Ðe wò ɖɔkta susui be kuxi aɖe le wò aɖuɖɔtoe ŋu eye wògblɔ na wò be nàwɔ X-ray tɔxɛ aɖe atsɔ alé ŋku ɖe eŋua? Ate ŋu anye "Retrograde Pyelogram." Ŋkɔa aɖi nya sesẽ vie, gake le nyateƒe me la, enye dodokpɔ si le dedie ŋutɔ si kpena ɖe ɖɔktawo ŋu be woase wò kuxia gɔme nyuie wu. Eyata mina míaɖe tɔtɔ siwo katã le eŋu egbea la ɖa.
Nukae nye Retrograde Pyelogram (RP)?
Kpuie ko la, esia hã nye X-ray dodokpɔ. Gake be míakpɔ nɔnɔmetata si me kɔ wu X-ray si wozãna edziedzi la, míezãa tsi tɔxɛ aɖe si woyɔna be "contrast dye." Amadede sia nana wò aɖuɖɔtoe ƒe akpa aɖewo dzena le ɣie le X-ray nɔnɔmetata la dzi.
Nya "retrograde" le esia me gɔmee nye "gbugbɔ yi megbe." Bu eŋu kpɔ, zi geɖe la, míaƒe aɖuɖɔ dzɔna, zɔa mɔ toa tsinyegoewo me, eye emegbe wòƒoa ƒu ɖe tsinyegoea me hafi dona le ŋutilãa me. Gake le dodokpɔ sia me la, míeɖoa amadede tɔxɛ ma tso anyime yia dzi to tsinyegoe siwo to vovo na eƒe mɔ si sɔ la dzi yia ayikuawo gbɔ. Esia tae woyɔnɛ be "retrograde."
"Pyelogram" nye X-ray nɔnɔmetata si woɖe tso ayiku ƒe akɔta, si nye ayiku ƒe akpa si le abe funnel ene si me aɖuɖɔ ƒoa ƒu ɖo. Eyata ne woƒo wo ame evea nu ƒu la, esia nana wokpɔa aɖuɖɔtoea ƒe akpa si le etame ƒe nɔnɔmetata si me kɔ nyuie le X-ray me.
Aleke esia to vovo tso IVP gbɔe?
Ðewohĩ èse nu tso ʋuka me ʋuka me ʋu ƒe sisi (IVP) hã ŋu. Enye X-ray si wozãa amadede aɖe hã. Vovototo vevitɔe nye alesi wodoa amadedea ɖe ŋutilãa me.
- Intravenous Pyelogram (IVP): Le afisia la, wodoa amadede ɖe ʋuka aɖe si le alɔnu me. Emegbe amadedea zɔna toa ŋutilã bliboa me kple ʋua, eɖea ayikuawo me, eye wògena ɖe aɖuɖɔtoe me, afisi woɖea X-ray le.
- Retrograde Pyelogram (RP): Le afisia la, wodoa amadedea ɖe aɖuɖɔtoea me tẽ. Megena ɖe ʋua me o.
Eyata ne atike si wotsɔa IV ƒoa nui ƒe nulɔdɔ le ame aɖe ŋu la, tiatia nyuitɔ si wòate ŋu awɔ dedie enye Retrograde Pyelogram sia.
Fifia la, IVP dodokpɔwo zazã dzi ɖe kpɔtɔ vie le mɔ̃ɖaŋununya yeyewo abe CT urograms ene ta, gake RP dodokpɔa gakpɔtɔ ɖea vi ŋutɔ le nɔnɔme tɔxɛ aɖewo me.
Nɔnɔme kawo mee ɖɔkta aɖo wò ɖe dodokpɔ sia wɔwɔ me?
Susu geɖe ate ŋu anɔ anyi siwo ta wò ɖɔkta ate ŋu akafu dodokpɔ sia ɖo. Na míalé ŋku ɖe nusiwo wonye ŋu.
| Nɔnɔme si Wosusu be Wole | Numeɖeɖe Blewu |
|---|---|
| Nusiwo gblẽ le aɖuɖɔtoe ŋu | Kpɔe ɖa be afɔku alo nu bubu aɖe gblẽ nu le wò tsinyegoewo ŋu hã. |
| Aɖuɖɔtoe ƒe xexe alo eƒe ʋuʋu | Kpɔe ɖa be aɖuɖɔtoea xe alo xaxɛ hã. Esia akpe ɖe ŋuwò nànya nusi tututu xea mɔ na aɖuɖɔtoe. |
| Kpewo alo Dɔdzẽwo | Kpɔe ɖa be kpe alo tsitsi si mesɔ o le ayiku, tsinyegoe, alo tsinyegoe me hã. Woate ŋu akpɔ esiawo nyuie kple amadedea. |
| Abe kpekpeɖeŋu na atikewɔwɔ bubuwo ene | Ɣeaɖewoɣi la, wozãnɛ tsɔ kpɔa tsinyegoe ƒe akpa si le eme nyuie hafi dea ʋuka me alo wɔa tsinyegoe me dodokpɔ, si nye dɔdamɔnu si me wozãa fotoɖemɔ̃ le. |
Mina míasrɔ̃ alesi wowɔa dodokpɔ siae afɔɖeɖe ɖesiaɖe.
Esia nye dodokpɔ si wowɔna zi geɖe le kɔdzi ƒe amekokoxɔ me. Na míakpɔ nusi adzɔ le esia me ɖa.
Hafi Woawɔ Dɔwɔɖoɖoa
Wò ɖɔkta ana mɔfiame siwo katã hiã wò hafi nàwɔ dodokpɔ sia. Kpɔ egbɔ be yegblɔ atike ɖesiaɖe si zãm nèle, vevietɔ ʋumenugbagbeviɣitikewo , nulɔdɔ ɖesiaɖe si le ŋuwò, kple ne èfɔ fu na wò ɖɔkta.
Esi wònye be zi geɖe la, wozãa atike si naa ame ƒe susu dzea akɔ anyi na esia ta la, woabia tso asiwò be nàtsi nu adɔ le zã si do ŋgɔ na dodokpɔa me. Azɔ hã, mègaŋlɔ be be yeakplɔ ame aɖe vɛ be wòakplɔ wò ayi aƒeme le dodokpɔa megbe o.
Le Dɔwɔɖoɖoa Me
Woana kɔdziwu tɔxɛ aɖe wò be nàdo. Emegbe atikewɔla si naa alɔ̃dɔdɔ ame la ade IV-ka aɖe wò alɔnu eye wòana alɔ̃dɔdɔ wò to eme. Zi geɖe la, wowɔa esia le atike si naa alɔ̃dɔdɔ ame katã me . Esia fia be màse naneke le ɖokuiwò me o, àdɔ alɔ̃ keŋkeŋ.
Emegbe, tsinyegoeŋutinunyala ade mɔ̃ tsɛ aɖe si me fotoɖemɔ̃ le si woyɔna be cystoscope la wò tsinyegoe me kple wò tsinyegoe me. Fotoɖemɔ̃a ato eme akpɔ afisi tsinyegoe eveawo dze egɔme tsoe. Emegbe woatsɔ ŋuɖɔɖɔɖo ŋutɔ ade mɔ̃ bubu si le tsɛ ŋutɔ la tsinyegoea me eye woado amadedea ɖe eme. Ne amadedea nya ɖo teƒea bliboe ko la, woawɔ X-ray geɖe. Ne atike bubu aɖe li si wòle be woawɔ, abe kpe aɖe ɖeɖe ɖa ene la, ɖɔktaa awɔ ema le ɣeyiɣi sia hã me.
Le Dɔwɔɖoɖoa megbe
Ne dodokpɔa wu enu ko la, woakplɔ wò ayi afisi woahaya le be woalé ŋku ɖe ŋuwò vaseɖe esime nànyɔ tso atike si wua alɔ̃dɔdɔa me. Le afima la, dɔnɔdzikpɔlawo alé be na wò va se ɖe esime wò gbɔgbɔ kple ʋu ƒe sisi atrɔ ava nɔ abe tsã ene. Woalé ŋku ɖe ʋu le wò aɖuɖɔ me hã kple aɖuɖɔ agbɔsɔsɔme si nèle tom hã. Ne nusianu nyo ko la, woaɖe mɔ na wò be nàyi aƒeme kple wò zɔhɛ.
Afɔku kple viɖe kawoe le dodokpɔ sia me?
Viɖe siwo le eŋu
- Esɔ na amesiwo ŋu nulɔdɔ le: Viɖe gãtɔ kekeake si le esia ŋue nye be amesi ƒe ŋutilã melɔ̃a atike si wozãna le ʋuka me o gɔ̃ hã ate ŋu awɔ esia. Esi amadedea megena ɖe ʋua me o ta la, afɔku si li be nulɔdɔ nadze ame ŋu la medea ame dzi kura o.
- Dodokpɔ kple atikewɔwɔ le ɣeyiɣi ɖeka me: Ne ɖɔkta le esia wɔm la, ate ŋu awɔ dɔ suesuesuewo, abe kpe suewo ɖeɖe ɖa ene.
- Kekeli si mebɔ o: Kekeli si ŋutilãa xɔna la mesɔ gbɔ kura o.
Afɔku siwo le eme
Abe alesi wòle le atikewɔwɔ ɖesiaɖe gome ene la, afɔku aɖewo li, gake RP nye dɔdamɔnu si le dedie ŋutɔ . Afɔku siwo ate ŋu ado tso emee nye:
- Kuxi siwo do ƒome kple atike si wua alɔ̃dɔdɔ.
- Aɖuɖɔtoe me Dɔlékuiwo (UTI).
- Mɔnukpɔkpɔ sue aɖe li be nu sue aɖe nagblẽ le tsinyegoe alo tsinyegoe ŋu ne wotsɔ fotoɖemɔ̃a de eme.
Ɣeyiɣi didi kae wòaxɔ hafi ahaya? Ɣekaɣie wòle be maƒo ka na ɖɔktaa?
Zi geɖe la, àte ŋu atrɔ ayi dɔme alo agadze dɔwɔna siwo nèwɔna ɖaa gɔme le ŋkeke ʋɛ aɖewo megbe. Ele vevie ŋutɔ be nàno tsi kple tsi bubuwo geɖe.
Vevietɔ ŋutɔ: Ne èkpɔ dzesi siwo gbɔna la dometɔ aɖe le tɔtrɔgbɔ va aƒeme megbe la, yɔ wò ɖɔkta enumake alo yi kɔdzi ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) si te ɖe ŋuwò.
- Ne asrã dze dziwò.
- Ne èse le ɖokuiwò me be yele ʋuʋum alo vuvɔ le ye ƒom.
- Ne esesẽ be woaɖe aɖuɖɔ.
- Ne èse veve si womate ŋu ado dzi atsɔ o ne èle aɖuɖɔ tom.
- Ne ʋu dzi ɖe edzi le aɖuɖɔ me.
Mègaŋe aɖaba ƒu dzesi siawo dzi o. Atikewɔwɔ kaba ate ŋu axe mɔ ɖe kuxi ɖesiaɖe nu.
Gbedasi si Wotsɔ Yi Aƒeme
- Retrograde Pyelogram (RP) nye X-ray dodokpɔ si le dedie si wozãna tsɔ dea dzesi nusiwo xe, kpewo, kple dɔdzẽ siwo le aɖuɖɔtoe si le etame (ayikuwo, tsinyegoewo) me.
- Esia nye tiatia nyui aɖe na amesiwo ƒe ŋutilã melɔ̃a amadede siwo wozãna le ʋuka me o.
- Esi wònye be wowɔa esia le atike si naa alɔ̃dɔdɔ ame me ta la, ele vevie be nàwɔ ɖe ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ, abe nutsitsidɔ ene, eye ame aɖe nanɔ asiwò wòatsɔ ʋu ayi aƒemee.
- Ne èkpɔ dzesiwo abe dzoxɔxɔ, vuvɔ, vevesese sesẽ, alo ʋu si le dodom fũ le dodokpɔa megbe ene la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

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