Malia paha he ʻeha mau kou kua, a i ʻole ua ʻike ʻoe i kahi mea e like me ke koko i loko o kou mimi a hele ʻoe e ʻike i ke kauka. A laila, i ka wā i haʻi aku ai ke kauka iā ʻoe e pono ʻoe e loaʻa i kahi 'CT Urogram', ua manaʻo paha ʻoe i kahi makaʻu a me ka hoihoi. Ua lohe paha ʻoe i kahi 'CT scan', akā he aha kēia 'Urogram'? He aha kāna e nānā ai? E ʻeha anei? He nui paha kāu mau nīnau e like me kēia i loko o kou manaʻo. Mai hopohopo, i kēia lā e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi e hoʻomaʻemaʻe i kou mau kānalua a pau.
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He aha ka CT Urogram ma ka ʻōlelo maʻalahi?
I ka ʻōlelo maʻalahi, he CT Urogram kahi scan CT kūikawā e nānā pono ana i kāu ʻōnaehana mimi. Nānā nui ia i kou mau puʻupaʻa, ka ʻōpū mimi, a me nā ʻōmole lahilahi ʻelua e lawe ana i ka mimi mai nā puʻupaʻa a i ka ʻōpū mimi (ureters) .
Hana kēia hoʻāʻo i kahi mea ʻokoʻa ma mua o ka CT scan maʻamau. Pili ia i ka hoʻokomo ʻana i kahi wai kūikawā, i kapa ʻia he dye contrast, i loko o kou kino. Ke hele kēia dye ma o kou koko a i loko o kāu ʻōnaehana mimi, ʻike maopopo ʻia kēlā mau ʻōkana ma nā kiʻi X-ray.
E noʻonoʻo i kēia ʻano: lawe kahi X-ray maʻamau i kiʻi 2D o hoʻokahi ʻaoʻao wale nō. Akā, ua like ka CT scan me kahi donut. I kou hele ʻana ma waena, milo ke kukuna X-ray i 360 degere a puni ʻoe, e lawe ana i nā kiʻi o kou kino ma nā "ʻāpana" liʻiliʻi, e like me nā ʻāpana kea o kahi berena. A laila hoʻohui kahi kamepiula i kēia mau kiʻi a pau e hana i kahi kiʻi 3D o loko o kou kino. ʻAe kēia i ke kauka e ʻike i kēlā me kēia kihi a me ke kīʻaha o kāu ʻōnaehana mimi.
I ka manawa hea e ʻōlelo ai ke kauka i kahi CT Urogram?
Inā kānalua kāu kauka aia kekahi mea hewa me kāu ʻōnaehana mimi, hiki i kēia hoʻāʻo ke kōkua nui i ka ʻike pono ʻana i ke ʻano o ia mea. E nānā kākou i ka papa ma lalo nei e ʻike i ke ʻano o ia mau hihia.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| Nā pōhaku puʻupaʻa | Nā pōhaku liʻiliʻi a paʻakikī e hana ʻia ana i loko o nā puʻupaʻa. Hiki i kēia ke hōʻeha nui i ke kua. |
| Nā pōhaku ureter | Hiki ke paʻa ka pōhaku puʻupaʻa i loko o ka urethra i kona hele ʻana i lalo o ka ureter me ka mimi. |
| Nā pōhaku ʻōpū | Nā pōhaku i hana ʻia i loko o ka ʻōpū mimi. |
| Nā maʻi | E ʻike i ke kumu o nā maʻi pinepine o ke ala mimi. |
| Nā puʻupuʻu | E ʻike i nā ulu ʻano ʻē (nā tumors) i loko o nā ʻōpū o ka ʻōnaehana urinary. |
| Nā cysts | E nānā i nā pehu liʻiliʻi i piha i ka wai i loko o nā ʻōpū e like me nā puʻupaʻa. |
Pehea ʻoe e hoʻomākaukau ai ma mua o kēia scan?
Ma mua o ke kiʻi ʻana, e nīnau aku ke kauka a i ʻole nā limahana o ka haukapila iā ʻoe i kekahi mau nīnau a e hāʻawi pū iā ʻoe i nā kuhikuhi i ka mea e hana ai.
Nā nīnau hiki iā ʻoe ke nīnau:
- He mau maʻi ʻē aʻe kou? (E laʻa, ka maʻi diabetes, nā pilikia puʻupaʻa)
- Aia kekahi mau maʻi allergies i ka dye contrast a i ʻole iodine?
- Ua hāpai ʻoe, a ke kānalua nei paha ʻoe ua hāpai ʻoe?
- Ke lawe nei ʻoe i kekahi mau lāʻau lapaʻau? He mea nui loa ia e makaʻala i nā mea e like me nā lāʻau lapaʻau maʻi diabetes (metformin) , nā lāʻau hoʻomaha ʻeha (NSAID) , a me nā lāʻau hoʻokahe koko (warfarin) .
ʻO ka maʻamau, ma mua o kēia scan, hiki iā ʻoe ke loaʻa i kahi hoʻāʻo koko e nānā i ka hana o kou puʻupaʻa . E kōkua kēia i ka hoʻoholo ʻana i ke ʻano o ka dye contrast i kūpono iā ʻoe.
Inā he maʻi ʻoe i ka dye, mai hopohopo. E hāʻawi ke kauka iā ʻoe i kahi steroid e lawe i ka pō ma mua a me ke kakahiaka o ke scan. Hiki ke hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau e hōʻemi i kou maʻi ʻaleka ma mua o ke scan.
Nā kuhikuhi e loaʻa iā ʻoe ma mua o ke scan:
- Hiki ke noi ʻia ʻoe e inu i ka wai nui i kekahi mau hola ma mua o ke scan.
- Ke ʻōlelo aku nei lākou iā ʻoe e inu i ka wai a mai mimi . A laila ua piha ka ʻōpū mimi a ua lawa ka nui e ʻike ai i ka mea i loko. Ua like ia me ka puhi ʻana i kahi pōpō a hoʻonui iā ia i hiki iā ʻoe ke ʻike inā he mea i loko.
- E ʻaʻahu i nā lole e ʻoluʻolu loa . Pono pinepine ʻoe e ʻaʻahu i ka lole haukapila.
- Pono ʻoe e wehe i nā mea hoʻonani metala a pau, e like me nā wati, nā apo pepeiao, a me nā lei. Hiki ke noi ʻia paha ʻoe e wehe i nā niho kuʻi a me nā mea kōkua hoʻolohe. Hiki i nā mea metala ke hoʻopilikia i nā kiʻi scan.
He aha ka mea e hana ʻia i ka wā o ke scan?
I kēia manawa, ʻo kāu wale nō e hana ai, ʻo ia ke hahai i nā ʻōlelo a nā limahana i hāʻawi ʻia.
1. Ke moe nei ma luna o kahi moe: E noi ʻia ʻoe e moe i luna ma luna o kahi moe i pili i ka scanner. Hiki ke noi ʻia ʻoe e huli ma kou ʻaoʻao. Hiki ke hāʻawi ʻia iā ʻoe nā uluna e hōʻoluʻolu a paʻa ai kou kino.
2. Hoʻokomo ʻana i ka dye contrast: E hoʻokomo ke kahu maʻi i kahi cannula liʻiliʻi i loko o kahi aa koko ma kou lima a lima paha a hoʻokomo i ka dye contrast i loko o kou kino ma o ia mea. Hiki paha iā ʻoe ke manaʻo i kahi ʻeha iki ke hoʻokomo ʻia ka nila, akā ʻaʻohe ʻeha ma hope.
3. Nā manaʻo o ka waihoʻoluʻu: Hiki iā ʻoe ke manaʻo i kahi manaʻo mahana ke komo ka waihoʻoluʻu i loko o kou kino. Ua like ia me kahi manaʻo mahana ke hilahila ʻoe. Hiki i kekahi poʻe ke ʻike i kahi ʻono paʻakai a metala paha i loko o ko lākou waha . Hiki iā lākou ke manaʻo e like me ka mea e pono koke ai lākou e mimi . E nalo aku kēia mau manaʻo a pau i loko o kekahi mau minuke, no laila mai hopohopo. He mea maʻamau kēia.
4. Ke nānā ʻana: A laila e neʻe mālie kou wahi moe i loko o ka mīkini ʻano donut. He mea nui e noho mālie i kēia manawa. E like me ka neʻe ʻana i ka wā e kiʻi ana i kahi kiʻi hiki ke hoʻopōʻele i ke kiʻi, pēlā nō ka neʻe ʻana. Ua mālie iki ka mīkini i ka wā e kiʻi ana i nā kiʻi. Hiki iā ʻoe ke lohe i kahi walaʻau iki i ka neʻe ʻana o ka moena i mua a i mua.
ʻO ka maʻamau, ʻo ke kaʻina hana holoʻokoʻa e lawe ma kahi o hoʻokahi hola. Akā aia ʻoe i loko o ka scanner no 10-30 mau minuke wale nō. He manawa pōkole loa kēlā me kēia kiʻi, ma kahi o 10-30 kekona.
Aia kekahi mau pilikia i loko o kēia?
He hoʻāʻo palekana loa ka CT Urogram. Eia nō naʻe, e like me nā hoʻāʻo lapaʻau āpau, aia kekahi mau pilikia liʻiliʻi loa. He mea maikaʻi ke makaʻala iā lākou.
| Pōpilikia | Nā mea e pono ai ʻoe e ʻike |
|---|---|
| Ka pilikia o ke kanesa | Hoʻohana kēia scan i kahi liʻiliʻi o ka radiation ionizing. ʻAʻole hoʻonui nui ka ʻike ʻia ʻana o ka radiation i ka pilikia o ka maʻi kanesa. Eia nō naʻe, haʻahaʻa loa ka nui o ka radiation i hoʻohana ʻia. E kauoha ke kauka i kēia hoʻāʻo no ka mea ʻoi aku ka maikaʻi o nā pono o ka ʻike pololei ʻana i kou kūlana ma mua o nā pilikia liʻiliʻi. |
| Nā hopena alerika | He mea kākaʻikahi loa, loaʻa paha i kekahi poʻe kahi hopena maʻi i ka pena hoʻohālikelike. Hiki ke loaʻa nā mea liʻiliʻi e like me ka huhū o ka ʻili a me ka maneʻo. He mea kākaʻikahi loa nā maʻi koʻikoʻi e like me ka paʻakikī o ka hanu ʻana. Ua mākaukau mau ka hui lapaʻau e lawelawe i ia ʻano hanana. |
| ʻEha/pehu ma kahi i hou ʻia ai | Aia paha kekahi ʻeha a me ka pehu ma kahi i hoʻokomo ʻia ai ke cannula. Hoʻopau pinepine ʻia kēia i loko o kekahi mau lā. |
Kekahi mau nīnau i nīnau pinepine ʻia
He ʻeha anei ka CT Urogram?
ʻAʻole. ʻAʻole kēia he hoʻāʻo ʻeha. ʻO ka ʻeha wale nō āu e ʻike ai he ʻano ʻū iki ke hoʻokomo ʻia ka cannula i loko o kou lima.
He aha ka ʻokoʻa ma waena o ka CT scan a me ka CT Urogram?
He ʻano CT scan ka CT Urogram. ʻAʻole like nā CT scan āpau. Ua hoʻolālā kūikawā ʻia ka CT Urogram e nānā i ka ʻōnaehana mimi. Hoʻohana pinepine ia i ka dye contrast. Hiki i nā CT scan ʻē aʻe ke nānā i kekahi ʻāpana o ke kino, a i kekahi manawa hana ʻia me ka ʻole o ka dye.
He like anei ka CT Urogram a me ka Cystoscopy?
ʻAʻole. He ʻokoʻa loa kēia mau mea ʻelua.
- ʻO ka CT Urogram kahi hoʻāʻo kiʻi ʻaʻole invasive i hana ʻia ma waho.
- He hana komohewa ka Cystoscopy . Hoʻokomo ʻia kahi ʻōmole palupalu (cystoscope) e pili ana i ka nui o ka penikala me kahi kāmela ma ka hopena ma o kou urethra a i loko o kou ʻōpū mimi, e ʻae ana iā ʻoe e ʻike i loko o kou ʻōpū mimi.
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- He mea nui a kikoʻī loa ka CT Urogram no ka ʻike ʻana i nā maʻi o kou mau puʻupaʻa, ka ʻōpū mimi, a me ka urethra.
- ʻAʻole kēia he hoʻāʻo ʻeha, a ma ke ʻano laulā he palekana loa ia.
- He mea nui e haʻi aku i ke kauka e pili ana i kou mau maʻi āpau, nā maʻi allergies, a me nā lāʻau lapaʻau āu e lawe nei ma mua o ka hoʻāʻo ʻana.
- He mea maʻamau ka mehana a me ka ʻono metala i loko o ka waha ma muli o ka waihoʻoluʻu hoʻohālikelike, a e nalo aku ia ma hope o kekahi manawa.
- ʻOi aku ka nui o nā pono o ka ʻike pololei ʻana i kahi maʻi ma mua o nā pilikia liʻiliʻi o kēia hoʻāʻo.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia, e ʻoluʻolu e kūkākūkā me kāu kauka me ka hūnā ʻole i kekahi mea.
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