Ke pilikia nei ʻoe me kou ʻōnaehana mimi? E kamaʻilio kākou e pili ana i ka hoʻokolohua Retrograde Urethrogram (RUG)!

I kekahi manawa, pilikia mākou i ka mimi ʻana, a i ʻole he koko paha i loko o kā mākou mimi. A i ʻole i ka wā e loaʻa ai kahi ulia ma ka ʻōpū haʻahaʻa, ʻo ia hoʻi, ma ka ʻūhā, pono mākou e ʻike inā he pōʻino i loko. ʻOi loa aku i ka wā e hana ai kekahi mea e like me kēia i ke kāne, ua kapa ʻia kahi hoʻokolohua kūikawā ʻo `(Retrograde Urethrogram)` e ʻike ai i ke kumu pololei. I kekahi manawa kapa mākou i kēia `(RUG)` no ka pōkole. No laila, pono ʻoe e hoihoi e ʻike e pili ana i kēia. E kamaʻilio mākou e pili ana i kēia hoʻokolohua `(RUG)` me nā kikoʻī, maʻalahi loa, i kēia lā?

He aha kēia hoʻāʻo (Retrograde Urethrogram)? I ka ʻōlelo maʻalahi...

ʻAe, e nānā mua kākou i ke ʻano o ka Retrograde Urethrogram (RUG). He hoʻāʻo kūikawā kēia a nā kauka e hoʻohana ai. Nānā ia e ʻike inā ua hōʻino ʻia kou urethra (ka ʻōmole a mākou e mimi ai ) a inā paha ua hōʻiliʻili ʻia nā ʻiʻo ʻeha a ke ālai nei i ke kahe ʻana o ka mimi . E noʻonoʻo iā ia e like me kahi paipu wai i paʻa i ka lepo a hoʻōki i ke kahe ʻana o ka wai.

Hana nui ʻia kēia hoʻāʻo ma nā kāne . Inā ua loaʻa iā ʻoe kahi ʻeha a ulia paha i kou ʻōpū haʻahaʻa a i ʻole ka ʻāpana groin, a inā manaʻo kāu kauka he ʻiʻo ʻeha kou i loko o kou urethra, hiki ke hana ʻia kēia hoʻāʻo "(RUG)".

I ka manawa hea e hana ʻia ai kahi hoʻokolohua RUG?

I kēia manawa ke noʻonoʻo nei paha ʻoe, "ʻAe, he aha ke ʻano o nā kūlana āu e hana ai i kēia?" E nānā:

Hiki i ke kauka ke kauoha i kahi urethrogram retrograde (RUG) i kahi pilikia (no ka laʻana, ma hope o kahi ulia). A i ʻole hiki ke hana ʻia e nānā i nā hōʻailona e hoʻomau nei. Pono paha ʻoe i kahi RUG inā loaʻa iā ʻoe kahi ʻeha ma kou ʻōpū haʻahaʻa a i ʻole ka ʻāpana groin a:

• Inā he kahe koko kou mai ka puka o kāu penis (ʻo ia hoʻi kahi e puka mai ai ka mimi).
• Inā ʻaʻole hiki iā ʻoe ke mimi .

ʻAʻole wale ia, hiki i ke kauka ke hana i kēia hoʻāʻo "RUG" no kekahi mau kumu ʻē aʻe:

• Inā manaʻo lākou ua haiki kou urethra (he 'stricture') ma muli o kahi maʻi, poloka, a i ʻole ka ʻeha.
• Inā pilikia lākou i ke komo ʻana i kahi catheter (kahi ʻōmole palupalu e kōkua iā ʻoe e mimi ).
• I kekahi manawa, pono e hoʻokomo i kahi catheter e hele a hiki i loko o ka ʻōpū mimi (transurethral bladder catheterization). Eia naʻe, ma mua o ka hana ʻana pēlā, inā manaʻo ke kauka he pilikia me kou ala mimi, e hoʻohana ʻo ia i kēia hoʻāʻo "RUG" e hōʻoia i hiki ke hana palekana ʻia.

He aha nā mea e loaʻa ai ma kēia hoʻokolohua RUG?

Kōkua kēia hoʻāʻo "Retrograde Urethrogram" i ke kauka e ʻike i nā mea e like me:

• ʻO ke koʻikoʻi o ka urethra : ʻO ke ʻano kēia ua ālai ʻia ka urethra.
• Aia kekahi mea e ālai ana i loko o kou ala mimi.
• Ka hōʻino ʻana i kou ala mimi: No ka laʻana, inā he haki, kahi puka hou a puka paha (fistula), a i ʻole kahi ʻano liʻiliʻi e like me ka ʻeke (diverticula).

He hoʻāʻo ʻeha anei kēia? ʻAʻohe mea e makaʻu ai!

ʻO kahi nīnau a ka poʻe he nui, "He ʻeha anei kēia?" ʻAʻole, ʻaʻole pono e ʻeha maoli ka "Retrograde Urethrogram". Eia nō naʻe, hiki iā ʻoe ke manaʻo i kahi ʻoluʻolu ʻole, he mea ʻē iki, i ka wā o ka hoʻāʻo ʻana a ma hope o ka mimi ʻana . He mea maʻamau kēia. Akā inā ʻoe e manaʻo i kekahi ʻeha, ʻoi aku ka maikaʻi o ka haʻi koke ʻana i kāu kauka.

Pehea e hana ai kēia (Retrograde Urethrogram)?

He mea maʻalahi loa ia. Ma kahi "Retrograde Urethrogram", hoʻokomo ke kauka i kahi wai kūikawā (i kapa ʻia ʻo "contrast") i loko o kou urethra. Hana ʻia kēia ma ke komo ʻana i kahi ʻōmole liʻiliʻi a i ʻole ka piko o kahi syringe blunt ma o ka lua ("urethral meatus"") ma ka hopena o kāu penis, kahi e puka mai ai ka mimi . Ke kahe nei kēia wai i loko o kou ʻōpū mimi (ka ʻeke kahi e hōʻiliʻili ai ka mimi ), lawe ke kauka i nā kiʻi "X-ray". Hoʻohana ʻia kēia mau kiʻi e ʻike i nā pilikia i loko o kou urethra.

I mea e pololei ai, ʻike maopopo ʻia ka urethra e kēia wai `contrast` ma ka `X-ray`. A laila hiki iā mākou ke ʻike pono inā he hewa i loko.

Aia kekahi mea e pono ai iaʻu e hoʻomākaukau ma mua o ka RUG?

ʻO kēia ka mea maikaʻi loa! ʻAʻole pono ʻoe e hana i kekahi mea kūikawā e hoʻomākaukau ai ma mua o kahi `(RUG)`. Hiki iā ʻoe ke noho maʻamau.

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

ʻAe, e nānā kākou i ka mea e hana ʻia ke hana ʻoe i kahi `(Retrograde Urethrogram)`. Mai makaʻu, e haʻi maʻalahi wau iā ʻoe.

• ʻO ka mea mua, e hoʻohuli ʻia ʻoe i kekahi ʻaoʻao ma luna o kahi papaʻaina ma lalo o kahi mīkini X-ray. E noi ʻia hoʻi ʻoe e kūlou i kekahi o kou mau wāwae i ka ʻaoʻao. Na ke kauka a i ʻole kekahi mea kōkua ma laila e kōkua iā ʻoe e hoʻonoho pono iā ʻoe iho.
• A laila, e hoʻomaʻemaʻe ke kauka i ka wahi a puni ka puka o kāu penis a kau i kahi hopena antiseptic (e like me ka iodine) .
• I kekahi manawa, hiki ke hoʻopili ʻia kahi lubricant numbing topical i loko o kou penis e hoʻomāno i kou urethra . He mau minuke wale nō e hana ai.
• ʻO ka mea aʻe, e hoʻokomo ke kauka i kahi ʻōmole liʻiliʻi ma ka lua ma ka piko o kāu penis . E alakaʻi mālie ʻia ka ʻōmole i lalo o kou urethra i kahi mamao pōkole. I kēia manawa, e hoʻoneʻe mālie paha lākou i kāu penis i ke kūlana a nīnau iā ʻoe inā ʻoe e ʻike i kekahi ʻeha. ʻAʻole pono kēia e ʻeha - inā hana ia, pono ʻoe e haʻi iā lākou.
• I kēia manawa, ua hoʻokomo ʻia ka wai `contrast` i ʻōlelo ʻia ma mua i loko o ka urethra me ka hoʻohana ʻana i kahi syringe. ʻO kēia wai ka mea e ʻike maopopo ai i kou urethra ma nā kiʻi `X-ray`.
• I ka hele ʻana o ka wai hoʻohālikelike ma o ka urethra i ka ʻōpū mimi, lawe ke kauka i nā kiʻi me kahi mīkini X-ray.
• I kekahi manawa, e noi ʻia paha ʻoe e mimi i loko o kahi pahu e ʻike ai pehea e puka aku ai kēia wai hoʻohālikelike mai kou kino aku, a e noi ʻia paha ʻoe e kiʻi i nā kiʻi X-ray.

ʻO ia wale nō ka mea e hana nei. ʻAʻohe mea e makaʻu ai e like me kou manaʻo, ʻeā?

He aha ka mea e manaʻo ai ma hope o ka hoʻāʻo?

Ma hope o ka hoʻāʻo ʻana, hiki paha iā ʻoe ke manaʻo iki i ka ʻoluʻolu ʻole ke mimi ʻoe . Hiki paha iā ʻoe ke ʻike i kahi koko liʻiliʻi ke mimi ʻoe . He mea maʻamau kēia, mai hopohopo. E emi ana kēia ʻoluʻolu ʻole ma hope o hoʻokahi lā . ʻO ka mea nui loa, ʻo ia ka inu ʻana i ka wai he nui . E kōkua kēia i ka hoʻokahe ʻana i kekahi wai hoʻohālikelike i koe.

Aia kekahi mau pilikia a i ʻole nā ​​hopena ʻaoʻao i kēia hoʻāʻo RUG?

He hoʻāʻo haʻahaʻa loa ka retrograde urethrogram. Eia nō naʻe, aia kekahi mau hopena ʻaoʻao kakaikahi loa e hiki ke loaʻa:

• Ka maʻi ʻana.
• He hopena maʻi ʻaleka i ka wai hoʻohālikelike.
• ʻO kēlā me kēia hōʻino i ke ala mimi a i ʻole ka ʻōpū mimi.

He mau mea kākaʻikahi loa kēia, akā he mea maikaʻi ke ʻike iā lākou.

He aha nā hopena o ka hoʻāʻo RUG? He aha ke ʻano o ia mau mea?

Inā "maʻamau" kāu mau hopena hoʻāʻo, ʻo ia hoʻi ke kahe nei ka wai ma o kou urethra me ka ʻole o nā mea e ālai ʻia ai . Inā pēlā, hiki ke kumu ʻia kāu mau hōʻailona e kekahi mea ʻē aʻe.

Hiki i nā hopena ʻē aʻe ke hōʻike ua hōʻino ʻia kou urethra, ua ʻūlū ʻia, a ua ālai ʻia paha.

I kekahi manawa, inā ʻaʻole lawa ka ʻike o ka hoʻāʻo RUG wale nō, makemake paha kāu kauka e hana i kahi cystoscopy , ʻo ia hoʻi ke hoʻokomo ʻana i kahi kāmela liʻiliʻi i loko o kou urethra.

ʻEhia ka lōʻihi e ʻike ai i nā hopena?

ʻO ka manawa e pono ai iā ʻoe e ʻike i nā hopena e pili ana i ke kumu o kāu hana ʻana i kēia hoʻokolohua.

• Inā loaʻa iā ʻoe kahi ʻeha a pono ʻoe i ka mālama olakino ulia pōpilikia , e loaʻa koke i ke kauka nā hopena hoʻāʻo , i hiki iā lākou ke mālama koke iā ʻoe.
• Inā ʻaʻole he pilikia , pono e ʻike ʻoe i nā hopena i loko o kekahi mau lā .

Inā he ʻano ʻē nā hopena, he aha kāu e hana ai ma hope?

I kēia manawa ke noʻonoʻo nei paha ʻoe, "ʻAe, inā ʻōlelo nā hopena he pilikia, he aha kā mākou e hana ai?"

ʻO nā hana aʻe āu e hana ai e pili ana i ke kumu o kou pilikia. E kamaʻilio kāu kauka me ʻoe e pili ana i nā koho lapaʻau. Hiki i kēia mau mea ke komo pū me:

• Nā kaʻina hana e hoʻonui i kou urethra (e like me ka hoʻonui ʻana o ka urethral) .
• ʻO ke ʻoki kino (e like me ka urethroplasty) .

Mai hopohopo, e wehewehe ke kauka i ka lāʻau lapaʻau kūpono loa iā ʻoe.

Āhea wau e ʻike hou ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau mea ma hope o ka hoʻāʻo ʻana, pono ʻoe e ʻike i kāu kauka:

• Inā loaʻa iā ʻoe ka ʻeha i ka wā e mimi ai a i ʻole hiki ʻole ke mimi .
• Inā loaʻa iā ʻoe ka ʻeha a i ʻole ke kahe koko no nā lā a ʻoi aku ma mua o hoʻokahi lā ma hope o ka hoʻāʻo ʻana.
• Inā he mau hōʻailona o ka maʻi (e laʻa, ka pehu ʻana o ke penis, ke kuni).
• Inā he mau nīnau kāu e pili ana i nā hopena o kāu hoʻāʻo.

ʻOi aku ka maikaʻi o ka noʻonoʻo ʻole e kamaʻilio me ke kauka e pili ana i kekahi mea e like me kēia, ʻeā?

No laila, e nānā kākou i kekahi mau mea e hoʻomanaʻo ai mai kēia? (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui mākou e pili ana i kēia hoʻāʻo `(Retrograde Urethrogram)` a i ʻole `(RUG)`, ʻeā? ʻO ka mea hope loa, e hoʻomanaʻo i kēia mau mea:

He hoʻāʻo maʻalahi a haʻahaʻa ka pilikia o ka retrograde urethrogram.

He mau minuke wale nō kēia e lawe ai.

Eia nō naʻe, hāʻawi kēia i nā kauka i ka ʻike nui e pili ana i nā pilikia kūpono me kāu ʻōnaehana urinary.

Hoʻohana ʻia kēia hoʻāʻo i nā pilikia a i ʻole ma hope o kahi ʻeha e hoʻoholo ai inā he pōʻino i ʻike ʻole ʻia ma waho .

No laila, inā noi mai ke kauka iā ʻoe e hana i kēia hoʻāʻo, mai makaʻu pono ʻole iā ia. E noʻonoʻo iā ia he mea e kōkua iā ʻoe e mālama i kou olakino. Inā he mau nīnau ʻē aʻe kāu, e kamaʻilio me kāu kauka.

ʻAla Mimi , RUG, Retrograde Urethrogram, Hoʻāʻo Mimi, Ola Kino o nā Kāne, Maʻi ʻAla Mimi, X-ray, Nā Pilikia Mimi