Ðe míaƒo nu tso IVP (Intravenous Pyelogram) dodokpɔ si kpena ɖe ŋuwò nèsrɔ̃a nu tso wò ayiku ŋua?

Ɣeaɖewoɣi la, ɖɔktawo ɖea gbe be woawɔ dodokpɔ vovovowo atsɔ akpɔe ɖa be kuxi aɖe le míaƒe ayiku alo aɖuɖɔtoe ŋu hã, alo? Ema nye dodokpɔ mawo dometɔ ɖeka si woyɔna be IVP. Togbɔ be wozãnɛ geɖe tsã hã la, fifia womegazãnɛ zi geɖe o. Gake ele vevie ŋutɔ be nànya dodokpɔ sia si woyɔna be `Intravenous Pyelogram (IVP).`

Nukae nye IVP?

Kpuie ko la, IVP nye X-ray dodokpɔ tɔxɛ aɖe si léa ŋku ɖe wò ayiku kple aɖuɖɔtoe (mɔ siwo dzi aɖuɖɔtoe to) ƒe ememe ŋu. Wogayɔnɛ be Intravenous Urography. Bu eŋu kpɔ, ɖɔkta aɖe di be yeakpɔ alesi wò ayiku kple tsinyegoe le dɔ wɔm kple ne nane gblẽ le wo ŋu. Ɣemaɣie IVP sia kpena ɖe ame ŋu.

Esiae nye nusi dzɔna. Wodoa tsi tɔxɛ aɖe si woyɔna be ``iodinated contrast material'' ɖe wò ŋutilã me, si fia be wodoa ʋuka aɖe me. Tsi sia zɔa mɔ to wò ŋutilã katã me kple ʋua, eye wòzɔna yia wò ayikuwo hã me. Emegbe ne tsi sia to wò ayiku, tsinyegoe, kple tsinyegoe me la, woɖea foto siwo woɖena tso X-ray me ɖe wo nɔewo yome. Le tsi tɔxɛa ta la, ŋutinu siawo dzena ɣie le X-ray-nɔnɔmetatawo me. Ɣemaɣie ɖɔktaa ate ŋu akpɔ nusi tututu le edzi yim le ememe.

Nukae wozãa IVP na tsã?

Tsã la, hafi egbegbe mɔ̃ɖaŋununya nava la, wozãa IVP dodokpɔ tsɔ dea dzesi dɔléle geɖe. Kpɔɖeŋu ʋɛ aɖewoe nye esi:

• Ayiku me kpewo: Kpɔe ɖa be ayiku me kpe siawo, siwo vaa ame geɖe dzi, kple afisi wole hã.
• Ŋutsuwo ƒe ʋuka si lolo: Esia hã nye nɔnɔme si dzɔna ɖe ŋutsuwo dzi ne wole tsitsim.
• Dɔdzẽ alo ƒunukpeƒetetedɔ siwo le ayiku, tsinyegoe, alo tsinyegoe me: Esiawo ate ŋu anye kansa alo womate ŋu anye kansa o.
• Abi si tso aɖuɖɔtoedɔléle (UTI) gbɔ: Ɣeaɖewoɣi la, aɖuɖɔtoedɔléle (UTI) ate ŋu ana abi nanɔ ame ŋu le ememe.
• Aɖuɖɔtoe ƒe masɔmasɔ siwo wodzina: Esia kpe ɖe eŋu hã be woade dzesi nusiwo mesɔ o alo nusiwo gblẽ le aɖuɖɔtoea ŋu ɖesiaɖe si wodzina.

Nukae xɔ ɖe IVP teƒe fifia?

Gake abe alesi megblɔe va yi ene la, ɖɔktawo mezãa IVP dodokpɔa zi geɖe le ŋkeke siawo me o, elabena mɔnu yeye siwo nyo wu, siwo me kɔ wu, eye ɣeaɖewoɣi la, womewɔa nuvevi ame boo o.

Fifia wozãa wo dometɔ akpa gãtɔ:

• Ultrasound: Esia wɔnɛ be nàte ŋu akpɔ ayiku kple aɖuɖɔtoe me tsi tɔxɛ aɖeke manɔmee. Zi geɖe la, esiae nye dodokpɔ gbãtɔ si wowɔna.
• CT Scan (Kɔmpiuta dzi Tomography - CT scans):Wowɔa esia hã ɣeaɖewoɣi kple amadede si me iodinate le alo matsɔmatsɔe. Esia wɔnɛ be woate ŋu akpɔ ŋutilãa ƒe akpa si le eme ƒe nɔnɔmetata siwo me kɔ ŋutɔ, siwo wotso ɖe wo nɔewo ŋu.
• Magnetic Resonance Imaging (MRI) scans: Esia hã zãa amadede bubu si woyɔna be gadolinium contrast dye ɣeaɖewoɣi. MRI ate ŋu awɔ nɔnɔmetata siwo me kɔ wu gɔ̃ hã, siwo le akpa etɔ̃ (3D) me.

Fifia ɖɔktawo le tɔtrɔm ɖe esia ŋu to IVP dzi elabena mɔnu yeye siawo ate ŋu ade dzesi kuxi siwo le ayiku kple aɖuɖɔtoe me nyuie wu eye woade dzesii tsitotsito wu.

Dzesi ka ƒomevie ɖɔkta aɖe gbe be woawɔ dodokpɔ sia ƒomevi na?

Zi geɖe la, ne dzesi siawo le ŋuwò la, ɖɔkta ate ŋu aɖe gbe be woado nɔnɔmetatawo kpɔ (dodokpɔ si léa ŋku ɖe wò ememe) atsɔ akpɔ wò ayiku alo aɖuɖɔtoe, abe:

• Ne ʋu le wò aɖuɖɔ me la, esia nye nusi ŋu wòle be nàgblɔ na ɖɔkta godoo .
• Ne aɖuɖɔa trɔ zu alilikpo.
• Ne ƒodo ƒe akpa si le ete alo akɔta le veve sem.
• Ne vevesese le wò axadzi.

Dzesi siawo tɔgbe ɖee fia be kuxi aɖe ate ŋu anɔ ayiku alo aɖuɖɔtoe me. Ɣemaɣie wòhiã be woawɔ dodokpɔ siawo tɔgbe be woakpɔ nusi tututu le edzi yim.

Amekae wɔa IVP dodokpɔa?

Zi geɖe la, X-ray-mɔ̃ɖaŋudɔwɔlawo kple keklẽŋusẽŋutinunyalawoe wɔa IVP dodokpɔ sia. Ne woɖe nɔnɔmetataawo vɔ la, keklẽŋusẽŋutinunyala la alé ŋku ɖe nɔnɔmetataawo ŋu, aƒo nyatakaka aɖe nu ƒu, eye wòaɖoe ɖe ɖɔkta si le dɔ wɔm na wò.

Aleke míaƒe ayikuwo kple aɖuɖɔtoewo dzɔnae?

Ne míeƒo nu tso ayiku kple aɖuɖɔtoe ŋu la, akpa vevi etɔ̃e li. Esiawoe ɖɔktawo léa ŋku ɖe eŋu kple IVP (gake fifia kple scan bubu mawo).

• Ayikuwo: Ayiku eve le mía si. Esiawoe nye ŋutinu siwo kɔa míaƒe ʋu, ɖea gbeɖuɖɔwo ɖa, eye wowɔa aɖuɖɔ. Wowɔa nu abe nusi wotsɔna tsia nu me ene.
• Aɖuɖɔtoewo: Esiawo nye mɔ̃ eve siwo tsɔa aɖuɖɔ si dona le ayiku me yia tsinyegoea me.
• Tsinyegoe: Esiae nye ŋutinu sue si le abe kotoku ene si ƒoa aɖuɖɔ nu ƒu hedzrana ɖo. Ne eyɔ fũ la, míesena le mía ɖokui me be ehiã be míaɖe aɖuɖɔ.

Eyata, nɔnɔmetata dodokpɔ siawo ƒomevi kpena ɖe ame ŋu be woanya ne kuxi aɖewo le ŋutinu siawo, abe kpewo, dɔdzẽ, alo ʋuʋudedi ene ŋu.

Alesi woawɔ IVP dodokpɔ (Aleke wowɔae?)

Togbɔ be womezãa IVP fũ le ŋkeke siawo me o hã la, eganyo kokoko be nànya alesi woawɔe. Alesi wowɔnɛ zi geɖee nye esi:

1. Gbã la, àmlɔ aba dzi le X-ray-mɔ̃ te. Emegbe, woaɖe wò ƒodo kple akɔta ƒe foto hafi woado tsi tɔxɛ aɖe (amadede si to vovo na wo nɔewo) ɖe lãme na ame.

2. Eyome, wodoa tsi tɔxɛ ma ɖe wò ʋuka me.

3. Ne wodo tsi la ɖe eme vɔ la, woagamlɔ aba dzi eye woaɖe X-ray foto geɖe esime tsia to ayikuawo me eye wòɖiɖi to tsinyegoeawo me yi tsinyegoea me.

4. Emegbe woana ɣeyiɣi kpui aɖe wò be nàkɔ tsinyegoe me, si fia be nàɖe aɖuɖɔ .

5. Mana nàgamlɔ aba dzi ake eye nàgaɖe foto ʋɛ aɖewo.

Aleae IVP dodokpɔa wɔa dɔe.

Nukawoe nye kuxi siwo ate ŋu ado tso IVP dodokpɔa me?

Abe alesi wòle le atikewɔwɔ me dodokpɔ ɖesiaɖe gome ene la, vevesese sue aɖewo ate ŋu anɔ anyi le IVP sia me. Gake mègatsi dzi o, zi geɖe la, esiawo menye nya veviwo o.

Ne wodo tsi tɔxɛa (amadede si to vovo na wo nɔewo) ɖe ŋutilãa me la, ame geɖe ate ŋu akpɔ ɣeyiɣi kpui aɖe ƒe dzesi siawo dometɔ ɖeka alo esi wu nenema:

• Dzobibi vi aɖe le afisi wodoe ɖo.
• Seselelãme be dzoxɔxɔ vi aɖe le ye ŋu .
• Seselelãme si me ʋuʋudedi le si medzona o .
• Ga vivi aɖe si le nu me.

Esiawo nu ayi le ɣeyiɣi aɖe megbe.

Ame aɖewo, siwo ade 3 va ɖo 13 le 100 me , ate ŋu awɔ nu sue aɖe si mesɔ o ɖe tsi sia ŋu. Le nɔnɔme mawo me la:

• Ate ŋu adzɔ be lãme nasẽ .
• Aɖuɖɔ ate ŋu adzɔ.
• Seselelãme si ƒe mo biã ate ŋu adzɔ, si ana mo kple akɔta nabiã .

Zi geɖe la, nusiawo hã nɔa anyi ɣeyiɣi kpui aɖe ko.

Gake ƒã ŋutɔ be , nulɔdɔ sesẽwo ate ŋu adzɔ ɖe tsi sia ŋu. Esiawo dometɔ aɖewoe nye:

• Yagbɔgbɔ ƒe kuxiwo.
• Ʋu ƒe sisi ƒe ɖiɖi.
• Teƒe dzĩwo alo aɖuɖɔtoewo le ŋutigbalẽa ŋu.
• Wò nu alo ŋɔti me vuvu.
• Dzi ƒe dɔmawɔmawɔ nyuie.

Nuwɔna sesẽwo abe esia ene mebɔ o, gake ne edzɔ la, ele be woada wo kaba.

Anɔ eme be àkpɔ nu gbegblẽ sia ƒomevi ne atikewɔwɔ me nɔnɔme siwo gbɔna dometɔ aɖe le ŋuwò do ŋgɔ:

• Nulɔdɔ vovovowo.
• Dzi ƒe Dɔmawɔmawɔ nyuie.
• Suklidɔ (Suklidɔ).
• Ayikudɔléle si nɔa anyi didi.

Esia tae ɖɔkta biaa nya siawo katã wò hafi wɔa dodokpɔ abe esia ene ɖo. Azɔ hã, dodokpɔ yeye siwo mewɔa nuvevi ame boo o ɖe afɔku sia dzi kpɔtɔ ŋutɔ.

Ɣeyiɣi didi kae IVP dodokpɔa xɔa? Ɣeyiɣi didi kae wòxɔna hafi wòhayana?

Zi geɖe la, IVP dodokpɔ xɔa abe gaƒoƒo ɖeka ene , gake ne wò ayikuwo le dɔ wɔm sesĩe vie la, ate ŋu axɔ ɣeyiɣi didi vie.

Mexɔa ɣeyiɣi didi hafi wòhayana o. Nu vevitɔ kekeake le dodokpɔa megbe enye be nàno tsi geɖe . To mɔ sia dzi la, tsi tɔxɛ (si nye amadede si to vovo na wo nɔewo) si wodo ɖe wò ŋutilã me la akɔ kple wò aɖuɖɔ kaba.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Dzesi siwo ŋu megblɔ na mi va yi, si nye:

• Ne ʋu le aɖuɖɔ me la, .
• Ne aɖuɖɔa ƒe amadede do viviti la, .
• Ne wò akɔta le veve sem la, .
• Ne vevesese le akɔta ƒe axadzi la, .

Ne nusiawo yi edzi la, yi ɖɔkta gbɔ godoo, elabena ate ŋu afia be nane gblẽ le wò ayiku, tsinyegoe, alo tsinyegoe ŋu.

Azɔ hã, ne èkpɔ nulɔdɔ sesẽ aɖe ƒe dzesiwo (anaphylaxis) (le kpɔɖeŋu me, gbɔgbɔ sesẽ, aɖuɖɔtoe, nu kple ŋɔti ƒe vuvu), eɖanye amadede si to vovo na wo nɔewo alo nu bubu aɖe o, ele be nàkpɔ ɖɔkta enumake alo ayi kɔdzi ƒe dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ.

Ðo ŋku edzi kpuie.

Enyo, eyata, mina mabia tso asiwò be nàɖo ŋku nu vevitɔ kekeake siwo ŋu míeƒo nu tsoe la dometɔ aɖewo dzi.

IVP nye X-ray dodokpɔ si wozãna tsɔ léa ŋku ɖe ayiku kple aɖuɖɔtoe ŋu. Wodoa tsi tɔxɛ aɖe (contrast dye) ɖe ŋutilãa me.

Gake ƒã hafi wozãa IVP le ŋkeke siawo me. Ke boŋ wozãa mɔnu siwo de pɛpɛpɛ wu eye womewɔa nuvevi ame boo o abe ultrasound, CT scan, kple MRI scan ene wu.

Ne dzesiwo abe ʋu le wò aɖuɖɔ me, aɖuɖɔ si do viviti, alo vevesese le wò akɔta alo akɔta ene le ŋuwò la, ɖɔkta ate ŋu aɖe gbe be woawɔ nɔnɔmetatawo dodokpɔ atsɔ akpɔe ɖa be kuxi aɖewo le wò ayiku alo tsinyegoe me, abe kpe alo dɔdzẽ ene.

Nu vevitɔe nye be ne dzesi aɖewo siwo mebɔ o le ŋuwò la, mègaŋe aɖaba ƒu wo dzi eye nàyi ɖɔkta gbɔ aɖaɖo aɖaŋu na wò o.

` Ayikuwo, Aɖuɖɔtoe, IVP, Ʋuka me Pyelogram, X-ray, Vovototodedeameme ƒe Amadede, Aɖuɖɔtoeme Kpewo, Dɔlélewo Didi