Dɛn ne IVP sɔhwɛ? (Intravenous Pyelogram) - Momma yensua ho ade tiawa

So wo duruyɛfo aka akyerɛ wo sɛ yɛ IVP nhwehwɛmu? Anaasɛ woate ho asɛm wɔ baabi? Ebia edin no bɛyɛ te sɛ nea ɛyɛ den kakra. Nanso mma ɛnhaw wo, ɛnyɛ asɛm kɛse sɛnea wususuw no. Ɛnnɛ, yɛbɛka deɛ IVP sɔhwɛ yi yɛ, deɛ enti a wɔyɛ, sɛdeɛ wɔyɛ, ne sɛdeɛ wobɛsiesie wo ho ama no wɔ ɔkwan a ɛyɛ mmerɛ paa a wobɛtumi ate aseɛ so.

Sɛ yɛbɛka no tiawa a, dɛn ne saa IVP yi?

IVP din mũ no nyinaa ne Intravenous Pyelogram . Eyi yɛ X-ray sɔhwɛ titiriw bi ankasa. Wɔde hwɛ sɛnea wo nsu a wode gu mu no reyɛ adwuma. Eyi kyerɛ sɛ nhwehwɛmu yi boa ma wohu ɔhaw ahorow a ɛwɔ w’asaabo, wo nsu a ɛkɔ wo nsu mu, ne wo akisikuru mu .

Wɔ sɔhwɛ yi mu no, wɔde nsu titiriw bi gu ntini bi a ɛwɔ wo basa mu mu. Yɛfrɛ eyi ‘ade a wɔde yɛ ade a ɛne ne ho bɔ abira’ . Ɛte sɛ ade a wɔde yɛ ade. Saa nsu yi fa wo mogya mu kɔ w’asaabo mu. Afei ɛfa w’asaabo mu na ɛfa wo ureters mu kɔ wo dwonku mu. Mmeae a nsu yi wɔ no da adi pefee wɔ X-ray so sɛ ɛyɛ fitaa. X-ray mfonini ahorow a wotwa saa bere no ma oduruyɛfo no hu ntɛm ara sɛ ebia asiw, akisikuru, anaa ɔbo bi wɔ wo nsu mu baabiara anaa.

Wɔde din afoforo pii frɛ sɔhwɛ yi.

• Pyelography a Wɔde Fa Ntini Mu
• IVP na ɔyɛ
• Ntini a Wɔde Fa Ntini Mu
• IV Nsuo mu Nneɛma a Wɔde Yɛ Nsuo

Nyarewa bɛn na wɔde IVP nhwehwɛmu no dii dwuma de hwehwɛɛ bere bi a atwam?

Ɛwom sɛ wɔmfa nni dwuma kɛse nnɛ de, nanso nnuruyɛfo de IVP sɔhwɛ yi dii dwuma bere bi a atwam de huu tebea horow a egu ahorow. Nhwɛsoɔ:

• Hwɛ sɛ ebia akisikuru anaasɛ nsu a ɛyɛ nsu ayɛ mu ma wɔ baabiara wɔ nsu a wɔde gu mu no mu.
• Hu prostatic hyperplasia a ɛnyɛ hu, tebea a ɛtaa ba mmarima mu.
• Hwehwɛ beae pɔtee a asaabo mu abo wɔ .
• Nnipa binom wɔ ɔhaw ahorow bi wɔ nsu a wɔde fa nsu mu a wɔde woo wɔn no ho (nsu a wɔwo mu a ɛnyɛ ne kwan so) . Kyerɛ wɔn.
• Hwɛ sɛ akuru wɔ baabiara wɔ nsu a ɛkɔ nipadua no mu esiane nsu mu yare (UTIs) a ɛtaa ba nti .

Bio nso, ɛtɔ da bi a wɔkamfo saa sɔhwɛ yi kyerɛ sɛ wɔmfa nhu asaabo mu tebea pɔtee bi te sɛ `Medullary sponge kidney` ne `Renal papillary necrosis`.

Wobɛyɛ dɛn asiesie wo ho ama sɔhwɛ yi?

Ansa na wobɛyɛ IVP nhwehwɛmu no, wo duruyɛfo no bebisa w’aduruyɛ ho abakɔsɛm a edi mũ. Nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ woka kyerɛ wɔn ampa saa bere yi:

• Sɛ woanyinsɛn anaasɛ wususuw sɛ ebia woanyinsɛn a .
• Sɛ wowɔ nneɛma bi ho akisikuru , titiriw nneɛma te sɛ iodine a wɔde tew honam ani.
• Sɛ woanya akisikuru biara wɔ saa aduru a wɔde yɛ ade a ɛne ne ho bɔ abira yi ho bere bi a atwam a .

Nea ɛka ho no, wo duruyɛfo bɛtu wo fo wɔ nea ɛsɛ sɛ wudi ne nea ɛsɛ sɛ wonom ansa na woayɛ nhwehwɛmu no ho. Mpɛn pii no, wɔbɛka akyerɛ wo sɛ gyae adidi ne anom nnɔnhwerew kakraa bi ansa na wɔayɛ sɔhwɛ no. Ebia wɔbɛka akyerɛ wo nso sɛ siesie wo dwensɔtwaa yiye, te sɛ nea wode nnuru a wɔde yi wo dwensɔtwaa bɛnom . Sɛ wo dwensɔtwaa ho tew a, nsu a ɛkɔ wo ho no da adi pefee wɔ X-ray mfonini ahorow no so. Ɛno nti na wɔyɛ saa no.

So ɛsɛ sɛ akisikuru no yɛ ma ansa na wɔayɛ nhwehwɛmu no?

Dabi, wɔbɛka akyerɛ wo sɛ tow nsu ansa na wɔafi nhwehwɛmu no ase. Sɛ wo dwonku mu da mpan pɛ a, wubetumi ahu pefee sɛ aduru foforo a wɔde yɛ ade a ɛne ne ho bɔ abira no ahyɛ mu ma.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Mpɛn pii no, radiologist anaa radiologic technologist na ɔyɛ IVP sɔhwɛ. Mpɛn pii no, egye bɛyɛ dɔnhwerew biako. Nanso, sɛ w’asaabo reyɛ adwuma brɛoo kakra a, ebetumi agye bere tenten.

Nea ɛkɔ so anammɔn biara ni:

1. Cannula no a wode bɛhyɛ mu: Nea edi kan no, wɔde cannula ketewaa bi (peripheral IV) hyɛ ntini bi a ɛwɔ wo basa mu mu. Wɔnam eyi so de aduru a ɛne ne ho bɔ abira no gu wo nipadua mu.

2. X-ray a edi kan: Ansa na wɔde aduru no bɛhyɛ mu no, wobɛda X-ray afiri mpa no so na wɔatwa wo yafunu ne wo hwene ho mfonini wɔ X-ray mu.

3. Ade a wɔde hyɛ nipadua mu: Afei, wɔde aduru a ɛne ne ho bɔ abira no fa kankyee a wɔde ahyɛ mu no mu gu ntini no mu.

4. X-ray mfonini a wobɛtwe: Bere a aduru no fa wo mogya mu, yiyi w’asaabo mu, na ɛkɔ wo nsu mu no, wɔtwa X-ray mfonini pii simma kakraa biara. Ɛho hia paa sɛ wobɛtra hɔ dinn wɔ saa bere yi mu.

5. Nsu a wobɛtow bio: Sɛ wɔde aduru ahyɛ akisikuru no ma wie a, wɔbɛka akyerɛ wo sɛ san tow bio.

6. X-ray a Etwa To: Sɛ wɔtow nsu wie a, wɔtwe X-ray mfonini foforo de hwɛ sɛ ebia akisikuru no mu da mpan koraa anaa.

Dɛn na ɛba wɔ sɔhwɛ no akyi na so asiane ahorow bi wɔ hɔ?

Sɛ wowie sɔhwɛ no a, wobeyi kankyee a ɛwɔ wo nsam no na wɔde plaster ketewaa bi apete beae no. Ɛno akyi no, wubetumi akɔ so ayɛ wo dwumadi ahorow a wotaa yɛ no.

Ebia wobɛte nka sɛ wo ho nyɛ wo dɛ kakra bere a wɔde aduru a ɛne ne ho bɔ abira no ahyɛ wo nipadua mu no. Nanso, eyi taa kɔ bere tiaa bi akyi.

Nneɛma a Ɛyɛ Den a Ɛma Nnipa Ho Yɛ Den

Nneɛma a emu yɛ den a ɛma obi ho yɛ no hyew wɔ aduru a ɛne ne ho bɔ abira ho ntaa nsi , nanso ebetumi aba. Wɔ tebea horow a ɛtete saa mu no, yare no ho sɛnkyerɛnne betumi ayɛ:

• Ɔhome a ɛyɛ den
• Mogya mmoroso a ɛba fam
• Hives a ɛyɛ hu
• Ano anaa menewa a ɛho ahonhon

Sɛ wuhu saa sɛnkyerɛnne ahorow a emu yɛ den yi bi a, nntwentwɛn wo nan ase. Kɔ ayaresabea a ɛbɛn wo no Emergency Department (ETU) ntɛm ara sɛnea wubetumi.

Dɛn na yebetumi asua afi nea afi mu aba no mu?

Oduruyɛfo a ɔhwɛ mframa so no bɛhwɛ wo X-ray mfonini ahorow no mu na wakyerɛw amanneɛbɔ ahwɛ sɛ biribi a ɛyɛ soronko wɔ hɔ anaa. Wɔde amanneɛbɔ no bɛkɔ akɔma oduruyɛfo a ɔkamfoo nhwehwɛmu no kyerɛɛ wo no. Wo duruyɛfo bɛkyerɛkyerɛ nea ebefi mu aba no mu akyerɛ wo wɔ nna kakraa bi ntam.

Ebia nea efi IVP mu ba no bɛda nneɛma te sɛ:

• Nsuo mu akwaa no nsɛsoɔ, ne kɛseɛ, anaa gyinabea a ɛnteɛ.
• Prostate gland a ayɛ kɛse.
• Nsuo a ɛkɔ nsuo mu a ɛsiw.
• Cysts anaa akisikuru.
• Ɔsɛe anaa akuru a ɔyare mmoawa de ba.

Sɛ nea efi mu ba no nyɛ nea ɛfata a, wo duruyɛfo bɛkyerɛ wo nea ɛsɛ sɛ woyɛ akyi. Obetumi ahyɛ sɛ wɔnyɛ nhwehwɛmu foforo (ultrasound, MRI, CT scan, mogya mu nhwehwɛmu de hwɛ sɛnea asaabo no yɛ adwuma, biopsy). Anaasɛ ebia obefi ayaresa ase ntɛm ara.

Bere bɛn na ɛsɛ sɛ wofrɛ wo duruyɛfo?

Sɛ wuhu sɛnkyerɛnne a edidi so yi mu biara wɔ IVP nhwehwɛmu no akyi a, bɔ wo duruyɛfo amanneɛ ntɛm ara.

• Mogya a ɛwɔ nsu mu (hematuria) .
• Nsu a ɛyɛ sum a ɛda adi
• Yafunu ase anaa akyi yaw

Sɛnea yɛadi kan aka no, sɛ wunya akisikuru ho sɛnkyerɛnne biara a emu yɛ den te sɛ ahome a ɛyɛ den anaasɛ akisikuru a, kɔ Dwumadibea a Ɛhwɛ Nneɛma a Egye Ntɛmntɛm (ETU) hɔ tẽẽ .