaa bi bɛhyɛ wo nsu mu.

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

Bere a egye na woahu nea efi mu ba no gyina nea enti a woreyɛ sɔhwɛ yi so.

• Sɛ woapira na wuhia ayaresa a egye ntɛmpɛ a , oduruyɛfo no nsa bɛka nhwehwɛmu no aba ntɛm ara , enti wobetumi asa wo yare ntɛm.
• Gye sɛ ɛyɛ ntɛmpɛ , ɛsɛ sɛ wutumi hu nea efi mu ba wɔ nna kakraa bi mu .

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

Afei ebia woredwene sɛ, "Okay, sɛ nea efi mu ba no ka sɛ ɔhaw bi wɔ hɔ a, dɛn na yɛbɛyɛ akyi?"

Anamɔn a edi hɔ a wobɛyɛ no begyina nea ɛde wo haw no reba so. Wo duruyɛfo no ne wo bɛkasa afa ayaresa a wubetumi apaw ho. Ebia eyinom bi ne:

• Akwan a wɔfa so trɛw wo nsu mu nsu mu (te sɛ nsu a ɛkɔ wo nsu mu a wɔtrɛw) .
• Oprehyɛn (te sɛ urethroplasty) .

Mma ɛnhaw wo, oduruyɛfo no bɛkyerɛkyerɛ ayaresa a ɛfata wo kɛse mu.

Bere bɛn na ɛsɛ sɛ mesan kɔ oduruyɛfo nkyɛn bio?

Sɛ wowɔ nea edidi so yi mu biara wɔ nhwehwɛmu no akyi a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn:

• Sɛ wote ɛyaw bere a woretow wo ho anaasɛ wuntumi ntow wo ho koraa a.
• Sɛ wo ho nyɛ wo dɛ anaasɛ mogya tu wo bɛboro da koro wɔ nhwehwɛmu no akyi a.
• Sɛ sɛnkyerɛnne bi wɔ hɔ a ɛkyerɛ sɛ obi anya ɔyare mmoawa (e.g., ɔbarima akyi berɛmo a ahonhon, atiridiinini).
• Sɛ wowɔ nsɛmmisa bi fa wo sɔhwɛ mu aba ho a.

Ɛyɛ papa sɛ worensusuw ho mprenu sɛ wo ne oduruyɛfo bɛkasa wɔ biribiara a ɛte sɛɛ ho, ɛnte saa?

Enti, momma yɛnhwɛ nneɛma bi a ɛsɛ sɛ yɛkae mfi eyi mu? (Nkrasɛm a Wɔde Kɔ Fie)

Okay, yɛaka saa `(Retrograde Urethrogram)` anaa `(RUG)` sɔhwɛ yi ho asɛm pii, ɛnte saa? Nea etwa to no, kae nneɛma yi:

Retrograde urethrogram yɛ nhwehwɛmu a ɛnyɛ den a asiane biara nni ho.

Eyi begye simma kakraa bi pɛ.

Nanso, eyi ma nnuruyɛfo nya nsɛm a ɛho hia pii a ɛfa ɔhaw ahorow a ebetumi aba wɔ wo nsu mu ho.

Wɔde sɔhwɛ yi nso di dwuma wɔ tebea horow a egye ntɛmpɛ mu anaasɛ bere a obi apira akyi de ahu sɛ ebia nneɛma bi asɛe a wontumi nhu wɔ akyi anaa .

Enti, sɛ oduruyɛfo bi ka kyerɛ wo sɛ yɛ nhwehwɛmu yi a, nsuro a ɛho nhia. Fa no sɛ biribi a ɛbɛboa wo ma woakɔ so akura w’akwahosan mu. Sɛ wowɔ nsɛmmisa foforo bi a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa.

` Nsuo mu Nsuo, RUG, Retrograde Urethrogram, Nsuo mu Nhwehwɛmu, Mmarima Akwahosan, Nsuo mu Nyarewa, X-ray, Nsuo mu Ɔhaw