Ua haʻi aku anei ke kauka iā ʻoe e hana i kahi CT Urogram? E hele mai, e kamaʻilio maʻalahi kākou e pili ana i ia mea!

I kekahi manawa ke haʻi aku ke kauka iā ʻoe e hana i kahi hoʻokolohua me kahi inoa ʻē, makaʻu iki ʻoe a hopohopo, ʻeā? ʻOi loa aku inā he mea ia e like me ka "CT scan". I kēia lā e kamaʻilio mākou e pili ana i hoʻokahi ʻano hoʻokolohua, ʻo ia ka "CT urogram" . Ke lohe ʻoe i kēia inoa, e noʻonoʻo paha ʻoe, "Auē kuʻu akua, he aha kēia hoʻokolohua hou?" Akā, mai hopohopo, e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi a maopopo i kēia lā. E wehewehe wau iā ia ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka urogram CT?

I ka ʻōlelo maʻalahi, he scan kūikawā ka CT urogram e nānā ana i kāu ʻōnaehana urinary - kou mau puʻupaʻa, kou ʻōpū mimi (ka ʻeke kahi e hōʻiliʻili ai kāu mimi ), a me nā ureters, nā ʻōmole e lawe ana i ka mimi mai kou mau puʻupaʻa i kou ʻōpū mimi. Hoʻohana ia i kahi wai kūikawā i kapa ʻia he dye contrast, X-rays , a me kahi kamepiula . E noʻonoʻo e like me ka lawe ʻana i kahi moʻo o nā ʻāpana lahilahi o kou ʻōpū, ka ʻaoʻao o loko o kou ʻōpū, nā iwi, nā ʻiʻo, nā ʻōpū ʻē aʻe, a me nā kīʻaha koko. Ke hoʻohui pū ʻoe i kēia mau kiʻi, hiki i kāu kauka ke ʻike i kāu ʻōnaehana urinary me nā kikoʻī nui, me ka nalo ʻole o kekahi mea.

He mīkini X-ray maʻamau i hoʻohana ʻia e lawe i kahi kiʻi ʻelua-dimensional (2D) e nānā wale ana mai hoʻokahi ʻaoʻao. Akā, ʻo ka mīkini i hoʻohana ʻia ma kēia CT urogram ua like ia me kahi donut nui. Lawe ia i nā kiʻi ma ka hoʻouna ʻana i nā X-ray a puni kou kino i 360 degere. A laila hoʻohui kahi kamepiula i kēia mau kiʻi a pau a hana i kahi hiʻohiʻona ʻekolu-dimensional (3D) maopopo o loko o kou kino. ʻO ia hoʻi, ua maopopo ia me he mea lā e paʻa ana ʻoe i kou lima a nānā i nā mea o loko.

No ke aha e ʻōlelo ai ke kauka i kahi CT Urogram?

I kēia manawa ke noʻonoʻo nei paha ʻoe, "No ke aha i kauoha ai kaʻu kauka, ʻoiai he urologist, i kahi urogram CT?" ʻO ke kumu, inā loaʻa iā ʻoe kekahi mau hōʻailona e pili ana i kāu ʻōnaehana urinary - no ka laʻana, ke koko i loko o kou mimi, ka ʻeha nui ma kekahi ʻaoʻao o kou ʻōpū a i ʻole ka ʻōpū haʻahaʻa, ka paʻakikī o ka mimi - hiki i kēia scan ke kōkua nui i ka loaʻa ʻana o ke kumu pololei .

Hiki i kahi urogram CT ke kōkua i kāu kauka e ʻike i nā kūlana i loko o kāu ʻōnaehana urinary, e like me:

• Nā pōhaku puʻupaʻa
• Nā pōhaku ureteral (nā pōhaku i loko o nā ʻōmole e lawe ana i ka mimi )
• Nā pōhaku ʻōpū
• Nā maʻi pinepine
• Nā puʻupuʻu a i ʻole nā ​​​​kūlana maʻi kanesa
• Nā cysts

He hoʻāʻo koʻikoʻi loa kēia e ʻike pololei ai i nā kūlana e like me kēia a hoʻomaka i ka lāʻau kūpono āu e pono ai.

ʻO wai ka mea e hana i kēia CT Urogram?

Hana ʻia kēia `(CT urogram)` e nā poʻe i aʻo kūikawā ʻia i kapa ʻia he poʻe ʻenehana radiologic . ʻO lākou ka poʻe e hana i kēia ʻano hana kiʻi a kōkua i nā kauka e ʻike pololei i kahi maʻi. He akamai loa lākou i kēia, no laila ʻaʻohe mea e makaʻu ai.

Pehea ʻoe e hoʻomākaukau ai no ka CT Urogram?

ʻAe, e nānā kākou pehea ʻoe e hoʻomākaukau ai no kēia `(CT urogram)`. He mea nui loa ka hana pololei ʻana i kēia no ka loaʻa ʻana o nā hopena pololei mai ka hoʻāʻo.

Ma mua o ka hoʻāʻo ʻana, e lawe ke kauka a kahu maʻi paha i kāu mau hōʻailona koʻikoʻi (ʻo ia hoʻi, kou mahana, ka helu o ka pulse, a me ke koko). A laila e nīnau lākou iā ʻoe i kekahi mau nīnau koʻikoʻi. He mea nui loa ia e haʻi ʻoe i ka ʻoiaʻiʻo e pili ana i nā mea āpau āu i ʻike ai i kēia manawa, ʻae?

• He mau maʻi olakino ʻē aʻe kāu i kēia manawa? (e.g. diabetes, maʻi puʻuwai)
• He maʻi ʻaleʻale paha ʻoe i ka wai kūikawā `(contrast dye)` a i ʻole ka iodine `(iodine)` i ʻōlelo ʻia ma mua? (Ua loaʻa paha iā ʻoe ka maʻi ʻaleʻale i kahi `(dye)` no ka `(scan)` ma mua?)
• Ua hāpai ʻoe? A i ʻole he kānalua iki paha kou ua hāpai ʻoe? (He mea kēia e pono e haʻi ʻia).
• Ke lawe nei ʻoe i kekahi mau lāʻau lapaʻau i kēia manawa? Eia kekahi laʻana, nā lāʻau lapaʻau e like me ka metformin no ka maʻi diabetes, nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) (e.g. ibuprofen, diclofenac), nā antibiotics, a i ʻole nā ​​​​​​mea hoʻokahe koko e like me warfarin. E papa inoa i nā huaora a i ʻole nā ​​​​​​lāʻau lapaʻau āu e lawe nei.

I kekahi manawa e noi ʻia ʻoe e hana i kahi hoʻāʻo koko ma mua o kēia scan. E ʻae kēia i ke kauka e nānā i ka hana o kou puʻupaʻa a koho i ka dye contrast kūpono nāu.

Inā ʻike maopopo ʻoe he maʻi ʻoe i kahi kala hoʻohālikelike, mai hopohopo. E hāʻawi paha kāu kauka iā ʻoe i kahi steroid i ka pō ma mua o ka hoʻāʻo a me ke kakahiaka o ka hoʻāʻo. Hiki ke hāʻawi ʻia iā ʻoe kahi antihistamine ma mua o ke scan. E kuhikuhi kāu kauka i kēia mau lāʻau lapaʻau āpau nāu.

Eia kekahi, e hāʻawi ke kauka a i ʻole nā ​​limahana ma laila iā ʻoe i nā ʻōlelo aʻoaʻo hou aʻe e pili ana i ka hoʻomākaukau ʻana no kēia `(CT urogram)`. He mea nui loa ia e hahai pololei i kēlā mau ʻōlelo aʻoaʻo.

He aha kaʻu e hana ai i ka lā ma mua a me ke kakahiaka o ke scan?

• E noi ʻia paha ʻoe e inu i ka wai hou ma mua o ke scan. E noi ʻia paha ʻoe e hoʻopaneʻe i ka mimi a hiki i ka pau ʻana o ke scan. ʻO kēia no ka mea e piha a hoʻonui ʻia kou ʻōpū mimi, e maʻalahi ai i ke kauka ke nānā pono iā ia.
• E ʻaʻahu i nā lole ʻoluʻolu a palupalu ke hele mai ʻoe no ke kiʻi ʻana.ʻOi aku ka maikaʻi o ke komo ʻana me ke kapa komo. Pono paha ʻoe e ʻaʻahu i kahi lole kūikawā a lākou e hāʻawi aku ai iā ʻoe.
• E ʻoluʻolu e wehe i nā mea hoʻonani a pau, e like me kāu uaki, lei, kūpeʻe lima, a me nā apo pepeiao. Inā he mau apo pepeiao i hou ʻia kou, pono ʻoe e wehe pū iā lākou.
• Inā ʻoe e komo i nā niho kuʻi a i ʻole nā ​​mea kōkua hoʻolohe, e noi ʻia paha ʻoe e wehe iā lākou ma mua o ke kiʻi ʻana, no ka mea, hiki i kēia mau mea metala ke hoʻopilikia i nā kiʻi i ke kiʻi ʻana.

He aha kāu e manaʻo ai i ka wā e hana ai i kahi CT Urogram?

ʻAe, e nānā kākou i ka mea e hana maoli ana i ka wā o ka "(CT urogram)". Mai hopohopo, e wehewehe aku wau iā ʻoe.

E noi ʻia ʻoe e moe ma luna o kahi papa kūikawā e like me kahi moe. ʻO ka hapa nui o ka manawa, e noi ʻia ʻoe e moe ma kou kua, akā i kekahi manawa, ma muli o kou kūlana, e noi ʻia paha ʻoe e moe ma kou ʻaoʻao a i ʻole kou ʻōpū. E noi ʻia paha ʻoe e kau i kahi mea e like me ka uluna ma lalo ou e kōkua i ka mālama ʻana i kou kino i pololei a ʻoluʻolu. E ʻoi aku ka ʻoluʻolu o ke scan iā ʻoe a kōkua iā ʻoe e loaʻa nā kiʻi maopopo.

A laila, e hoʻokomo kahi kahu maʻi a loea paha i kahi nila liʻiliʻi i loko o kahi aa koko ma kou lima a lima paha, a e hoʻokomo ʻia kahi kala hoʻohālikelike kūikawā i loko o kou kino ma o kahi paipu i pili iā ia. Ua kapa ʻia kēia he inikini intravenous (IV) . E ʻike ʻoe i kahi ʻano ʻūlū iki ke hoʻokomo ʻia ka nila, e like me ke kui, akā ʻaʻole ia he ʻeha.

Ke hoʻokomo ʻia ka dye contrast i loko o kou kino, hiki iā ʻoe ke manaʻo i kahi mehana iki , e like me kou helehelena e ʻulaʻula ana ke hilahila ʻoe. Hiki i kekahi poʻe ke manaʻo iki i ka luaʻi a i ʻole ka ʻeha poʻo. Hiki iā ʻoe ke ʻike i kahi ʻono paʻakai a metala paha i loko o kou waha. Hiki iā ʻoe ke manaʻo koke i ka makemake e mimi . E nalo aku kēia mau mea a pau i loko o kekahi mau kekona a mau minuke paha, no laila mai hopohopo no ia mea, he mea maʻamau ia.

Ke hoʻomaka ka scan, e paheʻe mālie ka moena āu e moe nei i loko o ka mīkini, e like me ka donut. He mea nui e noho mālie e like me ka hiki i kēia manawa. Inā ʻoe e neʻe, e blurry nā kiʻi, e like me kou neʻe ʻana i kahi kāmela. Inā ʻoluʻolu ʻole ʻoe a pono paha e neʻe no ka mea ke kahakaha nei ʻoe i kahi mea, e haʻi aku i ka ʻenehana. E noi paha lākou iā ʻoe e paʻa i kou hanu no kekahi manawa ʻoiai e lawe ʻia ana nā kiʻi.

Lawe ka mīkini scan i nā kiʻi o nā wahi o kou kino e makemake ai ke kauka e ʻike. ʻAʻole nui ka walaʻau o ka mīkini ke lawe ʻia nā kiʻi, he leo kaomi iki wale nō. No kekahi poʻe, he ʻike hoʻomaha loa kēia, a hiamoe paha kekahi poʻe! Eia nō naʻe, aia paha kahi walaʻau mīkini iki ke neʻe ka moena i loko a i waho o ka mīkini.

ʻEhia ka lōʻihi o ka hana ʻana o kahi CT Urogram?

ʻO ka maʻamau, ʻo kēia "(CT urogram)" e lawe ma kahi o hoʻokahi hola e hoʻopau ai.Hoʻomākaukau ʻoe, loaʻa iā ʻoe kahi IV, a laila loaʻa iā ʻoe kahi scan, a ʻo kēlā mau mea āpau e pono ai ka manawa. Ma kahi o 10 a 30 mau minuke no ke komo ʻana o ka dye contrast i loko o kou kino a pālahalaha ma loko o kāu ʻōnaehana mimi, a no ka lawe ʻana i nā kiʻi maopopo. Hoʻokahi scan, ʻo ia hoʻi, hoʻokahi set o nā kiʻi, he manawa pōkole loa ia, ma kahi o 10 a 30 kekona. Pono ka hoʻokolohua holoʻokoʻa i kekahi mau scan, e lawe ana i nā kiʻi i nā manawa like ʻole.

He aha ka mea e hana ai ma hope o ka CT Urogram?

Ma hope o ka pau ʻana o ke scan a nānā ke kauka radiology ua maopopo nā kiʻi a pau a ua puka mai e like me ka mea i manaʻo ʻia, e wehe mālie lākou i ka IV mai kou lima a kau i kahi ʻāpana liʻiliʻi o ka lipine a i ʻole ka pōpō pulupulu ma luna o ka wahi e hoʻopaʻa ai iā ia ma kahi. Inā ʻoe e ʻaʻahu ana i kahi ʻaʻahu, hiki iā ʻoe ke hoʻihoʻi i kou mau lole. Hiki iā ʻoe ke hoʻi i ka home ma hope o kēlā, a ʻaʻohe mea kūikawā e hana ai. Eia nō naʻe, e haʻi paha lākou iā ʻoe e inu i ka wai he nui e kōkua i ka hoʻokaʻawale ʻokoʻa e haʻalele koke i kou kino.

Aia kekahi mau pilikia me ka CT Urogram?

He nīnau nui paha kēia ma kou manaʻo, "Aia kekahi mau hopena ʻaoʻao a i ʻole nā ​​pilikia me kēia?"

ʻO ka CT urogram i manaʻo ʻia he hoʻāʻo palekana loa.

Eia nō naʻe, e like me nā hoʻokolohua lapaʻau ʻē aʻe, aia paha kekahi mau pilikia liʻiliʻi loa:

• Ka Hōʻike ʻana i ka Radiation: Hoʻohana kahi scan CT i kahi liʻiliʻi o ka radiation ionizing e lawe i nā kiʻi. Hoʻoikaika mau ʻia e mālama i ka nui o ka radiation i haʻahaʻa loa. Ua ʻōlelo ʻia e hoʻonui kēia i ka pilikia o ka loaʻa ʻana o ka maʻi kanesa i ka wā lōʻihi ma kahi liʻiliʻi loa, akā ʻo ka nui o kēia hoʻonui ʻana he liʻiliʻi loa ia e ana pololei ʻia. Kauoha kekahi kauka i kēia hoʻāʻo no ka mea ʻoi aku ka nui o nā pono o ka hoʻāʻo ma mua o nā pilikia liʻiliʻi.
• Nā hopena aleri i ka pena hoʻohālikelike: He mea kākaʻikahi loa, hiki i kekahi poʻe ke loaʻa i kahi hopena aleri iki a koʻikoʻi paha i ka pena hoʻohālikelike. ʻO ia ke kumu e nīnau mua ʻia ai ʻoe inā he aleri ʻoe. Hiki iā ʻoe ke ʻike i ka maneʻo iki a i ʻole ka hives. He mea kākaʻikahi loa nā hopena aleri koʻikoʻi, a i loko o ia mau hihia, loaʻa i ka haukapila nā pono e hāʻawi koke i ka mālama ʻana.
• ʻO ka palapū a i ʻole ka pehu ʻana ma kahi o ke kui: `(IV)` Aia paha kekahi mau palapū a i ʻole ka pehu ʻana (angioedema) a puni kahi kui. Hoʻomaha pinepine kēia i loko o kekahi mau lā.

Inā he mau hopohopo a kānalua paha kāu e pili ana i kēia mau pilikia, e kamaʻilio me kāu kauka e pili ana i ia mea me ka wehe. Hiki iā ia ke hāʻawi iā ʻoe i nā pane maopopo i kāu mau hopohopo a kōkua iā ʻoe e hana i ka hoʻoholo kūpono.

ʻEhia ka manawa e loaʻa ai nā hopena o ka CT Urogram?

ʻO ka maʻamau, he 1 a 3 mau lā e hoʻi mai ai nā hopena o kāu CT urogram. He kauka loea i ka radiology, i kapa ʻia he radiologist,E nānā ʻo ia i kāu mau scan a hana i kahi hōʻike kikoʻī o kāna mea i ʻike ai a loaʻa. A laila e kūkākūkā kāu kauka i ka hōʻike me ʻoe, ma ke kelepona a i ʻole ma ka hoʻonohonoho ʻana i kahi manawa no ʻoe e hele mai e ʻike iā ia.

I kahi pilikia, no ka laʻana ma ka lumi pilikia o ka haukapila (ETU) , hiki ke loaʻa koke ʻia kēia mau hopena, i loko o hoʻokahi hola.

I ka manawa hea e pono ai iaʻu ke kāhea aku i ke kauka ?

Hiki ke hoʻoluhi iki ʻia a paʻakikī hoʻi ke kali ʻana i nā hopena o kahi CT urogram, a maopopo iaʻu kēlā. Pono e hoʻomaopopo ʻia ʻoe i nā hopena i loko o kekahi mau lā. Eia nō naʻe, inā ʻaʻole ʻoe i lohe mai iā mākou, a inā he mau nīnau a hopohopo paha kāu e pili ana i kēia, mai kānalua e kelepona i kāu kauka.

He ʻeha anei ka CT Urogram?

ʻAʻole, ʻaʻole he hoʻāʻo ʻeha iki ka CT urogram. ʻO ka mea wale nō āu e ʻike ai he ʻeha iki ke hoʻokomo ʻia ka IV, e like me ke kui ʻia e kahi ʻanuʻu. Ma waho aʻe o kēlā, ʻaʻohe ʻeha.

He aha ka ʻokoʻa ma waena o kahi CT scan maʻamau a me kahi urogram CT?

He nīnau koʻikoʻi nō hoʻi kēia a ka poʻe he nui e nīnau ai. ʻO ka `(CT urogram)` kahi ʻano kūikawā o ka `(CT scan)`. I ka pololei, nānā pono ka `(CT urogram)` i kāu ʻōnaehana mimi (nā puʻupaʻa, ka ʻōpū mimi, ka urethra). Hiki i ka `(CT scan)` maʻamau ke nānā i kekahi ʻāpana o kou kino, mai kou poʻo a i nā ʻōpū ʻē aʻe. Eia kekahi, ʻaʻole nā ​​`(CT scan)` maʻamau a pau e hoʻohana i kēlā `(contrast dye)`. Akā, hoʻohana maoli ka `(CT urogram)` i ka `(contrast dye)` e ʻike maopopo i ka ʻōnaehana mimi.

He aha ka ʻokoʻa ma waena o ka CT Urogram a me ka Cystoscopy?

ʻOiai ʻo kēia mau mea ʻelua he mau hoʻokolohua e nānā ana i ka ʻōnaehana mimi, aia kahi ʻokoʻa nui i ke kaʻina hana. He hoʻokolohua invasive ka cystoscopy ma mua o ka CT urogram.

I ka wā o ka cystoscopy, e hoʻokomo mālie ke kauka i kahi ʻōmole kūikawā e like me ka mānoanoa o ka penikala, kahi ʻōmole lahilahi me ke kukui a me kahi kāmela i hoʻopili ʻia - i kapa ʻia he cystoscope - ma o kou urethra a i loko o kou ʻōpū mimi. A laila, e hoʻopiha ke kauka i ka ʻōpū mimi me ka wai paʻakai sterile, e ʻae ana i ke kāmela e nānā pololei i loko o ka ʻōpū mimi a me ka urethra.

I loko o kahi ``(CT urogram)`', ʻaʻohe mea hana i hoʻokomo ʻia i loko o ke kino, he scan ia i hana ʻia mai waho mai.

Nā mea e pono ai ʻoe e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, no laila ʻo ka mea nui loa āu e pono ai e hoʻomanaʻo mai ka mea a mākou i kamaʻilio ai, ʻo ia kēia:

He mea pono loa ka urogram CT, he palekana loa ia, he haʻahaʻa ka pilikia, a he ʻeha ʻole hoʻi e hiki ke kōkua i ka ʻike ʻana i nā pilikia i loko o kāu ʻōnaehana urinary.

He mea maʻamau ke hopohopo iki a hopohopo paha ke noi mai ke kauka iā ʻoe e hana i kahi hoʻokolohua e like me kēia. Akā inā he mau nīnau a hopohopo paha kāu e pili ana i ia mea, e kamaʻilio me kāu kauka e pili ana i ia mea me ka maopopo a me ka wehe. ʻAʻole wale ʻoe e loaʻa i kahi ʻike maikaʻi aʻe o ke kūlana, akā e hiki nō hoʻi iā ʻoe ke lanakila ma luna o kou mau makaʻu. ʻO ka ʻike pololei ka hana mua a koʻikoʻi loa e hoʻomaka ai a loaʻa ka lāʻau kūpono! No laila, ʻo ke komo ʻana i ia mau hoʻokolohua me ka makaʻu ʻole he mea nui loa ia no kou olakino.

ʻUrogram CT, ʻōnaehana mimi, maʻi puʻupaʻa, ʻōpū mimi, scan, dye contrast, X-ray