He aha ka Retrograde Pyelogram? E kamaʻilio maʻalahi kākou e pili ana!

Ua loaʻa paha iā ʻoe kekahi ʻeha, ʻeha, a i ʻole kekahi pilikia ʻē aʻe me kāu ʻōnaehana mimi a ua hele ʻoe e ʻike i ke kauka. A laila, ua ʻōlelo paha ke kauka e pono ʻo ia e nānā i ke kūlana o kou mau ʻōpū i loko, e like me kou mau puʻupaʻa a me ka urethra. I kēia lā, e kamaʻilio mākou e pili ana i kahi hoʻokolohua kūikawā i hana ʻia i ia mau manawa.

I ka ʻōlelo maʻalahi, he aha ka Retrograde Pyelogram?

E noʻonoʻo ʻoe makemake ʻoe e kiʻi i kahi kiʻi maopopo o loko o kāu ʻōnaehana mimi, ʻo ia hoʻi kou mau puʻupaʻa a me nā ʻōmole e lawe ana i ka mimi mai ia mau mea a i kou ʻōpū mimi (ureters). ʻAʻole ʻike ʻia kēia ma kahi X-ray. No laila, ma kēia hoʻāʻo, ua hoʻokomo ʻia kahi wai kūikawā i kapa ʻia ʻo 'dye' (contrast agent) i loko o kou urethra, a laila lawe ʻia kekahi mau kiʻi X-ray. Hoʻomaopopo ka dye i ke ʻano o kāu ʻōnaehana mimi a me loko ona e ʻike maopopo ʻia ma ka X-ray i ke keʻokeʻo.

Ua kapa ʻia kēia he "retrograde," no ka mea, ʻo ka maʻamau, hele ka mimi i lalo mai nā puʻupaʻa. Akā ma kēia hoʻāʻo, hoʻouna mākou i ka waihoʻoluʻu mai lalo a luna, ma ke ʻaoʻao ʻē aʻe o ka mimi. ʻO ia ke ʻano o ka inoa. ʻO ka "pyelogram" he kiʻi i lawe ʻia o ka ʻāpana nui o kou puʻupaʻa kahi e hōʻiliʻili ai ka mimi (ka pelvis renal).

Pehea ka ʻokoʻa o kēia mai kahi Intravenous Pyelogram (IVP)?

Ua lohe paha ʻoe i kekahi hoʻokolohua ʻē aʻe e like me kēia, i kapa ʻia he Intravenous Pyelogram (IVP). Hoʻohana nā mea ʻelua i kahi dye e kiʻi i nā kiʻi o ka ʻōnaehana mimi. ʻO ka ʻokoʻa nui ke ʻano o ka hoʻokomo ʻia ʻana o ka dye i loko o ke kino.

• Intravenous Pyelogram (IVP): Maanei, hoʻokomo ʻia ka dye i loko o kahi aa koko ma kou lima . A laila hele ka dye ma o kou kahe koko, kānana ma o kou mau puʻupaʻa, a komo i loko o kāu ʻōnaehana urinary ma mua o ka X-ray ʻia.
• Pyelogram Retrograde: Maanei, hoʻokomo pololei ʻia ka dye i loko o ka ureter . Hoʻohana ʻia kahi mea hana kūikawā no kēia.

I kēia manawa, ke noʻonoʻo nei paha ʻoe no ke aha he ʻelua mau ʻano hana. ʻO ke kumu nui, he maʻi ʻaleka kekahi poʻe i nā kala i hoʻohana ʻia i nā kukuna X. I ka IVP, hoʻohui ʻia ka kala i ke koko, no laila ʻoi aku ka nui o ka loaʻa ʻana o kahi maʻi ʻaleka. Eia nō naʻe, i ka Retrograde Pyelogram, ua hoʻokomo pololei ʻia ka kala i loko o ka urethra, no laila ʻaʻole paha e hoʻohui ʻia i ke koko. No laila , hiki i kekahi me ka maʻi ʻaleka i nā kala ke loaʻa i kēia hoʻāʻo me ka palekana .

Eia nō naʻe, i kēia manawa, ʻoi aku ka pinepine o ka hana ʻana i kahi CT scan (Computed Tomography) ma mua o kēia mau hoʻokolohua ʻelua. Hiki iā ia ke hāʻawi i nā kiʻi ʻoi aku ka maopopo.

No ke aha nā kumu e noi aku ai ke kauka iā ʻoe e hana i kēia hoʻokolohua?

Hiki i kāu kauka ke ʻōlelo pinepine i kēia hoʻāʻo ma nā hihia aʻe:

• Inā ʻoe e manaʻo ua hōʻino ʻia kou ureter.
• Inā ʻoe e manaʻo nei he poloka a ʻūlū paha kekahi wahi o ka urethra.
• Inā makemake ʻoe e nānā i nā pōhaku a i ʻole nā ​​​​pūpū i loko o nā puʻupaʻa, nā ureters, a i ʻole ka ʻōpū mimi.
• Inā pono ʻoe e hoʻokomo i kahi stent , kahi ʻōmole liʻiliʻi e wehe mau ana i ka ʻōmole, i loko o ka urethra, pono ʻoe i kahi kiʻi maopopo.
• Inā makemake ʻoe e nānā pono i loko o ka ʻōnaehana mimi ma mua o ka hana ʻana i kahi lāʻau ʻē aʻe, e like me ka ureteroscopy .

Pehea ʻoe e hoʻomākaukau ai ma mua o ka hoʻokolohua?

He hoʻāʻo kēia i hana pinepine ʻia ma ka haukapila. ʻAʻohe ou kumu e makaʻu ai. Akā, aia kekahi mau mea e pono ai ʻoe e makaʻala ma mua o kou hana ʻana.

1. E kamaʻilio me kāu kauka: Pono ʻoe e haʻi i kāu kauka e pili ana i nā kūlana olakino ʻē aʻe āu i loaʻa ai, nā lāʻau lapaʻau āu e lawe ai (ʻoi aku ka lāʻau hoʻokahe koko), nā maʻi allergies āu e loaʻa ai, a inā ʻoe e hāpai ana.

2. Anesthesia: Hana ʻia kēia hoʻāʻo ma lalo o ka anesthesia laulā. ʻO ke ʻano kēia, ʻaʻole ʻoe e ʻeha. I ka hapa nui o nā hihia, e hiamoe loa ʻoe (anesthesia laulā). No laila, ʻaʻole hiki iā ʻoe ke hoʻokele i kahi kaʻa ma kāu iho ma hope o ka hoʻāʻo. E hōʻoia e lawe mai i kekahi e lawe iā ʻoe i ka home .

3. Mea ʻAi a me Mea Inu: E aʻo ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea i ka pō ma mua o ka hoʻāʻo a hiki i ka wā e ʻōlelo ai ke kauka iā ʻoe. E hahai pono i kēlā mau kuhikuhi.

4. Nā lole a me nā mea hoʻonani: I ka lā o kou kipa ʻana i ka haukapila, mai ʻaʻahu i nā mea hoʻonani pipiʻi . E ʻaʻahu i nā lole ʻoluʻolu a palupalu.

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

ʻAe, e nānā kākou i ka mea e hana ʻia i ka wā o ka hoʻāʻo ʻana ma kēlā me kēia ʻanuʻu. ʻO ka ʻike ʻana i kēia e kōkua iā ʻoe e hōʻoluʻolu i kou makaʻu.

• ʻO ka mea mua, e hāʻawi ka haukapila iā ʻoe i kahi lole kūikawā e ʻaʻahu ai.
• A laila e hoʻokomo kahi kahu maʻi i kahi cannula liʻiliʻi (laina IV) i loko o kahi aa koko ma kou lima. Ma o ia mea, e hāʻawi lākou iā ʻoe i ka saline a me nā lāʻau lapaʻau e pono ai e kōkua iā ʻoe e hoʻomaha.
• A laila, hele mai ke kauka anesthesiologist a hoʻokomo iā ʻoe ma lalo o ka anesthesia. Ma hope o kēlā, e hiamoe maikaʻi ʻoe. ʻAʻole ʻoe e manaʻo i kekahi mea .
• Ma hope o kou hiamoe ʻana, e hoʻokomo ke kauka i kahi ʻōmole lahilahi loa i kapa ʻia he cystoscope , nona kahi kāmela liʻiliʻi ma ka hopena, i loko o kou urethra a hoʻouna iā ia ma o kou ʻōpū mimi a hiki i ka puka o kāu ureter.
• A laila, hoʻokomo ʻia kekahi ʻōmole lahilahi ʻē aʻe ma o kēlā mea hana i loko o ka urethra, a hoʻokomo mālie ʻia ka waihoʻoluʻu kūikawā ma o ia mea.
• Ke hoʻokomo pono ʻia ke kala, lawe ka mīkini X-ray i kekahi mau kiʻi.
• Inā he lāʻau ʻē aʻe e pono e hana ʻia i ka manawa like me kēia hoʻāʻo, e like me ka wehe ʻana i kahi pōhaku, e hana koke ke kauka i kēlā. A i ʻole, e wehe ʻo ia i nā lako āpau a hoʻomaka e hoʻihoʻi iā ʻoe i ka ʻike.

Nā mea e makaʻala ai ma hope o ka hoʻokolohua

Ma hope o ka pau ʻana o ka hoʻāʻo, e lawe ʻia ʻoe i kahi lumi kaʻawale (ʻāpana hoʻōla) no ka nānā ʻana. E mālama nā limahana lapaʻau iā ʻoe a hiki i kou hoʻomaopopo hou ʻana a hoʻi hou kou koko a me kou hanu ʻana i ka maʻamau.

• E hoʻolohe pono lākou inā he koko i loko o kou mimi a me ka nui o ka mimi āu e hoʻokuʻu nei.
• ʻOiai ma hope o kou hoʻi ʻana i ka home, e hāʻawi ʻia ʻoe i nā ʻōlelo aʻo maopopo e pili ana i nā lāʻau lapaʻau āu e pono ai e lawe, nā mea āu e ʻai ai a me nā mea ʻaʻole pono e ʻai, a me ka wā e pono ai ʻoe e kāhea hou aku i ke kauka.
• Ke hōʻoia ʻia kou kūlana ua maikaʻi, hiki iā ʻoe ke hoʻi i ka home me ka mea nāna i hele mai e kiʻi iā ʻoe.

He aha nā pōmaikaʻi o kēia hoʻāʻo?

Aia kekahi pilikia?

E like me nā hoʻokolohua lapaʻau āpau, aia kekahi mau pilikia liʻiliʻi loa, akā ua manaʻo ʻia he hoʻokolohua palekana loa .

• Nā pilikia e pili ana i ka anesthesia (he mea kākaʻikahi loa kēia).
• Aia kahi manawa liʻiliʻi o ka loaʻa ʻana o nā maʻi ʻaʻai mimi (UTI).
• Aia kahi pilikia liʻiliʻi loa o ka hōʻino ʻana i ka ʻōpū mimi a i ʻole ka urethra i ka wā e hoʻokomo ʻia ai nā mea hana.

ʻEhia ka lōʻihi e hoʻōla ai a āhea ʻoe e ʻike ai i ke kauka?

Hiki iā ʻoe ke hoʻi i ka hana a i ʻole nā ​​hana maʻamau i loko o kekahi mau lā. Hiki iā ʻoe ke ʻai maʻamau. He mea nui loa ka inu ʻana i ka wai he nui .

Inā ʻike ʻoe i nā hōʻailona ma lalo nei, pono ʻoe e kāhea koke aku i kāu kauka .