Dɛn ne Retrograde Pyelogram? Momma yɛnka ho asɛm tiawa!

Ebia na worehyia ɔhaw bi, ɛyaw, anaa ɔhaw foforo bi wɔ wo nsu mu na woakɔ oduruyɛfo nkyɛn. Afei, ebia oduruyɛfo no aka sɛ ɛsɛ sɛ ɔhwɛ sɛnea wo mu akwaa te sɛ w’asaabo ne wo nsu a ɛkɔ wo nsu mu no te. Ɛnnɛ, yɛrebɛka sɔhwɛ titiriw bi a wɔyɛ wɔ mmere a ɛtete saa mu ho asɛm.

Sɛ yɛbɛka no tiawa a, dɛn ne Retrograde Pyelogram?

Fa no sɛ wopɛ sɛ wunya wo nsu a ɛkɔ wo nsu mu no mu mfonini a emu da hɔ, a ɛyɛ w’asaabo ne nhama a ɛde nsu fi mu kɔ wo akisikuru (ureters). Eyi ntumi nhu wɔ X-ray so. Enti, wɔ sɔhwɛ yi mu no, wɔde nsu titiriw bi a wɔfrɛ no ‘dye’ (ade a ɛma wohu nneɛma a ɛne ne ho bɔ abira) gu wo nsu mu, na afei wɔtwe X-ray mfonini ahorow toatoa so. Dye no ma wo nsu a wode gu mu no nsusuwii ne emu no da adi pefee wɔ X-ray no so wɔ fitaa mu.

Wɔfrɛ eyi "retrograde," efisɛ mpɛn pii no nsu fi asaabo no mu kɔ fam. Nanso wɔ sɔhwɛ yi mu no, yɛde aduru no fi ase kɔ soro, kɔ baabi a ɛne nsu no bɔ abira. Ɛno ne nea edin no kyerɛ. "Pyelogram" yɛ mfonini a wɔatwa a ɛfa w'asaabo no fã titiriw a nsu boaboa ano (asaabo no akyi).

Ɔkwan bɛn so na eyi yɛ soronko wɔ Intravenous Pyelogram (IVP) ho?

Ebia woate nhwehwɛmu foforo a ɛte sɛ eyi a wɔfrɛ no Intravenous Pyelogram (IVP) ho asɛm. Wɔn baanu nyinaa de aduru bi di dwuma de twa nsu a wɔde fa nsu mu no ho mfonini. Nsonsonoe titiriw a ɛwɔ mu ne sɛnea wɔde aduru no gu nipadua no mu.

• Intravenous Pyelogram (IVP): Ɛha yi, wɔde aduru gu ntini bi a ɛwɔ wo nsa mu mu . Afei aduru no fa wo mogya mu, yiyi w’asaabo mu, na ɛkɔ wo nsu mu ansa na wɔayɛ X-ray.
• Retrograde Pyelogram: Ɛha yi, wɔde aduru no hyɛ ureter no mu tẽẽ . Wɔde adwinnade titiriw bi na ɛyɛ eyi.

Afei ebia woresusuw nea enti a akwan abien na ɛwɔ hɔ no ho. Nea enti titiriw ne sɛ nnipa binom ho nyɛ wɔn den wɔ nnuru a wɔde yɛ X-ray ho. Wɔ IVP mu no, wɔde aduru no ka mogya no ho, enti hokwan kɛse wɔ hɔ sɛ obi benya akisikuru. Nanso, wɔ Retrograde Pyelogram mu no, wɔde aduru no gu nsu a ɛkɔ nsu mu no mu tẽẽ, enti ɛnyɛ nea ɛda adi sɛ wɔde bɛka mogya no ho. Enti obi a ne ho nyɛ no dɛ wɔ nnuru a wɔde yɛ nneɛma ho mpo betumi ayɛ nhwehwɛmu yi dwoodwoo .

Nanso, mprempren, wɔtaa yɛ CT scan (Computed Tomography) sen nhwehwɛmu ahorow yi mu biara. Ebetumi ama wɔanya mfonini ahorow a emu da hɔ.

Ntease bɛn nti na oduruyɛfo bɛka akyerɛ wo sɛ yɛ nhwehwɛmu yi?

Mpɛn pii no, ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ wɔ nsɛm a edidi so yi mu:

• Sɛ wususuw sɛ wo ureter no asɛe a .
• Sɛ wususuw sɛ biribi asiw anaasɛ ɛyɛ teateaa wɔ baabi wɔ urethra no mu a.
• Sɛ wopɛ sɛ wohwɛ sɛ abo anaa akisikuru wɔ asaabo, ureters, anaa akisikuru mu a.
• Sɛ ɛho hia sɛ wode stent , afiri ketewaa bi a ɛma afiri no bue, hyɛ nsu a wɔde fa nsu mu mu a, wuhia mfonini a emu da hɔ.
• Sɛ wopɛ sɛ wohwɛ nsu a wɔde gu mu no mu yiye ansa na woayɛ ayaresa foforo te sɛ ureteroscopy .

Wobɛyɛ dɛn asiesie wo ho ansa na woayɛ sɔhwɛ?

Eyi yɛ sɔhwɛ a wɔtaa yɛ wɔ ayaresabea. Wunni biribiara a enti ɛsɛ sɛ wusuro. Nanso nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ wuhu ansa na woayɛ.

1. Wo ne wo duruyɛfo nkasa: Akyinnye biara nni ho sɛ ɛsɛ sɛ woka aduruyɛ mu tebea foforo biara a wowɔ, nnuru biara a wonom (titiriw nea ɛma mogya yɛ mmerɛw ), nneɛma biara a ɛma wo ho yɛ wo hyew, ne sɛ woanyinsɛn a, ho asɛm kyerɛ wo duruyɛfo.

2. Anesthesia: Wɔyɛ nhwehwɛmu yi wɔ general anesthesia ase. Wei kyerɛ sɛ worente ɛyaw biara. Mpɛn pii no, wɔde wo bɛda koraa (general anesthesia). Enti, w’ankasa worentumi nka kar wɔ sɔhwɛ no akyi. Hwɛ hu sɛ wode obi bɛba a ɔde wo bɛkɔ fie .

3. Aduan ne anonne: Wɔbɛtu wo fo sɛ ɛnsɛ sɛ wodi anaa nnom biribiara anadwo a edi nhwehwɛmu no anim anaa kosi sɛ oduruyɛfo no bɛka akyerɛ wo. Di saa akwankyerɛ ahorow no akyi pɛpɛɛpɛ.

4. Ntade ne Agude: Da a wobɛkɔ ayaresabea no, nhyɛ agude a ne bo yɛ den . Hyɛ ntade a ɛyɛ fɛ na ɛnyɛ den.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Okay, afei ma yɛnhwɛ nea ɛkɔ so wɔ sɔhwɛ no mu anammɔn biara. Eyi a wubehu no bɛboa wo ma wo suro no ano abrɛ ase.

• Nea edi kan no, ayaresabea no bɛma wo atade soronko bi a wobɛhyɛ.
• Afei ɔyarehwɛfo bi de kankyee ketewaa bi (IV line) bɛhyɛ ntini bi a ɛwɔ wo basa mu mu. Wɔnam so bɛma wo nkyene ne nnuru biara a ɛho hia a ɛbɛboa wo ma woagye w’ahome.
• Afei, oduruyɛfo a ɔde aduru a ɛma obi dwensɔ no ba na ɔde wo hyɛ aduru a wɔde kum nipadua no ase. Ɛno akyi no, wobɛda yiye. Worente biribiara nka .
• Sɛ woda wie a, oduruyɛfo no de afiri a ɛyɛ tratraa paa a wɔfrɛ no cystoscope , a mfoninitwa afiri ketewaa bi wɔ n’awiei no bɛhyɛ wo nsu a ɛkɔ wo nsu mu no mu na ɔde afa wo akisikuru mu akɔ wo nsu a ɛkɔ wo nsu mu no mu.
• Afei, wɔfa saa afiri no mu no, wɔde afiri a ɛyɛ tratraa foforo fa nsu no mu, na wɔde aduru titiriw no fa mu nkakrankakra.
• Sɛ wɔde aduru no hyɛ mu yiye a, X-ray afiri no twa mfonini ahorow toatoa so.
• Sɛ ayaresa foforo bi wɔ hɔ a ɛsɛ sɛ wɔyɛ no bere koro mu ne sɔhwɛ yi, te sɛ ɔbo a wobeyi afi hɔ a, oduruyɛfo no bɛyɛ saa ntɛm ara. Anyɛ saa a, obeyi nnwinnade no nyinaa afi hɔ na wafi ase de wo asan aba w’adwene mu.

Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ sɔhwɛ no akyi

Sɛ sɔhwɛ no ba awiei a, wɔde wo bɛkɔ dan a ɛyɛ soronko (recovery unit) mu akɔhwɛ. Aduruyɛ adwumayɛfo no bɛhwɛ wo kosi sɛ w’adwene bɛsan aba na wo mogya mmoroso ne wo home asan ayɛ sɛnea na ɛte kan no.

• Wɔbɛhwɛ sɛ mogya bi wɔ wo nsu mu ne nsu dodow a worefa mu anaa.
• Sɛ wokɔ fie mpo a, wɔbɛma wo akwankyerɛ a emu da hɔ a ɛfa nnuru a ɛsɛ sɛ wonom, nea ɛsɛ sɛ wudi ne nea ɛnsɛ sɛ wudi, ne bere a ɛsɛ sɛ wosan frɛ oduruyɛfo no bio.
• Sɛ wohu sɛ wo tebea no ye a, wubetumi ne onipa a ɔbaa sɛ ɔrebɛfa wo no akɔ fie.

Mfaso bɛn na ɛwɔ sɔhwɛ yi so?

So asiane bi wɔ hɔ?

Sɛnea ɛte wɔ aduruyɛ mu nhwehwɛmu biara ho no, asiane nketenkete bi wɔ mu, nanso wobu no sɛ ɛyɛ nhwehwɛmu a ahobammɔ wom koraa .

• Nsɛnnennen a ebetumi aba a ɛfa aduru a wɔde kum nipadua no ho (eyinom ho yɛ na yiye).
• Hokwan ketewaa bi wɔ hɔ sɛ obi benya Urinary Tract Infections (UTI).
• Asiane ketewaa bi pɛ na ɛwɔ hɔ sɛ akisikuru anaa nsu a ɛkɔ nsu mu no bɛsɛe bere a wɔde nnwinnade no rehyɛ mu no.

Bere tenten ahe na egye ansa na wo ho atɔ wo na bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Mpɛn pii no wubetumi asan akɔ adwuma anaa nneɛma a woyɛ daa wɔ nna kakraa bi mu. Wubetumi adidi sɛnea ɛsɛ. Ɛho hia yiye sɛ wobɛnom nsu pii .

Sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi a, ɛsɛ sɛ wofrɛ wo duruyɛfo ntɛm ara .