Loaʻa pinepine anei i kāu keiki liʻiliʻi nā maʻi ʻōpū mimi? E kamaʻilio kākou e pili ana i ka hoʻāʻo VCUG (Voiding Cystourethrogram)!

Ua lohe paha ʻoe i kahi hoʻāʻo VCUG? Ua haʻi aku paha kāu kauka iā ʻoe a i ʻole kāu pēpē e pono ʻoe e hana i kēia hoʻāʻo. He mea maʻamau ke manaʻo iki i ka makaʻu ke lohe ʻoe i kēlā. Akā i ka manawa e ʻike pono ai ʻoe i ke ʻano o ia mea a me ke kumu e hana ʻia ai, e nalo aku kēlā makaʻu. I kēia lā, e kamaʻilio kākou e pili ana i kēia hoʻāʻo i kapa ʻia ʻo VCUG ma nā huaʻōlelo maʻalahi.

Ua ʻike anei ʻoe i ke ʻano o ka VCUG (Voiding Cystourethrogram)?

I ka ʻōlelo maʻalahi, he hoʻāʻo kūikawā ka VCUG e nānā ana i ke ʻano, ka nui, a me ke ʻano o ka hoʻopiha a me ka hoʻokahe ʻana o kāu ʻōpū mimi a me ka urethra. E noʻonoʻo iā ia e like me kahi pahu wai, kahi e hōʻiliʻili ai a mālama i ka mimi. Hiki i kahi hoʻāʻo VCUG ke kōkua i nā kauka e ʻike inā he mau mea ʻē aʻe a i ʻole nā ​​​​pilikia i loko o kēia ʻōnaehana mimi.

Hoʻohana kēia hoʻāʻo i kahi wai kūikawā (hoʻokaʻawale kala) - kahi wai kala e ʻike maopopo ʻia ma nā kiʻi X-ray - a me nā kukuna X. Ke hoʻokomo ʻia kēia wai i loko o ka ʻōpū mimi, hōʻike ka kukuna X i ke ʻano o ka hoʻopiha ʻana a me ka hoʻokahe ʻana o ka ʻōpū mimi, a me ke kuhikuhi o ke kahe ʻana o ka mimi. Ma ke ʻano kikoʻī, hiki iā ia ke ʻike i nā mea e like me nā ālai ʻana i ke ala e kahe ai ka wai mai loko mai o ka ʻōpū mimi, a i ʻole inā e kahe hou ana ka wai i luna.

ʻO ka maʻamau, pono e kahe wale ka mimi mai ka ʻōpū mimi a i ka urethra a i waho o ke kino. Akā i kekahi manawa, hiki i ka mimi mai ka ʻōpū mimi ke kahe hou i luna ma o nā ureters a i nā puʻupaʻa. ʻAʻole maikaʻi kēia. Hiki i kēia ke hana i kahi maʻi puʻupaʻa (pyelonephritis) , hiki ke hōʻino a hōʻeha i nā puʻupaʻa.

Hana pinepine ʻia kahi hoʻāʻo VCUG e kahi radiologist, ma ke keʻena o kāu kauka, kahi haukapila, a i ʻole kahi kikowaena kiʻi waho. E ala ʻoe i ka wā o ka hoʻāʻo. Hiki iā ʻoe ke manaʻo i kahi ʻoluʻolu ʻole, akā ʻaʻohe mea e hopohopo ai. ʻAʻole i hala ka hola o ka hoʻāʻo VCUG. A laila hiki iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā e like me ka mea maʻamau.

Paipai nā kauka i kēia hoʻāʻo VCUG, ʻoi aku hoʻi no nā kamaliʻi ʻōpio a me nā pēpē i loaʻa pinepine i nā maʻi ʻōnaehana mimi (UTI) , no ka mea, hiki i nā maʻi mau ke hoʻopilikia i ko lākou mau puʻupaʻa.

He aha nā mea e hiki ke loaʻa ma kahi hoʻokolohua VCUG?

Hiki i kahi hoʻāʻo VCUG ke kōkua i kāu kauka e hoʻomaopopo maikaʻi i ke ʻano o ka hana ʻana o kāu ʻōnaehana mimi.

ʻO ke kūlana nui i ʻike ʻia e kēia, ʻo ia ka vesicoureteral reflux a i ʻole ka ureteral reflux. ʻO ke ʻano kēia, e kahe ana kou mimi i luna o nā ureters i nā puʻupaʻa ma kahi o waho o ka ʻōpū mimi. Hiki i kēia ke alakaʻi i nā maʻi puʻupaʻa a me nā UTI pinepine. ʻO ka hoʻāʻo nui e ʻike ai i kēia kūlana i nā keiki, ʻo ia ka VCUG.

ʻAʻole wale kēlā, nā ʻūlū o ka urethraHiki iā ia ke ʻike i nā kūlana e hoʻopilikia ai i ke ala urinary, ʻo ia hoʻi he paʻakikī iā ʻoe ke mimi.

I ka manawa hea e pono ai kahi VCUG?

ʻO ke kumu nui no ka hana ʻana i kahi hoʻāʻo VCUG, ʻo ia ke ʻike i ke kūlana o ka reflux ureter i ʻōlelo ʻia ma luna. Hiki ke hana ʻia kēia kūlana no nā kumu penei:

• Inā loaʻa iā ʻoe nā maʻi ʻōpū mimi mau (UTIs) .
• Inā he maʻi hānau a pilikia paha me ka ʻōnaehana mimi.
• I nā kūlana e like me ka incontinence urinary , ka haiki ʻana o ka urethra, a i ʻole ka prostate i hoʻonui ʻia i nā kāne.
• Inā ua loaʻa iā ʻoe kekahi ʻeha ma mua, ka maʻi, a i ʻole ke ʻoki ʻana i ke ala urinary.
• Inā ua loaʻa i kekahi o ka ʻohana kēia maʻi o ka reflux urinary (ka mana genetic).

Pehea e hana ʻia ai kahi hoʻāʻo VCUG?

He mea kēia e pono ai ka wehewehe iki. Mai hopohopo, e mālama wau ia mea maʻalahi.

ʻO ka hoʻāʻo ʻana e pili ana i ka hoʻokomo ʻana i kahi ʻōmole lahilahi a palupalu (urinary catheter) ma o kou urethra i loko o kou ʻōpū mimi. A laila, hoʻokomo ʻia ka dye contrast i hoʻokumu ʻia i ka iodine i loko o kou ʻōpū mimi ma o ka catheter. Ke hoʻopiha ʻia kou ʻōpū mimi me ka dye, lawe ka radiologist i nā kiʻi X-ray. A laila wehe ʻia ka catheter a lawe ʻia nā kiʻi X-ray i kou mimi ʻana. Hōʻike pololei kēia i kahi e hele ai ka dye a inā he mau pilikia.

Pono ʻoe e hoʻomākaukau ma mua o ka hoʻokolohua?

ʻAe, aia kahi hoʻomākaukau iki.

• Pono ʻoe e haʻi mua i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei a me nā maʻi ʻaleka āu e loaʻa ai . Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau i kekahi mau lā ma mua o ka hoʻāʻo.
• Inā he hiki ke hāpai ʻoe (a i ʻole kāu keiki), e haʻi pono i kāu kauka .
• He mea maʻamau ke hopohopo iki a hopohopo paha ma mua o kahi hoʻokolohua e like me kēia, ʻoiai ua ala ʻoe. Inā ʻoe e manaʻo nei pēlā, e haʻi i kāu kauka . E hiki iā lākou ke wehewehe iā ʻoe a kōkua iā ʻoe e hoʻoholo i kou manaʻo.
• Inā loaʻa i kahi keiki kēia hoʻāʻo, ʻae ʻia ka makuahine a i ʻole ka makuakāne e noho me ke keiki. Wahi a nā kauka he manaʻo maikaʻi e hoʻomākaukau i ke keiki no ka hoʻāʻo ma mua o ka hana ʻana. ʻO ka wehewehe pono ʻana i ka mea e hana ʻia a me kou noho pū ʻana me lākou hiki ke kōkua i ka hōʻemi ʻana i ko lākou makaʻu. E pane maopopo a me ka ʻoiaʻiʻo i nā nīnau a ke keiki. Inā ʻōpiopio ke keiki, he manaʻo maikaʻi nō hoʻi e lawe mai i kahi mea a lākou e makemake ai, e like me kahi mea pāʻani.
• ʻOiai ʻaʻole hāʻawi pinepine ʻia ka hoʻomaha no kēia, ʻaʻole pono ʻoe e hoʻōki i ka ʻai ʻana a i ʻole ka inu ʻana ma mua o ka hoʻāʻo.

He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?

Inā hana ʻia kahi hoʻāʻo VCUG ma luna o kahi pākeke a keiki paha, e hahai ʻia kēia mau ʻanuʻu:

1. Pono ʻoe e wehe i kou kino lalo.ʻO ia hoʻi nā lole komo, e like me nā lole komo a me nā pālule. E hāʻawi lākou iā ʻoe i kahi ʻaʻahu a i ʻole kahi lole e uhi ai i kou kino.

2. E noi ʻia ʻoe e moe ma luna o ka papa ʻaina me kou mau lima i hohola ʻia. Inā he kāne ʻoe, e pololei kou mau wāwae, a inā he wahine ʻoe, e hohola ʻia kou mau wāwae e like me nā ʻēheu pulelehua (kūlou nā kuli a hui pū nā wāwae). E ʻae kēia i ka maʻalahi o ke komo ʻana i ka urethra.

3. E holoi pono ke kauka a kahu maʻi paha i kou wahi ʻōpū me ke kopa a me ka wai. I kekahi manawa e hoʻopili ʻia kahi gel hoʻomake i ka urethra.

4. A laila, hoʻokomo ʻia kahi ʻōmole palupalu liʻiliʻi loa (catheter) ma o kou urethra (ka lua kahi āu e mimi ai ) i loko o kou ʻōpū mimi. He mea ʻoluʻolu ʻole paha kēia, akā ʻaʻole ia he ʻeha. Hoʻopaʻa ʻia kēia ʻōmole i kou ʻūhā me kahi plaster.

5. Aia ka mīkini X-ray ma luna o kou ʻāpana pelvic. ʻAʻole ia e pa i kou kino.

6. I kēia manawa, e hoʻopiha ke kauka i kou ʻōpū mimi me kahi wai kūikawā (mea hoʻohālikelike) ma o ka ʻōmole. ʻO kēia wai ka mea e hōʻike maopopo ai i ka ʻōnaehana mimi ma nā kiʻi X-ray.

7. E kiʻi ke kauka radiology i nā kiʻi X-ray o kou ʻōpū mimi i kona wā e piha ai. Hiki paha iā ʻoe ke manaʻo e mimi i kēia manawa. Akā, pono ʻoe e mimi wale nō ke piha loa kou ʻōpū mimi a ke ʻōlelo aku kāu kauka iā ʻoe. Hiki ke paʻakikī kēia no nā keiki liʻiliʻi.

8. Ke piha kou ʻōpū mimi, e wehe ʻia ke catheter a e noi aku ke kauka radiology iā ʻoe e mimi .

• Hiki ke ʻae ʻia nā keiki e mimi i loko o ke kīʻaha, kahi pā moe, a i ʻole ma luna o kahi papaʻaina i uhi ʻia me ke kāwele. E lawe mau ana ke kauka radiology i nā kiʻi X-ray ke hana lākou i kēia.
• Inā he kanaka makua ʻoe , e noi ʻia ʻoe e mimi i loko o kahi pā moe a i ʻole kahi urinal ke piha kou ʻōpū mimi. E lawe ʻia nā kiʻi X-ray a hiki i kou hoʻokahe loa ʻana i kou ʻōpū mimi.

E hoʻomanaʻo, lawe ʻia ke kiʻi X-ray i ka wā e piha ai ka ʻōpū mimi a i ka wā e hakahaka ai, no ka mea hiki ke loaʻa ka reflux i nā hihia ʻelua. Aia ke kauka radiology e kōkua iā ʻoe, no laila e hoʻolohe pono i kāna ʻōlelo. Inā ʻoe me kahi keiki, e aloha nui a hōʻoluʻolu iā ia i kēia manawa. Hiki i nā mea e like me ka paʻa ʻana i kou lima, ka hāʻawi ʻana iā ia i kahi mea pāʻani āna e makemake ai, a me ka minoʻaka a me ke kamaʻilio ʻana me ia ke kōkua.

Pehea ka lōʻihi o ka hoʻāʻo ʻana o VCUG?

Ma waena o 30 a 45 mau minuke wale nō ka lōʻihi o kēia hoʻokolohua holoʻokoʻa.

Pono anei ka hoʻomaha no ka VCUG?

ʻO ka maʻamau, ʻaʻole koi ʻia ka hoʻomālielie no ka hoʻāʻo VCUG. Eia nō naʻe, pono paha kekahi mau keiki e hoʻomālielie ʻia. Inā manaʻo kāu kauka he mea maikaʻi loa i kāu keiki ke hoʻomālielie ʻia, e haʻi aku ʻo ia iā ʻoe pehea e hoʻomākaukau ai no ia mea.

He aha ka mea e hana ʻia ma hope o ka hoʻāʻo VCUG?

Hiki iā ʻoe ke hoʻi i ka home a hana i kāu mau hana maʻamau ma hope koke iho o ka hoʻāʻo VCUG.

• No nā hola 24 a 48 e hiki mai ana, e manaʻo paha ʻoe i kahi ʻā iki a ʻā paha i ka wā e mimi ai ʻoe .
• E inu i ka wai he nui. E hele i ka lua i ka wā e manaʻo ai ʻoe e mimi . Hiki i kēia ke kōkua i ka pale ʻana i ka maʻi ʻaʻai mimi (UTI).
• He mea maʻamau nō hoʻi ka mimi ʻana ma mua o ka maʻamau no kekahi mau lā ma hope o ka VCUG.
• Hiki ke ʻulaʻula ke kala o kou mimi , akā, ʻaʻole loa ia he ʻulaʻula ʻeleʻele.

Inā hoʻomau kekahi o kēia mau hōʻailona no nā hola he 48 a ʻoi, a inā ʻulaʻula kou mimi , e ʻike i ke kauka.

He aha nā pono o ka hoʻokolohua VCUG?

ʻO ka pōmaikaʻi nui o ka hoʻāʻo VCUG , ʻo ia ka hiki i kāu kauka ke ʻike maopopo i ke kahe ʻana o ka wai ma o kāu ʻōnaehana mimi. Hiki i kēia ke kōkua i ka ʻike ʻana i nā kūlana mua e hiki ke hōʻino i kou mau puʻupaʻa inā ʻaʻole mālama ʻia.

Aia kekahi mau pilikia i ka hoʻāʻo VCUG?

He hoʻāʻo palekana loa ka VCUG, akā ʻaʻole ia me ka ʻole o kekahi mau pilikia.

• Hiki i kekahi poʻe ke maʻi āpau i ka waihoʻoluʻu , akā he mea kakaikahi loa kēia, ʻoiai inā komo ka waihoʻoluʻu i ke koko ma kahi o ka ʻōpū mimi.
• E hōʻike ʻia ʻoe i ka radiation. Akā e pale aku nā kauka iā ʻoe me ka pale kūikawā e hōʻemi i kēia pilikia. He liʻiliʻi kēia pilikia i ka hoʻohālikelike ʻia me ka pono o ka ʻike pololei ʻana i ka maʻi. Inā hāpai ʻoe, pono ʻoe e haʻi iā lākou ma mua o ka hoʻāʻo ʻana.

ʻO kekahi o nā hopena ʻaoʻao liʻiliʻi o ka hoʻāʻo VCUG:

• Nā ʻā wela.
• Ka luaʻi a i ʻole ka luaʻi ʻana.
• Ke kuni nei i ka wā e mimi ai (ma kahi o 24-48 mau hola).
• Ke hoʻomohala nei i kahi maʻi ʻōpū urinary (UTI) ma muli o ka catheter (he mea laha ʻole kēia).

Nā hopena ʻaoʻao i ʻike nui ʻia (akā he mea kākaʻikahi loa kēia mau mea):

• Paʻakikī ka hanu ʻana.
• Ke koko haʻahaʻa.
• Ka pehu ʻana o ka puʻu a i ʻole ka waha.

Pehea ka ʻeha o ka hoʻāʻo VCUG?

He mea maʻamau ka manaʻo ʻoluʻolu ʻole i ka wā o ka VCUG, ʻoiai ke hoʻokomo ʻia ka catheter. Hiki iā ʻoe ke manaʻo i ka paʻa o kou ʻōpū mimi ke piha, a manaʻo paha ʻoe e mimi . Manaʻo kekahi poʻe i ka hopohopo a me ka makaʻu ma mua o ka VCUG. He mea maʻamau kēia. E ho'āʻo e hanu hohonu a lohi. I kekahi manawa, ʻo ka ʻomi ʻana i kahi pōpō liʻiliʻi a i ʻole ka nānā ʻana i ke kiʻi o kahi mea aloha e hiki ke kōkua i ka mālie iā ʻoe.

No ke keiki, hiki i ka hoʻāʻo VCUG ke lilo i mea hopohopo iki.E hana i nā mea āpau e hiki ai iā ʻoe ke hōʻoluʻolu iā ia, a e hoʻomaopopo iā ia he pono kēia hoʻokolohua nona. Inā ʻaʻole ʻoe maopopo pehea e kū ai i kēia kūlana, e nīnau i kāu kauka.

He aha ka manaʻo o nā hopena VCUG?

Hiki i kēia hoʻāʻo ke haʻi i kāu kauka inā he reflux urethral kou a i ʻole. Hiki iā ia ke haʻi iā ʻoe inā he maʻamau nā ʻāpana o kāu ʻōnaehana urinary, a inā he laulā a ʻoi aku paha ko lākou haiki ma mua o ka maʻamau.

Inā ua loaʻa i kāu keiki kahi VCUG a ua ʻike ʻia he reflux ko lākou, e hāʻawi ke kauka radiology iā lākou i kahi helu . ʻO ka maʻamau, mai ka 1 a i ka 5. He ʻoluʻolu ka 1 a he koʻikoʻi ka 5. E hilinaʻi ka lāʻau lapaʻau i ke koʻikoʻi o ka reflux a inā ua hoʻopilikia ia i nā puʻupaʻa a i ʻole ke ala mimi. E kamaʻilio kāu kauka me ʻoe e pili ana i nā koho lapaʻau e pili ana i kāu mau hopena.

ʻEhia ka lōʻihi e loaʻa ai nā hopena?

E nānā ke kauka radiology i nā kiʻi X-ray, kākau i kahi hōʻike, a hoʻouna i nā hopena i kāu kauka . Hiki i kēia ke hala a hiki i ʻelua lā. E nīnau i kāu kauka i ka lōʻihi o ka loaʻa ʻana o nā hopena.

He aha ka mea e hana ai ma hope inā he ʻano ʻē nā hopena?

Ma muli o ka mea a ke kauka e ʻike ai, e ʻokoʻa ka mea e hiki mai ana. Pono kekahi poʻe i ka lāʻau lapaʻau a i ʻole ke ʻoki ʻana e hoʻoponopono i nā pilikia i loko o ka ʻōpū mimi a i ʻole ka urethra. I kekahi manawa, e haʻi aku paha kāu kauka iā ʻoe e hana i nā hoʻololi ʻana i ke ʻano o ka nohona e kōkua.

Āhea ʻoe e ʻike hou ai i ke kauka?

He mea maʻamau ka mimi pinepine ʻana ma hope o ka VCUG, he ʻulaʻula iki ke kala o ka mimi , a me ka manaʻo wela i ka wā e mimi ai . Inā hoʻomau kekahi o kēia mau hōʻailona no nā hola he 48 a ʻoi, e ʻike i ke kauka.

Inā ʻulaʻula kou mimi , loaʻa iā ʻoe ke kuni, a i ʻole he ʻeha kou ma kou ʻāpana pelvic, he hōʻailona paha ia o kahi pilikia. Inā hana kēia i loko o kekahi mau lā o kāu VCUG, e ʻike pono i kāu kauka.

Ua like anei ka VCUG a me ka Voiding Cystogram?

ʻO VCUG a me Voiding Cystogram nā inoa ʻelua no ka hoʻāʻo like. ʻAʻohe ʻokoʻa ma waena o nā mea ʻelua.

Leka Lawe-Home

He hoʻāʻo diagnostic ka VCUG e hoʻohana ana i nā kukuna X a me kahi wai kūikawā (contrast dye). He mea maʻamau ke manaʻo iki i ka hopohopo a me ka hopohopo i nā lā a me nā hola ma mua o ka hoʻāʻo. Inā loaʻa i kāu keiki kēia hoʻāʻo, hiki iā lākou ke manaʻo like, no ka mea, ʻaʻole lākou i ʻike i ka mea e hana ʻia. Na nā hopena o kāu hoʻāʻo e hoʻoholo i ka mea e hana ʻia ma hope.Ma mua o ka hoʻāʻo ʻana, e kamaʻilio me kāu kauka e pili ana i nā hopohopo a i ʻole nā ​​nīnau āu e loaʻa ai. E wehewehe ʻo ia i ka hoʻāʻo iā ʻoe a me nā mea āu e manaʻo ai. Mai hopohopo, ua hana ʻia kēia mau mea a pau e kōkua iā ʻoe a me kāu pēpē e noho olakino.

ʻŌnaehana mimi , ʻōpū mimi, urethra, VCUG, Voiding Cystourethrogram, nā maʻi puʻupaʻa, nā maʻi ʻōnaehana mimi, olakino o nā keiki