Ðe ɖɔktaa gblɔ na wò be nàwɔ CT Urogram? Va, mina míaƒo nu tso eŋu bɔbɔe!

Ɣeaɖewoɣi ne ɖɔkta aɖe gblɔ na wò be nàwɔ dodokpɔ aɖe si ŋu ŋkɔ si mebɔ o le la, èvɔ̃na vie eye nètsia dzodzodzoe, alo? Vevietɔ nenye be enye nane abe ``CT scan'' ene. Egbea míele nu ƒom tso dodokpɔ mawo dometɔ ɖeka ŋu, si nye ``CT urogram'' . Ne èse ŋkɔ sia la, ɖewohĩ ànɔ eŋu bum be, ''Oo nye mawu, nukae nye dodokpɔ yeye sia?'' Gake mègatsi dzi o, míaƒo nu tso nusianu ŋu le mɔ bɔbɔe si me kɔ nu egbea. Maɖe eme le mɔ si gɔme nàte ŋu ase nu.

Nukae nye CT Urogram?

Kpuie ko la, CT urogram nye scan tɔxɛ aɖe si léa ŋku ɖe wò aɖuɖɔtoe ŋu – wò ayiku, wò tsinyegoe (akplo si me wò aɖuɖɔ ƒoa ƒu ɖo), kple tsinyegoewo, mɔ̃ siwo tsɔa aɖuɖɔ tso wò ayiku me yia wò tsinyegoe me. Ezãa tsi tɔxɛ aɖe si woyɔna be amadede si to vovo, X-ray , kple kɔmpiuta . Bu eŋu abe wò dɔgbo, wò ƒodo ƒe akpa si le eme, ƒuwo, lãmekawo, ŋutinu bubuwo, kple ʋukawo ƒe kakɛ tsɛ siwo kplɔ wo nɔewo ɖo ene. Ne ètsɔ nɔnɔmetata siawo ƒo ƒui la, wò ɖɔkta ate ŋu akpɔ wò aɖuɖɔtoemenuwo tsitotsito ŋutɔ, eye naneke mato ŋuwò o.

X-ray-mɔ̃ si wozãna edziedzi tsɔ ɖea foto si ƒe akpa eve (2D) si wokpɔna tso axa ɖeka ko. Gake mɔ̃ si wozã le CT urogram sia me le abe donut gã aɖe ene. Eɖea foto to X-ray ɖoɖo ɖe wò ŋutilã ŋu le dzidzenu 360 me. Emegbe kɔmpiuta ƒoa nɔnɔmetata siawo katã nu ƒu hewɔa wò ŋutilã ƒe akpa si le akpa etɔ̃ (3D) si me kɔ nyuie. Ema fia be eme kɔ abe ɖe nèlé wò asi hele nusi le eme kpɔm ene.

Nukatae ɖɔkta aɖo aɖaŋu be woawɔ CT Urogram?

Fifia ɖewohĩ ànɔ ɖokuiwò biam be, "Nukatae nye ɖɔkta, vevietɔ tsinyegoeŋutinunyala, bia be woawɔ CT urogram?" Nusitae nye be, ne dzesi aɖewo le ŋuwò si ku ɖe wò aɖuɖɔtoe ŋu – le kpɔɖeŋu me, ʋu le wò aɖuɖɔ me, vevesese sesẽ le wò dɔgbo ƒe akpa ɖeka alo ƒodo ƒe anyime, aɖuɖɔtoe sesẽ – scan sia ateŋu akpeɖe ŋuwò ŋutɔ le nusi tututu gbɔ wòtso didi me .

CT urogram ate ŋu akpe ɖe wò ɖɔkta ŋu wòade dzesi nɔnɔme siwo le wò aɖuɖɔtoe me, abe:

• Ayiku me kpewo
• Ureteral stones (kpe siwo le mɔ̃ siwo me aɖuɖɔ tona me ) .
• Tsinyegoe me kpewo
• Dɔlékuiwo xɔxɔ enuenu
• Dɔdzẽ alo ɖewohĩ kansa ƒe nɔnɔmewo
• Cysts ƒe ʋuʋudedi

Esia nye dodokpɔ vevi aɖe ŋutɔ be nàde dzesi nɔnɔme siawo tɔgbe pɛpɛpɛ eye nàdze atikewɔwɔ nyuitɔ si nèhiã la gɔme.

Amekae wɔa CT Urogram sia?

Ame siwo xɔ hehe etɔxɛe siwo woyɔna be radiologic technologists ye wɔa `(CT urogram)` sia . Woawoe wɔa nɔnɔmetatawo ɖeɖe ƒe dɔ siawo ƒomevi eye wokpena ɖe ɖɔktawo ŋu be woakpɔ dɔléle aɖe nyuie. Wobi ɖe esia me ŋutɔ, eyata naneke meli woavɔ̃ o.

Aleke nèdzrana ɖo ɖe CT Urogram ŋu?

Enyo, azɔ mina míakpɔ alesi wòle be nàdzra ɖo ɖe `(CT urogram)` sia ŋu. Esia wɔwɔ nyuie le vevie ŋutɔ be woakpɔ dodokpɔa me tsonu siwo de pɛpɛpɛ.

Hafi woawɔ dodokpɔa la, ɖɔkta alo dɔnɔdzikpɔla akpɔ wò dzesi veviwo (i.e., wò dzoxɔxɔ, wò ʋu ƒe sisi, kple ʋu ƒe sisi). Emegbe woabia nya vevi ʋɛ aɖewo wò. Ele vevie ŋutɔ be nàgblɔ nyateƒe tso nusianu si nènya ŋu le ɣeyiɣi sia me, enyoa?

• Ðe lãmesẽkuxi bubu aɖewo le ŋuwò fifiaa ? (e.g. suklidɔ, dzidɔ) .
• Ðe tsi tɔxɛ si nye `(contrast dye)` alo iodine `(iodine)` si míeyɔ va yi la melɔ̃a wò oa? (Ðe wò nulɔdɔ le `(amadede)` ŋu na `(scan)` kpɔa?)
• Ðe nèfɔ fua? Alo ɖe ɖikeke suetɔ kekeake le mewò be yefɔ fua? (Esia nye nusi ŋu wòle be woaƒo nu tsoe godoo).
• Ðe nèle atike aɖewo zãm fifiaa? Le kpɔɖeŋu me, atikewo abe metformin na suklidɔ, nonsteroidal anti-inflammatory drugs (NSAIDs) (e.g. ibuprofen, diclofenac), dɔlékuiwutikewo, alo ʋumenugbagbeviɣitikewo abe warfarin ene. Ŋlɔ vitamin alo gbetike ɖesiaɖe si nèzãna la ɖi.

Ɣeaɖewoɣi la, woabia tso asiwò be woado ʋu kpɔ hafi woawɔ ʋudodo sia. Esia ana ɖɔktaa nalé ŋku ɖe wò ayiku ƒe dɔwɔwɔ ŋu eye wòatia amadede si sɔ na wò.

Ne ènyae kple kakaɖedzi be yeƒe nulɔdɔ le amadede si to vovo na wo nɔewo ŋu la, mègatsi dzi o. Anɔ eme be wò ɖɔkta ana steroid wò le zã si do ŋgɔ na dodokpɔa kple ŋdi si woawɔ dodokpɔa me. Woate ŋu ana atike si wua ʋumenugbagbeviɣidɔ hã wò hafi woawɔ fotoa. Wò ɖɔkta aŋlɔ atike siawo katã na wò.

Azɔ hã, ɖɔkta alo dɔwɔla siwo le afima ana mɔfiame bubuwo wò le alesi nàdzra ɖo ɖe `(CT urogram)` sia ŋu. Ele vevie ŋutɔ be nàwɔ ɖe mɔfiame mawo dzi pɛpɛpɛ.

Nukae wòle be mawɔ ŋkeke si do ŋgɔ na scan la kple ŋdi si woawɔ scan la?

• Woate ŋu abia tso asiwò be nàno tsi bubu hafi awɔ scan. Woate ŋu abia tso asiwò hã be nàdzudzɔ aɖuɖɔɖɔɖɔ vaseɖe esime wowu scan la nu. Esia le alea elabena wò tsinyegoe ayɔ eye wòalolo, si ana wòanɔ bɔbɔe na ɖɔkta be wòadoe kpɔ nyuie.
• Do awu siwo me mekɔ o, siwo me nànɔ bɔbɔe ne èva be woawɔ scan la.Anyo wu be nàva do awu. Ðewohĩ ahiã gɔ̃ hã be nàdo awu tɔxɛ aɖe si wona wò.
• Taflatse ɖe atsyɔ̃ɖonuwo katã, abe wò gaƒoɖokui, kɔgɛ, asigɛwo, kple togɛwo ene ɖa. Ne togɛ siwo woto le asiwò la, ahiã be nàɖe wo hã ɖa.
• Ne èdo aɖuwɔwɔe alo tomemɔ̃ la, woate ŋu abia tso asiwò be nàɖe wo ɖa hafi awɔ scan la, elabena ga siawo ate ŋu ado kplamatse nɔnɔmetata siwo le scan la me.

Nukae nàkpɔ mɔ na ne wole CT Urogram wɔm?

Enyo, azɔ mina míakpɔ nusi tututu dzɔna le ``(CT urogram)`` me ɖa. Mègatsi dzi o, maɖe eme na wò.

Woabia tso asiwò be nàmlɔ kplɔ̃ tɔxɛ aɖe si le abe aba ene dzi. Zi geɖe la, woabia tso asiwò be nàmlɔ akɔta, gake ɣeaɖewoɣi la, le wò nɔnɔmea nu la, woate ŋu abia tso asiwò be nàmlɔ axa alo ƒodo dzi. Woate ŋu abia tso asiwò hã be nàda nane abe akɔtaɖonu ene ɖe te be wòakpe ɖe ŋuwò nànɔ dzɔdzɔe eye wò dzi nadze eme. Esia ana scan la navo na wò wu eye wòakpe ɖe ŋuwò nàkpɔ nɔnɔmetata siwo me kɔ wu.

Emegbe dɔnɔdzikpɔla alo mɔ̃ɖaŋudɔwɔla aɖe ade aŋe sue aɖe ʋuka aɖe me le wò alɔnu alo asi me, eye woado amadede tɔxɛ aɖe si to vovo na wo nɔewo ɖe wò ŋutilã me to mɔ̃ aɖe si wotsɔ do ka kplii dzi. Woyɔa esia be atike si wodona ɖe ʋuka me (IV) . Àse le ɖokuiwò me be yeƒe lãme le ʋuʋum vie ne wotsɔ aŋea de eme, abe ƒoƒoe ene, gake mevea ame o.

Ne wodo amadede si to vovo na wo nɔewo ɖe wò ŋutilã me la, àte ŋu ase dzoxɔxɔ vi aɖe , abe wò mo abiã ne ŋu kpe wò ene. Ame aɖewo hã ate ŋu ase le wo ɖokui me be yewole ʋuʋum vie alo taɖui. Àte ŋu akpɔ dze alo ga ƒe vivi hã le wò nu me. Àte ŋu ase le ɖokuiwò me hã be yeaɖe aɖuɖɔ kpata . Nu siawo katã nu ayi le sɛkɛnd alo aɖabaƒoƒo ʋɛ aɖewo megbe, eyata mègatsi dzi ɖe eŋu o, esɔ.

Ne wodze scan la gɔme la, aba si dzi nèmlɔ la adze ɖe mɔ̃a me vivivi, abe donut ene. Ele vevie be nànɔ anyi kpoo alesi nàte ŋui le ɣeyiɣi sia me. Ne èʋu la, nɔnɔmetataawo adze abe ɖe nèle fotoɖemɔ̃ ʋuʋum ene. Ne èse le ɖokuiwò me be yemele dedie o alo ehiã be yeaʋuʋu le esi nèle nane ƒom ta la, gblɔe na mɔ̃ɖaŋudɔwɔla la. Woate ŋu abia tso asiwò be nàlé wò gbɔgbɔ ɖe te vie esime wole nɔnɔmetataawo ɖem.

Scaner la ɖea foto wò ŋutilã ƒe akpa siwo ɖɔktaa di be yeakpɔ. Mɔ̃a mewɔa toɣliɖeɖe boo aɖeke ne ele fotoawo ɖem o, ke boŋ gbeɖiɖi vi aɖe koe wòƒona. Le ame aɖewo gome la, esia nyea dziɖeɖi ŋutɔ, eye ame aɖewo ate ŋu adɔ alɔ̃ gɔ̃ hã! Gake mɔ̃a ƒe toɣliɖeɖe vi aɖe ate ŋu anɔ anyi ne abaa le ʋuʋum le mɔ̃a me hele dodom le eme.

Ɣeyiɣi didi kae CT Urogram xɔna?

Zi geɖe la, ``(CT urogram)`` sia xɔa abe gaƒoƒo ɖeka ene hafi wowua enu.Èdzrana ɖo, wodoa IV na wò, eye emegbe wowɔa scan na wò, eye emawo katã xɔa ɣeyiɣi. Exɔa abe miniti 10 va ɖo 30 ene hafi amadede si to vovo na wo nɔewo la gena ɖe wò ŋutilã me eye wòkakana ɖe wò aɖuɖɔtoe me katã, eye woɖea nɔnɔmetata siwo me kɔ. Scan ɖeka, si fia be nɔnɔmetata ɖeka, xɔa ɣeyiɣi kpui aɖe ŋutɔ, abe sɛkɛnd 10 va ɖo 30 ene. Dodokpɔ bliboa bia be woawɔ scan zi geɖe, eye woaɖe foto le ɣeyiɣi vovovowo me.

Nukae dzɔna le CT Urogram wɔwɔ vɔ megbe?

Ne wowu fotoɖeɖea nu eye keklẽŋusẽŋutinunyala la lé ŋku ɖe nɔnɔmetataawo katã me kɔ eye wodo abe alesi wokpɔ mɔe ene hã la, woaɖe IV la ɖa vivivi le wò alɔnu eye woatsɔ kasɛt alo kotoku sue aɖe aɖo teƒea be wòalé ɖe teƒea. Ne awudziwuie nèdo la, àte ŋu agbugbɔ wò awuwo ado. Àte ŋu ayi aƒeme le ema megbe, eye naneke tɔxɛ aɖeke megali nàwɔ o. Gake woate ŋu agblɔ na wò be nàno tsi geɖe be wòakpe ɖe amadede si to vovo na wo nɔewo ŋu wòado le wò ŋutilã me kaba.

Ðe afɔku aɖewo le CT Urogram zazã mea?

Esia anya nye nyabiase gã aɖe si le susu me na wò be, "Ðe nugbegblẽ alo afɔku aɖewo le esia ŋua?"

Zi geɖe la, wobua CT urogram be enye dodokpɔ si le dedie ŋutɔ.

Gake abe atikewɔwɔ me dodokpɔ bubuwo ene la, afɔku sue aɖewo ate ŋu anɔ eme:

• Kekeli ƒe keklẽ: CT-dɔdamɔnu zãa keklẽŋusẽ sue aɖe si nye ionizing tsɔ ɖea nɔnɔmetataawo. Wodzea agbagba ɣesiaɣi be keklẽŋusẽ ƒe agbɔsɔsɔme naɖiɖi ŋutɔ. Wogblɔ be esia dzia kansa xɔxɔ le ɣeyiɣi didi me ƒe afɔkua ɖe edzi le agbɔsɔsɔ sue aɖe ko me, gake dzidziɖedzi sia ƒe agbɔsɔsɔme le sue akpa be woate ŋu adzidzee wòade pɛpɛpɛ. Ðɔkta aɖe ɖe gbe be woawɔ dodokpɔ sia elabena dodokpɔa ƒe viɖewo sɔ gbɔ sã wu afɔku sue siwo le eme.
• Nusiwo ame aɖewo melɔ̃na le amadede si to vovo na wo nɔewo ŋu o: Ƒã ŋutɔ hafi ame aɖewo ƒe nulɔdɔ le amadede si to vovo na wo nɔewo ŋu si nu mesẽna o alo vevie. Esia tae wobiaa wò do ŋgɔ nenye be nulɔdɔ le ŋuwò. Àte ŋu akpɔ ʋuʋudedi suesuesuewo alo aɖuɖɔtoewo. Nulɔdɔ sesẽwo mebɔ kura o, eye le nɔnɔme mawo me gɔ̃ hã la, dɔwɔƒewo le kɔdzia si be woawɔ atike na wo kaba.
• Abi alo vuvu le teƒe si ʋuʋudedi le: `(IV)` Ate ŋu anye be abi alo vuvu aɖe (angioedema) nanɔ teƒe si ƒo xlãe. Zi geɖe la, esia nu yina le ŋkeke ʋɛ aɖewo megbe.

Ne dzimaɖitsitsi alo ɖikeke aɖe gakpɔtɔ le ŋuwò le afɔku siawo ŋu la, kpɔ egbɔ be yeƒo nu tso eŋu na wò ɖɔkta gaglãa. Ate ŋu ana ŋuɖoɖo siwo me kɔ na wò na wò dzimaɖitsitsiwo eye wòakpe ɖe ŋuwò nàwɔ nyametsotso nyuitɔ.

Ɣeyiɣi didi kae wòxɔna hafi wokpɔa CT Urogram ƒe dɔwɔwɔ me tsonu?

Zi geɖe la, exɔa ŋkeke 1 va ɖo 3 hafi wò CT urogram me tsonuawo gatrɔna gbɔna. Ðɔkta aɖe si bi ɖe keklẽŋusẽdɔdamɔnu me, si woyɔna be keklẽŋusẽŋutinunyala, .Ato wò scan-awo me eye wòawɔ nyatakaka tsitotsito tso nusiwo wòkpɔ kple nusiwo ŋu wòke ɖo ŋu. Emegbe wò ɖɔkta adzro nyatakakaa me kpli wò, to telefon dzi alo to ɖoɖowɔwɔ be nàge ɖe eme akpɔe me.

Le nɔnɔme kpata aɖe me, le kpɔɖeŋu me le kɔdzi ƒe xɔ si me wokpɔa nudzɔdzɔ kpatawo gbɔ le (ETU) , woate ŋu akpɔ emetsonu siawo kaba ŋutɔ, le gaƒoƒo ɖeka me.

Ɣekaɣie wòle be maƒo ka na ɖɔktaa ?

CT urogram ƒe emetsonuwo lala ate ŋu agbã dzi na ame vie eye wòasesẽ be woado dzi, eye mese egɔme nenema. Zi geɖe la, ele be woana nànya nu tso emetsonuwo ŋu le ŋkeke ʋɛ aɖewo megbe. Ke hã, ne mèse nya aɖeke tso mía gbɔ haɖe o, alo ne nyabiase alo dzimaɖitsitsi aɖe le asiwò ku ɖe esia ŋu la, taflatse mègahe ɖe megbe le kaƒoƒo na wò ɖɔkta o.

Ðe CT Urogram vea amea?

Ao, CT urogram menye dodokpɔ si me vevesese le kura o. Nu ɖeka si nàse le ɖokuiwò me koe nye be ne ède IV la eme vie, abe anyidi ƒe ƒoƒo ene. Ne menye ema o la, vevesese aɖeke meli o.

Vovototo kae le CT scan wɔwɔ edziedzi kple CT urogram dome?

Esia hã nye nya vevi aɖe si ame geɖe biana. `(CT urogram)` nye `(CT scan)` ƒomevi tɔxɛ aɖe. Ne míagblɔe tututu la, `(CT urogram)` léa ŋku ɖe wò aɖuɖɔtoe (ayiku, tsinyegoe, tsinyegoe) ŋu koŋ. `(CT scan)` si wowɔna edziedzi ateŋu alé ŋku ɖe wò ŋutilã ƒe akpa ɖesiaɖe ŋu, tso wò ta dzi va ɖo ŋutinu bubuwo dzi. Azɔ hã, menye `(CT scan)` ɖesiaɖe si wozãna edziedzi zãa `(contrast dye)` ma o. Gake `(CT urogram)` zãa `(contrast dye)` godoo be wòakpɔ aɖuɖɔtoea nyuie.

Vovototo kae le CT Urogram kple Cystoscopy dome?

Togbɔ be esiawo evea siaa nye dodokpɔ siwo léa ŋku ɖe aɖuɖɔtoe ŋu hã la, vovototo gã aɖe le dɔdamɔnua me. Cystoscopy nye dodokpɔ si me wowɔa dɔ le wu CT urogram.

Le cystoscopy me la, ɖɔkta atsɔ mɔ̃ tɔxɛ aɖe si ƒe titrime anɔ abe pɛnsil ene, mɔ̃ tsɛ aɖe si me akaɖi le kple fotoɖemɔ̃ si wotsɔ kpe ɖe eŋu – si woyɔna be cystoscope – to wò tsinyegoe me yi wò tsinyegoe me vivivi. Emegbe, ɖɔktaa atsɔ dzetsi si me dɔlékui mele o akɔ tsinyegoea me, si ana fotoɖemɔ̃a nate ŋu akpɔ tsinyegoea kple aɖuɖɔtoea me tẽ.

Le ``(CT urogram)'' me la, womedea dɔwɔnu aɖeke ŋutilã me o, enye scan si wowɔ tso gota.

Nusiwo dzi wòle be nàɖo ŋkui (Take-Home Message) .

Enyo, eyata nu vevitɔ kekeake si dzi wòle be nàɖo ŋkui tso nusi ŋu míeƒo nu tsoe me enye esi:

CT urogram nye dodokpɔ si ŋu viɖe le ŋutɔ, zi geɖe la, enɔa dedie ŋutɔ, si me afɔku mele o, eye vevesese aɖeke mele eme o, si ate ŋu akpe ɖe ŋuwò nànya kuxi siwo le wò aɖuɖɔtoe me.

Esɔ be nàtsi dzodzodzoe vie alo atsi dzimaɖi ne ɖɔkta bia tso asiwò be nàwɔ dodokpɔ aɖe abe esia ene. Gake ne nyabiase alo dzimaɖitsitsi aɖe le asiwò ku ɖe eŋu la, ƒo nu tso eŋu na wò ɖɔkta eme nakɔ eye nàgblɔe gaglãa. Menye ɖeko nàse nɔnɔmea gɔme nyuie ko o, ke àte ŋu aɖu wò vɔvɔ̃wo hã dzi. Dɔlélea didi nyuie nye afɔɖeɖe gbãtɔ kple vevitɔ kekeake si ana woawɔ atike kabakaba eye wòasɔ! Eyata gomekpɔkpɔ le dodokpɔ mawo me vɔvɔ̃manɔmee le vevie ŋutɔ na wò lãmesẽ.

` CT urogram, aɖuɖɔtoe ƒe ɖoɖo, ayikudɔ, tsinyegoe, scan, vovototodedeameme amadede, X-ray