So woahu mogya wɔ wo nsu mu pɛn ? Anaasɛ woanya ɛyaw a wuntumi nnyina ano wɔ w’akyi anaa wo yafunu ase pɛn? Wɔ bere a ɛte sɛɛ mu no, sɛ oduruyɛfo bi ka kyerɛ wo sɛ yɛ X-ray nhwehwɛmu titiriw bi a, ɛno ne nea yɛreka ho asɛm nnɛ, IVP sɔhwɛ no. Eyi nyɛ sɔhwɛ a wɔyɛ no mpɛn pii sɛnea na wɔyɛ kan no, efisɛ mprempren nneɛma a ɛkɔ akyiri te sɛ `( CT scan )` wɔ hɔ. Nanso ɛho hia paa sɛ wubehu IVP no ho asɛm.
Dɛn nti na wɔyɛ IVP sɔhwɛ?
Sɛ yɛbɛka no tiawa a, Intravenous Pyelogram (IVP) yɛ X-ray soronko bi a ɛhwɛ w’asaabo , akisikuru , ne nhama a ɛka bom, a wɔfrɛ no ureters. Eyi ma wo duruyɛfo hu wɔn kɛse, wɔn nsusuwii, ne sɛnea wɔreyɛ adwuma yiye wɔ wo nsu a wode gu mu no mu.
Fa no sɛ ɛyɛ nsu paipu nhyehyɛe. Sɛ biribi siw baabi a, nsu no rensen. Saa ara nso na sɔhwɛ yi boa ma wohu nneɛma a asiw wo nsu mu.
| Tebea horow a wotumi hu | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Asaabo mu abo | Wubetumi ahu nneɛma te sɛ abo a akyea wɔ nsu mu. |
| Prostate a ɛyɛ kɛse | Wubetumi ahu nea ɛde nsu a ɛsiw mmarima kwan no ba. |
| Tumors anaa Cysts | Wobetumi ahu nyin a ɛnteɛ wɔ asaabo, ureters, anaa akisikuru mu. |
| Akuru a ɛwɔ hɔ | Wubetumi ahwɛ sɛ ebia oprehyɛn bi a atwam anaasɛ ɔyare a ɛma obi ho yɛ hyew asɛe ntini no anaa. |
| Ɔhaw ahorow a wonya fi awo mu | Wobetumi ahu ɔhaw ahorow a ɛwɔ nsu mu nhyehyɛe mu, te sɛ ``medullary sponge asaabo'' a wɔde awo obi. |
Oduruyɛfo no betumi agyina nsɛm a obenya afi sɔhwɛ yi mu so asi gyinae sɛ ebia ɛsɛ sɛ wɔde nnuru anaa oprehyɛn sa wo yare . Nanso kae sɛ, nnansa yi, wɔtaa de ultrasound ne CT scan di dwuma de yɛ eyi.
Henanom na sɔhwɛ yi mfata?
IVP sɔhwɛ no mfata obiara. Ɛmfata wo sɛ wowɔ tebea horow a edidi so yi mu biara a:
- Sɛ wo ho yɛ wo hyew wɔ iodine anaa contrast dye ho a: Esiane sɛ wɔde aduru soronko bi na edi dwuma wɔ sɔhwɛ yi mu nti, nnipa a wɔn ho nyɛ wɔn den wɔ ho no ntumi nnya bi.
- Sɛ wowɔ asaabo mu yare a : Saa aduru yi betumi apira obi a n’asaabo nyɛ adwuma yiye dedaw no bio.
- Sɛ woanyinsɛn anaa wususuw sɛ ebia woanyinsɛn a: Esiane sɛ X-ray yɛ radioactive nti, ebetumi apira akokoaa a ɔhyɛ yafunu mu no. Ebia wo duruyɛfo bɛpaw nhwehwɛmu foforo.
- Wɔntaa nyɛ sɔhwɛ yi wɔ nkokoaa nkumaa ne mmofra nkumaa so .
Wobɛyɛ dɛn asiesie wo ho ansa na woayɛ sɔhwɛ?
Nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ wo ne wo duruyɛfo susuw ho ansa na wɔayɛ nhwehwɛmu yi. Hwɛ hu sɛ wobɛka akyerɛ wɔn sɛ wonyinsɛn, sɛ wowɔ biribi a ɛma wo ho yɛ wo hyew, sɛ wowɔ ayaresa mu tebea foforo bi a, ne nnuru a worenom a.
Titiriw sɛ worenom nnuru yi a, bisa wo duruyɛfo sɛ ɛsɛ sɛ wugyae nna kakraa bi ansa na woayɛ nhwehwɛmu no anaa.
- Aspirin a wɔde di dwuma
- Nnuru a ɛma mogya yɛ mmerɛw
- Fa nnuru te sɛ ``( Metformin )`` ma asikreyare.
Bio nso, ebia wɔbɛka akyerɛ wo sɛ fa aduru a wɔde siw akisikuru ano anadwo ansa na wɔayɛ nhwehwɛmu no. Ebia wɔbɛtu wo fo nso sɛ ɛnsɛ sɛ wodi anaa nnom biribiara wɔ anadwo fã akyi. Ɛtɔ mmere bi a, wobetumi ayɛ mogya mu nhwehwɛmu de ahu sɛnea w’asaabo reyɛ wɔn ade wɔ aduru a wɔde yɛ ade a ɛne ne ho bɔ abira no ho.
IVP sɔhwɛ no te dɛn?
Eyi nyɛ asɛm kɛse. Ɛyɛ adeyɛ a ɛyɛ mmerɛw yiye.
Nea edi kan no, wɔbɛma wo ayaresabea atade a wobɛhyɛ. Afei, lab mfiridwumayɛfo bi de IV (intravenous) cannula bɛhyɛ ntini bi a ɛwɔ wo basa mu mu na ɔde nsu bi a wɔfrɛ no contrast dye afa mu.
Saa aduru yi fa wo mogya mu kɔ w’asaabo ne wo nsu mu. Ɛhyerɛn fitaa wɔ X-ray so. Ɛte sɛ nea worehyerɛn kanea a wɔde tow kanea wɔ abɔnten a ɛso yɛ sum so. Sɛ biribi siw saa hann no kwan a, ɛda adi pefee.
Wɔbɛma woada pon soronko bi so, na wɔatwa X-ray mfonini. Ɛtɔ da bi a wɔbɛka akyerɛ wo sɛ dane wo ho mfi ɔfã foforo na mukura gyinabea ahorow. Bere a sɔhwɛ no reba awiei no, wɔbɛka akyerɛ wo sɛ tow nsu. Sɛ wo dwonku mu da mpan wie a, wɔbɛtwa mfonini.
Mpɛn pii no, IVP sɔhwɛ gye nea ennu dɔnhwerew biako. Nanso, sɛ w’asaabo reyɛ adwuma yiye kakra a, ebetumi agye nnɔnhwerew 4. Wubetumi adidi na woanom sɛnea ɛsɛ wɔ sɔhwɛ no akyi. Nanso, ebia wo duruyɛfo betu wo fo sɛ nom nsu kakra sen sɛnea wotaa yɛ no na aboa ma aduru no afi wo nipadua mu ntɛm.
So asiane anaa nsunsuanso bɔne bi wɔ eyi mu?
Mpɛn pii no, IVP yɛ sɔhwɛ a ahobammɔ wom a nsɛnnennen biara nni mu. Nanso, nsunsuanso nketenkete bi wɔ hɔ ne asiane ahorow bi a ɛntaa nsi koraa.
Nsunsuanso bɔne a ɛtaa ba
Wobɛte nka sɛ wo ho ayɛ wo yaw kakra bere a wɔde aduru no ahyɛ wo mu no. Ɛyɛ ade a ɛfata sɛ wobɛte ɔhyew kakra nka, wo ho ayɛ wo hyew, nkyene anaa dade ayɛ wo dɛ wɔ w’anom, na wo ti ayɛ wo yaw kakra anaasɛ wo ho ayɛ wo yaw bere a aduru no nam wo nipadua mu no. Eyinom befi hɔ wɔ simma kakraa bi mu. Mma ɛnhaw wo wɔ ho.
Nneɛma a ɛma obi ho yɛ no yaw
Ɛntaa mma koraa sɛ ebia nnipa binom ho bɛtɔ wɔn wɔ saa aduru yi ho. Eyi kyerɛ sɛ:
- Ɛyaw a ɛkyɛ bɛboro simma kakraa bi.
- Wora mu akisikuru (Hives).
Sɛ biribi te sɛ eyi si a, ɛnyɛ den sɛ wɔde nnuru bedi so.
Nneyɛe a Anibere wom
Eyi ho yɛ na yiye. Nanso ɛho hia sɛ wohwɛ so yiye. Wɔ allergy a emu yɛ den mu no, sɛnkyerɛnne ahorow te sɛ eyinom betumi aba:
- Ɔhome a ɛyɛ den
- Menewa anaa nipadua no afã afoforo a ɛho ahonhon
- Mogya mmoroso a ɛba fam
- Koma a ɛyɛ den
Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, bɔ nnuruyɛfo a wɔreyɛ X-ray no amanneɛ ntɛm ara.
Sɛ wowɔ ayamtu anaa nneɛma afoforo a ɛma wo ho yɛ wo hyew, komayare, anaa asikreyare dedaw a , ɛda adi sɛ wo ho bɛtɔ wo kakra wɔ aduru no ho. Afei nso, sɛ wowɔ asaabo mu yare a, aduru no betumi asɛe w’asaabo bio. Sɛnea ɛte wɔ X-ray nyinaa ho no, mframa kakraa bi na ɛwɔ wo mu, nanso dodow no sua koraa.
Nea efii sɔhwɛ mu bae
Oduruyɛfo a ɔhwɛ mframa so bɛhwehwɛ wo X-ray mfonini ahorow no mu, ayɛ amanneɛbɔ bi, na ɔde akɔma wo duruyɛfo. Afei oduruyɛfo no bɛkyerɛkyerɛ nea ebefi mu aba no mu akyerɛ wo.
Sɛ nea efi mu ba no nyɛ nea ɛfata a, ebetumi akyerɛ nneɛma te sɛ:
- Asaabo mu abo
- Prostate a ɛyɛ kɛse
- Akisikuru anaa akisikuru a ɛwɔ nsu a wɔde gu nipadua mu no mu
- Ɔhaw a ɛfa nhyehyɛe ho wɔ asaabo, akisikuru, anaa ntini ahorow ho
- Akuru anaa nneɛma foforo a ɛsɛe nsu a ɛkɔ nipadua no mu no
Wo duruyɛfo no begyina nea ebefi mu aba yi so asi gyinae sɛ ebia ɛsɛ sɛ wɔyɛ nhwehwɛmu foforo anaa ɔkwan a wobɛfa so afi ayaresa ase.
Nkrasɛm a Wɔde Kɔ Fie
- IVP yɛ X-ray nhwehwɛmu titiriw a ɛhwɛ wo nsuo (asaabo, akisikuru). Nanso, nnansa yi, wɔtaa de CT anaa Ultrasound scan di dwuma mmom.
- Ansa na wobɛyɛ nhwehwɛmu no, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wo ho yɛ wo hyew wɔ iodine, asaabo mu yare, anaa sɛ woanyinsɛn ho a.
- Ɛyɛ ade a ɛfata sɛ wobɛte ɔhyew ne dade dɛ nka wɔ w’anom bere a wode aduru no ahyɛ mu no. Eyi befi hɔ bere tiaa bi akyi.
- Sɛ wuhu sɛnkyerɛnne biara a emu yɛ den, te sɛ ɛyɛ den sɛ wobɛhome anaasɛ wo nipadua mu yɛ wo yaw a, mma wo ho nnpopo na bɔ nnuruyɛfo a wɔwɔ hɔ no amanneɛ ntɛm ara.
- Bere nyinaa wo ne wo duruyɛfo nkasa pefee wɔ nea efii nhwehwɛmu no mu bae ne nea ɛsɛ sɛ woyɛ akyi no ho.
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